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Masala S, Lacchè A, Salimei F, Ursone A, Pipitone V, Masino F, D'Arma GMA, Guglielmi G. CT-guided ozone mixture injection in treatment of symptomatic lumbar facet synovial cysts. Acta Biomed 2023; 94:e2023025. [PMID: 36786272 PMCID: PMC9987492 DOI: 10.23750/abm.v94i1.12991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 09/08/2022] [Indexed: 02/15/2023]
Abstract
BACKGROUND AND AIM To evaluate the clinical and radiological outcomes, in terms of safety and efficacy, of a new treatment method for symptomatic lumbar facet synovial cysts (LFSC), based on ozone injection inside the cyst. METHODS We retrospectively reviewed clinical records and imaging studies of 77 patients who underwent CT-guided ozone treatment of symptomatic facet joint synovial cysts in our department over a 5-year span. Clinical outcome was assessed with Numerical Rating Scale (NRS) and Oswestry Disability Index (ODI) evaluations, obtained prior to the intervention and at 1-, 3-, 6- and 12-months follow-up. Follow-up MRI imaging at 6 and 12 months were obtained and confronted with the pre-procedural MRI to analyse cyst modification after the intervention. RESULTS Ozone administration was technically successful in 100% of procedures; no immediate complications occurred. At 1 month evaluation, 92% of the patients referred partial or complete symptomatic response; 86% of patients at 3 months and 84% at 6 months confirmed symptoms improvement; final assessment, at 12 months after intervention, outlined overall significant clinical improvement in 81% of patients. During the 12 months of follow-up only 3 patients had a relapse of the cyst (at 6 months) that were retreated with a 100% success. CONCLUSIONS CT-guided ozone therapy for symptomatic LFSC is a safe and innovative treatment option, with good clinical results at 12 months follow-up in a significative percentage of patients, thus reducing the need for invasive surgical interventions.
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Di Giuliano F, Picchi E, Lacchè A, Bozzi A, Cavaleri Y, Garaci F, Floris R. Congenital kidney malformation: Computed tomography and scintigraphy findings of renal reversed rotation. Radiol Case Rep 2019; 14:678-682. [PMID: 30976367 PMCID: PMC6439229 DOI: 10.1016/j.radcr.2019.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 02/24/2019] [Accepted: 03/02/2019] [Indexed: 11/18/2022] Open
Abstract
Renal reversed rotation is a congenital abnormality due to anomalous kidney rotation around its long axis, resulting in faced laterally renal hilum; this condition is associated with several vascular variants. The aim of this report is to describe the case of a 47-year-old male with renal reversed rotation who came to our attention after ultrasound exam. The association of renal rotation and vascular anomalies increases long-term complications as kidney lithiasis, hydronephrosis, colic pain, hematuria, and renal failure. We decided to study the anatomy and renal function of the reversed rotated kidney by multiphasic computed tomography and renal dimercaptosuccinic acid-scintigraphy. It is critical for urologists and radiologists to recognize this abnormality in order to plan the best treatment and follow-up.
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Affiliation(s)
- Francesca Di Giuliano
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
| | - Eliseo Picchi
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
| | - Adriano Lacchè
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
| | - Alessio Bozzi
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
| | - Yuri Cavaleri
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Surgery; Urology UOC, 00133 Rome, Italy
| | - Francesco Garaci
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
| | - Roberto Floris
- Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
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Guazzaroni M, Lacchè A, Nardone V, Garipoli A, Pizzicannella G, Vasili E, Bocchinfuso F, Floris R. Evaluation of a cardiac sarcoma with CT multislice contrast-enhanced and 18FDG-PET/TC. Radiol Case Rep 2019; 14:368-371. [PMID: 30581525 PMCID: PMC6299141 DOI: 10.1016/j.radcr.2018.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Revised: 12/02/2018] [Accepted: 12/03/2018] [Indexed: 12/01/2022] Open
Abstract
We present the case of an adult male who arrived to our emergency room with progressive dyspnea that had been ongoing for 2 months. During the radiological investigation, we found a large intracardiac mass, which invaded the pericardium, pulmonary trunk, pulmonary arteries, and left ventricle. Studies done with the 18FDG-PET/CT scan helped us to determine the malignant nature of the mass and to suspect the diagnosis of rhabdomyosarcoma.
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Garaci FG, Vasili E, Bocchinfuso F, Lacchè A, Nardone V, Di Donna C, Spiritigliozzi L, Floris R. Paucisymptomatic pulmonary and right ear tuberculosis in young woman suffering from anorexia and bulimia nervosa. Radiol Case Rep 2019; 14:423-426. [PMID: 30766647 PMCID: PMC6354621 DOI: 10.1016/j.radcr.2018.10.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 10/20/2018] [Accepted: 10/22/2018] [Indexed: 01/15/2023] Open
Abstract
Nowadays tuberculosis has become a reemerging infectious disease due to the many forms of immunodeficiency. Patients with eating disorders like anorexia nervosa and bulimia are a susceptible group due to the immune impairment correlated with severe malnutrition and their prevalence and incidence is growing. We describe the case of a 31-year-old woman, with long-standing history of anorexia nervosa and bulimia, diagnosed with advanced pulmonary tuberculosis. This case underlines the importance on never neglecting even the slightest symptoms in patients with malnutrition and never excluding this pathology without a proper investigation.
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Affiliation(s)
- Francesco Giuseppe Garaci
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Erald Vasili
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Francesco Bocchinfuso
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Adriano Lacchè
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Vittorio Nardone
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Carlo Di Donna
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Luigi Spiritigliozzi
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
| | - Roberto Floris
- Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy
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Guazzaroni M, Bocchinfuso F, Vasili E, Lacchè A, Ranalli T, Garipoli A, Di Tosto F, Floris R. Multicentric Castleman's disease: Report of three cases. Radiol Case Rep 2018; 14:328-332. [PMID: 30581518 PMCID: PMC6297056 DOI: 10.1016/j.radcr.2018.10.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Revised: 10/03/2018] [Accepted: 10/13/2018] [Indexed: 11/16/2022] Open
Abstract
Castleman's disease is an uncommon benign B-cell lymphoproliferative disorder. According to lymph nodes distribution, there are two distinct subtypes of disease: unicentric and multicentric. Unicentric Castleman's disease is more common, localized to one site, and locally treated. On the contrary, multicentric form is a rare systemic disease characterized by diffuse lymphadenopathy and inflammatory symptoms. We report three cases of persons that were initially suspected to have a lymphoma but were later histologically confirmed to have Multicentric Castleman's Disease. In addition, our work aims to investigate the role of fluorodeoxyglucose (FDG) PET/CT in evaluation of this rare condition.
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Affiliation(s)
- M Guazzaroni
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - F Bocchinfuso
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - E Vasili
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - A Lacchè
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - T Ranalli
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - A Garipoli
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - F Di Tosto
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
| | - R Floris
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico "Tor Vergata," viale Oxford 81, Rome 00133, Italy
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Morosetti D, Picchi E, Calcagni A, Lamacchia F, Cavallo AU, Bozzi A, Lacchè A, Sergiacomi G. Anomalous development of the inferior vena cava: Case reports of agenesis and hypoplasia. Radiol Case Rep 2018; 13:895-903. [PMID: 29997719 PMCID: PMC6037009 DOI: 10.1016/j.radcr.2018.04.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 04/09/2018] [Accepted: 04/13/2018] [Indexed: 11/15/2022] Open
Abstract
We reported the cases of two adult male patients who were admitted to our emergency room with abdominal pain and dyspnea caused by gallstones and pulmonary embolism respectively. During the radiological investigations, as collateral findings, we found two anomalous development of the inferior vena cava. These conditions affect about 4% of population and, although asymptomatic or mildly symptomatic, are associated with thrombotic manifestations as deep vein thrombosis and pulmonary embolism. The prompt recognition of these anomalies is necessary in order to prevent the complications associated with these conditions and to set the best therapy for patients.
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Affiliation(s)
- Daniele Morosetti
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Eliseo Picchi
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Antonello Calcagni
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Feliciana Lamacchia
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Armando Ugo Cavallo
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Alessio Bozzi
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Adriano Lacchè
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
| | - Gianluigi Sergiacomi
- Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133 Rome, Italy
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Manenti G, Cavallo AU, Marsico S, Citraro D, Vasili E, Lacchè A, Forcina M, Ferlosio A, Rossi P, Floris R. Chronic expanding hematoma of the left flank mimicking a soft-tissue neoplasm. Radiol Case Rep 2017; 12:801-806. [PMID: 29484075 PMCID: PMC5823383 DOI: 10.1016/j.radcr.2017.07.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Revised: 07/15/2017] [Accepted: 07/27/2017] [Indexed: 12/28/2022] Open
Abstract
Soft-tissue hematomas are a common clinical entity often associated with trauma, surgery, and bleeding disorders. In the majority of cases, soft-tissue hematomas acutely appear and spontaneously resolve, but sometimes, they present as swellings that slowly expand and progressively increase with time. We present a case of a 70-year-old man with chronic expanding hematoma of the left flank without any history of recent trauma or other medical disease. The diagnosis could not be confirmed on imaging features alone, so the patient was taken to surgery for open biopsy and excision. In patients with slowly growing extremity masses without recent trauma or chronic medical disorders, the differential diagnosis becomes challenging, and chronic expanding hematoma should be considered in addition to soft-tissue sarcomas and other malignancies.
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Affiliation(s)
- Guglielmo Manenti
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Armando Ugo Cavallo
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Salvatore Marsico
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Daniele Citraro
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Erald Vasili
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Adriano Lacchè
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Marco Forcina
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
| | - Amedeo Ferlosio
- Anatomic Pathology Institute, Department of Biomedicine and Prevention, University of Rome "Tor Vergata," Rome, Italy
| | - Piero Rossi
- Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata," Rome, Italy
| | - Roberto Floris
- Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy
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Lacchè A, Basaglia P. [Treatment of hypertensive emergencies with sublingual nifedipine]. Minerva Cardioangiol 1986; 34:619-24. [PMID: 3808329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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