4.2 Article

Surveillance of HCC Patients after Liver RFA: Role of MRI with Hepatospecific Contrast versus Three-Phase CT Scan-Experience of High Volume Oncologic Institute

Journal

GASTROENTEROLOGY RESEARCH AND PRACTICE
Volume 2013, Issue -, Pages -

Publisher

HINDAWI LTD
DOI: 10.1155/2013/469097

Keywords

-

Ask authors/readers for more resources

Purpose. To compare the diagnostic accuracy of hepatospecific contrast-enhanced MRI versus triple-phase CT scan after radiofrequency ablation (RFA) in hepatocellular carcinoma (HCC) patients. Methods. Thirty-four consecutive HCC patients (42 hepatic nodules) were treated with percutaneous RFA and underwent MR and CT scans. All patients were enrolled in a research protocol that included CT with iodized contrast medium injection and MR with hepatospecific contrast medium injection. All patients were restaged within four weeks and at 3 months from ablation. The images were reviewed by four different radiologists to evaluate tumor necrosis, residual or recurrence disease, and evidence of new foci. Results. Thirty-two nodules were necrotic after treatment; 10 showed residual disease. Six new HCCs were identified. At first month followup CT has identified 34 necrotic lesions and 8 residual diseases; no new foci were recognized. At MRI instead, 32 complete necrotic lesions were identified, 10 lesions showed residual disease, and 2 new HCCs were found. At three months, CT demonstrated 33 completely necrotic lesions, 9 residual diseases, and 2 new HCCs. MR showed 31 complete necrotic lesions, 11 cases of residual disease, and 6 new HCCs. Conclusions. Hepatospecific contrast-enhanced MRI is more effective than multiphase CT in assessment of HCC treated with RFA.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Radiology, Nuclear Medicine & Medical Imaging

Imaging of metabolic and overload disorders in tissues and organs

Federico Bruno, Domenico Albano, Andrea Agostini, Massimo Benenati, Roberto Cannella, Damiano Caruso, Michaela Cellina, Diletta Cozzi, Ginevra Danti, Federica De Muzio, Francesco Gentili, Giuliana Giacobbe, Salvatore Gitto, Giulia Grazzini, Irene Grazzini, Carmelo Messina, Anna Palmisano, Pierpaolo Palumbo, Alessandra Bruno, Francesca Grassi, Roberta Grassi, Roberta Fusco, Vincenza Granata, Andrea Giovagnoni, Vittorio Miele, Antonio Barile

Summary: Metabolic and overload disorders are rare but important diseases that affect different organs and tissues. Imaging plays a crucial role in early detection and accurate diagnosis, especially in specific organs involved in metabolic pathways. MRI is particularly useful due to its multiparametric properties, but advanced imaging techniques may also be required for accurate characterization and quantification. This review aims to describe the various alterations resulting from these disorders and their imaging findings.

JAPANESE JOURNAL OF RADIOLOGY (2023)

Review Oncology

Risk Assessment and Pancreatic Cancer: Diagnostic Management and Artificial Intelligence

Vincenza Granata, Roberta Fusco, Sergio Venanzio Setola, Roberta Galdiero, Nicola Maggialetti, Lucrezia Silvestro, Mario De Bellis, Elena Di Girolamo, Giulia Grazzini, Giuditta Chiti, Maria Chiara Brunese, Andrea Belli, Renato Patrone, Raffaele Palaia, Antonio Avallone, Antonella Petrillo, Francesco Izzo

Summary: Pancreatic cancer is one of the deadliest cancers, and late diagnosis is the main reason for its high mortality rate. Surgical resection is the only curative treatment, so early diagnosis is crucial for improving survival. Therefore, it is appropriate to stratify patients based on familial and genetic risk and develop screening protocols using minimally invasive diagnostic tools.

CANCERS (2023)

Review Medicine, General & Internal

Immunotherapy Assessment: A New Paradigm for Radiologists

Vincenza Granata, Roberta Fusco, Sergio Venanzio Setola, Igino Simonetti, Carmine Picone, Ester Simeone, Lucia Festino, Vito Vanella, Maria Grazia Vitale, Agnese Montanino, Alessandro Morabito, Francesco Izzo, Paolo Antonio Ascierto, Antonella Petrillo

Summary: Immunotherapy is a significant change in oncological treatment, but only a minority of patients benefit from it. The efficacy of immunotherapy is affected by factors such as genetic features and intra-tumor heterogeneity. Classic imaging assessment methods like CT or MRI have limited role in immunotherapy due to different response patterns and the need to assess immunotherapy-related toxic effects promptly.

DIAGNOSTICS (2023)

Review Medicine, General & Internal

Percutanous Electrochemotherapy (ECT) in Primary and Secondary Liver Malignancies: A Systematic Review

Vincenza Granata, Roberta Fusco, Valeria D'Alessio, Igino Simonetti, Francesca Grassi, Lucrezia Silvestro, Raffaele Palaia, Andrea Belli, Renato Patrone, Mauro Piccirillo, Francesco Izzo

Summary: The aim of this study was to analyze the use of Electrochemotherapy (ECT) in treating primary and secondary liver tumors in different locations and with different histologies. Other Local Ablative Therapies (LAT) were also discussed. The analysis of these papers shows that ECT is safe and effective for treating large lesions, regardless of their histology. Compared to other thermal ablation techniques, ECT performs better in lesions larger than 6 cm and can be safely used for lesions located near vital structures. ECT spares vessels and bile ducts, can be repeated, and can be performed between chemotherapeutic cycles.

DIAGNOSTICS (2023)

Review Health Care Sciences & Services

Gender Medicine in Clinical Radiology Practice

Giuliana Giacobbe, Vincenza Granata, Piero Trovato, Roberta Fusco, Igino Simonetti, Federica De Muzio, Carmen Cutolo, Pierpaolo Palumbo, Alessandra Borgheresi, Federica Flammia, Diletta Cozzi, Michela Gabelloni, Francesca Grassi, Vittorio Miele, Antonio Barile, Andrea Giovagnoni, Nicoletta Gandolfo

Summary: Gender Medicine is a branch of medicine that studies the differences in diseases between men and women. It is important to value these differences in healthcare in order to provide personalized therapies and gender-specific prevention initiatives. This article assesses potential gender differences in clinical-radiological practice and their impact on health and healthcare.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Review Health Care Sciences & Services

Radiomics in Lung Metastases: A Systematic Review

Michela Gabelloni, Lorenzo Faggioni, Roberta Fusco, Igino Simonetti, Federica De Muzio, Giuliana Giacobbe, Alessandra Borgheresi, Federico Bruno, Diletta Cozzi, Francesca Grassi, Mariano Scaglione, Andrea Giovagnoni, Antonio Barile, Vittorio Miele, Nicoletta Gandolfo, Vincenza Granata

Summary: Due to the rich vascularization and lymphatic drainage of the pulmonary tissue, lung metastases (LM) are not uncommon in patients with cancer. Radiomics, an active research field aimed at extracting quantitative data from diagnostic images, has potential applications in lesion characterization, treatment planning, and prognostic assessment of patients with LM. This article provides a systematic review of the literature to illustrate the current applications, strengths, and weaknesses of radiomics in this field.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Review Health Care Sciences & Services

Imaging Features of Main Hepatic Resections: The Radiologist Challenging

Carmen Cutolo, Roberta Fusco, Igino Simonetti, Federica De Muzio, Francesca Grassi, Piero Trovato, Pierpaolo Palumbo, Federico Bruno, Nicola Maggialetti, Alessandra Borgheresi, Alessandra Bruno, Giuditta Chiti, Eleonora Bicci, Maria Chiara Brunese, Andrea Giovagnoni, Vittorio Miele, Antonio Barile, Francesco Izzo, Vincenza Granata

Summary: Liver resection is the most effective treatment for primary liver malignancies and metastatic disease. The type of resection depends on various factors, including the type of malignancy, tumor size, and relation with blood and biliary vessels. Imaging, such as ultrasonography, computed tomography, and magnetic resonance imaging, plays a critical role in postoperative assessment and diagnosing complications.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Review Biology

Risk Assessment and Cholangiocarcinoma: Diagnostic Management and Artificial Intelligence

Vincenza Granata, Roberta Fusco, Federica De Muzio, Carmen Cutolo, Francesca Grassi, Maria Chiara Brunese, Igino Simonetti, Orlando Catalano, Michela Gabelloni, Silvia Pradella, Ginevra Danti, Federica Flammia, Alessandra Borgheresi, Andrea Agostini, Federico Bruno, Pierpaolo Palumbo, Alessandro Ottaiano, Francesco Izzo, Andrea Giovagnoni, Antonio Barile, Nicoletta Gandolfo, Vittorio Miele

Summary: The only cure for intrahepatic cholangiocarcinoma (iCCA) is surgical resection, and early diagnosis is crucial for improving survival. Artificial Intelligence models can help assess high-risk patients, leading to better diagnosis. Therefore, identifying high-risk patients and utilizing non-invasive screening methods are important.

BIOLOGY-BASEL (2023)

Review Oncology

Colorectal liver metastases patients prognostic assessment: prospects and limits of radiomics and radiogenomics

Vincenza Granata, Roberta Fusco, Sergio Venanzio Setola, Roberta Galdiero, Nicola Maggialetti, Renato Patrone, Alessandro Ottaiano, Guglielmo Nasti, Lucrezia Silvestro, Antonio Cassata, Francesca Grassi, Antonio Avallone, Francesco Izzo, Antonella Petrillo

Summary: In this narrative review, the role of radiomics in assessing prognostic features for liver metastases patients is discussed. Radiomics analysis allows the assessment of textural characteristics in radiological images, which can provide biological data without invasive procedures. However, issues such as poor standardization, reproducibility, and clinical study results hamper the translation of radiomics analysis into clinical practice.

INFECTIOUS AGENTS AND CANCER (2023)

Review Medicine, General & Internal

Radiation Recall Pneumonitis: The Open Challenge in Differential Diagnosis of Pneumonia Induced by Oncological Treatments

Francesca Grassi, Vincenza Granata, Roberta Fusco, Federica De Muzio, Carmen Cutolo, Michela Gabelloni, Alessandra Borgheresi, Ginevra Danti, Carmine Picone, Andrea Giovagnoni, Vittorio Miele, Nicoletta Gandolfo, Antonio Barile, Valerio Nardone, Roberta Grassi

Summary: The role of radiotherapy in the treatment of lung neoplasms, along with surgery and systemic therapies, has become essential. The focus has shifted towards improving survival outcomes, quality of life, treatment compliance, and management of side effects. Imaging plays a crucial role in evaluating treatment efficacy and identifying rare effects, especially when multiple treatments are involved. Radiation recall pneumonitis, a rare complication, needs to be recognized and characterized accurately, requiring prompt identification and the best therapeutic strategy for minimal disruption of ongoing cancer treatment. Artificial intelligence could play a critical role in this regard, provided a larger patient dataset is available.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Medicine, General & Internal

Post-Surgical Imaging Assessment in Rectal Cancer: Normal Findings and Complications

Federica De Muzio, Roberta Fusco, Carmen Cutolo, Giuliana Giacobbe, Federico Bruno, Pierpaolo Palumbo, Ginevra Danti, Giulia Grazzini, Federica Flammia, Alessandra Borgheresi, Andrea Agostini, Francesca Grassi, Andrea Giovagnoni, Vittorio Miele, Antonio Barile, Vincenza Granata

Summary: Rectal cancer is a highly lethal malignancy and surgery is the most common treatment option. The choice of surgical approach aims to maximize function while minimizing the risk of recurrence, and is determined by a multidisciplinary team assessing patient and tumor characteristics. Total mesorectal excision, including both low anterior resection and abdominoperineal resection, remains the standard of care for rectal cancer. Rating: 8 out of 10.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Medicine, General & Internal

Dose Reduction Strategies for Pregnant Women in Emergency Settings

Carmine Picone, Roberta Fusco, Michele Tonerini, Salvatore Claudio Fanni, Emanuele Neri, Maria Chiara Brunese, Roberta Grassi, Ginevra Danti, Antonella Petrillo, Mariano Scaglione, Nicoletta Gandolfo, Andrea Giovagnoni, Antonio Barile, Vittorio Miele, Claudio Granata, Vincenza Granata

Summary: In modern clinical practice, imaging techniques are increasingly used in emergencies, leading to a higher frequency of examinations and increased radiation exposure. The management of pregnant women is particularly critical as they are at higher risk. While ultrasound and magnetic resonance imaging are preferred, computed tomography remains necessary in certain cases. Protocol optimization is crucial in reducing risks. This review aims to evaluate different diagnostic tools and protocols to control radiation dose in emergency conditions involving abdominal pain and trauma.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Oncology

Minimally Invasive ALPPS Procedure: A Review of Feasibility and Short-Term Outcomes

Luigi Cioffi, Giulio Belli, Francesco Izzo, Corrado Fantini, Alberto D'Agostino, Gianluca Russo, Renato Patrone, Vincenza Granata, Andrea Belli

Summary: Recent advancements in laparoscopic surgery and technical modifications have shown potential for improving clinical outcomes, feasibility, and patient safety in extensive liver tumor surgeries, leading to reduced complications and mortality rates.

CANCERS (2023)

Review Medicine, General & Internal

Recent Advances in Ultrasound Breast Imaging: From Industry to Clinical Practice

Orlando Catalano, Roberta Fusco, Federica De Muzio, Igino Simonetti, Pierpaolo Palumbo, Federico Bruno, Alessandra Borgheresi, Andrea Agostini, Michela Gabelloni, Carlo Varelli, Antonio Barile, Andrea Giovagnoni, Nicoletta Gandolfo, Vittorio Miele, Vincenza Granata

Summary: Breast ultrasound has made significant technological advancements, transitioning from a low-resolution grayscale technique to a high-performing, multiparametric modality. This review covers the range of commercially available technical tools, including microvasculature imaging, high-frequency transducers, extended field-of-view scanning, elastography, contrast-enhanced ultrasound, and more. It also discusses the expanded applications of breast ultrasound in clinical scenarios, such as primary ultrasound, complementary ultrasound, and second-look ultrasound. The review concludes by acknowledging the ongoing limitations and challenges in breast ultrasound.

DIAGNOSTICS (2023)

No Data Available