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  1. Article: The Role of Dual-Energy CT for the Assessment of Liver Metastasis Response to Treatment: Above the RECIST 1.1 Criteria.

    Reginelli, Alfonso / Del Canto, Mariateresa / Clemente, Alfredo / Gragnano, Eduardo / Cioce, Fabrizio / Urraro, Fabrizio / Martinelli, Erika / Cappabianca, Salvatore

    Journal of clinical medicine

    2023  Volume 12, Issue 3

    Abstract: Imaging assessment of liver lesions is fundamental to predict therapeutic response and improve patient survival rates. Dual-Energy Computed Tomography (DECT) is an increasingly used technique in the oncologic field with many emerging applications. The ... ...

    Abstract Imaging assessment of liver lesions is fundamental to predict therapeutic response and improve patient survival rates. Dual-Energy Computed Tomography (DECT) is an increasingly used technique in the oncologic field with many emerging applications. The assessment of iodine concentration within a liver lesion reflects the biological properties of the tumor and provides additional information to radiologists that is normally invisible to the human eye. The possibility to predict tumor aggressiveness and therapeutic response based on quantitative and reproducible parameters obtainable from DECT images could improve clinical decisions and drive oncologists to choose the best therapy according to metastasis biological features. Moreover, in comparison with standard dimensional criteria, DECT provides further data on the cancer microenvironment, especially for patients treated with antiangiogenic-based drugs, in which tumor shrinkage is a late parameter of response. We investigated the predictive role of DECT in the early assessment of liver metastasis response to treatment in comparison with standard dimensional criteria during antiangiogenetic-based therapy.
    Language English
    Publishing date 2023-01-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12030879
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Treatment of Spinal Aneurysmal Bone Cyst with Percutaneous Injection of Hydroxyapatite Osteoconductive Cement.

    Gragnano, Eduardo / Opancina, Valentina / Muto, Gianluca / Giordano, Flavio / Guarnieri, Gianluigi / Hirsch, Joshua / Della Gata, Luigi / Piovan, Enrico / Muto, Mario

    Cardiovascular and interventional radiology

    2023  Volume 46, Issue 12, Page(s) 1726–1731

    Abstract: Purpose: The aim of this study was to evaluate treatment efficacy of percutaneous injection of hydroxyapatite-osteoconductive-cement in patients with spinal aneurysmal bone cysts.: Materials and methods: The study was designed as a retrospective ... ...

    Abstract Purpose: The aim of this study was to evaluate treatment efficacy of percutaneous injection of hydroxyapatite-osteoconductive-cement in patients with spinal aneurysmal bone cysts.
    Materials and methods: The study was designed as a retrospective observational clinical study. We included patients who were diagnosed with of spinal aneurysmal bone cyst, at our institution between 2013 and 2020, and treated with percutaneous injection of osteoconductive cement: "Cerament"
    Results: Our study included nine patients, two children and seven adults. Three different types of approaches were applied: (single pedicle approach in 3 patients; double pedicle approach in 2 patients; while in the remaining cases, a multiple access approach was used. VAS score decreased from 8.5 ± 0.5 before treatment to 4.1 ± 0.9 at 6-months-follow up. All of the patients reacted well to treatment, with none neurological complications, complete loss of pain and achieved osteosclerosis as radiological marker of treatment success.
    Conclusion: Treatment of symptomatic spinal ABC's with hydroxyapatite cement is effective to achieve complete pain reduction and sclerosis.
    MeSH term(s) Adult ; Child ; Humans ; Bone Cysts, Aneurysmal/diagnostic imaging ; Bone Cysts, Aneurysmal/therapy ; Bone Cysts, Aneurysmal/complications ; Retrospective Studies ; Hydroxyapatites/therapeutic use ; Treatment Outcome ; Pain/drug therapy ; Bone Cements/therapeutic use
    Chemical Substances hydroxyapatite cement ; Hydroxyapatites ; Bone Cements
    Language English
    Publishing date 2023-11-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-023-03606-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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