Search results for "radioterapia"
showing 10 items of 574 documents
Detection of liver metastases in cancer patients with geographic fatty infiltration of the liver: the added value of contrast-enhanced sonography
2017
Purpose The aim of this study is to assess the role of contrast-enhanced ultrasonography (CEUS) in the detection of liver metastases in cancer patients with geographic liver fatty deposition on greyscale ultrasonography (US). Methods Thirty-seven consecutive cancer patients (24 women and 13 men; age, 33 to 80 years; mean, 58.1 years) with geographic liver fatty deposition, but without any detectable focal liver lesion on greyscale US, underwent sulphur hexafluoride-enhanced US. Two readers reported by consensus the presence, size, and location of any detected lesion. All patients underwent magnetic resonance imaging (MRI) as a confirmatory study. Sensitivity, specificity, positive and negat…
New frontiers in liver ultrasound: From mono to multi parametricity
2021
Modern liver ultrasonography (US) has become a "one-stop shop " able to provide not only anatomic and morphologic but also functional information about vascularity, stiffness and other various liver tissue properties. Modern US techniques allow a quantitative assessment of various liver diseases. US scanning is no more limited to the visualized plane, but three-dimensional, volumetric acquisition and consequent post-processing are also possible. Further, US scan can be consistently merged and visualized in real time with Computed Tomography and Magnetic Resonance Imaging examinations. Effective and safe microbubble-based contrast agents allow a real time, dynamic study of contrast kinetic f…
Role of computed tomography and magnetic resonance imaging in local complications of acute pancreatitis
2019
Acute pancreatitis (AP) represents a pancreas inflammation of sudden onset that can present different degrees of severity. AP is a frequent cause of acute abdomen and its complications are still a cause of death. Biliary calculosis and alcohol abuse are the most frequent cause of AP. Computed tomography (CT) and magnetic resonance imaging (MRI) are not necessary for the diagnosis of AP but they are fundamental tools for the identification of the cause, degree severity and AP complications. AP severity assessment is in fact one of the most important issue in disease management. Contrast-enhanced CT is preferred in the emergency setting and is considered the gold standard in patients with AP.…
Transcranial Magnetic Resonance-Guided Focused Ultrasound Surgery for Brain Tumor Ablation: Are We Ready for This Challenging Treatment?
2018
The treatment of high-grade gliomas (HGGs) remains a challenge for modern therapy. The prognosis for these patients has been poor. The median patient survival after diagnosis has been ∼1 year with surgery and/or radiotherapy and temozolomide.1 The need for a histological diagnosis of tumor tissue in each case and the importance of decompression in symptomatic patients are well established, and extensive surgical resection has been shown to significantly prolong survival. Several factors play a role in the prognosis of patients with HGG, including age, performance status using the Karnofsky performance scale, and the extent of resection.2, 3 At present, the standard therapy for HHG consists …
PRESENTAZIONE DI UN CASO DI MENINGOCELE SACRALE ANTERIORE: CARATTERISTICHE NEURORADIOLOGICHE E DIAGNOSI DIFFERENZIALE
2013
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…
RADIOPROTECTION IN 2018: AN UPDATE
2018
Fluoroscopically-guided interventional procedures are performed in large numbers in Europe and in the United States. Radiation doses received by interventional radiologists can vary for the same type of procedure and for similar patient doses. Occupational radiation protection is a necessity whenever radiation is used in the practice of medicine. The International Commission on Radiological Protection is engaging against occupational radiation damages, publishing regular recommendations on dose limits. These limits are expressed as effective doses for the whole body and also as equivalent doses for particular regions or tissues of practitioners’ bodies. Shielding and personal protective clo…
Radioterapia adaptada a los movimientos fisiológicos. Incertidumbres asociadas
2015
Los movimientos del paciente, de órganos y tumores son la nueva frontera tecnológica para los tratamientos de radioterapia. Con el creciente uso de la radioterapia externa altamente conformada, se ha logrado reducir el tumor mediante la reducción de las incertidumbres geométricas durante el curso del tratamiento. Contabilizando las incertidumbres en la intrafracción (dentro de la misma fracción de tratamiento) e interfracción (entre dos fracciones distintas, generalmente consecutivas, i.e. dos días de tratamiento distintos) asociadas al posicionamiento del paciente, movimientos tumorales (incluidos los movimientos de pulmón e hígado con la respiración) y los cambios entre las 5 y 7 semanas …
Dairy calcium intake and lifestyle risk factors for bone loss in hiv-infected and uninfected mediterranean subjects
2012
Abstract Background Despite the reported high prevalence of osteoporosis in the human immunodeficiency virus (HIV)-population, there have been no previous studies examining dairy calcium intake and bone mineral density (BMD) in HIV-subjects. We assessed the prevalence of low BMD in HIV-infected and uninfected subjects and analyzed the effects of calcium intake, lifestyle and HIV-related risk factors on BMD. Methods One hundred and twelve HIV-infected subjects were consecutively enrolled. Seventy- six HIV-uninfected subjects matched for age and sex were enrolled as the control group. The HIV-subjects were interviewed about lifestyle habits and completed a weekly food-frequency questionnaire …
Impacto del tratamiento neoadyuvante en los resultados de la cirugía del cáncer de recto localmente avanzado.
2015
Introducción El cáncer colorrectal es, globalmente, la segunda neoplasia más frecuente en los países desarrollados. El proceso diagnóstico está basado en la anamnesis, una exploración clínica completa que incluya el tacto rectal, analítica completa con marcadores tumorales, colonoscopia con biopsia y pruebas de imagen: TAC para descartar enfermedad a distancia y en el cáncer de recto una resonancia magnética para estatificar localmente la enfermedad. La finalidad de la fase diagnóstica es clasificar la enfermedad según la clasificación TNM para escoger el tratamiento más eficaz en cada estadio. Definimos como cáncer de recto precoz aquel tumor confinado a la pared rectal que no ha traspasad…