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Divenuto F, Marascio N, Quirino A, Giancotti A, Filice S, Gigliotti S, Campolo MP, Campolo M, Barreca GS, Lamberti AG, Castelli G, Bruno F, Matera G. Cellular mediators in human leishmaniasis: Critical determinants in parasite killing or disease progression. Acta Trop 2023; 248:107037. [PMID: 37805040 DOI: 10.1016/j.actatropica.2023.107037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 09/29/2023] [Accepted: 10/04/2023] [Indexed: 10/09/2023]
Abstract
Data on cellular immunity mediators in the early phase of human leishmaniasis are still limited and controversial. In order to mimic the changes of humoral mediators during the early phase of human natural infection, some Th1, Th2, Treg, and Breg cytokines, MCP-1, and the nitric oxide (NO) from human PBMC, stimulated by Leishmania infantum, Leishmania major, Leishmania donovani and Leishmania tropica infective metacyclic promastigotes, were determined. After 4 h of L. major, L. donovani, and L. tropica challenge, TNFα, IL-1β, IL-6 levels were significantly higher than negative control cultures with saline (SF) instead of Leishmania promastigotes, unlike L. infantum-stimulated TNFα and L. major-stimulated IL-1β. We obtained higher levels of IL-4 and IL-10 cytokines after stimulation of human PBMCs by L. infantum and L. donovani, compared to those observed after the challenge of PBMCs by L. major and L. tropica. Regarding IL-35, such cytokine levels were significantly increased following infection with L. infantum and L. donovani, in contrast to L. major and L. tropica. Up to our knowledge, we are the first to study the effect of four different species of Leishmania on IL-35 levels in human cells. Our study highlights how several Leishmania species can up-regulate different groups of cytokines (Th1, Th2, Treg and Breg) and modulate NO release in a different way. This original aspect can be explained by different Leishmania cell products, such as LPG, obtained from different strains/species of live parasites. Our findings would contribute to the development of new therapeutics or vaccination strategies.
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Affiliation(s)
- F Divenuto
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - N Marascio
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - A Quirino
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy.
| | - A Giancotti
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - S Filice
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - S Gigliotti
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - M P Campolo
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - M Campolo
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - G S Barreca
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - A G Lamberti
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
| | - G Castelli
- National Reference Center for Leishmaniasis (C.Re.Na.L.), Istituto Zooprofilattico Sperimentale della Sicilia, 90129 Palermo, Italy
| | - F Bruno
- National Reference Center for Leishmaniasis (C.Re.Na.L.), Istituto Zooprofilattico Sperimentale della Sicilia, 90129 Palermo, Italy
| | - G Matera
- Clinical Microbiology Unit, Department of Health Sciences, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy
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Mampieri G, Quinzi V, Marzo G, Giancotti A. Are aligners effective and efficient in growing patients? Eur J Paediatr Dent 2023; 24:241-246. [PMID: 37668457 DOI: 10.23804/ejpd.2023.1959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/06/2023]
Abstract
BACKGROUND Proper development of deciduous and mixed dentition is essential to the oral health of growing patients, and early interceptive orthopedic or orthodontic treatments are indicated in specific clinical situations. Nowadays, orthodontists are subjected to a lot of pressure from growing patients and their parents about the orthodontic appliances that should be used. The aim of this article is to indicate how, when and why it is possible to effectively use aligners in growing patients. CASE REPORT Two case reports are illustrated, one with a Cl.II subdivision, mono lateral cross-bite and vertical growth, and the other with a skeletal and dental Cl.II, vertical skeletal pattern, proclined and fractured upper incisors. The efficacy/efficiency ratio of aligners is analyzed in order to evaluate the suitability of this appliance for the treatment. Limits and advantages of aligners are widely discussed. CONCLUSION Aligner treatment in growing patients shall be carefully studied to reach an optimal result. At present, a hybrid treatment strategy represents the best solution in growing patients with a complex clinical situation.
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Affiliation(s)
- G Mampieri
- DDS, MS, PhD, Assistant Professor, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - V Quinzi
- DDS, MS, PhD, Assistant Professor, Department of Health, Life and Environmental Science, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- DDS, MS, PhD, Full Professor, Director Postgraduate Orthodontic Program, Department of Health, Life and Environmental Science, University of L'Aquila, L'Aquila, Italy
| | - A Giancotti
- DDS, MS, Associate Professor, Director Postgraduate Orthodontic Program, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Ita
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Sorrenti S, Di Mascio D, Khalil A, Persico N, D'antonio F, Zullo F, D'ambrosio V, Greenberg G, Hasson J, Vena F, Muzii L, Brunelli R, Giancotti A. Pregnancy and perinatal outcomes of early vs late selective termination in dichorionic twin pregnancy: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2023; 61:552-558. [PMID: 36412550 DOI: 10.1002/uog.26126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Revised: 11/04/2022] [Accepted: 11/07/2022] [Indexed: 05/04/2023]
Abstract
OBJECTIVE To evaluate outcomes of dichorionic twin pregnancies undergoing early vs late selective termination of pregnancy (ST). METHODS MEDLINE, EMBASE, CINAHL and the Web of Science databases were searched electronically up to March 2022. The primary outcome of this study was pregnancy loss prior to 24 weeks' gestation. The secondary outcomes included preterm birth (PTB) before 37, 34, and 32 weeks, preterm prelabor rupture of membranes (PPROM), gestational age (GA) at delivery, Cesarean delivery, mean birth weight, 5-min Apgar score < 7, overall neonatal morbidity and neonatal survival. Only prospective or retrospective studies reporting data on the outcome of early (before 18 weeks) vs late (at or after 18 weeks) ST in dichorionic twin pregnancies were considered suitable for inclusion. Quality assessment of the included studies was performed using the Newcastle-Ottawa scale for cohort studies. Random-effects head-to-head meta-analysis was used to analyze the data. RESULTS Seven studies reporting on 649 dichorionic twin pregnancies were included in this systematic review. The risk of pregnancy loss prior to 24 weeks was significantly lower in dichorionic twin pregnancies undergoing early compared with late ST (1% vs 8%; odds ratio (OR), 0.25 (95% CI, 0.10-0.65); P = 0.004). The risk of PTB was significantly lower in dichorionic twin pregnancies undergoing early compared with late ST when considering PTB before 37 weeks (19% vs 45%; OR, 0.36 (95% CI, 0.23-0.57); P < 0.00001), before 34 weeks (4% vs 19%; OR, 0.24 (95% CI, 0.11-0.54); P = 0.0005) and before 32 weeks (4% vs 20%; OR, 0.21 (95% CI, 0.05-0.85); P = 0.03). The mean birth weight was significantly greater in the early-ST group (mean difference (MD), 392.2 g (95% CI, 59.1-726.7 g); P = 0.02), as was the mean GA at delivery (MD, 2.47 weeks (95% CI, 0.04-4.91 weeks); P = 0.049). There was no significant difference between dichorionic twin pregnancies undergoing early compared with late ST in terms of PPROM (P = 0.27), Cesarean delivery (P = 0.38), 5-min Apgar score < 7 (P = 0.35) and neonatal survival of the non-reduced twin (P = 0.54). CONCLUSIONS The risk of pregnancy loss prior to 24 weeks and the rate of PTB before 37, 34 and 32 weeks were significantly higher in dichorionic twin pregnancies undergoing late vs early ST, thus highlighting the importance of early diagnosis of fetal anomalies in twin pregnancies. © 2022 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- S Sorrenti
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - D Di Mascio
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Khalil
- Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
| | - N Persico
- Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
- Department of Clinical Science and Community Health, University of Milan, Milan, Italy
| | - F D'antonio
- Center for Fetal Care and High-Risk Pregnancy, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy
| | - F Zullo
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - V D'ambrosio
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - G Greenberg
- Helen Schneider Hospital for Women, Rabin Medical Center, Petach-Tikva, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - J Hasson
- Faculty of Health Sciences, Assuta Medical Center, Ben-Gurion University, Be'er Sheva, Israel
| | - F Vena
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - L Muzii
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - R Brunelli
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Giancotti
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
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Mampieri G, Condo R, Morucci E, Giancotti A. An original procedure for the ovoid pontic technique in ortho-restorative cases. Dental Cadmos 2022. [DOI: 10.19256/d.cadmos.10.2022.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Condò R, Carli E, Cioffi A, Cataldi ME, Quinzi V, Casaglia A, Giancotti A, Pirelli P, Lucarini I, Maita F, Maiolo L, Mampieri G. Fluorinated Agents Effects on Orthodontic Alloys: A Descriptive In Vitro Study. Materials 2022; 15:ma15134612. [PMID: 35806740 PMCID: PMC9267448 DOI: 10.3390/ma15134612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 06/16/2022] [Accepted: 06/27/2022] [Indexed: 02/01/2023]
Abstract
Fluoride-based mouthwashes and gels are preventive measures in countering demineralization and caries but, modifying environmental acidity, can reduce the wet corrosion resistance of orthodontic alloys. To evaluate chemical stability, in vitro experiments were conducted on stainless steel and nickel–titanium wires, weighed before and after immersion in household fluorinated mouthwashes and gels, measuring weight variations and elution of metal ions from acid corrosion phenomena. Elution samples were analyzed by inductively coupled plasma mass spectrometry, detecting residual ion concentration, while surface changes were analyzed under scanning electron microscopy. Results showed stainless steel wires do not undergo significant erosion when exposed to most fluorinated mouthwashes but, at prolonged exposure, alloys elute gradually greater amounts of metals and Ni–Ti wires become more sensitive to some mouthwashes. Ions’ elution varies considerably, especially for Ni–Ti wires, if exposed to household fluorinated gels, for which significant negative values were obtained. Changes, affecting wires’ outer layer, negatively act on shiny appearance and luster, reducing corrosion resistance. Although examined orthodontic wires showed good chemical stability and low toxicity, surface corrosion from exposure to fluorinated agents was observed. Home use must be accompanied by clinician prescription and, for household dental gels, must follow manufacturers’ recommendations, ensuring prophylactic action without damaging alloys surfaces.
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Affiliation(s)
- Roberta Condò
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
- Correspondence: ; Tel.: +39-338-3393-285
| | - Elisabetta Carli
- Department of Surgical Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy;
| | - Alessandro Cioffi
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
| | - Maria Elena Cataldi
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
| | - Vincenzo Quinzi
- Department of Life, Health & Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, Italy;
| | - Adriano Casaglia
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
| | - Paola Pirelli
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
| | - Ivano Lucarini
- Institute for Microelectronics and Microsystems—Unit of Rome, National Research Council, Via del Fosso del Cavaliere 100, 00133 Rome, Italy; (I.L.); (F.M.); (L.M.)
| | - Francesco Maita
- Institute for Microelectronics and Microsystems—Unit of Rome, National Research Council, Via del Fosso del Cavaliere 100, 00133 Rome, Italy; (I.L.); (F.M.); (L.M.)
| | - Luca Maiolo
- Institute for Microelectronics and Microsystems—Unit of Rome, National Research Council, Via del Fosso del Cavaliere 100, 00133 Rome, Italy; (I.L.); (F.M.); (L.M.)
| | - Gianluca Mampieri
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy; (A.C.); (M.E.C.); (A.C.); (A.G.); (P.P.); (G.M.)
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Di Mascio D, Khalil A, Rizzo G, Kasprian G, Caulo M, Manganaro L, Odibo AO, Flacco ME, Giancotti A, Buca D, Liberati M, Timor-Tritsch IE, D'Antonio F. Reference ranges for fetal brain structures using magnetic resonance imaging: systematic review. Ultrasound Obstet Gynecol 2022; 59:296-303. [PMID: 34405927 DOI: 10.1002/uog.23762] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/19/2021] [Accepted: 08/05/2021] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To evaluate the methodology of studies reporting reference ranges for fetal brain structures on magnetic resonance imaging (MRI). METHODS MEDLINE, EMBASE, CINAHL and the Web of Science databases were searched electronically up to 31 December 2020 to identify studies investigating biometry and growth of the fetal brain and reporting reference ranges for brain structures using MRI. The primary aim was to evaluate the methodology of these studies. A list of 26 quality criteria divided into three domains, including 'study design', 'statistical and reporting methods' and 'specific aspects relevant to MRI', was developed and applied to evaluate the methodological appropriateness of each of the included studies. The overall quality score of a study, ranging between 0 and 26, was defined as the sum of scores awarded for each quality criterion and expressed as a percentage (the lower the percentage, the higher the risk of bias). RESULTS Fifteen studies were included in this systematic review. The overall mean quality score of the studies evaluated was 48.7%. When focusing on each domain, the mean quality score was 42.0% for 'study design', 59.4% for 'statistical and reporting methods' and 33.3% for 'specific aspects relevant to MRI'. For the 'study design' domain, sample size calculation and consecutive enrolment of women were the items found to be at the highest risk of bias. For the 'statistical and reporting methods' domain, the presence of regression equations for mean and SD for each measurement, the number of measurements taken for each variable and the presence of postnatal assessment information were the items found to be at the highest risk of bias. For the 'specific aspects relevant to MRI' domain, whole fetal brain assessment was not performed in any of the included studies and was therefore considered to be the item at the highest risk of bias. CONCLUSIONS Most of the previously published studies reporting fetal brain reference ranges on MRI are highly heterogeneous and have low-to-moderate quality in terms of methodology, which is similar to the findings reported for ultrasound studies. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- D Di Mascio
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Khalil
- Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
| | - G Rizzo
- Division of Maternal and Fetal Medicine, Ospedale Cristo Re, University of Rome Tor Vergata, Rome, Italy
- Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University, Moscow, Russia
| | - G Kasprian
- Department of Biomedical Imaging and Image-Guided Therapy, Division of Neuro- and Musculoskeletal Radiology, Medical University of Vienna, Vienna, Austria
| | - M Caulo
- Department of Neuroscience, Imaging and Clinical Sciences, 'G. D'Annunzio' University, Chieti, Italy
| | - L Manganaro
- Department of Radiology, Sapienza University of Rome, Rome, Italy
| | - A O Odibo
- Division of Maternal-Fetal Medicine, University of South Florida, Tampa, FL, USA
| | - M E Flacco
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - A Giancotti
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - D Buca
- Center for Fetal Care and High-Risk Pregnancy, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy
| | - M Liberati
- Center for Fetal Care and High-Risk Pregnancy, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy
| | - I E Timor-Tritsch
- Department of Obstetrics and Gynecology, Grossman School of Medicine, New York, NY, USA
| | - F D'Antonio
- Center for Fetal Care and High-Risk Pregnancy, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy
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Mampieri G, Provaroni R, Giancotti A. Proposta di un nuovo metodo per misurare le recessioni gengivali. Dental Cadmos 2022. [DOI: 10.19256/d.cadmos.02.2022.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mampieri G, Rondo R, Morucci E, Giancotti A. An original procedure for ovoid pontic technique in ortho-restorative cases. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.2021.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mampieri G, Condò R, Giancotti A, Pirelli P. Correction of Class II Malocclusions with Aligners: The importance of the Treatment Stagingico. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.2021.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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10
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Mampieri G, Provaroni R, Giancotti A. Proposal of a new method to measure gingival recession. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.2021.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mampieri G, Castroflorio T, Conigliaro A, Giancotti A. Treatment of impacted canines with aligners: An alternative and viable option. Clin Case Rep 2021; 9:e04856. [PMID: 34584717 PMCID: PMC8457405 DOI: 10.1002/ccr3.4856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 08/23/2021] [Accepted: 09/06/2021] [Indexed: 11/17/2022] Open
Abstract
To recover impacted canines without esthetic issues, the aligners can be a resolutive tool allowing by pontics the camouflage of absent canines during orthodontic treatment. Knowledge of biomechanics, correct staging of dental movements, and surgery planification are strategic to achieve a good result.
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Affiliation(s)
- Gianluca Mampieri
- Department of Clinical Sciences and Translational Medicine University of Rome Tor VergataRomeItaly
| | | | | | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine University of Rome Tor VergataRomeItaly
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12
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Quirino A, Marascio N, Peronace C, Gallo L, Barreca GS, Giancotti A, Lamberti AG, Colosimo M, Minchella P, Trecarichi EM, Torti C, Liberto MC, Matera G. Direct antimicrobial susceptibility testing (AST) from positive blood cultures using Microscan system for early detection of bacterial resistance phenotypes. Diagn Microbiol Infect Dis 2021; 101:115485. [PMID: 34365091 DOI: 10.1016/j.diagmicrobio.2021.115485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 06/29/2021] [Accepted: 07/02/2021] [Indexed: 11/25/2022]
Abstract
Antimicrobial Susceptibility Testing is mandatory for Bloodstream Infections management in order to establish appropriate antimicrobial therapy. Herein we evaluated new approach based on AST results directly from positive blood cultures, using Microscan WA to carry out rapid phenotypical profile of antibiotic resistance. Our investigations allow to reduce time versus traditional results.
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Affiliation(s)
- A Quirino
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - N Marascio
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - C Peronace
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - L Gallo
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - G S Barreca
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - A Giancotti
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - A G Lamberti
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - M Colosimo
- Department of Microbiology, Pugliese-Ciaccio Hospital of Catanzaro, Catanzaro, Italy
| | - P Minchella
- Department of Microbiology, Pugliese-Ciaccio Hospital of Catanzaro, Catanzaro, Italy
| | - E M Trecarichi
- Infectious and Tropical Disease Unit, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - C Torti
- Infectious and Tropical Disease Unit, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - M C Liberto
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - G Matera
- Department of Health Sciences, Unit of Clinical Microbiology, "Magna Graecia" University of Catanzaro, Catanzaro, Italy.
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Condò R, Mampieri G, Giancotti A, Cerroni L, Pasquantonio G, Divizia A, Convertino A, Mecheri B, Maiolo L. SEM characterization and ageing analysis on two generation of invisible aligners. BMC Oral Health 2021; 21:316. [PMID: 34162371 PMCID: PMC8223277 DOI: 10.1186/s12903-021-01676-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 06/11/2021] [Indexed: 11/25/2022] Open
Abstract
Background The purpose of the in vitro study is to investigate and compare the morphological features and the chemical stability in weight of two different polyurethane-based blends, Smart Track (LD30) and Exceed30 (EX30), used for orthodontic aligners manufacture before and after the oral usage. Methods Twenty orthodontic aligners were randomly selected: 10 LD30 and 10 EX30, each group was divided in two subgroups, never used and intra-orally aged. By the employment of a Stereomicroscope, a section of 5 × 5 mm was cut from the buccal surface of the incisal region of each aligner. All samples were subjected to Scanning Electron Microscopy and Ageing tests in different solutions to simulate the hostility of the oral environment. The statistical method used was t-test. Results At SEM images, LD30 appears more homogeneous in texture respect to EX30. However, after clinical usage, both materials show significant structural alterations: findings have been supported by higher magnifications at SEM, by which it is clearly to observe many superficial cracks cross through the polymer structures of LD30U, absent in never used samples. LD30U surface becomes also smoother due to the disappearance of most of the conglomerates, but at the same time also rougher while EX30U shows a greater irregularity and porosity in which large and deep cracks are also highlighted. Although these changes occur persistently, in the aging tests no significant weight loss from both materials has been found, confirming the initial hypothesis of a good chemical stability and safety of both polyurethane mixtures even in conditions of severe hostility. Conclusion LD30 is the expression of the technological evolution of EX30, this is made evident above all by its morphological architecture, more homogeneous and defined but also by the chemical stability that can be appreciated even in evident critic situations.
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Affiliation(s)
- Roberta Condò
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
| | - Gianluca Mampieri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy
| | - Loredana Cerroni
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy
| | - Guido Pasquantonio
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy
| | - Andrea Divizia
- PhD in Nursing Sciences and Public Health, University of Rome "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy
| | - Annalisa Convertino
- Institute for Microelectronics and Microsystems - National Research Council, Unit of Rome, Via del Fosso del Cavaliere, 100, 00133, Rome, Italy
| | - Barbara Mecheri
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Via della Ricerca Scientifica, 1, 000133, Rome, Italy
| | - Luca Maiolo
- Institute for Microelectronics and Microsystems - National Research Council, Unit of Rome, Via del Fosso del Cavaliere, 100, 00133, Rome, Italy
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Masselli G, Cozzi D, Ceccanti S, Laghi F, Giancotti A, Brunelli R. Fetal body MRI for fetal and perinatal management. Clin Radiol 2021; 76:708.e1-708.e8. [PMID: 34112509 DOI: 10.1016/j.crad.2021.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 05/05/2021] [Indexed: 12/19/2022]
Abstract
Fetal magnetic resonance imaging (MRI) has become a valuable adjunct to ultrasound (US) in diagnosing fetal abnormalities. This review is intended to highlight the contribution of MRI in parental counselling and perinatal treatment. A state-of-the-art fetal MRI protocol with experts of maternal-fetal medicine present in the MRI suite allows emphasis on patient-centred care and maximises therapeutic options.
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Affiliation(s)
- G Masselli
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy.
| | - D Cozzi
- Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy
| | - S Ceccanti
- Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy
| | - F Laghi
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Giancotti
- Department of Gynecological, Obstetrical, and Urological Sciences, Sapienza University, Rome, Italy
| | - R Brunelli
- Department of Gynecological, Obstetrical, and Urological Sciences, Sapienza University, Rome, Italy
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15
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Condò R, Mampieri G, Pasquantonio G, Giancotti A, Pirelli P, Cataldi ME, La Rocca S, Leggeri A, Notargiacomo A, Maiolo L, De Filippis P, Cerroni L. In Vitro Evaluation of Structural Factors Favouring Bacterial Adhesion on Orthodontic Adhesive Resins. Materials (Basel) 2021; 14:ma14102485. [PMID: 34064903 PMCID: PMC8150295 DOI: 10.3390/ma14102485] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/23/2021] [Accepted: 05/08/2021] [Indexed: 02/07/2023]
Abstract
Bacterial adhesion to the surface of orthodontic materials is an important step in the formation and proliferation of plaque bacteria, which is responsible for enamel demineralization and periodontium pathologies. With the intent of investigating if adhesive resins used for bracket bonding are prone to bacteria colonization, the surface roughness of these materials has been analyzed, combining information with a novel methodology to observe the internal structures of orthodontic composites. Scanning electron microscopy, combined with focus ion bean micromachining and stylus profilometry analyses, were performed to evaluate the compositional factors that can influence specific pivotal properties facilitating the adhesion of bacteria to the surface, such as surface roughness and robustness of three orthodontic adhesive composite resins. To confirm these findings, contact angle measurements and bacteria incubation on resin slide have been performed, evaluating similarities and differences in the final achievement. In particular, the morphological features that determine an increase in the resins surface wettability and influence the bacterial adhesion are the subject of speculation. Finally, the focused ion beam technique has been proposed as a valuable tool to combine information coming from surface roughness with specific the internal structures of the polymers.
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Affiliation(s)
- Roberta Condò
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
- Correspondence:
| | - Gianluca Mampieri
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Guido Pasquantonio
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Paola Pirelli
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Maria Elena Cataldi
- PhD in Materials for Health, Environment and Energy, University of Rome “Tor Vergata”, Via della Ricerca Scientifica, 1, 00133 Rome, Italy;
| | - Serena La Rocca
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Andrea Leggeri
- Oral Surgery Specialty School, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy;
| | - Andrea Notargiacomo
- Institute for Photonics and Nanotechnologies-National Research Council, Unit of Rome, Via Cineto Romano, 42, 00156 Rome, Italy;
| | - Luca Maiolo
- Institute for Microelectronics and Microsystems-National Research Council, Unit of Rome, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy;
| | - Patrizia De Filippis
- Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy;
| | - Loredana Cerroni
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
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16
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Giancotti A, Mampieri G, Paoncelli F, Greco M, Arcuri C. Patient's perception of intraoral scanning: a comparison between traditional and digital dental impression. J BIOL REG HOMEOS AG 2021; 35:19-28. [PMID: 34289661 DOI: 10.23812/21-3supp1-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The purpose of this work was to assess the discomfort perceived by the patient during the intraoral scan procedure using the iTero Scanner. A sample of 33 patients was selected on the basis of parameters that identify a complete dentition. All treated patients underwent a traditional polyvinylsiloxane impression with double procedure and an intraoral scan in the same session. Subsequently they were given a questionnaire concerning the discomfort perceived by both procedures. Once the completed questionnaires were obtained, preliminary statistical tests were carried out to check if the distribution of scores assigned by patients to the two procedures differed significantly from a Gaussian distribution. Furthermore, the discomfort/preference indexes for the two procedures were compared using the Wilcoxon test for paired data. Finally, the Spearman correlation test was used. From the results of the preliminary normality tests, it was decided to use nonparametric type tests that gives the intraoral scan procedure more favorable scores relative to a minor discomfort. The use of intraoral scanning and more specifically of the iTero 2.9 scanner (despite a not small wand), represents an option largely preferred by patients in terms of reduction of discomfort and classic discomfort related to relief systems traditional imprint.
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Affiliation(s)
- A Giancotti
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - G Mampieri
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - F Paoncelli
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - M Greco
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
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17
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Buca D, Di Mascio D, Rizzo G, Giancotti A, D'Amico A, Leombroni M, Makatsarya A, Familiari A, Liberati M, Nappi L, Flacco ME, Manzoli L, Salomon LJ, Scambia G, D'Antonio F. Outcome of fetuses with congenital cytomegalovirus infection and normal ultrasound at diagnosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2021; 57:551-559. [PMID: 33030767 DOI: 10.1002/uog.23143] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Revised: 08/23/2020] [Accepted: 09/25/2020] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To report the outcome of fetuses with congenital cytomegalovirus (CMV) infection and normal ultrasound at the time of diagnosis, and to evaluate the rate of an additional anomaly detected only on magnetic resonance imaging (MRI). METHODS Medline, EMBASE, CINAHL and Cochrane databases were searched for studies reporting on the outcome of fetuses with congenital CMV infection. Inclusion criteria were fetuses with confirmed CMV infection and normal ultrasound assessment at the time of the initial evaluation. The outcomes observed were an anomaly detected on a follow-up ultrasound scan, an anomaly detected on prenatal MRI but missed on ultrasound, an anomaly detected on postnatal assessment but missed prenatally, perinatal mortality, symptomatic infection at birth, neurodevelopmental outcome and hearing and visual deficits. Neurodevelopmental outcome was assessed only in cases of isolated CMV infection confirmed at birth. Subgroup analysis was performed according to the trimester in which maternal infection occurred. Random-effects meta-analysis of proportions was used to analyze the data. RESULTS Twenty-six studies were included, comprising 2603 fetuses with congenital CMV infection, of which 1178 (45.3%) had normal ultrasound at the time of diagnosis and were included in the analysis. The overall rate of an associated central nervous system (CNS) anomaly detected on a follow-up ultrasound scan was 4.4% (95% CI, 1.4-8.8%) (32/523; 15 studies), while the rates of those detected exclusively on prenatal MRI or on postnatal imaging were 5.8% (95% CI, 1.9-11.5%) (19/357; 11 studies) and 3.2% (95% CI, 0.3-9.0%) (50/660; 17 studies), respectively. The rate of an associated extra-CNS anomaly detected on a follow-up ultrasound scan was 2.9% (95% CI, 0.8-6.3%) (19/523; 15 studies), while the rates of those detected exclusively on MRI or on postnatal imaging were 0% (95% CI, 0.0-1.7%) (0/357; 11 studies) and 0.9% (95% CI, 0.3-1.8%) (4/660; 17 studies), respectively. Intrauterine death and perinatal death each occurred in 0.7% (95% CI, 0.3-1.4%) (2/824; 23 studies) of cases. In cases without an associated anomaly detected pre- or postnatally, symptomatic infection was found in 1.5% (95% CI, 0.7-2.7%) (6/548; 19 studies) of infants, the overall rate of a neurodevelopmental anomaly was 3.1% (95% CI, 1.6-5.1%) (16/550; 19 studies), and hearing problems affected 6.5% (95% CI, 3.8-10.0%) (36/550; 19 studies) of children. Subanalyses according to the trimester in which maternal infection occurred were affected by the very small number of included cases and lack of comparison of the observed outcomes in the original studies. Compared with fetuses infected in the second or third trimester, those infected in the first trimester had a relatively higher risk of having an additional anomaly detected on follow-up ultrasound or MRI, abnormal neurodevelopmental outcome and hearing problems. CONCLUSIONS In fetuses with congenital CMV infection in which no anomalies are detected on prenatal ultrasound or MRI, the risk of adverse postnatal outcome is lower than that reported previously in the published literature when not considering the role of antenatal imaging assessment. The results from this review also highlight the potential role of MRI, even in fetuses with no anomalies detected on ultrasound, as an anomaly can be detected exclusively on MRI in about 6% of cases. The findings from this study could enhance prenatal counseling of pregnancies with congenital CMV infection with normal prenatal imaging. © 2020 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- D Buca
- Centre for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Italy
| | - D Di Mascio
- Department of Maternal and Child Health and Urological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - G Rizzo
- Division of Maternal and Fetal Medicine, Ospedale Cristo Re, University of Rome Tor Vergata, Rome, Italy
- Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University, Moscow, Russia
| | - A Giancotti
- Department of Maternal and Child Health and Urological Sciences, "Sapienza" University of Rome, Rome, Italy
| | - A D'Amico
- Centre for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Italy
| | - M Leombroni
- Centre for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Italy
| | - A Makatsarya
- Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University, Moscow, Russia
| | - A Familiari
- Department of Clinical and Community Sciences, University of Milan, and Department of Woman Child and Neonate, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Liberati
- Centre for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Italy
| | - L Nappi
- Department of Obstetrics and Gynecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - M E Flacco
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Manzoli
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L J Salomon
- Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Université Paris Descartes and Fetus & LUMIERE team, Paris, France
| | - G Scambia
- Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Fondazione Policlinico A. Gemelli, Rome, Italy
| | - F D'Antonio
- Department of Obstetrics and Gynecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
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Giancotti A, Conigliaro A, Mampieri G. Aligner Treatment of Transposed Maxillary Canines and Lateral Incisors. J Clin Orthod 2021; 55:34-43. [PMID: 33822761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, University of Rome "Tor Vergata," Rome, Italy.
| | | | - Gianluca Mampieri
- Department of Orthodontics, University of Rome "Tor Vergata," Rome, Italy
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Giancotti A, Cozza P, Mampieri G. Aligners and Mandibular Advancement: A Comprehensive Option for Phase I Treatment of Class II, Division 1 Cases. J Clin Orthod 2020; 54:513-524. [PMID: 33232292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, University of Rome "Tor Vergata," Via Montepelier 1, Rome 00133, Italy.
| | - Paola Cozza
- Department of Orthodontics, University of Rome "Tor Vergata"
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Brunelli R, De Spirito M, Giancotti A, Palmieri V, Parasassi T, Di Mascio D, Flammini G, D'Ambrosio V, Monti M, Boccaccio A, Pappalettere C, Ficarella E, Papi M, Lamberti L. The biomechanics of the umbilical cord Wharton Jelly: Roles in hemodynamic proficiency and resistance to compression. J Mech Behav Biomed Mater 2019; 100:103377. [PMID: 31398692 DOI: 10.1016/j.jmbbm.2019.103377] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 06/21/2019] [Accepted: 07/30/2019] [Indexed: 11/15/2022]
Abstract
The umbilical cord is a complex structure containing three vessels, one straight vein and two coiled arteries, encased by the Wharton Jelly (WJ) a spongy structure made of collagen and hydrated macromolecules. Fetal blood reaches the placenta through the arteries and flows back to the fetus through the vein. The role of the WJ in maintaining cord circulation proficiency and the ultimate reason for arterial coiling still lack of reasonable mechanistic interpretations. We performed biaxial tension tests and evidenced significant differences in the mechanical properties of the core and peripheral WJ. The core region, located between the arteries and the vein, resulted rather stiffer close to the fetus. Finite element modelling and optimization based inverse method were used to create 2D and 3D models of the cord and to simulate stress distribution in different hemodynamic conditions, compressive loads and arterial coiling. We recorded a facilitated stress transmission from the arteries to the vein through the soft core of periplacental WJ. This condition generates a pressure gradient that boosts the venous backflow circulation towards the fetus. Peripheral WJ allows arteries to act as pressure buffering chambers during the cardiac diastole and helps to dissipate compressive forces away from vessels. Altered WJ biomechanics may represent the structural basis of cord vulnerability in many high-risk clinical conditions.
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Affiliation(s)
- R Brunelli
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - M De Spirito
- Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italy; Istituto di Fisica, Università Cattolica del Sacro Cuore, Roma, Italy
| | - A Giancotti
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - V Palmieri
- Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italy; Istituto di Fisica, Università Cattolica del Sacro Cuore, Roma, Italy
| | - T Parasassi
- Istituto di Farmacologia Traslazionale, CNR, Roma, Italy
| | - D Di Mascio
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - G Flammini
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - V D'Ambrosio
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - M Monti
- Dipartimento Materno Infantile e Scienze Urologiche, Università Sapienza, Roma, Italy
| | - A Boccaccio
- Dipartimento di Meccanica, Matematica e Management, Politecnico di Bari, Bari, Italy
| | - C Pappalettere
- Dipartimento di Meccanica, Matematica e Management, Politecnico di Bari, Bari, Italy
| | - E Ficarella
- Dipartimento di Meccanica, Matematica e Management, Politecnico di Bari, Bari, Italy
| | - M Papi
- Fondazione Policlinico Universitario A. Gemelli IRCSS, Roma, Italy; Istituto di Fisica, Università Cattolica del Sacro Cuore, Roma, Italy.
| | - L Lamberti
- Dipartimento di Meccanica, Matematica e Management, Politecnico di Bari, Bari, Italy
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Di Mascio D, Sileo FG, Khalil A, Rizzo G, Persico N, Brunelli R, Giancotti A, Panici PB, Acharya G, D'Antonio F. Role of magnetic resonance imaging in fetuses with mild or moderate ventriculomegaly in the era of fetal neurosonography: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2019; 54:164-171. [PMID: 30549340 DOI: 10.1002/uog.20197] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 10/14/2018] [Accepted: 12/07/2018] [Indexed: 02/05/2023]
Abstract
OBJECTIVES To report the rate of additional central nervous system (CNS) anomalies detected exclusively on prenatal magnetic resonance imaging (MRI) in fetuses diagnosed with isolated mild or moderate ventriculomegaly (VM) on ultrasound, according to the type of ultrasound protocol adopted (dedicated neurosonography vs standard assessment of the fetal brain), and to explore whether the diagnostic performance of fetal MRI in detecting such anomalies is affected by gestational age at examination and laterality and degree of ventricular dilatation. METHODS MEDLINE, EMBASE, CINAHL and Clinicaltrials.gov were searched for studies reporting on the prenatal MRI assessment of fetuses diagnosed with isolated mild or moderate VM (ventricular dilatation of 10-15 mm) on ultrasound. Additional anomalies detected only on MRI were classified as callosal, septal, posterior fossa, white matter, intraventricular hemorrhage, cortical, periventricular heterotopia, periventricular cysts or complex malformations. The rate of additional anomalies was compared between fetuses diagnosed on dedicated neurosonography, defined as a detailed assessment of the fetal brain, according to the International Society of Ultrasound in Obstetrics and Gynecology guidelines, and those diagnosed on standard fetal brain assessment. The rate of additional CNS anomalies missed on prenatal MRI and detected only at birth was calculated and compared between fetuses that had early (at or before 24 weeks' gestation) and those that had late (after 24 weeks) MRI. Subanalysis was performed according to the laterality (uni- vs bilateral) and degree (mild vs moderate, defined as ventricular dilatation of 10-12 and 13-15 mm, respectively) of ventricular dilatation. Whether MRI assessment led to a significant change in prenatal management was explored. Random-effects meta-analysis of proportions was used. RESULTS Sixteen studies (1159 fetuses) were included in the systematic review. Overall, MRI detected an anomaly not identified on ultrasound in 10.0% (95% CI, 6.2-14.5%) of fetuses. However, when stratifying the analysis according to the type of ultrasound assessment, the rate of associated anomalies detected only on MRI was 5.0% (95% CI, 3.0-7.0%) when dedicated neurosonography was performed compared with 16.8% (95% CI, 8.3-27.6%) in cases that underwent a standard assessment of the fetal brain in the axial plane. The overall rate of an additional anomaly detected only at birth and missed on prenatal MRI was 0.9% (95% CI, 0.04-1.5%) (I2 , 0%). There was no difference in the rate of an associated anomaly detected only after birth when fetal MRI was carried out before, compared with after, 24 weeks of gestation (P = 0.265). The risk of detecting an associated CNS abnormality on MRI was higher in fetuses with moderate than in those with mild VM (odds ratio, 8.1 (95% CI, 2.3-29.0); P = 0.001), while there was no difference in those presenting with bilateral, compared with unilateral, dilatation (P = 0.333). Finally, a significant change in perinatal management, mainly termination of pregnancy owing to parental request, following MRI detection of an associated anomaly, was observed in 2.9% (95% CI, 0.01-9.8%) of fetuses undergoing dedicated neurosonography compared with 5.1% (95% CI, 3.2-7.5%) of those having standard assessment. CONCLUSIONS In fetuses undergoing dedicated neurosonography, the rate of a CNS anomaly detected exclusively on MRI is lower than that reported previously. Early MRI has an excellent diagnostic performance in identifying additional CNS anomalies, although the findings from this review suggest that MRI performed in the third trimester may be associated with a better detection rate for some types of anomaly, such as cortical, white matter and intracranial hemorrhagic anomalies. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- D Di Mascio
- Department of Gynecological-Obstetric and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - F G Sileo
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
| | - A Khalil
- Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK
- Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK
| | - G Rizzo
- Division of Maternal and Fetal Medicine, Ospedale Cristo Re, University of Rome Tor Vergata, Rome, Italy
- Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University, Moscow, Russia
| | - N Persico
- Department of Obstetrics and Gynecology 'L. Mangiagalli', Ospedale Maggiore Policlinico, Milan, Italy
- Department of Clinical Science and Community Health, University of Milan, Milan, Italy
| | - R Brunelli
- Department of Gynecological-Obstetric and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Giancotti
- Department of Gynecological-Obstetric and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - P B Panici
- Department of Gynecological-Obstetric and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - G Acharya
- Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden
- Women's Health and Perinatology Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UiT - The Arctic University of Norway, Tromsø, Norway
| | - F D'Antonio
- Women's Health and Perinatology Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UiT - The Arctic University of Norway, Tromsø, Norway
- Department of Obstetrics and Gynecology, University Hospital of Northern Norway, Tromsø, Norway
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Pirelli P, Fanucci E, Giancotti A, Di Girolamo M, Guilleminault C. Skeletal changes after rapid maxillary expansion in children with obstructive sleep apnea evaluated by low-dose multi-slice computed tomography. Sleep Med 2018; 60:75-80. [PMID: 30630675 DOI: 10.1016/j.sleep.2018.11.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 11/09/2018] [Accepted: 11/14/2018] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The objective of this study was to evaluate the skeletal effects of rapid maxillary expansion (RME) therapy performed using teeth as anchors, in obstructive sleep apnea (OSA) children, by low-dose computed tomography (CT) of the midpalatal suture opening, maxillary base width, nasal cavities width, first molar angulation and, unlike most studies in the literature, on the pterygoid processes distance. METHODS Fourteen children (mean age 8.68 years) with OSA presenting a malocclusion characterized by upper-jaw contraction had 16-Multislice CT (MSCT) scans taken before (T0) and after (T1) RME. All exams were performed using a rigid protocol to ensure reproducibility of image collection over time, with a 16-row MSCT scanner equipped with a Dentascan reconstruction program. Scanning parameters were as follows: scout view in the anteroposterior (AP) and laterolateral (LL); 1.25-mm slice thickness with 0.6-mm collimation from the dentoalveolar and basal areas of the maxilla up to the nasal cavity, parallel to the palatal plane; 80 kV, 100 mA with an 11.25-mm table speed/rotation, rotation time 0.6 s. Matrix size was 512 × 512. RESULTS Opening of the midpalatal suture was demonstrated in all cases. The results showed statistically significant T0 to T1 increments in all treated cases and clear imaging findings. CONCLUSION Use of three-dimensional (3D)-CT for follow-up studies requires a very rigid protocol to maintain reproducible positions in the scanner over time. The images confirm the real remodeling of craniofacial structure. However, to be valid such an imaging approach needs great attention to reproducibility of anatomic images over time. The changes in volume of the UA, even with a rigid protocol, cannot be affirmed with 3D-CT. There is a need to improve the definition of markers using this imaging approach when performing longitudinal studies; currently this issue is unresolved.
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Affiliation(s)
- Paola Pirelli
- Department of Clinical Sciences and Translational Medicine, University Tor Vergata, Rome, Italy.
| | - Ezio Fanucci
- Department of Diagnostic Imaging, University Tor Vergata, Rome, Italy
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University Tor Vergata, Rome, Italy
| | - Michele Di Girolamo
- Department of Clinical Sciences and Translational Medicine, University Tor Vergata, Rome, Italy
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Giancotti A, Pizzuti A, D'Ambrosio V, Filippis AD, Vena F, Piccioni MG, D'Amelio R, Brunelli R. HLA-DQB1*0201 phenotype and severe primary RhD immunization. CLIN EXP OBSTET GYN 2018. [DOI: 10.12891/ceog4480.2018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Gazzani F, Pavoni C, Giancotti A, Cozza P, Lione R. Facemask performance during maxillary protraction: a finite element analysis (FEA) evaluation of load and stress distribution on Delaire facemask. Prog Orthod 2018; 19:21. [PMID: 29984393 PMCID: PMC6035904 DOI: 10.1186/s40510-018-0217-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Accepted: 05/24/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To evaluate load and stress distribution on Delaire facemask (FM) during maxillary protraction in class III growing patients by means of finite element analysis (FEA). A three-dimensional geometry of a Delaire FM was reconstructed from the original CAD 3D prototype, using software package (ANSYS 5.7). FM presented forehead and chin supports and stainless steel framework characterized by two lateral vertical bars connected to a crossbar with two pawls for elastic attachment. Two traction intensities (7.8 and 9.8 N) were applied on the FM pawls along three different downward inclined directions with respect to the occlusal plane (0°, 30°, or 50°, respectively). Resulting stresses and deformations were then tested through the von Mises yield criterion in order to underline the FM wear performance. RESULTS The analysis showed that higher stresses and deformations are mostly related to axial forces of 9.8 N rather than 7.8 N. Stresses also progressively increased with increasing downward force inclinations (0°, 30°, and 50° with respect to the occlusal plane). The overall tensions were inferior to the limit of the elastic behavior (yield point) characterizing the material they are applied on. Thus, the FM structure absorbed the load applied with an elastic deformation of the lateral and horizontal bars. CONCLUSIONS Resulting stresses and deformations were directly proportional to protraction load amounts and to increasing downward inclination of forces. In all tested conditions, protraction forces were not able to determine plastic deformation on FM structure compromising its performance and efficiency.
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Affiliation(s)
- Francesca Gazzani
- Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata', Via Collazia 29, 00183, Rome, Italy.
| | - Chiara Pavoni
- Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata', Via Collazia 29, 00183, Rome, Italy.,Department of Dentistry, UNSBC, Tirana, Italy
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata', Via Collazia 29, 00183, Rome, Italy
| | - Paola Cozza
- Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata', Via Collazia 29, 00183, Rome, Italy.,Department of Dentistry, UNSBC, Tirana, Italy
| | - Roberta Lione
- Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata', Via Collazia 29, 00183, Rome, Italy.,Department of Dentistry, UNSBC, Tirana, Italy
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25
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Torre RL, Grisolia S, D'Ambrosio V, Marcoccia E, Gatto S, Squarcella A, Aliberti C, Colloridi F, Rech F, Giancotti A. Advanced maternal age and pregnancy outcome: experience in a tertiary care center. CLIN EXP OBSTET GYN 2018. [DOI: 10.12891/ceog4059.2018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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26
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Bernardo S, Giancotti A, Antonelli A, Rizzo G, Vinci V, Pizzuti A, Catalano C, Manganaro L. MRI and US in the evaluation of fetal anomalies: The need to work together. Prenat Diagn 2017; 37:1343-1349. [PMID: 29119613 DOI: 10.1002/pd.5181] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 10/19/2017] [Accepted: 10/29/2017] [Indexed: 02/05/2023]
Abstract
PURPOSE Real-time virtual sonography (RVS) is a new technique that synchronizes real-time ultrasonography (US) and multiplanar reconstructed magnetic resonance imaging (MRI). The purpose of this study was to evaluate the feasibility and ability of RVS to assess the main pathologies in fetuses with suspected US anomalies. METHOD AND MATERIALS Real-time virtual sonography (Hitachi, HI VISION Ascendus) was offered to 30 patients who had undergone fetal MRI. The acquired MRI image dataset was loaded into the fusion system and displayed together with the real-time US image. The ability of RVS to assess the main anatomical sites and fetal anomalies was evaluated. RESULTS Real-time virtual sonography was technically possible in all cases. From a total of 30 patients, RVS helped the diagnosis in 10 cases. In 15 cases of encephalic pathology, fusion imaging improved the accuracy of the diagnosis; in the other 5 cases, MRI was superior to US even when using the RVS. CONCLUSION This is a study on the feasibility and practical use of RVS. Thanks to information from both US and MRI, RVS allowed better identification of the fetal pathologies and improved the performance of the ultrasound examination. In our experience, it was really helpful in pathologies that would benefit from US follow-up.
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Affiliation(s)
- S Bernardo
- Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
- Department of Experimental Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
| | - A Giancotti
- Department of Obstetrics, Gynecology and Urologic Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
| | - A Antonelli
- Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
| | - G Rizzo
- Divison of Maternal Fetal Medicine Ospedale Cristo Re Roma, Università Roma Tor Vergata, Rome, Italy
| | - V Vinci
- Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
| | - A Pizzuti
- Department of Experimental Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
- IRCCS Casa Sollievo della Sofferenza, Mendel Laboratory, San Giovanni Rotondo, Italy
| | - C Catalano
- Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
| | - L Manganaro
- Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena 324, Rome, Italy
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27
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Affiliation(s)
- Aldo Giancotti
- School of Dentistry – Department of Orthodontics, University of Rome ‘TorVergata’, Rome, Italy
| | - Francesco Garino
- School of Dentistry – Department of Orthodontics, University of Rome ‘TorVergata’, Rome, Italy
| | - Gianluca Mampieri
- School of Dentistry – Department of Orthodontics, University of Rome ‘TorVergata’, Rome, Italy
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28
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Giancotti A, Paoncelli F, Germano F. Management of missing second premolars using miniscrews: an elective solution for critical anchorage conditions. J Orthod 2017; 44:126-136. [DOI: 10.1080/14653125.2017.1311983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics School of Dentistry, University of Rome ‘TorVergata’, Rome, Italy
| | - Federica Paoncelli
- Department of Orthodontics School of Dentistry, University of Rome ‘TorVergata’, Rome, Italy
| | - Francesco Germano
- Department of Orthodontics School of Dentistry, University of Rome ‘TorVergata’, Rome, Italy
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29
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Cascone P, Basile E, Angeletti D, Vellone V, Ramieri V, Giancotti A, Castori M, Lenzi J, Manganaro L, Papoff P, Pizzuti P, Polimeni A, Roggini M, Tarani L, Silvestri A. TMJ replacement utilizing patient-fitted TMJ TJR devices in a re-ankylosis child. J Craniomaxillofac Surg 2016; 44:493-9. [DOI: 10.1016/j.jcms.2015.06.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 06/15/2015] [Accepted: 06/16/2015] [Indexed: 11/26/2022] Open
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30
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Giancotti A, Mampieri G, Arcuri C. Tunnel Traction Procedure for Deeply Impacted Canines and Resorbed Lateral Incisors. J Clin Orthod 2015; 49:784-790. [PMID: 26800000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Viale Gorizia 24/c, 00198 Rome, Italy.
| | - Gianluca Mampieri
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Rome, Italy
| | - Claudio Arcuri
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Rome, Italy
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31
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Abstract
The extraction of a lower incisor can lead to satisfactory orthodontic results for patients with moderate to severe lower incisor crowding. Invisalign(®) is a treatment modality for such treatments, moving teeth with precision and reducing inconvenience for the patient. Three case reports are presented in this article supporting the above statements.
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Abstract
The aim of this article is to show the use of the Balters' Bionator in pseudo-Class III treatment. The importance of differentiating between true Class III and pseudo-Class III is emphasized. The therapeutic results of a Balters' Bionator appliance are presented in three case reports of subjects in the mixed dentition. In this stage of development it is possible to correct an isolated problem. The use of the Bionator III in this kind of malocclusion enabled the correction of a dental malocclusion in a few months and therapeutic stability of a mesially-positioned mandible encouraging favourable skeletal growth.
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Affiliation(s)
- A Giancotti
- University of Rome Tor Vergata, Rome, Italy.
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33
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Foca A, Peronace C, Marano V, Barreca GS, Lamberti AG, Marascio N, Giancotti A, Puccio R, Liberto MC. Diagnostic and prognostic evaluation of soluble CD14 subtype for sepsis in critically ill patients: a preliminary study. Crit Care 2014. [PMCID: PMC4273881 DOI: 10.1186/cc14053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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34
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Torre RL, Bevilacqua E, D’Ambrosio V, Pasquali G, Aliberti C, Perrone G, Giancotti A. A case of uterine rupture in mid-trimester spontaneous abortion: a complication of gemeprost vaginal administration. CLIN EXP OBSTET GYN 2014. [DOI: 10.12891/ceog17342014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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35
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Torre RL, Bevilacqua E, D’Ambrosio V, Pasquali G, Aliberti C, Ventriglia F, Giancotti A. Matrix array transducer for the examination of fetal heart. CLIN EXP OBSTET GYN 2014. [DOI: 10.12891/ceog17142014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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36
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Giancotti A, D'Ambrosio V, De Filippis A, Aliberti C, Pasquali G, Bernardo S, Manganaro L. Comparison of ultrasound and magnetic resonance imaging in the prenatal diagnosis of Apert syndrome: report of a case. Childs Nerv Syst 2014; 30:1445-8. [PMID: 24566675 DOI: 10.1007/s00381-014-2377-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 01/28/2014] [Indexed: 12/11/2022]
Abstract
BACKGROUND The birth prevalence of Apert syndrome is estimated at 1:64,500 and accounts for about 4.5 % of all craniosynostosis with a male/female ratio equal to 1:1. It is associated to allelic mutations in the fibroblast growth factor receptor 2 (FGFR2) gene. Majority cases are sporadic. Prenatal ultrasound diagnosis is based on the detection of abnormal cranial shape, midfacial hypoplasia and bilateral syndactyly of hands and feet, hypertelorism, and exorbitism. Other abnormalities includes central nervous system anomalies, congenital heart diseases, cleft palate, and urogenital diseases. CASE REPORT A 37-year-old Caucasian woman, gravida 2, para 1, was referred to our center of Prenatal Diagnosis for routine ultrasound at 21 weeks of gestation. We detected irregular head shape, dolicocephaly, prominent forehead, bilateral mild ventriculomegaly, suspicion of partial agenesis of the corpus callosum, hypertelorism, and midfacial hypoplasia, with a depressed nasal bridge and syndactyly, prompting a suspicion for Apert syndrome. Magnetic resonance excluded agenesis of corpus callosum and confirmed bilateral mild ventriculomegaly. A follow-up ultrasound, performed at 23 weeks, confirmed the anomalies showed in the previous scan. An amniocentesis was performed. The results showed a normal male karyotype, while the molecular genetic test confirmed a mutation in FGFR2 gene. Fetus macroscopic analysis showed compatible features. CONCLUSIONS Our case underlines the complementary role of ultrasound and magnetic resonance imaging in the early prenatal diagnosis of Apert syndrome.
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Affiliation(s)
- A Giancotti
- Department of Obstetrics, Gynecology and Urologic Sciences, Umberto I Hospital, "Sapienza" University, Viale del Policlinico 155, 00161, Rome, Italy,
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37
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Manganaro L, Vinci V, Bernardo S, Sollazzo P, Sergi ME, Saldari M, Ventriglia F, Giancotti A, Rizzo G, Catalano C. Magnetic resonance imaging of fetal heart: anatomical and pathological findings. J Matern Fetal Neonatal Med 2014; 27:1213-9. [PMID: 24102352 DOI: 10.3109/14767058.2013.852174] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Congenital heart disease is one of the most frequent prenatal malformation representing an incidence of 5/1000 live births; moreover, it represents the first cause of death in the first year of life. There is a wide range of severity in congenital heart malformations from lesions which require no treatment such as small ventricular septal defects, to lesions which can only be treated with palliative surgery such as hypoplastic left heart syndrome. A good prenatal examination acquires great importance in order to formulate an early diagnosis and improve pregnancy management. Nowadays, echocardiography still represents the gold standard examination for fetal heart disease. However, especially when preliminary ultrasound is inconclusive, fetal MRI is considered as a third-level imaging modality. Preliminary experiences have demonstrated the validity of this reporting a diagnostic accuracy of 79%. Our article aims to outline feasibility of fetal MRI in the anatomic evaluation, the common indication to fetal MRI, its role in the characterization of congenital heart defects, and at last its main limitations.
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Affiliation(s)
- L Manganaro
- Department of Radiological Oncological and Anatomopathological Sciences, Umberto I Hospital, "Sapienza" University of Rome , Rome , Italy
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38
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Giancotti A, Germano F, Muzzi F, Greco M. A miniscrew-supported intrusion auxiliary for open-bite treatment with Invisalign. J Clin Orthod 2014; 48:348-358. [PMID: 25083755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Viale Gorizia 24/c, 00198 Rome, Italy.
| | - Francesco Germano
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Rome, Italy
| | - Fabiana Muzzi
- Department of Orthodontics, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Rome, Italy
| | - Mario Greco
- Department of Oral Surgery, Fatebenefratelli Hospital, University of Rome "Tor Vergata", Rome, Italy
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39
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Bevilacqua E, Aliberti C, D’Ambrosio V, Giancotti A, Perrone G, La Torre R. Spontaneous septostomy in monochorionic diamniotic twins: Difficult diagnosis, difficult management. J OBSTET GYNAECOL 2014; 34:359. [DOI: 10.3109/01443615.2013.874408] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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40
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La Torre R, Bevilacqua E, D'Ambrosio V, Pasquali G, Aliberti C, Perrone G, Giancotti A. A case of uterine rupture in mid-trimester spontaneous abortion: a complication of gemeprost vaginal administration. CLIN EXP OBSTET GYN 2014; 41:599-600. [PMID: 25864271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The only prostaglandin analogue licensed in Italy for induction of labour in spontaneous and therapeutic abortion is gemeprost. The authors report a case of spontaneous uterine rupture of a scarred uterus, for previous caesarean sections, in a woman at 20 weeks of gestation with a diagnosis of spontaneous abortion. She received a pessary of gemeprost every three hours. After the fifth pessary, she complained of severe pain. At the ultrasound examination, uterine cavity appeared empty and the dead fetus was dislocated in the abdomen. Emergency laparotomy was performed and uterine tear was repaired. To induce labour for fetal demise or therapeutic abortion in second trimester in women with scarred uterus, the authors decided to lengthen the time between administrations of pessary from four to five hours depending on patient's symptoms. However the appropriate drug regimen has still to be found and more data are necessary.
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41
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La Torre R, Bevilacqua E, D'Ambrosio V, Pasquali G, Aliberti C, Ventriglia F, Giancotti A. Matrix array transducer for the examination of fetal heart. CLIN EXP OBSTET GYN 2014; 41:581-582. [PMID: 25864265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The X6-1 xmatrix array transducer allows a completely new approach to the diagnostic ultrasound: it permits visualization of fetal heart in real time, without the need for gating, and it is unaffected by motion artefacts. It is obtained in real time, without any spatial reconstruction. The authors compared this technology with the traditional one in two case reports: a diagnostic doubt of small muscular ventricular septal defect was solved using this new technique; a diagnosis of complete atrioventricular septal defect was confirmed. Three-dimensional real-time imaging would seem very precise in the study of fetal heart: the defects were fully visualized from any angulations. This new technology is promising but from the authors' limited experience, there is no evidence to use it in routine practice. It should be very useful to commence a prospective study on fetuses at risk while testing the superiority of this technique.
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42
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Abstract
The Invisalign method is gaining an increasing interest as an alternative treatment option in adult patient in multidisciplinary complex cases to simplify the treatment plan. The aim of this work is to show the importance of planning a multidisciplinary approach to respond at the esthetic requests of adult patients and to treat complex cases with high predictability.
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Affiliation(s)
- Gianluca Mampieri
- Department of Orthodontics Fatebenefratelli Hospital, University of Rome, Tor Vergata, Rome 00186, Italy.
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43
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Giancotti A, Muto B, Diambrosio V, Bevilacqua E, Pasquali G, Squarcella A, La Torre R. Ultrasound management and clinical outcome of twin pregnancies. J OBSTET GYNAECOL 2013; 33:675-7. [DOI: 10.3109/01443615.2013.813915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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44
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Giancotti A, Germano F, Greco M. An uprighting auxiliary for deeply impacted mandibular molars. J Clin Orthod 2013; 47:255-259. [PMID: 23660820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, University of Rome Tor Vergata, Rome, Italy.
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45
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Matera G, Puccio R, Giancotti A, Quirino A, Pulicari MC, Zicca E, Caroleo S, Renzulli A, Liberto MC, Foca A. IL-10: a marker of cardiac bypass? Authors' response. Crit Care 2013; 17:443. [PMID: 25162073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
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46
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Focà A, Liberto MC, Rametti L, Giancotti A, Marascio N, Quirino A, Caroleo S, Renzulli A, Matera G. Procalcitonin, IL-10 and sCD25 as diagnostic and prognostic markers in critically ill patients. Crit Care 2012. [PMCID: PMC3504844 DOI: 10.1186/cc11730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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47
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Giancotti A, Mozzicato P, Greco M. En masse retraction of the anterior teeth using a modified bidimensional technique. J Clin Orthod 2012; 46:267-273. [PMID: 22785037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, University of Rome Tor Vergata, Rome, Italy.
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48
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Giancotti A, Bevilacqua E, D'Ambrosio V, Pasquali G, Gasbarri A. A new technology in the diagnosis of small ventricular septal defects. J OBSTET GYNAECOL 2012; 32:394-5. [PMID: 22519490 DOI: 10.3109/01443615.2012.664585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- A Giancotti
- Department of Obstetrics, Gynecology and Urologic Sciences, Sapienza University, Umberto I Hospital, Rome, Italy.
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Giancotti A, Mampieri G. Unilateral canine crossbite correction in adults using the Invisalign method: a case report. Orthodontics (Chic.) 2012; 13:122-127. [PMID: 22567623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The aim of this paper is to present and debate the treatment of a unilateral canine crossbite using clear aligners (Invisalign). The possibility of combining partial fixed appliances with removable elastics to optimize the final outcome is also described. The advantages of protected movement, due to the presence of the aligners, to jump the occlusion during crossbite correction is also highlighted.
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Affiliation(s)
- Aldo Giancotti
- Department of Orthodontics, Fatebenefratelli Hosptial--Isola Tiberina, University of Rome Tor Vergata, Rome, Italy.
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Giancotti A, La Torre R, Bevilacqua E, D'Ambrosio V, Pasquali G, Panici PB. Mediastinal masses: a case of fetal teratoma and literature review. CLIN EXP OBSTET GYN 2012; 39:384-387. [PMID: 23157052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Fetal mediastinal masses are rare congenital formations that could complicate pregnancy. They are usually discovered as space occupying lesions in the fetal chest during routine ultrasound scan. The most important prognostic factors of mediastinal masses are mass location, compressing effect causing pulmonary hypoplasia and/or heart failure, and the presence or absence of hydrops. We report a case of fetal mediastinal teratoma and a review of the literature. A 32-year-old woman carrying a fetus with hydrops due to a mediastinal mass underwent cesarean section at 32 1/7 weeks' gestation. A well encapsulated tumor was excised by surgery at one day of life. The baby is now eight months old without respiratory difficulty. To our knowledge, this is the fourth case report of a mediastinal teratoma associated with nonimmune hydrops in a fetus that survived the neonatal period. Fetal mediastinal teratoma requires close surveillance and multidisciplinary management by obstetricians, neonatologists, and pediatric surgeons.
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Affiliation(s)
- A Giancotti
- Department of Obstetrics, Gynecology and Urologic Sciences Sapienza University, Umberto I Hospital, Rome, Italy.
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