Publications by authors named "D Curione"

Article Synopsis
  • The study focuses on the use of Cardiac Magnetic Resonance (CMR) parametric mapping to better characterize pediatric cardiac tumors, an area that hasn't been thoroughly explored.
  • In a sample of 16 pediatric patients, various tumors were identified, including hemangiomas, fibromas, rhabdomyomas, and lipomas, with significant differences found in native T1 and extracellular volume (ECV) values among these types.
  • The findings suggest that mass mapping analysis is both feasible and reliable for children, with ECV values being particularly useful for differentiating tumor types, closely resembling normal heart tissue in rhabdomyoma, and showing distinct measurements in the other tumor types.*
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Cardiovascular magnetic resonance (CMR) and computed tomography (CCT) are advanced imaging modalities that recently revolutionized the conventional diagnostic approach to congenital heart diseases (CHD), supporting echocardiography and often replacing cardiac catheterization. This is the second of two complementary documents, endorsed by experts from the Working Group of the Italian Society of Pediatric Cardiology and the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, aimed at giving updated indications on the appropriate use of CMR and CCT in different clinical CHD settings, in both pediatrics and adults. In this article, support is also given to radiologists, pediatricians, cardiologists, and cardiac surgeons for indications and appropriateness criteria for CMR and CCT in the most referred CHD, following the proposed new criteria presented and discussed in the first document.

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Congenital heart diseases affect 1% of all live births in the general population. The prognosis of these children is increasingly improving due to advances in medical care and surgical treatment. Imaging is also evolving rapidly to assess accurately complex cardiac anomalies prenatally and postnatally.

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Article Synopsis
  • Primary cardiac tumors are very rare, especially in children, with prevalence rates between 0.0017-0.28% noted in autopsy studies, highlighting the need for a standardized diagnostic approach due to limited case reports.
  • The initial diagnostic method typically used is transthoracic echocardiogram (TTE), valued for its accessibility, affordability, and non-invasive nature, which helps in identifying the location and features of the tumors.
  • Recently, cardiac magnetic resonance imaging (CMR) has gained prominence for its ability to accurately characterize soft tissue masses and assess their size and extent, making it a preferred imaging technique in pediatric cases while still allowing for adaptations based on patient needs.
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Whilst there has been significant public health benefits associated with global use of COVID-19 spike protein vaccines, potential serious adverse events following immunization have been reported. Acute myocarditis is a rare complication of COVID19 vaccines and often it is self-limiting. We describe two cases experiencing recurrent myocarditis following mRNA COVID-19 vaccine despite a prior episode with full clinical recovery.

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