Publications by authors named "A Cattabriga"

Background: The modern approach to treating rectal cancer, which involves total mesorectal excision directed by imaging assessments, has significantly enhanced patient outcomes. However, locally recurrent rectal cancer (LRRC) continues to be a significant clinical issue. Identifying LRRC through imaging is complex, due to the mismatch between fibrosis and inflammatory pelvic tissue.

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Article Synopsis
  • * Current guidelines recommend using Tc-Bone Scintigraphy and Contrast-Enhanced CT for staging metastatic prostate cancer, but new imaging techniques like PSMA-PET/CT and whole-body MRI (WB-MRI) show promising advantages.
  • * WB-MRI combines high-resolution imaging with functional sequences, allowing for a thorough assessment of the disease without the drawbacks of radiation or contrast agents, and although its research is still developing, it suggests a strong case for inclusion in standard cancer care alongside nuclear medicine techniques.
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According to international guidelines, patients with suspected myeloma should primarily undergo low-dose whole-body computed tomography (CT) for diagnostic purposes. To optimize sensitivity and specificity and enable treatment response assessment, whole-body MR (WB-MR) imaging should include diffusion-weighted imaging with apparent diffusion coefficient maps and T1-weighted Dixon sequences with bone marrow Fat Fraction Quantification. At baseline WB-MR imaging shows greater sensitivity for the detecting focal lesions and diffuse bone marrow infiltration pattern than 18F-fluorodeoxyglucose PET-CT, which is considered of choice for evaluating response to treatment and minimal residual disease and imaging of extramedullary disease.

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The Prostate Imaging and Reporting Data System (PI-RADS) has a key role in the management of prostate cancer (PCa). However, the clinical interpretation of PI-RADS 3 score lesions may be challenging and misleading, thus postponing PCa diagnosis to biopsy outcome. Multiparametric magnetic resonance imaging (mpMRI) radiomic analysis may represent a stand-alone noninvasive tool for PCa diagnosis.

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Article Synopsis
  • Locally Recurrent Rectal Cancer (LRRC) is a serious condition that can invade surrounding pelvic organs, making early diagnosis crucial for effective treatment.
  • The study used radiomic analysis to enhance imaging detection methods, specifically through CT and PET/CT scans, by evaluating quantitative tissue properties for better differentiation of LRRC.
  • Out of 563 patients, 57 suspected LRRC cases were analyzed, and specific radiomic features were identified that can significantly distinguish LRRC from non-LRRC cases, highlighting the importance of these techniques in improving diagnostic accuracy.
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