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Article ; Online: Conventional and Advanced MRI Techniques in the Evaluation of Primary CNS Lymphoma.

Capasso, Raffaella / Negro, Alberto / Russo, Camilla / Zeccolini, Fabio / Muto, Gianluca / Caranci, Ferdinando / Pinto, Antonio

Seminars in ultrasound, CT, and MR

2023 Volume 44, Issue 3, Page(s) 126–135

Abstract: Primary central nervous system lymphoma (PCNSL) is a rare form of extranodal non-Hodgkin's lymphoma that accounts for 1%-5% of all central nervous system tumors. Contrast-enhanced MR is the imaging technique of choice. PCNLs have a predilection for the ... ...

Abstract	Primary central nervous system lymphoma (PCNSL) is a rare form of extranodal non-Hodgkin's lymphoma that accounts for 1%-5% of all central nervous system tumors. Contrast-enhanced MR is the imaging technique of choice. PCNLs have a predilection for the periventricular and superficial regions, often abutting the ventricular or meningeal surfaces. Although PCNLs may have characteristic imaging features on conventional MRI, none of these will unequivocally differentiate PCNSLs from other brain lesions. Diffusion restriction, relative hypoperfusion, increased choline/creatinine, decrease of N-acetyl aspartate (NAA) peak as well as the presence of lactate and lipid peaks are consistent advanced imaging findings in CNS lymphoma that may help in the differentiation of Primary central nervous system lymphomas (PCNSLs) from other malignancies. Furthermore, advanced imaging techniques will presumably play an important role in the planning of new targeted therapies, for prognostication, and for the monitoring of treatment response in the future.
MeSH term(s)	Humans ; Brain Neoplasms/diagnostic imaging ; Magnetic Resonance Imaging/methods ; Lactic Acid ; Lymphoma/diagnostic imaging ; Lymphoma/pathology
Chemical Substances	Lactic Acid (33X04XA5AT)
Language	English
Publishing date	2023-03-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1353113-x
ISSN	1558-5034 ; 0887-2171
ISSN (online)	1558-5034
ISSN	0887-2171
DOI	10.1053/j.sult.2023.02.003
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Article ; Online: Preliminary data on artificial intelligence tool in magnetic resonance imaging assessment of degenerative pathologies of lumbar spine.

Granata, Vincenza / Fusco, Roberta / Coluccino, Simone / Russo, Carmela / Grassi, Francesca / Tortora, Fabio / Conforti, Renata / Caranci, Ferdinando

La Radiologia medica

2024 Volume 129, Issue 4, Page(s) 623–630

Abstract: Purpose: To evaluate the ability of an artificial intelligence (AI) tool in magnetic resonance imaging (MRI) assessment of degenerative pathologies of lumbar spine using radiologist evaluation as a gold standard.: Methods: Patients with degenerative ... ...

Abstract	Purpose: To evaluate the ability of an artificial intelligence (AI) tool in magnetic resonance imaging (MRI) assessment of degenerative pathologies of lumbar spine using radiologist evaluation as a gold standard. Methods: Patients with degenerative pathologies of lumbar spine, evaluated with MRI study, were enrolled in a retrospective study approved by local ethical committee. A comprehensive software solution (CoLumbo; SmartSoft Ltd., Varna, Bulgaria) designed to label the segments of the lumbar spine and to detect a broad spectrum of degenerative pathologies based on a convolutional neural network (CNN) was employed, utilizing an automatic segmentation. The AI tool efficacy was compared to data obtained by a senior neuroradiologist that employed a semiquantitative score. Chi-square test was used to assess the differences among groups, and Spearman's rank correlation coefficient was calculated between the grading assigned by radiologist and the grading obtained by software. Moreover, agreement was assessed between the value assigned by radiologist and software. Results: Ninety patients (58 men; 32 women) affected with degenerative pathologies of lumbar spine and aged from 60 to 81 years (mean 66 years) were analyzed. Significant correlations were observed between grading assigned by radiologist and the grading obtained by software for each localization. However, only when the localization was L2-L3, there was a good correlation with a coefficient value of 0.72. The best agreements were obtained in case of L1-L2 and L2-L3 localizations and were, respectively, of 81.1% and 72.2%. The lowest agreement of 51.1% was detected in case of L4-L5 locations. With regard canal stenosis and compression, the highest agreement was obtained for identification of in L5-S1 localization. Conclusions: AI solution represents an efficacy and useful toll degenerative pathologies of lumbar spine to improve radiologist workflow.
MeSH term(s)	Male ; Humans ; Female ; Lumbar Vertebrae/diagnostic imaging ; Retrospective Studies ; Artificial Intelligence ; Preliminary Data ; Magnetic Resonance Imaging/methods
Language	English
Publishing date	2024-02-13
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-024-01791-1
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Article ; Online: MRI and steroid-responsive encephalopathy associated with autoimmune thyroiditis: first report of conus medullaris involvement and literature review of the known neuroimaging profiles.

Cipriano, Lorenzo / Miele, Giuseppina / Ugga, Lorenzo / Abbadessa, Gianmarco / Caranci, Ferdinando / Bonavita, Simona

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

2023 Volume 44, Issue 5, Page(s) 1773–1776

Abstract: Background: Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a rare but potentially reversible autoimmune encephalopathy. The most frequent neuroimaging correlates are normal brain MRI or non-specific white matter ... ...

Abstract	Background: Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a rare but potentially reversible autoimmune encephalopathy. The most frequent neuroimaging correlates are normal brain MRI or non-specific white matter hyperintensities. Methods: We present the first description of conus medullaris involvement, also providing an extensive review of MRI patterns described so far. Results: Our results show that in less than 30% of cases, it is possible to find focal SREAT neuroanatomical correlates. Among these, T2w/FLAIR temporal hyperintensities are the most frequent, followed by basal ganglia/thalamic and brainstem involvement, respectively. Conclusions: Unfortunately, spinal cord investigation is an uncommon practice in the diagnostic approach of encephalopathies, thus neglecting potential pathological lesions of the medulla spinalis. In our opinion, the extension of the MRI study to the cervical, thoracic, and lumbosacral regions may allow finding new, and hopefully specific, anatomical correlates.
MeSH term(s)	Humans ; Brain Diseases/complications ; Brain Diseases/diagnostic imaging ; Brain Diseases/drug therapy ; Thyroiditis, Autoimmune/complications ; Thyroiditis, Autoimmune/diagnostic imaging ; Thyroiditis, Autoimmune/drug therapy ; Steroids ; Magnetic Resonance Imaging ; Neuroimaging ; Spinal Cord/diagnostic imaging
Chemical Substances	Steroids
Language	English
Publishing date	2023-02-21
Publishing country	Italy
Document type	Review ; Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-023-06642-x
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Article ; Online: Artificial intelligence applied in acute ischemic stroke: from child to elderly.

Pacchiano, Francesco / Tortora, Mario / Criscuolo, Sabrina / Jaber, Katya / Acierno, Pasquale / De Simone, Marta / Tortora, Fabio / Briganti, Francesco / Caranci, Ferdinando

La Radiologia medica

2023 Volume 129, Issue 1, Page(s) 83–92

Abstract: This review will summarize artificial intelligence developments in acute ischemic stroke in recent years and forecasts for the future. Stroke is a major healthcare concern due to its effects on the patient's quality of life and its dependence on the ... ...

Abstract	This review will summarize artificial intelligence developments in acute ischemic stroke in recent years and forecasts for the future. Stroke is a major healthcare concern due to its effects on the patient's quality of life and its dependence on the timing of the identification as well as the treatment. In recent years, attention increased on the use of artificial intelligence (AI) systems to help categorize, prognosis, and to channel these patients toward the right therapeutic procedure. Machine learning (ML) and in particular deep learning (DL) systems using convoluted neural networks (CNN) are becoming increasingly popular. Various studies over the years evaluated the use of these methods of analysis and prediction in the assessment of stroke patients, and at the same time, several applications and software have been developed to support the neuroradiologists and the stroke team to improve patient outcomes.
MeSH term(s)	Child ; Aged ; Humans ; Ischemic Stroke ; Artificial Intelligence ; Quality of Life ; Stroke ; Software
Language	English
Publishing date	2023-10-25
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-023-01735-1
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Article ; Online: Reversible cerebral vasoconstriction syndrome: review of neuroimaging findings.

Perillo, Teresa / Paolella, Chiara / Perrotta, Giulia / Serino, Antonietta / Caranci, Ferdinando / Manto, Andrea

La Radiologia medica

2022 Volume 127, Issue 9, Page(s) 981–990

Abstract: Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders characterized by segmental narrowing and dilatation of medium-to-large cerebral arteries, clinically presenting with recurrent episodes of sudden-onset thunderclap headaches, ... ...

Abstract	Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders characterized by segmental narrowing and dilatation of medium-to-large cerebral arteries, clinically presenting with recurrent episodes of sudden-onset thunderclap headaches, with or without focal neurological deficits. Cerebral vasoconstriction is typically reversible, with spontaneous resolution within 3 months. Although the syndrome has generally a benign course, patients with neurological deficits may experience worse outcome. The main imaging finding is segmental constriction of intracranial arteries, which can be associated with subarachnoid hemorrhage and/or ischemic foci. Other possible findings are intracranial hemorrhage, subdural bleeding and cerebral edema. The latter may have a pattern which can resemble that of posterior reversible encephalopathy syndrome, a condition that can overlap with RCVS. New imaging techniques, such as vessel wall imaging and arterial spin labeling, are proving useful in RCVS and are giving new insights into the pathophysiology of this condition. In this paper, we aim to review neuroimaging findings of RCVS.
MeSH term(s)	Cerebrovascular Disorders/complications ; Cerebrovascular Disorders/diagnostic imaging ; Headache Disorders, Primary/complications ; Headache Disorders, Primary/etiology ; Humans ; Neuroimaging ; Posterior Leukoencephalopathy Syndrome/complications ; Vasoconstriction/physiology ; Vasospasm, Intracranial/complications ; Vasospasm, Intracranial/diagnostic imaging
Language	English
Publishing date	2022-08-06
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-022-01532-2
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Article ; Online: Temporal bone CT-based anatomical parameters associated with the development of cholesteatoma.

Cavaliere, Michele / Ugga, Lorenzo / Monfregola, Armando / Cavaliere, Fabrizia / Caranci, Ferdinando / Russo, Carmela / Briganti, Francesco / Elefante, Andrea

La Radiologia medica

2023 Volume 128, Issue 9, Page(s) 1116–1124

Abstract: Background: Cholesteatoma is caused by disorders of the middle ear ventilation that trigger a progressive series of events responsible for its formation. The aim of this study was to identify possible radiological CT-derived parameters predisposing to ... ...

Abstract	Background: Cholesteatoma is caused by disorders of the middle ear ventilation that trigger a progressive series of events responsible for its formation. The aim of this study was to identify possible radiological CT-derived parameters predisposing to ventilation disorders and cholesteatoma. Methods: In this retrospective study, patients diagnosed with cholesteatomatous chronic otitis media who underwent temporal bone CT and open tympanoplasty surgery have been included, as well as control patients with clinical examination negative for organic otological pathology who underwent temporal bone CT for other reasons. For each patient, the following parameters have been extracted from CT volumes: degree of mastoid pneumatization, prominence of the cog, patency of the Eustachian tube, antrum width, aditus width, anterior and posterior epitympanic widths, and epitympanic height. Results: Sixty patients have been included, thirty of whom belonged to the group of patients with cholesteatoma and the remaining part to the group of patients without organic otological pathology. The prevalence of a low degree of mastoid pneumatization was significantly higher among patients with cholesteatoma, as well as for the prevalence of cog prominence (p < 0.001). All the continuous variables were found to have statistical significance (p < 0.05) in the comparison between groups except for the width of the antrum. Conclusion: Mastoid pneumatization degree, prominence of the cog and epitympanic measures based on temporal bone CT could be good radiological correlates of the ventilatory capabilities of the epitympanum which, if compromised, can facilitate the development of cholesteatoma.
MeSH term(s)	Humans ; Cholesteatoma, Middle Ear/diagnostic imaging ; Retrospective Studies ; Temporal Bone/diagnostic imaging ; Mastoid/diagnostic imaging ; Mastoid/pathology ; Tomography, X-Ray Computed
Language	English
Publishing date	2023-08-03
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-023-01677-8
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Article ; Online: Utility of virtual stenting in treatment of cerebral aneurysms by flow diverter devices.

Briganti, Francesco / Tortora, Mario / Loiudice, Giovanni / Tarantino, Margherita / Guida, Amedeo / Buono, Giuseppe / Marseglia, Mariano / Caranci, Ferdinando / Tortora, Fabio

La Radiologia medica

2023 Volume 128, Issue 4, Page(s) 480–491

Abstract: Successful endovascular treatment by stenting of intracranial aneurysms requires proper placement of the device and appropriate choice of its diameter and length. To date, several methods have been employed to achieve these goals, although each has ... ...

Abstract	Successful endovascular treatment by stenting of intracranial aneurysms requires proper placement of the device and appropriate choice of its diameter and length. To date, several methods have been employed to achieve these goals, although each has inherent critical issues. Recently developed stent planning software applications can be used to assist interventional neuroradiologists. Based on a 3D-DSA image acquired before stenting, these applications simulate and visualize the final placement of the deployed stent. In this single-centre retrospective study, 27 patients undergoing an intravascular procedure for the treatment of intracranial aneurysms from June 2019 to July 2020 were evaluated according to strict inclusion criteria. Stent virtualization was performed with Syngo 3D Aneurysm Guidance Neuro software. We compared the software-generated stent measurement and measurements taken by the interventional radiologist. Statistical analysis was performed using the STAC web platform. Mean and standard deviations of absolute and relative discrepancies between predicted and implanted stents were recorded. Friedman's nonparametric test was used to refute the null hypotheses, i.e. (I) discrepancies between the size of virtual and implanted stents would occur, and (II) operator influence does not affect the outcome of the virtual stenting process. Based on these observations, it is believed that the virtual stenting process can validly assist interventional neuroradiologists in selecting the appropriate device and reducing peri- and post-procedural complications. The results of our study suggest that virtual reality simulation of devices used for endovascular treatment of intracranial aneurysms is a useful, rapid, and accurate tool for interventional procedure planning.
MeSH term(s)	Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery ; Retrospective Studies ; Stents ; Software ; Imaging, Three-Dimensional ; Endovascular Procedures ; Treatment Outcome ; Cerebral Angiography/methods ; Embolization, Therapeutic/methods
Language	English
Publishing date	2023-04-07
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-023-01620-x
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Article ; Online: Insights into single-timepoint ASL hemodynamics: what visual assessment and spatial coefficient of variation can tell.

Pizzini, Francesca Benedetta / Boscolo Galazzo, Ilaria / Natale, Valerio / Ribaldi, Federica / Scheffler, Max / Caranci, Ferdinando / Lovblad, Karl-Olof / Menegaz, Gloria / Frisoni, Giovanni B / Gunther, Matthias

La Radiologia medica

2024 Volume 129, Issue 3, Page(s) 467–477

Abstract: Purpose: Arterial spin labeling (ASL) represents a noninvasive perfusion biomarker, and, in the study of nonvascular disease, the use of the single-timepoint ASL technique is recommended. However, the obtained cerebral blood flow (CBF) maps may be ... ...

Abstract	Purpose: Arterial spin labeling (ASL) represents a noninvasive perfusion biomarker, and, in the study of nonvascular disease, the use of the single-timepoint ASL technique is recommended. However, the obtained cerebral blood flow (CBF) maps may be highly influenced by delayed arterial transit time (ATT). Our aim was to assess the complexity of hemodynamic information of single-timepoint CBF maps using a new visual scale and comparing it with an ATT proxy, the "coefficient of spatial variation" (sCoV). Material and methods: Individual CBF maps were estimated in a memory clinic population (mild cognitive impairment, dementia and cognitively unimpaired controls) and classified into four levels of delayed perfusion based on a visual rating scale. Calculated measures included global/regional sCoVs and common CBF statistics, as mean, median and standard deviation. One-way ANOVA was performed to compare these measures across the four groups of delayed perfusion. Spearman correlation was used to study the association of global sCoV with clinical data and CBF statistics. Results: One hundred and forty-four participants (72 ± 7 years, 53% women) were included in the study. The proportion of maps with none, mild, moderate, and severe delayed perfusion was 15, 20, 37, and 28%, respectively. SCoV demonstrated a significant increase (p < 0.05) across the four groups, except when comparing none vs mild delayed perfusion groups (p Conclusion: The impact of ATT delay in single-time CBF maps requires the use of a visual scale or sCoV in clinical or research settings.
MeSH term(s)	Humans ; Female ; Male ; Magnetic Resonance Imaging/methods ; Spin Labels ; Arteries ; Hemodynamics/physiology ; Cerebrovascular Circulation/physiology
Chemical Substances	Spin Labels
Language	English
Publishing date	2024-02-08
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-024-01777-z
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Article ; Online: Pressure cooker technique in cerebral AVMs and DAVFs: different treatment strategies.

Ierardi, Anna Maria / Hohenstatt, Sophia / Caranci, Ferdinando / Lanza, Carolina / Carriero, Serena / Vollherbst, Dominik F / Möhlenbruch, Markus A / Carrafiello, Gianpaolo / Paolucci, Aldo

La Radiologia medica

2023 Volume 128, Issue 3, Page(s) 372–380

Abstract: Background: The pressure cooker technique (PCT) was developed to enable safer and more extensive embolization of hypervascular lesions by simultaneously minimizing backflow of liquid embolic materials and thus reduce the risk of non-target embolization ... ...

Abstract	Background: The pressure cooker technique (PCT) was developed to enable safer and more extensive embolization of hypervascular lesions by simultaneously minimizing backflow of liquid embolic materials and thus reduce the risk of non-target embolization of adjacent healthy vessels. We report our experience in applying the PCT to cerebral arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs) and additionally suggest our technical adjustments. Methods: We retrospectively reviewed all patients suffering from AVMs or DAVFs that were treated with the PCT between 2018 and 2020 in two university hospitals. The endpoints of the study were clinical safety and the technical efficacy. The endpoints of the study were clinical safety and the technical efficacy. Clinical safety was the absence of death, major or minor symptomatic stroke, TIA and procedure-related intracranial bleeding (SAH) in the peri-procedural period until dismission. Good clinical outcome was defined as no deterioration of the modified Rankin Scale (mRS) score (comparing the pre- and post-procedural mRS evaluated by a trained neurologist at admission and dismission). The technical efficacy was considered as the complete embolization occlusion of the target vessels of the lesion documented on the final control angiogram. Long-term follow-up evaluation was not intended for this study as it was not available for all patients. Results: Fifteen consecutive patients (6 women; mean age 55 y; range 20-82 y) with seven AVMs and eight DAVFs met the inclusion criteria. The primary clinical safety end point was obtained in all cases as no intraprocedural complications were encountered. All patients had a good clinical outcome with no difference between the pre- and post-mRS scores. The primary efficacy end point was reached in all cases. Conclusion: The PCT is a safe and effective technique in the treatment of cerebral AVMs and DAVFs. Adding an easy and fast step to the procedure, namely the injection of contrast media to test the complete obstruction by the plug, the risk of reflux seems to additionally be reduced.
MeSH term(s)	Humans ; Female ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Intracranial Arteriovenous Malformations/diagnostic imaging ; Intracranial Arteriovenous Malformations/therapy ; Central Nervous System Vascular Malformations/pathology ; Central Nervous System Vascular Malformations/therapy ; Embolization, Therapeutic/methods
Language	English
Publishing date	2023-02-17
Publishing country	Italy
Document type	Journal Article
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-023-01605-w
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Article ; Online: Contrast-induced encephalopathy after abdominal CT examination.

Capasso, Raffaella / Caranci, Ferdinando / Conforti, Renata / Rinaldi, Fabio Oreste / Pinto, Antonio

Acta neurologica Belgica

2021 Volume 121, Issue 5, Page(s) 1325–1326

MeSH term(s)	Aged ; Brain Diseases/chemically induced ; Contrast Media/adverse effects ; Humans ; Male ; Tomography, X-Ray Computed/adverse effects
Chemical Substances	Contrast Media
Language	English
Publishing date	2021-04-29
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	127315-2
ISSN	2240-2993 ; 0300-9009
ISSN (online)	2240-2993
ISSN	0300-9009
DOI	10.1007/s13760-021-01690-6
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