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Comune R, Grassi F, Picchi SG, De Simone F, Sarti G, Giardina C, Galluzzo M, Scaglione M, Tamburrini S. Gross hematuria: Renal cell carcinoma mimicking a renal arteriovenous malformation. Radiol Case Rep 2024; 19:2130-2134. [PMID: 38645536 PMCID: PMC11026910 DOI: 10.1016/j.radcr.2024.02.034] [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: 01/17/2024] [Revised: 02/06/2024] [Accepted: 02/12/2024] [Indexed: 04/23/2024] Open
Abstract
The differential diagnosis between renal arteriovenous malformations (AVM) and cancer may be a challenge, due to the similar clinical and imaging findings. Herein, we report the case of an 80-year-old male patient presenting gross hematuria, initially diagnosed and treated with embolization for a renal AVM. Due to the recurrence of hematuria and rapid progression and changes of the vascular lesion with detection also of an intralesional solid nodule, a radical nephrectomy was performed revealing the presence of a renal cell carcinoma (RCC). Renal cell carcinoma and renal AVM can be difficult to differentiate from one another, for this reason a short-term follow-up should be carried out in patients diagnosed and treated for renal AVM to confirm the resolution of AVM or to assess any changes, such as atypical neovascularization or intralesional renal masses, which may increase the suspect of a hidden renal tumor.
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Affiliation(s)
- Rosita Comune
- Division of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | - Francesca Grassi
- Division of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | | | - Fiore De Simone
- Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
| | - Giuseppe Sarti
- Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
| | - Claudio Giardina
- Department of Radiology, ASP of Messina-Hospital of Taormina, (ME), Italy
| | - Michele Galluzzo
- Department of Emergency Radiology, San Camillo Forlanini Hospital, Rome, Italy
| | - Mariano Scaglione
- Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy
- Department of Radiology, James Cook University Hospital, Middlesbrough, UK
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2
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Somma F, D’Agostino V, Negro A, Piscitelli V, Tamburrini S, Sicignano C, Fasano F, Peluso S, Villa A, Pace G, Sarti G, La Tessa GME, Pezzullo G, Gatta G, Caranci F. Radiation exposure and clinical outcome in patients undergoing percutaneous intradiscal ozone therapy for disc herniation: Fluoroscopic versus conventional CT guidance. PLoS One 2022; 17:e0264767. [PMID: 35290390 PMCID: PMC8923460 DOI: 10.1371/journal.pone.0264767] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 02/16/2022] [Indexed: 12/19/2022] Open
Abstract
Purpose To compare technical success, clinical success, complications and radiation dose for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation using fluoroscopic guidance versus conventional computed tomography (CT) guidance. Materials and methods Between March 2018and March 2021, 124consecutive percutaneous intradiscal ozone therapies wereperformedon111 patients with low back pain (LBP) and/or sciatic pain due to lumbar disc herniation, using fluoroscopic or conventional CT guidance, respectively in 53 and 58 herniated lumbar discs, with at least 1-month follow up. Dose area product (DAP) and dose length product (DLP) were recorded respectively for fluoroscopy and CT, and converted to effective dose (ED). Results Fluoroscopic and CT groups were similar in terms of patient age (p-value 0.39), patient weight (p-value 0.49) and pre-procedure Oswestry Disability Index (ODI, p-value 0.94). Technical success was achieved in all cases. Clinical success was obtained in 83.02% (44/53) patients in fluoroscopic group and 79.31% (46/58) in CT group. Mean DAP was 11.63Gy*cm2 (range 5.42–21.61). Mean DLP was 632.49mGy-cm (range 151.51–1699). ED was significantly lower in the fluoroscopic group compared toCT group (0.34 vs. 5.53mSv, p = 0.0119). No major complication was registered. Minor complications were observed in 4 cases (2 in fluoroscopic group; 2 in CT group). Conclusions Compared to conventional CT guidance, fluoroscopic guidance for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation shows similar technical and clinical success rates, with lower radiation dose. This technique helps sparing dose exposure to patients.
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Affiliation(s)
- Francesco Somma
- UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
- * E-mail:
| | | | - Alberto Negro
- UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | | | | | - Carmine Sicignano
- UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | - Fabrizio Fasano
- UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | - Silvio Peluso
- UOC Neurologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | - Alessandro Villa
- UOC Neurochirurgia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | - Gianvito Pace
- UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | - Giuseppe Sarti
- UOC Radiologia, Ospedale del Mare, ASL NA 1 Centro, Napoli, Italy
| | | | - Giovanna Pezzullo
- Dipartimento Medicina di Precisione, Università “Vanvitelli”, Napoli, Italy
| | - Gianluca Gatta
- Dipartimento Medicina di Precisione, Università “Vanvitelli”, Napoli, Italy
| | - Ferdinando Caranci
- Dipartimento Medicina di Precisione, Università “Vanvitelli”, Napoli, Italy
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3
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Tamburrini S, Fiorini V, Lugarà M, Napodano G, Del Biondo D, Squame F, Sarti G, Quassone P, Coppola MG, Iannuzzi M, Di Stasio M, Shatalova O, Marano I, Cagini L. Nephrobronchial fistula a case report and review of the literature. Radiol Case Rep 2021; 16:3470-3477. [PMID: 34539942 PMCID: PMC8440951 DOI: 10.1016/j.radcr.2021.08.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 08/07/2021] [Accepted: 08/11/2021] [Indexed: 12/23/2022] Open
Abstract
Nephrobronchial fistula is an extremely rare complications of renal infections. We present a case of nephrobronchial fistula in a middle age immunocompetent woman who complained cough and weight loss, with underlying asymptomatic nephrolithiasis. She underwent a chest X-ray that showed left lower lobe infiltrate and abdominal ultrasound. Abdominal ultrasound showed a complicated pyonephrosis ; CT of chest-abdomen-pelvis with intravenous contrast was performed in order to stage and define the extension of the pathology. At CT, a suspected diagnosis of stage III xanthogranulomatous pyelonephritis complicated with pyonephrosis and a nephrobronchial fistula was formulated. A nephrostomy tube was placed, and the patient was treated with antibiotics. Follow up CT, performed after 15 days, showed the healing of the fistulous connection between the perinephric abscess and bronchi; the patient underwent nephrectomy with no airway complication during intubation. Histopathological diagnosis confirmed the presence on complicated xanthogranulomatous pyelonephritis.
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Affiliation(s)
| | - Valeria Fiorini
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Marina Lugarà
- Department of Internal Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Giorgio Napodano
- Department of Urology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Dario Del Biondo
- Department of Urology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Fiorenzo Squame
- Department of Nuclear Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Giuseppe Sarti
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Pasquale Quassone
- Department of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | | | - Michele Iannuzzi
- Department of Anesthesiology and Intensive Care, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Mario Di Stasio
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Olena Shatalova
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Ines Marano
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Lucio Cagini
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
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4
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Santini G, Quassone P, Arienzo F, Sarti G. Complex endovascular treatment of a celiac trunk artery aneurysm with splenic artery rescue: Santini et al.: Celiac trunk artery aneurysm treatment - endovascular approach. Radiol Case Rep 2021; 16:3359-3362. [PMID: 34484545 PMCID: PMC8408551 DOI: 10.1016/j.radcr.2021.08.008] [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: 04/17/2021] [Revised: 08/02/2021] [Accepted: 08/03/2021] [Indexed: 11/25/2022] Open
Abstract
Visceral arterial aneurysms are uncommon pathologies, with an uncertain ethology and no clear treatment guidelines. As in our case, where we treated a 70 y.o. male patient, who came to us for un unspecific abdominal pain. So, he practiced a CT total body with contrast, presenting a celiac trunk aneurysm with involvement of the hepatic and splenic artery and therefore the team decided for an endovascular treatment, successfully obtained. Our experience is about the description of a case in its most practical and technical aspect, especially in complicated or rare conditions.
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Affiliation(s)
- Gianpaolo Santini
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi
| | - Pasquale Quassone
- Department of Precision Medicine, University of Campania "L. Vanvitelli", Via Luciano Armanni, 14-20, Naples, Italy
| | - Francesco Arienzo
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi
| | - Giuseppe Sarti
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi
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5
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Marra E, Quassone P, Tammaro P, Cardalesi C, D’Avino R, Cipolletta F, Del Prete A, Travaglino A, Tamburrini S, Ferrandino G, Sarti G, Iannuzzi M, Maida P, Santini G. Malignant Gastric Outlet Obstruction Caused by Duodenal Cervix Metastasis in a Young Woman: Rendezvous Technique. ACTA ACUST UNITED AC 2021; 57:medicina57080765. [PMID: 34440971 PMCID: PMC8401765 DOI: 10.3390/medicina57080765] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/25/2021] [Accepted: 07/26/2021] [Indexed: 11/29/2022]
Abstract
Background: Malignant gastric outlet obstruction (MGOD) is an extremely rare expression of advanced extra-gastrointestinal cancer, such as squamous cell carcinoma (SCC) of the cervix, and only sixcases are described in the literature.Because of the short life expectancyand the high surgical risk involving these patients, less invasive approaches have been developed over time, such asthe use of an enteral stent or less invasive surgical techniques (i.e., laparoscopic gastrojejunostomy). However, MGOD could make it difficult to perform an endoscopic retrograde cholangio-pancreatography (ERCP) for standard endoscopic drainage, so in this case a combined endoscopic-percutaneous technique may be performed. This article, therefore, aims to highlight the presence in the doctor’s armamentarium of the “rendezvous technique”, few case reports of whichare described in the literature, and, moreover, this article aims to underline the technique’sfeasibility. Case Presentation: The case is that of a 38-year-old woman who presented with MGOD three years after the diagnosis of SCC of the cervix, who successfully underwent the rendezvous technique with the resolution of duodenal obstruction. Endoscopic enteral stenting treatment with the placement of a metal stent (SEMSs) represents the mainstay of MGOD treatment compared withsurgery due to its lower morbidity, mortality, shorter hospitalization and earlier symptom relief. However, in patients with both duodenal and biliary obstruction, a combined endoscopic–percutaneous approach may be necessary because of the difficulty in passing the duodenal stricture or in accessing the papilla through the mesh of the duodenal SEMS. Conclusion: The rendezvous procedure is a technicallyfeasible and minimally invasive approach to the double stenting of biliary and duodenal strictures. It achieves the desired therapeutic result while avoiding the need to perform more invasive procedures that could have a negative impact on the patient’sprognosis.
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Affiliation(s)
- Ester Marra
- Department of Surgery, University of Naples Federico II, 80138 Naples, Italy;
| | - Pasquale Quassone
- Department of Radiology, Università degli Studi della Campania Luigi Vanvitelli, 80138 Naples, Italy;
| | - Pasquale Tammaro
- Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (P.T.); (R.D.); (A.T.); (P.M.)
| | - Cinzia Cardalesi
- Department of Oncology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy;
| | - Raffaele D’Avino
- Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (P.T.); (R.D.); (A.T.); (P.M.)
| | - Fabio Cipolletta
- Department of Gastroenterology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (F.C.); (A.D.P.)
| | - Anna Del Prete
- Department of Gastroenterology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (F.C.); (A.D.P.)
| | - Angela Travaglino
- Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (P.T.); (R.D.); (A.T.); (P.M.)
| | - Stefania Tamburrini
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (G.F.); (G.S.); (G.S.)
- Correspondence:
| | - Giovanni Ferrandino
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (G.F.); (G.S.); (G.S.)
| | - Giuseppe Sarti
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (G.F.); (G.S.); (G.S.)
| | - Michele Iannuzzi
- Department of Anesthesiology and Intensive Care, Ospedale del Mare, ASL NA1 Centro, 80127 Naples, Italy;
| | - Pietro Maida
- Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (P.T.); (R.D.); (A.T.); (P.M.)
| | - Gianpaolo Santini
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy; (G.F.); (G.S.); (G.S.)
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6
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Tamburrini S, Lugarà M, Saturnino PP, Ferrandino G, Quassone P, Leboffe S, Sarti G, Rocco C, Panico C, Raffaele F, Cesarano T, Iannuzzi M, Cagini L, Marano I. Pleural empyema secondary to nephropleural fistula in complicated pyonephrosis. Radiol Case Rep 2021; 16:2714-2718. [PMID: 34336076 PMCID: PMC8318834 DOI: 10.1016/j.radcr.2021.06.051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 06/12/2021] [Revised: 06/17/2021] [Accepted: 06/17/2021] [Indexed: 12/27/2022] Open
Abstract
Pleural empyema of extra pulmonary origin is uncommon and empyema secondary to a fistula between the urinary tract and thorax is extremely rare. We report a case of nephropleural fistula causing massive pleural empyema in a 64-year-old woman with a long history of urological problems, including nephrolitiasis and urinary tract infection. She was admitted with sepsis, fever, chills, tachypnea, productive cough and pyuria. At clinical examination, breath sounds were reduced over the left hemithorax. CT revealed a fistulous connection from the upper left calyceal group and the pleural space. Drainage of thoracic and perinephric collection was carried out, but nephrectomy and pleural decortication were required due to haemopurulent urine and decreased hemoglobin levels during the hospitalization. This case demonstrates the unusual and prolonged evolution of an obstructive hydroureteronephrosis complicated by pyonephrosis, culminating in retroperitoneal abscess that fistulized into the pleural space, leading to empyema.
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Affiliation(s)
- Stefania Tamburrini
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
- Corresponding author.
| | - Marina Lugarà
- Department of Internal Medicine, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | | | | | - Pasquale Quassone
- Department of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | - Silvio Leboffe
- Department of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | - Giuseppe Sarti
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Concetta Rocco
- Department of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy
| | - Claudio Panico
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Francesco Raffaele
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Teresa Cesarano
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Michele Iannuzzi
- Department of Anesthesiology and Intensive Care, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Lucio Cagini
- Department of Thoracic Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Ines Marano
- Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy
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7
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Stabile E, Piccolo R, Franzese M, Accarino G, Bracale UM, Cappello E, Cioffi G, Cioppa A, Crinisio A, Flora L, Landino P, Martelli E, Mancusi R, Niola R, Petrosino F, Razzano D, Ruotolo C, Salemme L, Sangiuolo P, Santini G, Soreca E, Vigliotti G, Villari B, Amabile G, Ammollo RP, Barbarisi D, Corbisiero AM, D’angelo A, Cangiano G, De Gregorio C, De Laurentis M, Laurenzano E, Ficarelli I, Luongo A, Molino C, Sarti G, Viola D, Esposito G. A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy. Vasc Med 2021; 26:174-179. [PMID: 33332228 PMCID: PMC8033437 DOI: 10.1177/1358863x20977678] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32-0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions.
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Affiliation(s)
- Eugenio Stabile
- Department of Advanced Biomedical
Sciences, Division of Cardiology, University of Naples Federico II, Naples,
Italy
| | - Raffaele Piccolo
- Department of Advanced Biomedical
Sciences, Division of Cardiology, University of Naples Federico II, Naples,
Italy
| | - Michele Franzese
- Department of Advanced Biomedical
Sciences, Division of Cardiology, University of Naples Federico II, Naples,
Italy
| | - Giancarlo Accarino
- Department of Vascular and Endovascular
Surgery, AOU San Giovanni di Dio e Ruggi d’Aragona, Salerno, Italy
| | - Umberto Marcello Bracale
- Department of Public Health, Division of
Vascular Surgery, University of Naples Federico II, Naples, Italy
| | - Enrico Cappello
- Division of Vascular and Endovascular
Surgery, Mediterranea Centro Cuore, Naples, Italy
| | - Giovanni Cioffi
- Division of Vascular Surgery, Ospedale
Pellegrini, Naples, Italy
| | - Angelo Cioppa
- Division of Invasive Cardiology, Clinica
Montevergine, Mercogliano, Italy
| | - Adolfo Crinisio
- Division of Vascular and Endovascular
Surgery, Clinica Salus, Battipaglia, Italy
| | - Loris Flora
- Division of Vascular Surgery, AORN San
Giuseppe Moscati, Avellino, Italy
| | - Pietro Landino
- Department of Cardiology and Cardiac
Surgery, Casa di Cura S. Michele, Maddaloni, Italy
| | - Eugenio Martelli
- Division of Vascular and Endovascular
Surgery, AORN Sant’Anna e San Sebastiano, Caserta, Italy
| | - Rosario Mancusi
- Division of Vascular and Endovascular
Surgery, Villa dei Fiori Hospital, Acerra, Italy
| | - Raffaella Niola
- Division of Vascular and
Interventional Radiology, AORN Cardarelli, Naples, Italy
| | - Fernando Petrosino
- Division of Vascular Surgery, Presidio
Ospedaliero ‘San Luca’, Vallo della Lucania, Italy
| | - Davide Razzano
- Division of Vascular Surgery, AO San
Pio, Benevento, Italy
| | - Carlo Ruotolo
- Division of Vascular Surgery, AORN
Cardarelli, Naples, Italy
| | - Luigi Salemme
- Division of Invasive Cardiology, Clinica
Montevergine, Mercogliano, Italy
| | - Paolo Sangiuolo
- Division of Vascular Surgery, AORN
Ospedali dei Colli, Monaldi Hospital, Naples, Italy
| | | | - Emilio Soreca
- Department of Radiology, AO San Pio,
Benevento, Italy
| | | | - Bruno Villari
- Division of Cardiology, Ospedale Sacro
Cuore di Gesù, Benevento, Italy
| | - Giampaolo Amabile
- Division of Vascular and
Interventional Radiology, AORN Cardarelli, Naples, Italy
| | - Raffaele Pio Ammollo
- Department of Public Health, Division of
Vascular Surgery, University of Naples Federico II, Naples, Italy
| | - Danilo Barbarisi
- Division of Vascular Surgery, AORN San
Giuseppe Moscati, Avellino, Italy
| | | | - Antonio D’angelo
- Department of Vascular and Endovascular
Surgery, AOU San Giovanni di Dio e Ruggi d’Aragona, Salerno, Italy
| | - Gianluca Cangiano
- Division of Vascular and
Interventional Radiology, AORN Cardarelli, Naples, Italy
| | - Claudia De Gregorio
- Division of Vascular and Endovascular
Surgery, Villa dei Fiori Hospital, Acerra, Italy
| | - Mario De Laurentis
- Division of Vascular Surgery, AORN
Ospedali dei Colli, Monaldi Hospital, Naples, Italy
| | | | | | - Alessandro Luongo
- Division of Vascular Surgery, Presidio
Ospedaliero ‘San Luca’, Vallo della Lucania, Italy
| | - Claudio Molino
- Division of Vascular and Endovascular
Surgery, Clinica Salus, Battipaglia, Italy
| | - Giuseppe Sarti
- Department of Radiology, Ospedale del
Mare, Naples, Italy
| | - Daniela Viola
- Division of Vascular Surgery, Ospedale
del Mare, Naples, Italy
| | - Giovanni Esposito
- Department of Advanced Biomedical
Sciences, Division of Cardiology, University of Naples Federico II, Naples,
Italy
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8
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Sarti G, Quassone P, Tarotto L, Tamburrini S, Arienzo F, Santini G. Recovery of a broken PICC migrated in cardiac chambersan endovascular approach. Radiol Case Rep 2021; 16:874-878. [PMID: 33552344 PMCID: PMC7850964 DOI: 10.1016/j.radcr.2021.01.034] [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: 12/22/2020] [Revised: 01/11/2021] [Accepted: 01/15/2021] [Indexed: 11/22/2022] Open
Abstract
Complications related to the placement of a peripherally inserted central catheter are a common phenomenon and they can lead to acute complications which must be treated in an emergency regime. The aim of this study was to describe cases in their most practical and technical aspect, especially in complicated conditions. This was a descriptive case report of a 64 years old female patient who presented with a fractured peripherally inserted central catheter, migrated into the right heart chambers and inferior vena cava, and how the team arranged for its recovery by endovascular technique, in a frail patient who could not undergo to open surgery.The procedure was completed without any complications. The use of the endovascular technique allows a recovery of the foreign body in a short time, essential for a life-saving procedure; the interventional radiological approach allows less invasiveness in fragile patients and shorter hospitalization times.
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Affiliation(s)
- Giuseppe Sarti
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Pasquale Quassone
- Radiology Department, University of Campania "L. Vanvitelli", piazza Luigi Miraglia, 80138, Naples
| | - Luca Tarotto
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | | | - Francesco Arienzo
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy
| | - Gianpaolo Santini
- Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy
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Tamburrini S, Setola FR, Belfiore MP, Saturnino PP, Della Casa MG, Sarti G, Abete R, Marano I. Ultrasound diagnosis of typhlitis. J Ultrasound 2018; 22:103-106. [PMID: 30367357 DOI: 10.1007/s40477-018-0333-2] [Citation(s) in RCA: 10] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Accepted: 07/18/2018] [Indexed: 02/07/2023] Open
Abstract
PURPOSE Typhlitis, also known as neutropenic colitis, is a rare inflammatory condition and a potentially life-threatening disease process that typically involves the cecum. Delay in diagnosis may lead to a fatal prognosis with a death rate of 21-48%. Ultrasound evaluation of right lower quadrant may lead to an accurate and rapid diagnosis. METHODS We describe the case of a 59-year-old female with advanced Churg-Strauss syndrome treated with cyclophosphamide, with acute right lower quadrant pain. RESULTS Ultrasound was the first diagnostic step in the diagnosis of typhlitis. Sonographic findings were comparable to CT imaging. CONCLUSIONS Bowel bedside ultrasound evaluation in emergency settings may lead to a prompt and definitive diagnosis. Although CT is considered the gold standard in the diagnosis and staging of neutropenic colitis, ultrasound was able to identify the pathology accurately. Ultrasound findings of typhlitis are highly characteristic, showing circumferential wall thickening with predominant submucosa.
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Affiliation(s)
- Stefania Tamburrini
- Department of Radiology-Ospedale del Mare-ASL NA1 Centro-Napoli, Naples, Italy.
| | | | | | | | | | - Giuseppe Sarti
- Department of Radiology-Ospedale dei Pellegrini-ASL NA1 Centro-Napoli, Naples, Italy
| | - Roberta Abete
- Department of Surgery-Ospedale del Mare-ASL NA1 Centro, Naples, Italy
| | - Ines Marano
- Department of Radiology-Ospedale del Mare-ASL NA1 Centro-Napoli, Naples, Italy
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10
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Sarti G, Busca F, Carpano L, Dottore FD, Dall'ara D, Sanniti S. DOSE MEASUREMENTS TO THE LENS IN NUCLEAR MEDICINE AND IN FLUOROSCOPY-GUIDED INTERVENTIONAL PROCEDURES: ANALYSIS OF THE RESULTS AND ASSESSMENT OF THE EFFECTIVENESS OF PROTECTIVE EYEWEAR ANTI-X. Radiat Prot Dosimetry 2016; 170:181-186. [PMID: 26535004 DOI: 10.1093/rpd/ncv452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The new limit of 20 mSv to the lens raises the need for further assessment of the equivalent dose to the lens for nuclear medicine and interventional radiology operators. (a) A measurement campaign was performed in nuclear medicine, (b) a routine monitoring was organised in interventional procedures and (c) the effectiveness of protective eyewear was assessed. In nuclear medicine, for photon fields, the adequacy of Hp(0.07) of dosemeter worn on the trunk is confirmed; with (90)Y, the annual values of Hp(3) measured in therapeutic session are <5 mSv. In interventional procedures, routine monitoring of the dose to the lens must be maintained where the values of Hp(0.07) dosemeter worn on the trunk are higher than one-third of the new limits. The measures carried out have shown that the attenuation factor mean of the protective glasses is equal to ∼4 (range 1.7-11.4).
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Affiliation(s)
- G Sarti
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
| | - F Busca
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
| | - L Carpano
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
| | - F Del Dottore
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
| | - D Dall'ara
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
| | - S Sanniti
- Division of Physics and Biomedical Technologies, M. Bufalini Hospital, AUSL Romagna, Cesena, FC, Italy
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11
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Sarti G, Fabbri C, Busca F, Del Dottore F, Sanniti S. Dosimetric treatment planning in nuclear medicine therapies. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.07.229] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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12
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Fabbri C, Mattone V, Casi M, De Lauro F, Agostini M, Bartolini N, D'arienzo M, Marchi G, Bartolomei M, Sarti G. Quantitative evaluation on [⁹⁰Y] DOTATOC PET and SPECT imaging by phantom acquisitions and clinical applications in locoregional and systemic treatments. Q J Nucl Med Mol Imaging 2012; 56:522-528. [PMID: 23358405] [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: 06/01/2023]
Abstract
AIM The aim of this paper was to compare [⁹⁰Y]-PET and SPECT imaging quantification for dosimetric applications in targeted radionuclide therapy. METHODS Imaging studies were carried out by SPECT-CT and PET equipment performing phantom tests first. [⁹⁰Y]-SPECT and PET scans were compared in terms of sensitivity, minimum detectable activity concentration, recovery coefficients (RCs) and system spatial resolution (FWHM). Quantitative evaluations by PET and SPECT acquisitions were then assessed in patients who received therapeutic activity of [⁹⁰Y]-DOTATOC directly injected into the surgical cavity by locoregional route in glioma treatment and by systemic route in neuroendocrine tumour patients who underwent intravenous infusion. Finally 3D-dose distributions by SPECT and PET images were obtained. RESULTS Sensitivity was proven to be about fivefold higher for SPECT than for PET. To obtain a good-quality PET imaging, the minimum detectable activity concentration was determined to be equal to 1 MBq/mL compared with 0.05 MBq/mL that was sufficient to assess adequate SPECT imaging. RCs were 100% for volume ≥ 25.5 mL for PET and ≥ 110 mL for SPECT. FWHM was 7 mm for PET and 19 mm for SPECT scans. With regard to locoregional therapy, excellent imaging was obtained with both PET and SPECT. On the contrary, systemic administration did not permit us to obtain suitable PET imaging. PET and SPECT images were affected by considerable noise, whose influence is much more important in the quantitative evaluation of dose volume histograms rather than in the visual interpretation of images. CONCLUSION [⁹⁰Y]-activity quantification is feasible by SPECT and PET imaging. For clinical applications, SPECT-CT is the best technique for visualizing the radiopharmaceuticals following systemic infusion, while both SPECT and PET scans are effective in analyzing locoregional distribution. Nevertheless PET study demonstrates the best spatial definition.
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Affiliation(s)
- C Fabbri
- Medical Physics Unit, IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori Meldola, Forlì Cesena, Italy.
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13
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Cappabianca S, Scuotto A, Iaselli F, Pignatelli di Spinazzola N, Urraro F, Sarti G, Montemarano M, Grassi R, Rotondo A. Computed tomography and magnetic resonance angiography in the evaluation of aberrant origin of the external carotid artery branches. Surg Radiol Anat 2012; 34:393-9. [PMID: 22215429 DOI: 10.1007/s00276-011-0926-3] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2011] [Accepted: 12/18/2011] [Indexed: 10/14/2022]
Abstract
Aim of our study was to evaluate the prevalence of aberrant origin of the branches of the external carotid artery (ECA) in 97 patients by computed tomography (CTA) and magnetic resonance angiography (MRA) and to compare the accuracy of these two techniques in the visualization of the ECA system. All patients underwent CTA and MRA examination of the head and neck. Multiplanar and volumetric reformations were obtained in all cases. For each set of images, the presence of aberrant origin of the branches of the external carotid artery was investigated. MRA and CTA images of each patient were compared to define their information content. Anatomical anomalies were found in 88 heminecks, with a prevalence of 53.3%. In the 61 patients in whom the CTA was performed before the MRA, the latter method showed only 92% of abnormalities detected at the first examination; in the 36 patients in whom MRA was performed first, CTA identified all of the anomalies highlighted by the former, adding 12 new. Knowledge of the anomalies of origin of the ECA branches is essential for the head and neck surgeon; the high prevalence of anomalies found in our series as in the previous studies indicates the opportunity to perform a CTA or a MRA of the head and neck before any surgical or interventional procedure. CTA is the method of choice in the evaluation of anomalies of origin of the branches of the ECA and in the definition of their course.
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Affiliation(s)
- Salvatore Cappabianca
- Science Section of Radiology, Department of Experimental and Clinical Internistic F. Magrassi, A. Lanzara, Primo Policlinico di Napoli, Second University of Naples, Piazza Miraglia 5, Naples, Italy.
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14
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Sarti G, Del Dottore F, Fabbri C, Tassinari L, Pagan S, Rustignoli M, Motta P. Individual monitoring in nuclear medicine therapeutic procedures using extremity dosemeters LiF(Mg, Cu, P). Radiat Prot Dosimetry 2011; 144:521-524. [PMID: 21030398 DOI: 10.1093/rpd/ncq331] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Unsealed beta-gamma-emitting sources are used (15 GBq (90)Y each session) in nuclear medicine therapeutic procedures. Inside the manipulation cell and while giving the injection to the patient, the skin exposure is very high; electron radiation field is not homogeneous and thus the exposure of the extremities is not uniform. Particular individual monitoring is adopted: single thermoluminescence dosemeter, wrapped in polyethylene film and placed on an adhesive tape, is positioned on the tip of the fingers; 6-10 dosemeters are assigned to each operator per session. The energy and angle response is studied for X-ray spectra, (90)Sr/Y and (204)Tl--a unique mean calibration factor is calculated in order to estimate H(p)(0.07). Performance of dosemeter is analysed according to ISO 62387-1(2007) and the combined uncertainty (calculated using the Monte Carlo method) results lie in the order of 11 %. This method reveals the critical step of manipulation and administration and ensures that dose limits are not exceeded.
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Affiliation(s)
- G Sarti
- Division of Medical Physics, Bufalini Hospital, Via Ghirotti 286, 47023 Cesena, Italy.
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15
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Abstract
Background: the characteristics of 90Y, suitable for therapy, are denoted by the lack of γ-emission. Alternative methods, using analogues labelled with 111In or 86Y, are generally applied to image 90Y-conjugates, with some inevitable drawbacks. New generation SPECT/CT image systems offer improved Bremsstrahlung images. The intent of this brief communication is to show that high quality 90Y-Bremsstrahlung SPECT-CT images can be obtained, allowing the biodistribution of pure β-emitter therapeutical agents to be evaluated, also during the course of therapy. Methods: the hybrid system Siemens Symbia-T2 was used for the acquisition of images of a patient given 1.7 GBq of 90Y-DOTATATE. The following parameters were set for SPECT: 80 (50%) and 120 (30%) keV energy windows; medium energy collimators; 128 × 128 matrix, 64 projections (40s/step). Low-dose CT was acquired (80 mAs) for attenuation correction. Images were reconstructed with the OSEM 3D-Fast algorithm. Results: post-therapy SPECT-CT 90Y-Bremsstrahlung images of a patient undergoing receptor peptide radionuclide therapy are presented. 90Y-Bremsstrahlung images obtained are suitable for tumour and normal organ dosimetry, providing detailed information on biodistribution, comparable to 111In-diagnostic images. Conclusions: the improved Bremsstrahlung images means that the diagnostic examinations can be used for patient recruitment and that dosimetry evaluation can be restricted only to treated patients. This could avoid the need for a different radionuclide or isotope to mimic therapy. The clinical impact might be notable, as dosimetry and toxicity information are essential in radionuclide therapy, especially in patients with risk factors.
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Affiliation(s)
- C Fabbri
- Division of Medical Physics, Ospedale Bufalini, Cesena, Italy
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16
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Fischer C, Sarti G, Casnati A, Carrettoni B, Manet I, Schuurman R, Guardigli M, Sabbatini N, Ungaro R. 2,2'-bipyridine lariat calixcrowns: a new class of encapsulating ligands forming highly luminescent Eu3+ and Tb3+ complexes. Chemistry 2000; 6:1026-34. [PMID: 10785823 DOI: 10.1002/(sici)1521-3765(20000317)6:6<1026::aid-chem1026>3.0.co;2-c] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A new class of calix[4]arene crown ethers with one or two bipyridines appended to the polyether ring (lariat calixcrowns) have been designed and synthesized; the luminescence properties of their Eu3+ and Tb3+ complexes have been studied in acetonitrile. In this solvent, long lifetimes for the metal emitting states and high metal-luminescence intensities obtained upon ligand excitation have been observed in both Eu3+ and Tb3+ complexes. The association constants in methanol have been determined for some of the complexes studied.
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Affiliation(s)
- C Fischer
- Dipartimento di Chimica Organica e Industriale dell'Universita, Parma, Italy
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17
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Riva P, Franceschi G, Frattarelli M, Lazzari S, Riva N, Giuliani G, Casi M, Sarti G, Guiducci G, Giorgetti G, Gentile R, Santimaria M, Jermann E, Maeke HR. Loco-regional radioimmunotherapy of high-grade malignant gliomas using specific monoclonal antibodies labeled with 90Y: a phase I study. Clin Cancer Res 1999; 5:3275s-3280s. [PMID: 10541375] [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: 02/14/2023]
Abstract
A Phase I radioimmunotherapy trial was conducted in which radioconjugated monoclonal antibody (MAb) was directly infused into the tumor or postoperative tumoral bed in patients with high-grade malignant glioma. BC-4, a murine MAb that recognizes tenascin, was used in these studies. The MAb was labeled with 90Y, a pure beta emitter with maximum energy of 2.284 MeV, which can penetrate into tissue up to 0.5-0.7 cm. Stable 90Y-labeled MAb conjugates were prepared using the chelator p-isothiocyanatobenzyl derivative of diethylenetriaminepentaacetic acid (ITC-Bz-DTPA), obtaining >95% labeling efficiency and conserving the antibodies' immunoreactivity (>85%). Twenty patients, 2 with anaplastic astrocytoma and 18 with glioblastoma, were included in the study. All of the patients had been treated previously with conventional therapies (surgery, external radiotherapy, and chemotherapy) and presented with progressive disease not amenable to further treatment. A dose-escalation study was performed using doses ranging from 5-30 mCi (185-1110 MBq) of 90Y-labeled MAb BC-4. The protein dose of MAb was always 1 mg. Three patients were treated at the 5, 10, 15, and 20 mCi levels, and the 25- and 30-mCi doses were each administered to 4 patients. Systemic toxicity was completely absent in all of the patients. The maximum tolerated dose to the brain was 25 mCi (925 MBq). The average dose to the tumor was 3200 cGy/mCi. Doses to the liver, bone marrow, and kidneys were below 10 cGy/mCi in all of the cases. Biodistribution studies demonstrated that the 90Y-labeled MAb accreted exclusively in the neoplastic area without any diffusion into the normal brain or other normal organs. No clinical responses were recorded because of the very advanced stage of disease at the time of radioimmunotherapy.
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Affiliation(s)
- P Riva
- Department of Nuclear Medicine, Maurizio Bufalini Hospital, Cesena, Italy
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18
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Carrió I, Pieri PL, Narula J, Prat L, Riva P, Pedrini L, Pretolani E, Caruso G, Sarti G, Estorch M, Berná L, Riambau V, Matías-Guiu X, Pak C, Ditlow C, Chen F, Khaw BA. Noninvasive localization of human atherosclerotic lesions with indium 111-labeled monoclonal Z2D3 antibody specific for proliferating smooth muscle cells. J Nucl Cardiol 1998; 5:551-7. [PMID: 9869476 DOI: 10.1016/s1071-3581(98)90108-8] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Targeting exclusive antigens in atherosclerotic plaques with antibodies may provide a noninvasive means to detect rapidly proliferative atherosclerotic lesions. 111In-labeled negative charge-modified Z2D3 F(ab')2 (Z2D3) specific for an antigen expressed exclusively by proliferating smooth muscle cells has been shown to accumulate in rabbit atherosclerotic plaques. METHODS The safety, biodistribution, accumulation, and elimination of Z2D3 were assessed in 11 patients who were candidates for carotid endarterectomy. The presence of atheromas in these patients was confirmed by angiography and Doppler ultrasound. Z2D3 (250 microg) labeled with 5 mCi of 111In was administered by slow intravenous injection. Planar and single photon emission computed tomography (SPECT) images were obtained 4, 24, 48, and 72 hours later. Carotid endarterectomy was performed and the surgical specimens were imaged, weighed, gamma-counted, and analyzed by immunostaining. RESULTS Uptake of Z2D3 at the site of the carotid plaques was observed in the planar and SPECT views at 4 hours in all subjects. In addition, antibody uptake was noted in the contralateral vessel in 5 subjects. SPECT images identified the atherosclerotic plaques with focal uptake. The antibody uptake corresponded with the angiographic location of the disease. Immunohistochemical studies of the endarterectomy specimens confirmed the localization of Z2D3 into the plaque areas containing smooth muscle cells. Adverse drug reactions were not observed. CONCLUSION This study demonstrates the feasibility of targeting atherosclerotic lesions with negative charge-modified antibody. It also proposes the possibility of selective identification of various components of atherosclerotic plaque, which may contribute to determining strategies of intervention in future.
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Affiliation(s)
- I Carrió
- Department of Nuclear Medicine, Hospital de Sant Pau, Barcelona, Spain
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Savorani G, Vulcano V, Boni S, Sarti G, Ravaglia G. Behavioral disorders in dementia patients and their impact on the stress of caregiving relatives: The “arad” questionnaire. Arch Gerontol Geriatr 1998. [DOI: 10.1016/s0167-4943(98)80070-8] [Citation(s) in RCA: 5] [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: 10/27/2022]
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20
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Ferrari E, Cucinotta D, Albizatti M, Bartorelli L, Colombo N, Ferretti G, Galetti G, Galliano U, Grezzana L, Pedone V, Sarti G, Scali G, Zamboni M, Girardello R, Poli A, Ambrosoli L. Effectiveness and safety of posatirelin in the treatment of senile dementia: A multicenter, double-blind, placebo-controlled study. Arch Gerontol Geriatr 1998. [DOI: 10.1016/s0167-4943(98)80024-1] [Citation(s) in RCA: 4] [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: 11/28/2022]
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Sarti G, Calogero P, Tavoni F, Berti V, Savorani G, Vulcano V. A review on enteral tube feeding in demented patients: Ethical and organizational issues. Arch Gerontol Geriatr 1998. [DOI: 10.1016/s0167-4943(98)80069-1] [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: 11/28/2022]
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22
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Sabbatini N, Casnati A, Fischer C, Girardini R, Guardigli M, Manet I, Sarti G, Ungaro R. Luminescence of Eu3+ and Tb3+ complexes of new macrobicyclic ligands derived from p-tert-butylcalix[4]arene. Inorganica Chim Acta 1996. [DOI: 10.1016/s0020-1693(96)05293-0] [Citation(s) in RCA: 16] [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: 10/27/2022]
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23
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Dei L, Ferroni E, Sarti G. Effect of halothane on the electrical properties of mixed bilayers of glycerol monooleate andl,α-dipalmitoylphosphatidylcholine. Colloids Surf B Biointerfaces 1995. [DOI: 10.1016/0927-7765(94)01184-7] [Citation(s) in RCA: 6] [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: 11/29/2022]
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Bragagni G, Bianconcini G, Mazzali F, Baldini A, Brogna R, Iori I, Sarti G. [43 cases of primary empty sella syndrome: a case series]. Ann Ital Med Int 1995; 10:138-42. [PMID: 7619655] [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: 01/26/2023]
Abstract
Primary empty sella syndrome (ESS) is an anatomo-radiological picture characterized by the presence of an arachnoid herniation filled with liquor that compresses the pituitary against the sellar wall. ESS occurs particularly in obese, hypertensive, cephalalgic women. It is often asymptomatic but may be associated with ophthalmologic, neurologic and non-characterizing endocrine disorders. We report here 43 cases of primary ESS observed and assessed in our Departments of Internal Medicine from June 1983 to May 1993. The following endocrinological diagnostic procedures were carried out: hormonal (RIA) basal profile: FT3, FT4, TSH, PRL, ACTH, FSH, LH, 8.00 a.m. and p.m., blood cortisol, aldo, PRA, DHEA-S, FTe, E2, P, PTH, CT, and calcemia and phosphoremia; provocative tests: TRH, GnRH, etc.; inhibition tests: high dose dexamethasone. Clinical, neurologic (skull radiographs, sellar stratigraphy, computed tomography scan and magnetic resonance), and ophthalmologic (fundus, visual fields) assessments were also made. Our findings fit with the data in the literature concerning common symptoms of ESS, associated endocrinopathies and other illness. We found obesity (62.7%), oligo-amenorrhea (16.6%), galactorrhea (14.6%), hyperPRL (11.6%), hypopituitarism (9.3%), hypogonadism (4.6%), diabetes insipidus (2.3%), (micro-)polycystic ovary syndrome (19%), hyperACTH (2.3%). In 9.3% of the cases, endocrinopathy referred to pituitary adenomas. Moreover, we noted a high frequency of psychological disorders, to our knowledge not previously reported in the literature, including anxiety or dysthymic disorders with altered behavior (chiefly oral compulsion). We also make the hypothesis that obesity (occurring in 62.7% of our patients) and hypertension (62.7%) may be related to hypothalamic alterations.
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Affiliation(s)
- G Bragagni
- Divisione di Medicina Generale, USL 30 di Cento
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Kornacki B, Goryszewska-Macioch H, Szreter M, Skoczeń R, Seroczyńska M, Sarti G, Tarantowicz D. [Twelve year observation of the eyes after lensectomy]. Klin Oczna 1994; 96:216-8. [PMID: 7897978] [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: 01/27/2023]
Abstract
The authors presented long-term results of surgery of congenital, residual, traumatic and post-inflammatory cataracts. Lensectomy through pars plana was performed in all eyes. Examination after 12-year follow-up was performed in 186 eyes, i.e.-69.4% of the total number of 268 eyes which underwent surgery. The most frequent complication was glaucoma (33.3%), which passed without any symptoms and was diagnosed accidentally, in the majority of cases in the period over 3 years after surgery. Other complications were rare; They included retinal detachment in 0.5% of the eyes. Visual acuity was 5/50 and less in 52.7% of the eyes; only in 10% it was 5/10 and better. The conclusion is that all patients after cataract surgery should be examined for glaucoma.
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Affiliation(s)
- B Kornacki
- Oddziału Okulistycznego, Centrum Zdrowia Dziecka w Warszawie
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Riva P, Arista A, Sturiale C, Tison V, Lazzari S, Franceschi G, Spinelli A, Casi M, Sarti G, Campori F. Glioblastoma therapy by direct intralesional administration of I-131 radioiodine labeled antitenascin antibodies. Cell Biophys 1994; 24-25:37-43. [PMID: 7537631 DOI: 10.1007/bf02789213] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Thirty patients with recurrent glioblastomas (29 brain, 1 spinal cord) received intralesional radioimmunotherapy aiming to control the progression of the tumor after surgery and radiotherapy. The BC-2 and/or BC-4 murine MAbs (Sorin-Biomedica, Saluggia, Italy) were utilized. They strongly react against tenascin (TN), which is an extracellular antigen expressed in large amounts by the stroma of glioblastoma but not by normal brain. The MAbs were labeled with I-131 and were injected directly into the tumor mass to maximize the antibody concentration in the tumor and to irradiate the neoplastic cells. The dose consisted, on average, of 3 mg antibody and 1100 MBq I-131. In most cases the radioimmunotherapy (RIT) applications were repeated two, three, or four times. No systemic adverse reactions were recorded. The brain tolerance to direct antibodies injection was quite good. The antibody concentration in the tumor was high and the MAb residence time in neoplastic tumor was prolonged. Consequently the mean radiation dose to the tumor was high: > 25,000 cGy/cycle. Of 23 evaluable patients, we recorded 7 tumor stabilization (lasting, on mean, 9.1 mo), 4 partial remission (10 mo), and 4 complete remission (18 mo). The overall response rate was 34.7%.
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Affiliation(s)
- P Riva
- Nuclear Medicine Dept., M. Bulfalini Hospital, Cesena (FO), Italy
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Catarzi S, Giuseppetti GM, Rizzatto G, Rosselli Del Turco M, Baldassare S, Ancona A, Pescarini L, Di Maggio C, Sarti G. [A multicenter study for the evaluation of the diagnostic efficiency of mammography and echography in nonpalpable breast neoplasms]. Radiol Med 1992; 84:193-7. [PMID: 1410662] [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: 12/26/2022]
Abstract
The Breast Section of the Italian Society of Radiology set up a cooperative study which included 17 Departments of Radiology and Breast Diagnosis in order to evaluate the diagnostic accuracy of US versus mammography in nonpalpable breast lesions. From January 1, 1989 to december 31, 1990, 400 nonpalpable breast lesions (142 benign lesions, 59 in situ and 199 infiltrating carcinomas) were detected by mammography and/or US; they had questionable/suspicious findings which called for further investigation by means of cytology and/or histology. US proved much less sensitive in non-palpable carcinomas than mammography (49.2% vs 93.8%), also in younger women, and failed to detect 50% of the benign/malignant nonpalpable lesions identified by mammography. US sensitivity was directly related to lesion diameter and probe frequency: 38.7% in infiltrating carcinomas < or = 5 mm vs 56.8% in those > 10 mm; 12% in the patients examined with a 5-MHz probe vs 57.7% in those examined with a > or = 7.5-MHz probe. Furthermore, the most significant US patterns of nonpalpable lesion were irregular contours, posterior attenuation and irregular internal echoes, while an irregular skin line and Cooper ligaments had no significant relation with carcinoma. Thus, breast US cannot be used as a screening test on asymptomatic patients not even on young women with radiologically dense breasts. On the contrary, US performed with high-frequency probes is useful in the assessment of nonpalpable lesions identified by mammography, and allows, in many cases, US-guided cytology and preoperative localization.
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Affiliation(s)
- S Catarzi
- Sezione di Senologia, Associazione Italiana di Radiologia Medica, Firenze
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Fallani M, Monti M, Giordani R, Sarti G, Travisani D. [Heterosexual transmission of HIV and a control organization model consisting of female subjects at the USL no. 36 Drug Control Service of Lugo]. Minerva Ginecol 1992; 44:267-70. [PMID: 1608526] [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: 12/27/2022]
Abstract
Human immunodeficiency virus-HIV heterosexual transmission is going to become the main problem in controlling the spread of HIV; our experience confirms the increased risk when genital lesions are present. These data advise to attend gynaecologic control of female drug addicts, often affected by sexually transmitted diseases, in order to realize primary and secondary HIV spreading prevention.
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Affiliation(s)
- M Fallani
- Settore Tossicodipendenze, USL n. 36, Lugo, Ravenna
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Licastro F, Savorani G, Sarti G, Salsi A, Cavazzuti F, Zanichelli L, Tucci G, Mocchegiani E, Fabris N. Zinc and thymic hormone-dependent immunity in normal ageing and in patients with senile dementia of the Alzheimer type. J Neuroimmunol 1990; 27:201-8. [PMID: 2332483 DOI: 10.1016/0165-5728(90)90070-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Plasma zinc levels were measured in young controls, aged controls, patients with dementia of the Alzheimer type and patients with non-Alzheimer type dementia. Zinc levels decreased with age; however, no difference was found between patients with dementia and age-matched controls. Plasma levels of active or inactive thymulin, a nonapeptide produced and released by the thymus gland, were also determined in young controls, aged controls, patients with dementia of the Alzheimer type and patients with non-Alzheimer type dementia. Basal levels of active thymulin were decreased in aged controls and in patients with dementia. In vitro reactivation of thymulin after zinc addition to plasma samples was decreased in aged controls. A further impairment of thymulin reactivation was present in patients with dementia. A significant age-dependent decrease in lymphocyte proliferation after mitogen stimulation was found; however, no difference was present between aged controls and patients with dementia of the Alzheimer type. Interleukin-2-induced cell activation and its effect on mitogen-induced proliferation were also measured; once again only an age-associated decrease was found. The endocrine function of the thymus of patients with dementia appears to be more compromised than that from aged controls.
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Affiliation(s)
- F Licastro
- Department of Experimental Pathology, University of Bologna, Italy
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31
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Riva P, Marangolo M, Lazzari S, Agostini M, Sarti G, Moscatelli G, Franceschi G, Spinelli A, Vecchietti G. Locoregional immunotherapy of human ovarian cancer: preliminary results. Int J Rad Appl Instrum B 1989; 16:659-66. [PMID: 2606721 DOI: 10.1016/0883-2897(89)90092-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Ten patients with advanced ovarian carcinoma (5 in FIGO stage III and 5 in stage IV), following the failure of repeated chemotherapy courses, were submitted to i.p. radioimmunotherapy (RIT). Several antibodies (HMFG1, HMFG2, H17E2, B72.3) were employed. The antibody choice was made on the basis both of immunohistochemistry and immunoscintigraphy results. The mean dose administered in each single course was 17 mg, 3 patients underwent two treatments and 2 patients were injected three times. The isotope employed was 131I (mean dose 92 mCi). The early or late untoward effects were negligible. All patients developed anti-mouse antibodies (HAMA) which reduced, during the further RIT, the MoAbs' effective half-life. The estimated radiation dose delivered to the tumour ranged from 2910 to 11,000 cGy. Both wholebody and liver radiation burden resulted in tolerable limits while the thyroid irradiation was high. In 3 patients the RIT result was ineffective; in 2 cases a temporary ascitis staunch was obtained. In 2 cases the tumour growth was slower than expected and in 3 patients instrumental evidence of partial tumour reduction, still lasting after 4-11 months, was observed.
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Affiliation(s)
- P Riva
- Nuclear Medicine Department, Maria delle Croci Hospital Ravenna, Italy
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32
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Verre P, Nardi M, Pungetti D, Mattucci M, Maoddi C, Sarti G, Zanardi E. [Early diagnosis of extrauterine pregnancy for a conservative surgical technic]. Minerva Ginecol 1988; 40:635-8. [PMID: 3070434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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33
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Sapigni T, Montanari U, Sarti G. [Semi-automatic determination of the variations in volume of LS fibroblasts grown in the presence of saccharose]. Boll Soc Ital Biol Sper 1981; 57:361-6. [PMID: 7236415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
A method is described for determination of the volume of fibroblasts, grown in suspension, in normal medium, in medium supplemented with sucrose (Su) 0,04 and 0.08 M. A 4 days permanence in these last two mediums causes an obvious cytoplasmic vacuolation and an increase in cell volume (Tab.1) that reaches its maximum for cells grown in Su 0.08M (87,2%) increase in comparison with control cells). The cell volume determination was performed utilizing a Coulter ZBI Counter coupled with a P64 pulse height analyzer and X-Y recorder. The volume and number of cells for every counting channel of P64 were manually determined from recorder plot (Fig. 1). These data were then elaborated using a desk computer to obtain the mean cell volume, the coefficients of skewness and kurtosis (algorithm for grouped data).
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34
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Nardi R, Savorani G, Sarti G, Rosati M, Salsi A. [Therapy of urinary tract infections in the elderly]. Recenti Prog Med 1981; 70:181-96. [PMID: 7291699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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35
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Sarti G, Savorani G. [Evaluation of cellular immunity in man using skin tests (methods)]. Boll Soc Ital Biol Sper 1976; 52:872-6. [PMID: 1023899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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36
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DifeliceAntonio R, Sarti G, Savorani G. [Cellular immunity in the aged as evaluated by a delayed hypersensitivity test in vivo (intradermal test and contact test)]. Boll Soc Ital Biol Sper 1976; 52:866-71. [PMID: 1023898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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37
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Cavalli G, Casali AM, Lambertini F, Sarti G. [Morphology of the small biliary passages in hepatic localization of Hodgkin's disease]. Boll Soc Ital Biol Sper 1975; 51:1044-9. [PMID: 1218127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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38
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Patrassi N, Sarti G, Simi M, Ciani P. [Possibilities and limitations of radiology in the diagnosis of chronic pancreatitis]. Nunt Radiol 1969; 35:323-39. [PMID: 5405703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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39
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Sarti G, Di Macco G, Tomiselli G, Sirolli C. [Intraoperative cholangiographic aspects in neoplastic obstruction of the extrahepatic bile ducts]. Nunt Radiol 1968; 34:1713-28. [PMID: 5758209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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40
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Sarti G, Saracca L, Tomiselli G. [Angiographic and urographic diagnosis of nephro-vascular hypertension]. Nunt Radiol 1968; 34:1519-29. [PMID: 5758200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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41
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Sarti G, Saracca L, Tomiselli G, Benedetti-Valentini F J, Di Salvo R. [Collateral circulation in obstructive lesions of the renal artery: angiographic and urographic aspects]. Nunt Radiol 1968; 34:1789-810. [PMID: 5758213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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42
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Sarti G, Saracca L, Ribotta G, Grasso G. [Functional radiological study of jejunal interposition after total gastrectomy]. Nunt Radiol 1968; 34:1177-89. [PMID: 5744767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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43
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Sampietro G, Sarti G, Citone G, Pagni I, Carotenuto F. [Study of renal cortical and medullary flow. Experimental studies with Xe-133 in basal conditions and during hypotension induced with "Arfonad"]. Nunt Radiol 1968; 34:1281-5. [PMID: 5744771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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44
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Sampietro G, Sarti G, Bonanome M, Pagni I. [Study of muscular flux by means of Xe-133 in patients with obstructive arteriopathies of the lower limbs. Problems regarding intra-operative control]. Nunt Radiol 1968; 34:1137-42. [PMID: 5745111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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45
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Pistolese GR, Benedetti-Valentini F J, Iorani P, Pepe P, Sampietro G, Sarti G. [Trans-lumbar aortography. (review and experience in 1000 cases)]. Recenti Prog Med 1967; 43:338-72. [PMID: 5632726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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