Imaging of atherosclerotic plaque with non invasive Multislice Computed Tomography Coronary Angiography

INTRAPAROTID FACIAL NERVE SCHWANNOMA MRI FINDINGS

Fast Fingerprints Classification Only Using the Directional Image

The classification phase is an important step of an automatic fingerprint identification system, where the goal is to restrict only to a subset of the whole database the search time. The proposed system classifies fingerprint images in four classes using only directional image information. This approach, unlike the literature approaches, uses the acquired fingerprint image without enhancement phases application. The system extracts only directional image and uses three concurrent decisional modules to classify the fingerprint. The proposed system has a high classification speed and a very low computational cost. The experimental results show a classification rate of 87.27%.

RUOLO DELLA TC MULTIDETETTORE (TCMD)NELLA DIAGNOSI DI OSTEOMA OSTEOIDE RINOSINUSALE.

Pediatric sialolithiasis distinctive characteristic in radiological imaging.

Aim of the present paper was to investigate the imaging and related clinical characteristics of sialolithiasis in Italian pediatric population trying to determine the difference between pediatric and adult. Twenty-nine pediatric patients (age range 1-17 years) with pain and postprandial swelling and/or purulent discharge in the salivary gland areas were referred to radiology department after pediatric ear, nose and throat (ENT) evaluation. They all were submitted to ultrasound examination of the main salivary glands. Multidetector computed tomography (MDCT) only was performed in 2/6 patients, in 2/6 patients both sialography and MDCT were performed due to inconclusive MDCT features, 2/6 onl…

Learning problem solving skills from demonstration: An architectural approach

We present an architectural approach to learning problem solving skills from demonstration, using internal models to represent problem-solving operational knowledge. Internal forward and inverse models are initially learned through active interaction with the environment, and then enhanced and finessed by observing expert teachers. While a single internal model is capable of solving a single goal-oriented task, it is their sequence that enables the system to hierarchically solve more complex task. Activation of models is goal-driven, and internal ”mental” simulations are used to predict and anticipate future rewards and perils and to make decisions accordingly. In this approach intelligent …

Aspetti normali e patologici delle valvole cardiache studiate mediante TC Multistrato cardiosincronizzata

APPROCCIO NON INVASIVO PER LO STUDIO DEL CIRCOLO CORONARICO CON TC MULTISLICE

Trauma cranico nello sport

SVILUPPO DI UN SERVER DICOM A BASSO COSTO CON FINI DIDATTICI E DI RICERCA

PURPOSE: This paper describes our experience in developing a DICOM (Digital Imaging and Communications in Medicine) server based on widely available personal computers enabling to use X-ray digital images for teaching and scientific purposes. MATERIALS AND METHODS: The system is based on a DICOM server running on a widely used personal computer. The selected DICOM images are collected directly from the radiological equipment or from a dedicated 3D image processing workstation through a LAN connection and converted into one of the standard formats (JPEG or GIF) to allow their direct importing into multimedia presentations for teaching or scientific purposes. RESULTS: This system allows fast …

Reward networks changes in the brain of pathological gamblers: a resting state functional magnetic resonance imaging study

Aims and objectives Methods and materials Results Conclusion Personal information References

Lacrimal glands herniation in patients with Graves’ Ophthalmopathy: an effective MRI-derived marker of disease activity

Aims and objectives Methods and materials Results Conclusion Personal information References

DIFFERENT LOCATIONS OF ENDOMETRIOSIS IN 86 PATIENTS: A SINGLE- CENTRE STUDY.

Endometriosis is an important gynecologic disorder defined as the presence of functional endometrial glands and stroma outside the uterine cavity. Prevalence of endometriosis is 6-10% in the general population, but rises to 35-50% in women with pelvic pain or infertility or both. The aim of this study was to retrospectively review the different locations of pelvic and extrapelvic endometriosis occurred in our Department during last 3 years.

L'ESSENZIALE NELL'IMAGING RM DI DIFFUSIONE, COLLO

LE SEQUENZE T2-FLAIR E DWI NELLA DIAGNOSI DI ENCEFALOPATIA DI WERNICKE NON ALCOOL- CORRELATA

SCOPO DEL LAVORO Valutare l’accuratezza delle immagini T2-FLAIR e DWI nello studio delle lesioni caratteristiche dell’Encefalopatia di Wernicke. MATERIALI E METODI Studio effettuato su donna di 56 anni, affetta da Encefalopatia di Wernicke non alcool-correlata. Nel Dicembre 2011 la paziente è stata sottoposta ad esame RM, utilizzando un tomografo operante a 1,5 T con acquisizione di scansioni sui piani assiale, sagittale e coronale in tecnica Spin-Echo (SE), Fast Spin-Echo (FSE), Fluid Attenuated Inversion Recovery (FLAIR) e Diffusion Weighted Imaging (DWI), con sequenze T1 e T2 pesate. L’esame è stato completato dopo infusione e.v. di m.d.c. paramagnetico. L’indagine mostrava la presenza…

Caso 37 Patologia Aortica

Clinical case

Radiological Features of Gastrointestinal Lymphoma.

Gastrointestinal lymphomas represent 5–20% of extranodal lymphomas and mainly occur in the stomach and small intestine. Clinical findings are not specific, thus often determining a delay in the diagnosis. Imaging features at conventional and cross-sectional imaging must be known by the radiologist since he/she plays a pivotal role in the diagnosis and disease assessment, thus assisting in the choice of the optimal treatment to patients. This review focuses on the wide variety of imaging presentation of esophageal, gastric, and small and large bowel lymphoma presenting their main imaging appearances at conventional and cross-sectional imaging, mainly focusing on computed tomography and magne…

A customized dental CT software for automatic correction of patient positioning error and detection of jaw midline

SEMEIOTICA NEURORADIOLOGICA E POSSIBILI DIAGNOSI DIFFERENZIALI DI UN RARO CASO DI MIELOLIPOMA PRESACRALE

SCOPO Presentiamo il caso di una paziente anziana (74aa) con tipica sintomatologia da artrosi e discopatia lombo-sacrale (rigidità e dolore alla regione lombare con tipica irradiazione ai glutei ed alla superficie posteriore di entrambi gli arti inferiori, con associata sensazione di intorpidimento) e segni di radicolopatia L4-L5-S1 all’esame obiettivo neurologico, che si presenta alla nostra attenzione per eseguire un esame RM del rachide lombo-sacrale. MATERIALI E METODI L’esame RM è stato eseguito in condizioni di base con sequenze TSE-T1, TSE-T2 e STIR-T2 secondo piani sagittali ed assiali (GE Signa HDxt 1,5T). E’ stata inoltre effettuata un’integrazione RM dopo somministrazione di md…

A CASE OF A PRESACRAL MYELOLIPOMA: IMAGING FINDINGS AND DIFFERENTIAL DIAGNOSIS CHECKLIST OF OTHER PRESACRAL MASSES

PURPOSE: There have been many reports describing adrenal myelolipoma but there have been only few reports of extraadrenal myelolipoma. We describe a case of an elderly woman with lower back pain due to age-related spondyloarthrosis and mild discopathy with a presacral myelolipoma as incidental finding. We also discuss about common and uncommon imaging findings of other presacral masses. METHODS: A 74 years-old woman came to our observation to perform an MRI of the lumbar spine for typical lumbar back pain. MR imaging revealed, in addition to the signs of mild scoliosis and spondylo-disc-arthrosis, a presacral mass showing heterogeneously high signal in all sequences and almost completely su…

Response Assessment to Cancer Therapy

Cancer generically refers to a group of diseases showing an uncontrolled division of abnormal cells potentially having the ability to invade, through the blood and lymph systems, nearby tissues or spread to other parts of the body.

Analisi della Conoscenza del rischio da radiazioni ionizzanti tra giovani radiologi e studenti in medicina. Indagine mediante questionario

MALATTIA DI ERDHEIM–CHESTER: RARE LOCALIZZAZIONI SPLANCNO- ED INTRA-CRANICHE IN PAZIENTE CON STADIO AVANZATO DI MALATTIA

SCOPO DEL LAVORO Presentiamo il caso di una donna di 63 anni con storia di pseudotumor orbitae e diagnosi tardiva di Malattia di Erdheim-Chester (MEC) con coinvolgimento multisistemico e rare localizzazioni a livello splancno- ed intracranico. MATERIALI E METODI La paziente, a causa della comparsa di astenia progressivamente ingravescente, vomito e disfagia per i solidi veniva condotta al PS dove eseguiva ECG ed esami ematochimici e veniva ricoverata con la diagnosi di disidratazione e squilibrio elettrolitico. L’esame obiettivo evidenziava pallore e disidratazione di cute e mucose, ipotrofia muscolare e proptosi bulbare bilaterale da pseudotumor orbitario infiammatorio cronico con evidenti…

Relationship between anxiety level and radiological investigation. Comparison among different diagnostic imaging exams in a prospective single-center study

Objective: Every patient could feel anxious when he waits in a radiological department to undergo diagnostic exams. The aim of our study is to evaluate the impact of the radiological exams on patient anxiety. Materials and methods: We evaluated 343 patients (mean age 54.83 years) who underwent different types of diagnostic exams in the Department of Diagnostic Imaging at our Hospital from April 2013 to August 2014. We administered to patients the State and Trait Anxiety Inventory Test, which detected with high sensitivity both state anxiety and trait anxiety. A team of clinical psychologists and radiologists evaluated the scores obtained. Results: 83 out of 343 patients were excluded becaus…

Forensic study of Neolithic and Punic skulls with MSCT

Learning objectives Background Imaging findings OR Procedure details Conclusion References Personal Information

Valvular Heart Disease

Valvular heart disease (VHD) refers to a wide spectrum of cardiac disorders that affect a large number of patients. Echocardiography is still considered the pivotal imaging method to evaluate the cardiac valves. However, echocardiography has some intrinsic limitations due to operator dependence and patient habitus. In the last two decades three-dimensional techniques such as magnetic resonance imaging (MRI) and computed tomography (CT) have provided valuable assessment of VHD. MRI overcomes the limitation of the poor acoustic window of echocardiography without ionizing radiation. Nowadays, MRI aims to be considered as the reference standard for imaging cardiac valves because of the improved…

Encefalopatia ipertensiva cronica (EIC): sensibilità delle sequenze GE-T2* a confronto con le SWI nell'identificazione dei micro-sanguinamenti

L'EIC è caratterizzata dalla presenza di lesioni parenchimali irreversibili, risultato di una lunga esposizione a regimi pressori patologici specie in pazienti che non seguono o non rispondono alle comuni terapie mediche. Si riscontrano quali reperti tipici multipli esiti gliotici, leucoaraiosi e multiple lesioni lacunari con predilezione per le localizzazioni profonde ai nuclei lenticolari, ai talami e al ponte. Più raramente possono evidenziarsi minuti foci emorragici parenchimali, più frequentemente localizzati nei gangli della base ma anche nel ponte e nel cervelletto, che in alcuni casi possono rappresentare la manifestazione principale della patologia: questi microsanguinamenti, vi…

Microchimerism in multiple sclerosis: The association between sex of offspring and MRI features in women with multiple sclerosis

AimsDuring pregnancy, fetal cells can migrate to the mother via blood circulation. A percentage of these cells survive in maternal tissues for decades generating a population of fetal microchimeric cells (fMCs), whose biological role is unclear. The aim of this study was to investigate the association between the sex of offspring, an indirect marker of fMCs, and magnetic resonance imaging (MRI) features in women with multiple sclerosis (MS).MethodsWe recruited 26 nulliparous MS patients (NPp), 20 patients with at least one male son (XYp), and 8 patients with only daughters (XXp). Each patient underwent brain MR scan to acquire 3D-T2w FLAIR FatSat and 3D-T1w FSPGR/TFE. Lesion Segmentation To…

Assessment of cerebral microbleeds by susceptibility-weighted imaging in Alzheimer's disease patients: A neuroimaging biomarker of the disease.

Purpose The objective of this study was to correlate the presence and distribution of cerebral microbleeds in Alzheimer’s disease patients with cerebrospinal fluid biomarkers (amyloid-beta and phosphorylated tau 181 protein levels) and cognitive decline by using susceptibility-weighted imaging magnetic resonance sequences at 1.5 T. Material and methods Fifty-four consecutive Alzheimer’s disease patients underwent brain magnetic resonance imaging at 1.5 T to assess the presence and distribution of cerebral microbleeds on susceptibility-weighted imaging images. The images were analyzed in consensus by two neuroradiologists, each with at least 10 years’ experience. Dementia severity was assess…

Key-points to evaluate correctly the placement of umbilical venous catheters in infants on frontal radiographs

Provide basic key-points to evaluate placement of umbilical venous catheters (UVC) using a simplified flow-chart in resident radiologist.

VARIAZIONI anatomiche del seno sfenoidale VALUTATI IN MDTC

Videofluorography and MDCT findings in a case of pharyngeal perforation after anterior cervical spinal surgery with fusion (ACSF)

Purpose Anterior cervical spinal surgery with fusion (ACSF) is the most widely used technique in the management of cervical spondylosis or disc herniation. A case of pharyngeal perforation after ACSF demonstrated by videofluorography and MDCT is described. Methods A 39-year-old man, recently undergone to ACSF for interbody C3-C5 fusion with anterior cervical plate and screws, was submitted to a pharingoesophageal videofluorography and 64 row-MDCT of the neck before and after oral administration of iodine contrast medium for persistent high dysphagia. Results In the plain radiograph a fractured screw was detected, anterolaterally displaced on the right to the cervical spine, outside the phar…

RILEVANZA DELLA TEMATICA RADIOPROTEZIONISTICA NELLA LETTERATURA RADIOLOGICA NAZIONALE

SINCONAPP: A Computerized learning tool for CBCT normal anatomy and variants of the nose and paranasal sinuses

1. Purpose To supply an useful learning tool aimed to interactively display on mobile devices normal anatomy and variants of the nose and paranasal sinuses as seen on CBCT images. 2. Methods and Materials Images Images of the nose and paranasal sinuses were derived by a study series acquired by a CBCT device. CBCT studies of the paranasal sinuses were acquired in patients referred for nasal obstruction or sinusitis with the following parameters: 90 kVp, 12.5 mA, 20 s rotation time, FOV 13 x 14.5 cm, 0.25 x 0.25 x 0.25 mm voxel size. Software The application has been developed for iOS based mobile devices through the platform XCode provided by Apple®, and it is developed using the Objective-…

Cumulative radiation CT dose in non-oncological patients : a single centre 5 years retrospective review

Imaging della coartazione aortica mediante angiografia con Tomografia Computerizzata Multistrato cardiosincronizzata

MRI Enteroclysis and Enterography

Magnetic Resonance is actually the most complete and less invasive imaging technique in the evaluation of Crohn’s disease. Compared to Computed Tomography and Ultrasound, Magnetic Resonance allows both a morphological and qualitative evaluation of the disease at the same time, thus allowing an evaluation of its extension in the gastrointestinal tract and of its grade of activity, obtaining an accurate relation with the clinical status of the patient. This is possible thanks to its intrinsic characteristics, as multiplanarity, high contrast resolution, and the possibility to make a functional assessment; moreover, there is no use of ionizing radiation. For all these reasons, this technique h…

Role of virtopsy in the post-mortem diagnosis of drowning.

Purpose: Due to admitted limits of autopsy-based studies in the diagnosis of drowning, virtopsy is considered the new imaging horizon in these post-mortem studies. The aim of our study was to evaluate the role of virtopsy performed through computed tomography (CT) in the forensic diagnosis of drowning. Materials and methods: We retrospectively examined the CT data of four cadavers recovered from sea water and suspected to have died by drowning. Each patient underwent a full-body post-mortem CT scan, and then a traditional autopsy. Conclusion: To date, there are no autopsy findings pathognomonic of drowning. This study proves that virtopsy is a useful tool in the diagnosis of drowning in tha…

INTRACRANICAL HEMANGIOPERICYTOMA: CASE REPORT AND REVIEW OF LITERATURE

PURPOSE: We present a case of intracranical hemangiopericytoma (HPC) in a patient with migraine (male, 49 years old), who also presented mental confusion and partial left sensorimotor syndrome. We will also provide some elements regarding the international classification of this rare and highly vascularized mesenchymal tumor, and will consider possible differential diagnosis with other more common extra-axial masses. METHODS: After a preliminary examination in ER, patient underwent to head CT examination and was then transferred to the neurosurgical unit. The day after a brain MR examination was performed using advanced techniques too (PWI, and MRS); before surgery also functional MR imagin…

Extrabiliary and extrapancreatic incidental findings at MRCP: a 4 years’ Italian experience

Aims and objectives Methods and materials Results Conclusion Personal information References

LESIONI REVERSIBILI DELL’IPPOCAMPO IN UN CASO DI AMNESIA GLOBALE TRANSITORIA

SCOPO DEL LAVORO: Lo scopo di questo lavoro è documentare un caso di Amnesia Globale Transitoria (Transient Global Amnesia, TGA) in un paziente emicranico di sesso maschile di 52 anni con anamnesi negativa per epilessia, disturbi psichiatrici, traumi ed abusi di sostanze. Saranno inoltre effettuati dei cenni sull’epidemiologia e i meccanismi fisiopatologici oggi più accreditati nella letteratura scientifica più recente di questa controversa sindrome neurologica. MATERIALI E METODI: Poco dopo un forte stress emotivo il paziente non ricordava cosa avesse fatto durante il giorno e ripeteva incessantemente le stesse domande a cui erano comunque state date più volte delle risposte dai colleg…

CARATTERISTICHE NEURORADIOLOGICHE DI UN CASO DI SCLEROSI TUBEROSA DIAGNOSTICATO IN ETÀ ADULTA

SCOPO DEL LAVORO: presentiamo un caso di Sclerosi Tuberosa (Tuberous sclerosis complex, TSC; anche nota come Sindrome di Bourneville-Pringle) diagnosticato tardivamente grazie al sospetto posto dalle indagini neuroradiologiche eseguite in una paziente di 40 anni con in anamnesi ritardo mentale, crisi epilettiche e disturbi del visus.MATERIALI E METODI: la paziente si presenza alla nostra attenzione per un episodio di disorientamento e confusione mentale; dopo una prima valutazione in PS veniva eseguita una TC dell’encefalo in tecnica sequenziale (Siemens SOMATON AS+, 128 strati) e trasferita presso l’U.O.C. di Neurologia. In seguito, per una migliore caratterizzazione dei reperti descritti …

FUNCTIONAL CONNECTIVITY OF THE CEREBELLUM INPATHOLOGICAL GAMBLER

Modeling and Experimental Validation of a Voltage-Controlled Split-Pi Converter Interfacing a High-Voltage ESS with a DC Microgrid

The Split-pi converter can suitably interface an energy storage system (ESS) with a DC microgrid when galvanic isolation is not needed. Usually, the ESS voltage is lower than the grid-side voltage. However, limitations in terms of the ESS current make the use of a high-voltage ESS unavoidable when high power levels are required. In such cases, the ESS voltage can be higher than the microgrid voltage, especially with low microgrid voltages such as 48 V. Despite its bidirectionality and symmetry, the Split-pi exhibits a completely different dynamic behavior if its input and output ports are exchanged. Thus, the present work aims to model the Split-pi converter operating with an ESS voltage hi…

Role of MSCT scan in management of patients with primary epiploic appendagitis; our experience

Purpose Methods and Materials Results Conclusion References Personal Information

Radiomics and Prostate MRI: Current Role and Future Applications

Multiparametric prostate magnetic resonance imaging (mpMRI) is widely used as a triage test for men at a risk of prostate cancer. However, the traditional role of mpMRI was confined to prostate cancer staging. Radiomics is the quantitative extraction and analysis of minable data from medical images; it is emerging as a promising tool to detect and categorize prostate lesions. In this paper we review the role of radiomics applied to prostate mpMRI in detection and localization of prostate cancer, prediction of Gleason score and PI-RADS classification, prediction of extracapsular extension and of biochemical recurrence. We also provide a future perspective of artificial intelligence (machine …

Magnetic Resonance guided Focused Ultrasound Surgery (MRgFUS) for uterine fibroids: our experience on patients’ eligibility

Learning objectives Background Findings and procedure details Conclusion Personal information References

EVALUATION OF RESPONSE IN MALIGNANT TUMORS TREATED WITH TARGETED AGENTS.

Learning objectives Background Findings and procedure details Conclusion Personal information References

Clinical Onset and Multiple Sclerosis Relapse after SARS-CoV-2 Infection

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been associated with several neurological disorders including headache, facial palsy, encephalitis, stroke, demyelinating disorders. The present report will discuss cases of multiple sclerosis (MS) onset and relapse both beginning early after SARS-CoV-2 infection. In both cases, magnetic resonance imaging (MRI) showed widespread bilateral subcortical and periventricular active lesions. Serum IgG against SARS-CoV-2 Spike antigens confirmed seroconversion with titers that are considered not definitely protective against possible reinfection. We hypothesize that SARS-CoV-2 infection, as previously reported for other vir…

Plantar fascia evaluation with a dedicated magnetic resonance scanner in weight-bearing position: our experience in patients with plantar fasciitis and in healthy volunteers.

Purpose. This study assessed the usefulness of upright weight-bearing examination of the ankle/hind foot performed with a dedicated magnetic resonance (MR)imaging scanner in the evaluation of the plantar fascia in healthy volunteers and in patients with clinical evidence of plantar fasciitis. Materials and methods. Between January and March 2009, 20 patients with clinical evidence of plantar fasciitis (group A) and a similar number of healthy volunteers (group B) underwent MR imaging of the ankle/hind foot in the upright weight-bearing and conventional supine position. A 0.25-Tesla MR scanner (G-Scan, Esaote SpA, Genoa, Italy) was used with a dedicated receiving coil for the ankle/hind foot…

Il follow-up del trauma muscolare: imaging integrato.

CBCT in the diagnosis of osteonecrosis of the jaws

Short Summary: ONJ is associated with bisphosphonates, and recently with antiangiogenic drugs. Another cause is radiotherapy. Few papers have previously investigated the value of CBCT in the diagnosis of ONJ. Purpose/Objectives: To describe the CBCT findings in the diagnosis of osteonecrosis of the jaws (ONJ) according to a new staging system of ONJ. Methods and Materials: 9 patients (5 women, 4 men, 54-76 yrs.) affected by ONJ were studied with a CBCT device (90 kV, 12.5 mA, 0.25 mm voxel size) in 2012-2013. 7/9 patients were treated with bisphosphonates (5 for bone metastasis, 2 for osteoporosis), 1/9 patient was treated with an antiangiogenic drug, 1/9 patient received radiotherapy. Pati…

Videofluorography swallow study of patients with systemic sclerosis

PURPOSE: This study was undertaken to evaluate the role of the videofluorographic (VFG) swallow study in patients with systemic sclerosis. MATERIALS AND METHODS: Over a 23-month period, 45 women (mean age 58 years, range 27-76 years) with a known diagnosis of systemic sclerosis and a history of dysphagia underwent a dynamic and morphological study of the oral, pharyngeal and oesophageal phases of swallowing with videofluorography. All examinations were performed with a remote-controlled digital C-arm device with 16-in image intensifier, 0.6- to 1.2-mm focal spot range and maximum tube voltage of 150 kVp in fluorography and 120 kVp in fluoroscopy. Cineradiographic sequences were acquired for…

The value of serial MR imaging in the assessment of brain metastases volume control during stereotactic radiosurgery

Purpose: To evaluate early tumour control capabilities of Stereotactic Radiosurgery (SRS) in the treatment of brain metastasis and the role of follow-up MR imaging. Methods and Materials: MR imaging of 54 metastases in 31 patients treated with SRS who underwent follow-up MR imaging within 12 months were retrospectively reviewed. Tumours were characterized as either enlarged (>20% volume increase), stable (follow-up volume ±20% of the initial volume), or decreased (> 0% volume decrease). Results: Within the first 6 weeks following SRS a decrease was observed in 25 (52%) of the tumours in the extent of 63% in size. Tumour reduction varied according to histopathological subtype with 38% of non…

DOSE CUMULATIVA IN TCMD IN UN GRUPPO DI PAZIENTI GIOVANI SOTTOPOSTI A TC PER TRAUMA MAGGIORE: STUDIO MONOCENTRICO RETROSPETTIVO DEGLI ULTIMI 5 ANNI.

Four cases of progressive multifocal leukoencephalopathy in iatrogenic immunocompromised patients

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system (CNS) caused by John Cunningham Virus (JCV). We report four PML cases in immunocompromised patients, respectively treated with (1) Natalizumab, (2) Rituximab, (3) autologous stem-cell transplantation, and (4) Tacrolimus. All patients underwent neurological examination, magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS), JCV-DNA research on biological samples, and lymphocytes subpopulation study. All cases presented with motor, behavioural, and cognitive disorders. Visual, sensitive, and cerebellar deficits developed in three cases. MRI revealed widespread progressiv…

Valutazione delle lesioni focali del tendine del sovraspinato con elastosonografia: confronto con ecografia B-mode e risonanza magnetica: esperienza personale.

Obiettivo. Scopo dello studio era valutare l’elasticità del tendine del sovraspinato nella spalla sintomatica di pazienti con sospetto clinico di rottura unilaterale della cuffia dei rotatori, e comparare i reperti riscontrati con quelli dell’ecografia convenzionale (ultrasound, US) e della risonanza magnetica (RM). Metodi. Nel periodo compreso tra gennaio e dicembre 2009 sono state esaminate da un radiologo entrambe le spalle di 58 pazienti (età media: 46 anni; range 32-58 anni) sia con modulo elastosonografico in real-time che in B-mode tramite uno stesso ecografo (EUB - Hitachi 7500), usando una sonda lineare a elevata frequenza (13 MHz). L’elasticità delle fibre tendinee del sovraspinat…

PRESENTAZIONE DI UN CASO DI MENINGOCELE SACRALE ANTERIORE: CARATTERISTICHE NEURORADIOLOGICHE E DIAGNOSI DIFFERENZIALE

SCOPO DEL LAVORO: Lo scopo di questo lavoro è documentare un caso di meningocele sacrale anteriore (Anterior Sacral Meningocele, ASM) rara forma di disrafismo spinale, diagnosticato in una giovane di 13 anni con riscontro ecografico di formazione cistica di verosimile pertinenza annessiale dopo visita Specialistica Ginecologica. La paziente si presenta con una clinica caratterizzata da: dolore pelvico, costipazione e cistiti ricorrenti. Sarà inoltre fatto un breve excursus sulle possibili diagnosi differenziali con altre masse pelviche a sviluppo presacrale. MATERIALI E METODI: A seguito di consulenza ginecologica, la paziente è stata sottoposta ad una ecografia transaddominale, che ha e…

Umbilical venous catheters placement evaluation on frontal radiogram: application of a simplified flow-chart for radiology residents

Background: Umbilical Venous Catheter (UVC) are commonly used in neonatal period; they can be not correctly positioned and could be associated with complications. The purpose of this article is to suggest a flow-chart to evaluate the placement of UVC, testing it in young radiologists-in-training. Method: We developed a simple flow-chart to asses, steps by step, UVC placement considering its course and tip location (ideally placed in the atriocaval junction). We tested the flow-chart impact asking to 20 residents to evaluate the placement of 10 UVC before and after they familiarized with the flow-chart and the anatomical findings of a newborn. The agreement among the 20 students was evaluate…

An architecture for observational learning and decision making based on internal models

We present a cognitive architecture whose main constituents are allowed to grow through a situated experience in the world. Such an architectural growth is bootstrapped from a minimal initial knowledge and the architecture itself is built around the biologically-inspired notion of internal models. The key idea, supported by findings in cognitive neuroscience, is that the same internal models used in overt goal-directed action execution can be covertly re-enacted in simulation to provide a unifying explanation to a number of apparently unrelated individual and social phenomena, such as state estimation, action and intention understanding, imitation learning and mindreading. Thus, rather than…

A Prototype of Wireless Sensor for Data Acquisition in Energy Management Systems

A prototype of a wireless sensor for monitoring electrical loads in a smart building is designed and implemented. The sensor can acquire the main electrical parameters of the connected load and, optionally, other physical quantities (e.g., room temperature). Unlike other wireless sensors in literature, the proposed sensor is cheap and small, exploits the Wi-Fi network that is commonly available inside buildings, and uses a lightweight message-based communication paradigm. Besides the sensor node, two management nodes are also implemented to manage sensor reconfiguration and the persistence of data. The measured data are stored in an SQLite database and can be used for various purposes, e.g.…

REPERTI TC IN 2 CASI DI GRANULOMA DI WEGENER A LOCALIZZAZIONE RINOSINUSALE.

SCHWANNOMA PELVICO. ASPETTI TC ED RM IN QUATTRO CASI

KEY POINTS PER LA DETERMINAZIONE RADIOGRAFICA DELL’ERRATO POSIZIONAMENTO DEI CATETERI VENOSI OMBELICALI (CVO) E VALUTAZIONE RETROSPETTIVA IN 235 MAL POSIZIONAMENTI

CT AND MRI OF THYROGLOSSAL DUCT CYST

Aims and objectives Methods and materials Results Conclusion Personal information References

IL PROCESSO DELL'IMAGING NELLA DIAGNOSTICA DELLA CARDIOPATIA ISCHEMICA - RISONANZA MAGNETICA.

How to address the treatment of idiopathic plantar fasciitis with mini-invasive techniques: HRUS criterion

DESCRIZIONE DI UN CASO DI LESIONE REVERSIBILE DELLO SPLENIO DEL CORPO CALLOSO IN PAZIENTE CON MONONUCLEOSI INFETTIVA DA COINFEZIONE EPSTEIN-BARR VIRUS (EBV) E CITOMEGALOVIRUS (CMV)

SCOPO Presentiamo un caso di encefalite virale con lesione reversibile dello splenio del corpo calloso (SCC) in un ragazzo di 16 anni con mononucleosi infettiva da coinfezione Epstein-Barr Virus (EBV) e Citomegalovirus (CMV). MATERIALI E METODI Il paziente, a causa della comparsa improvvisa di stato confusionale, irrigidimento e movimenti involontari alternati a tremori in corso di mononucleosi infettiva, giungeva in PS, dove eseguiva una TC encefalo (Siemens SOMATOM Definition AS+ - 128 strati) in condizioni di base ed in tecnica sequenziale, che non evidenziava reperti significativi. Veniva quindi ricoverato con il sospetto di encefalite virale e, il giorno successivo, veniva sottoposto a…

EMANGIOPERICITOMA INTRACRANICO PRESENTAZIONE DI UN CASO E REVISIONE DELLA LETTERATURA

SCOPO DEL LAVORO Presentiamo a un caso di emangiopericitoma (HPC) in un paziente emicranico (maschio, 49 enne) che giunge alla nostra attenzione per l’insorgenza di confusione mentale e emisindrome sentitivo-motoria destra. Saranno inoltre riportati alcuni cenni sulla classificazione internazionale di questo raro tumore mesenchimale riccamente vascolarizzato, non tralasciando le possibili diagnosi differenziali con altri più comuni espansi di pertinenza extra- assiale. MATERIALI E METODI Dopo una prima valutazione in PS il paziente è stato sottoposto a esame TC encefalo e trasferito nel reparto di neurochirurgia. Successivamente ad un esame RM encefalo con sequenze morfologiche convenzion…

Transcranial Magnetic Resonance Imaging-Guided Focused Ultrasound with a 1.5 Tesla Scanner: A Prospective Intraindividual Comparison Study of Intraoperative Imaging

Background: High-quality intraoperative imaging is needed for optimal monitoring of patients undergoing transcranial MR-guided Focused Ultrasound (tcMRgFUS) thalamotomy. In this paper, we compare the intraoperative imaging obtained with dedicated FUS-Head coil and standard body radiofrequency coil in tcMRgFUS thalamotomy using 1.5-T MR scanner. Methods: This prospective study included adult patients undergoing tcMRgFUS for treatment of essential tremor. Intraoperative T2-weighted FRFSE sequences were acquired after the last high-energy sonication using a dedicated two-channel FUS-Head (2ch-FUS) coil and body radiofrequency (body-RF) coil. Postoperative follow-ups were performed at 48 h usin…

Malignancy course of pituitary adenoma in MEN1 syndrome: Clinical-Neuroradiological signs

Pituitary carcinomas (PCa) are extremely rare, indistinguishable from pituitary adenomas on histopathological grounds and have a poor prognosis. Most PCa start as PRL or ACTH secreting tumors in males, with relapsing invasive behaviour, refractoriness to medical and radiotherapy and increasing hormonal levels. The presence of distant metastases is still required for the diagnosis of PCa. The association with genetic endocrine diseases must be taken into account, since it adds further risk of evolution towards malignancy. Intradural spinal metastases have also been reported, so a complete craniospinal MR evaluation is recommended, when clinically indicated. We report a case of PCa, associate…

The Presence of White Matter Lesions Is Associated With the Fibrosis Severity of Nonalcoholic Fatty Liver Disease

Abstract We tested whether nonalcoholic fatty liver disease (NAFLD) and/or its histological severity are associated with vascular white matter lesions (WML) in patients with biopsy-proven NAFLD and in non-NAFLD controls. Data were recorded in 79 consecutive biopsy-proven NAFLD, and in 82 controls with normal ALT and no history of chronic liver diseases, without ultrasonographic evidence of steatosis and liver stiffness value  45 years (OR 3.09, 95% CI: 1.06–9.06, P = 0.03; and OR 11.1, 95% CI: 1.14–108.7, P = 0.03), and F2–F4 fibrosis (OR 3.36, 95% CI: 1.29–8.73, P = 0.01; and OR 5.34, 95% CI: 1.40–20.3, P = 0.01) were independently associated with WML (mostly of mild grade) by multivariate…

Lie Detection: fMRI

Objective detection of deception was extensively studied, starting from polygraph to more modern techniques, the functional MR (fMRI), and they are based on neural (sympathetic) activation that is evoked in stressful conditions, such as lying. The role of fMRI in neurophysiology has been extensively developed and studied, and its principles lie in the correlation between the brain demand of energy during determined task and its supply. Although being extensively studied, its role for judiciary purpose presents many shortcomings.

ASPETTI TC ED RM DI DUE CASI DI MELANOMA MALIGNO DELLA CAVITA' NASALE

Requisiti hardware e software: preparazione del paziente

An Architecture for Observational Learning

In this thesis I present an architecture that learns new skills through observation and adapts to the environment through situated experience in the world. Such an architectural growth is bootstrapped from a minimal initial knowledge and the architecture itself is built around the biologically-inspired notion of internal models. The key idea, supported by findings in cognitive neuroscience, is that the same internal models used in overt goal-directed action execution can be covertly re-enacted in simulation to observe and understand the actions of others. The system applies these concepts to learning higher order cognitive functions like learning problem solving skills and social interactio…

Epicondilite laterale : ecografia dinamica versus convenzionale. Nostra esperienza

Virtual autopsy con TCMS: nostra esperienza su un caso di morte accidentale da arma da fuoco.

abstractita

ISTIOCITOSI A CELLULE DI LANGERHANS DEI MASCELARI, ASPETI CON OPT, TC E RM.

RUOLO DELLA TC A FASCIO CONICO NELLA DETEZIONE DEGLI ODONTOMI

ANATOMICAL VARIATIONS OF THE SPHENOID SINUS ASSESSED WITH MDCT

Background The aim of this study was to assess the incidence of the anatomical variations of the sphenoid sinus in 293 patients studied by multidetector computed tomography (MDCT). Materials and Methods The MDCT (64 rows) studies of the paranasal sinuses of 293 patients, performed in 2006-2009, were reviewed to assess anatomical variations of the sphenoid sinus and related neurovascular structures. Anatomical variations were evaluated on 1 mm thick MPR reformations, displayed on a high resolution workstation screen. Pneumatization of the anterior clinoid process (ACP), pterygoid recess (PR), protrusion of the internal carotid artery (ICA), optic nerve (ON), maxillary and vidian nerve into t…

The presence of White Matter Lesions is not associated with Non-alcoholic Fatty Liver Disease but with its histological severity

Bartotraumatic Blowout Fracture After Sneezing: Cone Beam CT demonstration

Rarely a blowout orbital fracture is related to sneezing in patients with no history of trauma or sinus surgery. A case of barotraumatic, pure and isolated blowout fracture of the right orbit after sneezing diagnosed by CBCT is reported. A forty-year-old man complained sudden right diplopia after vigorous sneezing. On MRI a reduced size and an altered shape of the right maxillary sinus, a slightly increased vertical diameter of the right orbit, a round shape of the inferior rectus muscle on coronal sections, and a right maxillary haemosinus were observed. A strong peripheral enhancement of the maxillary sinus wall was evident. One week after the patient was submitted to a maxillofacial CBCT…

COMPLICANZE DELL'OSTEONECROSI DEI MASCELLARI ASSOCIATE A TERAPIA CON BIFOSFONATI: ASPETTI TC ED RM

Modeling and Performance Assessment of the Split-Pi Used as a Storage Converter in All the Possible DC Microgrid Scenarios. Part I: Theoretical Analysis

The integration of an electrical storage system (ESS) into a DC microgrid using a bidirectional DC/DC converter provides substantial benefits but requires careful design. Among such converter topologies, the Split-pi converter presents several merits at the cost of non-isolated operation. However, the few works in the literature on the Split-pi presented only closed-loop control with a single control loop; furthermore, they neglected the reactive components’ parasitic resistances and did not perform any experimental validation. This work aimed at investigating the use of the Split-pi converter as a power interface between an ESS and a DC microgrid. Five typical microgrid scenarios are prese…

MRI DEFECOGRAPHY: TECHNIQUE, INDICATIONS AND CLINICAL FINDINGS NOT ONLY IN OBSTRUCTED DEFECATION SYNDROME

Learning objectives Background Findings and procedure details Conclusion Personal information References

Automatic Volumetric Liver Segmentation Using Texture Based Region Growing

In this paper an automatic texture based volumetric region growing method for liver segmentation is proposed. 3D seeded region growing is based on texture features with the automatic selection of the seed voxel inside the liver organ and the automatic threshold value computation for the region growing stop condition. Co-occurrence 3D texture features are extracted from CT abdominal volumes and the seeded region growing algorithm is based on statistics in the features space. Each CT volume is composed by 230 slices, having 512 x 512 pixels as spatial resolution, and 12-bit gray level resolution. In this initial feasible study, 5 healthy volunteer acquisitions has been used. Tests have been p…

Increased functional connectivity in gambling disorder correlates with behavioural and emotional dysregulation: Evidence of a role for the cerebellum

Gambling disorder (GD) is a psychiatric disease that has been recently classified as a behavioural addiction. So far, a very few studies have investigated the alteration of functional connectivity in GD patients, thus the concrete interplay between relevant function-dependent circuitries in such disease has not been comprehensively assessed. The aim of this research was to investigate resting-state functional connectivity in GD patients, searching for a correlation with GD symptoms severity. GD patients were assessed for gambling behaviour, impulsivity, cognitive distortions, anxiety and depression, in comparison with healthy controls (HC). Afterwards, they were assessed for resting-state f…

COMPUTED TOMOGRAPHY AND IMAGING FINDINGS OF CHRONIC OSTEOMYELITIS OF THE JAW.

Imaging Evaluation of Facial Complex Strut Fractures

High-resolution multidetector computed tomography with multiplanar reformations and 3-D postprocessing often provides the detail necessary for preoperative assessment of facial injuries. Maxillofacial fractures are classified in the following manner: upper face fractures, midface fractures (the most frequent), Le Fort fractures, and lower face or mandible fractures. The facial skeleton is a framework of vertical and horizontal buttresses that ensures a better resistance to trauma, but serves also as reference for maxillofacial surgery to restore facial size and shape. Radiologists should know how to diagnose and report the main types of facial fracture.

Ankle impingement syndromes: classification and role of diagnostic imaging.

Imaging of Substantia Nigra in Parkinson's Disease: A Narrative Review.

Parkinson’s disease (PD) is a progressive neurodegenerative disorder, characterized by motor and non-motor symptoms due to the degeneration of the pars compacta of the substantia nigra (SNc) with dopaminergic denervation of the striatum. Although the diagnosis of PD is principally based on a clinical assessment, great efforts have been expended over the past two decades to evaluate reliable biomarkers for PD. Among these biomarkers, magnetic resonance imaging (MRI)-based biomarkers may play a key role. Conventional MRI sequences are considered by many in the field to have low sensitivity, while advanced pulse sequences and ultra-high-field MRI techniques have brought many advantages, partic…

Utility of 3 Tesla diffusion-weighted magnetic resonance (DWMR) imaging for the characterisation of small solid renal tumours

Purpose: To determine the utility of apparent diffusion coefficients (ADCs) for the characterisation of small solid renal lesions. Methods and Materials: 26 patients (GFR 30-60 mL/min) with 39 small (1-3 cm) solid renal masses [16 RCCs (10 clear cell types; 6 other types); 18 AMLs (10 fat-containing; 8 minimal-fat) and 5 oncocytomas] were examined on a 3 T system using DW-SS-EPI (b-values 0, 1000 s/mm2). The ADC of the lesions and the ADC of kidney were evaluated. Receiver operator characteristic analysis was performed to evaluate the diagnostic value of ADC for differentiating clear cell RCCs from other type RCCs, AMLs and oncocytomas. Results: The mean ADC of the lesions [1.22± 0.27 28 mm…

POST-THALAMOTOMY NEUROFUNCTIONAL FINDINGS ON PATIENTS TREATED WITH TRANS-CRANIAL MAGNETIC RESONANCE GUIDED FOCUSED ULTRASOUND SURGERY (TCMRGFUS): PRELIMINARY RESULTS

BACKGROUND AND PURPOSE: We present functional connectivity (FC) changes found in the very first patients treated with the first Italian installation of a trans-cranial MRI-guided Focused Ultrasound Surgery (tcMRgFUS) certified system for functional neurosurgery. TcMRgFUS is a promising new technique for non-invasive treatment of neurologic disorders such as Essential Tremor, tremor associated to Parkinson's Disease and Neuropathic Pain. TcMRgFUS is able to focally target and destroy specific regions in the brain through intact skull, by using a high intensity focused ultrasound beam. Resting state functional Magnetic Resonance Imaging (RS-fMRI) analyses focuses on spontaneous low frequency …

Nasal anomalies review with CT or MRI: from congenital to malignant.

Learning Objectives. To describe imaging findings of a wide spectrum of uncommon nasal cavity masses evaluated at our institution by CT, CBCT and MR imaging, clinically and pathologically proven. Background. In this work we present a succinct review of disease illustrated by a retrospective case series of nasalcavity masses, evaluated at our institution. between 2010 and 2013. Patients have been studied with different imaging modalities including multiraw computed tomography (CT), cone beam computed tomography (CBCT) and magnetic resonance imaging (MR) to illustrate the findings and to summarize the main diagnostic keypoints for the differential diagnosis of nasal masses. Clinicopathologica…

Modeling and Performance Assessment of the Split-Pi Used as a Storage Converter in All the Possible DC Microgrid Scenarios. Part II: Simulation and Experimental Results

Bidirectional DC/DC converters such as the Split-pi can be used to integrate an energy storage system (ESS) into a DC microgrid providing manifold benefits. However, this integration deserves careful design because the ESS converter must behave like a stiff voltage generator, a non-stiff voltage generator, or a current generator depending on the microgrid configuration. Part I of this work presented a comprehensive theoretical analysis of the Split-pi used as an ESS converter in all the possible DC microgrid scenarios. Five typical microgrid scenarios were identified. Each of them required a specific state-space model of the Split-pi and a suitable control scheme. The present paper complete…

Deep Learning Network for Segmentation of the Prostate Gland With Median Lobe Enlargement in T2-weighted MR Images: Comparison With Manual Segmentation Method

Purpose: Aim of this study was to evaluate a fully automated deep learning network named Efficient Neural Network (ENet) for segmentation of prostate gland with median lobe enlargement compared to manual segmentation. Materials and Methods: One-hundred-three patients with median lobe enlargement on prostate MRI were retrospectively included. Ellipsoid formula, manual segmentation and automatic segmentation were used for prostate volume estimation using T2 weighted MRI images. ENet was used for automatic segmentation; it is a deep learning network developed for fast inference and high accuracy in augmented reality and automotive scenarios. Student t-test was performed to compare prostate vol…

Hemorragic presentation of Listeria Monocytogenes rhombencephalic abscess.

Listeria monocytogenes (LM) bacterium is a cause of central nervous system (CNS) infection and the most common cause of rhombencephalitis in immunocompetent elderly. A prompt identification of this condition should be always desirable, since its clinical manifestations are often unspecific with prodromal symptoms leading to high rates of morbidity and mortality if underestimated. CNS listeriosis magnetic resonance imaging (MRI) findings are generally not specific. However, in the appropriate clinical setting, focal brainstem hyperintensity on T2-weighted pulse sequences associated with ring-enhancement pattern after i.v. contrast media injection should be suspicious of LM abscess. The diagn…

Valore del segno del doppio legamento crociato posteriore nell'imaging con RM del ginocchio

Questo studio è stato condotto in maniera retrospettiva su 2436 esami di risonanza magnetica (RM) di ginocchio eseguiti nel periodo compreso tra Gennaio 2006 e Ottobre 2007. Gli esami sono stati analizzati usando come unico criterio diagnostico per la definizione del segno del doppio legamento crociato posteriore (LCP) la visualizzazione diretta di un frammento in gola intercondiloidea parallelo ed inferiore al LCP. Tale segno è stato riscontrato in 56 casi, di cui 50 successivamente sottoposti ad artroscopia che ha confermato la diagnosi in tutti i casi. Tale segno è risultato pertanto altamente sensibile e specifico nella diagnosi di rotture meniscali a manico di secchio This study was ca…

Osteonecrosis and osteomyelitis of the jaws associated with i.v. bisphosphonate therapy for multiple myeloma and metastatic bone cancer: CT findings.

Simulation and anticipation as tools for coordinating with the future

A key goal in designing an artificial intelligence capable of performing complex tasks is a mechanism that allows it to efficiently choose appropriate and relevant actions in a variety of situations and contexts. Nowhere is this more obvious than in the case of building a general intelligence, where the contextual choice and application of actions must be done in the presence of large numbers of alternatives, both subtly and obviously distinct from each other. We present a framework for action selection based on the concurrent activity of multiple forward and inverse models. A key characteristic of the proposed system is the use of simulation to choose an action: the system continuously sim…

Quantitative value of medial femoro-tibial width (FTW) with weight-bearing technique. Our experience with a modified Lyon-Schuss view.

In the period between September 2008 and February 2009, we evaluated with knee radiography a group of 30 patients with known knee osteoarthritis (OA). For each patient, two weight-bearing views of the knee were acquired, the first with a standard antero-posterior (AP) technique, the latter with a posteroanterior (PA) technique with a 10° skull-caudal incidence. The radiographs obtained were evaluated blinded by two radiologist who assessed the medial femoro-tibial width (FTW). Statistical analysis of the results, carried out with the “t” Student test, showed a statistically significant difference about FTW values between the two radiographic views (t = 5.2331 for reader 1 and t=5.1970 for r…

APPLICATION OF AN AUTOMATIC COMPUTERIZED ALGORITHM FOR THE ANALYSIS OF UPPER AIRWAYS REDUCTION IN PATIENTS WITH PIERRE ROBIN SEQUENCE STUDIED BY MDCT

0264: How to Address the Treatment of Idiopathic Plantar Fasciitis with Mini-Invasive Techniques: HRUS Criterion

Lipoleiomiomi uterini; aspetti TC e RM in due casi