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  1. Article ; Online: Gastrointestinal Bleeding and Aortic Stenosis: A Case of Heyde Syndrome.

    Amaral, Lucas Tadashi Wada / Mangueira, Cristóvão Luis Pitangueira / Silva, Murilo Marques de Almeida / Rocha, Marcelo Assis

    Radiology. Cardiothoracic imaging

    2021  Volume 3, Issue 3, Page(s) e200615

    Language English
    Publishing date 2021-06-03
    Publishing country United States
    Document type Journal Article
    ISSN 2638-6135
    ISSN (online) 2638-6135
    DOI 10.1148/ryct.2021200615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Quality assessment of prostate MRI by PI-QUAL score: Inter-reader agreement and impact on prostate cancer local staging at 3 Tesla.

    Coelho, Fernando Morbeck Almeida / Amaral, Lucas Tadashi Wada / Mitsutake, Leonardo Kenji Nesi / Mussi, Thais Caldara / Baroni, Ronaldo Hueb

    European journal of radiology

    2023  Volume 165, Page(s) 110921

    Abstract: Purpose: To evaluate whether the Prostate Imaging Quality (PI-QUAL) score impacts prostate cancer (PCa) staging on MRI. The secondary goal was to test inter-reader agreement among radiologists experienced in prostate imaging.: Method: A retrospective, ...

    Abstract Purpose: To evaluate whether the Prostate Imaging Quality (PI-QUAL) score impacts prostate cancer (PCa) staging on MRI. The secondary goal was to test inter-reader agreement among radiologists experienced in prostate imaging.
    Method: A retrospective, single-center study with patients who underwent 3 Tesla prostate MRI scans and were submitted to radical prostatectomy (RP) between January 2018 and November 2021 and were eligible for our study. Extraprostatic extension (EPE) data were collected from original MR reports (EPEm) and pathological reports of RP specimens (EPEp). Three expert prostate radiologists (ESUR/ESUI criteria R1, R2, R3) independently evaluated all MRI exams according to PI-QUAL score for image quality (1 to 5; 1: poor, 5: excellent), blinded to original imaging reports and clinical data. We studied the diagnostic performance of MRI using pooled data from PI-QUAL scores (≤3 vs. ≥4). We also performed univariate and multivariate analyses to assess the PI-QUAL score impact on local PCa staging. Cohen's K and Tau-b Kendall tests were used to assess the inter-reader agreement for PI-QUAL score, T2WI, DWI, and DCE.
    Results: Our final cohort included 146 patients, of which 27.4% presented EPE on pathology. We observed no impact of imaging quality on accuracy for EPE prediction: AUC of 0.750 (95% CI 0.26-1) for PI-QUAL ≤ 3 and 0.705 (95% CI 0.618-0.793) for PI-QUAL ≥ 4. The multivariate analysis demonstrated a correlation of EPEm (OR 3.25, p 0.001) and ISUP grade group (OR 1.89, p 0.012) to predict EPEp. The inter-reader agreement was moderate to substantial (0.539 for R1-R2, 0.522 for R2-R3, and 0.694 for R1-R3).
    Conclusion: Our clinical impact evaluation showed no direct correlation between MRI quality by PI-QUAL score and accuracy in detecting EPE in patients undergoing RP. Additionally, we had moderate to a substantial inter-reader agreement for the PI-QUAL score.
    MeSH term(s) Male ; Humans ; Prostate/diagnostic imaging ; Prostate/pathology ; Retrospective Studies ; Magnetic Resonance Imaging/methods ; Prostatic Neoplasms/diagnostic imaging ; Prostatic Neoplasms/surgery ; Prostatic Neoplasms/pathology ; Prostatectomy/methods
    Language English
    Publishing date 2023-06-08
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 138815-0
    ISSN 1872-7727 ; 0720-048X
    ISSN (online) 1872-7727
    ISSN 0720-048X
    DOI 10.1016/j.ejrad.2023.110921
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Hemophagocytic syndrome: a potential COVID-19 complication.

    Amaral, Lucas Tadashi Wada / Fonseca, Eduardo Kaiser Ururahy Nunes / Jacomelli, Márcia / Szarf, Gilberto / Chate, Rodrigo Caruso

    Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

    2020  Volume 46, Issue 5, Page(s) e20200296

    MeSH term(s) Betacoronavirus/genetics ; Betacoronavirus/isolation & purification ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Fatal Outcome ; Humans ; Lymphohistiocytosis, Hemophagocytic/complications ; Lymphohistiocytosis, Hemophagocytic/diagnostic imaging ; Lymphohistiocytosis, Hemophagocytic/virology ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Syndrome
    Keywords covid19
    Language Portuguese
    Publishing date 2020-09-21
    Publishing country Brazil
    Document type Case Reports ; Journal Article
    ZDB-ID 2223157-2
    ISSN 1806-3756 ; 1806-3713
    ISSN (online) 1806-3756
    ISSN 1806-3713
    DOI 10.36416/1806-3756/e20200296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: Hemophagocytic syndrome

    Amaral, Lucas Tadashi Wada / Fonseca, Eduardo Kaiser Ururahy Nunes / Jacomelli, Márcia / Szarf, Gilberto / Chate, Rodrigo Caruso

    Jornal Brasileiro de Pneumologia v.46 n.5 2020

    a potential COVID-19 complication

    2020  

    Keywords covid19
    Language English
    Publishing date 2020-01-01
    Publisher Sociedade Brasileira de Pneumologia e Tisiologia
    Publishing country br
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Hemophagocytic syndrome: a potential COVID-19 complication

    Amaral, Lucas Tadashi Wada / Fonseca, Eduardo Kaiser Ururahy Nunes / Jacomelli, Márcia / Szarf, Gilberto / Chate, Rodrigo Caruso

    J Bras Pneumol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #790253
    Database COVID19

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  6. Article ; Online: Lung cavitation in COVID-19: co-infection complication or rare evolution?

    Amaral, Lucas Tadashi Wada / Beraldo, Gabriel Laverdi / Brito, Vanessa Mizubuti / Rosa, Marcela Emer Egypto / Matos, Marina Justi Rosa de / Fonseca, Eduardo Kaiser Ururahy Nunes / Yokoo, Patrícia / Silva, Murilo Marques Almeida / Teles, Gustavo Borges da Silva / Shoji, Hamilton / Passos, Rodrigo Bastos Duarte / Chate, Rodrigo Caruso / Szarf, Gilberto

    Einstein (Sao Paulo, Brazil)

    2020  Volume 18, Page(s) eAI5822

    MeSH term(s) Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Coinfection ; Coronavirus Infections/complications ; Coronavirus Infections/pathology ; Cross Infection/microbiology ; Cross Infection/pathology ; Enterococcus faecalis ; Gram-Positive Bacterial Infections/complications ; Gram-Positive Bacterial Infections/pathology ; Humans ; Lung/diagnostic imaging ; Lung/pathology ; Male ; Pandemics ; Pneumonia, Bacterial/pathology ; Pneumonia, Viral/complications ; Pneumonia, Viral/pathology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-22
    Publishing country Brazil
    Document type Case Reports ; Journal Article
    ZDB-ID 2418293-X
    ISSN 2317-6385 ; 2317-6385
    ISSN (online) 2317-6385
    ISSN 2317-6385
    DOI 10.31744/einstein_journal/2020ai5822
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay.

    Matos, Marina Justi Rosa de / Rosa, Marcela Emer Egypto / Brito, Vanessa Mizubuti / Amaral, Lucas Tadashi Wada / Beraldo, Gabriel Laverdi / Fonseca, Eduardo Kaiser Ururahy Nunes / Chate, Rodrigo Caruso / Passos, Rodrigo Bastos Duarte / Silva, Murilo Marques Almeida / Yokoo, Patrícia / Sasdelli Neto, Roberto / Teles, Gustavo Borges da Silva / Silva, Marina Carolina Bueno da / Szarf, Gilberto

    Einstein (Sao Paulo, Brazil)

    2021  Volume 19, Page(s) eRW5772

    Abstract: Ground-glass opacity is a very frequent and unspecified finding in chest computed tomography. Therefore, it admits a wide range of differential diagnoses in the acute context, from viral pneumonias such as influenza virus, coronavirus disease 2019 and ... ...

    Abstract Ground-glass opacity is a very frequent and unspecified finding in chest computed tomography. Therefore, it admits a wide range of differential diagnoses in the acute context, from viral pneumonias such as influenza virus, coronavirus disease 2019 and cytomegalovirus and even non-infectious lesions, such as vaping, pulmonary infarction, alveolar hemorrhage and pulmonary edema. For this diagnostic differentiation, ground glass must be correlated with other findings in imaging tests, with laboratory tests and with the patients' clinical condition. In the context of a pandemic, it is extremely important to remember the other pathologies with similar findings to coronavirus disease 2019 in the imaging exams.
    MeSH term(s) COVID-19/diagnostic imaging ; Cytomegalovirus Infections/diagnostic imaging ; Diagnosis, Differential ; Humans ; Influenza, Human/diagnostic imaging ; Lung Diseases/diagnostic imaging ; Pneumonia, Viral/classification ; Pneumonia, Viral/diagnostic imaging ; Tomography, X-Ray Computed
    Language Portuguese
    Publishing date 2021-03-15
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2418293-X
    ISSN 2317-6385 ; 1679-4508
    ISSN (online) 2317-6385
    ISSN 1679-4508
    DOI 10.31744/einstein_journal/2021RW5772
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Abdominal symptoms as initial manifestation of COVID-19: a case series.

    Amaral, Lucas Tadashi Wada / Brito, Vanessa Mizubuti / Beraldo, Gabriel Laverdi / Fonseca, Eduardo Kaiser Ururahy Nunes / Yokoo, Patrícia / Talans, Aley / Oranges Filho, Marcelo / Chate, Rodrigo Caruso / Baroni, Ronaldo Hueb / Szarf, Gilberto

    Einstein (Sao Paulo, Brazil)

    2020  Volume 18, Page(s) eRC5831

    Abstract: The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the ... ...

    Abstract The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a good prognostic predictor for the disease. However, as new studies were produced, the gastrointestinal involvement of COVID-19 becomes more evident, with reports from patients who manifested mainly or only gastrointestinal symptoms in the course of the disease. Thus, in some cases, the initial investigation is carried out at the emergency department with an abdominal computed tomography. We report a case series of ten patients who came to the emergency department of our institution with a chief gastrointestinal complaint, and were initially submitted to an abdominal computed tomography as the first investigation. Although most of the patients did not have significant changes in the abdominal images, most reported patients had pulmonary findings visualized at the lung bases, which were later designated as typical COVID-19 pulmonary findings on chest computed tomography. Only one patient had atypical COVID-19 lung changes on chest computed tomography. All patients had a positive real-time polymerase chain reaction for COVID-19. It is imperative to alert radiologists, especially abdominal radiologists, with the possibility of COVID-19 isolated gastrointestinal symptoms. Besides, it must become a habit to radiologists to assess the pulmonary basis on abdominal scans, a site commonly affected by the new coronavirus.
    MeSH term(s) Abdominal Pain/diagnostic imaging ; Abdominal Pain/etiology ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus/genetics ; Coronavirus/isolation & purification ; Coronavirus Infections/diagnosis ; Humans ; Lung/diagnostic imaging ; Pandemics ; Pneumonia, Viral/diagnosis ; Real-Time Polymerase Chain Reaction ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods
    Keywords covid19
    Language Portuguese
    Publishing date 2020-10-16
    Publishing country Brazil
    Document type Case Reports
    ZDB-ID 2418293-X
    ISSN 2317-6385 ; 1679-4508
    ISSN (online) 2317-6385
    ISSN 1679-4508
    DOI 10.31744/einstein_journal/2020RC5831
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online: Abdominal symptoms as initial manifestation of COVID-19

    Amaral, Lucas Tadashi Wada / Brito, Vanessa Mizubuti / Beraldo, Gabriel Laverdi / Fonseca, Eduardo Kaiser Ururahy Nunes / Yokoo, Patrícia / Talans, Aley / Oranges Filho, Marcelo / Chate, Rodrigo Caruso / Baroni, Ronaldo Hueb / Szarf, Gilberto

    Einstein (São Paulo) v.18 2020

    a case series

    2020  

    Abstract: ABSTRACT The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to ... ...

    Abstract ABSTRACT The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a good prognostic predictor for the disease. However, as new studies were produced, the gastrointestinal involvement of COVID-19 becomes more evident, with reports from patients who manifested mainly or only gastrointestinal symptoms in the course of the disease. Thus, in some cases, the initial investigation is carried out at the emergency department with an abdominal computed tomography. We report a case series of ten patients who came to the emergency department of our institution with a chief gastrointestinal complaint, and were initially submitted to an abdominal computed tomography as the first investigation. Although most of the patients did not have significant changes in the abdominal images, most reported patients had pulmonary findings visualized at the lung bases, which were later designated as typical COVID-19 pulmonary findings on chest computed tomography. Only one patient had atypical COVID-19 lung changes on chest computed tomography. All patients had a positive real-time polymerase chain reaction for COVID-19. It is imperative to alert radiologists, especially abdominal radiologists, with the possibility of COVID-19 isolated gastrointestinal symptoms. Besides, it must become a habit to radiologists to assess the pulmonary basis on abdominal scans, a site commonly affected by the new coronavirus.
    Keywords COVID-19 ; Coronavirus infections ; Computed tomography ; X-ray computed ; Thorax/diagnostic imaging ; Gastrointestinal diseases/diagnostic imaging ; Abdomen/diagnostic imaging ; covid19
    Subject code 610
    Language English
    Publishing date 2020-01-01
    Publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
    Publishing country br
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Book ; Online: Lung cavitation in COVID-19

    Amaral, Lucas Tadashi Wada / Beraldo, Gabriel Laverdi / Brito, Vanessa Mizubuti / Rosa, Marcela Emer Egypto / Matos, Marina Justi Rosa de / Fonseca, Eduardo Kaiser Ururahy Nunes / Yokoo, Patrícia / Silva, Murilo Marques Almeida / Teles, Gustavo Borges da Silva / Shoji, Hamilton / Passos, Rodrigo Bastos Duarte / Chate, Rodrigo Caruso / Szarf, Gilberto

    Einstein (São Paulo) v.18 2020

    co-infection complication or rare evolution?

    2020  

    Keywords covid19
    Language English
    Publishing date 2020-01-01
    Publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
    Publishing country br
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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