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Article: Ablation of pulmonary neoplasms: review of literature and future perspectives.

Lassandro, Giulia / Picchi, Stefano Giusto / Corvino, Antonio / Gurgitano, Martina / Carrafiello, Gianpaolo / Lassandro, Francesco

Polish journal of radiology

2023 Volume 88, Page(s) e216–e224

Abstract: Thermal ablation is a minimally invasive technology used to treat many types of tumors, including lung cancer. Specifically, lung ablation has been increasingly performed for unsurgical fit patients with both early-stage primi-tive lung cancer and ... ...

Abstract	Thermal ablation is a minimally invasive technology used to treat many types of tumors, including lung cancer. Specifically, lung ablation has been increasingly performed for unsurgical fit patients with both early-stage primi-tive lung cancer and pulmonary metastases. Image-guided available techniques include radiofrequency ablation, microwave ablation, cryoablation, laser ablation and irreversible electroporation. Aim of this review is to illustrate the major thermal ablation modalities, their indications and contraindications, complications, outcomes and notably the possible future challenges.
Language	English
Publishing date	2023-04-18
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	2675143-4
ISSN	1899-0967 ; 1733-134X
ISSN (online)	1899-0967
ISSN	1733-134X
DOI	10.5114/pjr.2023.127062
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Article: Bleeding of Perivascular Spaces in Midbrain of a Young Patient With Head Trauma.

Galli, Federica / Pandolfi, Marco / Liguori, Alessandro / Gurgitano, Martina / Sberna, Maurizio

Cureus

2021 Volume 13, Issue 1, Page(s) e12884

Abstract: Perivascular spaces (PVSs) surrounding the walls of arteries, arterioles, and venules are a common finding in brain imaging. Even if they do not directly communicate with subarachnoid spaces, there are some cases in which subarachnoid hemorrhage (SAH) ... ...

Abstract	Perivascular spaces (PVSs) surrounding the walls of arteries, arterioles, and venules are a common finding in brain imaging. Even if they do not directly communicate with subarachnoid spaces, there are some cases in which subarachnoid hemorrhage (SAH) and intracerebral hematomas extend to the PVSs by leakage of the leptomeninges. In this report, we present a case of enlargement and bleeding of PVSs in the midbrain of a young woman with head trauma, without evident SAH or intracerebral hematomas.
Language	English
Publishing date	2021-01-24
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.12884
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Article: Lifesaving embolization in a massive lumbar artery bleeding: Interventional radiology management.

Di Meglio, Letizia / Rodà, Giovanni Maria / Arrichiello, Antonio / Gurgitano, Martina / Carrafiello, Gianpaolo / Angileri, Salvatore Alessio

Radiology case reports

2021 Volume 16, Issue 10, Page(s) 3113–3116

Abstract: Vertebral fractures are the most frequent fractures associated with osteoporosis. Thus far, there are no reported cases in literature analyzing intervertebral bleeding as a result of an osteoporotic vertebral fracture. The authors report a case of an 85- ... ...

Abstract	Vertebral fractures are the most frequent fractures associated with osteoporosis. Thus far, there are no reported cases in literature analyzing intervertebral bleeding as a result of an osteoporotic vertebral fracture. The authors report a case of an 85-year-old woman in hemorrhagic shock for an unusual vertebral fracture causing a massive bleeding, which was contained by the vertebral ligament system inside the body of L4, treated with an endovascular approach. Since there are no guidelines for a treatment for the case mentioned above or similar, our aim is to describe a possible approach to a potentially life-threatening rare event.
Language	English
Publishing date	2021-08-16
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2021.07.022
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Article ; Online: Percutaneous cervical coblation as therapeutic technique in the treatment of algo-dysfunctional pain of discal herniation.

Pandolfi, Marco / Galli, Federica / Borelli, Anna / Gurgitano, Martina / Liguori, Alessandro / Carrafiello, Gianpaolo

La Radiologia medica

2021 Volume 126, Issue 6, Page(s) 860–868

Abstract: Objective: To confirm the validity of coblation nucleoplasty in reduction of cervical discogenic nature.: Study design: In a monocentric prospective clinical observational study recruiting 20 patients, treated with percutaneous coblation for cervical ...

Abstract	Objective: To confirm the validity of coblation nucleoplasty in reduction of cervical discogenic nature. Study design: In a monocentric prospective clinical observational study recruiting 20 patients, treated with percutaneous coblation for cervical discogenic pain in 16 months in our hospital, we have clinically evaluated 18 patients. The pain was scored with the Visual Analogic Scale (VAS) in a pre-procedural questionary, 3/4 monthly follow-up from treatment and, finally, in a long-term follow-up 2 years after procedure. Results: The mean pre-procedural VAS score was 7.9 ± 1.6 (95%-Confidence Interval 7.198-8.634), while the mean post-procedural score after 3-4 months has been 2.5 ± 3.1 (95%-Confidence Interval 1.089-3.965) and 2.5 ± 2.5 (95%-Confidence Interval 1.367-3.687) after 2 years. Among 18 patients, in the shortly post-treatment follow-up, nine had a complete pain relief, four had a > 50% VAS reduction, two hada < 50% VAS reduction, three did not have any variation of VAS; after 2 years, six patients had a total pain resolution, eight had a > 50% VAS reduction, two hada < 50% VAS reduction, two did not have any benefit. No peri- and post-procedural complication has been observed. Conclusions: In a spite of a little sample, our results showed coblation as a valid therapeutic option to reduce cervical discogenic pain in medicine-refractory patients, as an alternative or a previous choice before a more invasive surgical treatment.
MeSH term(s)	Cervical Vertebrae ; Decompression, Surgical/methods ; Female ; Follow-Up Studies ; Humans ; Intervertebral Disc Displacement/complications ; Intervertebral Disc Displacement/diagnosis ; Intervertebral Disc Displacement/surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Neck Pain/diagnosis ; Neck Pain/etiology ; Neck Pain/surgery ; Pain Measurement ; Prospective Studies ; Treatment Outcome
Language	English
Publishing date	2021-02-23
Publishing country	Italy
Document type	Journal Article ; Observational Study
ZDB-ID	205751-7
ISSN	1826-6983 ; 0033-8362
ISSN (online)	1826-6983
ISSN	0033-8362
DOI	10.1007/s11547-021-01336-w
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Article: Radiological pattern in ARDS patients: partitioned respiratory mechanics, gas exchange and lung recruitability.

Coppola, Silvia / Pozzi, Tommaso / Gurgitano, Martina / Liguori, Alessandro / Duka, Ejona / Bichi, Francesca / Ciabattoni, Arianna / Chiumello, Davide

Annals of intensive care

2021 Volume 11, Issue 1, Page(s) 78

Abstract: Background: The ARDS is characterized by different degrees of impairment in oxygenation and distribution of the lung disease. Two radiological patterns have been described: a focal and a diffuse one. These two patterns could present significant ... ...

Abstract	Background: The ARDS is characterized by different degrees of impairment in oxygenation and distribution of the lung disease. Two radiological patterns have been described: a focal and a diffuse one. These two patterns could present significant differences both in gas exchange and in the response to a recruitment maneuver. At the present time, it is not known if the focal and the diffuse pattern could be characterized by a difference in the lung and chest wall mechanical characteristics. Our aims were to investigate, at two levels of PEEP, if focal vs. diffuse ARDS patterns could be characterized by different lung CT characteristics, partitioned respiratory mechanics and lung recruitability. Methods: CT patterns were analyzed by two radiologists and were classified as focal or diffuse. The changes from 5 to 15 cmH Results: One-hundred and ten patients showed a diffuse pattern, while 58 showed a focal pattern. At 5 cmH Conclusions: An early identification of lung morphology can be useful to choose the ventilatory setting. A diffuse pattern has a better response to the increase of PEEP and to the recruitment maneuver.
Language	English
Publishing date	2021-05-17
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2617094-2
ISSN	2110-5820
ISSN	2110-5820
DOI	10.1186/s13613-021-00870-0
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Article ; Online: Interventional Radiology ex-machina: impact of Artificial Intelligence on practice.

Gurgitano, Martina / Angileri, Salvatore Alessio / Rodà, Giovanni Maria / Liguori, Alessandro / Pandolfi, Marco / Ierardi, Anna Maria / Wood, Bradford J / Carrafiello, Gianpaolo

La Radiologia medica

2021 Volume 126, Issue 7, Page(s) 998–1006

Abstract: Artificial intelligence (AI) is a branch of Informatics that uses algorithms to tirelessly process data, understand its meaning and provide the desired outcome, continuously redefining its logic. AI was mainly introduced via artificial neural networks, ... ...

Abstract	Artificial intelligence (AI) is a branch of Informatics that uses algorithms to tirelessly process data, understand its meaning and provide the desired outcome, continuously redefining its logic. AI was mainly introduced via artificial neural networks, developed in the early 1950s, and with its evolution into "computational learning models." Machine Learning analyzes and extracts features in larger data after exposure to examples; Deep Learning uses neural networks in order to extract meaningful patterns from imaging data, even deciphering that which would otherwise be beyond human perception. Thus, AI has the potential to revolutionize the healthcare systems and clinical practice of doctors all over the world. This is especially true for radiologists, who are integral to diagnostic medicine, helping to customize treatments and triage resources with maximum effectiveness. Related in spirit to Artificial intelligence are Augmented Reality, mixed reality, or Virtual Reality, which are able to enhance accuracy of minimally invasive treatments in image guided therapies by Interventional Radiologists. The potential applications of AI in IR go beyond computer vision and diagnosis, to include screening and modeling of patient selection, predictive tools for treatment planning and navigation, and training tools. Although no new technology is widely embraced, AI may provide opportunities to enhance radiology service and improve patient care, if studied, validated, and applied appropriately.
MeSH term(s)	Algorithms ; Artificial Intelligence ; Humans ; Machine Learning ; Radiology, Interventional/methods
Language	English
Publishing date	2021-04-16
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/s11547-021-01351-x
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Article: Pulmonary embolism in COVID-19: Ventilation and perfusion computed tomography.

Ierardi, Anna Maria / Angileri, Salvatore Alessio / Arrichiello, Antonio / Di Meglio, Letizia / Gurgitano, Martina / Rodà, Giovanni Maria / Carrafiello, Gianpaolo

IDCases

2020 Volume 21, Page(s) e00805

Abstract: This is an illustrated case about CT ventilation and perfusion in Covid patient. ...

Abstract	This is an illustrated case about CT ventilation and perfusion in Covid patient.
Keywords	covid19
Language	English
Publishing date	2020-05-11
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2745454-X
ISSN	2214-2509
ISSN	2214-2509
DOI	10.1016/j.idcr.2020.e00805
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Article ; Online: LI-RADS to categorize liver nodules in patients at risk of HCC: tool or a gadget in daily practice?

Barabino, Matteo / Gurgitano, Martina / Fochesato, Cecilia / Angileri, Salvatore Alessio / Franceschelli, Giuseppe / Santambrogio, Roberto / Mariani, Nicolò Maria / Opocher, Enrico / Carrafiello, Gianpaolo

La Radiologia medica

2020 Volume 126, Issue 1, Page(s) 5–13

Abstract: Purpose: To determine the effectiveness of liver reporting and data system (LI-RADS) to diagnose hepatocellular carcinoma (HCC) and to retrospectively evaluate its impact on the adopted therapeutic strategy.: Materials and methods: Preoperative ... ...

Abstract	Purpose: To determine the effectiveness of liver reporting and data system (LI-RADS) to diagnose hepatocellular carcinoma (HCC) and to retrospectively evaluate its impact on the adopted therapeutic strategy. Materials and methods: Preoperative imaging of 40 of 350 patients (median age 66, 31 M/9 F) submitted to liver resection for suspected HCC, between January 2008 and August 2019, has been retrospectively analyzed by two radiologists with different expertise, according to CT/MRI LI-RADS Results: The perfect agreement between the readers was about 62.5% (25/40) (Cohen k: 0.41), better for LR-5 category (16/25) and higher in magnetic resonance imaging (MRI) investigations (68%; 13/19), which has been demonstrated the modality of choice for diagnosis of high probable and certain HCC, with arterial phase hyperenhancement as the most sensitive and accurate major feature. Compared to final histology, LR4 and LR5 scores assigned by senior radiologist reached sensitivity, specificity, positive and negative predictive values (PPV, PNV) and diagnostic accuracy of 90,9%, 29,0%, 93,8%, 62,5% and 87,5%, respectively, slightly higher than junior's ones. Misdiagnosis of HCC was done by both radiologists in the same two patients: 1 primary hepatic lymphoma (PHL) and 1 regenerative liver nodule (RLN). If LI-RADS would have been applied at the time of pre-surgical imaging, treatment planning would be modified in 10% of patients (4/40); the patient scheduled as LR-3 and finally resulted a focal nodular hyperplasia would have avoided liver resection. Conclusions: Application of LI-RADS, especially on MRI, may provide a more accurate evaluation of suspected HCC. PHL and RLN are the Achille's heels according to our experience.
MeSH term(s)	Aged ; Algorithms ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/surgery ; Diagnosis, Differential ; Female ; Humans ; Image Enhancement ; Image Interpretation, Computer-Assisted ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/surgery ; Magnetic Resonance Imaging ; Male ; Predictive Value of Tests ; Retrospective Studies ; Sensitivity and Specificity ; Tomography, X-Ray Computed
Language	English
Publishing date	2020-05-26
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/s11547-020-01225-8
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Article ; Online: Segmented lordotic angles to assess lumbosacral transitional vertebra on EOS.

Albano, Domenico / Messina, Carmelo / Gambino, Angelo / Gurgitano, Martina / Sciabica, Carmelo / Oliveira Pavan, Giordano Remo / Gitto, Salvatore / Sconfienza, Luca Maria

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

2020 Volume 29, Issue 10, Page(s) 2470–2476

Abstract: Purpose: To test the vertical posterior vertebral angles (VPVA) of the most caudal lumbar segments measured on EOS to identify and classify the lumbosacral transitional vertebra (LSTV).: Methods: We reviewed the EOS examinations of 906 patients to ... ...

Abstract	Purpose: To test the vertical posterior vertebral angles (VPVA) of the most caudal lumbar segments measured on EOS to identify and classify the lumbosacral transitional vertebra (LSTV). Methods: We reviewed the EOS examinations of 906 patients to measure the VPVA at the most caudal lumbar segment (cVPVA) and at the immediately proximal segment (pVPVA), with dVPVA being the result of their difference. Mann-Whitney, Chi-square, and ROC curve statistics were used. Results: 172/906 patients (19%) had LSTV (112 females, mean age: 43 ± 21 years), and 89/172 had type I LSTV (52%), 42/172 type II (24%), 33/172 type III (19%), and 8/172 type IV (5%). The cVPVA and dVPVA in non-articulated patients were significantly higher than those of patients with LSTV, patients with only accessory articulations, and patients with only bony fusion (all p < .001). The cVPVA and dVPVA in L5 sacralization were significantly higher than in S1 lumbarization (p < .001). The following optimal cutoff was found: cVPVA of 28.2° (AUC = 0.797) and dVPVA of 11.1° (AUC = 0.782) to identify LSTV; cVPVA of 28.2° (AUC = 0.665) and dVPVA of 8° (AUC = 0.718) to identify type II LSTV; cVPVA of 25.5° (AUC = 0.797) and dVPVA of - 7.5° (AUC = 0.831) to identify type III-IV LSTV; cVPVA of 20.4° (AUC = 0.693) and dVPVA of - 1.8° (AUC = 0.665) to differentiate type II from III-IV LSTV; cVPVA of 17.9° (AUC = 0.741) and dVPVA of - 4.5° (AUC = 0.774) to differentiate L5 sacralization from S1 lumbarization. Conclusion: The cVPVA and dVPVA measured on EOS showed good diagnostic performance to identify LSTV, to correctly classify it, and to differentiate L5 sacralization from S1 lumbarization.
MeSH term(s)	Adult ; Female ; Humans ; Lordosis ; Lumbar Vertebrae/diagnostic imaging ; Lumbosacral Region/diagnostic imaging ; Male ; Middle Aged ; Musculoskeletal Abnormalities ; Sacrum/diagnostic imaging ; Young Adult
Language	English
Publishing date	2020-08-11
Publishing country	Germany
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1115375-1
ISSN	1432-0932 ; 0940-6719
ISSN (online)	1432-0932
ISSN	0940-6719
DOI	10.1007/s00586-020-06565-7
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Article: Pulmonary embolism in COVID-19: ventilation and perfusion computer tomography

Ierardi, Anna Maria / Angileri, Salvatore Alessio / Arrichiello, Antonio / Di Meglio, Letizia / Gurgitano, Martina / Rodà, Giovanni Maria / Carrafiello, Gianpaolo

IDCases

Abstract: This is an illustrated case about CT ventilation and perfusion in Covid patient. ...

Abstract	This is an illustrated case about CT ventilation and perfusion in Covid patient.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #379145
Database	COVID19

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