Publications by authors named "D Turilli"
Primary pelvic peritoneal masses, not arising from major organs, are uncommon in adults. Leiomyomas are a group of benign smooth muscle tumors, most commonly found in the uterus in premenopausal women (70-80%). Extra-uterine locations are very rare and more frequent in women.
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- Differentiating neuromyelitis optica spectrum disorder (NMOSD) from similar conditions is essential to prevent misdiagnosis, particularly without the presence of aquaporin-4-IgG.* -
- A systematic review of 68 cases identified various non-demyelinating disorders that were misdiagnosed as NMOSD, with 82% of patients not meeting the 2015 diagnostic criteria; common symptoms included myelopathy and optic neuropathy.* -
- Key red flags for misdiagnosis included absence of cerebrospinal fluid pleocytosis, lack of response to immunotherapy, progressive disease course, and no gadolinium enhancement in MRI scans.*
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- Coronary computed tomography angiography (CCTA) is being optimized to reduce radiation exposure while producing detailed images of coronary arteries.
- Recent technological advancements have led to a significant decrease in the median Dose-Length Product (DLP) values for CCTA at our center, from 1158 mGy·cm to 221 mGy·cm overall.
- The optimization success is attributed to improvements in technology, acquisition techniques, and image reconstruction algorithms, with future goals focused on enhancing image quality through advanced studies.
Abdominal Emergencies in Cancer Patients.
Can Assoc Radiol J
February 2024
Abdominal emergencies in cancer patients encompass a wide spectrum of oncologic conditions caused directly by malignancies, paraneoplastic syndromes, reactions to the chemotherapy or often represent the first clinical manifestation of an unknown malignancy. Not rarely, clinical symptoms are the tip of an iceberg. In this scenario, the radiologist is asked to exclude the cause responsible for the patient's symptoms, to suggest the best way to manage and to rule out the underlying malignancy.
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- The study focuses on identifying conditions that can mimic autoimmune encephalitis (AE) and lead to misdiagnosis.
- Researchers reviewed 58 studies and identified 66 patients who were misdiagnosed, with the main categories being neoplastic, infectious, genetic, neurodegenerative, and other neurological disorders.
- Key factors contributing to these misdiagnoses included not meeting AE diagnostic criteria, unusual imaging results, non-inflammatory cerebrospinal fluid (CSF) findings, and weak responses to immunotherapy.