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  1. Article ; Online: Bone fractures difficult to recognize in emergency: May be cone beam computed tomography (CBCT) the solution?

    Grassi, Roberto / Guerra, Egidio / Berritto, Daniela

    La Radiologia medica

    2023  Volume 128, Issue 1, Page(s) 1–5

    Abstract: CBCT is an imaging tool represented by an X-ray computed tomography delivering a conic-shape X-rays source. This system produces volumetric data during a single rotation of both X-ray beam and detector around the stationary patient. CBCT is able to ... ...

    Abstract CBCT is an imaging tool represented by an X-ray computed tomography delivering a conic-shape X-rays source. This system produces volumetric data during a single rotation of both X-ray beam and detector around the stationary patient. CBCT is able to produce three-dimensional images as for MDCT, however, accounting some advantages over it: lower radiation dose, faster volumetric dataset acquisition, higher spatial resolution and bone contrast. For these reasons, CBCT has recently been described and adopted for extremities imaging in orthopedics. Misinterpretation of fractures may determine a delayed treatment and poor outcome for patients treated in the ED. CBCT, by easily identifying occult cortical fractures and using a lower dose of radiation, is proposed as an alternative or supplement to direct radiograms, optimizing the cost-effectiveness ratio and limiting the number of unnecessary immobilizations. The first experiences document excellent performance of CBCT in emergency radiology departments, especially thanks to transverse imaging in trauma of the extremities.
    MeSH term(s) Humans ; Spiral Cone-Beam Computed Tomography ; Fractures, Bone/diagnostic imaging ; Extremities ; Imaging, Three-Dimensional/methods ; Cone-Beam Computed Tomography/methods ; Phantoms, Imaging
    Language English
    Publishing date 2023-01-22
    Publishing country Italy
    Document type Editorial
    ZDB-ID 205751-7
    ISSN 1826-6983 ; 0033-8362
    ISSN (online) 1826-6983
    ISSN 0033-8362
    DOI 10.1007/s11547-022-01584-4
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  2. Article ; Online: Ultra-High-Frequency Ultrasound: A Modern Diagnostic Technique for Studying Melanoma.

    Reginelli, Alfonso / Russo, Anna / Berritto, Daniela / Patane, Vittorio / Cantisani, Carmen / Grassi, Roberto

    Ultraschall in der Medizin (Stuttgart, Germany : 1980)

    2023  Volume 44, Issue 4, Page(s) 360–378

    Abstract: The development of new ultra-high-frequency devices with a resolution of 30 μm makes it possible to use ultrasound in the study of new small anatomical units and to apply this tool to new fields of pathology. Cutaneous melanoma is a severe skin disease ... ...

    Title translation Ultrahochfrequenz-Ultraschall: Eine moderne Diagnosetechnik zur Untersuchung von Melanomen.
    Abstract The development of new ultra-high-frequency devices with a resolution of 30 μm makes it possible to use ultrasound in the study of new small anatomical units and to apply this tool to new fields of pathology. Cutaneous melanoma is a severe skin disease with an incidence of approximately 160 000 new cases each year and 48 000 deaths. In this paper, we evaluate the role of HFUS in the diagnosis of cutaneous melanoma, describe the sonographic appearance of skin layers in the pre-excision phase as well as of lesion features, and correlate the characteristics with pathological examination.
    MeSH term(s) Humans ; Melanoma/diagnostic imaging ; Melanoma/pathology ; Melanoma/surgery ; Skin Neoplasms/diagnostic imaging ; Skin Neoplasms/pathology ; Ultrasonography/methods ; Melanoma, Cutaneous Malignant
    Language German
    Publishing date 2023-04-17
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 1439-0914 ; 1431-4894 ; 0172-4614
    ISSN (online) 1438-8782
    ISSN 1439-0914 ; 1431-4894 ; 0172-4614
    DOI 10.1055/a-2028-6182
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    Zs.A 1572: Show issues Location:
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  3. Article: Ultra-High-Frequency Ultrasound: A Modern Diagnostic Technique for Studying Melanoma

    Reginelli, Alfonso / Russo, Anna / Berritto, Daniela / Patane, Vittorio / Cantisani, Carmen / Grassi, Roberto

    Ultraschall in der Medizin - European Journal of Ultrasound

    2023  Volume 44, Issue 04, Page(s) 360–378

    Abstract: The development of new ultra-high-frequency devices with a resolution of 30 μm makes it possible to use ultrasound in the study of new small anatomical units and to apply this tool to new fields of pathology. Cutaneous melanoma is a severe skin disease ... ...

    Abstract The development of new ultra-high-frequency devices with a resolution of 30 μm makes it possible to use ultrasound in the study of new small anatomical units and to apply this tool to new fields of pathology. Cutaneous melanoma is a severe skin disease with an incidence of approximately 160 000 new cases each year and 48 000 deaths. In this paper, we evaluate the role of HFUS in the diagnosis of cutaneous melanoma, describe the sonographic appearance of skin layers in the pre-excision phase as well as of lesion features, and correlate the characteristics with pathological examination.

    Die Entwicklung neuer Ultrahochfrequenzgeräte mit einer Auflösung von 30μm ermöglicht den Einsatz von Ultraschall bei der Untersuchung neuer kleiner anatomischer Einheiten und den Einsatz dieser Methode in neuen Bereichen der Pathologie. Das kutane Melanom ist eine schwere Hauterkrankung mit einer jährlichen Inzidenz von etwa 160 000 Neuerkrankungen und 48 000 Todesfällen. In diesem Beitrag bewerten wir die Rolle des HFUS bei der Diagnose des kutanen Melanoms, beschreiben das sonografische Erscheinungsbild der Hautschichten in der Präexzisionsphase sowie die Merkmale der Läsion und vergleichen sie mit der pathologischen Untersuchung.
    Language English
    Publishing date 2023-04-17
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 0172-4614 ; 1439-0914 ; 1431-4894
    ISSN (online) 1438-8782
    ISSN 0172-4614 ; 1439-0914 ; 1431-4894
    DOI 10.1055/a-2028-6182
    Database Thieme publisher's database

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  4. Article ; Online: Percutaneous Radiofrequency Ablation of the Posterior and Anterior Interosseous Nerves for Chronic Wrist Pain: A Novel Technique.

    Smeraglia, Francesco / Berritto, Daniela / Basso, Morena A / Mosillo, Giuseppe / Grassi, Roberto / Mariconda, Massimo

    Techniques in hand & upper extremity surgery

    2020  Volume 25, Issue 2, Page(s) 89–93

    Abstract: The treatment of chronic wrist pain, due to posttraumatic, degenerative, or inflammatory arthritis, is challenging to adequately manage. The ideal surgical procedure should preserve wrist mobility and provide long-lasting pain relief. In this regard, ... ...

    Abstract The treatment of chronic wrist pain, due to posttraumatic, degenerative, or inflammatory arthritis, is challenging to adequately manage. The ideal surgical procedure should preserve wrist mobility and provide long-lasting pain relief. In this regard, denervation aims to decrease wrist pain by interrupting sensory innervation, without impairing motor function, and avoids the need for postoperative immobilization to decrease the risk of stiffness. For these reasons, denervation is particularly attractive as a possible treatment for chronic wrist pain. Our aim was to describe our novel technique for partial percutaneous wrist denervation, performed by radiofrequency ablation of the posterior and anterior interosseous nerves, and to report on the prospective outcomes over a 1-year follow-up for 3 patients (4 wrists) treated as of March 2019. The technique is performed on an outpatient basis and does not require postprocedure wrist immobilization or restriction in activities of daily living or work. Findings at the 1-year follow-up indicate that partial denervation improved grip strength, provided pain relief, maintained wrist motion, and improved subjective report of disabilities of the arm, shoulder, and hand. One patient did not report a benefit of the procedures, with other patients being very satisfied. Our percutaneous procedure is an evolution of the traditional partial denervation technique, providing advantages of being less invasive, not requiring restriction of movement or activities in the postoperative phase, can be performed on an out-patient basis, and does not preclude the subsequent use of invasive surgical procedures, as needed.
    MeSH term(s) Activities of Daily Living ; Arthralgia/surgery ; Denervation ; Humans ; Prospective Studies ; Radiofrequency Ablation ; Wrist/surgery ; Wrist Joint/surgery
    Language English
    Publishing date 2020-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000304
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    Zs.A 5635: Show issues Location:
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  5. Article ; Online: High resolution real time ultrasonography of the sural nerve after percutaneous repair of the Achilles tendon.

    Zappia, Marcello / Berritto, Daniela / Oliva, Francesco / Maffulli, Nicola

    Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

    2017  Volume 24, Issue 4, Page(s) 342–346

    Abstract: Background: Percutaneous Achilles tendon repair has been developed to minimise soft tissue complications following treatment of tendon ruptures. However, there are concerns because of the risk of sural nerve injury. Few studies have investigated the ... ...

    Abstract Background: Percutaneous Achilles tendon repair has been developed to minimise soft tissue complications following treatment of tendon ruptures. However, there are concerns because of the risk of sural nerve injury. Few studies have investigated the relationship between the Achilles tendon, the sural nerve and its several anatomical course variants.
    Methods: We studied 7 cadaveric limbs (7 Achilles tendons) in which a percutaneous repair of the Achilles tendon was performed. On each tendon, high resolution real time ultrasonography examination was performed by an experienced musculoskeletal radiologist before and after the procedure, with the surgeons blind to the results of the scan both before and after surgery.
    Results: In two instances, high resolution real time ultrasonography examination revealed nerve entrapment at the level of most proximal lateral suture.
    Conclusions: Since the sural nerve can be easily visualised using high-frequency high resolution real time ultrasonography, intraoperative ultrasound can be of assistance during percutaneous repair of Achilles tendon rupture.
    Clinical relevance: The sural nerve can be readily visualised by high-frequency high resolution real time ultrasonography probes. It could be beneficial to use high resolution real time ultrasonography intraoperatively or perioperatively to minimise the risks of sural nerve injury when undertaking percutaneous repair of Achilles tendon tears.
    MeSH term(s) Achilles Tendon/diagnostic imaging ; Achilles Tendon/innervation ; Achilles Tendon/surgery ; Cadaver ; Humans ; Male ; Nerve Compression Syndromes/diagnostic imaging ; Nerve Compression Syndromes/etiology ; Nerve Compression Syndromes/prevention & control ; Reconstructive Surgical Procedures/adverse effects ; Reconstructive Surgical Procedures/methods ; Rupture ; Sural Nerve/diagnostic imaging ; Sural Nerve/injuries ; Tendon Injuries/surgery ; Ultrasonography/methods
    Language English
    Publishing date 2017-03-30
    Publishing country France
    Document type Journal Article
    ZDB-ID 1424533-4
    ISSN 1460-9584 ; 1268-7731
    ISSN (online) 1460-9584
    ISSN 1268-7731
    DOI 10.1016/j.fas.2017.03.006
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    Zs.A 4246: Show issues Location:
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  6. Article: Clinical Application of Ultra-High-Frequency Ultrasound.

    Russo, Anna / Reginelli, Alfonso / Lacasella, Giorgia Viola / Grassi, Enrico / Karaboue, Michele Ahmed Antonio / Quarto, Tiziana / Busetto, Gian Maria / Aliprandi, Alberto / Grassi, Roberta / Berritto, Daniela

    Journal of personalized medicine

    2022  Volume 12, Issue 10

    Abstract: Musculoskeletal ultrasound involves the study of many superficial targets, especially in the hands, wrists, and feet. Many of these areas are within the first 3 cm of the skin surface and are ideal targets for ultra-high-frequency ultrasound. The high ... ...

    Abstract Musculoskeletal ultrasound involves the study of many superficial targets, especially in the hands, wrists, and feet. Many of these areas are within the first 3 cm of the skin surface and are ideal targets for ultra-high-frequency ultrasound. The high spatial resolution and the superb image quality achievable allow foreseeing a wider use of this novel technique, which has the potential to bring innovation to diagnostic imaging.
    Language English
    Publishing date 2022-10-19
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12101733
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  7. Article ; Online: Trauma Imaging of the Acute Cervical Spine.

    Berritto, Daniela / Pinto, Antonio / Michelin, Paul / Demondion, Xavier / Badr, Sammy

    Seminars in musculoskeletal radiology

    2017  Volume 21, Issue 3, Page(s) 184–198

    MeSH term(s) Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/injuries ; Diagnosis, Differential ; Humans ; Magnetic Resonance Imaging ; Spinal Injuries/diagnostic imaging ; Tomography, X-Ray Computed
    Language English
    Publishing date 2017-06-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1360919-1
    ISSN 1098-898X ; 1089-7860
    ISSN (online) 1098-898X
    ISSN 1089-7860
    DOI 10.1055/s-0037-1602713
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    Zs.A 4887: Show issues Location:
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  8. Article: Large Bowel Ischemia/Infarction: How to Recognize It and Make Differential Diagnosis? A Review.

    Iacobellis, Francesca / Narese, Donatella / Berritto, Daniela / Brillantino, Antonio / Di Serafino, Marco / Guerrini, Susanna / Grassi, Roberta / Scaglione, Mariano / Mazzei, Maria Antonietta / Romano, Luigia

    Diagnostics (Basel, Switzerland)

    2021  Volume 11, Issue 6

    Abstract: Ischemic colitis represents the most frequent form of intestinal ischemia occurring when there is an acute impairment or chronic reduction in the colonic blood supply, resulting in mucosal ulceration, inflammation, hemorrhage and ischemic necrosis of ... ...

    Abstract Ischemic colitis represents the most frequent form of intestinal ischemia occurring when there is an acute impairment or chronic reduction in the colonic blood supply, resulting in mucosal ulceration, inflammation, hemorrhage and ischemic necrosis of variable severity. The clinical presentation is variable and nonspecific, so it is often misdiagnosed. The most common etiology is hypoperfusion, almost always associated with generalized atherosclerotic disease. The severity ranges from localized and transient ischemia to transmural necrosis of the bowel wall, becoming a surgical emergency, with significant associated morbidity and mortality. The diagnosis is based on clinical, laboratory suspicion and radiological, endoscopic and histopathological findings. Among the radiological tests, enhanced-CT is the diagnostic investigation of choice. It allows us to make the diagnosis in an appropriate clinical setting, and to define the entity of the ischemia. MR may be adopted in the follow-up in patients with iodine allergy or renal dysfunctions, or younger patients who should avoid radiological exposure. In the majority of cases, supportive therapy is the only required treatment. In this article we review the pathophysiology and the imaging findings of ischemic colitis.
    Language English
    Publishing date 2021-05-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics11060998
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  9. Article ; Online: Vertebral body enhancement mimicking sclerotic osseous lesions in the setting of bilateral brachiocephalic vein thrombosis.

    Berritto, Daniela / Abboud, Salim / Kosmas, Christos / Riherd, Daniel / Robbin, Mark

    Skeletal radiology

    2015  Volume 44, Issue 2, Page(s) 303–305

    Abstract: Contrast enhancement of the vertebral body marrow may be seen secondary to collateral venous blood flow via the vertebral venous plexus in the setting of superior vena cava obstruction. We report a 48-year-old woman presenting with bilateral ... ...

    Abstract Contrast enhancement of the vertebral body marrow may be seen secondary to collateral venous blood flow via the vertebral venous plexus in the setting of superior vena cava obstruction. We report a 48-year-old woman presenting with bilateral brachiocephalic vein obstruction and multilevel thoracic spine hyperdensities as seen on venous-phase CT angiography (CTA), initially concerning for sclerotic neoplastic lesions. A contrast-enhanced CT of the neck obtained 1 day prior to the chest CTA did not demonstrate any osseous abnormality, and inspection of the chest CTA demonstrated filling of perivertebral venous collateral vessels. The abnormal vertebral body enhancement was therefore feltsecondary to retrograde collateral venous flow via the basivertebral venous plexus in the setting of functional SVC obstruction. Vertebral body enhancement should be considered in patients with thoracic central venous obstruction when enhancement or apparent sclerosis of the vertebral bodies is seen on CTA.
    MeSH term(s) Angiography/methods ; Brachiocephalic Veins/diagnostic imaging ; Diagnosis, Differential ; Female ; Humans ; Middle Aged ; Sclerosis/pathology ; Spinal Diseases/pathology ; Tomography, X-Ray Computed/methods ; Venous Thrombosis/diagnostic imaging
    Language English
    Publishing date 2015-02
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-014-2037-9
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    Zs.A 1304: Show issues Location:
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  10. Article ; Online: Ultra high-frequency ultrasound: New capabilities for nail anatomy exploration.

    Berritto, Daniela / Iacobellis, Francesca / Rossi, Claudia / Reginelli, Alfonso / Cappabianca, Salvatore / Grassi, Roberto

    The Journal of dermatology

    2017  Volume 44, Issue 1, Page(s) 43–46

    Abstract: Recent development of ultra high-resolution ultrasound systems, with frequencies as high as 70 MHz and capability resolution as fine as 30 μm, could permit new diagnostic applications to small parts. A variety of superficial targets within the first 1 cm ...

    Abstract Recent development of ultra high-resolution ultrasound systems, with frequencies as high as 70 MHz and capability resolution as fine as 30 μm, could permit new diagnostic applications to small parts. A variety of superficial targets within the first 1 cm of the skin surface could be imaged, including dermatological applications such as assessment of skin layers, hair follicles and the nail unit. Nail disorders are frequent but they are diagnosed mainly based on clinical examination; although biopsies and scrapings can provide clinically significant information, most patients do not perceive biopsies positively. To image the skin layer and annexes is often difficult with conventional ultrasound but, because of anatomical details obtained with the newest systems, this method holds great promise for addressing important biomedical applications offering unique advantages over the existing non-invasive imaging modalities. This will enable physicians to assess and manage the conditions involving the nails of a large and growing segment of the population in a better way.
    MeSH term(s) Feasibility Studies ; Hair Follicle/diagnostic imaging ; Humans ; Nail Diseases/diagnostic imaging ; Nails/anatomy & histology ; Nails/blood supply ; Nails/diagnostic imaging ; Physical Examination ; Skin/diagnostic imaging ; Ultrasonography/instrumentation ; Ultrasonography/methods
    Language English
    Publishing date 2017-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 800103-0
    ISSN 1346-8138 ; 0385-2407
    ISSN (online) 1346-8138
    ISSN 0385-2407
    DOI 10.1111/1346-8138.13495
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