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Devita M, Debiasi G, Anglani M, Ceolin C, Mazzonetto I, Begliomini C, Cauzzo S, Raffaelli C, Lazzarin A, Ravelli A, Bordignon A, De Rui M, Sergi G, Bertoldo A, Mapelli D, Coin A. The Role of Cognitive Reserve in Protecting Cerebellar Volumes of Older Adults with mild Cognitive Impairment. Cerebellum 2024:10.1007/s12311-024-01695-w. [PMID: 38639874 DOI: 10.1007/s12311-024-01695-w] [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] [Subscribe] [Scholar Register] [Accepted: 04/11/2024] [Indexed: 04/20/2024]
Abstract
The present study aims to investigate the relationship between cerebellar volumes and cognitive reserve in individuals with Mild Cognitive Impairment (MCI). A description of proxies of cerebellar cognitive reserve in terms of different volumes across lobules is also provided. 36 individuals with MCI underwent neuropsychological (MoCA, MMSE, Clock test, CRIq) assessment and neuroimaging acquisition with magnetic resonance imaging at 3 T. Simple linear correlations were applied between cerebellar volumes and cognitive measures. Multiple linear regression models were then used to estimate standardized regression coefficients and 95% confidence intervals. Simple linear correlations between cerebellar lobules volumes and cognitive features highlighted a significant association between CRIq_Working activity and specific motor cerebellar volumes: Left_V (ρ = 0.40, p = 0.02), Right_V (r = 0.42, p = 0.002), Vermis_VIIIb (ρ = 0.47, p = 0.003), Left_X (ρ = -0.46, p = 0.002) and Vermis_X (r = 0.35, p = 0.03). Furthermore, CRIq_Working activity scores correlated with certain cerebellar lobules implicated in cognition: Left_Crus_II, Vermis VIIb, Left_IX. MMSE was associated only with the Right_VIIB volume (r = 0.35, p = 0.02), while Clock Drawing Test scores correlated with both Left_Crus_I and Right_Crus_I (r = -0.42 and r = 0.42, p = 0.02, respectively). This study suggests that a higher cognitive reserve is associated with specific cerebellar lobule volumes and that Working activity may play a predominant role in this association. These findings contribute to the understanding of the relationship between cerebellar volumes and cognitive reserve, highlighting the potential modulatory role of Working activity on cerebellum response to cognitive decline.
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Affiliation(s)
- Maria Devita
- Department of General Psychology (DPG), University of Padua, Via Venezia 8, Padua, Italy.
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy.
| | - Giulia Debiasi
- Department of Surgery, Oncology and Gastroenterology, University of Padua, Via Giustiniani 2, Padua, Italy
- Department of Information Engineering, University of Padua, Via Gardenigo 6/B, Padua, Italy
| | - Mariagiulia Anglani
- Neuroradiology Unit, University Hospital of Padua, Via Giustiniani 2, Padua, Italy
| | - Chiara Ceolin
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Aging Research Center, Stockholm, Sweden
| | - Ilaria Mazzonetto
- Department of Information Engineering, University of Padua, Via Gardenigo 6/B, Padua, Italy
| | - Chiara Begliomini
- Department of General Psychology (DPG), University of Padua, Via Venezia 8, Padua, Italy
| | - Simone Cauzzo
- Parkinson's Disease and Movement Disorders Unit, Center for Rare Neurological Diseases, Department of Neurosciences, University of Padova, Via Belzoni 160, Padua, Italy
| | - Cecilia Raffaelli
- Geriatrics Unit, Ospedale Fracastoro, Via Circonvallazione 1, San Bonifacio, Verona, Italy
| | - Alessandro Lazzarin
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
| | - Adele Ravelli
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
| | | | - Marina De Rui
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
| | - Giuseppe Sergi
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
| | - Alessandra Bertoldo
- Department of Information Engineering, University of Padua, Via Gardenigo 6/B, Padua, Italy
- Padova Neuroscience Center, University of Padua, Via Orus 2/B, Padua, Italy
| | - Daniela Mapelli
- Department of General Psychology (DPG), University of Padua, Via Venezia 8, Padua, Italy
| | - Alessandra Coin
- Geriatrics Unit, Department of Medicine (DIMED), University of Padua, Via Giustiniani 2, Padua, Italy
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Briani C, Salvalaggio A, Anglani M, Imbergamo S, Pravato S, Marasca M, Cacciavillani M, Gasparotti R. Multifocal recurrent neuralgic amyotrophy in an immunocompromised patient. J Neurol 2024; 271:1080-1083. [PMID: 38184820 DOI: 10.1007/s00415-023-12157-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 12/10/2023] [Accepted: 12/11/2023] [Indexed: 01/08/2024]
Affiliation(s)
- Chiara Briani
- Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy.
| | - Alessandro Salvalaggio
- Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | | | - Silvia Imbergamo
- Hematology and Immunological Unit, Department of Medicine, University of Padova, Padua, Italy
| | - Stefano Pravato
- Hematology and Immunological Unit, Department of Medicine, University of Padova, Padua, Italy
| | - Manuele Marasca
- Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | | | - Roberto Gasparotti
- Neuroradiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia and ASST Spedali Civili Hospital, Brescia, Italy
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Visani V, Pizzini FB, Natale V, Tamanti A, Anglani M, Bertoldo A, Calabrese M, Castellaro M. Choroid plexus volume in multiple sclerosis can be estimated on structural MRI avoiding contrast injection. Eur Radiol Exp 2024; 8:33. [PMID: 38409562 PMCID: PMC10897123 DOI: 10.1186/s41747-024-00421-9] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 12/11/2023] [Indexed: 02/28/2024] Open
Abstract
We compared choroid plexus (ChP) manual segmentation on non-contrast-enhanced (non-CE) sequences and reference standard CE T1- weighted (T1w) sequences in 61 multiple sclerosis patients prospectively included. ChP was separately segmented on T1w, T2-weighted (T2w) fluid-attenuated inversion-recovery (FLAIR), and CE-T1w sequences. Inter-rater variability assessed on 10 subjects showed high reproducibility between sequences measured by intraclass correlation coefficient (T1w 0.93, FLAIR 0.93, CE-T1w 0.99). CE-T1w showed higher signal-to-noise ratio and contrast-to-noise ratio (CE-T1w 23.77 and 18.49, T1w 13.73 and 7.44, FLAIR 13.09 and 10.77, respectively). Manual segmentation of ChP resulted 3.073 ± 0.563 mL (mean ± standard deviation) on T1w, 3.787 ± 0.679 mL on FLAIR, and 2.984 ± 0.506 mL on CE-T1w images, with an error of 28.02 ± 19.02% for FLAIR and 3.52 ± 12.61% for T1w. FLAIR overestimated ChP volume compared to CE-T1w (p < 0.001). The Dice similarity coefficient of CE-T1w versus T1w and FLAIR was 0.67 ± 0.05 and 0.68 ± 0.05, respectively. Spatial error distribution per slice was calculated after nonlinear coregistration to the standard MNI152 space and showed a heterogeneous profile along the ChP especially near the fornix and the hippocampus. Quantitative analyses suggest T1w as a surrogate of CE-T1w to estimate ChP volume.Relevance statement To estimate the ChP volume, CE-T1w can be replaced by non-CE T1w sequences because the error is acceptable, while FLAIR overestimates the ChP volume. This encourages the development of automatic tools for ChP segmentation, also improving the understanding of the role of the ChP volume in multiple sclerosis, promoting longitudinal studies.Key points • CE-T1w sequences are considered the reference standard for ChP manual segmentation.• FLAIR sequences showed a higher CNR than T1w sequences but overestimated the ChP volume.• Non-CE T1w sequences can be a surrogate of CE-T1w sequences for manual segmentation of ChP.
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Affiliation(s)
- Valentina Visani
- Department of Information Engineering, University of Padova, Padova, Italy
| | - Francesca B Pizzini
- Department of Engineering for Innovation Medicine, University of Verona, Verona, Italy
| | - Valerio Natale
- Department of Diagnostic and Public Health, University of Verona, Verona, Italy
| | - Agnese Tamanti
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | | | - Alessandra Bertoldo
- Department of Information Engineering, University of Padova, Padova, Italy
- Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Massimiliano Calabrese
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Marco Castellaro
- Department of Information Engineering, University of Padova, Padova, Italy.
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Salvalaggio A, Pini L, Gaiola M, Velco A, Sansone G, Anglani M, Fekonja L, Chioffi F, Picht T, Thiebaut de Schotten M, Zagonel V, Lombardi G, D’Avella D, Corbetta M. White Matter Tract Density Index Prediction Model of Overall Survival in Glioblastoma. JAMA Neurol 2023; 80:1222-1231. [PMID: 37747720 PMCID: PMC10520843 DOI: 10.1001/jamaneurol.2023.3284] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 07/07/2023] [Indexed: 09/26/2023]
Abstract
Importance The prognosis of overall survival (OS) in patients with glioblastoma (GBM) may depend on the underlying structural connectivity of the brain. Objective To examine the association between white matter tracts affected by GBM and patients' OS by means of a new tract density index (TDI). Design, Setting, and Participants This prognostic study in patients with a histopathologic diagnosis of GBM examined a discovery cohort of 112 patients who underwent surgery between February 1, 2015, and November 30, 2020 (follow-up to May 31, 2023), in Italy and 70 patients in a replicative cohort (n = 70) who underwent surgery between September 1, 2012, and November 30, 2015 (follow-up to May 31, 2023), in Germany. Statistical analyses were performed from June 1, 2021, to May 31, 2023. Thirteen and 12 patients were excluded from the discovery and the replicative sets, respectively, because of magnetic resonance imaging artifacts. Exposure The density of white matter tracts encompassing GBM. Main Outcomes and Measures Correlation, linear regression, Cox proportional hazards regression, Kaplan-Meier, and prediction analysis were used to assess the association between the TDI and OS. Results were compared with common prognostic factors of GBM, including age, performance status, O6-methylguanine-DNA methyltransferase methylation, and extent of surgery. Results In the discovery cohort (n = 99; mean [SD] age, 62.2 [11.5] years; 29 female [29.3%]; 70 male [70.7%]), the TDI was significantly correlated with OS (r = -0.34; P < .001). This association was more stable compared with other prognostic factors. The TDI showed a significant regression pattern (Cox: hazard ratio, 0.28 [95% CI, 0.02-0.55; P = .04]; linear: t = -2.366; P = .02). and a significant Kaplan-Meier stratification of patients as having lower or higher OS based on the TDI (log-rank test = 4.52; P = .03). Results were confirmed in the replicative cohort (n = 58; mean [SD] age, 58.5 [11.1] years, 14 female [24.1%]; 44 male [75.9%]). High (24-month cutoff) and low (18-month cutoff) OS was predicted based on the TDI computed in the discovery cohort (accuracy = 87%). Conclusions and Relevance In this study, GBMs encompassing regions with low white matter tract density were associated with longer OS. These findings indicate that the TDI is a reliable presurgical outcome predictor that may be considered in clinical trials and clinical practice. These findings support a framework in which the outcome of GBM depends on the patient's brain organization.
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Affiliation(s)
- Alessandro Salvalaggio
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
- Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Lorenzo Pini
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
- Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Matteo Gaiola
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
| | - Aron Velco
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
| | - Giulio Sansone
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
| | | | - Lucius Fekonja
- Department of Neurosurgery, Charité Universitätsmedizin Berlin, Berlin, Germany
- Cluster of Excellence “Matters of Activity. Image Space Material,” Humboldt University, Berlin, Germany
| | - Franco Chioffi
- Division of Neurosurgery, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Thomas Picht
- Department of Neurosurgery, Charité Universitätsmedizin Berlin, Berlin, Germany
- Cluster of Excellence “Matters of Activity. Image Space Material,” Humboldt University, Berlin, Germany
| | - Michel Thiebaut de Schotten
- Brain Connectivity and Behaviour Laboratory, Sorbonne Universities, Paris, France
- Groupe d’Imagerie Neurofonctionnelle, Institut des Maladies Neurodégénératives-UMR 5293, CNRS, CEA University of Bordeaux, Bordeaux, France
| | - Vittorina Zagonel
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Giuseppe Lombardi
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Domenico D’Avella
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Maurizio Corbetta
- Clinica Neurologica, Department of Neuroscience, University of Padova, Padova, Italy
- Padova Neuroscience Center, University of Padova, Padova, Italy
- Venetian Institute of Molecular Medicine, Fondazione Biomedica, Padova, Italy
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Puthenparampil M, Gaggiola M, Miscioscia A, Mauceri VA, De Napoli F, Zanotelli G, Anglani M, Nosadini M, Sartori S, Perini P, Rinaldi F, Gallo P. Alemtuzumab following natalizumab is more effective in adult-onset than paediatric-onset multiple sclerosis. Ther Adv Neurol Disord 2023; 16:17562864231177196. [PMID: 37808246 PMCID: PMC10559704 DOI: 10.1177/17562864231177196] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 05/04/2023] [Indexed: 10/10/2023] Open
Abstract
Background Paediatric-onset multiple sclerosis (POMS) therapeutic approach derives from of adult-onset multiple sclerosis (AOMS) tailored algorithms. Objectives To evaluate in a common clinical scenario the efficacy and safety of alemtuzumab (ALZ) in POMS and AOMS. Methods All patients switching from natalizumab (NTZ) to ALZ for safety concerns (high anti-John Cunningham Virus Antibody Index value, anti-JCV Index) were enrolled in this single-centre, retrospective, case-control open-label study. Results Ten POMS and 27 AOMS were followed up for 51.3 months. After month 12, we found a lower risk of clinical or radiological relapses among AOMS patients and among patients with older age at ALZ (both p < 0.05). Survival analysis revealed an increased risk of relapse in POMS compared with AOMS (logrank p = 0.00498) and patients starting ALZ before age 22.75 years than the elder ones (logrank p = 0.0018). Survival analysis did not disclose any difference between AOMS and POMS (logrank p = 0.27) in terms of progression independent of any relapse activity (PIRA). In addition, no evidence of relapse-associated worsening was observed. Autoimmune events were reported by 5 AOMS and no POMS (29.4% versus 0.0%, p = 0.057), and survival analysis was not significant (logrank p = 0.0786). Conclusion ALZ seems more effective in AOMS than in POMS following NTZ. These findings underrate ALZ effectiveness when shifting from NTZ in POMS.
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Affiliation(s)
- Marco Puthenparampil
- Multiple Sclerosis Centre, Clinica Neurologica, Dipartimento di Neuroscienze, Università degli Studi di Padova, Via Giustiniani 5, 35128 Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Marta Gaggiola
- Department of Neurosciences, University of Padua, Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Alessandro Miscioscia
- Department of Neurosciences, University of Padua, Padova, Italy
- Padua Neuroscience Centre, University of Padua, Padova, Italy
| | - Valentina Annamaria Mauceri
- Department of Neurosciences, University of Padua, Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Federica De Napoli
- Department of Neurosciences, University of Padua, Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Giovanni Zanotelli
- Department of Neurosciences, University of Padua, Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | | | - Margherita Nosadini
- Paediatric Neurology and Neurophysiology Unit, Department of Women’s and Children’s Health, University Hospital of Padova, Padova, Italy
- Neuroimmunology Group, Paediatric Research Institute ‘Città della Speranza’, Padova, Italy
| | - Stefano Sartori
- Paediatric Neurology and Neurophysiology Unit, Department of Women’s and Children’s Health, University Hospital of Padova, Padova, Italy
- Neuroimmunology Group, Paediatric Research Institute ‘Città della Speranza’, Padova, Italy
| | - Paola Perini
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Francesca Rinaldi
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
| | - Paolo Gallo
- Department of Neurosciences, University of Padua, Padova, Italy
- Multiple Sclerosis Centre, Azienda Ospedaliera di Padova, Padova, Italy
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Bresciani L, Salvalaggio A, Vegezzi E, Visentin A, Fortuna A, Anglani M, Cacciavillani M, Masciocchi S, Scaranzin S, Carecchio M, Martinuzzi A, Gastaldi M, Briani C. Caspr1 antibodies autoimmune paranodopathy with severe tetraparesis: Potential relevance of antibody titers in monitoring treatment response. J Peripher Nerv Syst 2023; 28:522-527. [PMID: 37246762 DOI: 10.1111/jns.12565] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 05/19/2023] [Accepted: 05/23/2023] [Indexed: 05/30/2023]
Abstract
AIM Nodopathies and paranodopathies are autoimmune neuropathies associated with antibodies to nodal-paranodal antigens (neurofascin 140/186 and 155, contactin-1, contactin-associated protein 1 [Caspr1]) characterized by peculiar clinical features, poor response to standard immunotherapies (e.g., intravenous immunoglobulins, IVIg). Improvement after anti-CD20 monoclonal antibody therapy has been reported. Data on Caspr1 antibodies pathogenicity are still preliminary, and longitudinal titers have been poorly described. METHODS We report on a young woman who developed a disabling neuropathy with antibodies to the Caspr1/contactin-1 complex showing a dramatic improvement after rituximab therapy, mirrored by the decrease of antibody titers. RESULTS A 26-year-old woman presented with ataxic-stepping gait, severe motor weakness at four limbs, and low frequency postural tremor. For neurophysiological evidence of demyelinating neuropathy, she was diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy and treated with IVIg without benefit. MRI showed symmetrical hypertrophy and marked signal hyperintensity of brachial and lumbosacral plexi. Cerebrospinal fluid showed 710 mg/dL protein. Despite intravenous methylprednisolone, the patient progressively worsened, and became wheelchair-bound. Antibodies to nodal-paranodal antigens were searched for by ELISA and cell-based assay. Anticontactin/Caspr1 IgG4 antibodies resulted positive. The patient underwent rituximab therapy with slow progressive improvement that mirrored the antibodies titer, measured throughout the disease course. CONCLUSIONS Our patient had a severe progressive course with early disability and axonal damage, and slow recovery starting only a few months after antibody-depleting therapy. The close correlation between titer, disability, and treatment, supports the pathogenicity of Caspr1 antibodies, and suggest that their longitudinal evaluation might provide a potential biomarker to evaluate treatment response.
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Affiliation(s)
| | | | | | - Andrea Visentin
- Hematology and Immunological Unit, Department of Medicine, University of Padova, Padova, Italy
| | - Andrea Fortuna
- Department of Neurosciences, University of Padova, Padova, Italy
| | | | | | | | | | - Miryam Carecchio
- Department of Neurosciences, University of Padova, Padova, Italy
| | - Andrea Martinuzzi
- IRCCS "E. Medea," Department of Neurorehabilitation, Conegliano-Pieve di Soligo Research Center, Italy
| | | | - Chiara Briani
- Department of Neurosciences, University of Padova, Padova, Italy
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Moretto M, Silvestri E, Facchini S, Anglani M, Cecchin D, Corbetta M, Bertoldo A. The dynamic functional connectivity fingerprint of high-grade gliomas. Sci Rep 2023; 13:10389. [PMID: 37369744 DOI: 10.1038/s41598-023-37478-2] [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] [Received: 11/17/2022] [Accepted: 06/22/2023] [Indexed: 06/29/2023] Open
Abstract
Resting state fMRI has been used in many studies to investigate the impact of brain tumours on functional connectivity (FC). However, these studies have so far assumed that FC is stationary, disregarding the fact that the brain fluctuates over dynamic states. Here we utilised resting state fMRI data from 33 patients with high-grade gliomas and 33 healthy controls to examine the dynamic interplay between resting-state networks and to gain insights into the impact of brain tumours on functional dynamics. By employing Hidden Markov Models, we demonstrated that functional dynamics persist even in the presence of a high-grade glioma, and that patients exhibited a global decrease of connections strength, as well as of network segregation. Furthermore, through a multivariate analysis, we demonstrated that patients' cognitive scores are highly predictive of pathological dynamics, thus supporting our hypothesis that functional dynamics could serve as valuable biomarkers for better understanding the traits of high-grade gliomas.
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Affiliation(s)
- Manuela Moretto
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy
- Department of Information Engineering, University of Padova, Via G. Gradenigo 6/B, 35131, Padova, Italy
| | - Erica Silvestri
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy
- Department of Information Engineering, University of Padova, Via G. Gradenigo 6/B, 35131, Padova, Italy
| | - Silvia Facchini
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy
- Department of Neuroscience, University of Padova, 35121, Padova, Italy
| | | | - Diego Cecchin
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy
- Unit of Nuclear Medicine, University of Padova, 35121, Padova, Italy
| | - Maurizio Corbetta
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy
- Department of Neuroscience, University of Padova, 35121, Padova, Italy
- Venetian Institute of Molecular Medicine, 35131, Padova, Italy
| | - Alessandra Bertoldo
- Padova Neuroscience Center, University of Padova, 35131, Padova, Italy.
- Department of Information Engineering, University of Padova, Via G. Gradenigo 6/B, 35131, Padova, Italy.
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8
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Sansone G, Pini L, Salvalaggio A, Gaiola M, Volpin F, Baro V, Padovan M, Anglani M, Facchini S, Chioffi F, Zagonel V, D’Avella D, Denaro L, Lombardi G, Corbetta M. Patterns of gray and white matter functional networks involvement in glioblastoma patients: indirect mapping from clinical MRI scans. Front Neurol 2023; 14:1175576. [PMID: 37409023 PMCID: PMC10318144 DOI: 10.3389/fneur.2023.1175576] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 05/22/2023] [Indexed: 07/07/2023] Open
Abstract
Background Resting-state functional-MRI studies identified several cortical gray matter functional networks (GMNs) and white matter functional networks (WMNs) with precise anatomical localization. Here, we aimed at describing the relationships between brain's functional topological organization and glioblastoma (GBM) location. Furthermore, we assessed whether GBM distribution across these networks was associated with overall survival (OS). Materials and methods We included patients with histopathological diagnosis of IDH-wildtype GBM, presurgical MRI and survival data. For each patient, we recorded clinical-prognostic variables. GBM core and edema were segmented and normalized to a standard space. Pre-existing functional connectivity-based atlases were used to define network parcellations: 17 GMNs and 12 WMNs were considered in particular. We computed the percentage of lesion overlap with GMNs and WMNs, both for core and edema. Differences between overlap percentages were assessed through descriptive statistics, ANOVA, post-hoc tests, Pearson's correlation tests and canonical correlations. Multiple linear and non-linear regression tests were employed to explore relationships with OS. Results 99 patients were included (70 males, mean age 62 years). The most involved GMNs included ventral somatomotor, salient ventral attention and default-mode networks; the most involved WMNs were ventral frontoparietal tracts, deep frontal white matter, and superior longitudinal fasciculus system. Superior longitudinal fasciculus system and dorsal frontoparietal tracts were significantly more included in the edema (p < 0.001). 5 main patterns of GBM core distribution across functional networks were found, while edema localization was less classifiable. ANOVA showed significant differences between mean overlap percentages, separately for GMNs and WMNs (p-values<0.0001). Core-N12 overlap predicts higher OS, although its inclusion does not increase the explained OS variance. Discussion and conclusion Both GBM core and edema preferentially overlap with specific GMNs and WMNs, especially associative networks, and GBM core follows five main distribution patterns. Some inter-related GMNs and WMNs were co-lesioned by GBM, suggesting that GBM distribution is not independent of the brain's structural and functional organization. Although the involvement of ventral frontoparietal tracts (N12) seems to have some role in predicting survival, network-topology information is overall scarcely informative about OS. fMRI-based approaches may more effectively demonstrate the effects of GBM on brain networks and survival.
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Affiliation(s)
- Giulio Sansone
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Lorenzo Pini
- Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
| | - Alessandro Salvalaggio
- Department of Neuroscience, University of Padova, Padova, Italy
- Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
| | - Matteo Gaiola
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Francesco Volpin
- Division of Neurosurgery, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Valentina Baro
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Marta Padovan
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | | | - Silvia Facchini
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Franco Chioffi
- Division of Neurosurgery, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Vittorina Zagonel
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Domenico D’Avella
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Luca Denaro
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Giuseppe Lombardi
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Maurizio Corbetta
- Department of Neuroscience, University of Padova, Padova, Italy
- Padova Neuroscience Center (PNC), University of Padova, Padova, Italy
- Venetian Institute of Molecular Medicine (VIMM), Fondazione Biomedica, Padova, Italy
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9
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Zanotelli G, Bresciani L, Anglani M, Miscioscia A, Rinaldi F, Puthenparampil M. Case Report: Para-infectious cranial nerve palsy after bacterial meningitis. Front Immunol 2022; 13:1000912. [PMID: 36275763 PMCID: PMC9582131 DOI: 10.3389/fimmu.2022.1000912] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 09/13/2022] [Indexed: 11/13/2022] Open
Abstract
A 27-year-old woman was admitted to our hospital for fever, associated with headache, nausea, and vomiting, and she rapidly developed mild left facial nerve palsy and diplopia. Neurological examination revealed mild meningitis associated with bilateral VI cranial nerve palsy and mild left facial palsy. As central nervous system (CNS) infection was suspected, a diagnostic lumbar puncture was performed, which revealed 1,677 cells/μl, 70% of which were polymorphonuclear leukocytes. Moreover, multiplex PCR immunoassay was positive for Neisseria meningitidis, supporting the diagnosis of bacterial meningitis. Finally, IgG oligoclonal bands (IgGOB) were absent in serum and cerebrospinal fluid (CSF). Therefore, ceftriaxone antibiotic therapy was started, and in the following days, the patient’s signs and symptoms improved, with complete remission of diplopia and meningeal signs within a week. On the contrary, left facial nerve palsy progressively worsened into a severe bilateral deficit. A second lumbar puncture was therefore performed: the CSF analysis revealed a remarkable decrease of pleocytosis with a qualitative modification (only lymphocytes), and oligoclonal IgG bands were present. A new brain MRI was performed, showing a bilateral gadolinium enhancement of the intrameatal VII and VIII cranial nerves bilaterally. Due to suspicion of para-infectious etiology, the patient was treated with oral steroid (prednisolone 1 mg/kg/day), with a progressive and complete regression of the symptoms. We suggest that in this case, after a pathogen-driven immunological response (characterized by relevant CSF mixed pleocytosis and no evidence of IgGOB), a para-infectious adaptive immunity-driven reaction (with mild lymphocyte pleocytosis and pattern III IgGOB) against VII and VIII cranial nerves started. Indeed, steroid administration caused a rapid and complete restoration of cranial nerve function.
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Affiliation(s)
- Giovanni Zanotelli
- Neurology Unit, Azienda Ospedaliera di Padova, Padova, Italy
- Department of Neuroscience, Università degli Studi di Padova, Padova, Italy
- *Correspondence: Giovanni Zanotelli,
| | - Lorenzo Bresciani
- Neurology Unit, Azienda Ospedaliera di Padova, Padova, Italy
- Department of Neuroscience, Università degli Studi di Padova, Padova, Italy
| | | | | | | | - Marco Puthenparampil
- Neurology Unit, Azienda Ospedaliera di Padova, Padova, Italy
- Department of Neuroscience, Università degli Studi di Padova, Padova, Italy
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10
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Silvestri E, Villani U, Moretto M, Colpo M, Salvalaggio A, Anglani M, Castellaro M, Facchini S, Monai E, D'Avella D, Puppa AD, Cecchin D, Corbetta M, Bertoldo A. Assessment of structural disconnections in gliomas: comparison of indirect and direct approaches. Brain Struct Funct 2022; 227:3109-3120. [PMID: 35503481 PMCID: PMC9653324 DOI: 10.1007/s00429-022-02494-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 11/27/2021] [Accepted: 04/04/2022] [Indexed: 12/24/2022]
Abstract
Gliomas are amongst the most common primary brain tumours in adults and are often associated with poor prognosis. Understanding the extent of white matter (WM) which is affected outside the tumoral lesion may be of paramount importance to explain cognitive deficits and the clinical progression of the disease. To this end, we explored both direct (i.e., tractography based) and indirect (i.e., atlas-based) approaches to quantifying WM structural disconnections in a cohort of 44 high- and low-grade glioma patients. While these methodologies have recently gained popularity in the context of stroke and other pathologies, to our knowledge, this is the first time they are applied in patients with brain tumours. More specifically, in this work, we present a quantitative comparison of the disconnection maps provided by the two methodologies by applying well-known metrics of spatial similarity, extension, and correlation. Given the important role the oedematous tissue plays in the physiopathology of tumours, we performed these analyses both by including and excluding it in the definition of the tumoral lesion. This was done to investigate possible differences determined by this choice. We found that direct and indirect approaches offer two distinct pictures of structural disconnections in patients affected by brain gliomas, presenting key differences in several regions of the brain. Following the outcomes of our analysis, we eventually discuss the strengths and pitfalls of these two approaches when applied in this critical field.
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Affiliation(s)
- Erica Silvestri
- Department of Information Engineering, University of Padova, 35131, Padua, Italy.,Padova Neuroscience Center, University of Padova, 35129, Padua, Italy
| | - Umberto Villani
- Department of Information Engineering, University of Padova, 35131, Padua, Italy.,Padova Neuroscience Center, University of Padova, 35129, Padua, Italy
| | - Manuela Moretto
- Department of Information Engineering, University of Padova, 35131, Padua, Italy.,Padova Neuroscience Center, University of Padova, 35129, Padua, Italy
| | - Maria Colpo
- Department of Information Engineering, University of Padova, 35131, Padua, Italy.,Padova Neuroscience Center, University of Padova, 35129, Padua, Italy
| | - Alessandro Salvalaggio
- Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.,Department of Neuroscience, University of Padova, 35128, Padua, Italy
| | | | - Marco Castellaro
- Department of Information Engineering, University of Padova, 35131, Padua, Italy
| | - Silvia Facchini
- Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.,Department of Neuroscience, University of Padova, 35128, Padua, Italy
| | - Elena Monai
- Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.,Department of Neuroscience, University of Padova, 35128, Padua, Italy
| | - Domenico D'Avella
- Department of Neuroscience, University of Padova, 35128, Padua, Italy
| | - Alessandro Della Puppa
- Neurosurgery, Department of NEUROFARBA, University Hospital of Careggi, University of Florence, 50139, Florence, Italy
| | - Diego Cecchin
- Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.,Department of Medicine, Unit of Nuclear Medicine, University of Padova, Padua, Italy
| | - Maurizio Corbetta
- Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.,Department of Neuroscience, University of Padova, 35128, Padua, Italy.,Venetian Institute of Molecular Medicine, 35129, Padua, Italy
| | - Alessandra Bertoldo
- Department of Information Engineering, University of Padova, 35131, Padua, Italy. .,Padova Neuroscience Center, University of Padova, 35129, Padua, Italy.
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11
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Salvalaggio A, Silvestri E, Sansone G, Pinton L, Magri S, Briani C, Anglani M, Lombardi G, Zagonel V, Della Puppa A, Mandruzzato S, Corbetta M, Bertoldo A. Magnetic Resonance Imaging Correlates of Immune Microenvironment in Glioblastoma. Front Oncol 2022; 12:823812. [PMID: 35392230 PMCID: PMC8980808 DOI: 10.3389/fonc.2022.823812] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [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: 11/28/2021] [Accepted: 02/18/2022] [Indexed: 11/13/2022] Open
Abstract
Background Glioblastoma (GBM) is the most commonly occurring primary malignant brain tumor, and it carries a dismal prognosis. Focusing on the tumor microenvironment may provide new insights into pathogenesis, but no clinical tools are available to do this. We hypothesized that the infiltration of different leukocyte populations in the tumoral and peritumoral brain tissues may be measured by magnetic resonance imaging (MRI). Methods Pre-operative MRI was combined with immune phenotyping of intraoperative tumor tissue based on flow cytometry of myeloid cell populations that are associated with immune suppression, namely, microglia and bone marrow-derived macrophages (BMDM). These cell populations were measured from the central and marginal areas of the lesion identified intraoperatively with 5-aminolevulinic acid-guided surgery. MRI features (volume, mean and standard deviation of signal intensity, and fractality) were derived from all MR sequences (T1w, Gd+ T1w, T2w, FLAIR) and ADC MR maps and from different tumor areas (contrast- and non-contrast-enhancing tumor, necrosis, and edema). The principal components of MRI features were correlated with different myeloid cell populations by Pearson's correlation. Results We analyzed 126 samples from 62 GBM patients. The ratio between BMDM and microglia decreases significantly from the central core to the periphery. Several MRI-derived principal components were significantly correlated (p <0.05, r range: [-0.29, -0.41]) with the BMDM/microglia ratio collected in the central part of the tumor. Conclusions We report a significant correlation between structural MRI clinical imaging and the ratio of recruited vs. resident macrophages with different immunomodulatory activities. MRI features may represent a novel tool for investigating the microenvironment of GBM.
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Affiliation(s)
- Alessandro Salvalaggio
- Department of Neuroscience, University of Padova, Padova, Italy.,Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Erica Silvestri
- Padova Neuroscience Center, University of Padova, Padova, Italy.,Department of Information Engineering, University of Padova, Padova, Italy
| | - Giulio Sansone
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Laura Pinton
- Veneto Institute of Oncology - Istituto di Ricovero e Cura a Carattere Scientifico (IOV-IRCCS), Padova, Italy
| | - Sara Magri
- Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy
| | - Chiara Briani
- Department of Neuroscience, University of Padova, Padova, Italy
| | | | - Giuseppe Lombardi
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Vittorina Zagonel
- Department of Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - Alessandro Della Puppa
- Neurosurgery, Department of NEUROFARBA, University Hospital of Careggi, University of Florence, Florence, Italy
| | - Susanna Mandruzzato
- Veneto Institute of Oncology - Istituto di Ricovero e Cura a Carattere Scientifico (IOV-IRCCS), Padova, Italy.,Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy
| | - Maurizio Corbetta
- Department of Neuroscience, University of Padova, Padova, Italy.,Padova Neuroscience Center, University of Padova, Padova, Italy.,Venetian Institute of Molecular Medicine, Fondazione Biomedica, Padova, Italy
| | - Alessandra Bertoldo
- Padova Neuroscience Center, University of Padova, Padova, Italy.,Department of Information Engineering, University of Padova, Padova, Italy
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12
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Silvestri E, Moretto M, Facchini S, Castellaro M, Anglani M, Monai E, D’Avella D, Della Puppa A, Cecchin D, Bertoldo A, Corbetta M. Widespread cortical functional disconnection in gliomas: an individual network mapping approach. Brain Commun 2022; 4:fcac082. [PMID: 35474856 PMCID: PMC9034119 DOI: 10.1093/braincomms/fcac082] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [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: 08/09/2021] [Revised: 02/04/2022] [Accepted: 04/04/2022] [Indexed: 11/14/2022] Open
Abstract
Abstract
Assessment of impaired/preserved cortical regions in brain tumours is typically performed via intraoperative direct brain stimulation of eloquent areas or task-based functional MRI. One main limitation is that they overlook distal brain regions or networks that could be functionally impaired by the tumour.
This study aims: 1) to investigate the impact of brain tumours on the cortical synchronization of brain networks measured with resting-state functional magnetic resonance imaging (resting-state networks) both near the lesion and remotely; 2) to test whether potential changes in resting state networks correlate with cognitive status.
The sample included twenty-four glioma patients (mean age 58.1 ± 16.4y) with different pathological staging. We developed a new method for single subject localization of resting state networks abnormalities. First, we derived the spatial pattern of the main resting state networks by means of the group guided independent component analysis. This was informed by a high-resolution resting state networks template derived from an independent sample of healthy controls. Second, we developed a spatial similarity index to measure differences in network topography and strength between healthy controls and individual brain tumour patients. Next, we investigated the spatial relationship between altered networks and tumour location. Finally, multivariate analyses related cognitive scores across multiple cognitive domains (attention, language, memory, decision making) with patterns of multi-network abnormality.
We found that brain gliomas cause broad alterations of resting state networks topography that occurred mainly in structurally normal regions outside the tumour and oedema region. Cortical regions near the tumour often showed normal synchronization. Finally, multi-network abnormalities predicted attention deficits.
Overall, we present a novel method for the functional localization of resting state networks abnormalities in individual glioma patients. These abnormalities partially explain cognitive disabilities and shall be carefully navigated during surgery.
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Affiliation(s)
- Erica Silvestri
- Department of Information Engineering, University of Padova, 35131 Padova, Italy
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
| | - Manuela Moretto
- Department of Information Engineering, University of Padova, 35131 Padova, Italy
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
| | - Silvia Facchini
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
- Department of Neuroscience, University of Padova, 35128 Padova, Italy
| | - Marco Castellaro
- Department of Information Engineering, University of Padova, 35131 Padova, Italy
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
| | | | - Elena Monai
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
- Department of Neuroscience, University of Padova, 35128 Padova, Italy
| | - Domenico D’Avella
- Department of Neuroscience, University of Padova, 35128 Padova, Italy
| | - Alessandro Della Puppa
- Neurosurgery, Department of NEUROFARBA, University Hospital of Careggi, University of Florence, 50139 Florence, Italy
| | - Diego Cecchin
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
- Department of Medicine, Unit of Nuclear Medicine, University of Padova, 35128 Padova, Italy
| | - Alessandra Bertoldo
- Department of Information Engineering, University of Padova, 35131 Padova, Italy
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
| | - Maurizio Corbetta
- Padova Neuroscience Center, University of Padova, 35129 Padova, Italy
- Department of Neuroscience, University of Padova, 35128 Padova, Italy
- Venetian Institute of Molecular Medicine, 35129 Padova, Italy
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13
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Garon M, Weis L, Fiorenzato E, Pistonesi F, Cagnin A, Bertoldo A, Anglani M, Cecchin D, Antonini A, Biundo R. Quantification of Brain β-Amyloid Load in Parkinson's Disease With Mild Cognitive Impairment: A PET/MRI Study. Front Neurol 2022; 12:760518. [PMID: 35300351 PMCID: PMC8921107 DOI: 10.3389/fneur.2021.760518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 12/24/2021] [Indexed: 11/13/2022] Open
Abstract
Background Mild cognitive impairment in Parkinson's disease (PD-MCI) is associated with faster cognitive decline and conversion to dementia. There is uncertainty about the role of β-amyloid (Aβ) co-pathology and its contribution to the variability in PD-MCI profile and cognitive progression. Objective To study how presence of Aβ affects clinical and cognitive manifestations as well as regional brain volumes in PD-MCI. Methods Twenty-five PD-MCI patients underwent simultaneous PET/3T-MRI with [18F]flutemetamol and a clinical and neuropsychological examination allowing level II diagnosis. We tested pairwise differences in motor, clinical, and cognitive features with Mann–Whitney U test. We calculated [18F]flutemetamol (FMM) standardized uptake value ratios (SUVR) in striatal and cortical ROIs, and we performed a univariate linear regression analysis between the affected cognitive domains and the mean SUVR. Finally, we investigated differences in cortical and subcortical brain regional volumes with magnetic resonance imaging (MRI). Results There were 8 Aβ+ and 17 Aβ- PD-MCI. They did not differ for age, disease duration, clinical, motor, behavioral, and global cognition scores. PD-MCI-Aβ+ showed worse performance in the overall executive domain (p = 0.037). Subcortical ROIs analysis showed significant Aβ deposition in PD-MCI-Aβ+ patients in the right caudal and rostral middle frontal cortex, in precuneus, in left paracentral and pars triangularis (p < 0.0001), and bilaterally in the putamen (p = 0.038). Cortical regions with higher amyloid load correlated with worse executive performances (p < 0.05). Voxel-based morphometry (VBM) analyses showed no between groups differences. Conclusions Presence of cerebral Aβ worsens executive functions, but not motor and global cognitive abilities in PD-MCI, and it is not associated with middle-temporal cortex atrophy. These findings, together with the observation of significant proportion of PD-MCI-Aβ-, suggest that Aβ may not be the main pathogenetic determinant of cognitive deterioration in PD-MCI, but it would rather aggravate deficits in domains vulnerable to Parkinson primary pathology.
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Affiliation(s)
- Michela Garon
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | - Luca Weis
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | | | - Francesca Pistonesi
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | - Annachiara Cagnin
- Department of Neuroscience, University of Padua, Padua, Italy.,Padova Neuroscience Center, University of Padua, Padua, Italy
| | - Alessandra Bertoldo
- Padova Neuroscience Center, University of Padua, Padua, Italy.,Department of Information Engineering, University of Padua, Padua, Italy
| | | | - Diego Cecchin
- Padova Neuroscience Center, University of Padua, Padua, Italy.,Nuclear Medicine Unit, Department of Medicine - DIMED, Padua University Hospital, Padua, Italy
| | - Angelo Antonini
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy.,Padova Neuroscience Center, University of Padua, Padua, Italy.,Study Center for Neurodegeneration, University of Padua, Padua, Italy
| | - Roberta Biundo
- Department of General Psychology, University of Padua, Padua, Italy.,Study Center for Neurodegeneration, University of Padua, Padua, Italy
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14
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Tarantino V, Visalli A, Facchini S, Rossato C, Bertoldo A, Silvestri E, Cecchin D, Capizzi M, Anglani M, Baro V, Denaro L, Della Puppa A, D'Avella D, Corbetta M, Vallesi A. Impaired cognitive control in patients with brain tumors. Neuropsychologia 2022; 169:108187. [PMID: 35218790 DOI: 10.1016/j.neuropsychologia.2022.108187] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 01/19/2022] [Accepted: 02/18/2022] [Indexed: 11/18/2022]
Abstract
Though the assessment of cognitive functions is proven to be a reliable prognostic indicator in patients with brain tumors, some of these functions, such as cognitive control, are still rarely investigated. The objective of this study was to examine proactive and reactive control functions in patients with focal brain tumors and to identify lesioned brain areas more at "risk" for developing impairment of these functions. To this end, a group of twenty-two patients, candidate to surgery, were tested with an AX-CPT task and a Stroop task, along with a clinical neuropsychological assessment, and their performance was compared to that of a well-matched healthy control group. Although overall accuracy and response times were similar for patients and control groups, the patient group failed more on the BX trials of the AX-CPT task and the incongruent trials of the Stroop task, specifically. Behavioral results were associated with the damaged brain areas, mostly distributed in right frontal regions, by means of a lesion-symptom mapping multivariate approach. This analysis showed that a white matter cluster in the right prefrontal area was associated with lower d'-context values on the AX-CPT, which reflect the fact that these patients rely more on later information (reactive processes) to respond to unexpected and conflicting stimuli, than on earlier contextual cues (proactive processes). Taken together, these results suggest that patients with brain tumors present an unbalance between proactive and reactive control strategies in more interfering conditions, in association with right prefrontal white matter lesions.
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Affiliation(s)
- Vincenza Tarantino
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
| | - Antonino Visalli
- Department of Neuroscience, University of Padova, Padova, Italy; Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Silvia Facchini
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Chiara Rossato
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Alessandra Bertoldo
- Padova Neuroscience Center, University of Padova, Padova, Italy; Department of Information Engineering, University of Padova, Padova, Italy
| | - Erica Silvestri
- Department of Information Engineering, University of Padova, Padova, Italy
| | - Diego Cecchin
- Padova Neuroscience Center, University of Padova, Padova, Italy; Nuclear Medicine Unit, Department of Medicine, University of Padova, Padova, Italy
| | | | | | - Valentina Baro
- Department of Neuroscience, University of Padova, Padova, Italy
| | - Luca Denaro
- Department of Neuroscience, University of Padova, Padova, Italy; Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Alessandro Della Puppa
- Neurosurgery, Department of NEUROFARBA, University Hospital of Careggi, University of Florence, Florence, Italy
| | - Domenico D'Avella
- Department of Neuroscience, University of Padova, Padova, Italy; Padova Neuroscience Center, University of Padova, Padova, Italy
| | - Maurizio Corbetta
- Department of Neuroscience, University of Padova, Padova, Italy; Padova Neuroscience Center, University of Padova, Padova, Italy; Venetian Institute of Molecular Medicine (VIMM) Padova, Italy
| | - Antonino Vallesi
- Department of Neuroscience, University of Padova, Padova, Italy; Padova Neuroscience Center, University of Padova, Padova, Italy
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15
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Mazzai L, Anglani M, Giraudo C, Martucci M, Cester G, Causin F. Imaging features of rhinocerebral mucormycosis: from onset to vascular complications. Acta Radiol 2022; 63:232-244. [PMID: 33615823 DOI: 10.1177/0284185120988828] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [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: 01/12/2023]
Abstract
Rhinocerebral mucormycosis (RCM) may result in severe intracranial ischemic and hemorrhagic lesions. Both computed tomography (CT) and magnetic resonance imaging (MRI) play an essential role in the diagnosis of RCM, but whereas CT is better for assessing bone erosion, MRI is superior in evaluating soft tissue, intraorbital extension, and in assessing intracranial and vascular invasion. Specific CT and MRI techniques, such as CT angiography or enhanced MR angiography, and more advanced MRI sequences such as gadolinium-3D Black Blood imaging, contribute to the assessment of the extension of vascular invasion.In this pictorial review, we describe specific CT and MRI signs of RCM, mainly focusing on its life-threatening complications due to vascular involvement.
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Affiliation(s)
- Linda Mazzai
- Neuroradiology UOC, Department of Diagnostics, San Bortolo Vicenza Hospital, Vicenza, Italy
| | - Mariagiulia Anglani
- Neuroradiology UOC, Neuroscience Department, Padova University Hospital, Padova, Italy
| | - Chiara Giraudo
- Institute of Radiology, Department of Medicine (DiMED), University of Padova, Padova, Italy
| | - Matia Martucci
- Neuroradiology UOC, Neuroscience Department, Padova University Hospital, Padova, Italy
| | - Giacomo Cester
- Neuroradiology UOC, Neuroscience Department, Padova University Hospital, Padova, Italy
| | - Francesco Causin
- Neuroradiology UOC, Neuroscience Department, Padova University Hospital, Padova, Italy
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16
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Zanovello M, Sorarù G, Campi C, Anglani M, Spimpolo A, Berti S, Bussè C, Mozzetta S, Cagnin A, Cecchin D. Brainstem glucose hypermetabolism in ALS/FTD and shorten survival: a 18F-FDG PET/MR study. J Nucl Med 2021; 63:777-784. [PMID: 34503963 DOI: 10.2967/jnumed.121.262232] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 03/03/2021] [Revised: 08/11/2021] [Indexed: 11/16/2022] Open
Abstract
Introduction: A few 18F-FDG (FDG) PET-CT studies revealed the presence of brain hypermetabolism in the brainstem and cervical spinal cord of patients within the Amyotrophic Lateral Sclerosis - Frontotemporal Dementia (ALS/FTD) spectrum. We aim to investigate this finding through a hybrid PET-MR system, allowing a more precise spatial pattern of metabolic changes in the brainstem and cervical spinal cord. Methods: Twenty-eight patients with a diagnosis of ALS or behavioural variant FTD plus motoneuron disease and 13 healthy subjects underwent 18F-FDG PET-MR study. Mean normalized FDG uptake values in the midbrain/pons, medulla oblongata, and cervical spinal cord defined on individual's MR scans were compared between groups. Furthermore, the associations between regional FDG uptake values and clinical and demographic characteristics, including gene mutation, type of onset (bulbar, spinal, dementia), and clinical characteristics were investigated. Results: A significant (P < 0.005) increment in glucose metabolism in the midbrain/pons and medulla oblongata was found in ALS/FTD patients in comparison to controls, independent from the type of disease onset. No relevant associations between clinical and metabolic features were reported, although medulla oblongata hypermetabolism was associated with shortened survival (P < 0.001). Conclusion: Increased glucose metabolism in the brainstem might be due to the local activation of astrocytes. FDG PET/MR could be a valuable tool to assess glial changes in the ALS/FTD spectrum and could serve as a prognostic biomarker. Large prospective initiatives would likely shed more light on the promising application of PET/MR in this setting.
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Affiliation(s)
- Matteo Zanovello
- Neurology Unit, Department of Neurosciences (DNS), University of Padua, Italy, Italy
| | - Gianni Sorarù
- Neurology Unit, Department of Neurosciences (DNS), University of Padova, Italy
| | - Cristina Campi
- Mathematics, Department of Mathematics, University of Genova, Genova, Italy
| | - Mariagiulia Anglani
- Neuroradiology Unit, Department of Neurology, University-Hospital of Padova, Italy
| | - Alessandro Spimpolo
- Nuclear Medicine Unit, Department of Medicine (DIMED), University-Hospital of Padova, Italy, Italy
| | - Sara Berti
- Nuclear Medicine Unit, Department of Medicine (DIMED), University-Hospital of Padova, Italy, Italy
| | - Cinzia Bussè
- Neurology Unit, Department of Neurosciences (DNS), University of Padova, Italy
| | - Stefano Mozzetta
- Neurology Unit, Department of Neurosciences (DNS), University of Padova, Italy
| | - Annachiara Cagnin
- Neurology Unit, Department of Neurosciences (DNS), University of Padova, Italy
| | - Diego Cecchin
- Nuclear Medicine Unit, Department of Medicine (DIMED), University-Hospital of Padova, Italy, Italy
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17
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Biundo R, Weis L, Fiorenzato E, Pistonesi F, Cagnin A, Bertoldo A, Anglani M, Cecchin D, Antonini A. The contribution of beta-amyloid to dementia in Lewy body diseases: a 1-year follow-up study. Brain Commun 2021; 3:fcab180. [PMID: 34458730 PMCID: PMC8390473 DOI: 10.1093/braincomms/fcab180] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [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] [Received: 05/25/2021] [Revised: 07/08/2021] [Accepted: 07/13/2021] [Indexed: 11/16/2022] Open
Abstract
Dementia in Lewy Body Diseases (Parkinson’s disease and dementia with Lewy Bodies) affects progression of disabilities, quality of life and well-being. Understanding its pathogenetic mechanisms is critical to properly implement disease-modifying strategies. It has been hypothesized that synuclein- and amyloid-pathology act synergistically aggravating cognitive decline in elderly patients but their precise contribution to dementia is debated. In this study, we aimed at exploring if presence of amyloid deposits influences clinical, cognitive and neuroanatomical correlates of mental decline in a cohort of 40 Parkinson’s disease patients with normal cognition (n = 5), mild cognitive impairment (n = 22), and dementia (n = 13) as well as in Dementia with Lewy Bodies (n = 10). Patients underwent simultaneous 3 T PET/MRI with [18F]-flutemetamol and were assessed with an extensive baseline motor and neuropsychological examination, which allowed level II diagnosis of mild cognitive impairment and dementia. The role of amyloid positivity on each cognitive domain, and on the rate of conversion to dementia at 1-year follow-up was explored. A Kaplan Meier and the Log Rank (Mantel–Cox) test were used to assess the pairwise differences in time-to-develop dementia in Parkinson’s disease patients with and without significant amyloidosis. Furthermore, the presence of an Alzheimer’s dementia-like morphological pattern was evaluated using visual and automated assessment of T1-weighted and T2-weighted MRI images. We observed similar percentage of amyloid deposits in Parkinson’s disease dementia and dementia with Lewy Bodies cohorts (50% in each group) with an overall prevalence of 34% of significant amyloid depositions in Lewy Body Diseases. PET amyloid positivity was associated with worse global cognition (Montreal Cognitive Assessment and Mini Mental State Examination), executive and language difficulties. At 12-month follow-up, amyloid positive Parkinson’s disease patients were more likely to have become demented than those without amyloidosis. Moreover, there was no difference in the presence of an Alzheimer’s disease-like atrophy pattern and in vascular load (at Fazekas scale) between Lewy Body Diseases with and without significant amyloid deposits. Our findings suggest that in Lewy Body Diseases, amyloid deposition enhances cognitive deficits, particularly attention-executive and language dysfunctions. However, the large number of patients without significant amyloid deposits among our cognitively impaired patients indicates that synuclein pathology itself plays a critical role in the development of dementia in Lewy Body Diseases.
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Affiliation(s)
- Roberta Biundo
- Department of General Psychology, University of Padua, Padua, Italy.,Study Center for Neurodegeneration (CESNE), University of Padua, Padua, Italy
| | - Luca Weis
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | | | - Francesca Pistonesi
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy
| | - Annachiara Cagnin
- Department of Neuroscience, University of Padua, Padua, Italy.,Padova Neuroscience Center, University of Padua, Padua, Italy
| | | | | | - Diego Cecchin
- Padova Neuroscience Center, University of Padua, Padua, Italy.,Nuclear Medicine Unit, Department of Medicine-DIMED, Padua University Hospital, Padua, Italy
| | - Angelo Antonini
- Parkinson and Movement Disorders Unit, Department of Neuroscience, University of Padua, Padua, Italy.,Padova Neuroscience Center, University of Padua, Padua, Italy
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18
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Baro V, Caliri S, Sartori L, Facchini S, Guarrera B, Zangrossi P, Anglani M, Denaro L, d’Avella D, Ferreri F, Landi A. Preoperative Repetitive Navigated TMS and Functional White Matter Tractography in a Bilingual Patient with a Brain Tumor in Wernike Area. Brain Sci 2021; 11:brainsci11050557. [PMID: 33924964 PMCID: PMC8145512 DOI: 10.3390/brainsci11050557] [Citation(s) in RCA: 3] [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: 03/15/2021] [Revised: 04/23/2021] [Accepted: 04/26/2021] [Indexed: 01/10/2023] Open
Abstract
Awake surgery and intraoperative neuromonitoring represent the gold standard for surgery of lesion located in language-eloquent areas of the dominant hemisphere, enabling the maximal safe resection while preserving language function. Nevertheless, this functional mapping is invasive; it can be executed only during surgery and in selected patients. Moreover, the number of neuro-oncological bilingual patients is constantly growing, and performing awake surgery in this group of patients can be difficult. In this scenario, the application of accurate, repeatable and non-invasive preoperative mapping procedures is needed, in order to define the anatomical distribution of both languages. Repetitive navigated transcranial magnetic stimulation (rnTMS) associated with functional subcortical fiber tracking (nTMS-based DTI-FT) represents a promising and comprehensive mapping tool to display language pathway and function reorganization in neurosurgical patients. Herein we report a case of a bilingual patient affected by brain tumor in the left temporal lobe, who underwent rnTMS mapping for both languages (Romanian and Italian), disclosing the true eloquence of the anterior part of the lesion in both tests. After surgery, language abilities were intact at follow-up in both languages. This case represents a preliminary application of nTMS-based DTI-FT in neurosurgery for brain tumor in eloquent areas in a bilingual patient.
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Affiliation(s)
- Valentina Baro
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
- Correspondence:
| | - Samuel Caliri
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | - Luca Sartori
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | - Silvia Facchini
- Department of Neuroscience DNS, University of Padova, 35128 Padova, Italy;
| | - Brando Guarrera
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | - Pietro Zangrossi
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | | | - Luca Denaro
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | - Domenico d’Avella
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
| | - Florinda Ferreri
- Unit of Neurology and Neurophysiology, Department of Neuroscience, University of Padova, 35128 Padova, Italy;
| | - Andrea Landi
- Academic Neurosurgery, Department of Neuroscience, University of Padova, 35128 Padova, Italy; (S.C.); (L.S.); (B.G.); (P.Z.); (L.D.); (D.d.); (A.L.)
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19
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Colasurdo M, Gabrieli JD, Cester G, Simonato D, Anglani M, Causin F. Hand-compression pressure cooker: an innovative variation of an existing technique with two example cases. Neuroradiol J 2021; 34:517-520. [PMID: 33829905 DOI: 10.1177/19714009211005995] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The pressure cooker technique was originally ideated to obtain wedge-flow conditions during arteriovenous malformation or arteriovenous fistula embolisation. The anti-reflux plug created with coils or glue around the tip of a detachable microcatheter enables a continuous injection with a more in-depth penetration. Here we describe two illustrative cases performed with a variation of the technique that we describe as the hand-compression pressure cooker technique.
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Affiliation(s)
- Marco Colasurdo
- Department of Neuroradiology, The University of Texas Medical Branch at Galveston, USA
| | | | | | - Davide Simonato
- Department of Neuroradiology, Oxford University Hospitals NHS Foundation Trust, UK
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20
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Cester G, Giraudo C, Causin F, Boemo DG, Anglani M, Capizzi A, Carretta G, Cattelan A, Cecchin D, Cianci V, Crisanti A, De Conti G, Donato D, Flor L, Gabrieli JD, Munari M, Navalesi P, Ponzoni A, Scapellato ML, Tiberio I, Vianello A, Stramare R. Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy. J Clin Med 2020; 9:E3042. [PMID: 32967312 PMCID: PMC7563301 DOI: 10.3390/jcm9093042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Accepted: 09/16/2020] [Indexed: 01/19/2023] Open
Abstract
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety.
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Affiliation(s)
- Giacomo Cester
- Department of Diagnostic Imaging and Interventional Radiology, Neuroradiology, Padua University Hospital, 35128 Padua, Italy; (G.C.); (M.A.); (J.-D.G.)
| | - Chiara Giraudo
- Department of Medicine–DIMED, Institute of Radiology, Padua University Hospital, 35128 Padua, Italy; (C.G.); (R.S.)
| | - Francesco Causin
- Department of Diagnostic Imaging and Interventional Radiology, Neuroradiology, Padua University Hospital, 35128 Padua, Italy; (G.C.); (M.A.); (J.-D.G.)
| | - Deris Gianni Boemo
- Department of Directional Hospital Management, Padua University Hospital, 35128 Padova, Italy; (D.G.B.); (A.C.); (G.C.); (D.D.); (L.F.)
| | - Mariagiulia Anglani
- Department of Diagnostic Imaging and Interventional Radiology, Neuroradiology, Padua University Hospital, 35128 Padua, Italy; (G.C.); (M.A.); (J.-D.G.)
| | - Alfio Capizzi
- Department of Directional Hospital Management, Padua University Hospital, 35128 Padova, Italy; (D.G.B.); (A.C.); (G.C.); (D.D.); (L.F.)
| | - Giovanni Carretta
- Department of Directional Hospital Management, Padua University Hospital, 35128 Padova, Italy; (D.G.B.); (A.C.); (G.C.); (D.D.); (L.F.)
| | - Annamaria Cattelan
- Department of Internal Medicine, Infectious and Tropical Diseases, Padua University Hospital, 35128 Padua, Italy;
| | - Diego Cecchin
- Department of Medicine–DIMED, Nuclear Medicine Unit, Padua University Hospital, 35128 Padua, Italy;
| | - Vito Cianci
- ER Unit, Emergency-Urgency Department, Padua University Hospital, 35128 Padua, Italy;
| | - Andrea Crisanti
- Department of Molecular Medicine, Microbiology and Virology, Padua University Hospital, 35128 Padua, Italy;
| | - Giorgio De Conti
- Radiology Unit, Department of Diagnostic Imaging and Interventional Radiology, Padua University Hospital, 35128 Padua, Italy; (G.D.C.); (A.P.)
| | - Daniele Donato
- Department of Directional Hospital Management, Padua University Hospital, 35128 Padova, Italy; (D.G.B.); (A.C.); (G.C.); (D.D.); (L.F.)
| | - Luciano Flor
- Department of Directional Hospital Management, Padua University Hospital, 35128 Padova, Italy; (D.G.B.); (A.C.); (G.C.); (D.D.); (L.F.)
| | - Joseph-Domenico Gabrieli
- Department of Diagnostic Imaging and Interventional Radiology, Neuroradiology, Padua University Hospital, 35128 Padua, Italy; (G.C.); (M.A.); (J.-D.G.)
| | - Marina Munari
- Anesthesia and Intensive Care Unit, Department of Medicine–DIMED, Padua University Hospital, 35128 Padua, Italy; (M.M.); (P.N.)
| | - Paolo Navalesi
- Anesthesia and Intensive Care Unit, Department of Medicine–DIMED, Padua University Hospital, 35128 Padua, Italy; (M.M.); (P.N.)
| | - Alberto Ponzoni
- Radiology Unit, Department of Diagnostic Imaging and Interventional Radiology, Padua University Hospital, 35128 Padua, Italy; (G.D.C.); (A.P.)
| | - Maria Luisa Scapellato
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Preventive Medicine and Risk Assessment, Padua University Hospital, 35128 Padua, Italy;
| | - Ivo Tiberio
- Emergency-Urgency Department, Intensive Care Unit, Padua University Hospital, 35128 Padua, Italy;
| | - Andrea Vianello
- Respiratory Pathophysiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua University Hospital, 35128 Padua, Italy;
| | - Roberto Stramare
- Department of Medicine–DIMED, Institute of Radiology, Padua University Hospital, 35128 Padua, Italy; (C.G.); (R.S.)
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21
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Castellaro M, Moretto M, Baro V, Brigadoi S, Zanoletti E, Anglani M, Denaro L, Dell'Acqua R, Landi A, Causin F, d'Avella D, Bertoldo A. Multishell Diffusion MRI-Based Tractography of the Facial Nerve in Vestibular Schwannoma. AJNR Am J Neuroradiol 2020; 41:1480-1486. [PMID: 32732265 DOI: 10.3174/ajnr.a6706] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 05/22/2020] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Tractography of the facial nerve based on single-shell diffusion MR imaging is thought to be helpful before surgery for resection of vestibular schwannoma. However, this paradigm can be vitiated by the isotropic diffusion of the CSF, the convoluted path of the facial nerve, and its crossing with other bundles. Here we propose a multishell diffusion MR imaging acquisition scheme combined with probabilistic tractography that has the potential to provide a presurgical facial nerve reconstruction uncontaminated by such effects. MATERIALS AND METHODS Five patients scheduled for vestibular schwannoma resection underwent multishell diffusion MR imaging (b-values = 0, 300, 1000, 2000 s/mm2). Facial nerve tractography was performed with a probabilistic algorithm and anatomic seeds located in the brain stem, cerebellopontine cistern, and internal auditory canal. A single-shell diffusion MR imaging (b-value = 0, 1000 s/mm2) subset was extrapolated from the multishell diffusion MR imaging data. The quality of the facial nerve reconstruction based on both multishell diffusion MR imaging and single-shell diffusion MR imaging sequences was assessed against intraoperative videos recorded during the operation. RESULTS Single-shell diffusion MR imaging-based tractography was characterized by failures in facial nerve tracking (2/5 cases) and inaccurate facial nerve reconstructions displaying false-positives and partial volume effects. In contrast, multishell diffusion MR imaging-based tractography provided accurate facial nerve reconstructions (4/5 cases), even in the presence of ostensibly complex patterns. CONCLUSIONS In comparison with single-shell diffusion MR imaging, the combination of multishell diffusion MR imaging-based tractography and probabilistic algorithms is a more valuable aid for surgeons before vestibular schwannoma resection, providing more accurate facial nerve reconstructions, which may ultimately improve the postsurgical patient's outcome.
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Affiliation(s)
- M Castellaro
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Department of Information Engineering (M.C., M.M., S.B., A.B.)
| | - M Moretto
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Department of Information Engineering (M.C., M.M., S.B., A.B.)
| | - V Baro
- Academic Neurosurgery, Department of Neurosciences (V.B., L.D., A.L., D.d.)
| | - S Brigadoi
- Department of Information Engineering (M.C., M.M., S.B., A.B.).,Department of Developmental Psychology (S.B., R.D.)
| | - E Zanoletti
- Otolaryngology Unit, Department of Neurosciences (E.Z.)
| | - M Anglani
- Neuroradiology Unit (M.A., F.C.,) University of Padova, Padova, Italy
| | - L Denaro
- Academic Neurosurgery, Department of Neurosciences (V.B., L.D., A.L., D.d.)
| | - R Dell'Acqua
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Department of Developmental Psychology (S.B., R.D.)
| | - A Landi
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Academic Neurosurgery, Department of Neurosciences (V.B., L.D., A.L., D.d.)
| | - F Causin
- Neuroradiology Unit (M.A., F.C.,) University of Padova, Padova, Italy
| | - D d'Avella
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Academic Neurosurgery, Department of Neurosciences (V.B., L.D., A.L., D.d.)
| | - A Bertoldo
- From the Padova Neuroscience Center (M.C., M.M., R.D., A.L., D.d., A.B.).,Department of Information Engineering (M.C., M.M., S.B., A.B.)
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22
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Pavesi G, Feletti A, Ferrara AM, Anglani M, Scarpa B, Schiavi F, Boaretto F, Zovato S, Taschin E, Gardi M, Zanoletti E, Piermarocchi S, Murgia A, Opocher G. Von Hippel-Lindau disease and multispecialist team. J Neurosurg Sci 2020; 65:213-215. [PMID: 32347679 DOI: 10.23736/s0390-5616.20.04950-4] [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: 11/08/2022]
Affiliation(s)
- Giacomo Pavesi
- Unit of Neurosurgery, Department of Biomedicine, Metabolic Sciences and Neurosciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Alberto Feletti
- Department of Neurosciences, Biomedicine and Movement Sciences, Institute of Neurosurgery, University of Verona, Verona, Italy -
| | - Alfonso M Ferrara
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Mariagiulia Anglani
- Section of Radiology, Department of Medicine-DIMED, University of Padua, Padua, Italy
| | - Bruno Scarpa
- Department of Statistical Sciences, University of Padua, Padua, Italy
| | - Francesca Schiavi
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Francesca Boaretto
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Stefania Zovato
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Elisa Taschin
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Mario Gardi
- Unit of Urology, Sant'Antonio Hospital, University Hospital of Padua, Padua, Italy
| | - Elisabetta Zanoletti
- Unit of Otosurgery, Department of Neurosciences, University of Padua, Padua, Italy
| | - Stefano Piermarocchi
- Unit of Ophthalmology, Department of Neurosciences, University of Padua, Padua, Italy
| | - Alessandra Murgia
- Unit of Pediatric Neurology, Department of Women's and Children's Health, University of Padua, Padua, Italy
| | - Giuseppe Opocher
- Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
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23
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Baro V, Anglani M, Martinolli F, Landi A, d'Avella D, Denaro L. The rolling cyst: migrating intraventricular neurocysticercosis-a case-based update. Childs Nerv Syst 2020; 36:669-677. [PMID: 31940056 DOI: 10.1007/s00381-020-04505-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Accepted: 01/07/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Neurocysticercosis is the most frequent parasitic disease of the central nervous system, and its incidence in the developed countries is increasing due to immigration and travels from endemic areas. The intraventricular location has been found to involve up to 61.3% of the patients; moreover, only 22 cases of migrating intraventricular cyst have been reported so far. Despite the rarity of the condition in western countries, its occurrence generates some concerns and the aim of this paper is to update the information concerning pathogenesis, clinical presentation, diagnosis and management of this entity. METHODS AND RESULTS All the pertinent literature was analysed, focused on the cases of migrating intraventricular neurocysticercosis and its peculiar features. An illustrative case regarding a 14-year-old girl is also presented. CONCLUSIONS Migrating intraventricular neurocysticercosis is a pathognomonic entity usually presenting with hydrocephalus, and its treatment is mainly surgical, preferring an endoscopic approach. When the resection of the intraventricular cyst is not performed, an accurate follow-up is mandatory to detect clinical changes due to a recurrent hydrocephalus or to the effect of the dying cyst on the surrounding area. In case of permanent shunt placement, the cysticidal and steroid treatment is recommended to reduce the risk of shunt failure.
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Affiliation(s)
- Valentina Baro
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy.
| | - Mariagiulia Anglani
- Neuroradiology Unit, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | - Francesco Martinolli
- Paediatric Emergency Department, Department of Woman's and Child's Health, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | - Andrea Landi
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | - Domenico d'Avella
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
| | - Luca Denaro
- Academic Neurosurgery, Department of Neurosciences, University of Padova, Via Giustiniani 5, 35128, Padua, Italy
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24
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Arbula S, Ambrosini E, Della Puppa A, De Pellegrin S, Anglani M, Denaro L, Piccione F, D'Avella D, Semenza C, Corbetta M, Vallesi A. Focal left prefrontal lesions and cognitive impairment: A multivariate lesion-symptom mapping approach. Neuropsychologia 2019; 136:107253. [PMID: 31706982 DOI: 10.1016/j.neuropsychologia.2019.107253] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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: 05/24/2019] [Revised: 10/25/2019] [Accepted: 11/04/2019] [Indexed: 11/26/2022]
Abstract
Despite network studies of the human brain have brought consistent evidence of brain regions with diverse functional roles, the neuropsychological approach has mainly focused on the functional specialization of individual brain regions. Relatively few neuropsychological studies try to understand whether the severity of cognitive impairment across multiple cognitive abilities can be related to focal brain injuries. Here we approached this issue by applying a latent variable modeling of the severity of cognitive impairment in brain tumor patients, followed by multivariate lesion-symptom methods identifying brain regions critically involved in multiple cognitive abilities. We observed that lesions in confined left lateral prefrontal areas including the inferior frontal junction produced the most severe cognitive deficits, above and beyond tumor histology. Our findings support the recently suggested integrated albeit modular view of brain functional organization, according to which specific brain regions are highly involved across different sub-networks and subserve a vast range of cognitive abilities. Defining such brain regions is relevant not only theoretically but also clinically, since it may facilitate tailored tumor resections and improve cognitive surgical outcomes.
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Affiliation(s)
- Sandra Arbula
- Department of Neuroscience, University of Padova, Italy; Area of Neuroscience, SISSA, Trieste, Italy.
| | - Ettore Ambrosini
- Department of Neuroscience, University of Padova, Italy; Department of General Psychology, University of Padova, Padova, Italy
| | | | | | | | - Luca Denaro
- Department of Neuroscience, University of Padova, Italy; Academic Neurosurgery, Department of Neuroscience, University of Padova Medical School, Italy
| | - Francesco Piccione
- Brain Imaging & Neural Dynamics Research Group, IRCCS San Camillo Hospital, Venice, Italy
| | - Domenico D'Avella
- Department of Neuroscience, University of Padova, Italy; Academic Neurosurgery, Department of Neuroscience, University of Padova Medical School, Italy
| | - Carlo Semenza
- Department of Neuroscience & Padua Neuroscience Center, University of Padova, Italy; Cognitive Neuroscience Research Group, IRCCS San Camillo Hospital, Venice, Italy
| | - Maurizio Corbetta
- Department of Neuroscience & Padua Neuroscience Center, University of Padova, Italy; Washington University School of Medicine, St. Louis, USA
| | - Antonino Vallesi
- Brain Imaging & Neural Dynamics Research Group, IRCCS San Camillo Hospital, Venice, Italy; Department of Neuroscience & Padua Neuroscience Center, University of Padova, Italy.
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25
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Berno T, Riva M, Fedrigo M, Naso A, Anglani M, Briani C, Adami F. Immunomodulatory drugs in plasma cell diseases: everything has its price. Leuk Lymphoma 2019; 61:206-208. [PMID: 31502492 DOI: 10.1080/10428194.2019.1657574] [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: 10/26/2022]
Affiliation(s)
- Tamara Berno
- Department of Medicine, Hematology and Clinical Immunology Unit, University of Padova School of Medicine and Surgery, Padova, Italy
| | - Marcello Riva
- Department of Medicine, Hematology and Clinical Immunology Unit, University of Padova School of Medicine and Surgery, Padova, Italy
| | - Marny Fedrigo
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Cardiovascular Pathology and Pathological Anatomy Unit, University of Padova School of Medicine and Surgery, Padova, Italy
| | - Agostino Naso
- Department of Medicine, Nephrology Unit, Azienda Ospedaliera di Padova, Padova, Italy
| | - Mariagiulia Anglani
- Department of Neuroscience, Neuroradiology Unit, Padova University Hospital, Padova, Italy
| | - Chiara Briani
- Department of Neuroscience, Neurology Unit, University of Padova School of Medicine and Surgery, Padova, Italy
| | - Fausto Adami
- Department of Medicine, Hematology and Clinical Immunology Unit, University of Padova School of Medicine and Surgery, Padova, Italy
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Baro V, Landi A, Brigadoi S, Castellaro M, Moretto M, Anglani M, Ermani M, Causin F, Zanoletti E, Denaro L, Bertoldo A, d'Avella D. Preoperative Prediction of Facial Nerve in Patients with Vestibular Schwannomas: The Role of Diffusion Tensor Imaging—A Systematic Review. World Neurosurg 2019; 125:24-31. [DOI: 10.1016/j.wneu.2019.01.099] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 01/17/2019] [Accepted: 01/19/2019] [Indexed: 11/26/2022]
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Puthenparampil M, Cazzola C, Zywicki S, Federle L, Stropparo E, Anglani M, Rinaldi F, Perini P, Gallo P. NEDA-3 status including cortical lesions in the comparative evaluation of natalizumab versus fingolimod efficacy in multiple sclerosis. Ther Adv Neurol Disord 2018; 11:1756286418805713. [PMID: 30386435 PMCID: PMC6204617 DOI: 10.1177/1756286418805713] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 07/27/2018] [Accepted: 09/07/2018] [Indexed: 11/23/2022] Open
Abstract
Background: Cortical lesions (CLs) are typical of multiple sclerosis (MS) and have been recently incorporated in MS diagnostic criteria. Thus, the ‘no evidence of disease activity’ (NEDA) definition should now include CLs. The aim of this study was to evaluate the NEDA3 + CL status in natalizumab- or fingolimod-treated relapsing remitting MS (RMS) patients. Methods: Natalizumab- or fingolimod-treated RMS patients were enrolled in a 2-year longitudinal study based on clinical and magnetic resonance imaging (MRI) evaluations performed respectively biannually and annually. CLs were detected by double inversion recovery. The NEDA3 + CL condition was evaluated at baseline (T0) and at the end of the first (T1) and second (T2) year. Results: Of the 137 RMS patients included in the study, 86 were propensity-matched. At T2, the annualized relapse rate was lower on natalizumab (p = 0.021), but the effect on white matter lesions (p = 0.29) and the proportion of NEDA-3 patients (p = 0.14) were similar in the two treatment arms. At T2, 11.6% natalizumab- and 62.8% fingolimod-treated patients had new CLs (p < 0.001) and a higher proportion of natalizumab-treated patients (55.8% versus 11.6%, p < 0.001) achieved the NEDA3 + CL status (hazard ratio 5.2, p < 0.001). Conclusion: The incorporation of CLs in the NEDA-3 definition highlighted the higher efficacy of natalizumab versus fingolimod in suppressing disease activity in RMS patients.
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Affiliation(s)
- Marco Puthenparampil
- Multiple Sclerosis Centre, Department of Neuroscience DNS, Univeristà Degli Studi di Padova, Via Giustinaini 2, 35128, Padova, Italy
| | - Chiara Cazzola
- Multiple Sclerosis Centre, Department of Neuroscience DNS, University of Padua, Padua, Italy
| | - Sofia Zywicki
- Multiple Sclerosis Centre, Department of Neuroscience DNS, University of Padua, Padua, Italy
| | - Lisa Federle
- Multiple Sclerosis Centre, Ospedale San Bortolo, ULSS8 Berica, Vicenza, Italy
| | - Erica Stropparo
- Multiple Sclerosis Centre, Department of Neuroscience DNS, University of Padua, Padua, Italy
| | | | | | - Paola Perini
- Neurology Clinic, University Hospital of Padua, Padova, Italy
| | - Paolo Gallo
- Multiple Sclerosis Centre, Department of Neuroscience DNS, University of Padua, Padua, Italy
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Affiliation(s)
- Matteo Bellamio
- Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy
| | - Federico Mainardi
- Neurological Division, Headache Centre, SS Giovanni e Paolo Hospital, Venice, Italy
| | - Mariagiulia Anglani
- Neuroradiology Unit, Department of Medicine, University of Padua, Padua, Italy
| | - Michele Barp
- School of Medicine, University of Padua, Padua, Italy
| | - Ferdinando Maggioni
- Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy -
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Abstract
Background The clinical criteria for cluster headache (CH) are included in Chapter 3 of the International Classification of Headache Disorders, 3rd beta edition (ICHD-III). CH may sometimes be secondary to other pathologies. Case reports We report two patients in whom the clinical features of CH initially fulfilled the ICHD-III criteria, but who later presented some radical modifications in headache natural history as a result of a secondary pathology. The first case of CH was secondary to a pontine cavernous angioma and the second to a cerebral venous thrombosis. Conclusion We highlight the importance of clinical modifications of CH that could suggest clinical investigations should be performed or repeated to exclude a secondary pathology in a previously diagnosed cluster headache. Some of the pathological mechanisms of CH and brain lesions are discussed.
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Affiliation(s)
- Matteo Bellamio
- 1 Headache Centre, Department of Neurosciences, University of Padua, Italy
| | | | - Federico Mainardi
- 3 Headache Centre, Neurological Division, SS Giovanni e Paolo Hospital, Venice, Italy
| | - Giorgio Zanchin
- 1 Headache Centre, Department of Neurosciences, University of Padua, Italy
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Feletti A, Anglani M, Scarpa B, Schiavi F, Boaretto F, Zovato S, Taschin E, Gardi M, Zanoletti E, Piermarocchi S, Murgia A, Pavesi G, Opocher G. Von Hippel-Lindau disease: an evaluation of natural history and functional disability. Neuro Oncol 2016; 18:1011-20. [PMID: 26763786 DOI: 10.1093/neuonc/nov313] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [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: 05/20/2015] [Accepted: 11/16/2015] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Although many studies have been published about specific lesions characterizing von Hippel-Lindau(VHL) disease, none have dealt with the natural history of the whole disease and the consequent disabilities. We aim to define the comprehensive natural history of VHL disease and to describe the functional disabilities and their impact upon patients' quality of life, thereby tailoring the follow-up schedule accordingly. METHODS We performed a prospective analysis on 128 VHL-affected patients beginning in 1996. For each affected organ, we defined intervals between the first and subsequent VHL-related manifestations and compared them with current VHL surveillance protocols. We looked for any association of the number of involved organs with age, sex, type of VHL gene mutation, and functional domain mutation. Ultimately, we assessed the organ-specific disabilities caused by VHL disease. RESULTS Hemangioblastomas show different patterns of progression depending on their location, whereas both renal cysts and carcinomas have similar progression rates. Surgery for pheochromocytoma and CNS hemangioblastoma is performed earlier than for pancreatic or renal cancer. The number of involved organs is associated with age but not with sex, type of VHL gene mutation, or functional domain mutation. A thorough analysis of functional disabilities showed that age is related to the first-appearing functional impairment, but it is not predictive of the final number of disabilities. CONCLUSIONS Our study defines the disease progression and provides a comprehensive view of the syndrome over time. We analyzed for the first time the functional disability of VHL patients, assessing the progression for each function.
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Affiliation(s)
- Alberto Feletti
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Mariagiulia Anglani
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Bruno Scarpa
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Francesca Schiavi
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Francesca Boaretto
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Stefania Zovato
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Elisa Taschin
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Mario Gardi
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Elisabetta Zanoletti
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Stefano Piermarocchi
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Alessandra Murgia
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Giacomo Pavesi
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
| | - Giuseppe Opocher
- Department of Neurosciences, Neurosurgery Unit, NOCSAE Modena Hospital, Modena, Italy (A.F., G.P.); Department of Medicine-DIMED, Section of Radiology, University of Padova, Italy (M.A.); Department of Statistical Sciences, University of Padova, Italy (B.S.); Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology, IRCCS, Padova, Italy (F.S., F.B., S.Z., E.T., G.O.); Department of Urology, Ospedale Sant'Antonio, Padova, Italy (M.G.); Department of Neurosciences, Otosurgery Unit, University of Padova, Italy (E.Z.); Department of Neurosciences, Ophthalmology Unit, University of Padova, Italy (S.P.); Department of Women's and Children's Health, Pediatric Neurology Unit, University of Padova, Italy (A.M.); Department of Medicine-DIMED, University of Padova, Italy (G.O.)
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Bausch B, Wellner U, Peyre M, Boedeker CC, Hes FJ, Anglani M, de Campos JM, Kanno H, Maher ER, Krauss T, Sansó G, Barontini M, Letizia C, Hader C, Schiavi F, Zanoletti E, Suárez C, Offergeld C, Malinoc A, Zschiedrich S, Glasker S, Bobin S, Sterkers O, Ba Huy PT, Giraud S, Links T, Eng C, Opocher G, Richard S, Neumann HPH. Characterization of endolymphatic sac tumors and von Hippel-Lindau disease in the International Endolymphatic Sac Tumor Registry. Head Neck 2015; 38 Suppl 1:E673-9. [DOI: 10.1002/hed.24067] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Revised: 01/01/2015] [Accepted: 04/10/2015] [Indexed: 11/09/2022] Open
Affiliation(s)
- Birke Bausch
- Second Department of Medicine; Albert-Ludwigs-University of Freiburg; Freiburg Germany
| | - Ulrich Wellner
- Department of Surgery; University Hospital Schleswig-Holstein, Campus Luebeck; Luebeck Germany
| | - Mathieu Peyre
- Center Expert National Cancers Rares PREDIR, AP-HP INCa, Hôpital de Bicêtre; Le Kremlin-Bicêtre France
- Génétique Oncologique EPHE, INSERM U 753, Faculté de Médecine Paris Sud and Institut de Cancérologie Gustave Roussy, Villejuif, France and Service de Neurochirurgie, AP-HP; Hôpital Beaujon Clichy France
| | - Carsten C. Boedeker
- Department of Otorhinolaryngology; University Medical Center, Albert-Ludwigs-University; Freiburg
- HELIOS Hanseklinikum Stralsund; Stralsund Germany
| | - Frederik J. Hes
- Department of Clinical Genetics; Leiden University Medical Center; Leiden The Netherlands
| | | | - Jose M. de Campos
- Department of Neurosurgery; IIS - Fundación Jiménez Díaz. UAM; Madrid Spain
| | - Hiroshi Kanno
- Department of Neurosurgery; Yokohama City University; Yokohama Japan
| | - Eamonn R. Maher
- Department of Medical Genetics; University of Cambridge and NIHR Cambridge Biomedical Research Center; Cambridge United Kingdom
| | - Tobias Krauss
- Department of Radiology; Albert-Ludwigs-University of Freiburg; Freiburg Germany
| | - Gabriela Sansó
- Centro de Investigaciones Endocrinológicas (CONICET), Hospital de Niños “R. Gutiérrez,”; Buenos Aires Argentina
| | - Marta Barontini
- Centro de Investigaciones Endocrinológicas (CONICET), Hospital de Niños “R. Gutiérrez,”; Buenos Aires Argentina
| | - Claudio Letizia
- Department of Internal Medicine and Medical Specialities; University of Rome “Sapienza,”; Rome Italy
| | - Claudia Hader
- Department of Neuroradiology; Albert-Ludwigs-University; Freiburg Germany
- Department of Radiology and Nuclear Medicine; Kantonsspital St. Gallen Switzerland
| | - Francesca Schiavi
- Familial Cancer Clinic and Oncoendocrinology; Veneto Institute of Oncology IRCCS; Padova Italy
| | - Elisabetta Zanoletti
- Otolaryngology; Department of Otosurgery - Neurosciences; University Hospital of Padova; Padova Italy
| | - Carlos Suárez
- Department of Otolaryngology; Hospital Universitario Central de Asturias and IUOPA, Universidad de Oviedo; Spain
| | - Christian Offergeld
- Department of Otorhinolaryngology; University Medical Center, Albert-Ludwigs-University; Freiburg
| | - Angelica Malinoc
- Department of Nephrology and Hypertension; Albert-Ludwigs-University; Freiburg Germany
| | - Stefan Zschiedrich
- Department of Nephrology and Hypertension; Albert-Ludwigs-University; Freiburg Germany
| | - Sven Glasker
- Department of Neurosurgery; Albert-Ludwigs-University; Freiburg Germany
| | - Serge Bobin
- Service d'ORL, AP-HP, Hôpital de Bicêtre; Le Kremlin-Bicêtre France
| | - Olivier Sterkers
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Unité Otologie, Implants auditifs et Chirurgie de la base du crâne; Paris France
- Université Paris, Pierre et Marie Curie; France
| | | | - Sophie Giraud
- Center Expert National Cancers Rares PREDIR, AP-HP INCa, Hôpital de Bicêtre; Le Kremlin-Bicêtre France
- Laboratoire de Génétique, Hôpital Edouard Herriot; Lyon France
| | - Thera Links
- Department of Endocrinology; Groningen University Medical Center; Groningen The Netherlands
| | - Charis Eng
- Genomic Medicine Institute, Lerner Research Institute and Taussig Cancer Institute, Cleveland Clinic; Cleveland Ohio
| | - Giuseppe Opocher
- Familial Cancer Clinic and Oncoendocrinology; Veneto Institute of Oncology IRCCS; Padova Italy
| | - Stephane Richard
- Center Expert National Cancers Rares PREDIR, AP-HP INCa, Hôpital de Bicêtre; Le Kremlin-Bicêtre France
- Génétique Oncologique EPHE, INSERM U 753, Faculté de Médecine Paris Sud and Institut de Cancérologie Gustave Roussy, Villejuif, France and Service de Neurochirurgie, AP-HP; Hôpital Beaujon Clichy France
| | - Hartmut P. H. Neumann
- Department of Nephrology and Hypertension; Albert-Ludwigs-University; Freiburg Germany
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Zovato S, Opocher G, Rossi E, Indraccolo S, Amadori A, Pastorelli D, Lombardi G, Anglani M, Zamarchi R. 7144 Predictive value and biologic significance of circulating tumor cells (CTC) in sporadic and von hippel lindau (VHL) renal cancer. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71477-6] [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] Open
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