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Correale P, Staropoli N, Pastina P, Giannicola R, Botta C, Francini E, Ridolfi L, Mini E, Ciliberto D, Agostino R, Strangio A, Azzarello D, Nardone V, Falzea A, Tassone P, Giordano A, Pirtoli L, Francini G, Tagliaferri P. GOLFIG chemo-immunotherapy in metastatic colorectal cancer (mCRC) patients: A fifteen year retrospective analysis. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.030] [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: 11/14/2022] Open
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Nardone V, Gaetano M, Calvanese M, Di Biase A, Nuzzo I, Di Rienzo L, D’Onofrio I, Calvanese M, Pastina P, Guida C, Vitale C, Tini P, Cappabianca S, Pirtoli L. EP-1239 Role of perilesional edema in patients with glioblastoma undergoing adjuvant chemo-radiation. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31659-7] [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: 10/26/2022]
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Biondi M, Vanzi E, De Otto G, Belmonte G, Nardone V, Tini P, Sebaste L, Carfagno T, Battaglia G, Rubino G, Pastina P, Pirtoli L, Banci Buonamici F. 304. Role of texture analysis (TA) as prognostic factor in patients with glioblastoma diagnosis subject to radio-chemotherapic treatment concerning post-operating tomozolomide. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.313] [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: 10/27/2022] Open
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Biondi M, Vanzi E, De Otto G, Belmonte G, Nardone V, Cirigliano A, Grassi A, Carbone S, Tini P, Sebaste L, Carfagno T, Battaglia G, Rubino G, Pastina P, Correale P, Nioche C, Pirtoli L, Banci Buonamici F. 305. Can magnetic-resonance-imaging volumetric texture analysis predict treatment outcome in rectal cancer patients undergoing neoadjuvant chemo-radiation? Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.314] [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: 11/29/2022] Open
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Correale P, Giannicola R, Botta C, Tagliaferri P, Pastina P, Monoriti M, Saladino R, Falzea A, Barbieri V, D'Arrigo G, Tripepi G, Tassone P, Pirtoli L. HLA-DrbB1 heterozygosis and early auto-antibody rise predict prolonged survival in metastatic NSCLC patients undergoing PD-1 blockade. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy292.034] [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: 11/13/2022] Open
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Pastina P, Nardone V, Botta C, Croci S, Davì D, Tini P, Battaglia G, Sebaste L, Carfagno T, Carbone S, Ricci V, Giannicola R, Tagliaferri P, Pirtoli L, Correale P. P2.07-046 Nivolumab Exerts Remarkable Antitumor Activity in NSCLC After an Immune-Modulating Biochemotherapy Regimen. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.11.105] [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: 11/17/2022]
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Nardone V, Tini P, Aldi E, Pastina P, Croci S, Sebaste L, Battaglia G, Carbone S, Ricci V, Mazzei M, Pirtoli L, Correale P. PUB052 Computer Tomography (CT) Texture Analysis as Prediction Factor in Non-Small Cell Lung Cancer Patients Undergoing Nivolumab Treatment. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1915] [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: 11/16/2022]
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Nardone V, Tini P, Carbone SF, Grassi A, Biondi M, Sebaste L, Carfagno T, Vanzi E, De Otto G, Battaglia G, Rubino G, Pastina P, Belmonte G, Mazzoni LN, Banci Buonamici F, Mazzei MA, Pirtoli L. Bone texture analysis using CT-simulation scans to individuate risk parameters for radiation-induced insufficiency fractures. Osteoporos Int 2017; 28:1915-1923. [PMID: 28243706 DOI: 10.1007/s00198-017-3968-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 02/13/2017] [Indexed: 12/29/2022]
Abstract
UNLABELLED This study deals with the role of texture analysis as a predictive factor of radiation-induced insufficiency fractures in patients undergoing pelvic radiation. INTRODUCTION This study aims to assess the texture analysis (TA) of computed tomography (CT) simulation scans as a predictive factor of insufficiency fractures (IFs) in patients with pelvic malignancies undergoing radiation therapy (RT). METHODS We performed an analysis of patients undergoing pelvic RT from January 2010 to December 2014, 24 of whom had developed pelvic bone IFs. We analyzed CT-simulation images using ImageJ macro software and selected two regions of interest (ROIs), which are L5 body and the femoral head. TA parameters included mean (m), standard deviation (SD), skewness (sk), kurtosis (k), entropy (e), and uniformity (u). The IFs patients were compared (1:2 ratio) with controlled patients who had not developed IFs and matched for sex, age, menopausal status, type of tumor, use of chemotherapy, and RT dose. A reliability test of intra- and inter-reader ROI TA reproducibility with the intra-class correlation coefficient (ICC) was performed. Univariate and multivariate analyses (logistic regression) were applied for TA parameters observed both in the IFs and the controlled groups. RESULTS Inter- and intra-reader ROI TA was highly reproducible (ICC > 0.90). Significant TA parameters on paired t test included L5 m (p = 0.001), SD (p = 0.002), k (p = 0.006), e (p = 0.004), and u (p = 0.015) and femoral head m (p < 0.001) and SD (p = 0.001), whereas on logistic regression analysis, L5 e (p = 0.003) and u (p = 0.010) and femoral head m (p = 0.027), SD (p = 0.015), and sex (p = 0.044). CONCLUSIONS In our experience, bone CT TA could be correlated to the risk of radiation-induced IFs. Studies on a large patient series and methodological refinements are warranted.
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Affiliation(s)
- V Nardone
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy.
| | - P Tini
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - S F Carbone
- Unit of Diagnostic Imaging, University Hospital of Siena, Siena, Italy
| | - A Grassi
- Unit of Diagnostic Imaging, University Hospital of Siena, Siena, Italy
| | - M Biondi
- Unit of Medical Physics, University Hospital of Siena, Siena, Italy
| | - L Sebaste
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - T Carfagno
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - E Vanzi
- Unit of Medical Physics, University Hospital of Siena, Siena, Italy
| | - G De Otto
- Unit of Medical Physics, University Hospital of Siena, Siena, Italy
| | - G Battaglia
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - G Rubino
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - P Pastina
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
| | - G Belmonte
- Unit of Medical Physics, University Hospital of Siena, Siena, Italy
| | - L N Mazzoni
- Unit of Medical Physics, University Hospital of Siena, Siena, Italy
| | | | - M A Mazzei
- Unit of Diagnostic Imaging, University Hospital of Siena, Siena, Italy
| | - L Pirtoli
- Unit of Radiation Oncology, University Hospital of Siena, Viale Bracci, 53100, Siena, Italy
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Nardone V, Tini P, Aldi E, Pastina P, Sebaste L, Battaglia G, Carbone S, Ricci V, Pirtoli L, Correale P. Predictive value of CT texture analysis in lung cancer patients undergoing nivolumab. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx092.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Martino EC, Misso G, Pastina P, Costantini S, Vanni F, Gandolfo C, Botta C, Capone F, Lombardi A, Pirtoli L, Tassone P, Ulivieri C, Tagliaferri P, Cusi MG, Caraglia M, Correale P. Immune-modulating effects of bevacizumab in metastatic non-small-cell lung cancer patients. Cell Death Discov 2016; 2:16025. [PMID: 27752361 PMCID: PMC5045963 DOI: 10.1038/cddiscovery.2016.25] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [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: 02/18/2016] [Accepted: 03/02/2016] [Indexed: 01/24/2023] Open
Abstract
The mPEBev is an anticancer regimen which combines a chemotherapy doublet, based on cisplatin and oral etoposide (mPE), with bevacizumab (mPEBev), a mAb targeting the vasculo-endothelial growth factor (VEGF). In previous studies, this regimen showed powerful anti-angiogenetic effects and significant antitumor activity in metastatic non-small-cell lung cancer (mNSCLC) patients. We also recorded the best benefit in patients exhibiting low-systemic inflammatory profile at baseline. On these bases, we hypothesized that mPEBev antitumor activity could be partially related to bevacizumab-associated immunological effects. For this reason, we performed an immunological monitoring in 59 out of 120 stage IIIb-IV NSCLC patients enrolled in the BEVA2007 phase II trial, who received fractioned cisplatin (30 mg/sqm days 1-3q21) and oral etoposide (50 mg, days 1-15q21) (mPE doublet) ±bevacizumab. In this group of patients, 12 received the mPE doublet alone and 47 the doublet in combination with bevacizumab (5 mg/kg on the day 3q21; mPEBev regimen). Blood cell counts, serum analysis, multiplex cytokine assay and immunocytofluorimetric analysis, performed on baseline and post-treatment on blood samples from these patients, revealed that bevacizumab addition to the doublet decreased levels of pro-angiogenic (VEGF, Angiostatin-1 and Follistatin) and inflammatory cytokines (interferon (IFN)γ, IL4 and IL17), improved in vivo and in vitro cytotoxic T-lymphocytes (CTL) response and promoted dendritic cell activation. These results suggest that the mPEBev regimen improve the micro-environmental conditions for an efficient antigen-specific CTL response, making it a feasible candidate regimen to be assessed in combination with immune-checkpoint inhibitors in NSCLC patients.
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Affiliation(s)
- E C Martino
- Radiotherapy Unit, Department of Oncology, Siena University Hospital , Siena, Italy
| | - G Misso
- Department of Biochemistry, Biophysics and General Pathology, Second Naples University , Naples, Italy
| | - P Pastina
- Radiotherapy Unit, Department of Oncology, Siena University Hospital , Siena, Italy
| | | | - F Vanni
- Radiotherapy Unit, Department of Oncology, Siena University Hospital , Siena, Italy
| | - C Gandolfo
- Microbiology and Virology Unit, Department of Medical Biotechnology , Siena, Italy
| | - C Botta
- Medical Oncology Unit, 'Magna Graecia' University and AUO 'Materdomini' , Catanzaro, Italy
| | | | - A Lombardi
- Department of Biochemistry, Biophysics and General Pathology, Second Naples University , Naples, Italy
| | - L Pirtoli
- Radiotherapy Unit, Department of Oncology, Siena University Hospital , Siena, Italy
| | - P Tassone
- Medical Oncology Unit, 'Magna Graecia' University and AUO 'Materdomini' , Catanzaro, Italy
| | - C Ulivieri
- Department of Science of Life; University of Siena , Siena, Italy
| | - P Tagliaferri
- Medical Oncology Unit, 'Magna Graecia' University and AUO 'Materdomini' , Catanzaro, Italy
| | - M G Cusi
- Microbiology and Virology Unit, Department of Medical Biotechnology , Siena, Italy
| | - M Caraglia
- Department of Biochemistry, Biophysics and General Pathology, Second Naples University , Naples, Italy
| | - P Correale
- Radiotherapy Unit, Department of Oncology, Siena University Hospital , Siena, Italy
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Nardone V, Tini P, Mazzoni L, Penna A, Biondi M, Sebaste L, Carfagno T, Vanzi E, De Otto G, Battaglia G, Pastina P, Carbone S, Buonamici FB, Pirtoli L. Prognostic role of texture analysis in lung cancer treated with stereotactic ablative radiotherapy (SABR). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw381.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Carfagno T, Semeraro L, Nardone V, Vischi G, Ferrara P, Ambrosio M, Barone A, Martino E, Pastina P, Pirtoli L, Correale P. Inflammatory status and lymphocyte of infiltration of primary tumor predict survival of prostate cancer patients undergone prostate radical radiotherapy. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv341.15] [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: 11/13/2022] Open
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