0000000000986997
AUTHOR
F. Alberghina
Diagnostic accuracy of 64-slice computed tomography coronary angiography in patients with low-to-intermediate risk
Purpose. Our aim was to evaluate the diagnostic accuracy of 64- slice computed tomography coronary angiography (MSCT-CA) for detecting significant stenosis (≥50% lumen reduction) in a population of patients at low to intermediate risk. Materials and methods. We studied 72 patients (38 men, 34 women, mean age 53.9±8.0 years) with atypical or typical chest pain and stratified in the low- to intermediate risk category. MSCT-CA (Sensation 64 Cardiac, Siemens, Germany) was performed after IV administration of 100 ml of iodinated contrast material (Iomeprol 400 mgI/ml, Bracco, Italy). Two observers, blinded to the results of conventional coronary angiography (CAG), assessed the MSCT-CA scans in c…
Imaging techniques for the vulnerable coronary plaque
The goal of this article is to illustrate the main invasive and noninvasive diagnostic modalities to image the vulnerable coronary plaque, which is responsible for acute coronary syndrome. The main epidemiologic and histological issues are briefly discussed in order to provide an adequate background. Comprehensive coronary atherosclerosis imaging should involve visualization of the entire coronary artery tree and plaque characterization, including three-dimensional morphology, relationship with the lumen, composition, vascular remodelling and presence of inflammation. No single technique provides such a comprehensive description, and no available modality extensively identifies the vulnerab…
Spectrum of collateral findings in multislice CT coronary angiography.
Purpose. The aim of the study was to investigate the prevalence of the noncardiac collateral findings during multislice computed tomography coronary angiography (MSCT-CA). Materials and methods. Six hundred and seventy patients undergoing MSCT-CA with 16-slice and 64-slice CT scanners for suspected atherosclerotic disease of the coronary arteries were retrospectively reviewed. All data sets obtained with a large field of view (FOV) were analysed by two radiologists using standard mediastinal and lung window settings. Collateral findings were divided according to clinical importance into nonsignificant, remarkable and compulsory to be investigated. Results. Eighty-five percent of patients re…
Assessment of left main coronary artery atherosclerotic burden using 64-slice CT coronary angiography: correlation between dimensions and presence of plaques.
PURPOSE: The aim of this study was to correlate left main (LM) coronary artery dimensions with the presence of atherosclerosis by multidetector-row computed tomography (MDCT) coronary angiography (CA) and to assess coronary atherosclerotic plaques with a semiquantitative method. MATERIALS AND METHODS: Sixty-two consecutive patients (41 men, mean age 60+/-11) with suspected coronary artery disease underwent 64-MDCT coronary angiography. LM dimensions (length, ostial and bifurcation diameters), quantitative [location, Hounsfield unit (HU) attenuation] and qualitative (composition, shape) analysis of plaques within the LM were performed. All patients underwent conventional CA. RESULTS: Thirty …
New Data on the Silver Objects from the House of Eupolemos (Morgantina, Sicily)
Due to their intrinsic value, ancient silver objects have often arrived at museums throughout the world with provenance other than that of regular excavations, and therefore much data regarding the context and the production process in the workshops of origin, as well as the circulation of such objects, is missing. The discovery of silver objects, in fact, is derived from what one may define as non-productive hoarding – archaeological collections created through the formal burial or the furtive hiding in a moment of danger of objects that were never recovered – circumstances that limit the possibility of knowing the primary use of the object in antiquity, in the manner that we can determine…
TESTING OF NANOSTRUCTURED PRODUCTS FOR THE PROTECTION AND CONSOLIDATION OF STONE SURFACES: THE CASE STUDY OF THE TOWER OF PALAZZO ALLIATA IN PALERMO
This study focused on the battlements of the Tower of Palazzo Alliata Pietratagliata in Palermo, which is one of the most important examples of late medieval civil architecture in Sicily. The battlements are made by biocalcarenite and currently affected by a strong desegregation. In order to first characterize the stone some tests have been carried out on small samples collected in situ: chemical and morphological analysis through X-ray diffractometry, scanning electron microscopy (SEM), optical polarized light microscopy (PLM), determination of total soluble salt content by measuring the conductivity and dosage of the anions and determination of the dimensional distribution of the pores. T…
Influence of heart rate in the selection of the optimal reconstruction window in routine clinical multislice coronary angiography
Purpose. The aim of our study was to assess the influence of heart rate on the selection of the optimal reconstruction window with 40-slice multidetector-row computed tomography (40-MDCT) coronary angiography. Materials and methods. We studied 170 patients (114 men, age 60 +/- 11.3 years) with suspected or known coronary artery disease with 40-MDCT coronary angiography. Patients [mean heart rate (HR) 62.9 +/- 9.3 bpm, range 42-94 bpm] were clustered in two groups (group A: HR <= 65 bpm; group B: HR >65 bpm). Multiphase reconstruction data sets were obtained with a retrospective electrocardiogram (ECG)-gated 40-MDCT coronary angiography scan from 0% to 95% every 5% of the R-R interval.…