Publications by authors named "Davide 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.*
Coronary computed tomography angiography (CCTA) is a medical imaging technique that produces detailed images of the coronary arteries. Our work focuses on the optimization of the prospectively ECG-triggered scan technique, which delivers the radiation efficiently only during a fraction of the R-R interval, matching the aim of reducing radiation dose in this increasingly used radiological examination. In this work, we analyzed how the median DLP (Dose-Length Product) values for CCTA of our Center decreased significantly in recent times mainly due to a notable change in the technology used.
View Article and Find Full Text PDFAbdominal 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.
Background: Contrast-enhanced ultrasound (CEUS) is considered a secondary examination compared to computed tomography (CT) and magnetic resonance imaging (MRI) in the diagnosis of hepatocellular carcinoma (HCC), due to the risk of misdiagnosing intrahepatic cholangiocarcinoma (ICC). The introduction of CEUS Liver Imaging Reporting and Data System (CEUS LI-RADS) might overcome this limitation. Even though data from the literature seems promising, its reliability in real-life context has not been well-established yet.
View Article and Find Full Text PDFHepatopancreatoduodenectomy for the treatment of extrahepatic cholangiocarcinoma.
Hepatobiliary Pancreat Dis Int
August 2023
Background: Hepatopancreatoduodenectomy (HPD) is the simultaneous combination of hepatic resection, pancreaticoduodenectomy, and resection of the entire extrahepatic biliary system. HPD is not a universally accepted due to high mortality and morbidity rates, as well as to controversial survival benefits.
Aim: To evaluate the current role of HPD for curative treatment of gallbladder cancer (GC) or extrahepatic cholangiocarcinoma (ECC) invading both the hepatic hilum and the intrapancreatic common bile duct.