Dose Reduction Strategies for Pregnant Women in Emergency Settings DOI Open Access
Carmine Picone, Roberta Fusco,

Michele Tonerini

и другие.

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(5), С. 1847 - 1847

Опубликована: Фев. 25, 2023

In modern clinical practice, there is an increasing dependence on imaging techniques in several settings, and especially during emergencies. Consequently, has been increase the frequency of examinations thus also increased risk radiation exposure. this context, a critical phase woman’s pregnancy management that requires proper diagnostic assessment to reduce fetus mother. The greatest first phases at time organogenesis. Therefore, principles protection should guide multidisciplinary team. Although tools do not employ ionizing radiation, such as ultrasound (US) magnetic resonance (MRI) be preferred, settings polytrauma, computed tomography (CT) nonetheless remains examination perform, beyond risk. addition, protocol optimization, using dose-limiting protocols avoiding multiple acquisitions, point makes it possible risks. purpose review provide evaluation emergency conditions, e.g., abdominal pain trauma, considering different used study order control dose pregnant woman fetus.

Язык: Английский

An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies DOI Creative Commons
Roberta Fusco, Vincenza Granata,

Igino Simonetti

и другие.

Current Oncology, Год журнала: 2024, Номер 31(1), С. 403 - 424

Опубликована: Янв. 10, 2024

The aim of this informative review was to investigate the application radiomics in cancer imaging and summarize results recent studies support oncological with particular attention breast cancer, rectal primitive secondary liver cancer. This also aims provide main findings, challenges limitations current methodologies. Clinical published last four years (2019–2022) were included review. Among 19 analyzed, none assessed differences between scanners vendor-dependent characteristics, collected images individuals at additional points time, performed calibration statistics, represented a prospective study registered database, conducted cost-effectiveness analysis, reported on clinical application, or multivariable analysis non-radiomics features. Seven reached high radiomic quality score (RQS), seventeen earned by using validation steps considering two datasets from distinct institutes open science data domains (radiomics features calculated set representative ROIs are source). potential is increasingly establishing itself, even if there still several aspects be evaluated before passage into routine practice. There challenges, including need for standardization across all stages workflow cross-site real-world heterogeneous datasets. Moreover, multiple centers more samples that add inter-scanner characteristics will needed future, as well collecting time points, reporting statistics performing database.

Язык: Английский

Процитировано

13
All You Need to Know About TACE: A Comprehensive Review of Indications, Techniques, Efficacy, Limits, and Technical Advancement DOI Open Access
Carolina Lanza, Velio Ascenti, Gaetano Amato

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(2), С. 314 - 314

Опубликована: Янв. 7, 2025

Transcatheter arterial chemoembolization (TACE) is a proven and widely accepted treatment option for hepatocellular carcinoma it recommended as first-line non-curative therapy BCLC B/intermediate HCC (preserved liver function, multifocal, no cancer-related symptoms) in patients without vascular involvement. Different types of TACE are available nowadays, including TAE, c-TACE, DEB-TACE, DSM-TACE, but at present there insufficient evidence to recommend one technique over another the choice left operator. This review then aims provide comprehensive overview current literature on indications, procedures, safety, efficacy different treatments.

Язык: Английский

Процитировано

2
Recent Advances in Ultrasound Breast Imaging: From Industry to Clinical Practice DOI Creative Commons
Orlando Catalano, Roberta Fusco, Federica De Muzio

и другие.

Diagnostics, Год журнала: 2023, Номер 13(5), С. 980 - 980

Опубликована: Март 4, 2023

Breast ultrasound (US) has undergone dramatic technological improvement through recent decades, moving from a low spatial resolution, grayscale-limited technique to highly performing, multiparametric modality. In this review, we first focus on the spectrum of technical tools that have become commercially available, including new microvasculature imaging modalities, high-frequency transducers, extended field-of-view scanning, elastography, contrast-enhanced US, MicroPure, 3D automated S-Detect, nomograms, images fusion, and virtual navigation. subsequent section, discuss broadened current application US in breast clinical scenarios, distinguishing among primary complementary second-look US. Finally, mention still ongoing limitations challenging aspects

Язык: Английский

Процитировано

22
Dual-Time-Point Radiomics for Prognosis Prediction in Colorectal Liver Metastasis Treated with Neoadjuvant Therapy Before Radical Resection: A Two-Center Study DOI

Z. Li,

Jianing Zhang, Song Tian

и другие.

Annals of Surgical Oncology, Год журнала: 2025, Номер unknown

Опубликована: Фев. 5, 2025

Язык: Английский

Процитировано

1
Percutanous Electrochemotherapy (ECT) in Primary and Secondary Liver Malignancies: A Systematic Review DOI Creative Commons
Vincenza Granata, Roberta Fusco,

Valeria D’Alessio

и другие.

Diagnostics, Год журнала: 2023, Номер 13(2), С. 209 - 209

Опубликована: Янв. 5, 2023

The aim of the study was to analyse papers describing use Electrochemotherapy (ECT) in local treatment primary and secondary liver tumours located at different sites with histologies. Other Local Ablative Therapies (LAT) are also discussed. Analyses these demonstrate that ECT is safe effective lesions large size, independently histology treated lesions. performed better than other thermal ablation techniques > 6 cm size can be safely used treat distant, close, or adjacent vital structures. spares vessel bile ducts, repeatable, between chemotherapeutic cycles. fill gap ablative therapies due being too localized highly challenging anatomical sites.

Язык: Английский

Процитировано

17
Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal DOI Creative Commons
Vincenza Granata, Roberta Fusco, Diletta Cozzi

и другие.

La radiologia medica, Год журнала: 2023, Номер 128(2), С. 222 - 233

Опубликована: Янв. 19, 2023

To develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus panel emergency radiology experts from Italian Society Medical and Interventional Radiology.A multi-round Delphi method was used to quantify inter-panelist agreement all SR sections. Internal consistency each section quality analysis in terms average inter-item correlation were evaluated by means Cronbach's alpha (Cα) coefficient.The final form included 118 items (6 "Patient Clinical Data" section, 4 "Clinical Evaluation" 9 "Imaging Protocol" 99 "Report" section). The experts' overall mean score sum scores 4.77 (range 1-5) 257.56 206-270) first round, 4.96 4-5) 208.44 200-210) second respectively. In higher than standard deviation lower (3.11 round vs 19.71 round), reflecting expert round. Moreover, Cα (0.97 0.87).Our patients is strong among could improve communication between radiologists trauma team.

Язык: Английский

Процитировано

17
Machine Learning Approaches with Textural Features to Calculate Breast Density on Mammography DOI Creative Commons
Mario Sansone, Roberta Fusco, Francesca Grassi

и другие.

Current Oncology, Год журнала: 2023, Номер 30(1), С. 839 - 853

Опубликована: Янв. 7, 2023

breast cancer (BC) is the world's most prevalent in female population, with 2.3 million new cases diagnosed worldwide 2020. The great efforts made to set screening campaigns, early detection programs, and increasingly targeted treatments led significant improvement patients' survival. Full-Field Digital Mammograph (FFDM) considered gold standard method for diagnosis of BC. From several previous studies, it has emerged that density (BD) a risk factor development BC, affecting periodicity plans present today at an international level.in this study, focus mammographic image processing techniques allow extraction indicators derived from textural patterns mammary parenchyma indicative BD factors.a total 168 patients were enrolled internal training test while 51 compose external validation cohort. Different Machine Learning (ML) have been employed classify breasts based on values tissue density. Textural features extracted only which train classifiers, thanks aid ML algorithms.the accuracy different tested classifiers varied between 74.15% 93.55%. best results reached by Support Vector (accuracy 93.55% percentage true positives negatives equal TPP = 94.44% TNP 92.31%). was not influenced choice selection approach. Considering cohort, SVM, as classifier 7 selected wrapper method, showed 0.95, sensitivity 0.96, specificity 0.90.our preliminary Radiomics analysis approach us objectively identify BD.

Язык: Английский

Процитировано

16
Computed Tomography Urography: State of the Art and Beyond DOI Creative Commons
Michaela Cellina, Maurizio Cè,

Nicolo’ Rossini

и другие.

Tomography, Год журнала: 2023, Номер 9(3), С. 909 - 930

Опубликована: Апрель 30, 2023

Computed Tomography Urography (CTU) is a multiphase CT examination optimized for imaging kidneys, ureters, and bladder, complemented by post-contrast excretory phase imaging. Different protocols are available contrast administration image acquisition timing, with different strengths limits, mainly related to kidney enhancement, ureters distension opacification, radiation exposure. The availability of new reconstruction algorithms, such as iterative deep-learning-based has dramatically improved the quality reducing exposure at same time. Dual-Energy also an important role in this type examination, possibility renal stone characterization, synthetic unenhanced phases reduce dose, iodine maps better interpretation masses. We describe artificial intelligence applications CTU, focusing on radiomics predict tumor grading patients’ outcome personalized therapeutic approach. In narrative review, we provide comprehensive overview CTU from traditional newest techniques advanced up-to-date guide radiologists who want comprehend technique.

Язык: Английский

Процитировано

16
Radiomics and machine learning analysis by computed tomography and magnetic resonance imaging in colorectal liver metastases prognostic assessment DOI
Vincenza Granata, Roberta Fusco, Federica De Muzio

и другие.

La radiologia medica, Год журнала: 2023, Номер 128(11), С. 1310 - 1332

Опубликована: Сен. 11, 2023

Язык: Английский

Процитировано

14
A combinatorial MRI sequence-based radiomics model for preoperative prediction of microsatellite instability status in rectal cancer DOI Creative Commons
Xiaowei Xing, Dongxue Li, Jiaxuan Peng

и другие.

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Май 23, 2024

Abstract This study aimed to develop an optimal radiomics model for preoperatively predicting microsatellite instability (MSI) in patients with rectal cancer (RC) based on multiparametric magnetic resonance imaging. The retrospective included 308 RC who did not receive preoperative antitumor therapy, among whom 51 had MSI. Radiomics features were extracted and dimensionally reduced from T2-weighted imaging (T2WI), T1-weighted (T1WI), diffusion-weighted (DWI), contrast enhanced (T1CE) images each patient, the of sequence combined. Multifactor logistic regression was used screen feature set combination. Different machine learning methods applied construct predictive MSI status models. Relative standard deviation values determined evaluate performance select model. Receiver operating characteristic (ROC) curve, calibration decision curve analyses performed performance. constructed using k-nearest neighbor (KNN) method combined T2WI T1CE best. area under prediction this 0.849 (0.804–0.887), a sensitivity 0.784 specificity 0.805. Delong test showed no significant difference diagnostic efficacy between KNN-derived traditional T1WI + DWI data ( P > 0.05) efficiency slightly better than that From ROC analysis, significantly distinguished at low- high-risk threshold 0.2, supporting clinical applicability KNN can be noninvasively predict before surgery images. Thus, may provide convenient practical tool formulating treatment strategies optimizing individual decision-making RC.

Язык: Английский

Процитировано

6