Publications by authors named "Francesco M Ronza"

Article Synopsis
  • Traumatic vascular injuries involve damage to arteries and veins, making up 3% of all trauma cases, and often lead to serious issues like hemorrhage and ischemia.
  • These injuries frequently affect the lower extremities and can occur alone or alongside other severe injuries, representing 1-2% of emergency department admissions and around 50% of arterial injuries.
  • The effectiveness of treatment largely depends on the patient's environment and the timing of care, with computed tomography angiography (CTA) serving as a crucial tool for diagnosis and assessment, despite challenges in prioritizing injuries in complex trauma cases.
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Article Synopsis
  • Mesenteric ischemia has a high mortality rate (up to 50%) due to challenges in diagnosis, primarily because symptoms can be vague and non-specific.
  • Multi-Detector CT Angiography (MDCTA) is the preferred diagnostic tool for identifying issues related to vascular abdominal problems, especially for detecting mesenteric bowel ischemia accurately.
  • The paper aims to outline the best practices for CT Angiography protocols, explain the blood supply and ischemic patterns of the gastrointestinal tract, and detail CT findings necessary for diagnosing acute mesenteric ischemia.
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Article Synopsis
  • This study details the imaging findings and pathology of a rare case of tumoral calcinosis, also known as Teutschlander disease, which had silent symptoms for the first ten years of life.
  • The condition first manifested as recurring lesions in the elbows and later developed into an active growth lesion in the left hip at age seventy.
  • The paper also includes a review of the disease's causes, its clinical progression, and how to differentiate it from other conditions using imaging techniques.
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Introduction: Irreversible electroporation (IRE) is a non-thermal ablation technique recently used in pancreatic cancer. In our prospective study we evaluated safety, feasibility and efficacy of a neoadjuvant protocol based on CT-guided percutaneous IRE followed by chemotherapy in patients with locally advanced pancreatic cancer (LAPC).

Methods: We performed CT-guided percutaneous IRE in 20 patients with LAPC, followed by a combination of gemcitabine (1000 mg/mq) and oxaliplatin (100 mg/mq) biweekly.

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In 2008, we performed radiofrequency ablation (RFA) in an elderly patient with a large recurrent soft-tissue sarcoma of the thigh, previously treated with surgery and radiotherapy. After ablation, a marked shrinkage of tumor was obtained. Further local recurrences occurred during follow-up, all safely treated by RFA, with local control of the disease maintained until 6-year follow-up.

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Purpose: To assess the diagnostic performance of multiparametric MRI (mpMRI), in the detection of prostate cancer, including morphologic sequences (mMRI), diffusion-weighted imaging (DWI), and MR spectroscopy (MRS). Combined morphological and functional MRI scoring systems was used for urological–radiological work-up of patients with a prostate-specific antigen (PSA) value ≤ 10 ng/mL.

Materials And Methods: The study included 136 of 200 consecutive patients with PSA values between 2.

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Background: The use of magnetic resonance spectroscopy imaging (MRSI) and dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) have emerged as a valid diagnostic tools for prostate cancer (CaP).

Methods: Men with PSA levels below 10 ng/ml were enrolled in a prospective cohort study and underwent combined MRSI and DCE-MRI and transrectal ultrasound-guided prostate biopsy. Imaging was performed using a 1.

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Objective: Locally recurrent rectal adenocarcinoma remains a therapeutic challenge that is unsatisfactorily managed by surgery and radiation therapy or chemotherapy. Palliative CT-guided radiofrequency ablation was used in 14 patients with recurrent rectal adenocarcinoma who had been previously treated with abdominoperineal resection and radiation therapy. Follow-up CT or MRI was performed at 3, 6, 12, and 24 months.

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