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  1. Article ; Online: CoLe-CNN: Context-learning convolutional neural network with adaptive loss function for lung nodule segmentation.

    Pezzano, Giuseppe / Ribas Ripoll, Vicent / Radeva, Petia

    Computer methods and programs in biomedicine

    2020  Volume 198, Page(s) 105792

    Abstract: Background and objective: An accurate segmentation of lung nodules in computed tomography images is a crucial step for the physical characterization of the tumour. Being often completely manually accomplished, nodule segmentation turns to be a tedious ... ...

    Abstract Background and objective: An accurate segmentation of lung nodules in computed tomography images is a crucial step for the physical characterization of the tumour. Being often completely manually accomplished, nodule segmentation turns to be a tedious and time-consuming procedure and this represents a high obstacle in clinical practice. In this paper, we propose a novel Convolutional Neural Network for nodule segmentation that combines a light and efficient architecture with innovative loss function and segmentation strategy.
    Methods: In contrast to most of the standard end-to-end architectures for nodule segmentation, our network learns the context of the nodules by producing two masks representing all the background and secondary-important elements in the Computed Tomography scan. The nodule is detected by subtracting the context from the original scan image. Additionally, we introduce an asymmetric loss function that automatically compensates for potential errors in the nodule annotations. We trained and tested our Neural Network on the public LIDC-IDRI database, compared it with the state of the art and run a pseudo-Turing test between four radiologists and the network.
    Results: The results proved that the behaviour of the algorithm is very near to the human performance and its segmentation masks are almost indistinguishable from the ones made by the radiologists. Our method clearly outperforms the state of the art on CT nodule segmentation in terms of F1 score and IoU of 3.3% and 4.7%, respectively.
    Conclusions: The main structure of the network ensures all the properties of the UNet architecture, while the Multi Convolutional Layers give a more accurate pattern recognition. The newly adopted solutions also increase the details on the border of the nodule, even under the noisiest conditions. This method can be applied now for single CT slice nodule segmentation and it represents a starting point for the future development of a fully automatic 3D segmentation software.
    MeSH term(s) Algorithms ; Databases, Factual ; Humans ; Lung/diagnostic imaging ; Neural Networks, Computer ; Tomography, X-Ray Computed
    Language English
    Publishing date 2020-10-15
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632564-6
    ISSN 1872-7565 ; 0169-2607
    ISSN (online) 1872-7565
    ISSN 0169-2607
    DOI 10.1016/j.cmpb.2020.105792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: CoLe-CNN+: Context learning - Convolutional neural network for COVID-19-Ground-Glass-Opacities detection and segmentation.

    Pezzano, Giuseppe / Díaz, Oliver / Ripoll, Vicent Ribas / Radeva, Petia

    Computers in biology and medicine

    2021  Volume 136, Page(s) 104689

    Abstract: Background and objective: The most common tool for population-wide COVID-19 identification is the Reverse Transcription-Polymerase Chain Reaction test that detects the presence of the virus in the throat (or sputum) in swab samples. This test has a ... ...

    Abstract Background and objective: The most common tool for population-wide COVID-19 identification is the Reverse Transcription-Polymerase Chain Reaction test that detects the presence of the virus in the throat (or sputum) in swab samples. This test has a sensitivity between 59% and 71%. However, this test does not provide precise information regarding the extension of the pulmonary infection. Moreover, it has been proven that through the reading of a computed tomography (CT) scan, a clinician can provide a more complete perspective of the severity of the disease. Therefore, we propose a comprehensive system for fully-automated COVID-19 detection and lesion segmentation from CT scans, powered by deep learning strategies to support decision-making process for the diagnosis of COVID-19.
    Methods: In the workflow proposed, the input CT image initially goes through lung delineation, then COVID-19 detection and finally lesion segmentation. The chosen neural network has a U-shaped architecture using a newly introduced Multiple Convolutional Layers structure, that produces a lung segmentation mask within a novel pipeline for direct COVID-19 detection and segmentation. In addition, we propose a customized loss function that guarantees an optimal balance on average between sensitivity and precision.
    Results: Lungs' segmentation results show a sensitivity near 99% and Dice-score of 97%. No false positives were observed in the detection network after 10 different runs with an average accuracy of 97.1%. The average accuracy for lesion segmentation was approximately 99%. Using UNet as a benchmark, we compared our results with several other techniques proposed in the literature, obtaining the largest improvement over the UNet outcomes.
    Conclusions: The method proposed in this paper outperformed the state-of-the-art methods for COVID-19 lesion segmentation from CT images, and improved by 38.2% the results for F1-score of UNet. The high accuracy observed in this work opens up a wide range of possible applications of our algorithm in other fields related to medical image segmentation.
    MeSH term(s) COVID-19 ; Humans ; Image Processing, Computer-Assisted ; Lung/diagnostic imaging ; Neural Networks, Computer ; SARS-CoV-2 ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-07-31
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 127557-4
    ISSN 1879-0534 ; 0010-4825
    ISSN (online) 1879-0534
    ISSN 0010-4825
    DOI 10.1016/j.compbiomed.2021.104689
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Carotid intima-media thickness.

    Pezzano, Antonio / La Carrubba, Salvatore / Gullace, Giuseppe

    Journal of cardiovascular medicine (Hagerstown, Md.)

    2006  Volume 7, Issue 7, Page(s) 555–559

    Abstract: In advanced countries the incidence of cardiovascular diseases is constantly increasing. During the last century many resources were employed to investigate atherosclerosis in relation to the main risk factors and to modification of lifestyles. ... ...

    Abstract In advanced countries the incidence of cardiovascular diseases is constantly increasing. During the last century many resources were employed to investigate atherosclerosis in relation to the main risk factors and to modification of lifestyles. Technologies have been developed to identify atherosclerosis in the sub-clinical phase. Measurement of the carotid intima-media thickness (IMT) by B-mode ultrasound is a well-validated procedure to detect the early stages of atherosclerosis and to track progression of atherosclerosis whereas other techniques have limited utility because of their invasive nature or limited sensitivity and reproducibility. In comparison with angiography, B-mode ultrasound has greater sensitivity for detecting early atherosclerosis and plaques at risk of rupture. IMT is associated with the severity of atherosclerosis in different vascular districts and has been measured in several clinical studies in order to assess the influence of risk factors, therapies and diet. It is also validated for drug evaluation. In spite of this evidence IMT measurement is not routinely performed in patients with high and middle levels of risk for cardiovascular diseases. Scientific societies and specifically those involved in ultrasonography should promote wider recognition of the diagnostic power of ultrasonic IMT by emphasizing the low costs and low risk of use of the instruments and its major contribution to knowledge, evaluation and monitoring of the progression of atherosclerosis.
    MeSH term(s) Atherosclerosis/diagnostic imaging ; Carotid Arteries/diagnostic imaging ; Carotid Arteries/pathology ; Carotid Artery Diseases/diagnostic imaging ; Carotid Artery Diseases/pathology ; Humans ; Risk Factors ; Tunica Intima/diagnostic imaging ; Tunica Intima/pathology ; Ultrasonography
    Language English
    Publishing date 2006-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223461-5
    ISSN 1558-2035 ; 1558-2027
    ISSN (online) 1558-2035
    ISSN 1558-2027
    DOI 10.2459/01.JCM.0000234774.81077.a6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Association between carotid atherosclerosis and metabolic syndrome: results from the ISMIR study.

    Antonini-Canterin, Francesco / La Carrubba, Salvatore / Gullace, Giuseppe / Zito, Concetta / Di Bello, Vitantonio / Di Salvo, Giovanni / Benedetto, Frank / Novo, Salvatore / Pezzano, Antonio / Perticone, Francesco / Balbarini, Alberto / Carerj, Scipione

    Angiology

    2010  Volume 61, Issue 5, Page(s) 443–448

    Abstract: The metabolic syndrome (MetS) has previously been associated with an early marker of atherosclerosis, the carotid intima-media thickness (IMT). From the ISMIR (Ispessimento Medio Intimale e Rischio cardiovascolare [media-intima thickness and ... ...

    Abstract The metabolic syndrome (MetS) has previously been associated with an early marker of atherosclerosis, the carotid intima-media thickness (IMT). From the ISMIR (Ispessimento Medio Intimale e Rischio cardiovascolare [media-intima thickness and cardiovascular risk]) study population of 479 asymptomatic participants, we identified 80 participants with MetS. Carotid IMT and plaques were evaluated by ultrasonography. Blood samples were obtained from all participants. Participants with MetS had a significantly higher prevalence of a carotid IMT > 0.80 mm (P = .004) and of carotid plaques (P < .001) as compared with participants without MetS. Carotid IMT was significantly correlated with fasting triglycerides and fibrinogen levels both in participants with MetS and in those without MetS (all P < .01). In contrast, IMT correlated with fasting plasma glucose, serum creatinine, and uric acid levels only in participants without MetS. Our study confirms the association between MetS and carotid atherosclerosis. In MetS, a significant correlation between carotid IMT and triglycerides and fibrinogen levels was found.
    MeSH term(s) Aged ; Blood Glucose/metabolism ; Carotid Artery Diseases/blood ; Carotid Artery Diseases/diagnosis ; Carotid Artery Diseases/pathology ; Creatinine/blood ; Cross-Sectional Studies ; Female ; Fibrinogen/metabolism ; Humans ; Italy ; Male ; Metabolic Syndrome/blood ; Metabolic Syndrome/diagnosis ; Metabolic Syndrome/pathology ; Middle Aged ; Risk Factors ; Triglycerides/blood ; Tunica Intima/pathology ; Tunica Media/pathology ; Uric Acid/blood
    Chemical Substances Blood Glucose ; Triglycerides ; Uric Acid (268B43MJ25) ; Fibrinogen (9001-32-5) ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2010-07
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 80040-5
    ISSN 1940-1574 ; 0003-3197
    ISSN (online) 1940-1574
    ISSN 0003-3197
    DOI 10.1177/0003319709360523
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Comparison of central venous catheterization with and without ultrasound guide.

    Cajozzo, Massimo / Quintini, Gerlando / Cocchiera, Gerlando / Greco, Geo / Vaglica, Roberto / Pezzano, Giuseppina / Barbera, Vincenzo / Modica, Giuseppe

    Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis

    2004  Volume 31, Issue 3, Page(s) 199–202

    Abstract: Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide.: Methods: Between January 1999 and February 2002 we performed CVCs in 196 patients: ... ...

    Abstract Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide.
    Methods: Between January 1999 and February 2002 we performed CVCs in 196 patients: 105 patients received US guided CVC (group I) and 91 patients had CVC without US guide (group II).
    Results: The average time to perform CVC was shorter with US guide (4 vs 7 min). The utilization of the US guide was also associated with improved success (98.09% vs 91.2%, p<0.025) and lack of major complications (0% vs 9.8%, p<0.001).
    Conclusions: US-guided CVC affords an easier, safer and more rapid cannulation of a central vein. It is especially helpful in those patients with anatomical variation or difficult veins (small or not visible, non-palpable landmarks) and in those with coagulative disorders.
    MeSH term(s) Catheterization/adverse effects ; Catheterization/methods ; Catheterization, Central Venous/adverse effects ; Catheterization, Central Venous/methods ; Humans ; Jugular Veins/diagnostic imaging ; Reproducibility of Results ; Retrospective Studies ; Safety ; Treatment Outcome ; Ultrasonography/methods
    Language English
    Publishing date 2004-12
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2046795-3
    ISSN 1878-1683 ; 1473-0502
    ISSN (online) 1878-1683
    ISSN 1473-0502
    DOI 10.1016/j.transci.2004.05.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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