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Noferini L, Taddeucci A, Bartolini M, Bruschi A, Menchi I. CT image quality assessment by a Channelized Hotelling Observer (CHO): Application to protocol optimization. Phys Med 2016; 32:1717-1723. [DOI: 10.1016/j.ejmp.2016.11.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 10/28/2016] [Accepted: 11/06/2016] [Indexed: 10/20/2022] Open
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2
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Noferini L, Taddeucci A, Bruschi A, Bartolini M, Menchi I. CT image quality assessment by channelized Hotelling observer (CHO): Method and implementation. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.01.291] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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3
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Taddeucci A, Noferini L, Bartolini M, Menchi I. CT image quality assessment by a Channelized Hotelling Observer (CHO): Application to protocol optimization. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.01.320] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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4
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Barozzi L, Valentino M, Menchi I, Pavlica P. Clinical uroradiology: the standardisation of terminology for lower urinary tract function and dysfunction. Radiol Med 2010; 115:272-86. [PMID: 20101525 DOI: 10.1007/s11547-010-0509-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2009] [Accepted: 03/27/2009] [Indexed: 01/22/2023]
Abstract
A key problem in clinical practice and research regards effective communication and comparison of results. This is particularly difficult between different specialities that use different definitions and terms for lower urinary tract dysfunction. We therefore tried to adapt the document on the "Standardisation of Terminology of Lower Urinary Tract Function" prepared by the International Continence Society for radiologists who need to acquire some basic clinical experience in the interpretation of the symptoms and signs encountered during simple urodynamic studies in order to increase the effectiveness of imaging studies of the lower urinary tract in men and women.
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Affiliation(s)
- L Barozzi
- UO di Radiologia, Dipartimento Emergenza/Urgenza, Chirurgia Generale e dei Trapianti, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
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Nistri M, Acquafresca M, Pratesi A, Menchi I, Villari N, Mascalchi M. Bronchial artery embolization with detachable coils for the treatment of haemoptysis. Preliminary experience. Radiol Med 2008; 113:452-60. [PMID: 18493779 DOI: 10.1007/s11547-008-0253-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2007] [Accepted: 04/30/2007] [Indexed: 10/22/2022]
Abstract
PURPOSE This paper reports our early experience in the treatment of haemoptysis with embolization of the bronchial arteries using detachable coils. MATERIALS AND METHODS Ten patients (mean age 45 years, range 23-83) with haemoptysis due to bronchoscopic biopsy of indeterminate lung nodules, lung cancer, tubercular bronchiectasis, cystic bronchiectasis or sarcoidosis underwent embolization of the bronchial arteries responsible for the bleeding using detachable coils. Patients were followed-up for a median of 14 months. RESULTS In all patients the procedure halted the bronchial bleeding within 24 hours. Eight patients had no recurrence of haemoptysis. In one patient with lung cancer and another with sarcoidosis, haemoptysis recurred within 1-3 months due to recruitment of additional feeding arteries and to a missed large feeding artery originating from the subclavian artery, which required a new procedure. CONCLUSIONS Use of detachable coils for embolization of bronchial arteries in patients with haemoptysis is advantageous since it eliminates the risk of migration typical of other embolic materials and enables rapid and permanent vessel occlusion.
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Affiliation(s)
- M Nistri
- Radiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Viale Morgagni 85, Florence, Italy
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Mazzocchi S, Belli G, Busoni S, Gori C, Menchi I, Salucci P, Taddeucci A, Zatelli G. AEC set-up optimisation with computed radiography imaging. Radiat Prot Dosimetry 2005; 117:169-73. [PMID: 16461503 DOI: 10.1093/rpd/nci743] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Phototimer set-up is a critical procedure for dose and image quality optimisation in computed radiography (CR) systems. While a conventional radiography automatic exposure control device (AEC) can be calibrated in order to gain a constant optical density on the film independent of beam quality and patient size, CR detectors present a high dynamic range which allows a much larger dose interval, but with different image quality levels. CR leads to a less frequent exam repetition, but may produce quite noisy images if the exposure level on the plate is not correct. The aim of this work is to evaluate the performance of a CR plate (Agfa MD40) in order to optimally calibrate an AEC device. The plate response has been characterised in terms of digital signal, exposure on the plate and signal-to-noise ratio for different beam qualities, in a patient of standard size.
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Affiliation(s)
- S Mazzocchi
- S.O.D. Fisica Sanitaria, Azienda Ospedaliero-Universitaria Careggi, Viale Pieraccini 17, Florence, Italy.
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Abstract
We present the case of a 90-year-old man with a swollen, painful knee and a history of paraffin injections. Radiography showed soft tissue streaky and nodular calcifications without erosions. MR imaging showed globular areas of low signal intensity on T1- and T2-weighted images which became even more hypointense on STIR sequences, and an infiltrative hypointense region containing areas of high signal on T1-weighted, T2-weighted and STIR images. Biopsy confirmed soft tissue foreign body granulomata, fibrous reaction and areas of inflammation. We believe this to be the first report of MR imaging of paraffinoma outside the breast.
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Affiliation(s)
- O A Catalano
- Servizio di Radiologia, A O Rummo, Via dell' Angelo 1, Benevento, Italy.
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Abstract
Retrograde urethrography is the method commonly employed in the detection of anterior male urethra pathology. Ultrasonography and magnetic resonance imaging have been proposed recently as new methods that can replace conventional radiography. Normal urethral anatomy can be easily studied after saline distention of the urethra, which creates high contrast relative to adjacent structures such as mucosa and corpus spongiosum. Sonourethrography with high-frequency probes has a high spatial resolution and has proved to be sensitive, specific, and accurate in the diagnosis of anterior urethral pathologies such as strictures, syringocele, tumors, and trauma. It has a major role in the selection of therapy in patients with bulbar strictures. Magnetic resonance imaging with a surface coil with a small field of view can detect penile and bulbar stenoses and tumor extension. After contrast administration, the activity of the inflammatory process in the spongiosum can be assessed and used to modify the urethroplasty technique. The clinical use of the new imaging modalities in the male anterior urethra is limited despite their demonstrated accuracy in diagnosis and presurgical staging of different diseases.
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Affiliation(s)
- P Pavlica
- Department of Diagnostic Radiology, Hospital M. Malpighi, Via Palagi 9, I-40138 Bologna, Italy
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9
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Bartolozzi C, Crocetti L, Menchi I, Ortori S, Lencioni R. Endorectal magnetic resonance imaging in local staging of prostate carcinoma. Abdom Imaging 2001; 26:111-22. [PMID: 11178685 DOI: 10.1007/s002610000142] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C Bartolozzi
- Division of Diagnostic and Interventional Radiology, Department of Oncology, Transplants, and Advanced Technologies in Medicine, University of Pisa, Via Roma 67, I-56125 Pisa, Italy
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10
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Lencioni R, Ortori S, Cioni D, Morelli G, Ceretti E, Cosottini M, Menchi I, Bartolozzi C. Endorectal coil MR imaging findings in hemospermia. MAGMA 1999; 8:91-7. [PMID: 10456371 DOI: 10.1007/bf02590525] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to illustrate the spectrum of abnormalities found at endorectal coil magnetic resonance (MR) imaging in patients with hemospermia. Ninety patients aged between 23 and 71 years (mean age 41 years) presenting with hemospermia underwent evaluation with endorectal coil MR imaging at 1.5 T. Duration of hemospermia ranged between 5 days and 4 years (mean 15 months). MR examination protocol included T1-weighted spin-echo (SE) and T2-weighted fast SE MR images obtained in the sagittal, coronal, and axial planes. Abnormalities were observed on endorectal-coil MR images in 49 of 90 patients (54%). Blood within the seminal vesicle or the ejaculatory duct was recognized in 23 of 90 patients (25%). Dilatation of the seminal vesicles or the ejaculatory duct was observed in 31 of 90 patients (34%). Cystic lesions were identified in 14 cases, eight of which involved the utriculus and six the ejaculatory duct. Calculi within the seminal vesicles were depicted in seven patients. No malignant disease was demonstrated. In conclusion, despite the evidence that hemospermia is most often a benign and self-limiting condition, we found that endorectal coil MR imaging can detect abnormal findings in more than half of the patients, and may be helpful in assessing the level at which hemorrhage occurred and in defining the cause of the disease.
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Affiliation(s)
- R Lencioni
- Department of Radiology, University of Pisa, Italy.
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Barozzi L, Pavlica P, Menchi I, De Matteis M, Canepari M. Prostatic Abscess: Diagnosis and Treatment. J Urol 1998. [DOI: 10.1016/s0022-5347(01)62636-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- L. Barozzi
- Department of Radiology, Hospital M. Malpighi, Bologna, Istituto Leonardo da Vinci, Firenze and Department of Radiology, General Hospital, Lodigiano, Italy
| | - P. Pavlica
- Department of Radiology, Hospital M. Malpighi, Bologna, Istituto Leonardo da Vinci, Firenze and Department of Radiology, General Hospital, Lodigiano, Italy
| | - I. Menchi
- Department of Radiology, Hospital M. Malpighi, Bologna, Istituto Leonardo da Vinci, Firenze and Department of Radiology, General Hospital, Lodigiano, Italy
| | - M. De Matteis
- Department of Radiology, Hospital M. Malpighi, Bologna, Istituto Leonardo da Vinci, Firenze and Department of Radiology, General Hospital, Lodigiano, Italy
| | - M. Canepari
- Department of Radiology, Hospital M. Malpighi, Bologna, Istituto Leonardo da Vinci, Firenze and Department of Radiology, General Hospital, Lodigiano, Italy
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Abstract
OBJECTIVE Prostatic abscesses are uncommon in clinical practice because early antibiotic therapy has reduced complications of prostatitis. Prostatic abscess mainly affects diabetic and immunosuppressed patients. The organisms most frequently involved are Escherichia coli and Staphylococcus, whereas gonococcus is rarely encountered. The results in eight men with prostatic abscess, five of whom were treated with sonographically guided percutaneous drainage, are reported. The diagnosis, clinically suspected in only three patients, was confirmed by transrectal sonography. All patients experienced complete abscess resolution. CONCLUSION Transrectal sonography is the most reliable imaging method to diagnose prostatic abscess. Percutaneous transperineal or transrectal drainage is the first choice for therapy because of the lower risk of complication compared with surgery.
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Affiliation(s)
- L Barozzi
- Department of Radiology, Hospital M. Malpighi, Bologna, Italy
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13
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Di Lollo S, Menchi I, Brizzi E, Pacini P, Papucci A, Sgambati E, Carini M, Gulisano M. The morphology of the prostatic capsule with particular regard to the posterosuperior region: an anatomical and clinical problem. Surg Radiol Anat 1997; 19:143-7. [PMID: 9381314 DOI: 10.1007/bf01627963] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The composition of the prostatic capsule is important from a clinical point of view, since it is considered to be a barrier against the spread of prostatic tumours. Clinical follow-up demonstrates that apparently intracapsular tumours, particularly in the posterosuperior region of the gland, are frequently understaged at clinical diagnosis. The morphology of the prostatic capsule was studied in 6 cadavers. In each case the prostate was obtained in one block together with the basal portion of the bladder, the seminal vesicles, the anterior wall of the rectum and the periprostatic connective tissue. Part of the material was plastinated, while the remainder was studied using histological and immunohistochemical methods. The prostate was found to be surrounded by connective tissue abundant with smooth muscle cells, and continuous with the stromal septa which subdivide the glandular tissue. A rich network of blood vessels was identifiable. In some regions, particularly in the posterosuperior region, a real capsule was not identifiable. The connective tissue seemed to constitute a continuum between the prostate gland and neighbouring organs, in particular, a connective tissue barrier between the prostate and the seminal vesicles was completely absent. Therefore, due to the absence of a capsular barrier and to the presence of a rich vascular network a prostatic tumour which begins in the posterior region of the gland should be considered as potentially extracapsular.
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Affiliation(s)
- S Di Lollo
- Istituto di Anatomia ed Istologia Patologica, Policlinico di Careggi, Firenze, Italy
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Lencioni R, Menchi I, Paolicchi A, Carini M, Amorosi A, Bartolozzi C. Prediction of pathological tumor volume in clinically localized prostate cancer: value of endorectal coil magnetic resonance imaging. MAGMA 1997; 5:117-21. [PMID: 9268075 DOI: 10.1007/bf02592242] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The purpose of this study was to determine whether endorectal coil magnetic resonance imaging (MRI) enables accurate assessment of pathologic tumor volume in patients with clinically localized prostate carcinoma. Twenty-four patients with biopsy-proved prostate carcinoma underwent MRI at 0.5 T before radical prostatectomy. Tumor volumes were determined independently on axial fast-spin-echo (SE) T2-weighted MR images and whole-mount pathology slides of the surgical specimens. At pathology, tumor volumes ranged from 0.17 to 9.42 cm3 (mean +/- SD, 3.11 +/- 2.99 cm3). A strong correlation (r = .944) was found between measurements of tumor volume based on MR images and pathological specimens. The error was less than 0.5 cm3 in 14 cases, in the range of 0.5-1 cm3 in 7 cases, and more than 1 cm3 in 3 cases. By using an MR tumor volume of 2 cm3 as cutoff value, extracapsular tumor spread could be predicted with a sensitivity of 81.2%, a specificity of 100%, and an accuracy of 87.5%. Tumor volume determinations based on MR images seem to be accurate enough to be helpful in clinical decision-making.
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Affiliation(s)
- R Lencioni
- Department of Oncology, University of Pisa, Italy
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Bartolozzi C, Menchi I, Lencioni R, Serni S, Lapini A, Barbanti G, Bozza A, Amorosi A, Manganelli A, Carini M. Local staging of prostate carcinoma with endorectal coil MRI: correlation with whole-mount radical prostatectomy specimens. Eur Radiol 1996; 6:339-45. [PMID: 8798003 DOI: 10.1007/bf00180606] [Citation(s) in RCA: 52] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The purpose of this study was to investigate the accuracy of endorectal coil MRI in the local staging of prostate carcinoma. A total of 73 patients with biopsy-proven prostate carcinoma were examined at 0.5 T prior being submitted to radical prostatectomy. The gold standard was provided in all patients by findings at whole-mount sectioning of the surgical specimens. At pathology 28 patients had stage T2, 30 had stage T3a/b, and 15 had stage T3c lesions. Overall accuracy of endorectal coil MRI in defining local tumor stage was 82% (60 of 73 patients). Of 73 patients, 5 (7%) were underestimated and 8 (11%) overestimated. The sensitivity and the specificity of endorectal coil MRI in diagnosing capsular penetration were 95% and 82%, respectively. Seminal vesicle invasion was detected with 80% sensitivity and 93% specificity. Our data indicate that endorectal coil MRI is an accurate method for local staging of prostate cancer.
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Affiliation(s)
- C Bartolozzi
- Department of Radiology, University of Pisa, Italy
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Barbagli G, Azzaro F, Menchi I, Amorosi A, Selli C. Bacteriologic, histologic and ultrasonographic findings in strictures recurring after urethrotomy. A preliminary study. Scand J Urol Nephrol 1995; 29:193-5. [PMID: 7569797 DOI: 10.3109/00365599509180561] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Twelve men with recurrent anterior urethral stricture after endoscopic urethrotomy (2-12 attempts) underwent open urethroplasty with en bloc removal of diseased urethral segments. Bacteriologic and histologic studies of the excised urethral tracts (mucosa and spongiosum tissue) were performed. The bacteriologic findings were compared with the results of preoperative urine cultures and urethral swabs for chlamydia. The histologic findings were related to preoperative ultrasonographic observations, in order to evaluate the accuracy of ultrasonography in depicting structural changes in spongiosum around the strictured urethral tract. Beta-haemolytic streptococci and Streptococcus faecalis were cultured from the excised spongiosum, without correlation to the preoperative culture results. The histologic studies confirmed the usefulness of urethral ultrasonography for accurate demonstration of the inflammatory changes involving spongiosum around the strictures.
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Affiliation(s)
- G Barbagli
- Department of Urology, University of Florence, Italy
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17
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Bartolozzi C, Caramella D, Zampa V, Olmastroni M, Innocenti P, Menchi I, Lapani A, Amorosi A. MR Imaging with Stir Technique and Air Insufflation for Local Staging of Bladder Neoplasms. Acta Radiol 1992. [DOI: 10.3109/02841859209173217] [Citation(s) in RCA: 2] [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: 11/13/2022]
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Bartolozzi C, Caramella D, Zampa V, Olmastroni M, Innocenti P, Menchi I, Lapini A, Amorosi A. MR imaging with STIR technique and air insufflation for local staging of bladder neoplasms. Acta Radiol 1992; 33:577-81. [PMID: 1449884] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Fifty-six patients with bladder carcinoma were studied with MR imaging for the assessment of the local stage, using the inversion recovery pulse sequence with fat suppression (STIR) with air in the bladder. With this technique images of the inner and the outer parts of the bladder wall were obtained, showing high contrast between the latter and the tumor (tumor/muscle contrast 89.9%). Four tumor stages were recognized: superficial neoplasms (Tis, Ta, and T1), partial wall infiltrating neoplasms (T2); total wall infiltrating neoplasms (T3a, T3b), and neoplasms involving other pelvic organs (T4). MR imaging was compared with histopathologic diagnosis obtained at transurethral resection or cystectomy. True-positive diagnosis was obtained in 80.4%; false-positive in 14.3% of cases; false-negative in 5.3%. Despite the relatively high incidence of overstaged neoplasms, STIR technique combined with air in the bladder allowed a good accuracy in local staging.
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Affiliation(s)
- C Bartolozzi
- Department of Radiology, University of Pisa, Italy
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Abstract
One hundred twenty-four patients with invasive carcinoma of the cervix were examined with transrectal ultrasound (TRUS) before treatment. Since surgery preceded any other kind of therapy, sonographic findings could be compared with the surgical pathologic stage. The accuracy of staging with TRUS was 83%, compared with an accuracy of 78% for clinical staging performed according to the criteria of the International Federation of Gynecology and Obstetrics (FIGO). For extent of parametrial involvement, the sensitivity of TRUS evaluation was 78%, with a specificity of 89% and a diagnostic accuracy of 87%. The same reliability parameters for clinical evaluation were 52%, 92%, and 84%, respectively. From these data and from analysis of the cases--in which a discrepancy between clinical and TRUS staging was observed--it can be concluded that TRUS could be usefully applied to routine pretreatment evaluation of patients with cervical carcinoma.
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Affiliation(s)
- P Innocenti
- Department of Clinical Physiopathology, University of Florence, Italy
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Moroni F, Dedola G, Melone F, Lardani T, Menchi I. [The "in situ" treatment of ureteral calculi with extracorporeal lithotripsy]. Radiol Med 1992; 83:439-44. [PMID: 1604002] [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: 12/27/2022]
Abstract
The authors report on 80 cases of ureteral calculi treated with in situ extracorporeal shock wave (ESWL), with no retrograde or antegrade maneuvers. Success rate was high (97.5%). Forty-two calculi were located in the proximal ureter above the sacroiliac joint; 10 were in the pre-sacral ureter, and 28 in the pelvic ureter, below the inferior border of the sacroiliac joint. After ESWL, double-J stents were positioned in 5 patients and nephrostomy was performed in 4 cases with positioning of 7-F pig-tail catheters; 8 patients (10%) underwent additional post-lithotripsy urologic and radiologic examinations. Lithotripsy having failed in 2 patients (2.5%), surgery with ureterolithotomy was performed. In situ ESWL of ureteral calculi emerges from this trial as the treatment of choice and not as an alternative to urologic maneuvers or open surgery with ureterolithotomy: the latter methods are necessary only after ESWL failure.
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Affiliation(s)
- F Moroni
- Servizio di Radio-Urologia Villa Monna Tessa, Policlinico di Careggi, Firenze
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Bartolozzi C, Caramella D, Zampa V, Olmastroni M, Innocenti P, Menchi I, Lapani A, Amorosi A. MR Imaging with Stir Technique and Air Insufflation for Local Staging of Bladder Neoplasms. Acta Radiol 1992. [DOI: 10.1080/02841859209173217] [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: 10/20/2022]
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Barbagli G, Bartoletti R, Marzocco M, Azzaro F, Menchi I, Colucci M, Rizzo M. Traumi Dello Scroto. Urologia 1991. [DOI: 10.1177/039156039105800322] [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: 11/16/2022]
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Neri B, Pacini P, Bartalucci S, Moroni F, Menchi I, Cappellini M. Epirubicin high-dose therapy in advanced breast cancer: preliminary clinical data. Epirubicin as a single agent in breast cancer. Int J Clin Pharmacol Ther Toxicol 1989; 27:388-91. [PMID: 2793274] [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: 01/02/2023]
Abstract
Of the new anthracycline derivatives, epirubicin is the antibiotic whose antitumor activity is comparable to that of doxorubicin while its cardiotoxicity is reduced by half. We therefore incorporated into our continuing study on anthracycline antitumor effects and toxicity a group of 22 evaluable patients, mean age 52 years, with advanced breast cancer, all of whom had previously undergone chemotherapy, radiotherapy and/or hormonal therapy. Epirubicin was administered at a dose of 120 mg/M2 every 3 weeks, for a maximum of 10 such cycles. The left ventricular ejection fraction (LVEF), determined by radionuclide ventriculography, was measured periodically in all patients. We observed 2 complete responses and 13 partial responses (CP + PR = 69%) of 61 weeks' mean duration; in 3 cases lesions remained stationary while the disease progressed in 4 patients. No patients died of acute toxicity. The main side effects were severe alopecia in 82% of the subjects and moderate degrees of nausea without vomiting in 41%. After 6 treatment cycles, 4 patients showed mild cardiotoxicity and at an epirubicin cumulative dose of 1,200 mg/M2 2 patients developed congestive heart failure (CHF). Hematological toxicity was in no case so severe as to require a reduction in the dose but only a postponement of treatment by 3 to 5 days in 9% of cycles. Without increasing hematological or cardiac toxicity, epirubicin, at a dose of 120 mg/M2, has shown itself to be a highly effective agent against advanced breast cancer.
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Affiliation(s)
- B Neri
- 4th Department of Internal Medicine, Oncological Day Hospital, University of Florence, Italy
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Selli C, Menchi I, Lapini A, Carini M, Nicita G. Metodiche Di Estrazione Di Cateteri Ureterali a Doppio J Migrati. Urologia 1989. [DOI: 10.1177/039156038905600413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- C. Selli
- Patologia Urologica, Università « La Sapienza », Roma
| | - I. Menchi
- Servizio di Radiodiagnostica, U.S.L. 10/D, Firenze
| | - A. Lapini
- Clinica Urologica dell'Università di Firenze
| | - M. Carini
- Servizio di Radiodiagnostica, U.S.L. 10/D, Firenze
| | - G. Nicita
- Clinica Urologica dell'Università di Firenze
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Affiliation(s)
| | | | | | | | | | | | - A. Amorosi
- Istituto di Anatomia e Istologia Patologica
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Carini M, Serni S, Lapini A, Selli C, Menchi I. Endoscopic treatment of refluxing ureteric stump following nephrectomy with Tissucol and teflon injection. Eur Urol 1989; 16:312-4. [PMID: 2475345 DOI: 10.1159/000471601] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A 10-cm-long refluxing ureteric stump following nephrectomy in a woman with a neurogenic bladder was successfully treated endoscopically. The procedure consisted of endoluminal occlusion with a fibrin adhesive complex followed by meatal sealing by a submucosal injection of polytetrafluoroethylene paste.
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Affiliation(s)
- M Carini
- Clinica Urologica, Università di Firenze, Italia
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Affiliation(s)
- C Bartolozzi
- Department of Clinical Physiopathology, University of Florence, Italy
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Barbagli G, Natali A, Urso C, Barbanti G, Menchi I, Moroni F. Primary malignant melanoma of the female urethra: a case report with immunohistochemical findings. Urol Int 1988; 43:110-2. [PMID: 3291359 DOI: 10.1159/000281317] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A case of primary malignant melanoma of the female urethra is presented and the usefulness of an immunohistochemical diagnostic approach is discussed.
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Affiliation(s)
- G Barbagli
- Department of Urology, University of Florence, Italy
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Bartolozzi C, Menchi I, Lucarelli E, Ciatti S. [Role of echography in the study of abdominal localizations of lymphomas]. Radiol Med 1982; 68:463-7. [PMID: 7111794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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