Publications by authors named "D'Errico L"

Background: The prognostic value of myocardial deformation parameters in adults with repaired tetralogy of Fallot (rTOF) has not been well-elucidated. We therefore aimed to explore myocardial deformation parameters for outcome prediction in adults with rTOF using cardiovascular magnetic resonance imaging (CMR).

Methods: Adults with rTOF and at least moderate pulmonary regurgitation were identified from an institutional prospective CMR registry.

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  • This study evaluated the effectiveness of ultra-low-dose chest CT (uLDCT) compared to standard low-dose chest CT (LDCT) in detecting fungal infections in immunocompromised patients.
  • One hundred patients underwent both types of scans, and three radiologists assessed the image quality and confidence in finding major and minor fungal infection signs.
  • The results showed uLDCT achieved high accuracy for detecting fungal disease, notably with an effective dose significantly lower (one quarter) than LDCT, making it a viable option for patients with a BMI under 30.
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Significant efforts have been made in the past decade to humanize both the form and function of social robots to increase their acceptance among humans. To this end, social robots have recently been combined with brain-computer interface (BCI) systems in an attempt to give them an understanding of human mental states, particularly emotions. However, emotion recognition using BCIs poses several challenges, such as subjectivity of emotions, contextual dependency, and a lack of reliable neuro-metrics for real-time processing of emotions.

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Background: Traditional paper-and-pencil neurocognitive evaluations and semi-structured mental health interviews can take hours to administer and score. Computerized assessment has decreased that burden substantially, and contemporary psychometric tools such as item response theory and computerized adaptive testing (CAT) allow even further abbreviation.

New Method: The goal of this paper was to describe the application of CAT and related methods to the Penn Computerized Neurocognitive Battery (CNB) and a well-validated clinical assessment in order to increase efficiency in assessment and relevant domain coverage.

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Acute lung injury (ALI) is a common but poorly defined and understood complication of balloon pulmonary angioplasty (BPA) for chronic thromboembolic pulmonary hypertension (CTEPH). Little data are available on the medium term clinical outcomes of BPA complicated by ALI. We analyzed per-procedure data from 282 procedures in 109 patients and per-patient data from 85 patients.

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Background: Heart transplantation (HTx) after donation after circulatory death (DCD) is an expanding practice but is associated with increased warm ischemic time. The impact of DCD HTx on cardiac mechanics and myocardial fibrosis has not been reported. We aimed to compare cardiac mechanics and myocardial fibrosis using cardiovascular magnetic resonance (CMR) imaging in donation after brain death (DBD) and DCD HTx recipients and healthy controls.

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Aim: To determine the yield of routine whole-body computed tomography (CT) following extracorporeal membrane oxygenation (ECMO) initiation and to assess the association of these findings with prognosis.

Materials And Methods: One hundred and ninety-eight consecutive patients with acute respiratory failure admitted for ECMO support between January 2015 and December 2019 who underwent whole-body CT performed within 48 h of ECMO initiation were examined in this single-institution retrospective study. CT findings were divided into three categories: clinically significant findings that may affect immediate management strategy or short-term outcomes; findings not related to hospital stay or outcome but require further workup; and benign findings that do not require further investigation.

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Objectives: Adverse childhood experiences (ACE) are associated with an increased risk for dementia, but this relationship and modifying factors are poorly understood. This study is the first to our knowledge to comprehensively examine the effect of ACE on specific cognitive functions and measures associated with greater risk and resiliency to cognitive decline in independent community-dwelling older adults.

Methods: Verbal/nonverbal intelligence, verbal memory, visual memory, and executive attention were assessed.

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Objectives: Lung ultrasound (LUS), through assessment of B-lines and pleural line alterations, is able to evaluate interstitial lung disease (ILD), a frequent complication of SSc. Different scanning schemes and counting methods have been proposed but no clear cut-off values have been indicated for screening. We aimed to evaluate the accuracy of different LUS methodological approaches to detect ILD compared with high-resolution CT (HRCT) as the gold standard.

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Slowed gait is one of the strongest predictors of fall risk in older adults. The present study investigated whether gait speed mediated the relationship between depression and fall history in 147 older adults presenting to a memory clinic for cognitive complaints. Depression, cognitive status, gait speed, and number of falls within the last year were the primary measures.

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  • Trastuzumab is the only approved targeted therapy for patients with HER2-amplified metastatic gastric cancer (GC), but it only provides long-term benefits for a small number of patients.
  • A study was conducted to test various HER2-targeted treatments in gastric cancer tumors with high HER2 amplification, using patient-derived xenografts.
  • The results showed that combining trastuzumab with other treatments like pertuzumab or lapatinib resulted in significantly better responses, suggesting that a stronger therapeutic approach could benefit patients with HER2-driven gastric tumors despite some previous clinical trial failures.
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  • Gastric and gastroesophageal adenocarcinomas are a major cause of cancer-related deaths, with advanced cases showing poor treatment outcomes, especially when using anti-EGFR agents without molecular selection.
  • Research included four patient cohorts and preclinical studies using patient-derived xenografts, revealing that EGFR amplification correlates with worse prognosis and treatment response.
  • The study suggests that combining EGFR inhibitors with other therapies, like mTOR inhibitors, can enhance treatment effectiveness and overcome resistance in specific cancer cases.
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Purpose: A growing number of studies on animal models have demonstrated that some ocular diseases are the result of the interaction between hyalocytes and the ocular inflammatory setting. Endogenous and exogenous substances might alter the structure and behavior of hyalocytes that can contribute to the pathogenesis of some ocular diseases. Obtaining primary cultures of human hyalocytes could help understand the role of these cells in response to different treatments.

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Background: Investigation of a simple, precision optimized, identical pre-/post-contrast modified look locker inversion recovery (MOLLI) protocol employing Composite inversion group (IG) fitting in a clinical cardiomyopathy population.

Methods: Cardiac magnetic resonance imaging (MRI) was performed at 3 Tesla in 36 patients (48.0 years [IQR: 35.

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  • Gastric cancer is the third leading cause of cancer deaths globally, and despite treatment advancements, patients with advanced stages have poor outcomes, highlighting the need for new therapeutic targets.
  • Researchers developed a comprehensive platform of gastric cancer models, including 100 patient-derived xenografts (PDX), primary cell lines, and organoids, classified by various molecular and histological traits.
  • Analysis of the PDX models revealed a specific microsatellite instability (MSI) signature that helps identify a subgroup of microsatellite stable (MSS) patients with better prognosis, suggesting new avenues for treatment and target validation.
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Background: Several studies have focused on the role of epicardial fat in the pathogenesis of cardiovascular disease (CVD). The main purpose of the study was to evaluate a computerized method for the quantitative analysis of epicardial fat volume (EFV) by non-contrast cardiac CT (NCT) for coronary calcium scan and coronary CT angiography (coronary CTA).

Methods: Thirty patients (61±12.

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Chronic lung allograft dysfunction (CLAD) reduces long-term graft survival. It is important to distinguish CLAD subtypes: bronchiolitis obliterans syndrome (BOS) and restrictive allograft syndrome (RAS) as RAS has a worse prognosis and accurate subtyping could facilitate targeted treatments. However, the current diagnosis of CLAD subtypes is based on pulmonary function test (PFT) results that reflect global estimates of lung function; anatomical modeling based on computed tomography (CT) has the potential to provide detailed analysis of global and regional lung function.

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Purpose: To assess the accuracy of iodine quantification in a phantom study at different radiation dose levels with dual-energy dual-source CT and to evaluate image quality and radiation doses in patients undergoing a single-energy and two dual-energy abdominal CT protocols.

Methods: In a phantom study, the accuracy of iodine quantification (4.5-23.

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Objectives: To evaluate the impact of model-based iterative reconstruction (MBIR) on image quality and low-contrast lesion detection compared with filtered back projection (FBP) in abdominal computed tomography (CT) of simulated medium and large patients at different tube voltages.

Methods: A phantom with 45 hypoattenuating lesions was placed in two water containers and scanned at 70, 80, 100, and 120 kVp. The 120-kVp protocol served as reference, and the volume CT dose index (CTDI) was kept constant for all protocols.

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Background: Test-retest reproducibility is of utmost importance in follow-up of right ventricular (RV) volumes and function; optimal slice orientation though is not yet known. We compared test-retest reproducibility and intra-/inter-observer variability of right ventricular (RV) volumes and function assessed with short-axis and transverse cardiovascular magnetic resonance (CMR).

Methods: Eighteen volunteers underwent cine CMR for RV assessment obtaining ventricular coverage in short-axis and transverse slice orientation.

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Purpose: To evaluate the clinical benefit of using a new iterative reconstruction technique fully integrated on a standard clinical scanner and reconstruction system using a TWIST acquisition for high-resolution dynamic three-dimensional contrast-enhanced MR angiography (CE-MRA).

Methods: Low-dose, high-resolution TWIST datasets of 11 patients were reconstructed using both standard GRAPPA-based reconstruction for reference and iterative reconstruction, which reduces the temporal footprint of reconstructed images. Image quality of both techniques was assessed by two experienced readers, as well as quantitatively evaluated using a time-signal curve analysis.

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