Publications by authors named "Jean Baptiste Pialat"

Objectives: This study aimed to assess the early functional rehabilitation outcomes following percutaneous consolidation for pelvic ring tumor lesions.

Materials And Methods: In this multicenter retrospective study, patients with pelvic bone tumor lesions, whether primitive or metastatic, underwent percutaneous consolidation (cementoplasty, screw fixation, or both). The primary outcome was postoperative weight-bearing ambulation.

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Rupture of the distal biceps brachii tendon is a rare but debilitating injury, resulting in significant loss of strength. Diagnosis of complete rupture is based on clinical history and physical tests, with surgical repair often recommended due to functional discomfort. Ultrasound (US) is a powerful tool for diagnosing and classifying ruptures, particularly partial ruptures, which is crucial for therapeutic decisions.

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Background: Pulmonary nodules are a common incidental finding on chest Computed Tomography scans (CT), most of the time outside of lung cancer screening (LCS). We aimed to evaluate the number of incidental pulmonary nodules (IPN) found in 1 year in our hospital, as well as the follow-up (FUP) rate and the clinical and radiological features associated with FUP.

Methods: We trained a Natural Language Processing (NLP) tool to identify the transcripts mentioning the presence of a pulmonary nodule, among a large population of patients from a French hospital.

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Article Synopsis
  • - The study addresses the need for reliable methods to predict the risk of fractures in patients with femoral metastases, highlighting the limitations of current clinical tools and the potential of CT-scan-based finite element analysis for better predictions.
  • - Researchers assessed the reproducibility of a promising model developed in Belgium by comparing it to an independently reproduced model in France, confirming a strong correlation but noting the reproduced model consistently predicts higher failure loads.
  • - The evaluation of the model's application on different datasets showed decreased accuracy in predictions, while the global sensitivity analysis revealed significant factors affecting results, especially the influence of the density calibration coefficient.
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  • * Manual segmentation is often tedious and can vary between experts, prompting the use of deep learning techniques to automate the process even when data is limited.
  • * The study develops a specialized pipeline using U-Net architectures for segmenting human femurs and vertebrae, showing that automated segmentation yields results comparable to manual methods in failure load simulations, highlighting its potential effectiveness.
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The gold standard for otosclerosis diagnosis, aside from surgery, is high-resolution temporal bone computed tomography (TBCT), but it can be compromised by the small size of the lesions. Many artificial intelligence (AI) algorithms exist, but they are not yet used in daily practice for otosclerosis diagnosis. The aim was to evaluate the diagnostic performance of AI in the detection of otosclerosis.

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Reinforced cementoplasty with spindles is a recently introduced technique that is mainly used for pathological fractures or for bone metastases at risk of fracture in locations with shear stresses. The technique is less challenging to perform than percutaneous screw insertion and does not require equipment sterilization. No general anesthetic is required.

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Objectives: Surgery for congenital malformation of the hand is complex and protocols are not available. Simulation could help optimize results. The objective of the present study was to design, produce and assess a 3D-printed anatomical support, to improve success in rare and complex surgeries of the hand.

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Purpose: To assess the feasibility and technical accuracy of performing pedicular screw placement combined with vertebroplasty in the radiological setting.

Methods: Patients who underwent combined vertebroplasty and pedicle screw insertion under combined computed tomography and fluoroscopic guidance in 4 interventional radiology centers from 2018 to 2023 were retrospectively assessed. Patient demographics, vertebral lesion type, and procedural data were analyzed.

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Background: Evaluation of local anesthesia for perioperative pain control in patients undergoing CT-guided percutaneous osteosynthesis.

Methods: A total of 12 patients underwent percutaneous osteosynthesis under local anesthesia. Intraoperative pain was assessed after the procedure using numerical rating scale (NRS).

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Objectives: Identification of sarcopenia is a key issue in oncology. Several methods may be used to evaluate muscle mass in patients. Routine cancer follow-up computed tomography (CT) provides axial muscle mass whereas whole-body densitometry (DEXA) measures appendicular lean mass (ALM).

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Objectives: We evaluated the contribution of lung lesion quantification on chest CT using a clinical Artificial Intelligence (AI) software in predicting death and intensive care units (ICU) admission for COVID-19 patients.

Methods: For 349 patients with positive COVID-19-PCR test that underwent a chest CT scan at admittance or during hospitalization, we applied the AI for lung and lung lesion segmentation to obtain lesion volume (LV), and LV/Total Lung Volume (TLV) ratio. ROC analysis was used to extract the best CT criterion in predicting death and ICU admission.

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Importance: There is no consensus on the benefits of routine magnetic resonance imaging (MRI) of the facial nerve in patients with suspected idiopathic peripheral facial palsy (PFP) (ie, Bell palsy [BP]).

Objectives: To estimate the proportion of adult patients in whom MRI led to correction of an initial clinical diagnosis of BP; to determine the proportion of patients with confirmed BP who had MRI evidence of facial nerve neuritis without secondary lesions; and to identify factors associated with secondary (nonidiopathic) PFP at initial presentation and 1 month later.

Design, Setting, And Participants: This retrospective multicenter cohort study analyzed the clinical and radiological data of 120 patients initially diagnosed with suspected BP from January 1, 2018, to April 30, 2022, at the emergency department of 3 tertiary referral centers in France.

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Article Synopsis
  • The study examines ethical concerns regarding resource allocation and mortality among elderly patients with COVID-19 admitted to intensive care units (ICUs) during early 2020.
  • A total of 231 patients over 60 were analyzed, revealing that 26% died within 30 days; key factors influencing mortality included age, autonomy, severity of illness, and the presence of dementia.
  • A nomogram was created to help visualize the risk factors for 30-day mortality, facilitating better decision-making for healthcare providers and communication with patients' families.
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The SARS-COV2 pandemic induces tensions on health systems and ethical dilemmas. Practitioners need help tools to define patients not candidate for ICU admission. A multicentre observational study was performed to evaluate the impact of age and geriatric parameters on 30-day mortality in patients aged ≥60 years of age.

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Introduction: Recent technological advances with dual-energy quantitative computed tomography (DEQCT) allow to combine two images of different level of energy to obtain simulated mono-energetic images at 60 keV (60KeV-QCT) with improved image contrast in clinical practice. This study includes three topics: (1) compare bone mineral content (BMC), areal and volumetric bone mineral density (aBMD, vBMD) obtained with 60KeV-QCT, single-energy QCT (SEQCT), and dual X-ray absorptiometry (DXA); (2) compare ash density and weight with respective vBMD and BMC assessed on 60KeV-QCT, SEQCT, and DXA; and (3) compare the influence of reconstruction kernels on the accuracy of vBMD and BMC using ash density and ash weight as the reference values.

Methods: DXA, SEQCT, and DEQCT acquisitions were performed ex vivo on 42 human femurs.

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Article Synopsis
  • * Evaluating fracture risk in bones affected by metastasis is essential for ensuring patient mobility and guiding treatment decisions, such as physical activity and medication.
  • * New technologies, like personalized numerical simulations and AI, are being developed to better assess bone strength and fracture risks, aiming to enhance patient care and rehabilitation strategies.
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  • The study, Senior-COVID-Rea, aims to evaluate how age and various health parameters affect mortality within 30 days for COVID-19 patients over 60 years old admitted to ICUs.
  • Conducted in seven hospitals in the Auvergne-Rhône-Alpes region of France, it will collect data on patients’ health and nutritional status before infection, alongside clinical parameters during their ICU stay.
  • The primary goal is to identify predictive factors for mortality using statistical methods, aiding clinicians in making better admission decisions for older patients with severe COVID-19.
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Objectives: To assess the diagnostic performances of chest CT for triage of patients in multiple emergency departments during COVID-19 epidemic, in comparison with reverse transcription polymerase chain reaction (RT-PCR) test.

Method: From March 3 to April 4, 2020, 694 consecutive patients from three emergency departments of a large university hospital, for which a hospitalization was planned whatever the reasons, i.e.

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Introduction: The axial cross-sectional area (CSA) of the tibial nerve can be measured with ultrasonography. In patients who have posteromedial tarsal tunnel syndrome (TTS), there is little information on the nerve's CSA even though this information could be useful for determining whether the nerve is damaged. This led us to carry out a case-control study in which the tibial nerve's axial CSA was measured in healthy patients and in patients with TTS.

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