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D’Amato G, Caringella AM, Stanziano A, Cantatore C, D’Amato A, Cicinelli E, Vitagliano A. Corifolitropin-Alfa plus Five Days Letrozole Versus Daily Recombinant-FSH in Expected Normo-Responder Patients: A Retrospective Comparative Study. Diagnostics (Basel) 2023; 13:diagnostics13071249. [PMID: 37046467 PMCID: PMC10092944 DOI: 10.3390/diagnostics13071249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/16/2023] [Accepted: 03/22/2023] [Indexed: 03/29/2023] Open
Abstract
Background: In recent times, different novel GnRH-antagonist protocols with various combinations of gonadotropins and other molecules (e.g., aromatase inhibitors, selective estrogen receptor modulators) have been proposed for expected normal ovarian responders undergoing assisted reproductive treatments. The purpose of this study was to evaluate the effectiveness of a novel ovarian stimulation protocol based on the combination of corifollitropin-alfa plus five days of letrozole in E-NOR women undergoing IVF as compared with a daily recombinant-FSH regimen. Methods: We conducted a retrospective-controlled study on 182 couples undergoing their first IVF attempt. In Group A (experimental), letrozole (2.5 mg daily) was administered from day 2 (up to day 6 of the cycle), followed by corifollitropin-alfa on day 3 and daily recombinant FSH from day 10. In Group B, recombinant FSH from day 2 were administered (150 IU-225 IU daily). Statistical analysis was completed using SPSS Statistics. The primary outcome was the total number of MII oocytes retrieved. Results: Group A showed similar results compared to Group B in terms of MII oocytes, live birth, implantation, and clinical pregnancy rates (p = ns). Nevertheless, the experimental group was associated with a trend towards a higher number of developing follicles, total oocytes, and embryos (p < 0.05) with lower estradiol and progesterone values at ovulation induction compared to Group B, resulting in an increased chance of performing a fresh embryo transfer (p < 0.05). Conclusions: The combination of CFα plus five days of letrozole was associated with a trend towards a higher number of developing follicles, total oocytes, and obtained embryos. Moreover, the experimental protocol resulted in lower estradiol and progesterone values at ovulation induction compared to daily rFSH, with an increased chance of performing a fresh embryo transfer (with no OHSS occurrence). Given the observational design of our study, further well-conducted RCTs are needed.
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Affiliation(s)
- Giuseppe D’Amato
- Department of Advanced Reproductive Risk Management and High-Risk Pregnancies, ASL Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy
| | - Anna Maria Caringella
- Department of Advanced Reproductive Risk Management and High-Risk Pregnancies, ASL Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy
| | - Antonio Stanziano
- Department of Advanced Reproductive Risk Management and High-Risk Pregnancies, ASL Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy
| | - Clementina Cantatore
- Department of Advanced Reproductive Risk Management and High-Risk Pregnancies, ASL Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy
| | - Antonio D’Amato
- Unit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari, 70100 Bari, BA, Italy
| | - Ettore Cicinelli
- Unit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari, 70100 Bari, BA, Italy
| | - Amerigo Vitagliano
- Unit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari, 70100 Bari, BA, Italy
- Correspondence:
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Ramezani M, Bolbolian M, Aliakbari M, Alizadeh A, Tofangchiha M, Faegh SM, Patini R, D’Amato G. Accuracy of Three Types of Apex Locators versus Digital Periapical Radiography for Working Length Determination in Maxillary Premolars: An In Vitro Study. Clin Pract 2022; 12:1043-1053. [PMID: 36547115 PMCID: PMC9777103 DOI: 10.3390/clinpract12060107] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/07/2022] [Accepted: 12/08/2022] [Indexed: 12/15/2022] Open
Abstract
This study aimed to compare the accuracy of three types of apex locators versus digital radiography for working length (WL) determination. This experimental study was conducted on 58 extracted maxillary premolars. The teeth were decoronated, the access cavity was prepared, and WL was determined using a #15 K-file to serve as reference. The WL was then measured by Woodpex V, Woodpex III, and Root ZX apex locators in the presence of 0.9% saline, and also on a photostimulable phosphor plate (PSP) digital radiograph taken by the parallel technique. The values were compared with the actual WL using the paired t-test (alpha = 0.05). Digital radiography, Root ZX, Woodpex V, and Woodpex III determined the WL within ±0.5 mm from the actual value in 84.48%, 100%, 89.66%, and 87.93% of the cases, respectively. Woodpex V (p = 0.039), Woodpex III (p = 0.001), and Root ZX (p = 0.001) significantly over-estimated the WL. The WL measured on digital radiographs was not significantly different from the actual WL (p = 0.213). The position of the apical foramen (central/lateral) had no significant effect on the accuracy of WL determination by different techniques (p >0.05). Within the limitations of this in vitro study, all the tested modalities showed acceptable accuracy for WL determination in maxillary premolars.
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Affiliation(s)
- Masoumeh Ramezani
- Department of Endodontics, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Marjan Bolbolian
- Department of Endodontics, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
- Correspondence: (M.B.); (M.T.)
| | - Mohaddeseh Aliakbari
- Student Research Committee, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Ahad Alizadeh
- Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Maryam Tofangchiha
- Department of Oral and Maxillofacial Radiology, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
- Correspondence: (M.B.); (M.T.)
| | | | - Romeo Patini
- Department of Head, Neck and Sense Organs, School of Dentistry, Catholic University of Sacred Heart, 00135 Rome, Italy
| | - Giuseppe D’Amato
- Unicamillus, International University of Health and Medical Sciences, 00131 Rome, Italy
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Battaglia R, Caponnetto A, Caringella AM, Cortone A, Ferrara C, Smirni S, Iannitti R, Purrello M, D’Amato G, Fioretti B, Di Pietro C. Resveratrol Treatment Induces Mito-miRNome Modification in Follicular Fluid from Aged Women with a Poor Prognosis for In Vitro Fertilization Cycles. Antioxidants (Basel) 2022; 11:antiox11051019. [PMID: 35624883 PMCID: PMC9137561 DOI: 10.3390/antiox11051019] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/16/2022] [Accepted: 05/18/2022] [Indexed: 12/13/2022] Open
Abstract
Advanced maternal age impairs reproductive performance, influencing the quantity and the quality of oocytes. Mitochondria dysfunction seems to play a decisive role in conditioning the quality of the female gamete. Different in vitro and in vivo studies, demonstrated the antioxidant and anti-inflammatory activities of Resveratrol and its ability to improve mitochondria function even if the exact mechanism of action has not yet been demonstrated in human oocytes. In this paper, by retrospective analysis, we evaluated follicular fluid (FF) miRNome modification in aged women with a poor ovarian reserve receiving a resveratrol-based supplement the three months before the in vitro Fertilization (IVF) cycle. We found 13 differentially expressed microRNAs (miRNAs) in women treated with resveratrol and specifically miR-125b-5p, miR-132-3p, miR-19a-3p, miR-30a-5p and miR-660-5p, regulating mitochondrial proteins, are able to control metabolism and mitochondrial biogenesis. MiRNA expression differences, observed after resveratrol treatment in FF from women with a poor prognosis for IVF, demonstrated that resveratrol may act on mitomiRNAs to improve follicular microenvironment by transcriptomic and proteomic modifications in granulosa cells.
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Affiliation(s)
- Rosalia Battaglia
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
| | - Angela Caponnetto
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
| | - Anna Maria Caringella
- Asl Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy; (A.M.C.); (A.C.); (G.D.)
| | - Anna Cortone
- Asl Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy; (A.M.C.); (A.C.); (G.D.)
| | - Carmen Ferrara
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
| | - Salvatore Smirni
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
| | | | - Michele Purrello
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
| | - Giuseppe D’Amato
- Asl Bari, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano, BA, Italy; (A.M.C.); (A.C.); (G.D.)
| | - Bernard Fioretti
- Department of Chemistry, Biology and Biotechnologies, University of Perugia, 06123 Perugia, PG, Italy;
| | - Cinzia Di Pietro
- Department of Biomedical and Biotechnological Sciences, Section of Biology and Genetics “Giovanni Sichel”, University of Catania, 95123 Catania, CT, Italy; (R.B.); (A.C.); (C.F.); (S.S.); (M.P.)
- Correspondence: ; Tel.: +39-0954781484
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De Angelis P, Manicone PF, De Angelis S, Grippaudo C, Gasparini G, Liguori MG, Camodeca F, Piccirillo GB, Desantis V, D’Amato G, D’Addona A. Patient and Operator Centered Outcomes in Implant Dentistry: Comparison between Fully Digital and Conventional Workflow for Single Crown and Three-Unit Fixed-Bridge. Materials (Basel) 2020; 13:ma13122781. [PMID: 32575559 PMCID: PMC7344688 DOI: 10.3390/ma13122781] [Citation(s) in RCA: 5] [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: 04/11/2020] [Revised: 06/02/2020] [Accepted: 06/12/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Scientific information about the effects of implant therapy following a precise workflow and patient and operators' preferences should be considered to choose which implant treatment protocol to use, and to achieve patient's satisfaction and functional results. The aim of this study was to analyze implant rehabilitations with a fully digital workflow and compare this approach with a conventional one. METHODS This study comprises 64 patients treated with a fully digital approach and 58 patients treated using a conventional protocol. Patient and operator centered outcomes were assessed through two visual analogue scale (VAS) questionnaires. RESULTS The VAS questionnaire demonstrated better results for the digital workflow concerning anxiety, convenience, taste, nausea sensation, pain and breathing difficulties (p < 0.0001). The VAS questionnaire administered to the operators showed better scores for the digital approach in relation to anxiety, convenience, difficulties of the impression procedure and the workflow (p < 0.0001). A significant reduced mean time for the digital workflow as well as a reduced number of required visits were recorded. CONCLUSION The analysis of a fully digital and a conventional protocol showed better results according to patient and operators' preferences when a fully digital approach was used.
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Affiliation(s)
- Paolo De Angelis
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
- Correspondence: ; Tel.: +39-34-5477-1308
| | - Paolo Francesco Manicone
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | | | - Cristina Grippaudo
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | - Giulio Gasparini
- Oral and Maxillofacial Surgery Unit, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCSS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Margherita Giorgia Liguori
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | - Francesca Camodeca
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | - Giovan Battista Piccirillo
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | - Viviana Desantis
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
| | | | - Antonio D’Addona
- Division of Oral Surgery and Implantology, Department of Head, Neck, and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (P.F.M.); (C.G.); (M.G.L.); (F.C.); (G.B.P.); (V.D.); (A.D.)
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von Mehren M, Serrano C, Bauer S, Gelderblom H, George S, Heinrich M, Schöffski P, Zalcberg J, Chi P, Jones R, Reichardt P, Attia S, D’Amato G, Meade J, Shi K, Ruiz-Soto R, Blay JY. INVICTUS: A phase III, interventional, double-blind, placebo-controlled study to assess the safety and efficacy of ripretinib as ≥ 4th-line therapy in patients with advanced gastrointestinal stromal tumors (GIST) who have received treatment with prior anticancer therapies (NCT03353753). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz394.087] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Moro A, De Angelis P, Pelo S, Gasparini G, D’Amato G, Passarelli PC, Saponaro G. Alveolar ridge augmentation with maxillary sinus elevation and split crest: Comparison of 2 surgical procedures. Medicine (Baltimore) 2018; 97:e11029. [PMID: 29901597 PMCID: PMC6023646 DOI: 10.1097/md.0000000000011029] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The purpose of this study was to evaluate the clinical and radiological outcomes of 2 piezosurgical split techniques performed in conjunction with the sinus lift.The present retrospective study included 20 patients with edentulism of the posterior maxilla who had undergone the sinus lift and alveolar ridge split treatment separately or the sinus lift combined with the monoblock alveolar ridge split. Differences between these 2 techniques were analyzed.All the surrounding areas successfully produced an adequate bone volume for the insertion of implants. A clinical evaluation showed a mean vertical augmentation of 3.6 ± 0.4 mm in Group A and 3.2 ± 0.7 mm in Group B. With regards to the lateral augmentation, the clinical evaluation gives a mean gain of 5.2 ± 0.3 mm in Group A and 4.9 ± 0.5 mm in Group B. The mean vertical and horizontal bone augmentation recorded for both types of surgical procedures were comparable.The proposed surgical procedures enabled the tridimensional volume of the alveolar ridge to be recreated. This resulted in the creation of a natural contour of hard and soft tissues which enabled a functional and aesthetic rehabilitation of the edentulous posterior maxilla to be obtained.
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Affiliation(s)
| | | | - Sandro Pelo
- Department of Oral and Maxillofacial Surgery
| | | | | | - Pier Carmine Passarelli
- Department of Oral Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
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Moro A, Todaro M, Pedicelli A, Alexandre A, Pelo S, Doneddu P, Gasparini G, Garagiola U, D’Amato G, Saponaro G. Pseudoaneurysm of the internal maxillary artery secondary to subcondylar fracture: case report and literature review. J Surg Case Rep 2018; 2018:rjy080. [PMID: 29713448 PMCID: PMC5915943 DOI: 10.1093/jscr/rjy080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 04/14/2018] [Indexed: 11/30/2022] Open
Abstract
Pseudoaneurysms are an uncommon complication of mandibular condylar-subcondylar fractures; however, if present, their recognition and management is mandatory to avoid life-threatening situations. The authors report a case of internal maxillary artery pseudoaneurysm rupture that occurred after an open reduction and internal fixation of a mandibular subcondylar fracture, along with a review of the literature.
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Affiliation(s)
- Alessandro Moro
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Mattia Todaro
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Alessandro Pedicelli
- Institute of Radiology (Interventional Neuroradiology Unit) University Hospital ‘A. Gemelli’, Catholic University of Sacred Hart, Rome, Italy
| | - Andrea Alexandre
- Institute of Radiology (Interventional Neuroradiology Unit) University Hospital ‘A. Gemelli’, Catholic University of Sacred Hart, Rome, Italy
| | - Sandro Pelo
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Piero Doneddu
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Giulio Gasparini
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Umberto Garagiola
- Department of Biomedical, Surgical and Oral Sciences, School of Dentistry, University of Milan, Milan, Italy
| | - Giuseppe D’Amato
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
| | - Gianmarco Saponaro
- Maxillo-Facial Unit, University Hospital ‘A. Gemelli’, Catholic University of Sacred Heart, Rome, Italy
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D’Amato G, Annesi-Maesano I, Grandi C, Cecchi L, D’Ovidio MC. 919 Thunderstorm asthma in the mediterranean area: seasonal weather and effect on health for outdoor workers. Occup Med (Lond) 2018. [DOI: 10.1136/oemed-2018-icohabstracts.1082] [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: 11/04/2022] Open
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Stanziano A, Caringella AM, Cantatore C, Trojano G, Caroppo E, D’Amato G. Evaluation of the cervix tissue homogeneity by ultrasound elastography in infertile women for the prediction of embryo transfer ease: a diagnostic accuracy study. Reprod Biol Endocrinol 2017; 15:64. [PMID: 28806905 PMCID: PMC5557509 DOI: 10.1186/s12958-017-0283-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 08/03/2017] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Ultrasound elastography is a non-invasive medical imaging technique able to quantitatively characterize the stiffness of a given tissue. It has been shown to predict the risk for cervical insufficiency and preterm delivery, and to allow differentiation of malignancy from normal tissue. The present study sought to evaluate whether cervical tissue dishomogeneity, as assessed by cervical ultrasound elastography, may predict the embryo transfer (ET) ease in infertile women undergoing IVF/ICSI. METHODS We evaluated 154 infertile patients with no history of previous ET or intrauterine insemination. Cervical stiffness was evaluated in six regions of interest (ROI), compared two by two to obtain strain ratio (SR) values. Since a SR value of 1 was suggestive of tissue homogeneity, we computed 1-SR/SR-1 values to obtain a measure of the degree of cervical tissue dishomogeneity that we named "dishomogeneity index" (DI). Ultrasound-guided ET was performed by an expert operator blinded to the results of cervical elastography. The prediction ability of elastography on ET ease was evaluated by binary logistic regression, and the predictive accuracy of the independent variables was quantified with area under the curve (AUC) estimates derived from receiver operating characteristic (ROC) curve. RESULTS ET resulted to be easy in 99 out of 154 patients (64,2%), difficult in 54 patients (35%), and impossible in one. DI values in cervical medial lips region correctly classified 86.9% of patients, according to binary logistic regression, with a sensitivity of 81.4% and a specificity of 89,9%, positive likelihood ratio (LR) 8.07 and negative LR of 0.21. A DI cut-off value of 0.29 predicted a difficulty of ET with a sensitivity of 88,9% and a specificity of 85%. CONCLUSIONS Cervical ultrasound elastography, by allowing the identification of cervical tissue dishomogeneity, may be of help in predicting the ET ease in infertile women candidates to IVF/ICSI.
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Affiliation(s)
- Antonio Stanziano
- Asl Bari, DPT Maternal and Child Health, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano (Ba), Italy
| | - Anna Maria Caringella
- Asl Bari, DPT Maternal and Child Health, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano (Ba), Italy
| | - Clementina Cantatore
- Asl Bari, DPT Maternal and Child Health, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano (Ba), Italy
| | - Giuseppe Trojano
- 0000 0001 0120 3326grid.7644.1University of Bari, Obstetrics and Gynecology, 70100 BARI (Ba), Italy
| | - Ettore Caroppo
- Asl Bari, DPT Maternal and Child Health, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano (Ba), Italy
| | - Giuseppe D’Amato
- Asl Bari, DPT Maternal and Child Health, Reproductive and IVF Unit, PTA “F Jaia”, 70014 Conversano (Ba), Italy
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D’Amato G. Climate change, pollen allergy and extreme events leading to increasing prevalence of allergic respiratory diseases. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.07.635] [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: 10/20/2022]
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Leduc N, Atallah V, Martail E, Maillot O, D’Amato G, Escarmant P, Vinh-Hung V. Suivi des mouvements respiratoires lors de l’irradiation mammaire et thoracique : développement et validation d’un nouveau système optique open-source. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.092] [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: 11/26/2022]
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Liccardi G, D’Amato M, Pio A, Montera M, Lo Schiavo M, Sapio C, D’Amato G. Are new pets really responsible for development of new allergies? Allergol Immunopathol (Madr) 2012; 40:326-7. [PMID: 22765878 DOI: 10.1016/j.aller.2012.04.003] [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] [Received: 04/06/2012] [Accepted: 04/20/2012] [Indexed: 10/28/2022]
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Caroppo E, D’Amato G, Niederberger C, Ross L, Elhanbly S, Schoor R. Reply of the Authors. Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.06.005] [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: 11/29/2022]
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Caroppo E, Matteo M, Vizziello G, Schonauer L, Vitti A, D’Amato G. Metformin Pre-Treatment Followed by Ovarian Stimulation With GnRH Antagonist is a Valuable Protocol for PCOS and Obese Women With Previous ART Failure, Regardless of the Presence of Insulin Resistance. Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.07.363] [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: 10/25/2022]
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Caroppo E, Iacovazzi P, Correale M, D’Amato G. Detection of 90K/MAC-2BP in the Seminal Plasma of Infertile Males With Accessory Gland Infection and Effect of Quinolones Treatment on its Secretion. Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.07.554] [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: 11/30/2022]
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