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Mauri G, Perrot V, Mazzanti P, De Laurentiis M, Pagani O, Munzone E. P003 ROSE trial: A prospective non-interventional study to assess the quality of life (QoL) of premenopausal patients with early breast cancer receiving triptorelin as ovarian function suppression. Breast 2023. [DOI: 10.1016/s0960-9776(23)00122-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
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Piazza P, Bianchi L, Luzzago S, Bandini M, Mottaran A, Amirhassankhani S, Bernardino D, Celia A, Serra C, Cappelli A, Golfieri R, Musi G, Gallina A, Liguori G, Trombetta C, De Cobelli F, Mauri G, Orsi F, Capitanio U, Schiavina R, De Cobelli O, Montorsi F, Brunocilla E. New size cut-off proposed by EAU Renal Cancer Working group better identifies patients who can benefit from local tumor ablation. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01306-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bonaterra-Pastra A, Benítez S, Pancorbo O, Rodríguez-Luna D, Vert C, Rovira A, Freijo MM, Tur S, Martínez-Zabaleta M, Cardona Portela P, Vera R, Lebrato-Hernández L, Arenillas JF, Pérez-Sánchez S, Domínguez-Mayoral A, Fàbregas JM, Mauri G, Montaner J, Sánchez-Quesada JL, Hernández-Guillamon M. Association of candidate genetic variants and circulating levels of ApoE/ApoJ with common neuroimaging features of cerebral amyloid angiopathy. Front Aging Neurosci 2023; 15:1134399. [PMID: 37113571 PMCID: PMC10126235 DOI: 10.3389/fnagi.2023.1134399] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 03/27/2023] [Indexed: 04/29/2023] Open
Abstract
Introduction Cerebral amyloid angiopathy (CAA) is characterized by the accumulation of amyloid-β (Aβ) in brain vessels and is a main cause of lobar intracerebral hemorrhage (ICH) in the elderly. CAA is associated with magnetic resonance imaging (MRI) markers of small vessel disease (SVD). Since Aβ is also accumulated in Alzheimer's disease (AD) in the brain parenchyma, we aimed to study if several single nucleotide polymorphisms (SNPs) previously associated with AD were also associated with CAA pathology. Furthermore, we also studied the influence of APOE and CLU genetic variants in apolipoprotein E (ApoE) and clusterin/apolipoprotein J (ApoJ) circulating levels and their distribution among lipoproteins. Methods The study was carried out in a multicentric cohort of 126 patients with lobar ICH and clinical suspicion of CAA. Results We observed several SNPs associated with CAA neuroimaging MRI markers [cortical superficial siderosis (cSS), enlarged perivascular spaces in the centrum semiovale (CSO-EPVS), lobar cerebral microbleeds (CMB), white matter hyperintensities (WMH), corticosubcortical atrophy and CAA-SVD burden score]. Concretely, ABCA7 (rs3764650), CLU (rs9331896 and rs933188), EPHA1 (rs11767557), and TREML2 (rs3747742) were significantly associated with a CAA-SVD burden score. Regarding circulating levels of apolipoproteins, protective AD SNPs of CLU [rs11136000 (T) and rs9331896 (C)] were significantly associated with higher HDL ApoJ content in the lobar ICH cohort. APOEε2 carriers presented higher plasma and LDL-associated ApoE levels whereas APOEε4 carriers presented lower plasma ApoE levels. Additionally, we observed that lower circulating ApoJ and ApoE levels were significantly associated with CAA-related MRI markers. More specifically, lower LDL-associated ApoJ and plasma and HDL-associated ApoE levels were significantly associated with CSO-EPVS, lower ApoJ content in HDL with brain atrophy and lower ApoE content in LDL with the extent of cSS. Discussion This study reinforces the relevance of lipid metabolism in CAA and cerebrovascular functionality. We propose that ApoJ and ApoE distribution among lipoproteins may be associated with pathological features related to CAA with higher ApoE and ApoJ levels in HDL possibly enhancing atheroprotective, antioxidative, and anti-inflammatory responses in cerebral β-amyloidosis.
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Affiliation(s)
- Anna Bonaterra-Pastra
- Neurovascular Research Laboratory, Vall d’Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Sònia Benítez
- Cardiovascular Biochemistry Group, Research Institute of the Hospital de Sant Pau (IIB Sant Pau), Barcelona, Spain
- Center for Biomedical Research Network on Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Olalla Pancorbo
- Stroke Research Group, Vall d’Hebron Research Institute, Barcelona, Spain
| | | | - Carla Vert
- Section of Neuroradiology, Department of Radiology, Vall d’Hebron University Hospital, Vall d’Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Alex Rovira
- Section of Neuroradiology, Department of Radiology, Vall d’Hebron University Hospital, Vall d’Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - M. Mar Freijo
- Neurovascular Group, BioCruces Health Research Institute, Barakaldo, Spain
| | - Silvia Tur
- Department of Neurology, Son Espases University Hospital, Balearic Islands, Spain
| | | | - Pere Cardona Portela
- Department of Neurology, Bellvitge University Hospital, L’Hospitalet de Llobregat, Spain
| | - Rocío Vera
- Stroke Unit, Department of Neurology, Ramón y Cajal University Hospital, Madrid, Spain
| | - Lucia Lebrato-Hernández
- Stroke Unit, Department of Neurology and Neurophysiology, Virgen del Rocío University Hospital, Seville, Spain
| | - Juan F. Arenillas
- Stroke Program, Department of Neurology, Hospital Clínico Universitario, Valladolid, Spain
- Clinical Neurosciences Research Group, Department of Medicine, University of Valladolid, Valladolid, Spain
| | | | | | - Joan Martí Fàbregas
- Stroke Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - Gerard Mauri
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
| | - Joan Montaner
- Neurovascular Research Laboratory, Vall d’Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Stroke Research Program, Institute of Biomedicine of Seville (IBiS), Virgen del Rocío University Hospital, University of Seville, Seville, Spain
- Department of Neurology, Virgen Macarena University Hospital, Seville, Spain
| | - Jose Luis Sánchez-Quesada
- Cardiovascular Biochemistry Group, Research Institute of the Hospital de Sant Pau (IIB Sant Pau), Barcelona, Spain
- Center for Biomedical Research Network on Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
- Jose Luis Sánchez-Quesada,
| | - Mar Hernández-Guillamon
- Neurovascular Research Laboratory, Vall d’Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- *Correspondence: Mar Hernández-Guillamon,
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Piazza P, Bianchi L, Luzzago S, Bandini M, Mottaran A, Amirhassankhani S, Puliatti S, De Concilio B, Celia A, Serra C, Cappelli A, Modestino F, De Cinque A, Golfieri R, Musi G, Lugano A, De Cobelli F, Mauri G, Orsi F, Capitanio U, Schiavina R, De Cobelli O, Montorsi F, Brunocilla E. The impact of histology and type of energy used on oncological outcomes after local tumor ablation of small renal masses. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02559-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Piazza P, Bianchi L, Luzzago S, Bandini M, Amirhassankhani S, Droghetti M, Celia A, Serra C, Cappelli A, De Cinque A, Modestino F, Golfieri R, Musi G, Gallina A, De Cobelli F, Mauri G, Orsi F, Capitanio U, Schiavina R, De Cobelli O, Montorsi F, Brunocilla E. PERC-score as a nephrometry scoring system in percutaneous tumour ablation: Comparison with RENAL, mRENAL, PADUA and SPARE in a multi-centre series. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02547-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Blezien O, Mistretta F, Luzzago S, Molinari F, Lievore E, Fontana M, Cozzi G, Bianchi R, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Effect of body mass index and obesity on perioperative and oncological outcomes in patients treated with thermal ablation for T1 renal cell tumors. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01187-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Molinari F, Mistretta F, Luzzago S, Marmiroli A, Blezien O, Di Trapani E, Fontana M, Cioffi A, Bottero D, Matei D, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Differences in oncological outcomes in patients treated with thermal ablation for T1 renal cell masses: complete ablation vs. partial ablation +/- immediate re-treatment. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01186-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Marmiroli A, Mistretta F, Luzzago S, Vaccaro C, Tozzi M, Cozzi G, Bianchi R, Di Trapani E, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, de Cobelli O. Perioperative and oncological outcomes in patients with a solitary kidney treated with thermal ablation for T1 renal cell tumour. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01183-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Mauri G, Patelli G, Roazzi L, Amatu A, Calvanese G, Martinelli F, Marrapese G, Bonazzina E, Tosi F, Bencardino K, Bardelli A, Siena S, Sartore Bianchi A. 112P Clinicopathological characterization of MTAP-altered metastatic gastrointestinal tumors. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.09.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Vaccaro C, Mistretta F, Luzzago S, Piccinelli M, Lo Giudice A, Bianchi R, Cozzi G, Cioffi A, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Thermal ablation for small renal masses: identifying anthropometric predictors of surgical and oncologic outcomes. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01195-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Piazza P, Bianchi L, Luzzago S, Bandini M, Amirhassankhani S, Droghetti M, Celia A, Serra C, Cappelli A, De Cinque A, Modestino F, Golfieri R, Musi G, Gallina A, De Cobelli F, Mauri G, Orsi F, Capitanio U, Schiavina R, De Cobelli O, Montorsi F, Brunocilla E. Perc-score as a nephrometry scoring system in percutaneous tumour ablation: comparison with renal, mrenal, padua and spare in a multi-centre series. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01058-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Tozzi M, Mistretta F, Luzzago S, Piccinelli M, Lo Giudice A, Cozzi G, Bianchi R, Fontana M, Bottero D, Matei D, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Association between histology and oncological outcomes or complication rates in patients treated with thermal ablation for T1 renal cell tumours. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01182-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Purroy F, Vicente-Pascual M, Arque G, Begue R, Farre J, Gallego Y, Gil-Villar MP, Mauri G, Montalà N, Pereira C, Torres-Querol C, Vazquez-Justes D. Risk of New-Diagnosed Atrial Fibrillation After Transient Ischemic Attack. Front Neurol 2022; 13:905304. [PMID: 35911925 PMCID: PMC9331650 DOI: 10.3389/fneur.2022.905304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 06/07/2022] [Indexed: 12/05/2022] Open
Abstract
Background Transient ischemic attack (TIA) provides a unique opportunity to optimize secondary preventive treatments to avoid subsequent ischemic stroke (SIS). Although atrial fibrillation (AF) is the leading cause of cardioembolism in IS and anticoagulation prevents stroke recurrence (SR), limited data exists about the risk of new-diagnosed AF (NDAF) after TIA and the consequences of the diagnostic delay. The aim of our study was to determine this risk in a cohort of TIA patients with long-term follow-up. Methods We carried out a prospective cohort study of 723 consecutive TIA patients from January 2006 to June 2010. Median follow-up was 6.5 (5.0–9.6) years. In a subgroup of 204 (28.2%) consecutive patients, a panel of biomarkers was assessed during the first 24 h of the onset of symptoms. Multivariate analyses were performed to find out the associated factors of NDAF. Kaplan-Meier analysis was also performed to analyzed risk of SIS. Results NDAF was indentified in 116 (16.0%) patients: 42 (36.2%) during admission, 18 (15.5%) within first year, 29 (25%) between one and five years and 27 (23.3%) beyond 5 years. NDAF was associated with sex (female) [hazard ratio (HR) 1.61 (95% CI, 1.07- 2.41)], age [[HR 1.05 (95% CI, 1.03–1.07)], previous ischemic heart disease (IHD) [HR 1.84, (95% CI 1.15–2.97)] and cortical DWI pattern [HR 2.81 (95% CI, 1.87–4.21)]. In the Kaplan-Meier analysis, NT-proBNP ≥ 218.2 pg/ml (log-rank test P < 0.001) was associated with significant risk of NDAF during the first 5 years of follow-up. Patients with NDAF after admission and before 5 years of follow-up had the highest risk of SIS (P = 0.002). Conclusion The risk of NDAF after TIA is clinically relevant. We identified clinical and neuroimaging factors of NDAF. In addition, NT-proBNP was related to NDAF. Our results can be used to evaluate the benefit of long-term cardiac monitoring in selected patients.
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Affiliation(s)
- Francisco Purroy
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Mikel Vicente-Pascual
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Gloria Arque
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Robert Begue
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Joan Farre
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Yhovany Gallego
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
| | - Maria Pilar Gil-Villar
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Gerard Mauri
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Nuria Montalà
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
- Hospital Universitari Santa Maria de Lleida, Lleida, Spain
| | - Cristina Pereira
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Coral Torres-Querol
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Daniel Vazquez-Justes
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
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Luzzago S, Mistretta F, Mauri G, Bianchi R, Cioffi A, Bottero D, Blezien O, Jannello L, Marvaso G, Ferro M, Matei D, Jereczek Fossa B, Orsi F, Musi G, De Cobelli O. Validation of the recommended size cut-off for thermal ablation in T1 renal cell carcinoma patients, according to the EAU Guidelines. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00302-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Luzzago S, Mistretta F, Mauri G, Cozzi G, Fontana M, Cordima G, Lo Giudice A, Botticelli F, Marvaso G, Ferro M, Matei D, Jereczek Fossa B, Orsi F, Musi G, De Cobelli O. Peri-operative complications in patients treated with thermal ablation for T1 renal cell tumors: Descriptive analysis and independent predictors. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00305-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Patelli G, Tosi F, Amatu A, Mauri G, Curaba A, Patanè DA, Pani A, Scaglione F, Siena S, Sartore-Bianchi A. Strategies to tackle RAS-mutated metastatic colorectal cancer. ESMO Open 2021; 6:100156. [PMID: 34044286 PMCID: PMC8167159 DOI: 10.1016/j.esmoop.2021.100156] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 04/22/2021] [Accepted: 04/23/2021] [Indexed: 12/18/2022] Open
Abstract
The RAS oncogene is among the most commonly mutated in cancer. RAS mutations are identified in about half of patients diagnosed with metastatic colorectal cancer (mCRC), conferring poor prognosis and lack of response to anti-epidermal growth factor receptor (EGFR) antibodies. In the last decades, several investigational attempts failed in directly targeting RAS mutations, thus RAS was historically regarded as 'undruggable'. Recently, novel specific KRASG12C inhibitors showed promising results in different solid tumors, including mCRC, renewing interest in this biomarker as a target. In this review, we discuss different strategies of RAS targeting in mCRC, according to literature data in both clinical and preclinical settings. We recognized five main strategies focusing on those more promising: direct RAS targeting, targeting the mitogen-activated protein kinase (MAPK) pathway, harnessing RAS through immunotherapy combinations, RAS targeting through metabolic pathways, and finally other miscellaneous approaches. Direct KRASG12C inhibition is emerging as the most promising strategy in mCRC as well as in other solid malignancies. However, despite good disease control rates, tumor response and duration of response are still limited in mCRC. At this regard, combinational approaches with anti-epidermal growth factor receptor drugs or checkpoint inhibitors have been proposed to enhance treatment efficacy, based on encouraging results achieved in preclinical studies. Besides, concomitant therapies increasing metabolic stress are currently under evaluation and expected to also provide remarkable results in RAS codon mutations apart from KRASG12C. In conclusion, based on hereby reported efforts of translational research, RAS mutations should no longer be regarded as 'undruggable' and future avenues are now opening for translation in the clinic in mCRC.
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Affiliation(s)
- G Patelli
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - F Tosi
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - A Amatu
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - G Mauri
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - A Curaba
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - D A Patanè
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - A Pani
- Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - F Scaglione
- Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy; Clinical Pharmacology Unit, Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - S Siena
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy
| | - A Sartore-Bianchi
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano (La Statale), Milan, Italy.
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Purroy F, Vicente-Pascual M, Arque G, Baraldes-Rovira M, Begue R, Gallego Y, Gil MI, Gil-Villar MP, Mauri G, Quilez A, Sanahuja J, Vazquez-Justes D. Sex-Related Differences in Clinical Features, Neuroimaging, and Long-Term Prognosis After Transient Ischemic Attack. Stroke 2021; 52:424-433. [PMID: 33493055 PMCID: PMC7834662 DOI: 10.1161/strokeaha.120.032814] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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] [Indexed: 12/27/2022]
Abstract
Differences in sex in the incidence, presentation, and outcome of events after ischemic stroke have been studied in depth. In contrast, only limited data are available after transient ischemic attack (TIA). We aim to assess sex-related differences in the presentation, cause, neuroimaging features, and predictors of long-term prognosis in patients with TIA.
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Affiliation(s)
- Francisco Purroy
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Mikel Vicente-Pascual
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Gloria Arque
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Mariona Baraldes-Rovira
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Robert Begue
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Yhovany Gallego
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - M Isabel Gil
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - M Pilar Gil-Villar
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Gerard Mauri
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Alejandro Quilez
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Jordi Sanahuja
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
| | - Daniel Vazquez-Justes
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Spain (F.P., M.V.-P., M.B.-R., Y.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.). Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Spain (F.P., M.V.-P., G.A., R.B., M.I.G., M.P.G.-V., G.M., A.Q., J.S., D.V.-J.)
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Purroy F, Arque G, Mauri G, García-Vázquez C, Vicente-Pascual M, Pereira C, Vazquez-Justes D, Torres-Querol C, Vena A, Abilleira S, Cardona P, Forné C, Jiménez-Fàbrega X, Pagola J, Portero-Otin M, Rodríguez-Campello A, Rovira À, Martí-Fàbregas J. REMOTE Ischemic Perconditioning Among Acute Ischemic Stroke Patients in Catalonia: REMOTE-CAT PROJECT. Front Neurol 2020; 11:569696. [PMID: 33101178 PMCID: PMC7546310 DOI: 10.3389/fneur.2020.569696] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 06/04/2020] [Accepted: 08/27/2020] [Indexed: 01/24/2023] Open
Abstract
Rationale: Remote ischemic perconditioning during cerebral ischemia (RIPerC) refers to the application of brief episodes of transient limb ischemia commonly to a limb, it represents a new safe, simple and low-cost paradigm in neuroprotection. Aim and/or Hypothesis: To evaluate the effects of RIPerC on acute ischemic stroke (AIS) patients, applied in the ambulance, to improve functional outcomes compared with standard of care. Sample Size Estimates: A sample size of 286 patients in each arm achieves 80% power to detect treatment differences of 14% in the outcome, using a two-sided binomial test at significance level of 0.05, assuming that 40% of the control patients will experience good outcome and an initial misdiagnosis rate of 29%. Methods and Design: We aim to conduct a multicentre study of pre-hospital RIPerC application in AIS patients. A total of 572 adult patients diagnosed of suspected clinical stroke within 8 h of symptom onset and clinical deficit >0 according to prehospital rapid arterial occlusion evaluation (RACE) scale score will be randomized, in blocks of size 4, to RIPerC or sham. Patients will be stratified by RACE score scale. RIPerC will be started in the ambulance before hospital admission and continued in the hospital if necessary. It will consist of five cycles of electronic tourniquet inflation and deflation (5 min each). The cuff pressure for RIPerC will be 200 mmHg during inflation. Sham will only simulate vibration of the device. Study Outcome(s): The primary outcome will be the difference in the proportion of patients with good outcomes as defined by a mRS score of 2 or less at 90 days. Secondary outcomes to be monitored will include early neurological improvement rate, treatment related serious adverse event rates, size of the infarct volume, symptomatic intracranial hemorrhage, metabolomic and lipidomic response to RIPerC and Neuropsychological evaluation at 90 days. Discussion: Neuroprotective therapies could not only increase the benefits of available reperfusion therapies among AIS patients but also provide an option for patients who are not candidates for these treatments. REMOTE-CAT will investigate the clinical benefit of RIC as a new neuroprotective strategy in AIS. Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT03375762.
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Affiliation(s)
- Francisco Purroy
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Gloria Arque
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Gerard Mauri
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Cristina García-Vázquez
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Mikel Vicente-Pascual
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Cristina Pereira
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Daniel Vazquez-Justes
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Coral Torres-Querol
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Ana Vena
- Stroke Unit, Department of Neurology, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Sònia Abilleira
- Stroke Programme, Agency for Health Quality and Assessment of Catalonia, CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Pere Cardona
- Stroke Unit, Hospital de Bellvitge, Hospitalet de Llobregat, Spain
| | - Carles Forné
- Department of Basic Medical Sciences, Universitat de Lleida, Lleida, Spain
| | | | - Jorge Pagola
- Stroke Unit, Neurology Department, Vall d'Hebron Hospital, Barcelona, Spain
| | - Manuel Portero-Otin
- Department of Experimental Medicine, NUTREN-Nutrigenomics, Biomedical Institut de Recerca Biomèdica de Lleida (IRBLleida), Universitat de Lleida, Lleida, Spain
| | - Ana Rodríguez-Campello
- Neurovascular Research Group, Neurology Department, Institut Hospital del Mar d'Investigacions Mèdiques-Hospital del Mar, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Àlex Rovira
- Section of Neuroradiology and MRI Unit, Department of Radiology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain
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Sartore-Bianchi A, Tosi F, Bergamo F, Amatu A, Ghezzi S, Martino C, Bonazzina E, Bencardino K, Fenocchio E, Mauri G, Ardizzoni A, Torri V, Valtorta E, Bonoldi E, Vanzulli A, Regge D, Ciardiello F, Zagonel V, Marsoni S, Siena S. 507P Central nervous system recurrence in HER2-positive metastatic colorectal cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.617] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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20
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Purroy F, García C, Mauri G, Pereira C, Torres C, Vazquez-Justes D, Vicente-Pascual M, Vena A, Arque G. Induced neuroprotection by remote ischemic perconditioning as a new paradigm in ischemic stroke at the acute phase, a systematic review. BMC Neurol 2020; 20:266. [PMID: 32615939 PMCID: PMC7330956 DOI: 10.1186/s12883-020-01836-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [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: 01/16/2020] [Accepted: 06/22/2020] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Remote ischemic conditioning during cerebral ischemia (remote ischemic perconditioning, RIPerC) refers to the application of several cycles of brief ischemia and reperfusion (I/R) commonly to a limb, and it represents a new paradigm in neuroprotection with multiple mechanisms of action in ischemic stroke (IS) patients during acute phase. Some clinical trials just finished, and a few others are still ongoing; gather the current knowledge and pull it down to influence the present and future studies was the goal of this paper. METHODS A systematic review of published research papers and/or registered clinical trials since 2000 was performed. RESULTS Nineteen studies were identified and only four studies were completed. All of them have demonstrated that RIPerC is safe, feasible and well tolerated in IS patients. However, a high heterogeneity of clinical trial characteristics was observed: five (26.3%) randomized clinical trials (RCTs) included only thrombolytic-treated patients, three (15.8%) RCTs only thrombectomy-treated patients, and five (26.3%) RCTs required radiological confirmation of IS. Temporal inclusion criteria vary from 4 h to 48 h. Most of the clinical trials used 4 cycles of RIPerC in the upper non-affected limb. Interestingly, only three (16.7%) RCTs applied RIPerC during the transportation in the ambulance. Neuroimaging outputs were the main endpoints when endovascular therapy was applied; functional outcome is also the main endpoint in large-medium size studies. CONCLUSIONS This review summarizes the completed and ongoing clinical trials on RIPerC in IS patients, where RIPerC has been used alone or in combination with recanalization therapies. Ongoing clinical trials will provide new information on the best RIPerC intervention strategy and potentially improve the functional outcome of IS patients; definition of new RIPerC strategies would ideally aim at enhancing tissue preservation, promoting neurological recovery, and stratify patients to improve treatment feasibility.
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Affiliation(s)
- Francisco Purroy
- Stroke Unit, Department of Neurology, Universitat de Lleida, Hospital Universitari Arnau de Vilanova, Avda Rovira Roure 80, 25198, Lleida, Spain. .,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain.
| | - Cristina García
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Gerard Mauri
- Stroke Unit, Department of Neurology, Universitat de Lleida, Hospital Universitari Arnau de Vilanova, Avda Rovira Roure 80, 25198, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Cristina Pereira
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Coral Torres
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Daniel Vazquez-Justes
- Stroke Unit, Department of Neurology, Universitat de Lleida, Hospital Universitari Arnau de Vilanova, Avda Rovira Roure 80, 25198, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Mikel Vicente-Pascual
- Stroke Unit, Department of Neurology, Universitat de Lleida, Hospital Universitari Arnau de Vilanova, Avda Rovira Roure 80, 25198, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Ana Vena
- Stroke Unit, Department of Neurology, Universitat de Lleida, Hospital Universitari Arnau de Vilanova, Avda Rovira Roure 80, 25198, Lleida, Spain.,Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain
| | - Gloria Arque
- Clinical Neurosciences Group, Institut de Recerca Biomèdica de Lleida (IRBLleida). UdL, Lleida, Spain.
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21
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Mauri G, Arena S, Siena S, Bardelli A, Sartore-Bianchi A. The DNA damage response pathway as a land of therapeutic opportunities for colorectal cancer. Ann Oncol 2020; 31:1135-1147. [PMID: 32512040 DOI: 10.1016/j.annonc.2020.05.027] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/22/2020] [Accepted: 05/26/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Colorectal cancer (CRC) represents a major cause of cancer deaths worldwide. Although significant progress has been made by molecular and immune therapeutic approaches, prognosis of advanced stage disease is still dismal. Alterations in the DNA damage response (DDR) pathways are emerging as novel targets for treatment across different cancer types. However, even though preclinical studies have shown the potential exploitation of DDR alterations in CRC, systematic and comprehensive testing is lagging and clinical development is based on analogies with other solid tumors according to a tissue-agnostic paradigm. Recently, functional evidence from patient-derived xenografts and organoids have suggested that maintenance with PARP inhibitors might represent a therapeutic opportunity in CRC patients previously responsive to platinum-based treatment. DESIGN AND RESULTS In this review, we highlight the most promising preclinical data and systematically summarize published clinical trials in which DDR inhibitors have been used for CRC and provide evidence that disappointing results have been mainly due to a lack of clinical and molecular selection. CONCLUSIONS Future preclinical and translational research will help in better understanding the role of DDR alterations in CRC and pave the way to novel strategies that might have a transformative impact on treatment by identifying new therapeutic options including tailored use of standard chemotherapy.
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Affiliation(s)
- G Mauri
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
| | - S Arena
- Candiolo Cancer Institute, FPO - IRCCS, Candiolo (TO), Torino, Italy; Department of Oncology, University of Torino, Candiolo (TO), Italy.
| | - S Siena
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
| | - A Bardelli
- Candiolo Cancer Institute, FPO - IRCCS, Candiolo (TO), Torino, Italy; Department of Oncology, University of Torino, Candiolo (TO), Italy.
| | - A Sartore-Bianchi
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy; Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
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22
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Filippiadis D, Mauri G, Marra P, Charalampopoulos G, Gennaro N, De Cobelli F. Percutaneous ablation techniques for renal cell carcinoma: current status and future trends. Int J Hyperthermia 2020; 36:21-30. [PMID: 31537160 DOI: 10.1080/02656736.2019.1647352] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Percutaneous ablation is an increasingly applied technique for the treatment of localized renal tumors, especially for elderly or co-morbid patients, where co-morbidities increase the risk of traditional nephrectomy. Ablative techniques are technically suited for the treatment of tumors generally not exceeding 4 cm, which has been set as general consensus cutoff and is described as the upper threshold of T1a kidney tumors. This threshold cutoff is being challenged, but with still limited evidence. Percutaneous ablation techniques for the treatment of renal cell carcinoma (RCC) include radiofrequency ablation, cryoablation, laser or microwave ablation; the main advantage of all these techniques over surgery is less invasiveness, lower complication rates and better patient tolerability. Currently, international guidelines recommend percutaneous ablation either as intervention for frail patients or as a first line tool, provided that the tumor can be radically ablated. The purpose of this article is to describe the basic concepts of percutaneous ablation in the treatment of RCC. Controversies concerning techniques and products and the need for patient-centered tailored approaches during selection among the different techniques available will be discussed.
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Affiliation(s)
- D Filippiadis
- 2nd Department of Radiology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens , Athens , Greece
| | - G Mauri
- Division of Interventional Radiology, European Institute of Oncology, IRCCS , Milan , Italy
| | - P Marra
- Clinical and Experimental Radiology Unit, Experimental Imaging Center, San Raffaele Scientific Institute , Milan , Italy
| | - G Charalampopoulos
- 2nd Department of Radiology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens , Athens , Greece
| | - N Gennaro
- Division of Interventional Radiology, European Institute of Oncology, IRCCS , Milan , Italy
| | - F De Cobelli
- Clinical and Experimental Radiology Unit, Experimental Imaging Center, San Raffaele Scientific Institute , Milan , Italy
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23
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Purroy F, Arque G, García C, Torres C, Abilleira S, Cardona P, López-Gomariz A, Mauri G, Vicente-Pascual M, Pagola J, Portero-Otin M, Rodríguez-Campello A, Rovira Á, Martí-Fàbregas J. Abstract WP101: Remote Ischemic Perconditioning Among Acute Ischemic Stroke Patients in Catalonia: Remote-Cat Project. Stroke 2020. [DOI: 10.1161/str.51.suppl_1.wp101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Rationale:
Remote ischemic perconditioning (RIPerC), consisting of brief episodes of transient limb ischemia, represents a new paradigm in neuroprotection with interesting results in ischemic heart disease patients.
Aim:
We aim to conduct a multicentre study of pre-hospital RIPerC application in acute ischemic stroke (AIS) patients.Sample size estimates: To detect a treatment difference of 14% in the outcome, 286 patients will be included for 5% significance and 80% power.
Methods:
A total of 572 adult patients diagnosed of suspected clinical stroke within 8 hours of symptom onset and clinical deficit >0 according to prehospital RACE scale will be randomized, in blocks of size 4, to RIC or sham. Patients will be stratified by RACE score scale. RIC will be started in the ambulance before hospital admission. RIPerC will consist of five cycles of electronic tourniquet inflation and deflation (5 min each). Study outcomes: The primary outcome will be the difference in clinical benefit measured by the modified Rankin Scale (mRS) score <3 at 90 days. Secondary outcomes to be monitored will include early neurological improvement rate, treatment related serious adverse event rates, size of the infarct volume, symptomatic intracranial hemorrhage, and metabolomic and lipidomic response to RIPerC.
Discussion:
Neuroprotective therapies could not only increase the benefits of available reperfusion therapies among AIS patients but also provide an option for patients who are not candidates for these treatments. REMOTE-CAT will investigate the clinical benefit of RIC as a new neuroprotective strategy in AIS. Clinicaltrials.gov number: NCT03375762. Status: Active
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Affiliation(s)
- Francisco Purroy
- Stroke Unit, Hosp Universitari Arnau de Vilanova de Lleida. IRBLleida, Lleida, Spain
| | - Gloria Arque
- Clinical Neuroscience Group, IRBLleida, Lleida, Spain
| | | | - Coral Torres
- Clinical Neuroscience group, IRBLleida, Lleida, Spain
| | - Sonia Abilleira
- Agency for Health Quality and Assessment of Catalonia., Barcelona, Spain
| | - Pere Cardona
- Stroke Unit, Hosp Universitari de Bellvitge, Bellvitge, Spain
| | | | - Gerard Mauri
- Stroke Unit, Hosp Universitari Arnau de Vilanova de Lleida. IRBLleida, Lleida, Spain
| | - Mikel Vicente-Pascual
- Stroke Unit, Hosp Universitari Arnau de Vilanova de Lleida. IRBLleida, Lleida, Spain
| | - Jorge Pagola
- Stroke Unit, Hosp Universitari Vall d'Hebron, Barcelona, Spain
| | | | | | - Álex Rovira
- Section of Neuroradiology and MRI Unit, Hosp Universitari Vall d’Hebron, Barcelona, Spain
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Corcoran R, Do K, Cleary J, Parikh A, Yeku O, Weekes C, Veneris J, Ahronian L, Mauri G, Van Seventer E, Fetter I, Gurski J, Matulonis U, Juric D, Flaherty K, Sullivan R, Clark J, Heist R, Shapiro G. Phase I/II study of combined BCL-XL and MEK inhibition with navitoclax (N) and trametinib (T) in KRAS or NRAS mutant advanced solid tumours. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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25
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Mauri G, Kanter K, Fish M, Horick N, Allen J, Blaszkowsky L, Clark J, Ryan D, Nipp R, Giantonio B, Goyal L, Dubois J, Murphy J, Roeland E, Weekes C, Wo J, Hong T, Zhu A, Van Seventer E, Corcoran R, Parikh A. PARP-ness in metastatic colorectal cancer. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz156.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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26
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Russo AG, Andreano A, Sartore-Bianchi A, Mauri G, Decarli A, Siena S. Increased incidence of colon cancer among individuals younger than 50 years: A 17 years analysis from the cancer registry of the municipality of Milan, Italy. Cancer Epidemiol 2019; 60:134-140. [PMID: 31005829 DOI: 10.1016/j.canep.2019.03.015] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 03/09/2019] [Accepted: 03/26/2019] [Indexed: 12/14/2022]
Abstract
BACKGROUND Colorectal cancer (CRC) overall incidence has been decreasing in the last decade. However, there is evidence of an increasing frequency of early-onset CRC in young individuals in several countries. The aim of this study is to evaluate the trends of CRC occurrence over 17 years in the municipality of Milan, Italy, focusing on early-onset CRC. POPULATION AND METHODS This retrospective study was performed using the Cancer Registry of the municipality of Milan, including all cases of CRC diagnosed 1999-2015. Incidence rates were stratified by age and anatomic subsite, and trends over time were measured using the estimated annual percentage change. Age-period-cohort modelling was used to disentangle the different effects. RESULTS 18,783 cases of CRC were included. CRC incidence rates among individuals aged 50-60 years declined annually by 3% both in colon and in rectal cancer. Conversely, in adults younger than 50 years, overall CRC occurrence increased annually by 0.7%, with a diverging trend for colon (+2.6%) and rectal (-5.3%) cancer. Among individuals aged 60 years and older, CRC incidence rates increased by 1.0% annually up to 2007, and decrease thereafter by 4% per year, both for colon and rectal cancer. Age-period-cohort models showed a reduction of CRC risk for the cohorts born up to 1979, followed by an increase in younger cohorts. In contrast, rectal cancer among women showed a systematic risk decrease for all birth cohorts. CONCLUSIONS The study highlights increasing incidence of colon cancer in younger subjects and a decrease in incidence rates for rectal cancer in females.
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Affiliation(s)
- A G Russo
- Epidemiology Unit, Agency for Health Protection of Milan, Milan, Italy.
| | - A Andreano
- Epidemiology Unit, Agency for Health Protection of Milan, Milan, Italy
| | - A Sartore-Bianchi
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda and Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
| | - G Mauri
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda and Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
| | - A Decarli
- Epidemiology Unit, Agency for Health Protection of Milan, Milan, Italy
| | - S Siena
- Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda and Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
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Mauri G, Bencardino K, Sartore-Bianchi A, Siena S. Toxicity of oxaliplatin rechallenge in metastatic colorectal cancer. Ann Oncol 2018; 29:2143-2144. [DOI: 10.1093/annonc/mdy306] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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Mauri G, Messi F, Anastasopoulos M, Arnold T, Glavic A, Höglund C, Ilves T, Lopez Higuera I, Pazmandi P, Raspino D, Robinson L, Schmidt S, Svensson P, Varga D, Hall-Wilton R, Piscitelli F. Neutron reflectometry with the Multi-Blade 10B-based detector. Proc Math Phys Eng Sci 2018; 474:20180266. [PMID: 30220868 PMCID: PMC6127400 DOI: 10.1098/rspa.2018.0266] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 04/23/2018] [Accepted: 08/01/2018] [Indexed: 11/12/2022] Open
Abstract
The Multi-Blade is a boron-10-based gaseous detector developed for neutron reflectometry instruments at the European Spallation Source in Sweden. The main challenges for neutron reflectometry detectors are the instantaneous counting rate and spatial resolution. The Multi-Blade has been tested on the CRISP reflectometer at the ISIS Neutron and Muon Source in the UK. A campaign of scientific measurements has been performed to study the Multi-Blade response in real instrumental conditions. The results of these tests are discussed in this paper.
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Affiliation(s)
- G Mauri
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden.,Department of Physics, University of Perugia, Piazza Università 1, 06123 Perugia, Italy
| | - F Messi
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden.,Division of Nuclear Physics, Lund University, PO Box 118, 22100 Lund, Sweden
| | - M Anastasopoulos
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
| | - T Arnold
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
| | - A Glavic
- Laboratory for Neutron Scattering and Imaging, Paul Scherrer Institute, 5232 Villigen PSI, Switzerland
| | - C Höglund
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden.,Department of Physics, Chemistry and Biology, Linköping University, 581 83 Linköping, Sweden
| | - T Ilves
- Division of Nuclear Physics, Lund University, PO Box 118, 22100 Lund, Sweden
| | - I Lopez Higuera
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
| | - P Pazmandi
- Wigner Research Centre for Physics, Konkoly Thege Miklós út 29-33, 1121 Budapest, Hungary
| | - D Raspino
- ISIS Neutron and Muon Source, Harwell Oxford, Didcot OX11 0QX, UK
| | - L Robinson
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
| | - S Schmidt
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden.,IHI Ionbond AG, Industriestrasse 211, 4600 Olten, Switzerland
| | - P Svensson
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
| | - D Varga
- Wigner Research Centre for Physics, Konkoly Thege Miklós út 29-33, 1121 Budapest, Hungary
| | - R Hall-Wilton
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden.,Mid-Sweden University, 851 70 Sundsvall, Sweden
| | - F Piscitelli
- European Spallation Source ERIC, PO Box 176, 221 00 Lund, Sweden
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Mauri G, Valtorta E, Sartore-Bianchi A, Cerea G, Amatu A, Schirru M, Marrapese G, Fiorillo V, Recchimuzzo P, Stella I, Veronese S, Tosi F, Maiolani M, Truini M, Siena S. TRKA expression and NTRK1 gene copy number across solid tumors. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx391.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Zampino M, Magni E, Ravenda P, Cella C, Bonomo G, Della Vigna P, Galdy S, Spada F, Varano G, Mauri G, Fazio N, Orsi F. Treatments for colorectal liver metastases: A new focus on a familiar concept. Crit Rev Oncol Hematol 2016; 108:154-163. [DOI: 10.1016/j.critrevonc.2016.11.005] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 10/09/2016] [Accepted: 11/13/2016] [Indexed: 11/17/2022] Open
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Pacella CM, Mauri G, Achille G, Barbaro D, Bizzarri G, De Feo P, Di Stasio E, Esposito R, Gambelunghe G, Misischi I, Raggiunti B, Rago T, Patelli GL, D'Este S, Vitti P, Papini E. Outcomes and Risk Factors for Complications of Laser Ablation for Thyroid Nodules: A Multicenter Study on 1531 Patients. J Clin Endocrinol Metab 2015; 100:3903-10. [PMID: 26274342 DOI: 10.1210/jc.2015-1964] [Citation(s) in RCA: 123] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
BACKGROUND Image-guided laser ablation therapy (LAT) of benign thyroid nodules demonstrated favorable results in randomized trials with fixed modalities of treatment. The aim of this retrospective multicenter study was to assess the effectiveness, tolerability, and complications of LAT in a large consecutive series of patients from centers using this technique in their routine clinical activity. PATIENTS Clinical records of 1534 consecutive laser-treated nodules in 1531 patients from eight Italian thyroid referral centers were assessed. Inclusion criteria were as follows: solid or mixed nodules with fluid component up to 40%; benign cytological findings; and normal thyroid function. METHODS LAT was performed with a fixed-power protocol, whereas the number of applicators and illumination times were different according to target size. From one to three illuminations with pullback technique and with a total energy delivery based on the nodule volume were performed during the same session. Patients were evaluated during LAT, within 30 days, and 12 months after the procedure. RESULTS Total number of treatments was 1837; 1280 (83%) of nodules had a single LAT session. Mean nodule volume decreased from 27 ± 24 mL at baseline to 8 ± 8 mL 12 months after treatment (P < .001). Mean nodule volume reduction was 72% ± 11% (range 48%-96%). This figure was significantly greater in mixed nodules (79% ± 7%; range 70%-92%) because they were drained immediately before laser illumination. Symptoms improved from 49% to 10% of cases (P < .001) and evidence of cosmetic signs from 86% to 8% of cases (P < .001). Seventeen complications (0.9%) were registered. Eight patients (0.5%) experienced transitory voice changes that completely resolved at the ear-nose-throat examination within 2-84 days. Nine minor complications (0.5%) were reported. No changes in thyroid function or autoimmunity were observed. CONCLUSIONS Real practice confirmed LAT as a clinically effective, reproducible, and rapid outpatient procedure. Treatments were well tolerated and risk of major complications was very low.
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Affiliation(s)
- C M Pacella
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - G Mauri
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - G Achille
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - D Barbaro
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - G Bizzarri
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - P De Feo
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - E Di Stasio
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - R Esposito
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - G Gambelunghe
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - I Misischi
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - B Raggiunti
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - T Rago
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - G L Patelli
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - S D'Este
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - P Vitti
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
| | - E Papini
- Department of Diagnostic Imaging (C.M.P., G.B.), and Department of Endocrinology (I.M., E.P.), Regina Apostolorum Hospital, 00041 Albano Laziale, Italy; Department of Diagnostic Imaging and Interventional Oncology Unit (G.M.), Circolo Hospital of Busto Arsizio, 21052 Busto Arsizio, Italy; Cervico-Facial Ultrasound Diagnostic and Interventional Unit (G.A.), Institute of Oncology, 70126 Bari, Italy; Endocrinology Unit (D.B.), Azienda S.L.6 Livorno, 46080 Livorno, Italy; Department of Internal Medicine (P.D.F., G.G.), University of Perugia, 06100 Perugia, Italy; Institute of Biochemistry and Clinical Biochemistry (E.D.S.), Catholic University "Sacro Cuore," 00168 Rome, Italy; Endocrinology Unit (R.E.), S. S. Annunziata Hospital, 50121 Cosenza, Italy; Endocrinology Unit (B.R.), Atri Hospital, 87071 Atri, Italy; Department of Endocrinology (T.R., P.V.), University of Pisa, 56127 Pisa, Italy; and Department of Interventional Radiology (G.L.P., S.D.), Pesenti-Fenaroli Hospital, 24022 Alzano Lombardo, Italy
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Cava C, Zoppis I, Mauri G, Ripamonti M, Gallivanone F, Salvatore C, Gilardi MC, Castiglioni I. Combination of gene expression and genome copy number alteration has a prognostic value for breast cancer. Annu Int Conf IEEE Eng Med Biol Soc 2015; 2013:608-11. [PMID: 24109760 DOI: 10.1109/embc.2013.6609573] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Specific genome copy number alterations, such as deletions and amplifications are an important factor in tumor development and progression, and are also associated with changes in gene expression. By combining analyses of gene expression and genome copy number we identified genes as candidate biomarkers of BC which were validated as prognostic factors of the disease progression. These results suggest that the proposed combined approach may become a valuable method for BC prognosis.
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Shyn PB, Tatli S, Sahni VA, Sadow CA, Forgione K, Mauri G, Morrison PR, Catalano PJ, Silverman SG. PET/CT-guided percutaneous liver mass biopsies and ablations: targeting accuracy of a single 20 s breath-hold PET acquisition. Clin Radiol 2014; 69:410-5. [PMID: 24411824 DOI: 10.1016/j.crad.2013.11.013] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2013] [Revised: 11/10/2013] [Accepted: 11/14/2013] [Indexed: 01/02/2023]
Abstract
AIM To determine whether a single 20 s breath-hold positron-emission tomography (PET) acquisition obtained during combined PET/computed tomography (CT)-guided percutaneous liver biopsy or ablation procedures has the potential to target 2-[(18)F]-fluoro-2-deoxy-d-glucose (FDG)-avid liver masses as accurately as up to 180 s breath-hold PET acquisitions. MATERIALS AND METHODS This retrospective study included 10 adult patients with 13 liver masses who underwent FDG PET/CT-guided percutaneous biopsies (n = 5) or ablations (n = 5). PET was acquired as nine sequential 20 s, monitored, same-level breath-hold frames and CT was acquired in one monitored breath-hold. Twenty, 40, 60, and 180 s PET datasets were reconstructed. Two blinded readers marked tumour centres on randomized PET and CT datasets. Three-dimensional spatial localization differences between PET datasets and either 180 s PET or CT were analysed using multiple regression analyses. Statistical tests were two-sided and p < 0.05 was considered significant. RESULTS Targeting differences between 20 s PET and 180 s PET ranged from 0.7-20.3 mm (mean 5.3 ± 4.4 mm; median 4.3) and were not statistically different from 40 or 60 s PET (p = 0.74 and 0.91, respectively). Targeting differences between 20 s PET and CT ranged from 1.4-36 mm (mean 9.6 ± 7.1 mm; median 8.2 mm) and were not statistically different from 40, 60, or 180 s PET (p = 0.84, 0.77, and 0.35, respectively). CONCLUSION Single 20 s breath-hold PET acquisitions from PET/CT-guided percutaneous liver procedures have the potential to target FDG-avid liver masses with equivalent accuracy to 180 s summed, breath-hold PET acquisitions and may facilitate strategies that improve image registration and shorten procedure times.
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Affiliation(s)
- P B Shyn
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
| | - S Tatli
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - V A Sahni
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - C A Sadow
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - K Forgione
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - G Mauri
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - P R Morrison
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - P J Catalano
- Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, USA
| | - S G Silverman
- Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
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Mauri G, De Beni S, Forzoni L, D'Onofrio S, Kolev V, Laganà MM, Solbiati L. Virtual navigator automatic registration technology in abdominal application. Annu Int Conf IEEE Eng Med Biol Soc 2014; 2014:5570-5574. [PMID: 25571257 DOI: 10.1109/embc.2014.6944889] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Real-time Ultrasound (US) image fusion with a pre-acquired second imaging dataset - Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and/or CT/PET - has become widely used in recent years for both diagnosis and image-guided interventional procedures. Liver and kidneys are the main focused anatomical districts, related to abdominal application. There are still nowadays some drawbacks, regarding the adoption of the fusion imaging technique in everyday practice especially regarding its ease of use and the time needed in order to obtain a precise real-time fusion between US and the second imaging modality. The present work is a preliminary study on the feasibility and practical use of an Automatic registration algorithm for CT-US real-time fusion imaging. Data obtained by tests performed on a Doppler phantom, for the assessment of the precision of the registration procedure and in-vivo Automatic registration tests, are presented.
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Ferraresi R, Palena LM, Mauri G, Manzi M. Tips and tricks for a correct "endo approach". J Cardiovasc Surg (Torino) 2013; 54:685-711. [PMID: 24126507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The world is facing an epidemic of diabetes, consequently in the next years critical limb ischemia due to diabetic artery disease will become a major issue for vascular and endovascular operators. Revascularization is a key therapy in these patients because reestablishing an adequate blood supply to the wound is essential for healing avoiding a major amputation. In this paper, we summarize our experience in endovascular treatment of diabetic critical limb ischemia, focusing of the main technical challenges in treating below-the-knee vessels. We describe the following topics: 1) targets of the revascularization therapy: "complete" versus "partial" revascularization and the concept of wound related artery. Every procedure must be tailored on technically realistic strategies and on the general patient status; 2) the antegrade femoral access using both, the X-ray and the ultrasound guided techniques; 3) the chronic total occlusions crossing strategy proposing a step-by-step approach: endoluminal, subintimal, retrograde approaches. Particular attention has been given to the different retrograde approaches: pedal-plantar loop technique, trans-collateral approaches and the different types of retrograde puncture. For each step we provide a complete description of the technical details and of the suitable devices. Eventually we in brief describe: 3) acute result optimization and 4) prevention of restenosis.
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Affiliation(s)
- R Ferraresi
- Peripheral Interventional Cathlab, Diabetic Foot Clinic Istituto Clinico Città Studi, Milan, Italy -
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Mauri G, Cova L, Tondolo T, Ierace T, Baroli A, Di Mauro E, Pacella CM, Goldberg SN, Solbiati L. Percutaneous laser ablation of metastatic lymph nodes in the neck from papillary thyroid carcinoma: preliminary results. J Clin Endocrinol Metab 2013; 98:E1203-7. [PMID: 23666969 DOI: 10.1210/jc.2013-1140] [Citation(s) in RCA: 70] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
CONTEXT Percutaneous laser ablation (PLA) may be useful in treating patients with metachronous metastatic lymph nodes in the neck. OBJECTIVE Our objective was to assess PLA as a treatment of difficult-to-treat metachronous cervical lymph node metastases from papillary thyroid carcinoma. DESIGN AND SETTING We conducted a retrospective analysis of prospectively collected data at a public hospital. PATIENTS Fifteen patients with previous resection of papillary thyroid carcinoma with elevated serum levels of thyroglobulin (Tg) or anti-Tg antibodies (TgAbs) and 24 metachronous nodal metastases treated between September 2010 and April 2012 were followed with [¹⁸F]fluorodeoxyglucose (¹⁸FDG) positron emission tomography (PET)/computed tomography (CT) and contrast-enhanced ultrasound (CEUS). INTERVENTION Intervention was PLA. OUTCOME MEASURES Technique feasibility and technical success were evaluated. Tg/TgAb serum levels and ¹⁸FDG-PET/CT, and CEUS appearance were assessed at 6 and 12 months and compared with baseline. Complications were recorded. RESULTS PLA was always feasible, and technical success was achieved in all patients. At 6 months, local control was achieved in 11 of 15 patients (73%), with 6 (40%) having serum Tg/TgAb normalized (P = .017 vs baseline). Whereas 20 of 24 (83%) nodes were negative at ¹⁸FDG-PET/CT and CEUS (P < .001 vs baseline), 4 were ¹⁸FDG-PET/CT-positive (3 also CEUS-positive). At the 12-month follow-up, local control was achieved in 10 of 14 patients (71.4%). Sixteen of 20 nodes (80%) were negative at ¹⁸FDG-PET/CT and CEUS (P < .001 vs baseline), 4 were ¹⁸FDG-PET/CT-positive (2 also CEUS-positive). Four of 10 (40%) patients had normalization of serum Tg/TgAb (P = .098 vs baseline). No major complications occurred. CONCLUSIONS PLA is potentially feasible, safe, and effective for the treatment of metachronous cervical nodal metastases from papillary thyroid carcinoma. This procedure may reduce or delay a large number of highly invasive repeat neck dissections.
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Affiliation(s)
- G Mauri
- Department of Diagnostic Imaging, Interventional Oncology Unit, Azienda Ospedaliera Ospedale di Circolo di Busto Arsizio, Busto Arsizio 21052, Italy.
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Benavente L, Calleja S, Larrosa D, Vega J, Mauri G, Pascual J, Lahoz CH. Long term evolution of patients treated in a TIA unit. Int Arch Med 2013; 6:19. [PMID: 23635082 PMCID: PMC3716896 DOI: 10.1186/1755-7682-6-19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 01/02/2013] [Accepted: 04/13/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Transient ischemic attacks (TIA) entail a high risk of stroke recurrence, which depends on the etiology. New organizational models have been created, but there is not much information about the long-term evolution of patients managed according to these premises. Our aim is to refer the follow-up of patients attended according to our model of TIA Unit. METHODS TIA Unit is located in the Emergency Department and staffed by vascular neurologists. Patients admitted during the Neurology night shift stayed in such Unit <48h with complete etiological study. Preventive treatment is instituted in patients discharged to a high resolution Neurology consult, in order to review in <2 weeks and subsequent follow-up. RESULTS During a year 161 patients were attended, being admitted to the hospital 8.6%. A total of 1470 hospital days were avoided. Recurrence at 90 days was of 0.6%. Mean follow-up was 18.14 ± 8.02 months (0-34), total recurrence 6.2% (70% cardioembolic strokes). There were no complications derived from treatment. Cardiological events were recorded in 10.6%, neoplastic in 5%, cognitive impairment in 11%. There were 3 deaths unrelated nor to the stroke or its treatment. CONCLUSIONS This model allows an early diagnosis and treatment of TIA, preventing recurrences of stroke in a long term. It detects atherothrombotic strokes, most of them admitted to the hospital, and it shows a greater difficulty for detecting all cardioembolic strokes. TIA Unit appeared to be safe in using anticoagulation therapy, as the follow-up shows. It shows the same quality of management than hospital admission, with a significant saving in hospital stays.
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Affiliation(s)
- Lorena Benavente
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Sergio Calleja
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Davinia Larrosa
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Juan Vega
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Gerard Mauri
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Julio Pascual
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
| | - Carlos H Lahoz
- Neurology Department, University Hospital “Central de Asturias”, C/Julián Clavería s/n, 33006, Oviedo, Spain
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Ramón C, Mauri G, Vega J, Rico M, Para M, Pascual J. Diagnostic distribution of 100 unilateral, side-locked headaches consulting a specialized clinic. Eur Neurol 2013; 69:289-91. [PMID: 23445663 DOI: 10.1159/000345707] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 11/06/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVES We analyzed the diagnoses of patients consulting due to strictly unilateral headaches. METHODS We prospectively collected data from 100 consecutive patients. Diagnosis followed the ICHD-II criteria. RESULTS They accounted for 18.9% of the 528 patients seen in the study period. They were more frequent in males (58%). Age ranged from 19 to 81 years. Diagnostic distribution was: cluster headache (38 cases), a variety of secondary headaches (14 cases), migraine (11 cases), cervicogenic headaches (9 cases), hemicrania continua (8 cases), nummular headache (6 cases), psychiatric headache (5 cases), paroxysmal hemicranias (4 cases), short-lasting unilateral neuralgiform headache attacks syndrome (3 cases), stabbing headache (1 case), and hypnic headache (1 case). Mean ages at onset fell between 47 and 58 years for several diagnoses (cervicogenic, nummular, psychiatric, hemicrania continua and paroxysmal hemicrania headaches), and were 22 years for migraine, 32 for cluster and in general older than 55 years for secondary headaches. CONCLUSIONS Strictly unilateral headaches account for almost 20% of headaches in subjects attending a headache clinic. Trigeminal-autonomic cephalgias in general (52%) and cluster headache in particular (38%) are the most frequent diagnoses, but secondary headaches account for 1 of 5 cases. Age at onset can be of help in their presumptive diagnosis.
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Affiliation(s)
- C Ramón
- Neuroscience Area, Service of Neurology, University Hospital Central de Asturias, Oviedo, Spain
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Ramon C, Mauri G, Vega J, Para M, Rico M, Moris G, Pascual J. Diagnostic distribution of 100 strictly unilateral headaches consulting in a specialised clinic. J Headache Pain 2013. [PMCID: PMC3620194 DOI: 10.1186/1129-2377-14-s1-p41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
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Cova L, Mauri G, Tondolo T, Ierace T, Garavaglia M, Baroli A, Lomuscio G, Solbiati L. Abstract No LB08: Percutaneous US-guided interstitial laser ablation of metastatic lymph nodes in the neck from papillary thyroid carcinoma following thyroidectomy and lymphadenectomy. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2012.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Lerace T, Cova L, Solbiati L, Tondolo T, Mauri G, Goldberg S, Solbiati L. Abstract No LB13: Local control of focal hepatic malignancies treated with microwave ablation with a highpower applicator system in 151 patients. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2012.05.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Affiliation(s)
- Juan Vega
- University Hospital Central de Asturias, Oviedo, Spain
| | - Gerard Mauri
- University Hospital Central de Asturias, Oviedo, Spain
| | - Julio Pascual
- University Hospital Central de Asturias, Oviedo, Spain
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Abstract
BACKGROUND There is only one reported case of recurrent coital headache related to an unruptured saccular aneurysm of the carotid artery. CASE REPORTS We report on two cases of isolated recurrent coital/exertional headaches ipsilateral to unruptured fusiform aneurysms of the vertebral artery diagnosed by CT angiography. While one case is being managed conservatively, a vertebral stent has been set in the other. CONCLUSIONS CT angiography with full visualisation of intracranial and upper cervical arteries could be used as a screening diagnostic procedure in these cases. Together with saccular aneurysms, fusiform aneurysms should be added to the IHS classification as aetiology for exertional recurrent headaches.
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Affiliation(s)
- Gerard Mauri
- Neuroscience Area, University Hospital Central de Asturias, Oviedo, Spain
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Mauri G, Sconfienza LM, Fiore B, Brambilla G, Pedicini V, Poretti D, Lutman RF, Montorsi M, Sardanelli F. Post-surgical enteric fistula treatment with image-guided percutaneous injection of cyanoacrylic glue. Clin Radiol 2012; 68:59-63. [PMID: 22613168 DOI: 10.1016/j.crad.2012.04.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 03/22/2012] [Accepted: 04/03/2012] [Indexed: 12/13/2022]
Affiliation(s)
- G Mauri
- Facoltà di Medicina e Chirurgia, Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Italy.
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Abstract
The authors present a 76-year-old female with high blood pressure and hypercholesterolaemia as cerebrovascular risk factors, who received intravenous thrombolysis for an ischaemic stroke with a progressive neurological improvement. She was asymptomatic at 48 h and she was transferred to the neurology department where antithrombotic treatment was initiated. She began to sit the following day when she suffered a massive pulmonary embolism (PE). Cardiological study showed patent foramen oval persistence and the presence of an atrial septa aneurysm, and paroxysmal atrial fibrillation. The delay of the onset of the antithrombotic treatment could have been determinant for the massive PE. Thromboembolic complications may be seen after intravenous thrombolysis for ischaemic stroke. An accurate treatment is needed in order to avoid potentially threatening complications such as massive PE.
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Affiliation(s)
- Montserrat G Delgado
- Neurology Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
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Mauri G, Monti L, Pedicini V. Interventional Management of In-stent Thrombosis after Superior Mesenteric Vein stenting. Eur J Vasc Endovasc Surg 2011. [DOI: 10.1016/j.ejvs.2011.06.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Besozzi D, Cazzaniga P, Pescini D, Mauri G. BioSimWare: A Simulation Environment for Stochastic Modelling of Complex Biological Systems. J Biotechnol 2010. [DOI: 10.1016/j.jbiotec.2010.09.831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gianazza E, Mainini V, Castoldi G, Chinello C, Zerbini G, Bianchi C, Galbusera C, Stella A, Mauri G, Zoppis I, Magni F, Kienle MG. Different expression of fibrinopeptide A and related fragments in serum of type 1 diabetic patients with nephropathy. J Proteomics 2009; 73:593-601. [PMID: 19631771 DOI: 10.1016/j.jprot.2009.07.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2009] [Revised: 07/15/2009] [Accepted: 07/16/2009] [Indexed: 12/16/2022]
Abstract
Type 1 diabetes (insulin-dependent diabetes mellitus, IDDM) is an autoimmune disease affecting about 0.12% of the world's population. Diabetic nephropathy (DN) is a major long-term complication of both types of diabetes and retains a high human, social and economic cost. Thus, the identification of markers for the early detection of DN represents a relevant target of diabetic research. The present work is a pilot study focused on proteomic analysis of serum of controls (n=9), IDDM patients (n=10) and DN patients (n=4) by the ClinProt profiling technology based on mass spectrometry. This approach allowed to identify a pattern of peptides able to differentiate the studied populations with sensitivity and specificity close to 100%. Variance of the results allowed to estimate the sample size needed to keep the expected False Discovery Rate low. Moreover, three peptides differentially expressed in the serum of patients as compared to controls were identified by LC-ESI MS/MS as the whole fibrinopeptide A peptide and two of its fragments, respectively. The two fragments were under-expressed in diabetic patients, while Fibrinopeptide A was over-expressed, suggesting that anomalous turnover of Fibrinopeptide A could be involved in the pathogenesis of DN.
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Affiliation(s)
- E Gianazza
- Department of Experimental Medicine, University of Milano-Bicocca, via Cadore 48, 20052 Monza, Italy
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Romano P, Bertolini G, De Paoli F, Fattore M, Marra D, Mauri G, Merelli E, Porro I, Scaglione S, Milanesi L. Network integration of data and analysis of oncology interest. J Integr Bioinform 2006. [DOI: 10.1515/jib-2006-21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Summary The Human Genome Project has deeply transformed biology and the field has since then expanded to the management, processing, analysis and visualization of large quantities of data from genomics, proteomics, medicinal chemistry and drug screening. This huge amount of data and the heterogeneity of software tools that are used implies the adoption on a very large scale of new, flexible tools that can enable researchers to integrate data and analysis on the network. ICT technology standards and tools, like Web Services and related languages, and workflow management systems, can support the creation and deployment of such systems. While a number of Web Services are appearing and personal workflow management systems are also being more and more offered to researchers, a reference portal enabling the vast majority of unskilled researchers to take profit from these new technologies is still lacking. In this paper, we introduce the rationale for the creation of such a portal and present the architecture and some preliminary results for the development of a portal for the enactment of workflows of interest in oncology.
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Affiliation(s)
- P. Romano
- 1National Cancer Research Institute, Genoa, Italy
| | | | | | - M. Fattore
- 3National Research Council, Genoa, Italy
| | - D. Marra
- 1National Cancer Research Institute, Genoa, Italy
| | - G. Mauri
- 2University of Milan Bicocca, Italy
| | | | | | | | - L. Milanesi
- 6National Research Council, Milan Italy
- 7CILEA, Segrate, Italy
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Abstract
UNLABELLED GeneSyn is a software tool that allows automatic detection of conserved gene order from annotated genomes. AVAILABILITY Available free of charge for Unix/Linux/Cygwin platforms at ftp://159.149.110.11/pub/GeneSyn_1.0/ SUPPLEMENTARY INFORMATION ftp://159.149.110.11/pub/GeneSyn_1.0/
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Affiliation(s)
- G Pavesi
- Dipartimento di Informatica, Sistemistica e Comunicazione, Università di Milano-Bicocca, via Bicocca degli Arcimboldi 8, 20126 Milano, Italy
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