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Irmici G, Cè M, Pepa GD, D'Ascoli E, De Berardinis C, Giambersio E, Rabiolo L, La Rocca L, Carriero S, Depretto C, Scaperrotta G, Cellina M. Exploring the Potential of Artificial Intelligence in Breast Ultrasound. Crit Rev Oncog 2024; 29:15-28. [PMID: 38505878 DOI: 10.1615/critrevoncog.2023048873] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
Breast ultrasound has emerged as a valuable imaging modality in the detection and characterization of breast lesions, particularly in women with dense breast tissue or contraindications for mammography. Within this framework, artificial intelligence (AI) has garnered significant attention for its potential to improve diagnostic accuracy in breast ultrasound and revolutionize the workflow. This review article aims to comprehensively explore the current state of research and development in harnessing AI's capabilities for breast ultrasound. We delve into various AI techniques, including machine learning, deep learning, as well as their applications in automating lesion detection, segmentation, and classification tasks. Furthermore, the review addresses the challenges and hurdles faced in implementing AI systems in breast ultrasound diagnostics, such as data privacy, interpretability, and regulatory approval. Ethical considerations pertaining to the integration of AI into clinical practice are also discussed, emphasizing the importance of maintaining a patient-centered approach. The integration of AI into breast ultrasound holds great promise for improving diagnostic accuracy, enhancing efficiency, and ultimately advancing patient's care. By examining the current state of research and identifying future opportunities, this review aims to contribute to the understanding and utilization of AI in breast ultrasound and encourage further interdisciplinary collaboration to maximize its potential in clinical practice.
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Affiliation(s)
- Giovanni Irmici
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Maurizio Cè
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Gianmarco Della Pepa
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Elisa D'Ascoli
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Claudia De Berardinis
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Emilia Giambersio
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Lidia Rabiolo
- Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Policlinico Università di Palermo, Palermo, Italy
| | - Ludovica La Rocca
- Postgraduation School in Radiodiagnostics, Università degli Studi di Napoli
| | - Serena Carriero
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy
| | - Catherine Depretto
- Breast Radiology Unit, Fondazione IRCCS, Istituto Nazionale Tumori, Milano, Italy
| | | | - Michaela Cellina
- Radiology Department, Fatebenefratelli Hospital, ASST Fatebenefratelli Sacco, Milano, Piazza Principessa Clotilde 3, 20121, Milan, Italy
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Giambersio E, Depretto C, Trimboli RM, Di Leo G, D'Ascoli E, Della Pepa G, Irmici G, Rabiolo L, Scaperrotta GP. Utility of detection of breast calcifications with integrated real-time radiography system (IRRS) during digital breast tomosynthesis (DBT)-guided vacuum assisted biopsy (VAB): initial single-center experience. Radiol Med 2023:10.1007/s11547-023-01636-3. [PMID: 37115391 DOI: 10.1007/s11547-023-01636-3] [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] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 04/20/2023] [Indexed: 04/29/2023]
Abstract
PURPOSE To determine whether the presence of calcifications in specimens collected during stereotactic-guided vacuum-assisted breast biopsies (VABB) is sufficient to ascertain their adequacy for final diagnosis at pathology. MATERIALS AND METHODS Digital breast tomosynthesis (DBT)-guided VABBs were performed on 74 patients with calcifications as target. Each biopsy consisted of the collection of 12 samplings with a 9-gauge needle. This technique was integrated with a real-time radiography system (IRRS) which allowed the operator to determine whether calcifications were included in the specimens at the end of each of the 12 tissue collections through the acquisition of a radiograph of every sampling. Calcified and non-calcified specimens were separately sent to pathology and evaluated. RESULTS A total of 888 specimens were retrieved, 471 containing calcifications and 417 without. In 105 (22.2%) samples out of 471 with calcifications cancer was detected, while the remaining 366 (77.7%) were non-cancerous. Out of 417 specimens without calcifications 56 (13.4%) were cancerous, whereas 361 (86.5%) were non-cancerous. Seven hundred and twenty-seven specimens out of all 888 were cancer-free (81.8%, 95%CI 79-84%). CONCLUSION Although there is a statistical significative difference between calcified and non-calcified samples and the detection of cancer (p < 0.001), our study shows that the sole presence of calcifications in the specimens is not sufficient to determine their adequacy for final diagnosis at pathology because non-calcified samples can be cancerous and vice-versa. Ending biopsies when calcifications are first detected through IRRS could lead to false negative results.
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Affiliation(s)
- Emilia Giambersio
- Postgraduate School in Radiodiagnostics, Università degli Studi Di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Catherine Depretto
- Breast Imaging Unit, IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133, Milan, Italy
| | | | - Giovanni Di Leo
- Radiology Unit, IRCCS Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese (Milan), Italy
| | - Elisa D'Ascoli
- Postgraduate School in Radiodiagnostics, Università degli Studi Di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Gianmarco Della Pepa
- Postgraduate School in Radiodiagnostics, Università degli Studi Di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Giovanni Irmici
- Postgraduate School in Radiodiagnostics, Università degli Studi Di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Lidia Rabiolo
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, Università degli Studi di Palermo, Via del Vespro 127, 90127, Palermo, Italy
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Salerno S, Nardi C, Pace M, Rabiolo L, Flammia F, Loverre F, Matranga D, Granata C, Tomà P, Colagrande S. Communicating radiation dose in medical imaging: How to best inform our patients? Acta Radiol Open 2023; 12:20584601231168967. [PMID: 37101461 PMCID: PMC10123897 DOI: 10.1177/20584601231168967] [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: 12/20/2022] [Accepted: 03/22/2023] [Indexed: 04/28/2023] Open
Abstract
Background The newly adopted European directive DE59/2013 mandates adequate patient information in procedures involving ionising radiation. Patient interest in knowing about their radiation dose and an effective communication method for dose exposure remain poorly investigated. Purpose This study is aimed at investigating both patient interest in radiation dose and an effective method to communicate radiation dose exposure. Material and methods The present analysis is based on a multi-centre cross-sectional data collection involving 1,084 patients from four different hospitals ‒ two general and two paediatric hospitals. Anonymous questionnaires were administered, consisting of an initial overview of radiation use in imaging procedures, a patient data section, and an explanatory section providing information in four modalities. Results 1009 patients were included in the analysis, with 75 refusing participation; 173 participants were relatives of paediatric patients. Initial information provided to patients was considered comprehensible. The information modality with symbols was considered the most readily understandable format by patients, with no appreciable differences in comprehension attributable to social or cultural background. The modality including dose numbers and diagnostic reference levels was preferred by patients with higher socio-economic background. The option 'None of those' was selected by one-third of our sample population, composed of four different clusters: female, over 60 years old, unemployed, and from low socio-economic backgrounds. Conclusions This study demonstrated a high level of interest amongst patients in knowing about radiation dose exposure. Pictorial representations were well understood by patients from a variety of different ages and education levels. However, a universally comprehensible model of communicating radiation dose information remains to be elucidated.
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Affiliation(s)
- Sergio Salerno
- Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Policlinico Università di Palermo, Palermo, Italy
- Sergio Salerno, Dipartimento di Biomedicina, Neuroscienze e Diagnostica avanzata, Policlinico Università di Palermo, Via del Vespro 127, Palermo 90133, Italy.
| | - Cosimo Nardi
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche, Radiodiagnostic Unit n. 2, Azienda Ospedaliero-Universitaria Careggi, Università di Firenze, Florence, Italy
| | - Mario Pace
- Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Policlinico Università di Palermo, Palermo, Italy
| | - Lidia Rabiolo
- Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Policlinico Università di Palermo, Palermo, Italy
| | - Federica Flammia
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche, Radiodiagnostic Unit n. 2, Azienda Ospedaliero-Universitaria Careggi, Università di Firenze, Florence, Italy
| | - Francesco Loverre
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche, Radiodiagnostic Unit n. 2, Azienda Ospedaliero-Universitaria Careggi, Università di Firenze, Florence, Italy
| | - Domenica Matranga
- Dipartimento di Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza Policlinico, Università di Palermo, Palermo, Italy
| | - Claudio Granata
- Unità Operativa Complessa di Radiologia, IRCCS Istituto Giannina Gaslini, Genova, Italy
| | - Paolo Tomà
- Dipartimento Diagnostica Per Immagini Radiologia e Bioimaging, IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy
| | - Stefano Colagrande
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche, Radiodiagnostic Unit n. 2, Azienda Ospedaliero-Universitaria Careggi, Università di Firenze, Florence, Italy
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Agnello F, Rabiolo L, Midiri F, Lo Re G, Grassedonio E, La Grutta L, Buscemi S, Agrusa A, Galia M. Focal hepatic intrinsically hyperattenuating lesions at unenhanced CT: Not always calcifications. Clin Imaging 2021; 80:304-314. [PMID: 34482241 DOI: 10.1016/j.clinimag.2021.08.020] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/26/2021] [Accepted: 08/13/2021] [Indexed: 11/27/2022]
Abstract
Due to the growing use of CT, there has been an increase in the frequency of detecting focal liver lesions. Intrinsically hyperattenuating hepatic lesions or pseudolesions are not uncommon at unenhanced CT. Hyperattenuating hepatic lesions can be divided into non-calcified and calcified. Causes of intrinsic hyperattenuation include hemorrhage, thrombosis, and calcifications. Focal liver lesions can show hyperattenuation on unenhanced CT in case of severe liver steatosis. Recognition of etiologies associated with hyperattenuation on unenhanced CT can help the radiologist in characterizing focal liver lesions and pseudolesions. In this paper, we describe the spectrum of intrinsically hyperattenuating focal liver lesions and pseudolesions at unenhanced CT.
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Affiliation(s)
- Francesco Agnello
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Lidia Rabiolo
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Federico Midiri
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Giuseppe Lo Re
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Emanuele Grassedonio
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Ludovico La Grutta
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Salvatore Buscemi
- Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | - Antonino Agrusa
- Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | - Massimo Galia
- Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy.
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Agnello F, Rabiolo L, Grassedonio E, Toia P, Midiri F, Spatafora L, Matteini F, Tesè L, La Grutta L, Galia M. Imaging the COVID-19: a practical guide. Monaldi Arch Chest Dis 2021. [PMID: 33794596 DOI: 10.4081/monaldi.2021.1630] [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: 10/02/2020] [Accepted: 01/17/2021] [Indexed: 01/08/2023] Open
Abstract
The Coronavirus Disease 2019 (COVID-19) represents the first medical catastrophe of the new millennium. Although imaging is not a screening test for COVID-19, it plays a crucial role in evaluation and follow-up of COVID-19 patients. In this paper, we will review typical and atypical imaging findings of COVID-19.
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Affiliation(s)
- Francesco Agnello
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | - Lidia Rabiolo
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | | | - Patrizia Toia
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | - Federico Midiri
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | | | - Francesco Matteini
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | - Lorenzo Tesè
- Department of Radiology, Azienda Ospedali Riuniti Villa Sofia-Cervello, Palermo.
| | - Ludovico La Grutta
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
| | - Massimo Galia
- Department of Radiology, Policlinico "Paolo Giaccone", University of Palermo.
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Rabiolo L, Schirò P, Mitra M, Politi F, Rabiolo A, Maringhini A. Images in Vascular Medicine. A rare case of giant unruptured carotid-ophthalmic aneurysm causing extensive bone erosion and expulsion of the eyeball. Vasc Med 2020; 25:381-382. [PMID: 32202475 DOI: 10.1177/1358863x20909428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Lidia Rabiolo
- Department of Internal Medicine I, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
| | - Piero Schirò
- Department of Internal Medicine I, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
| | - Mario Mitra
- Department of Internal Medicine I, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
| | - Flavia Politi
- Department of Internal Medicine I, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
| | - Alfonso Rabiolo
- Department of Radiology, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
| | - Alberto Maringhini
- Department of Internal Medicine I, ARNAS Civico - Di Cristina - Benfratelli, Palermo, Italy
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