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Levi G, Rocchetti C, Mei F, Stella GM, Lettieri S, Lococo F, Taccari F, Seguiti C, Fantoni M, Natali F, Candoli P, Bortolotto C, Pinelli V, Mondoni M, Carlucci P, Fabbri A, Trezzi M, Vannucchi L, Bonifazi M, Porcarelli F, Gasparini S, Sica G, Valente T, Biondini D, Damin M, Liani V, Tamburrini M, Sorino C, Mezzasalma F, Scaramozzino MU, Pini L, Bezzi M, Marchetti GP. Diagnostic role of internal mammary lymph node involvement in tuberculous pleurisy: a multicenter study. Pulmonology 2022:S2531-0437(22)00022-8. [PMID: 35190300 DOI: 10.1016/j.pulmoe.2022.01.010] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 01/25/2022] [Accepted: 01/25/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Diagnosis of tuberculous pleurisy (TP) may be challenging and it often requires pleural biopsy. A tool able to increase pre-test probability of TP may be helpful to guide diagnostic work-up and enlargement of internal mammary lymph node (IMLN) has been suggested to play a potential role. The aim of the present investigation was to assess role of IMLN involvement in TP in a multi-centric case-control study, by comparing its prevalence and test performance to those observed in patients with infectious, non-tuberculous pleurisy (NTIP), and in controls free from respiratory diseases (CP). METHODS A total of 419 patients, from 14 Pulmonology Units across Italy were enrolled (127 patients affected by TP, 163 affected by NTIP and 129 CP). Prevalence, accuracy and predictive values of ipsilateral IMLN involvement between cases and control groups were assessed, as well as concordance between chest computed tomography (CT scan) and thoracic ultrasound (TUS) measurements. RESULTS The prevalence of ipsilateral IMLN involvement in TP was significantly higher than that observed in NTIP and CP groups (respectively 77.2%, 39.3% and 14.7%). Results on test performance, stratified by age, revealed a high positive predictive value in patients aged ≤50 years, while a high negative predictive value in patients aged >50 years. The comparison between CT scan and ultrasound showed moderate agreement (Kappa=0.502). CONCLUSIONS Evaluation of IMLN involvement plays a relevant role in assessing the pre-test probability of TP. Considering the increasing global prevalence of mycobacterial infections, a tool able to guide diagnostic work-up of suspected TP is crucial, especially where local sources are limited.
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Affiliation(s)
- G Levi
- Interventional Pulmonology Unit, ASST Spedali Civili, Brescia, Italy; Department of Clinical and Experimental Sciences, Università degli Studi di Brescia, Brescia, Italy.
| | - C Rocchetti
- Interventional Pulmonology Unit, ASST Spedali Civili, Brescia, Italy; Department of Clinical and Experimental Sciences, Università degli Studi di Brescia, Brescia, Italy
| | - F Mei
- Respiratory Diseases Unit, Department of Internal Medicine, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona, Italy; Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - G M Stella
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - S Lettieri
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - F Lococo
- Thoracic Unit, Catholic University of the Sacred Heart, Fondazione Policlinico A. Gemelli, Rome, Italy
| | - F Taccari
- Infectious Diseases Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - C Seguiti
- Security and Bioethics department, Catholic University of the Sacred Heart, Rome, Italy; Security and Bioethics department, Catholic University of the Sacred Heart, Rome, Italy
| | - M Fantoni
- Security and Bioethics department, Catholic University of the Sacred Heart, Rome, Italy; Security and Bioethics department, Catholic University of the Sacred Heart, Rome, Italy
| | - F Natali
- Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi IRCCS, Bologna, Italy
| | - P Candoli
- Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi IRCCS, Bologna, Italy
| | - C Bortolotto
- Department of Intensive Medicine, Unit of Radiology, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - V Pinelli
- Pneumology Division, ASL5 Spezzino, Italy
| | - M Mondoni
- Respiratory Unit, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
| | - P Carlucci
- Respiratory Unit, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
| | - A Fabbri
- Pneumology Unit, Azienda USL Toscana Centro, Pistoia, Italy
| | - M Trezzi
- Infectious Diseases Unit, Azienda USL Toscana Centro, Pistoia, Italy
| | - L Vannucchi
- Department of Radiology, Azienda USL Toscana Centro, Pistoia, Italy
| | - M Bonifazi
- Respiratory Diseases Unit, Department of Internal Medicine, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona, Italy; Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - F Porcarelli
- Respiratory Diseases Unit, Department of Internal Medicine, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona, Italy; Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - S Gasparini
- Respiratory Diseases Unit, Department of Internal Medicine, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona, Italy; Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - G Sica
- Radiology Unit, Azienda Ospedali dei Colli, Monaldi Hospital, Napoli, Italy
| | - T Valente
- Radiology Unit, Azienda Ospedali dei Colli, Monaldi Hospital, Napoli, Italy
| | - D Biondini
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Italy
| | - M Damin
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Italy
| | - V Liani
- Pulmonology Unit, AO Friuli Occidentale, Pordenone, Italy
| | - M Tamburrini
- Pulmonology Unit, AO Friuli Occidentale, Pordenone, Italy
| | - C Sorino
- Division of Pulmonology, Sant'Anna Hospital, Como, Italy; University of Insubria, Faculty of Medicine and Surgery, Varese, Italy
| | - F Mezzasalma
- Diagnostic and Interventional Bronchoscopy Unit, Cardio-Thoracic and Vascular Department, University Hospital of Siena (Azienda Ospedaliera Universitaria Senese, AOUS, Siena, Italy
| | - M U Scaramozzino
- Complex structure Pneumology unit, Civil hospital - Regional centre of excellence for immunoallergological diseases, Locri, Italy
| | - L Pini
- Department of Clinical and Experimental Sciences, Università degli Studi di Brescia, Brescia, Italy; Respiratory Medicine Unit, ASST Spedali Civili, Brescia, Italy
| | - M Bezzi
- Interventional Pulmonology Unit, ASST Spedali Civili, Brescia, Italy
| | - G P Marchetti
- Pulmonology Unit, ASST Spedali Civili, Brescia, Italy
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Bormioli S, Vultaggio A, Nencini F, Comin CE, Bercich L, Bezzi M, Vivarelli E, Calosi L, Chiccoli F, Matucci A. Benralizumab: Resolution of Eosinophilic Pulmonary Vasculitis in a Patient With EGPA. J Investig Allergol Clin Immunol 2021; 31:519-521. [PMID: 34935618 DOI: 10.18176/jiaci.0689] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- S Bormioli
- Immunology and Cellular Therapy, AOU Careggi, University of Florence, Florence, Italy
| | - A Vultaggio
- Immunoallergology Unit, AOU Careggi, University of Florence, Florence, Italy
| | - F Nencini
- Immunoallergology Unit, AOU Careggi, University of Florence, Florence, Italy
| | - C E Comin
- Department of Experimental and Clinical Medicine Section of Surgery, Histopathology and Molecular Pathology, University of Florence, Florence, Italy
| | - L Bercich
- Department of Pathology, ASST Spedali Civili of Brescia, Brescia, Italy
| | - M Bezzi
- UOC Pneumology Endoscopic Unit, ASST Spedali Civili of Brescia, Brescia, Italy
| | - E Vivarelli
- Immunoallergology Unit, AOU Careggi, University of Florence, Florence, Italy
| | - L Calosi
- Department of Experimental & Clinical Medicine, Section of Anatomy & Histology & Research Unit of Histology & Embryology, University of Florence, Florence, Italy
| | - F Chiccoli
- Immunology and Cellular Therapy, AOU Careggi, University of Florence, Florence, Italy
| | - A Matucci
- Immunoallergology Unit, AOU Careggi, University of Florence, Florence, Italy
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Guiban O, Rubini A, Fresilli D, Lucarelli GT, Ralli M, Cassoni A, Bezzi M, Radzina M, Greco A, De Vincentiis M, De Vito C, De Cristofaro F, Catalano C, Cantisani V. Preoperative Multiparametric Ultrasound and Fine Needle Aspiration Cytology evaluation of parotid gland tumors: which is the best technique? Med Ultrason 2021; 23:402-409. [PMID: 34113931 DOI: 10.11152/mu-3068] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
AIMS To evaluate the pre-surgical diagnostic value of Multiparametric Ultrasound (MPUS) and Fine Needle Aspiration Cytology (FNAC) in differentiating parotid gland tumors, comparing the results with histology. MATERIALS AND METHODS The study enrolled 84 patients with parotid gland lesions surgically treated in a single tertiary center and evaluated by MPUS. Each patient underwent FNAC. Histological examination was considered the gold standard. RESULTS Histology identified 62 benign tumors and 22 malignancies. In the differential diagnosis between malignant and benign lesions, B-mode Ultrasound (US), Color-Doppler US, Contrast-Enhanced US (CEUS), Elastography (USE) and FNAC showed the following values of sensitivity: 82%, 81%, 86%, 77%, 73% respectively; specificity: 97%, 61%, 95%, 71%, 97% respectively; PPV: 90%, 43%, 86%, 50%, 89% respectively; NPV: 93%, 90%, 95%, 88%, 91% respectively; and accuracy: 89%, 71%, 90%, 78%, 84% re-spectively. CONCLUSIONS CEUS proved to be a valid and accurate method for identifying malignant tumors of parotid gland; the combination of B-mode US with CEUS showed similar diagnostic accuracy, but better sensitivity than CEUS taken alone. USE did not improve the diagnostic performance of the B-mode US, alone or in association with CEUS; however, it revealed the highest diagnostic accuracy in the differentiation between benign lesions. FNAC demonstrated lower values in comparison with CEUS and with USE. Therefore, according to our study, MPUS could be proposed as a valid alternative to FNAC.
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Affiliation(s)
- Olga Guiban
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy.
| | - Antonello Rubini
- Division of Radiology and Diagnostic Imaging, ASL Rome 5, Rome, Italy
| | - Daniele Fresilli
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - Giuseppe Tiziano Lucarelli
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - Massimo Ralli
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Andrea Cassoni
- Department of Oral Sciences and Maxillofacial Surgery, SapienzaUniversity of Rome, Rome, Italy
| | - Mario Bezzi
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - Maija Radzina
- Radiology Research Laboratory, Riga Stradins University, Medical faculty, Univer-sity of Latvia, Diagnostic Radiology Institute, Paula Stradina Clinical University Hospital, Riga, Latvia
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | | | - Corado De Vito
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Flaminia De Cristofaro
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - Carlo Catalano
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - Vito Cantisani
- Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
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Golfieri R, Bezzi M, Verset G, Fucilli F, Mosconi C, Cappelli A, Paccapelo A, Lucatelli P, Magand N, Rode A, De Baere T. Balloon-Occluded Transarterial Chemoembolization: In Which Size Range Does It Perform Best? A Comparison of Its Efficacy versus Conventional Transarterial Chemoembolization, Using Propensity Score Matching. Liver Cancer 2021; 10:522-534. [PMID: 34721513 PMCID: PMC8529335 DOI: 10.1159/000516613] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 04/15/2021] [Indexed: 02/04/2023] Open
Abstract
INTRODUCTION The aim of this multicenter comparison of balloon-occluded transarterial chemoembolization (B-TACE) versus conventional TACE (cTACE) in treating hepatocellular carcinoma (HCC) was to assess in which size range the 2 techniques offered higher complete response (CR) and objective response (OR) rates in a single session, and to evaluate the possibility of using B-TACE to reduce the need for re-treatment. METHODS 325 patients were retrospectively evaluated: 91 patients in the B-TACE group (22 with cTACE [B-cTACE] and 69 with drug-eluting microsphere TACE [B-DEM-TACE]) and 234 in the cTACE group. The results were compared according to tumor size: (A) <30 mm, (B) 30-50 mm, and (C) >50 mm; OR and CR rates after the first session and the number of TACE re-interventions within a 6-month period were also evaluated using propensity score matching (PSM). RESULTS The best target ORs were very high (93.2%) and similar between the 2 treatments both before (94.4% for cTACE and 90.1% for B-TACE) and after PSM (94.5% for cTACE and 90.1%; p = 0.405), with slightly better results for the cTACE cohort probably due to better cTACE effectiveness in smaller lesions. In lesions <30 mm, cTACE obtained a slightly higher CR rate than B-TACE (61.9 vs. 56.3%, p = 0.680), whereas in intermediate-sized HCCs (30-50 mm), B-TACE showed a significant superiority in achieving a CR (72.3 vs. 54.1%, respectively; p = 0.047). In larger lesions (>50 mm), cTACE and B-TACE performed equally, with a poor CR rate (22.6 vs. 23.1%, respectively; p = 1.000). These results were additionally confirmed using PSM. The patients treated with B-TACE had a significantly lower re-treatment rate than the cTACE cohort (12.1 vs. 26.9%, respectively; p = 0.005). B-cTACE and B-DEM-TACE demonstrated similar ORs, with a slightly better CR rate for B-cTACE (68.2 vs. 56.5%, respectively; p = 0.456). CONCLUSION In HCCs of 30-50 mm, B-TACE should be preferred to cTACE, whereas in smaller nodules (<30 mm), cTACE can suffice in achieving a good CR rate. The statistically significant lower re-treatment rate of the B-TACE cohort after a single procedure reduced the risk of complications due to multiple TACE, which could worsen the patient prognosis.
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Affiliation(s)
- Rita Golfieri
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy,*Rita Golfieri,
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Rome, Italy
| | - Gontran Verset
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - Fabio Fucilli
- Radiology Unit, “S. De Bellis” National Institute of Gastroenterology Research Hospital, Bari, Italy
| | - Cristina Mosconi
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Alberta Cappelli
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Alexandro Paccapelo
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Rome, Italy
| | - Nicolas Magand
- Diagnostic and Interventional radiology Department, Croix Rousse Hospital, Hospices Civils de Lyon, Lyon, France
| | - Agnes Rode
- Diagnostic and Interventional radiology Department, Croix Rousse Hospital, Hospices Civils de Lyon, Lyon, France
| | - Thierry De Baere
- Department of Interventional Radiology, Gustave Roussy Cancer Center, Villejuif, France
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Lucatelli P, De Rubeis G, Rocco B, Basilico F, Cannavale A, Abbatecola A, Nardis PG, Corona M, Brozzetti S, Catalano C, Bezzi M. Correction to: Balloon occluded TACE (B-TACE) vs DEM-TACE for HCC: a single center retrospective case control study. BMC Gastroenterol 2021; 21:282. [PMID: 34243723 PMCID: PMC8272269 DOI: 10.1186/s12876-021-01861-y] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Bianca Rocco
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fabrizio Basilico
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Alessandro Cannavale
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Aurelio Abbatecola
- Gastroenterology Division, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy
| | - Pier Giorgio Nardis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Stefania Brozzetti
- Pietro Valdoni Surgery Department, Sapienza" University of Rome, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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Brozzetti S, Tancredi M, Bini S, De Lucia C, Antimi J, D’Alterio C, De Sanctis GM, Furlan C, Malpassuti VC, Lucatelli P, Di Martino M, Bezzi M, Ciardi A, Pascale RM. HCC in the Era of Direct-Acting Antiviral Agents (DAAs): Surgical and Other Curative or Palliative Strategies in the Elderly. Cancers (Basel) 2021; 13:3025. [PMID: 34204186 PMCID: PMC8235445 DOI: 10.3390/cancers13123025] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 06/14/2021] [Accepted: 06/15/2021] [Indexed: 01/10/2023] Open
Abstract
Hepatocellular carcinoma (HCC) accounts for 75-85% of primary liver malignancies, and elderlies have the highest incidence rates. Direct-acting antiviral agents (DAAs) have shown satisfying results in terms of HCV sustained viral response (SVR). However, data regarding HCC risk post-DAA-SVR is still conflicting. This study aims to consider HCC onset in moderate underlying liver disease. We conducted a retrospective study on 227 chronically infected patients (cHCV), treated with DAAs. Patients were divided into three groups: "de novo occurrent HCC", "recurrent HCC", and "without HCC". Fifty-six patients aged <65 years (yDAA) were studied separately. HCC patients aged ≥65 years (DAA-HCC) were compared to a historical group of 100 elderly HCC patients, treated with peginterferon (Peg-IFN) ± ribavirin antiviral agents, non-SVR (hHCC). The HCC prevalence in DAA patients was 32.75%: "de novo occurrent'' 18.13% and "recurrent'' 14.62%, despite 42.85% of them having no fibrosis to mild or moderate fibrosis (F0-F1-F2). yDAA showed 5.36% "de novo occurrent" HCC. Curative procedure rates were compared between DAA-HCC and hHCC at the first and at recurrent presentation (22 (39.29%) vs. 72 (72%); 17 (30.36%) vs. 70 (70%), respectively (p < 0.001)). No significant difference was found in 3-year OS (p = 0.6). However, in cause-specific mortality analysis, HCC-related death was higher in the DAA-treated group, whereas cirrhosis-related death was more common in the historical group (p = 0.0288), considering together the two causes of death. A more accurate patient stratification according to multifactorial and new diagnostic investigations identifying HCC risk might allow an improvement in management and access to curative therapies.
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Affiliation(s)
- Stefania Brozzetti
- Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (S.B.); (M.T.); (C.D.L.); (J.A.); (C.D.)
| | - Marsia Tancredi
- Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (S.B.); (M.T.); (C.D.L.); (J.A.); (C.D.)
| | - Simone Bini
- Department of Translational and Precision Medicine, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy
| | - Chiara De Lucia
- Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (S.B.); (M.T.); (C.D.L.); (J.A.); (C.D.)
| | - Jessica Antimi
- Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (S.B.); (M.T.); (C.D.L.); (J.A.); (C.D.)
| | - Chiara D’Alterio
- Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (S.B.); (M.T.); (C.D.L.); (J.A.); (C.D.)
| | - Giuseppe Maria De Sanctis
- Department of Tropical and Infectious Diseases, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (G.M.D.S.); (C.F.)
| | - Caterina Furlan
- Department of Tropical and Infectious Diseases, Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (G.M.D.S.); (C.F.)
| | | | - Pierleone Lucatelli
- Department of Radiological Sciences Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (P.L.); (M.D.M.); (M.B.)
| | - Michele Di Martino
- Department of Radiological Sciences Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (P.L.); (M.D.M.); (M.B.)
| | - Mario Bezzi
- Department of Radiological Sciences Policlinico Umberto I, University of Rome La Sapienza, 00161 Rome, Italy; (P.L.); (M.D.M.); (M.B.)
| | - Antonio Ciardi
- Department of Radiological, Oncological, Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy;
| | - Rosa Maria Pascale
- Department of Medical, Surgery and Experimental Sciences, Division of Experimental Pathology and Oncology, University of Sassari, 07100 Sassari, Italy;
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Cannavale A, Nardis P, Lucatelli P, Corona M, Santoni M, Cannavale G, Teodoli L, Bezzi M, Catalano C. Percutaneous spine biopsy under cone beam computed tomography guidance for spondylodiscitis: Time is diagnosis. Neuroradiol J 2021; 34:607-614. [PMID: 34028300 DOI: 10.1177/19714009211017799] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND AND PURPOSE Percutaneous spine biopsies for spondylodiscitis have been long discussed due to the low microbiologic yield. This retrospective study evaluated factors of cone beam computed tomography-guided spine biopsies that may affect microbiologic yield. METHODS We retrospectively reviewed percutaneous spine biopsies under cone beam computed tomography for spondylodiscitis performed from January 2015-December 2020. Clinical and technical features such as the time from initial symptoms to biopsy, level biopsied, biopsy needle type/gauge, technical approach, radiation dose, technical success and microbiologic yield were recorded. Pre-procedure magnetic resonance imaging findings were also recorded such as the number of vertebral bodies involved, and disc morphology. Univariate logistic regression analysis and Receiver operating characteristic analysis were performed to assess any relationship between relevant factors and positive cultures. RESULTS A total of 50 patients underwent cone beam computed tomography-guided biopsies for spondylodiscitis, with resulted positive cultures in 18 patients (36%). The mean time from the initial referral of spinal symptoms to procedure in the positive culture group was the most influential finding for positive cultures (odds ratio 56.3, p < 0.001). Among magnetic resonance imaging findings, thin or degenerated intervertebral disc was a negative factor for positive cultures (odds ratio 0.09, p = 0.006). Univariate analysis showed that percutaneous approach (transpedicular vs posterolateral/interlaminar) needle size (11-13 g vs 16-18G, odds ratio 1.2, p = 0.7) and site of biopsy (disc vs bone vs disc plus endplate) did not significantly affect the microbiologic yield of spine biopsy. CONCLUSION Percutaneous cone beam computed tomography-guided biopsy for spondylodiscitis is a reliable and safe technique and its microbiologic yield may increase if biopsy is performed within the acute phase of infection.
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Affiliation(s)
| | - Piergiorgio Nardis
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | | | - Mario Corona
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | - Mariangela Santoni
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | - Giuseppe Cannavale
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | - Leonardo Teodoli
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | - Mario Bezzi
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
| | - Carlo Catalano
- Department of Radiological Sciences, Umberto I Policlinico di Roma, Italy
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Golfieri R, Bezzi M, Verset G, Fucilli F, Mosconi C, Cappelli A, Paccapelo A, Lucatelli P, Magand N, Rode A, De Baere T. Retrospective European Multicentric Evaluation of Selective Transarterial Chemoembolisation with and without Balloon-Occlusion in Patients with Hepatocellular Carcinoma: A Propensity Score Matched Analysis. Cardiovasc Intervent Radiol 2021; 44:1048-1059. [PMID: 33709273 PMCID: PMC8189964 DOI: 10.1007/s00270-021-02805-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 02/10/2021] [Indexed: 02/07/2023]
Abstract
PURPOSE The aim of this retrospective multicentric study was to compare the tumour response rates of Balloon-occluded Transarterial Chemoembolisation (B-TACE) to non-B-TACE using propensity score matching (PSM) in patients with hepatocellular carcinoma and to investigate the clinical benefit, such as lower rates of TACE re-intervention achieved using B-TACE. MATERIAL AND METHODS The B-TACE procedures (n = 96 patients) were compared with a control group of non-B-TACE treatments (n = 434 pts), performed with conventional (cTACE) or drug-eluting microspheres TACE (DEM-TACE). Data were collected from six European centres from 2015 to 2019. Objective responses (OR) and complete response (CR) rates after the first session and the number of TACE re-interventions were evaluated using PSM (91 patients per arm). RESULTS The best target OR after PSM were similar for both B-TACE and non-B-TACE (90.1% and 86.8%, p = 0.644); however, CR at 1-6 months was significantly higher for B-TACE (59.3% vs. 41.8%, p = 0.026). Patients treated with B-TACE had a significantly lower retreatment rate during the first 6 months (9.9%% vs. 22.0%, p = 0.041). Post-embolisation syndrome (PES) rates were 8.8% in non-B-TACE and 41.8% in B-TACE (p < 0.001), with no significant differences between groups regarding major adverse events. CONCLUSION B-TACE is safe and effective, achieving higher CR rates than non-B-TACE. Patients undergoing B-TACE had a significantly lower retreatment rate within the first 6 months but higher PES rates. LEVEL OF EVIDENCE III Level 3, retrospective study.
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Affiliation(s)
- Rita Golfieri
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Albertoni 15, 40138, Bologna, Italy. .,Università Degli Studi Di Bologna, Bologna, Italy.
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Rome, Italy
| | - Gontran Verset
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - Fabio Fucilli
- Radiology Unit, S. De Bellis National Institute of Gastroenterology Research Hospital, Castellana Grotte (BARI), Bari, Italy
| | - Cristina Mosconi
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Albertoni 15, 40138, Bologna, Italy
| | - Alberta Cappelli
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Albertoni 15, 40138, Bologna, Italy
| | - Alexandro Paccapelo
- Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Albertoni 15, 40138, Bologna, Italy
| | - Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Rome, Italy
| | - Nicolas Magand
- Diagnostic and Interventional Radiology Department, Croix Rousse Hospital, Hospices Civils de, Lyon, France
| | - Agnes Rode
- Diagnostic and Interventional Radiology Department, Croix Rousse Hospital, Hospices Civils de, Lyon, France
| | - Thierry De Baere
- Department of Interventional Radiology, Gustave Roussy Cancer Center, Villejuif, France
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Folch E, Arenberg D, Bansal S, Bezzi M, Bhadra K, Bowling M, Christensen M, Flandes J, Gildea T, Hogarth K, Krimsky W, Lamprecht B, Lau K, Lemense G, Mahajan A, Murgu S, Murillo B, Nead M, Pritchett M, Singh J, Towe C, Khandhar S. MA02.05 NAVIGATE 24-Month Results: Electromagnetic Navigation Bronchoscopy for Pulmonary Lesions at 37 Centers in Europe and the US. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lucatelli P, Corona M, Teodoli L, Nardis P, Cannavale A, Rocco B, Trobiani C, Cipollari S, Zilahi de Gyurgyokai S, Bezzi M, Catalano C. Use of Phil Embolic Agent for Bleeding in Non-Neurological Interventions. J Clin Med 2021; 10:jcm10040701. [PMID: 33670124 PMCID: PMC7916888 DOI: 10.3390/jcm10040701] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 12/31/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 01/26/2023] Open
Abstract
Objective: To evaluate the safety and efficacy of the Phil liquid embolic agent in non-neurological embolization procedures. M&M: Thirty-five patients with a mean age of 62.5 years underwent percutaneous embolization using Phil for the treatment of visceral arterial bleedings in 20/35 patients (including three gluteal, one bladder, two superior mesenteric, three epigastric, one deep femoral, five internal iliac, four intercostal, and one lingual arteries), splanchnic pseudoaneurysms in 11/35 patients (including three hepatic, five splenic, and three renal arteries), pancreatic bleeding metastasis in 1/35 patient, and gastric bleeding varices in 3/35 patients. Phil is composed of a non-adhesive copolymer dissolved in DMSO (Anhydrous Dimethyl Sulfoxide) with different viscosity. Procedures were performed slowly under continuous fluoroscopic guidance to avoid embolization of non-target vessels. Results: Clinical success was obtained with a single intervention in 34 cases (97.15%), while a repeated procedure was required in one case (2.85%). No technical complications nor non-target embolization occurred. A case of post-embolic syndrome was noted (2.85%) in one patient. DMSO administration-related pain was successfully controlled by medical therapy. Conclusion: Phil can be considered a safe and effective embolic agent for the treatment of non-neurologic bleeding.
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Lucatelli P, De Rubeis G, Rocco B, Basilico F, Cannavale A, Abbatecola A, Nardis PG, Corona M, Brozzetti S, Catalano C, Bezzi M. Balloon occluded TACE (B-TACE) vs DEM-TACE for HCC: a single center retrospective case control study. BMC Gastroenterol 2021; 21:51. [PMID: 33535972 PMCID: PMC7860015 DOI: 10.1186/s12876-021-01631-w] [Citation(s) in RCA: 10] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Accepted: 01/27/2021] [Indexed: 01/27/2023] Open
Abstract
Background To compare oncological results and safety profile of balloon micro-catheter trans-arterial chemoembolization (b-TACE) and drug-eluting-microsphere (DEM-TACE) in patients with hepatocellular-carcinoma (HCC).
Methods This is a case–control, retrospective, single-center study. Between January-2015/March-2019, 149 patients (131 males [87.9%]) with 226 HCC were treated, 22 patients (35 HCC; 19 [86.4%] males) with b-TACE and 127 with DEM-TACE (191 HCC, 112 [88.2%] males). Embolization protocol was standardized (sequential 100 ± 25 and 200 ± 25 μm microspheres). Results were evaluated by modified-response-evaluation-criteria-in-solid-tumor [mRECIST] at 1, 3–6 and 9–12 months and time to recurrence after complete response [TTR] at 1 years. Cox’s regression weighted with tumor dimensions was performed. Adverse events (AEs) were recorded. Results mRECIST oncological response at all time points (1, 3–6 and 9–12 months) for both treatments were similar, with the exception of Objective response rate at 9-12 months. Objective response at 1 and 3–6 months between b-TACE vs DEM-TACE [23/35 (65.7%) vs 119/191 (62.3%), 21/29 (72.4%) vs 78/136 (57.4%) (p > 0.05), respectively]. On the contrary, at 9–12 months, it was significantly higher in b-TACE subgroup than DEM-TACE (15/19 [78.9%] vs 48/89 [53.9%], p = 0.05). TTR for complete response at 1 year had a better trend for b-TACE vs DEM-TACE (278.0 days [196.0–342.0] vs 219.0 days [161.0–238.0], OR 0.68 [0.4–1.0], p = 0.10). The use of balloon micro-catheter reduced the relative risk of the event of recurrence by 0.63 [CI95% 0.38–1.04]; p = 0.07). No significant differences were found in AEs rate. Conclusion b-TACE showed a trend of better oncological response over DEM-TACE with and longer TTR with a similar adverse events rate, in patients presenting with larger tumors.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Bianca Rocco
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fabrizio Basilico
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Alessandro Cannavale
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Aurelio Abbatecola
- Gastroenterology Division, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy
| | - Pier Giorgio Nardis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Stefania Brozzetti
- Pietro Valdoni Surgery Department, Sapienza" University of Rome, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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Lucatelli P, Rocco B, Nardis PG, Cannavale A, Bezzi M, Catalano C, Corona M. Bleeding in COVID Patients: What We Have Understood So Far. Cardiovasc Intervent Radiol 2021; 44:666-668. [PMID: 33511426 PMCID: PMC7843001 DOI: 10.1007/s00270-021-02775-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 01/13/2021] [Indexed: 12/15/2022]
Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy.
| | - Bianca Rocco
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Pier Giorgio Nardis
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Alessandro Cannavale
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324, 00161, Rome, Italy
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Savi D, Valente G, Iacovelli A, Olmati F, Bezzi M, Palange P. Ungewöhnliche Manifestationsform einer allergischen bronchopulmonalen Aspergillose während des COVID-19-Lockdowns. Ein Fallbericht. Kompass Pneumol 2021. [PMCID: PMC8089459 DOI: 10.1159/000516041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Hintergrund Die Lockdown-Phasen während der anhaltenden Coronavirus-Pandemie mit der Erkrankung COVID-19 haben die Art und Weise verändert, wie Personen und Gemeinschaften leben, arbeiten und interagieren. Fallvorstellung Der vorliegende Fallbericht beschreibt eine ungewöhnliche, aber bedeutende Manifestationsform der allergischen bronchopulmonalen Aspergillose (ABPA) bei einem zuvor gesunden Mann, der zu Beginn des landesweiten Lockdowns in Italien während der COVID-19-Pandemie beschloss, in den Keller seines Hauses zu ziehen. Da eine hochauflösende Computertomographie (HRCT) des Thorax bei Aufnahme des Patienten diffuse miliäre Noduli zeigte, bestand initial der Verdacht auf eine Miliartuberkulose. Weitergehende Untersuchungen führten allerdings zur Diagnose einer ungewöhnlichen Manifestationsform der ABPA. Schlussfolgerungen Der vorliegende Fall unterstreicht die Bedeutung einer ungebrochenen Aufmerksamkeit in Bezug auf Aspergillus-assoziierte Erkrankungen des Respirationstrakts während der COVID-19-Pandemie, insbesondere aufgrund dessen, dass Änderungen der Lebensführung im Zusammenhang mit häuslicher Isolation mit dem erhöhten Risiko für eine Exposition gegenüber Schimmelpilzsporen in einigen Wohnräumen verbunden sind.
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Affiliation(s)
- Daniela Savi
- Fakultät für Öffentliche Gesundheit und Infektionskrankheiten, «Sapienza» Universität Rom, Rom, Italien
- * Daniela Salvi, Fakultät für Öffentliche Gesundheit und Infektionskrankheiten, «Sapienza» Universität Rom, 00185 Rom, Italien,
| | - Giada Valente
- Fakultät für Radiologie, Onkologie und Pathologie, «Sapienza» Universität Rom, Rom, Italien
| | - Alessandra Iacovelli
- Fakultät für Öffentliche Gesundheit und Infektionskrankheiten, «Sapienza» Universität Rom, Rom, Italien
| | - Federica Olmati
- Fakultät für Öffentliche Gesundheit und Infektionskrankheiten, «Sapienza» Universität Rom, Rom, Italien
| | - Mario Bezzi
- Fakultät für Radiologie, Onkologie und Pathologie, «Sapienza» Universität Rom, Rom, Italien
| | - Paolo Palange
- Fakultät für Öffentliche Gesundheit und Infektionskrankheiten, «Sapienza» Universität Rom, Rom, Italien
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Savi D, Valente G, Iacovelli A, Olmati F, Bezzi M, Palange P. Uncommon presentation of allergic bronchopulmonary aspergillosis during the COVID-19 lockdown: a case report. BMC Pulm Med 2020; 20:325. [PMID: 33375928 PMCID: PMC7770742 DOI: 10.1186/s12890-020-01373-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 12/11/2020] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND During the ongoing pandemic of coronavirus disease 2019 (COVID-19), lockdown periods have changed the way that people and communities live, work and interact. CASE PRESENTATION This case report describes an uncommon but important presentation of allergic bronchopulmonary aspergillosis (ABPA) in a previously healthy male, who decided to live in the basement of his house when Italy entered a nationwide lockdown during the COVID-19 pandemic. As high resolution computed tomography (HRCT) of the chest on admission showed diffuse miliary nodules, a miliary tuberculosis was initially suspected. However, further investigations provided a diagnosis of unusual presentation of ABPA. CONCLUSIONS This case highlights the importance of maintaining awareness of Aspergillus-associated respiratory disorders during the COVID-19 pandemic, especially because lifestyle changes associated with home isolation carry an increased risk of exposure to mold spores present in some indoor environments.
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Affiliation(s)
- Daniela Savi
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, 00185, Rome, Italy.
| | - Giada Valente
- Department of Radiology, Oncology and Pathology, "Sapienza" University of Rome, 00185, Rome, Italy
| | - Alessandra Iacovelli
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, 00185, Rome, Italy
| | - Federica Olmati
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, 00185, Rome, Italy
| | - Mario Bezzi
- Department of Radiology, Oncology and Pathology, "Sapienza" University of Rome, 00185, Rome, Italy
| | - Paolo Palange
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, 00185, Rome, Italy
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Lucatelli P, Iezzi R, De Rubeis G, Goldberg SN, Bilbao JI, Sami A, Akhan O, Giuliante F, Pompili M, Tagliaferri L, Valentini V, Gasbarrini A, Colosimo C, Bezzi M, Manfredi R. Immuno-oncology and interventional oncology: a winning combination. The latest scientific evidence. Eur Rev Med Pharmacol Sci 2020; 23:5343-5350. [PMID: 31298386 DOI: 10.26355/eurrev_201906_18201] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Interventional oncology (IO) is an emergent field in interventional radiology that can be considered the fourth pillar of oncology. Interventional oncology has the unique capability to treat malignancy in a loco-regional fashion enabling curative (percutaneous ablation), disease stabilization (intra-arterial chemo/radioembolization), and palliative treatment (such as biliary drainage or nephrostomy). The whole arsenal of IO acts by inducing necrosis and apoptosis, with interactions with the tumour's microenvironment potentially crucial for oncological outcomes. Considering that tumour's microenvironment is a pivotal target for both immuno-oncology and interventional-oncology, the interactions between these two anti-tumour weapons must be investigated to understand their synergy. Interestingly, substantial efforts have been directed to understand which technique combinations are best for specific tumours. This review article summarizes the latest scientific evidence highlighting the future prospective of this winning combination, integrating evidence-reported literature and experience-based perceptions.
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Affiliation(s)
- P Lucatelli
- Department of Radiological, Oncological and Anatomopathological Sciences, Interventional and Vascular Division, "Sapienza" University of Rome, Rome, Italy.
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Cannavale A, Lucatelli P, Corona M, Nardis P, Cannavale G, De Rubeis G, Santoni M, Maher B, Catalano C, Bezzi M. Current assessment and management of endoleaks after advanced EVAR: new devices, new endoleaks? Expert Rev Cardiovasc Ther 2020; 18:465-473. [PMID: 32634069 DOI: 10.1080/14779072.2020.1792294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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] [Indexed: 01/30/2023]
Abstract
INTRODUCTION In recent years there has been an increasing application of advanced EVAR techniques to tackle complex clinical and anatomical scenarios. In a bid to overcome the limitations of the traditional stent-grafts, newer EVAR endografts and techniques have been developed and introduced into clinical practice, permitting endovascular management of difficult infrarenal, juxta-renal and thoracoabdominal aneurysms for which previously there was no endovascular solution. As a consequence, we are now confronted with unique patterns of endoleak requiring customized clinical-radiological assessment and treatment. Despite the increasing body of evidence regarding new EVAR techniques and related endoleaks, current guidelines do not specifically address these issues. OBJECTIVES Our review aims to assess risk factors, development, and management strategies of these endoleaks, in the most recent infrarenal EVAR devices and in more complex fenestrated EVAR (FEVAR) and Chimney EVAR (Ch-EVAR). EXPERT OPINION Most new devices have demonstrated types of endoleaks that need specific imaging and treatment, as in EVAS, FEVAR, and ChEVAR. Knowledge of specific stent-graft characteristics and the nature of endoleaks associated with the various procedures facilitates the application of relevant useful imaging. In addition, it should aid development of a customized and practically relevant approach to patient management during intervention and follow-up.
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Affiliation(s)
- Alessandro Cannavale
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
| | - Pierleone Lucatelli
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
| | - Mario Corona
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
| | - Piergiorgio Nardis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
| | - Giuseppe Cannavale
- Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy
| | - Gianluca De Rubeis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
| | - Mariangela Santoni
- Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy
| | - Ben Maher
- Department of Interventional Radiology, University Hospital Southampton NHS Foundation Trust , Southampton, UK
| | - Carlo Catalano
- Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy
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Sansone A, Fegatelli DA, Pozza C, Fattorini G, Lauretta R, Minnetti M, Romanelli F, Lucatelli P, Corona M, Bezzi M, Lombardo F, Lenzi A, Gianfrilli D. Effects of percutaneous varicocele repair on testicular volume: results from a 12-month follow-up. Asian J Androl 2020; 21:408-412. [PMID: 30604693 PMCID: PMC6628742 DOI: 10.4103/aja.aja_102_18] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Varicocele is a common finding in men. Varicocele correction has been advocated for young patients with testicular hypotrophy, but there is a lack of morphofunctional follow-up data. We assessed whether percutaneous treatment of left varicocele is associated with testicular "catch-up growth" in the following 12 months by retrospectively reviewing data from an electronic database of 10 656 patients followed up in our clinic between 2006 and 2016. We selected all young adults (<35 years) with left varicocele who underwent percutaneous treatment, had a minimum of 12 months' ultrasound imaging follow-up, and had no other conditions affecting testicular volume. One hundred and fourteen men (mean±standard deviation [s.d.] of age: 22.8 ± 5.4 years) met the inclusion and exclusion criteria. Left testicular hypotrophy (LTH), defined as a ≥20% difference between left and right testicular volume at baseline, was observed in 26 (22.8%) men. Participants with LTH (mean±s.d.: 14.5 ± 2.7 ml) had lower baseline testicular volume compared to those without LTH (mean±s.d.: 15.7 ± 3.8 ml; P = 0.032). Repeated measures mixed models showed a significant interaction between LTH and time posttreatment when correcting for baseline left testicular volume (β = 0.114, 95% confidence interval [CI]: 0.018-0.210, P = 0.020), resulting in a catch-up growth of up to 1.37 ml per year (95% CI: 0.221-2.516). Age at intervention was also associated with reduced testicular volume (-0.072 ml per year, 95% CI: -0.135--0.009; P = 0.024). Percutaneous treatment of left varicocele in young adults with LTH can result in catch-up growth over 1 year of follow-up. The reproductive and psychological implications of these findings need to be confirmed in longer and larger prospective studies.
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Affiliation(s)
- Andrea Sansone
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Danilo Alunni Fegatelli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome 00161, Italy
| | - Carlotta Pozza
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Giorgio Fattorini
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Rosa Lauretta
- Unit of Endocrinology, Regina Elena National Cancer Institute, Rome 00144, Italy
| | - Marianna Minnetti
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Francesco Romanelli
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza - University of Rome, Rome 00161, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza - University of Rome, Rome 00161, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza - University of Rome, Rome 00161, Italy
| | - Francesco Lombardo
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Andrea Lenzi
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
| | - Daniele Gianfrilli
- Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy
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Cannavale A, Corona M, Nardis P, De Rubeis G, Cannavale G, Santoni M, De Gyurgyokai SZ, Catalano C, Bezzi M. Computed Tomography Angiography findings can predict massive bleeding in head and neck tumours. Eur J Radiol 2020; 125:108910. [PMID: 32113152 DOI: 10.1016/j.ejrad.2020.108910] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 01/30/2020] [Accepted: 02/16/2020] [Indexed: 12/12/2022]
Abstract
PURPOSE The aim of our study was to assess CT angiography findings of head and neck tumours in predicting carotid blow out syndrome (CBS). METHOD We retrospectively reviewed the records of patients with head and neck cancer who underwent invasive angiography for CBS at our Institution from July 2013-2019. All routine CT angiography scans were assessed for the following findings with a univariate logistic regression analysis: 1) 360 ° involvement of the suspect artery by the tumour; 2) tissue or tumour necrosis, which was defined as an hypodense area with lack of contrast enhancement in the soft tissues of the neck or tumour mass, adjacent to the suspected vessel; 3) calibre reduction of the culprit artery; 5) jugular vein infiltration. T stage was also included in the analysis. RESULTS A total of 24 patients who underwent routine CT angiogram neck and embolization for CBS were included in this study. Univariate logistic regression showed as 360 ° involvement of target vessel may significantly increase the risk of bleeding (OR 11.6, CI: 1.4-91.5; p = 0.01), along with T stage (OR 14.0, p = 0.03). Tumour necrosis and calibre vessel reduction were quite influential, but not significantly (i.e. tumour necrosis OR 5.0 95 % CI: 0.8-31.0, p = 0.08). Contingency table analysis found 360 ° vessel involvement with the highest sensitivity and PPV in predicting bleeding (87.5 % and 82.35 %, respectively). CONCLUSIONS CT angiography imaging findings have the potential to identify patients with head and neck cancer at higher risk of bleeding.
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Affiliation(s)
- Alessandro Cannavale
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
| | - Mario Corona
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Piergiorgio Nardis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Gianluca De Rubeis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Giuseppe Cannavale
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy; Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Mariangela Santoni
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy; Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Simone Zilahi De Gyurgyokai
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy; Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
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Lucatelli P, De Rubeis G, Ginnani Corradini L, Basilico F, Di Martino M, Lai Q, Ginanni Corradini S, Cannavale A, Nardis PG, Corona M, Saba L, Catalano C, Bezzi M. Intra-procedural dual phase cone beam computed tomography has a better diagnostic accuracy over pre-procedural MRI and MDCT in detection and characterization of HCC in cirrhotic patients undergoing TACE procedure. Eur J Radiol 2019; 124:108806. [PMID: 31945673 DOI: 10.1016/j.ejrad.2019.108806] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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: 09/18/2019] [Revised: 11/28/2019] [Accepted: 12/19/2019] [Indexed: 02/08/2023]
Abstract
PURPOSE This study was directed to compare diagnostic accuracy of dual-phase cone beam computed tomography (DP-CBCT) vs pre-procedural second line imaging modality (SLIM [multidetector computed tomography and magnetic resonance imaging]) to detect and characterize hepatocellular carcinoma (HCC) in cirrhotic patients with indication for trans-arterial chemoembolization (TACE). METHODS This is a single centre, retrospective, and observational study. Exclusion criteria were not-assisted DP-CBCT TACE, and unavailable follow-up SLIM. We evaluated 280 consecutive patients (January/2015-Febraury/2019). Seventy-two patients were eligible. Three radiologists in consensus reviewed: pre-procedural SLIM, DP-CBCT, and SLIM at follow-up, with 4 months of interval between each reading. Hyper-vascular foci (HVF) were detected and characterized. Diameter was recorded. Radiological behaviour, according to LI-RADS criteria, of HFV throughout follow-up time was the reference standard. Diagnostic accuracy was calculated for pre-procedural SLIM and DP-CBCT and evaluated through receiver operating characteristic curve. HVF only visible on DP-CBCT (defined as occult) were analysed. Tumour diameters were compared. RESULTS Median time between pre-procedural SLIM and DP-CBCT and between DP-CBCT and definitive radiological diagnosis of HVF were 46.0 days (95%CI 36.5-55.0) and 30.5 days (95%CI 29.0-33.0), respectively. DP-CBCT had a better diagnostic performance than pre-examination SLIM (sensitivity 99%vs78%; specificity 89%vs85%; PPV 99%vs99%; NPV 92%vs30%; and accuracy 94%vs79%). DP-CBCT diagnosed 63 occult HVF. Occult HCC were 54/243 (22.2%). Six were occult angiomas. Three were false positive. Mean diameter was significantly higher in DP-CBCT vs pre-procedural SLIM (+7.5% [95%CI 3.7-11.3], p < 0.05). CONCLUSIONS DP-CBCT has a better diagnostic accuracy and NPV than pre-procedural SLIM in cirrhotic patients with indication for TACE.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Luca Ginnani Corradini
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Fabrizio Basilico
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Michele Di Martino
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Quirino Lai
- Department of General Surgery and Organ Transplantation, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Stefano Ginanni Corradini
- Department of Translational and Precision Medicine, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Alessandro Cannavale
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Pier Giorgio Nardis
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Luca Saba
- Department of Medical Imaging, Azienda Ospedaliero Universitaria (A.O.U.) of Cagliari-Polo Di Monserrato, Via Ospedale, 54, 09124 Cagliari CA, Italy.
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale Del Policlinico, 155, 00161 Rome RM, Italy.
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Cocero N, Ruggiero T, Pezzana A, Bezzi M, Carossa S. Efficacy of sodium hyaluronate and synthetic aminoacids in postextractive socket in patients with liver failure: split mouth study. J BIOL REG HOMEOS AG 2019; 33:1913-1919. [PMID: 31854180 DOI: 10.23812/19-246-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- N Cocero
- Oral Surgery Department, Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
| | - T Ruggiero
- Oral Surgery Department, Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
| | - A Pezzana
- Oral Surgery Department, Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
| | - M Bezzi
- Oral Surgery Department, Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
| | - S Carossa
- Oral Surgery Department, Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
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Cannavale A, Lucatelli P, Corona M, Nardis P, Basilico F, De Rubeis G, Santoni M, Catalano C, Bezzi M. Evolving concepts and management of endoleaks after endovascular aneurysm repair: where do we stand in 2019? Clin Radiol 2019; 75:169-178. [PMID: 31810539 DOI: 10.1016/j.crad.2019.10.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 10/31/2019] [Indexed: 11/27/2022]
Abstract
In recent years, there has been tremendous progress in endovascular aneurysm repair (EVAR) techniques and devices. This process has seen a change in incidence, risk factors, and treatment of endoleaks as well as in follow-up protocols after EVAR. In particular, recent literature has highlighted new concepts in the evaluation and prevention/treatment of type I and II endoleak after standard EVAR. There is also recent evidence regarding new imaging protocols for follow-up after EVAR, which include magnetic resonance imaging and contrast-enhanced ultrasound. This comprehensive review aims to outline the most recent concepts on imaging follow-up, pathophysiology/risk factors, and management of endoleaks.
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Affiliation(s)
- A Cannavale
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
| | - P Lucatelli
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - M Corona
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - P Nardis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - F Basilico
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - G De Rubeis
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - M Santoni
- Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - C Catalano
- Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - M Bezzi
- Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
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Verhoeven R, Trisolini R, Leoncini F, Bezzi M, Candoli P, Messi A, Krasnik M, Annema J, Korte C, Van Der Heijden E. OA01.01 Predictive Value of EBUS Strain Elastography in Mediastinal Lymph Node Staging; The E-Predict Multicenter Study Results. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.405] [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: 11/26/2022]
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23
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Lucatelli P, De Rubeis G, Basilico F, Ginanni Corradini L, Corona M, Bezzi M, Catalano C. Sequential dual-phase cone-beam CT is able to intra-procedurally predict the one-month treatment outcome of multi-focal HCC, in course of degradable starch microsphere TACE. Radiol Med 2019; 124:1212-1219. [PMID: 31473930 DOI: 10.1007/s11547-019-01076-y] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 08/23/2019] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To evaluate the prognostic value of sequential dual-phase CBCT (DP-CBCT) imaging performed during degradable starch microsphere TACE (DSM-TACE) session in predicting the HCC's response to treatment, evaluate with modify response evaluation criteria in solid tumours (mRECIST) at 1-month multi-detector CT (MDCT) follow-up. MATERIALS AND METHODS Between January and May 2018, 24 patients (68.5 ± 8.5 year [45-85]) with HCC lesions (n = 96 [average 4/patient]) were prospectively enrolled. Imaging assessment included: pre-procedural MDCT, intra-procedural DP-CBCT performed before first and second DSM-TACEs and 1-month follow-up MDCT. Lesions' attenuation/pseudo-attenuation was defined as average value measured on ROIs (HU for MDCT; arbitrary unit called HU* for CBCT). Lesions' attenuation modification was correlated with the post-procedural mRECIST criteria at 1-month MDCT. RESULTS Eighty-two DSM-TACEs were performed. Lesion's attenuation values were: pre-procedural MDCT arterial phase (AP) 107.00 HU (CI 95% 100.00-115.49), venous phase (VP) 85.00 HU (CI 95% 81.13-91.74); and lesion's pseudo-attenuation were: first CBCT-AP 305.00 HU* (CI 95% 259.77-354.04), CBCT-VP 155.00 HU* (CI 95% 135.00-163.34). For second CBCT were: -AP 210.00 HU* (CI 95% 179.47-228.58), -VP 141.00 HU* (CI 95% 125.47-158.11); and for post-procedural MDCT were: -AP 95.00 HU (CI 95% 81.35-102.00), -VP 83.00 HU (CI 95% 78.00-88.00). ROC curve analysis showed that a higher difference pseudo-attenuation between first and second DP-CBCTs is related to treatment response. The optimal cut-off value of the difference between first and second CBCT-APs to predict complete response, objective response (complete + partial response) and overall disease control (objective response + stable disease) were > 206 HU* (sensitivity 80.0%, specificity 81.7%), > 72 HU* (sensitivity 79.5%, specificity 83.0%) and > - 7 HU* (sensitivity 91.6%, specificity 65.4%), respectively. CONCLUSIONS DP-CBCT can predict intra-procedurally, by assessing lesion pseudo-attenuation modification, the DSM-TACE 1-month treatment outcome.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fabrizio Basilico
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Luca Ginanni Corradini
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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De Rubeis G, Corona M, Bezzi M, Ricci C, Lucatelli P. Commentary: Endovascular Peripheral Artery Disease Treatment: “Leaving Nothing Behind”? J Endovasc Ther 2019; 26:643-644. [DOI: 10.1177/1526602819871581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Science, Sapienza University of Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Science, Sapienza University of Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Science, Sapienza University of Rome, Italy
| | - Carmelo Ricci
- Vascular and Interventional Radiology Unit, University of Siena, Italy
| | - Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Science, Sapienza University of Rome, Italy
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25
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Lau K, Flandes J, Christensen M, Bezzi M, Lamprecht B, Salio M, Vergnon J, Studnicka M, Trigiani M, Fernandez I, Kropfmüller R, Barisione E, Viby NE, Khandhar S, Folch E. Electromagnetic navigation bronchoscopy in the European cohort of the prospective, multicenter NAVIGATE study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz064] [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: 11/14/2022] Open
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26
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Lucatelli P, Ginnani Corradini L, De Rubeis G, Rocco B, Basilico F, Cannavale A, Nardis PG, Corona M, Saba L, Catalano C, Bezzi M. Balloon-Occluded Transcatheter Arterial Chemoembolization (b-TACE) for Hepatocellular Carcinoma Performed with Polyethylene-Glycol Epirubicin-Loaded Drug-Eluting Embolics: Safety and Preliminary Results. Cardiovasc Intervent Radiol 2019; 42:853-862. [PMID: 30843093 PMCID: PMC6502778 DOI: 10.1007/s00270-019-02192-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 02/21/2019] [Indexed: 12/26/2022]
Abstract
Purpose To report technical success, safety profile and oncological results of balloon-occluded transcatheter arterial chemoembolization using a balloon micro-catheter and epirubicin-loaded polyethylene-glycol (PEG) microsphere (100 ± 25 µm and 200 ± 50 µm) in patients with hepatocellular carcinoma (HCC). Materials and Methods This is a single-centre, single-arm, retrospective study with 6-month follow-up. Twenty-two patients (Child–Pugh A 68% [15/22], B in 32% [7/22]; age 67.05 ± 14 years) with 29 HCC were treated in 24 procedures. Technical success is defined: ability to place the balloon micro-catheter within the required vascular segment, balloon-occluded arterial stump pressure drops and assessment of microsphere deposition. Laboratory assessment pre/post-procedural and complications were analysed, respectively, according to Common Terminology Criteria for Adverse Events (CTCAEv5) and CIRSE system. Postembolization syndrome (PES) was defined as fever and/or nausea and/or pain onset. Oncological results were evaluated using m-RECIST criteria with CT/MRI imaging at 1 and 3–6 months. In partial responder patients, pre/post-procedural tumour volume was compared. Results Pre-planned feeder was reached in all cases. Pressure drop average was 51.1 ± 21.6 mmHg. Exclusive target embolization was achieved in 14/24 procedures (58.3%). Laboratory test modifications were all grade 1. 4/24 adverse events occurred (17%): pseudo-aneurysm of the feeder (grade 3), liver abscess (grade 2) and 2 asymptomatic segmentary biliary tree dilatations (grade 2). PES occurred in 8/24 (33%). The complete response at 1 and 3–6 months was 44.8% (13/29) and 52.9% (9/17), respectively. The partial response at 1 and 3–6 months was 55% (16/29) and 4/17 (23.5%), respectively. Among partial responder patients, the average percentage of tumour volume reduction was 64.9 ± 27.3%. Conclusion Epirubicin-loaded PEG microsphere b-TACE is technically feasible, safe and effective procedure for HCC treatment.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Luca Ginnani Corradini
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Bianca Rocco
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fabrizio Basilico
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Alessandro Cannavale
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Pier Giorgio Nardis
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Corona
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Luca Saba
- Department of Medical Imaging, Azienda Ospedaliero Universitaria (A.O.U.) of Cagliari-Polo di Monserrato, Cagliari, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Diagnostic Service, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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Lucatelli P, Argirò R, De Rubeis G, Rocco B, Corradini SG, Corona M, Nardis PG, Saba L, Mennini G, Fiorentino F, Corsi A, Catalano C, Bezzi M. Polyethylene Glycol Epirubicin-Loaded Transcatheter Arterial Chemoembolization Procedures Utilizing a Combined Approach with 100 and 200 μm Microspheres: A Promising Alternative to Current Standards. J Vasc Interv Radiol 2019; 30:305-313. [DOI: 10.1016/j.jvir.2018.10.026] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 10/21/2018] [Accepted: 10/22/2018] [Indexed: 02/06/2023] Open
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Lucatelli P, De Rubeis G, Rocco B, Bezzi M. Are Radiopaque Beads a Real Advantage? Radiology 2019; 290:852-853. [PMID: 30720406 PMCID: PMC6394816 DOI: 10.1148/radiol.2019182655] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Pathologic Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
| | - Gianluca De Rubeis
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Pathologic Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
| | - Bianca Rocco
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Pathologic Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Pathologic Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
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Balla A, Quaresima S, Corona M, Lucatelli P, Fiocca F, Rossi M, Bezzi M, Catalano C, Salvatori FM, Fingerhut A, Paganini AM. ATOM Classification of Bile Duct Injuries During Laparoscopic Cholecystectomy: Analysis of a Single Institution Experience. J Laparoendosc Adv Surg Tech A 2018; 29:206-212. [PMID: 30256167 DOI: 10.1089/lap.2018.0413] [Citation(s) in RCA: 6] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
PURPOSE Bile duct injuries (BDIs) are more frequent during laparoscopic cholecystectomy (LC). Several BDI classifications are reported, but none encompasses anatomy of damage and vascular injury (A), timing of detection (To), and mechanism of damage (M). Aim was to apply the ATOM classification to a series of patients referred for BDI management after LC. METHODS From 2008 to 2016, 26 patients (16 males and 10 females, median age 63 years, range 34-82 years) with BDIs were observed. Fifteen patients were managed by percutaneous transhepatic cholangiography (PTC)+endoscopic retrograde cholangiopancreatography (ERCP); five and six underwent PTC and ERCP alone, respectively. Median overall follow-up duration was 34 months. Three patients died from sepsis. RESULTS Out of 26 patients, 20 presented with main bile duct and six with nonmain bile duct injuries. Using the ATOM classification, every aspect of the BDI in every case was included, unlike with other classifications (Neuhaus, Lau, Strasberg, Bergman, and Hanover). CONCLUSIONS The all-inclusive European Association for Endoscopic Surgery (EAES) classification contains objective data and emphasizes the underlying mechanisms of damage, which is relevant for prevention. It also integrates vascular injury, necessary for ultimate management, and timing of discovery, which has diagnostic implications. The management complexity of these patients requires specialized referral centers.
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Affiliation(s)
- Andrea Balla
- 1 Department of General Surgery and Surgical Specialties "Paride Stefanini," Sapienza University of Rome , Rome, Italy
| | - Silvia Quaresima
- 1 Department of General Surgery and Surgical Specialties "Paride Stefanini," Sapienza University of Rome , Rome, Italy
| | - Mario Corona
- 2 Vascular and Interventional Radiology Unit, Department of Radiologic Sciences, Sapienza University of Rome , Rome, Italy
| | - Pierleone Lucatelli
- 2 Vascular and Interventional Radiology Unit, Department of Radiologic Sciences, Sapienza University of Rome , Rome, Italy
| | - Fausto Fiocca
- 1 Department of General Surgery and Surgical Specialties "Paride Stefanini," Sapienza University of Rome , Rome, Italy
| | - Massimo Rossi
- 1 Department of General Surgery and Surgical Specialties "Paride Stefanini," Sapienza University of Rome , Rome, Italy
| | - Mario Bezzi
- 2 Vascular and Interventional Radiology Unit, Department of Radiologic Sciences, Sapienza University of Rome , Rome, Italy
| | - Carlo Catalano
- 2 Vascular and Interventional Radiology Unit, Department of Radiologic Sciences, Sapienza University of Rome , Rome, Italy
| | - Filippo M Salvatori
- 2 Vascular and Interventional Radiology Unit, Department of Radiologic Sciences, Sapienza University of Rome , Rome, Italy
| | - Abe Fingerhut
- 3 Section for Surgical Research, Department of Surgery, Medical University of Graz , Graz, Austria
| | - Alessandro M Paganini
- 1 Department of General Surgery and Surgical Specialties "Paride Stefanini," Sapienza University of Rome , Rome, Italy
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Lucatelli P, De Rubeis G, Argirò R, Corona M, Bezzi M. Single Injection Dual-Phase Cone Beam CT (DP-CBCT): Vascular Anatomy Assessment and Occult Nodule Detection; Have We Reached the Focus? Acad Radiol 2018; 25:1236. [PMID: 29907400 DOI: 10.1016/j.acra.2018.03.033] [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] [Received: 03/05/2018] [Accepted: 03/07/2018] [Indexed: 10/14/2022]
Affiliation(s)
- Pierleone Lucatelli
- "Sapienza" University of Rome, Departement of Radiological Oncological and Anatomo-pathological sciences, Vascular and Interventional Unit, Viale del Policlinico, 155, 00161 Rome, Italy
| | - Gianluca De Rubeis
- "Sapienza" University of Rome, Departement of Radiological Oncological and Anatomo-pathological sciences, Vascular and Interventional Unit, Viale del Policlinico, 155, 00161 Rome, Italy
| | - Renato Argirò
- Department of Diagnostic and Interventional Radiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Mario Corona
- "Sapienza" University of Rome, Departement of Radiological Oncological and Anatomo-pathological sciences, Vascular and Interventional Unit, Viale del Policlinico, 155, 00161 Rome, Italy
| | - Mario Bezzi
- "Sapienza" University of Rome, Departement of Radiological Oncological and Anatomo-pathological sciences, Vascular and Interventional Unit, Viale del Policlinico, 155, 00161 Rome, Italy
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Lucatelli P, De Rubeis G, Argirò R, Corona M, Bezzi M. Arms Down Cone Beam CT Hepatic Angiography: Are We Focusing on the Wrong Target? Cardiovasc Intervent Radiol 2018; 41:1134-1135. [DOI: 10.1007/s00270-018-1951-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 03/28/2018] [Indexed: 11/28/2022]
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Lucatelli P, Argirò R, Levi Sandri GB, Munneke G, Catalano C, Bezzi M. Single-Injection Dual-Phase Cone-Beam CT Is Better than Split-Bolus Single-Phase Cone-Beam CT for Liver Catheter-Based Procedures. J Vasc Interv Radiol 2018; 29:748-749. [PMID: 29685670 DOI: 10.1016/j.jvir.2017.12.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Revised: 12/19/2017] [Accepted: 12/19/2017] [Indexed: 10/17/2022] Open
Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome 00161, Italy
| | - Renato Argirò
- Department of Diagnostic and Interventional Radiology, Campus University Bio-Medico of Rome, Rome, Italy
| | | | - Graham Munneke
- Department of Radiology and Interventional Oncology, University College London Hospital, London, United Kingdom
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome 00161, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome 00161, Italy
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Moscetti L, Saltarelli R, Giuliani R, Fornarini G, Bezzi M, Cortesi E. Intra-Arterial Liver Chemotherapy and Hormone Therapy in Malignant Insulinoma: Case Report and Review of the Literature. Tumori 2018; 86:475-9. [PMID: 11218190 DOI: 10.1177/030089160008600609] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Malignant insulinoma is a rare tumor. Metastatic disease confined to the liver can be treated with various locoregional treatments. Case report We report a case of a young woman who developed liver metastases twelve years following resection of a pancreatic insulinoma positive to anti-insulin antibodies. With five cycles of intra-arterial locoregional chemotherapy (fluorouracil and epirubicin) to the liver and monthly hormone therapy (octreotide) the patient obtained a clinical complete response. After twelve months she is still disease free. Conclusion Locoregional therapy for insulinoma metastatic to the liver might represent the treatment of choice; hepatic intra-arterial chemotherapy is an interesting therapeutic approach which deserves attention. The role of somatostatin analogs is limited to symptom control.
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Affiliation(s)
- L Moscetti
- Department of Experimental Medicine, University La Sapienza, Policlinico Umberto I, Rome, Italy
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Iannarelli A, Sacconi B, Tomei F, Anile M, Longo F, Bezzi M, Napoli A, Saba L, Anzidei M, D’Ovidio G, Scipione R, Catalano C. Analysis of CT features and quantitative texture analysis in patients with thymic tumors: correlation with grading and staging. Radiol Med 2018; 123:345-350. [DOI: 10.1007/s11547-017-0845-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 12/17/2017] [Indexed: 10/18/2022]
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35
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Lucatelli P, Argirò R, Bascetta S, Saba L, Catalano C, Bezzi M, Levi Sandri GB. Single injection dual phase CBCT technique ameliorates results of trans-arterial chemoembolization for hepatocellular cancer. Transl Gastroenterol Hepatol 2017; 2:83. [PMID: 29167830 DOI: 10.21037/tgh.2017.10.03] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [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: 09/30/2017] [Accepted: 10/17/2017] [Indexed: 12/13/2022] Open
Abstract
Cone-beam CT (CBCT) application to the field of trans-arterial chemoembolization has been recently the focus of several researches. This imaging modality is performed with a rotation of the C-arm around the patient, without needs of patient repositioning. Datasets are immediately processed, obtaining volumetric CT-like images with the possibility of post-processing and reconstruction of images. Dual phase CBCT recently introduced in clinical practice consists in a first arterial acquisition followed by a delayed acquisition corresponding to a venous phase. The introduction of this feature has overcome the limit of single-phase acquisitions, allowing lesions characterization. Moreover these recent advantages have several intra-procedural implications. Detailed technical and acquisition parameters will be widely exposed in this review with particular attention to: catheter positioning, acquisition delay, injection parameters, patient positioning and contrast dilution. Comparison with standard of practice second line imaging [multidetector computer tomography (MDCT) and MDCT/arteriography] demonstrate the capability of detecting occult nodules providing some clinical implications thus potentially identifying a sub set of patients with aggressive disease behaviour. Other intra-procedural advantages of dual phase CBCT usage consist in a better tumor feeder visualization, reduction of proper DSA and fluoroscopic time, suggestion the presence of an extrahepatic parasitic feeder thus resulting in a more accurate treatment. Finally, the volumetrical intraprocedural evaluation of accumulation of embolic agent has proved to be correlate with treatment response if compared with MRI.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, University of Siena, Siena, Italy
| | - Renato Argirò
- Departement of Diagnostic and Interventional Radiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Stefano Bascetta
- Vascular and Interventional Radiology Unit, University of Siena, Siena, Italy
| | - Luca Saba
- Departement of Medical Imaging, Azienda Ospedaliera Universitaria of Cagliari, Polo Monserrato, Cagliari, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Sapienza University of Rome, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Sapienza University of Rome, Rome, Italy
| | - Giovanni Battista Levi Sandri
- Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Italy.,Departement of Surgical Sciences, PhD in "Advanced Surgical Technology", Sapienza University of Rome, Rome, Italy
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Fiorelli A, D’Andrilli A, Anile M, Cascone R, Occhiati L, Diso D, Cassiano F, Poggi C, Ibrahim M, Cusumano G, Terminella A, Failla G, La Sala A, Bezzi M, Innocenti M, Torricelli E, Venuta F, Rendina EA, Santini M, Andreetti C. F-075THE COST/BENEFIT OF UNIDIRECTIONAL ENDOBRONCHIAL VALVES IMPLANT FOR MANAGEMENT OF PERSISTENT AIR-LEAKS: RESULTS OF A MULTICENTRE STUDY. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.087] [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: 11/13/2022] Open
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Mosillo C, Scagnoli S, Pomati G, Caponnetto S, Mancini ML, Bezzi M, Cortesi E, Gelibter A. Burned-Out Testicular Cancer: Really a Different History? Case Rep Oncol 2017; 10:846-850. [PMID: 29071000 PMCID: PMC5649263 DOI: 10.1159/000480493] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Accepted: 08/21/2017] [Indexed: 11/29/2022] Open
Abstract
Two or more histological types characterize more than 60% of testicular germ cell tumors (GCTs). Burned-out testicular tumor refers to partial or complete histological regression of the primary testicular lesions. The most frequent GCT type involved in this kind of histological regression is choriocarcinoma, followed by embryonal carcinoma. To our knowledge, there are no cases of the burned-out phenomenon in teratoma. We report a case of a 19-year-old man presenting to our institute with a right testicular lesion, evidence of mediastinal and abdominal lymph node metastasis, and high levels of GCT serum biomarkers. After orchiectomy, the histopathological examination showed a mixed GCT: mature teratoma, immature teratoma, and histological features of testicular cancer regression (burned-out phenomenon). The patient underwent first-line chemotherapy (BEP regimen) which resulted in a complete instrumental and biochemical response after 4 cycles. Teratoma is considered a less aggressive type of GCT. In this particular case, metastatic disease seems to result from non-germ cell components which underwent early spontaneous regression.
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Di Martino M, Koryukova K, Bezzi M, Catalano C. Imaging Features of Non-Alcoholic Fatty Liver Disease in Children and Adolescents. Children (Basel) 2017; 4:E73. [PMID: 28800087 PMCID: PMC5575595 DOI: 10.3390/children4080073] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Revised: 07/30/2017] [Accepted: 07/31/2017] [Indexed: 12/17/2022]
Abstract
Non-invasive diagnosis and quantification of liver steatosis is important to overcome limits of liver biopsy, in order to follow up patients during their therapy and to establish a reference standard that can be used in clinical trials and longitudinal studies. Imaging offers several methods in this setting: ultrasound, which is the cheapest technique and easy to perform; magnetic resonance spectroscopy (MRS), which reflects the real content of triglycerides in a specific volume; and proton density fat fraction (PDFF) magnetic resonance, which is a simple method that reflects the distribution of the fat in the whole liver. Other techniques include ultrasound elastography (EUS) and magnetic resonance elastrography (MRE), which can evaluate the progression of non-alcoholic fatty liver disease (NAFLD) into non-alcoholic steato-hepatitis (NASH) and cirrhosis, by quantifying liver fibrosis.
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Affiliation(s)
- Michele Di Martino
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, V.le Regina Elena 324 00161 Rome, Italy.
| | - Kameliya Koryukova
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, V.le Regina Elena 324 00161 Rome, Italy.
| | - Mario Bezzi
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, V.le Regina Elena 324 00161 Rome, Italy.
| | - Carlo Catalano
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, V.le Regina Elena 324 00161 Rome, Italy.
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Schwenke M, Strehlow J, Demedts D, Haase S, Barrios Romero D, Rothlübbers S, von Dresky C, Zidowitz S, Georgii J, Mihcin S, Bezzi M, Tanner C, Sat G, Levy Y, Jenne J, Günther M, Melzer A, Preusser T. A focused ultrasound treatment system for moving targets (part I): generic system design and in-silico first-stage evaluation. J Ther Ultrasound 2017; 5:20. [PMID: 28748092 PMCID: PMC5523151 DOI: 10.1186/s40349-017-0098-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 01/30/2017] [Accepted: 05/11/2017] [Indexed: 12/25/2022] Open
Abstract
Background Focused ultrasound (FUS) is entering clinical routine as a treatment option. Currently, no clinically available FUS treatment system features automated respiratory motion compensation. The required quality standards make developing such a system challenging. Methods A novel FUS treatment system with motion compensation is described, developed with the goal of clinical use. The system comprises a clinically available MR device and FUS transducer system. The controller is very generic and could use any suitable MR or FUS device. MR image sequences (echo planar imaging) are acquired for both motion observation and thermometry. Based on anatomical feature tracking, motion predictions are estimated to compensate for processing delays. FUS control parameters are computed repeatedly and sent to the hardware to steer the focus to the (estimated) target position. All involved calculations produce individually known errors, yet their impact on therapy outcome is unclear. This is solved by defining an intuitive quality measure that compares the achieved temperature to the static scenario, resulting in an overall efficiency with respect to temperature rise. To allow for extensive testing of the system over wide ranges of parameters and algorithmic choices, we replace the actual MR and FUS devices by a virtual system. It emulates the hardware and, using numerical simulations of FUS during motion, predicts the local temperature rise in the tissue resulting from the controls it receives. Results With a clinically available monitoring image rate of 6.67 Hz and 20 FUS control updates per second, normal respiratory motion is estimated to be compensable with an estimated efficiency of 80%. This reduces to about 70% for motion scaled by 1.5. Extensive testing (6347 simulated sonications) over wide ranges of parameters shows that the main source of error is the temporal motion prediction. A history-based motion prediction method performs better than a simple linear extrapolator. Conclusions The estimated efficiency of the new treatment system is already suited for clinical applications. The simulation-based in-silico testing as a first-stage validation reduces the efforts of real-world testing. Due to the extensible modular design, the described approach might lead to faster translations from research to clinical practice.
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Affiliation(s)
- Michael Schwenke
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Jan Strehlow
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Daniel Demedts
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Sabrina Haase
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Diego Barrios Romero
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Sven Rothlübbers
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany.,Mediri, Heidelberg, Germany
| | - Caroline von Dresky
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Stephan Zidowitz
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Joachim Georgii
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany
| | - Senay Mihcin
- Institute for Medical Science and Technology, Dundee, Scotland
| | - Mario Bezzi
- Universita Degli Studi Di Roma La Sapienza, Rome, Italy
| | - Christine Tanner
- Computer Vision Laboratory, Eidgenössische Technische Hochschule, Zurich, Switzerland
| | - Giora Sat
- GE Medical Systems Israel, Haifa, Israel
| | | | - Jürgen Jenne
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany.,Mediri, Heidelberg, Germany
| | - Matthias Günther
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany.,Mediri, Heidelberg, Germany
| | - Andreas Melzer
- Institute for Medical Science and Technology, Dundee, Scotland.,Innovation Center Computer Assisted Surgery, Leipzig, Germany
| | - Tobias Preusser
- Fraunhofer Institute for Medical Image Computing MEVIS, Am Fallturm 1, Bremen, 28359 Germany.,Jacobs University, Bremen, Germany
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Abstract
Background This article aims to comprehensively describe indications, contraindications, technical aspects, diagnostic accuracy and complications of percutaneous lung biopsy. Methods Imaging-guided biopsy currently represents one of the predominant methods for obtaining tissue specimens in patients with lung nodules; in many cases treatment protocols are based on histological information; thus, biopsy is frequently performed, when technically feasible, or in case other techniques (such as bronchoscopy with lavage) are inconclusive. Results Although a coaxial system is suitable in any case, two categories of needles can be used: fine-needle aspiration biopsy (FNAB) and core-needle biopsy (CNB), with the latter demonstrated to have a slightly higher overall sensitivity, specificity and accuracy. Conclusion Percutaneous lung biopsy is a safe procedure even though a few complications are possible: pneumothorax, pulmonary haemorrhage and haemoptysis are common complications, while air embolism and seeding are rare, but potentially fatal complications. Teaching points • Imaging-guided biopsy is one of the main methods to obtain lung nodule specimens. • CT has the highest accuracy for diagnosis as an imaging guide. • Compared to FNAB, CNB has a higher accuracy for diagnosis. • Pneumothorax and parenchymal pulmonary haemorrhage care the most frequent complications. • Several clinical and technical variables can affect diagnostic accuracy and patient safety.
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Affiliation(s)
- Michele Anzidei
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy.
| | - Andrea Porfiri
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Fabrizio Andrani
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Michele Di Martino
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Luca Saba
- Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari, Polo di Monserrato, Italy
| | - Carlo Catalano
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy
| | - Mario Bezzi
- Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Viale Regina Elena, 324, 00161, Rome, Italy
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Sacconi B, Anzidei M, Leonardi A, Boni F, Saba L, Scipione R, Anile M, Rengo M, Longo F, Bezzi M, Venuta F, Napoli A, Laghi A, Catalano C. Analysis of CT features and quantitative texture analysis in patients with lung adenocarcinoma: a correlation with EGFR mutations and survival rates. Clin Radiol 2017; 72:443-450. [DOI: 10.1016/j.crad.2017.01.015] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 01/13/2017] [Accepted: 01/24/2017] [Indexed: 02/08/2023]
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Lucatelli P, Argirò R, Ginanni Corradini S, Saba L, Cirelli C, Fanelli F, Ricci C, Levi Sandri GB, Catalano C, Bezzi M. Comparison of Image Quality and Diagnostic Performance of Cone-Beam CT during Drug-Eluting Embolic Transarterial Chemoembolization and Multidetector CT in the Detection of Hepatocellular Carcinoma. J Vasc Interv Radiol 2017; 28:978-986. [PMID: 28495451 DOI: 10.1016/j.jvir.2017.03.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Revised: 03/08/2017] [Accepted: 03/09/2017] [Indexed: 10/19/2022] Open
Abstract
PURPOSE To compare image quality and diagnostic performance of cone-beam computed tomography (CT) and multidetector CT in the detection of hypervascular hepatocellular carcinoma (HCC) in patients with cirrhosis undergoing transarterial chemoembolization with drug-eluting embolic agents. MATERIALS AND METHODS Fifty-five consecutive patients referred for chemoembolization of hypervascular HCC were prospectively enrolled. Imaging included preprocedural multidetector CT within 1 month before planned treatment, intraprocedural cone-beam CT, and 1-month follow-up multidetector CT. Analysis of image quality was performed with calculations of lesion-to-liver contrast-to-noise ratio (LLCNR) and lesion-to-liver signal-to-noise-ratio (LLSNR). One-month follow-up multidetector CT was considered the reference standard for the detection of HCC nodules. RESULTS Median LLCNR values were 3.94 (95% confidence interval [CI], 3.06-5.05) for preprocedural multidetector CT and 6.90 (95% CI, 5.17-7.77) for intraprocedural cone-beam CT (P < .0001). Median LLSNR values were 11.53 (95% CI, 9.51-12.44) for preprocedural multidetector CT and 9.36 (95% CI, 8.12-10.39) for intraprocedural cone-beam CT (P < .0104). Preprocedural multidetector CT detected 115 hypervascular nodules with typical HCC behavior, and cone-beam CT detected 15 additional hypervascular nodules that were also visible on 1-month follow-up multidetector CT. CONCLUSIONS Cone-beam CT has a significantly higher diagnostic performance compared with preprocedural multidetector CT in the detection of HCCs and can influence management of patients with cirrhosis by identifying particularly aggressive tumors.
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Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy; Vascular and Interventional Radiology Unit, University of Siena, Siena, Italy
| | - Renato Argirò
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy; Department of Radiology, Interventional Radiology Unit, Ospedale Madre Giuseppina Vannini, Rome, Italy; Vascular and Interventional Radiology Unit, University of Siena, Siena, Italy.
| | | | - Luca Saba
- Department of Medical Imaging, Azienda Ospedaliero Universitaria of Cagliari-Polo di Monserrato, Cagliari, Italy
| | - Carlo Cirelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy
| | - Fabrizio Fanelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy
| | - Carmelo Ricci
- Department of Gastroenterology, Policlinio Umberto I, Sapienza University of Rome, Rome, Italy
| | | | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy
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Fowlkes B, Ghanouni P, Sanghvi N, Coussios C, Lyon PC, Gray M, Mannaris C, Victor MDS, Stride E, Cleveland R, Carlisle R, Wu F, Middleton M, Gleeson F, Aubry JF, Pauly KB, Moonen C, Vortman J, Ghanouni P, Sharabi S, Daniels D, Last D, Guez D, Levy Y, Volovick A, Grinfeld J, Rachmilevich I, Amar T, Zibly Z, Mardor Y, Harnof S, Plaksin M, Weissler Y, Shoham S, Kimmel E, Naor O, Farah N, Shoham S, Paeng DG, Xu Z, Snell J, Quigg AH, Eames M, Jin C, Everstine AC, Sheehan JP, Lopes BS, Kassell N, Looi T, Khokhlova V, Mougenot C, Hynynen K, Drake J, Slayton M, Amodei RC, Compton K, McNelly A, Latt D, Slayton M, Amodei RC, Compton K, Kearney J, Melodelima D, Dupre A, Chen Y, Perol D, Vincenot J, Chapelon JY, Rivoire M, Guo W, Ren G, Shen G, Neidrauer M, Zubkov L, Weingarten MS, Margolis DJ, Lewin PA, McDannold N, Sutton J, Vykhodtseva N, Livingstone M, Kobus T, Zhang YZ, Vykhodtseva N, McDannold N, Schwartz M, Huang Y, Lipsman N, Jain J, Chapman M, Sankar T, Lozano A, Hynynen K, Schwartz M, Yeung R, Huang Y, Lipsman N, Jain J, Chapman M, Lozano A, Hynynen K, Damianou C, Papadopoulos N, Volovick A, Grinfeld J, Levy Y, Brokman O, Zadicario E, Brenner O, Castel D, Wu SY, Grondin J, Zheng W, Heidmann M, Karakatsani ME, Sánchez CJS, Ferrera V, Konofagou EE, Damianou C, Yiannakou M, Cho H, Lee H, Han M, Choi JR, Lee T, Ahn S, Chang Y, Park J, Ellens N, Partanen A, Farahani K, Airan R, Carpentier A, Canney M, Vignot A, Lafon C, Chapelon JY, Delattre JY, Idbaih A, Odéen H, Bolster B, Jeong EK, Parker DL, Gaur P, Feng X, Fielden S, Meyer C, Werner B, Grissom W, Marx M, Ghanouni P, Pauly KB, Weber H, Taviani V, Pauly KB, Ghanouni P, Hargreaves B, Tanaka J, Kikuchi K, Ishijima A, Azuma T, Minamihata K, Yamaguchi S, Nagamune T, Sakuma I, Takagi S, Santin MD, Marsac L, Maimbourg G, Monfort M, Larrat B, François C, Lehéricy S, Tanter M, Aubry JF, Karakatsani ME, Samiotaki G, Wang S, Acosta C, Feinberg ER, Konofagou EE, Kovacs ZI, Tu TW, Papadakis GZ, Reid WC, Hammoud DA, Frank JA, Kovacs ZI, Kim S, Jikaria N, Bresler M, Qureshi F, Frank JA, Xia J, Tsui PS, Liu HL, Plata JC, Fielden S, Sveinsson B, Hargreaves B, Meyer C, Pauly KB, Plata JC, Salgaonkar VA, Adams M, Diederich C, Ozhinsky E, Bucknor MD, Rieke V, Partanen A, Mikhail A, Severance L, Negussie AH, Wood B, de Greef M, Schubert G, Moonen C, Ries M, Poorman ME, Dockery M, Chaplin V, Dudzinski SO, Spears R, Caskey C, Giorgio T, Grissom W, Costa MM, Papaevangelou E, Shah A, Rivens I, Box C, Bamber J, ter Haar G, Burks SR, Nagle M, Nguyen B, Bresler M, Frank JA, Burks SR, Nagle M, Nguyen B, Bresler M, Kim S, Milo B, Frank JA, Le NM, Song S, Zhou K, Nabi G, Huang Z, Ben-Ezra S, Rosen S, Mihcin S, Strehlow J, Karakitsios I, Le N, Schwenke M, Demedts D, Prentice P, Haase S, Preusser T, Melzer A, Mestas JL, Chettab K, Gomez GS, Dumontet C, Werle B, Lafon C, Marquet F, Bour P, Vaillant F, Amraoui S, Dubois R, Ritter P, Haïssaguerre M, Hocini M, Bernus O, Quesson B, Livneh A, Kimmel E, Adam D, Robin J, Arnal B, Fink M, Tanter M, Pernot M, Khokhlova TD, Schade GR, Wang YN, Kreider W, Simon J, Starr F, Karzova M, Maxwell A, Bailey MR, Khokhlova V, Lundt JE, Allen SP, Sukovich JR, Hall T, Xu Z, Schade GR, Wang YN, Khokhlova TD, May P, Lin DW, Bailey MR, Khokhlova V, Constans C, Deffieux T, Tanter M, Aubry JF, Park EJ, Ahn YD, Kang SY, Park DH, Lee JY, Vidal-Jove J, Perich E, Ruiz A, Jaen A, Eres N, del Castillo MA, Myers R, Kwan J, Coviello C, Rowe C, Crake C, Finn S, Jackson E, Carlisle R, Coussios C, Pouliopoulos A, Li C, Tinguely M, Tang MX, Garbin V, Choi JJ, Lyon PC, Mannaris C, Gray M, Folkes L, Stratford M, Carlisle R, Wu F, Middleton M, Gleeson F, Coussios C, Nwokeoha S, Carlisle R, Cleveland R, Wang YN, Khokhlova TD, Li T, Farr N, D’Andrea S, Starr F, Gravelle K, Chen H, Partanen A, Lee D, Hwang JH, Tardoski S, Ngo J, Gineyts E, Roux JP, Clézardin P, Melodelima D, Conti A, Magnin R, Gerstenmayer M, Lux F, Tillement O, Mériaux S, Penna SD, Romani GL, Dumont E, Larrat B, Sun T, Power C, 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Müller M, Sat G, Tanner C, Zangos S, Günther M, Melzer A, Lafon C, Dinh AH, Niaf E, Bratan F, Guillen N, Souchon R, Lartizien C, Crouzet S, Rouviere O, Chapelon JY, Han Y, Wang S, Konofagou EE, Payen T, Palermo C, Sastra S, Chen H, Han Y, Olive K, Konofagou EE, van Breugel JM, de Greef M, Mougenot C, van den Bosch MA, Moonen C, Ries M, Gerstenmayer M, Magnin R, Fellah B, Le Bihan D, Larrat B, Gerstenmayer M, Magnin R, Mériaux S, Le Bihan D, Larrat B, Allen SP, Hernandez-Garcia L, Cain CA, Hall T, Lyka E, Elbes D, Coviello C, Cleveland R, Coussios C, Zhou K, Le NM, Li C, Huang Z, Tamano S, Jimbo H, Azuma T, Yoshizawa S, Fujiwara K, Itani K, Umemura SI, Damianou C, Yiannakou M, Ellens N, Partanen A, Stoianovici D, Farahani K, Zaini Z, Takagi R, Yoshizawa S, Umemura SI, Zong S, Shen G, Watkins R, Pascal-Tenorio A, Adams M, Plata JC, Salgaonkar V, Jones P, Butts-Pauly K, Diederich C, Bouley D, Rybyanets A, Ren G, Guo W, Shen G, Chen Y, Lin CY, Hsieh HY, Wei KC, Liu HL, Garnier C, Renault G, Farr N, Partanen A, Negussie AH, Mikhail A, Seifabadi R, Wilson E, Eranki A, Kim P, Wood B, Lübke D, Jenne JW, Huber P, Günther M, Lübke D, Georgii J, Schwenke M, Dresky CV, Haller J, Günther M, Preusser T, Jenne JW, Eranki A, Farr N, Partanen A, Yarmolenko P, Negussie AH, Sharma K, Celik H, Wood B, Kim P, Li G, Qiu W, Zheng H, Tsai MY, Chu PC, Liu HL, Webb T, Vyas U, Pauly KB, Walker M, Zhong J, Looi T, Waspe AC, Drake J, Hodaie M, Yang FY, Huang SL, Zur Y, Volovick A, Assif B, Aurup C, Kamimura H, Wang S, Chen H, Acosta C, Carneiro AA, Konofagou EE, Volovick A, Grinfeld J, Castel D, Rothlübbers S, Schwaab J, Tanner C, Mihcin S, Houston G, Günther M, Jenne JW, Ozhinsky E, Bucknor MD, Rieke V, Azhari H, Weiss N, Sosna J, Goldberg SN, Barrere V, Melodelima D, Jang KW, Burks SR, Kovacs ZI, Tu TW, Lewis B, Kim S, Nagle M, Jikaria N, Frank JA, Zhou Y, Wang X, Ahn YD, Park EJ, Park DH, Kang SY, Lee JY, Suomi V, Konofagou EE, Edwards D, Cleveland R, Larrabee Z, Eames M, Hananel A, Aubry JF, Rafaely B, Volovick A, Grinfeld J, Kimmel E, Debbiny RE, Dekel CZ, Assa M, Kimmel E, Menikou G, Damianou C, Mouratidis P, Rivens I, ter Haar G, Pineda-Pardo JA, de Pedro MDÁ, Martinez R, Hernandez F, Casas S, Oliver C, Pastor P, Vela L, Obeso J, Greillier P, Zorgani A, Souchon R, Melodelima D, Catheline S, Lafon C, Solovov V, Vozdvizhenskiy MO, Orlov AE, Wu CH, Sun MK, Shih TT, Chen WS, Prieur F, Pillon A, Mestas JL, Cartron V, Cebe P, Chansard N, Lafond M, Lafon C, Inserra C, Seya PM, Chen WS, Bera JC, Boissenot T, Larrat B, Fattal E, Bordat A, Chacun H, Guetin C, Tsapis N, Maruyama K, Unga J, Suzuki R, Fant C, Lafond M, Rogez B, Ngo J, Lafon C, Mestas JL, Afadzi M, Myhre OF, Vea S, Bjørkøy A, Yemane PT, van Wamel A, Berg S, Hansen R, Angelsen B, Davies C. International Society for Therapeutic Ultrasound Conference 2016. J Ther Ultrasound 2017. [PMCID: PMC5374646 DOI: 10.1186/s40349-016-0079-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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Zaaroor M, Sinai A, Goldsher D, Eran A, Nassar M, Schlesinger I, Parker J, Ravikumar V, Ghanouni P, Stein S, Halpern C, Krishna V, Hargrove A, Agrawal P, Changizi B, Bourekas E, Knopp M, Rezai A, Mead B, Kim N, Mastorakos P, Suk JS, Miller W, Klibanov A, Hanes J, Price R, Wang S, Olumolade O, Kugelman T, Jackson-Lewis V, Karakatsani ME, Han Y, Przedborski S, Konofagou E, Hynynen K, Aubert I, Leinenga G, Nisbet R, Hatch R, Van der Jeugd A, Evans H, Götz J, Götz J, Nisbet R, Van der Jeugd A, Evans H, Leinenga G, Fishman P, Yarowsky P, Frenkel V, Wei-Bin S, Nguyen B, Sanchez CS, Acosta C, Chen C, Wu SY, Karakatsani ME, Konofagou E, Aryal M, Papademetriou IT, Zhang YZ, Power C, McDannold N, Porter T, Kovacs Z, Kim S, Jikaria N, Qureshi F, Bresler M, Frank J, Odéen H, Chiou G, Snell J, Todd N, Madore B, Parker D, Pauly KB, Marx M, Ghanouni P, Jonathan S, Grissom W, Arvanitis C, McDannold N, Clement G, Parker D, de Bever J, Odéen H, Payne A, Christensen D, Maimbourg G, Santin MD, Houdouin A, Lehericy S, Tanter M, Aubry JF, Pauly KB, Federau C, Werner B, Halpern C, Ghanouni P, Preusser T, McLeod H, Abraham C, Pichardo S, Curiel L, Ramaekers P, de Greef M, Berriet R, Moonen C, Ries M, Paeng DG, Dillon C, Janát-Amsbury M, Payne A, Corea J, Ye PP, Arias AC, Pauly KB, Lustig M, Svedin B, Payne A, Xu Z, Parker D, Snell J, Quigg A, Eames M, Jin C, Everstine A, Sheehan J, Lopes MB, Kassell N, Snell J, Quigg A, Drake J, Price K, Lustgarten L, Sin V, Mougenot C, Donner E, Tam E, Hodaie M, Waspe A, Looi T, Pichardo S, Lee W, Chung YA, Jung Y, Song IU, Yoo SS, Lee W, Kim HC, Jung Y, Chung YA, Song IU, Lee JH, Yoo SS, Caskey C, Zinke W, Cosman J, Shuman J, Schall J, Aurup C, Wang S, Chen H, Acosta C, Konofagou E, Kamimura H, Carneiro A, Todd N, Sun T, Zhang YZ, Power C, Nazai N, Patz S, Livingstone M, McDannold N, Mainprize T, Huang Y, Alkins R, Chapman M, Perry J, Lipsman N, Bethune A, Sahgal A, Trudeau M, Hynynen K, Liu HL, Hsu PH, Wei KC, Sun T, Power C, Zhang YZ, Sutton J, Alexander P, Aryal M, Miller E, McDannold N, Kobus T, Zhang YZ, McDannold N, Carpentier A, Canney M, Vignot A, Beccaria K, Leclercq D, Lafon C, Chapelon JY, Hoang-Xuan K, Delattre JY, Idbaih A, Xu Z, Moore D, Xu A, Schmitt P, Snell J, Foley J, Eames M, Sheehan J, Kassell N, Sukovich J, Cain C, Xu Z, Pandey A, Snell J, Chaudhary N, Camelo-Piragua S, Allen S, Paeng DG, Cannata J, Teofilovic D, Bertolina J, Kassell N, Hall T, Xu Z, Wu SY, Karakatsani ME, Grondin J, Sanchez CS, Ferrera V, Konofagou E, ter Haar G, Mouratidis P, Repasky E, Timbie K, Badr L, Campbell B, McMichael J, Buckner A, Prince J, Stevens A, Bullock T, Price R, Skalina K, Guha C, Orsi F, Bonomo G, Vigna PD, Mauri G, Varano G, Schade G, Wang YN, Pillarisetty V, Hwang JH, Khokhlova V, Bailey M, Khokhlova T, Khokhlova V, Sinilshchikov I, Yuldashev P, Andriyakhina Y, Kreider W, Maxwell A, Khokhlova T, Sapozhnikov O, Partanen A, Lundt J, Allen S, Sukovich J, Hall T, Cain C, Xu Z, Preusser T, Haase S, Bezzi M, Jenne J, Langø T, Midiri M, Mueller M, Sat G, Tanner C, Zangos S, Guenther M, Melzer A, Menciassi A, Tognarelli S, Cafarelli A, Diodato A, Ciuti G, Rothluebbers S, Schwaab J, Strehlow J, Mihcin S, Tanner C, Tretbar S, Preusser T, Guenther M, Jenne J, Payen T, Palermo C, Sastra S, Chen H, Han Y, Olive K, Konofagou E, Adams M, Salgaonkar V, Scott S, Sommer G, Diederich C, Vidal-Jove J, Perich E, Ruiz A, Velat M, Melodelima D, Dupre A, Vincenot J, Yao C, Perol D, Rivoire M, Tucci S, Mahakian L, Fite B, Ingham E, Tam S, Hwang CI, Tuveson D, Ferrara K, Scionti S, Chen L, Cvetkovic D, Chen X, Gupta R, Wang B, Ma C, Bader K, Haworth K, Maxwell A, Holland C, Sanghvi N, Carlson R, Chen W, Chaussy C, Thueroff S, Cesana C, Bellorofonte C, Wang Q, Wang H, Wang S, Zhang J, Bazzocchi A, Napoli A, Staruch R, Bing C, Shaikh S, Nofiele J, Szczepanski D, Staruch MW, Williams N, Laetsch T, Chopra R, Ghanouni P, Rosenberg J, Bitton R, Napoli A, LeBlang S, Meyer J, Hurwitz M, Pauly KB, Partanen A, Yarmolenko P, Partanen A, Celik H, Eranki A, Beskin V, Santos D, Patel J, Oetgen M, Kim A, Kim P, Sharma K, Chisholm A, Drake J, Aleman D, Waspe A, Looi T, Pichardo S, Napoli A, Bazzocchi A, Scipione R, Temple M, Waspe A, Amaral JG, Huang Y, Endre R, Lamberti-Pasculli M, de Ruiter J, Campbell F, Stimec J, Gupta S, Singh M, Mougenot C, Hopyan S, Hynynen K, Czarnota G, Drake J, Brenin D, Rochman C, Kovatcheva R, Vlahov J, Zaletel K, Stoinov J, Han Y, Wang S, Konofagou E, Bucknor M, Rieke V, Shim J, Staruch R, Koral K, Chopra R, Laetsch T, Lang B, Wong C, Lam H, Kovatcheva R, Vlahov J, Zaletel K, Stoinov J, Shinkov A, Hu J, Sharma K, Zhang X, Macoskey J, Ives K, Owens G, Gurm H, Shi J, Pizzuto M, Cain C, Xu Z, Payne A, Dillon C, Christofferson I, Hilas E, Shea J, Greillier P, Ankou B, Bessière F, Zorgani A, Pioche M, Kwiecinski W, Magat J, Melot-Dusseau S, Lacoste R, Quesson B, Pernot M, Catheline S, Chevalier P, Lafon C, Marquet F, Bour P, Vaillant F, Amraoui S, Dubois R, Ritter P, Haïssaguerre M, Hocini M, Bernus O, Quesson B, Tebebi P, Burks S, Kim S, Milo B, Frank J, Gertner M, Zhang J, Wong A, Fite B, Liu Y, Kheirolomoom A, Seo J, Watson K, Mahakian L, Tam S, Zhang H, Foiret J, Borowsky A, Ferrara K, Xu D, Melzer A, Thanou M, Centelles M, Wright M, Amrahli M, So PW, Gedroyc W, Centelles M, Wright M, Gedroyc W, Thanou M, Kneepkens E, Heijman E, Keupp J, Weiss S, Nicolay K, Grüll H, Fite B, Wong A, Liu Y, Kheirolomoom A, Mahakian L, Tam S, Foiret J, Ferrara K, Burks S, Nagle M, Kim S, Milo B, Frank J, Sapozhnikov O, Nikolaeva AV, Terzi ME, Tsysar SA, Maxwell A, Cunitz B, Bailey M, Mourad P, Downs M, Yang G, Wang Q, Konofagou E, Burks S, Nagle M, Nguyen B, Bresler M, Kim S, Milo B, Frank J, Burks S, Nagle M, Kim S, Milo B, Frank J, Chen J, Farry J, Dixon A, Du Z, Dhanaliwala A, Hossack J, Klibanov A, Ranjan A, Maples D, Chopra R, Bing C, Staruch R, Wardlow R, Staruch MW, Malayer J, Ramachandran A, Nofiele J, Namba H, Kawasaki M, Izumi M, Kiyasu K, Takemasa R, Ikeuchi M, Ushida T, Crake C, Papademetriou IT, Zhang YZ, Porter T, McDannold N, Kothapalli SVVN, Leighton W, Wang Z, Partanen A, Gach HM, Straube W, Altman M, Chen H, Kim YS, Lim HK, Rhim H, Kim YS, Lim HK, Rhim H, van Breugel J, Braat M, Moonen C, van den Bosch M, Ries M, Marrocchio C, Dababou S, Bitton R, Pauly KB, Ghanouni P, Lee JY, Lee JY, Chung HH, Kang SY, Kang KJ, Son KH, Zhang D, Adams M, Salgaonkar V, Plata J, Jones P, Pascal-Tenorio A, Bouley D, Sommer G, Pauly KB, Diederich C, Bond A, Dallapiazza R, Huss D, Warren A, Sperling S, Gwinn R, Shah B, Elias WJ, Curley C, Zhang Y, Negron K, Miller W, Klibanov A, Abounader R, Suk JS, Hanes J, Price R, Karakatsani ME, Samiotaki G, Wang S, Kugelman T, Acosta C, Konofagou E, Kovacs Z, Tu TW, Papadakis G, Hammoud D, Frank J, Silvestrini M, Wolfram F, Güllmar D, Reichenbach J, Hofmann D, Böttcher J, Schubert H, Lesser TG, Almquist S, Parker D, Christensen D, Camarena F, Jiménez-Gambín S, Jiménez N, Konofagou E, Chang JW, Chaplin V, Griesenauer R, Miga M, Caskey C, Ellens N, Airan R, Quinones-Hinojosa A, Farahani K, Partanen A, Feng X, Fielden S, Zhao L, Miller W, Wintermark M, Pauly KB, Meyer C, Guo S, Lu X, Zhuo J, Xu S, Gullapalli R, Gandhi D, Jin C, Brokman O, Eames M, Snell J, Paeng DG, Baek H, Kim H, Leung S, Webb T, Pauly KB, McDannold N, Zhang YZ, Vykhodtseva N, Nguyen TS, Sukovich J, Hall T, Xu Z, Cain C, Park CK, Park SM, Jung NY, Kim MS, Chang WS, Jung HH, Chang JW, Pichardo S, Hynynen K, Plaksin M, Weissler Y, Shoham S, Kimmel E, Quigg A, Snell J, Paeng DG, Eames M, Sapozhnikov O, Rosnitskiy PB, Khokhlova V, Shoham S, Krupa S, Hazan E, Naor O, Levy Y, Maimon N, Brosh I, Kimmel E, Kahn I, Sukovich J, Xu Z, Hall T, Allen S, Cain C, Cahill J, Sun T, Zhang YZ, Power C, Livingstone M, McDannold N, Todd N, Colas EC, Wydra A, Waspe A, Looi T, Maev R, Pichardo S, Drake J, Aly A, Sun T, Zhang YZ, Sesenoglu-Laird O, Padegimas L, Cooper M, McDannold N, Waszczak B, Tehrani S, Miller W, Slingluff C, Larner J, Andarawewa K, Bucknor M, Ozhinsky E, Shah R, Krug R, Rieke V, Deckers R, Linn S, Suelmann B, Braat M, Witkamp A, Vaessen P, van Diest P, Bartels LW, Bos C, van den Bosch M, Borys N, Storm G, Van der Wall E, Moonen C, Farr N, Alnazeer M, Yarmolenko P, Katti P, Partanen A, Eranki A, Kim P, Wood B, Farrer A, Almquist S, Dillon C, Parker D, Christensen D, Payne A, Ferrer C, Bartels LW, de Senneville BD, van Stralen M, Moonen C, Bos C, Liu Y, Liu J, Fite B, Foiret J, Leach JK, Ferrara K, Gupta R, Cvetkovic D, Ma C, Chen L, Haase S, Zidowitz S, Melzer A, Preusser T, Lee HL, Hsu FC, Kuo CC, Jeng SC, Chen TH, Yang NY, Chiou JF, Jeng SC, Kao YT, Pan CH, Wu JF, Chen TH, Hsu FC, Lee HL, Chiou JF, Hsu FC, Tsai YC, Lee HL, Chiou JF, Johnson S, Parker D, Payne A, Li D, He Y, Mihcin S, Karakitsios I, Strehlow J, Schwenke M, Haase S, Demedts D, Levy Y, Preusser T, Melzer A, Mihcin S, Rothluebbers S, Karakitsios I, Xiao X, Strehlow J, Demedts D, Cavin I, Sat G, Preusser T, Melzer A, Minalga E, Payne A, Merrill R, Parker D, Hadley R, Ramaekers P, Ries M, Moonen C, de Greef M, Shahriari K, Parvizi MH, Asadnia K, Chamanara M, Kamrava SK, Chabok HR, Schwenke M, Strehlow J, Demedts D, Tanner C, Rothluebbers S, Preusser T, Strehlow J, Stein R, Demedts D, Schwenke M, Rothluebbers S, Preusser T, Demedts D, Haase S, Muller S, Strehlow J, Langø T, Preusser T, Tan J, Zachiu C, Ramaekers P, Moonen C, Ries M, Wolfram F, Güllmar D, Schubert H, Lesser TG, Erasmus HP, Colas EC, Waspe A, Mougenot C, Looi T, Van Arsdell G, Benson L, Drake J, Jang KW, Tu TW, Jikaria N, Nagle M, Angstadt M, Lewis B, Qureshi F, Burks S, Frank J, McLean H, Payne A, Hoogenboom M, Eikelenboom D, den Brok M, Wesseling P, Heerschap A, Fütterer J, Adema G, Wang K, Zhang Y, Zhong P, Xiao X, Joy J, McLeod H, Melzer A, Bing C, Staruch R, Nofiele J, Szczepanski D, Staruch MW, Laetsch T, Chopra R, Bing C, Staruch R, Yarmolenko P, Celik H, Nofiele J, Szczepanski D, Kim P, Kim H, Lewis M, Chopra R, Shah R, Ozhinsky E, Rieke V, Bucknor M, Diederich C, Salgaonkar V, Jones P, Adams M, Ozilgen A, Zahos P, Coughlin D, Tang X, Lotz J, Jedruszczuk K, Gulati A, Solomon S, Kaye E, Fielden S, Mugler J, Miller W, Pauly KB, Meyer C, Barbato G, Scoarughi GL, Corso C, Gorgone A, Migliore IG, Larrabee Z, Hananel A, Eames M, Aubry JF, Eranki A, Farr N, Partanen A, Sharma K, Yarmolenko P, Wood B, Kim P, Farr N, Kothapalli SVVN, Eranki A, Negussie A, Wilson E, Seifabadi R, Kim P, Chen H, Wood B, Partanen A, Moon H, Kang J, Sim C, Chang JH, Kim H, Lee HJ, Sasaki N, Takiguchi M, Sebeke L, Luo X, de Jager B, Heemels M, Heijman E, Grüll H, Strehlow J, Schwenke M, Demedts D. 5th International Symposium on Focused Ultrasound. J Ther Ultrasound 2016. [PMCID: PMC5123388 DOI: 10.1186/s40349-016-0076-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Di Martino M, Pacifico L, Bezzi M, Di Miscio R, Sacconi B, Chiesa C, Catalano C. Comparison of magnetic resonance spectroscopy, proton density fat fraction and histological analysis in the quantification of liver steatosis in children and adolescents. World J Gastroenterol 2016; 22:8812-8819. [PMID: 27818597 PMCID: PMC5075556 DOI: 10.3748/wjg.v22.i39.8812] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 06/30/2016] [Accepted: 08/01/2016] [Indexed: 02/06/2023] Open
Abstract
AIM To establish a threshold value for liver fat content between healthy children and those with non-alcoholic fatty liver disease (NAFLD) by using magnetic resonance imaging (MRI), with liver biopsy serving as a reference standard.
METHODS The study was approved by the local ethics committee, and written informed consent was obtained from all participants and their legal guardians before the study began. Twenty-seven children with NAFLD underwent liver biopsy to assess the presence of nonalcoholic steatohepatitis. The assessment of liver fat fraction was performed using MRI, with a high field magnet and 2D gradient-echo and multiple-echo T1-weighted sequence with low flip angle and single-voxel point-resolved ¹H MR-Spectroscopy (¹H-MRS), corrected for T1 and T2* decays. Receiver operating characteristic curve analysis was used to determine the best cut-off value. Lin coefficient test was used to evaluate the correlation between histology, MRS and MRI-PDFF. A Mann-Whitney U-test and multivariate analysis were performed to analyze the continuous variables.
RESULTS According to MRS, the threshold value between healthy children and those with NAFLD is 6%; using MRI-PDFF, a cut-off value of 3.5% is suggested. The Lin analysis revealed a good fit between the histology and MRS as well as MRI-PDFF.
CONCLUSION MRS is an accurate and precise method for detecting NAFLD in children.
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Sacconi B, Argirò R, Iannarelli A, Di Gaeta A, Bezzi M. Multifocal bilateral desmoid tumour of perirenal tissues with peribiliary localization. BJR Case Rep 2016; 2:20150099. [PMID: 30363565 PMCID: PMC6180855 DOI: 10.1259/bjrcr.20150099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Revised: 11/09/2015] [Accepted: 11/16/2015] [Indexed: 11/10/2022] Open
Abstract
Desmoid tumour (DT) is an unusual, benign tumour, more frequently observed in patients with familial polyposis and pregnant females. It usually presents as a single mass lesion, more frequently showing a compressive rather than an infiltrative growth pattern. We report a case of a 70-year-old male presenting with a multifocal, bilateral infiltrative DT of the perirenal tissue, with involvement of the choledochus wall. The patient was partly treated with tamoxifen and docetaxel, but both therapies were discontinued in accordance with the patient’s decision owing to mild toxicity; however, a CT examination performed 3 months later showed an unexpected remarkable reduction of the tumour at all sites. At 1 year follow-up, new pathologic tissue was visible surrounding the right renal pelvis and the calices.
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Lucatelli P, Sacconi B, Cereatti F, Argirò R, Corona M, Bezzi M, Fanelli F, Fiocca F, Saba L, Catalano C. Combined Endoscopic-Radiological Rendezvous for Distal Tail Postoperative Pancreatic Fistula (POPF). Cardiovasc Intervent Radiol 2016; 39:1327-31. [PMID: 27048486 DOI: 10.1007/s00270-016-1332-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 02/10/2016] [Accepted: 03/22/2016] [Indexed: 10/22/2022]
Abstract
Postoperative pancreatic fistula (POPF) with leakage of pancreatic juice is a rare, severe complication following pancreatic resection or, less commonly, splenectomy. Definitive treatment can require multidisciplinary approaches. We report a case of stenosis of the main pancreatic duct with distal tail GRADE C POPF, occurred after splenectomy for Hodgkin lymphoma, successfully treated with combined radiological-endoscopic approach.
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Affiliation(s)
- Pierleone Lucatelli
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Beatrice Sacconi
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.,Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Viale Regina Elena 291, Rome, Italy
| | - Fabrizio Cereatti
- Department of General Surgery Paride Stefanini, Interventional Endoscopy Unit, "Sapienza" University of Rome, Rome, Italy
| | - Renato Argirò
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Corona
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Mario Bezzi
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fabrizio Fanelli
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Fausto Fiocca
- Department of General Surgery Paride Stefanini, Interventional Endoscopy Unit, "Sapienza" University of Rome, Rome, Italy
| | - Luca Saba
- Department of Radiology, Azienda Ospedaliero Universitaria di Cagliari-Polo di Monserrato, Cagliari, Italy
| | - Carlo Catalano
- Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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Lucatelli P, Corradini SG, Bezzi M, Catalano C. Reply to the letter Regarding "Risk Factors for Immediate and Delayed-Onset Fever After Percutaneous Transhepatic Biliary Drainage". Cardiovasc Intervent Radiol 2016; 39:796-797. [PMID: 26908363 DOI: 10.1007/s00270-016-1307-4] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Accepted: 02/11/2016] [Indexed: 10/22/2022]
Affiliation(s)
- Pierleone Lucatelli
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
| | - Stefano Ginanni Corradini
- Gastroenterology Division, Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy
| | - Mario Bezzi
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
| | - Carlo Catalano
- Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-pathological Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy
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Preusser T, Bezzi M, Jenne J, Langø T, Levy Y, Mueller M, Sat G, Tanner C, Zangos S, Guenther M, Melzer A. TRANS-FUSIMO - clinical translation of patient specific planning and conduction of FUS treatment in moving organs. J Ther Ultrasound 2015. [PMCID: PMC4489484 DOI: 10.1186/2050-5736-3-s1-o85] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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