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  1. Article: The COVID-19 Driving Force: How It Shaped the Evidence of Non-Invasive Respiratory Support.

    Jalil, Yorschua / Ferioli, Martina / Dres, Martin

    Journal of clinical medicine

    2023  Volume 12, Issue 10

    Abstract: During the COVID-19 pandemic, the use of non-invasive respiratory support (NIRS) became crucial in treating patients with acute hypoxemic respiratory failure. Despite the fear of viral aerosolization, non-invasive respiratory support has gained attention ...

    Abstract During the COVID-19 pandemic, the use of non-invasive respiratory support (NIRS) became crucial in treating patients with acute hypoxemic respiratory failure. Despite the fear of viral aerosolization, non-invasive respiratory support has gained attention as a way to alleviate ICU overcrowding and reduce the risks associated with intubation. The COVID-19 pandemic has led to an unprecedented increased demand for research, resulting in numerous publications on observational studies, clinical trials, reviews, and meta-analyses in the past three years. This comprehensive narrative overview describes the physiological rationale, pre-COVID-19 evidence, and results of observational studies and randomized control trials regarding the use of high-flow nasal oxygen, non-invasive mechanical ventilation, and continuous positive airway pressure in adult patients with COVID-19 and associated acute hypoxemic respiratory failure. The review also highlights the significance of guidelines and recommendations provided by international societies and the need for further well-designed research to determine the optimal use of NIRS in treating this population.
    Language English
    Publishing date 2023-05-16
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12103486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The role of training simulators in interventional radiation therapy (brachytherapy) training: A narrative review.

    Ferioli, Martina / Medici, Federica / Galietta, Erika / Forlani, Ludovica / Tagliaferri, Luca / Cilla, Savino / Cammelli, Silvia / Morganti, Alessio G / Buwenge, Milly

    Journal of contemporary brachytherapy

    2023  Volume 15, Issue 4, Page(s) 290–295

    Abstract: Simulators have revolutionized medical education and training across various disciplines, offering unique advantages in skill acquisition and performance improvement. In the context of interventional radiation therapy (IRT), simulators have emerged as ... ...

    Abstract Simulators have revolutionized medical education and training across various disciplines, offering unique advantages in skill acquisition and performance improvement. In the context of interventional radiation therapy (IRT), simulators have emerged as valuable tools for training healthcare professionals in these complex procedures. This narrative review summarized the available evidence on the use of simulators in IRT training, highlighting their impact on proficiency, engagement, and self-confidence as well as their benefits for medical physicists and radiation therapists. A systematic search was conducted in PubMed, resulting in inclusion of 10 papers published since 2009, with 5 of them published since 2020. Publications originated from centers in USA, Ireland, Switzerland, Canada, and Japan, covering a range of IRT settings, including general, prostate, and cervical IRT. The review demonstrated that simulators provide a controlled and realistic environment for skill acquisition, allowing healthcare professionals to practice procedures, optimize image quality, and enhance technical proficiency. The use of simulators addressed the barriers associated with limited caseload and procedural complexity, ultimately contributing to improved education and IRT training. While cost considerations may exist, simulators offer long-term cost-effective solutions, balancing the potential benefits in improving educational outcomes and patient care. Overall, simulators play a crucial role in IRT training, enhancing the skills and competence of healthcare providers and improving access to quality IRT care worldwide. Future research should focus on evaluating the long-term impact of simulation-based training on clinical outcomes and patient satisfaction, exploring different simulation models and training approaches, and addressing region-specific barriers to optimize the utilization of IRT.
    Language English
    Publishing date 2023-08-31
    Publishing country Poland
    Document type Journal Article ; Review
    ZDB-ID 2627721-9
    ISSN 2081-2841 ; 1689-832X
    ISSN (online) 2081-2841
    ISSN 1689-832X
    DOI 10.5114/jcb.2023.131240
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Augmented reality in brachytherapy: A narrative review.

    Ferioli, Martina / Medici, Federica / Forlani, Ludovica / Cilla, Savino / Fionda, Bruno / Cammelli, Silvia / Strigari, Lidia / Tagliaferri, Luca / Morganti, Alessio G / Buwenge, Milly

    Journal of contemporary brachytherapy

    2024  Volume 16, Issue 1, Page(s) 57–66

    Abstract: Brachytherapy (BRT) plays a pivotal role in the treatment of tumors, offering precise radiation therapy directly to the affected area. However, this technique demands extensive training and skills development, posing challenges for widespread adoption ... ...

    Abstract Brachytherapy (BRT) plays a pivotal role in the treatment of tumors, offering precise radiation therapy directly to the affected area. However, this technique demands extensive training and skills development, posing challenges for widespread adoption and ensuring patient safety. This narrative review explored the utilization of augmented reality (AR) in BRT, seeking to summarize existing evidence, discuss key findings, limitations, and quality of research as well as outline future research directions. The review revealed promising findings regarding the integration of AR in BRT. Studies have suggested the feasibility and potential benefits of AR in education, training, intra-operative guidance, and treatment planning. However, the evidence remains limited and heterogeneous, with most studies in preliminary phases. Standardization, prospective clinical trials, patient-centered outcomes assessment, and cost-effectiveness analysis emerge as critical areas for future research. Augmented reality holds transformative potential for BRT by enhancing precision, safety, and training efficiency. To fully implement these benefits, the field requires standardized protocols, rigorous clinical trials, and in-depth patient-centered investigations. Policy-makers and healthcare providers should closely monitor developments in AR and consider its implementation in clinical practice, contingent and robust evidence, and cost-effectiveness analysis. The pro-active pursuit of evidence-based practices will contribute to optimizing patient care in BRT.
    Language English
    Publishing date 2024-02-29
    Publishing country Poland
    Document type Journal Article ; Review
    ZDB-ID 2627721-9
    ISSN 2081-2841 ; 1689-832X
    ISSN (online) 2081-2841
    ISSN 1689-832X
    DOI 10.5114/jcb.2024.137779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Radiomics and artificial intelligence in malignant uterine body cancers: Protocol for a systematic review.

    Ravegnini, Gloria / Ferioli, Martina / Pantaleo, Maria Abbondanza / Morganti, Alessio G / De Leo, Antonio / De Iaco, Pierandrea / Rizzo, Stefania / Perrone, Anna Myriam

    PloS one

    2022  Volume 17, Issue 6, Page(s) e0267727

    Abstract: Introduction: Uterine body cancers (UBC) are represented by endometrial carcinoma (EC) and uterine sarcoma (USa). The clinical management of both is hindered by the complex classification of patients into risk classes. This problem could be simplified ... ...

    Abstract Introduction: Uterine body cancers (UBC) are represented by endometrial carcinoma (EC) and uterine sarcoma (USa). The clinical management of both is hindered by the complex classification of patients into risk classes. This problem could be simplified through the development of predictive models aimed at treatment tailoring based on tumor and patient characteristics. In this context, radiomics represents a method of extracting quantitative data from images in order to non-invasively acquire tumor biological and genetic information and to predict response to treatments and prognosis. Furthermore, artificial intelligence (AI) methods are an emerging field of translational research, with the aim of managing the amount of data provided by the various -omics, including radiomics, through the process of machine learning, in order to promote precision medicine.
    Objective: The aim of this protocol for systematic review is to provide an overview of radiomics and AI studies on UBCs.
    Methods and analysis: A systematic review will be conducted using PubMed, Scopus, and the Cochrane Library to collect papers analyzing the impact of radiomics and AI on UBCs diagnosis, prognostic classification, and clinical outcomes. The PICO strategy will be used to formulate the research questions: What is the impact of radiomics and AI on UBCs on diagnosis, prognosis, and clinical results? How could radiomics or AI improve the differential diagnosis between sarcoma and fibroids? Does Radiomics or AI have a predictive role on UBCs response to treatments? Three authors will independently screen articles at title and abstract level based on the eligibility criteria. The risk of bias and quality of the cohort studies, case series, and case reports will be based on the QUADAS 2 quality assessment tools.
    Trial registration: PROSPERO registration number: CRD42021253535.
    MeSH term(s) Artificial Intelligence ; Female ; Humans ; Machine Learning ; Precision Medicine ; Prognosis ; Sarcoma/diagnostic imaging ; Systematic Reviews as Topic ; Uterine Neoplasms/diagnosis
    Language English
    Publishing date 2022-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0267727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Lung aeration estimated by chest electrical impedance tomography and lung ultrasound during extubation.

    Joussellin, Vincent / Bonny, Vincent / Spadaro, Savino / Clerc, Sébastien / Parfait, Mélodie / Ferioli, Martina / Sieye, Antonin / Jalil, Yorschua / Janiak, Vincent / Pinna, Andrea / Dres, Martin

    Annals of intensive care

    2023  Volume 13, Issue 1, Page(s) 91

    Abstract: Background: This study hypothesized that patients with extubation failure exhibit a loss of lung aeration and heterogeneity in air distribution, which could be monitored by chest EIT and lung ultrasound. Patients at risk of extubation failure were ... ...

    Abstract Background: This study hypothesized that patients with extubation failure exhibit a loss of lung aeration and heterogeneity in air distribution, which could be monitored by chest EIT and lung ultrasound. Patients at risk of extubation failure were included after a successful spontaneous breathing trial. Lung ultrasound [with calculation of lung ultrasound score (LUS)] and chest EIT [with calculation of the global inhomogeneity index, frontback center of ventilation (CoV), regional ventilation delay (RVD) and surface available for ventilation] were performed before extubation during pressure support ventilation (H0) and two hours after extubation during spontaneous breathing (H2). EIT was then repeated 6 h (H6) after extubation. EIT derived indices and LUS were compared between patients successfully extubated and patients with extubation failure.
    Results: 40 patients were included, of whom 12 (30%) failed extubation. Before extubation, when compared with patients with successful extubation, patients who failed extubation had a higher LUS (19 vs 10, p = 0.003) and a smaller surface available for ventilation (352 vs 406 pixels, p = 0.042). After extubation, GI index and LUS were higher in the extubation failure group, whereas the surface available for ventilation was lower. The RVD and the CoV were not different between groups.
    Conclusion: Before extubation, a loss of lung aeration was observed in patients who developed extubation failure afterwards. After extubation, this loss of lung aeration persisted and was associated with regional lung ventilation heterogeneity. Trial registration Clinical trials, NCT04180410, Registered 27 November 2019-prospectively registered, https://clinicaltrials.gov/ct2/show/NCT04180410 .
    Language English
    Publishing date 2023-09-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2617094-2
    ISSN 2110-5820
    ISSN 2110-5820
    DOI 10.1186/s13613-023-01180-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Protecting healthcare workers from SARS-CoV-2 infection: practical indications.

    Ferioli, Martina / Cisternino, Cecilia / Leo, Valentina / Pisani, Lara / Palange, Paolo / Nava, Stefano

    European respiratory review : an official journal of the European Respiratory Society

    2020  Volume 29, Issue 155

    Abstract: The World Health Organization has recently defined the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection a pandemic. The infection, that may cause a potentially very severe respiratory disease, now called coronavirus disease 2019 ( ... ...

    Abstract The World Health Organization has recently defined the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection a pandemic. The infection, that may cause a potentially very severe respiratory disease, now called coronavirus disease 2019 (COVID-19), has airborne transmission
    MeSH term(s) Betacoronavirus ; Coronavirus Infections/drug therapy ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Health Personnel ; Humans ; Hyperbaric Oxygenation ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Risk Factors
    Keywords covid19
    Language English
    Publishing date 2020-04-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1077620-5
    ISSN 1600-0617 ; 0905-9180
    ISSN (online) 1600-0617
    ISSN 0905-9180
    DOI 10.1183/16000617.0068-2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Combination of Electrochemotherapy with Radiotherapy: A Comprehensive, Systematic, PRISMA-Compliant Review of Efficacy and Potential Radiosensitizing Effects in Tumor Control.

    Ferioli, Martina / Perrone, Anna M / Buwenge, Milly / Arcelli, Alessandra / Vadala', Maria / Fionda, Bruno / Malato, Maria C / De Iaco, Pierandrea / Zamagni, Claudio / Cammelli, Silvia / Tagliaferri, Luca / Morganti, Alessio G

    Current oncology (Toronto, Ont.)

    2023  Volume 30, Issue 11, Page(s) 9895–9905

    Abstract: Radiotherapy (RT) and electrochemotherapy (ECT) are established local treatments for cancer. While effective, both therapies have limitations, especially in treating bulky and poorly oxygenated tumors. ECT has emerged as a promising palliative treatment, ...

    Abstract Radiotherapy (RT) and electrochemotherapy (ECT) are established local treatments for cancer. While effective, both therapies have limitations, especially in treating bulky and poorly oxygenated tumors. ECT has emerged as a promising palliative treatment, raising interest in exploring its combination with RT to enhance tumor response. However, the potential benefits and challenges of combining these treatments remain unclear. A systematic review was conducted following PRISMA guidelines. PubMed, Scopus, and Cochrane libraries were searched. Studies were screened and selected based on predefined inclusion and exclusion criteria. Ten studies were included, comprising in vitro and in vivo experiments. Different tumor types were treated with ECT alone or in combination with RT. ECT plus RT demonstrated superior tumor response compared to that under single therapies or other combinations, regardless of the cytotoxic agent and RT dose. However, no study demonstrated a clear superadditive effect in cell survival curves, suggesting inconclusive evidence of specific ECT-induced radiosensitization. Toxicity data were limited. In conclusion, the combination of ECT and RT consistently improved tumor response compared to that with individual therapies, supporting the potential benefit of their combination. However, evidence for a specific ECT-induced radiosensitization effect is currently lacking. Additional investigations are necessary to elucidate the potential benefits of this combination therapy.
    MeSH term(s) Humans ; Electrochemotherapy ; Radiation-Sensitizing Agents/pharmacology ; Radiation-Sensitizing Agents/therapeutic use ; Neoplasms/drug therapy ; Neoplasms/radiotherapy ; Antineoplastic Agents/therapeutic use ; Palliative Care
    Chemical Substances Radiation-Sensitizing Agents ; Antineoplastic Agents
    Language English
    Publishing date 2023-11-13
    Publishing country Switzerland
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol30110719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Sarcopenic Obesity in Cervical Carcinoma: A Strong and Independent Prognostic Factor beyond the Conventional Predictors (ESTHER Study-AFRAID Project).

    Medici, Federica / Ferioli, Martina / Cammelli, Silvia / Forlani, Ludovica / Laghi, Viola / Ma, Johnny / Cilla, Savino / Buwenge, Milly / Macchia, Gabriella / Deodato, Francesco / Vadalà, Maria / Malizia, Claudio / Tagliaferri, Luca / Perrone, Anna Myriam / De Iaco, Pierandrea / Strigari, Lidia / Bazzocchi, Alberto / Rizzo, Stefania / Arcelli, Alessandra /
    Morganti, Alessio Giuseppe

    Cancers

    2024  Volume 16, Issue 5

    Abstract: Locally advanced cervical cancer represents a significant treatment challenge. Body composition parameters such as body mass index, sarcopenia, and sarcopenic obesity, defined by sarcopenia and BMI ≥ 30 kg/ ... ...

    Abstract Locally advanced cervical cancer represents a significant treatment challenge. Body composition parameters such as body mass index, sarcopenia, and sarcopenic obesity, defined by sarcopenia and BMI ≥ 30 kg/m
    Language English
    Publishing date 2024-02-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16050929
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Electrochemotherapy with intravenous bleomycin for heavily pre-treated vulvar cancer patients.

    Perrone, Anna Myriam / Corrado, Giacomo / Coada, Camelia Alexandra / Garganese, Giorgia / Fragomeni, Simona Maria / Tagliaferri, Luca / Di Costanzo, Stella / De Crescenzo, Eugenia / Morganti, Alessio Giuseppe / Ferioli, Martina / De Terlizzi, Francesca / Scambia, Giovanni / De Iaco, Pierandrea

    International journal of gynecological cancer : official journal of the International Gynecological Cancer Society

    2023  Volume 33, Issue 4, Page(s) 473–481

    Abstract: Objective: The management of vulvar cancer recurrences is complicated by patients' advanced age and comorbidities. Bleomycin-based electrochemotherapy is a potential treatment option in this setting. However, no data on long-term outcomes are available. ...

    Abstract Objective: The management of vulvar cancer recurrences is complicated by patients' advanced age and comorbidities. Bleomycin-based electrochemotherapy is a potential treatment option in this setting. However, no data on long-term outcomes are available. Therefore, a multicenter observational study was designed to evaluate the 5-year results in these patients.
    Methods: Data about patients and tumor characteristics, electrochemotherapy cycles, clinical response, and follow-up were recorded. Treatment procedures were performed according to the European Standard Operating Procedures of Electrochemotherapy (ESOPE) guidelines. Response was evaluated according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
    Results: Fifty-one patients (mean age 82.31±7.28 years) with squamous cell vulvar cancer underwent electrochemotherapy (median number of sessions 1; range 1-4). 20 patients had complete response and 32% of these were disease-free after 2 years (median progression-free survival 16.8 months). In 13 patients with partial response the median progression-free survival was 15.36 months, while patients with stable or progressive disease showed tumor relapse after 6.95 and 3.26 months, respectively (p<0.001). Median overall survival was 18.77, 13.07, 6.73, and 11.13 months in patients with complete response, partial response, stable disease, and progressive disease, respectively (p=0.001).
    Conclusion: Long-term follow-up of vulvar cancer patients showed reasonable tumor control after electrochemotherapy and improved progression-free survival and overall survival in responder subjects compared with non-responders. Further studies aimed at improving local response after electrochemotherapy are warranted. Thus, this approach represents a potential alternative for these patients.
    MeSH term(s) Female ; Humans ; Aged ; Aged, 80 and over ; Bleomycin ; Antibiotics, Antineoplastic ; Vulvar Neoplasms/drug therapy ; Vulvar Neoplasms/pathology ; Electrochemotherapy/methods ; Treatment Outcome ; Neoplasm Recurrence, Local/drug therapy ; Neoplasm Recurrence, Local/etiology ; Skin Neoplasms/drug therapy ; Skin Neoplasms/etiology ; Skin Neoplasms/pathology
    Chemical Substances Bleomycin (11056-06-7) ; Antibiotics, Antineoplastic
    Language English
    Publishing date 2023-04-03
    Publishing country England
    Document type Multicenter Study ; Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1070385-8
    ISSN 1525-1438 ; 1048-891X
    ISSN (online) 1525-1438
    ISSN 1048-891X
    DOI 10.1136/ijgc-2022-004127
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  10. Article: The role of radiotherapy in adult soft tissues sarcoma of the extremities.

    Cammelli, Silvia / Cortesi, Annalisa / Buwenge, Milly / Zamagni, Alice / Ferioli, Martina / Ghigi, Giulia / Romeo, Antonino / Morganti, Alessio G

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2021  Volume 31, Issue 8, Page(s) 1583–1596

    Abstract: Local management of adult soft tissue sarcoma of the extremities has evolved over the past decades. Until the 1970s, radical surgery (amputations) was the standard therapeutic procedure resulting in significant physical and psychological morbidity for ... ...

    Abstract Local management of adult soft tissue sarcoma of the extremities has evolved over the past decades. Until the 1970s, radical surgery (amputations) was the standard therapeutic procedure resulting in significant physical and psychological morbidity for the patients. In the present era, limb sparing surgery combined with radiotherapy represents the current standard of care for high grade and > 5 cm STSs. This approach guarantees high local control rate and function preservation. The aim of this paper is to summarize the current evidence for RT in STSs of the extremities. Outcomes, technical details (techniques, timing, dose, volumes of treatment) and the emerging role of RT in the management of oligometastatic disease will be analysed. Finally, results of the recent clinical trials testing new scenarios in RT of STSs will be described.
    MeSH term(s) Adult ; Amputation ; Extremities ; Humans ; Radiotherapy, Adjuvant ; Sarcoma/radiotherapy ; Sarcoma/surgery ; Soft Tissue Neoplasms/radiotherapy ; Soft Tissue Neoplasms/surgery
    Language English
    Publishing date 2021-05-06
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-021-02990-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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