Publications by authors named "Jean-Marc Garcier"

Background And Objectives: Surgical correction of nonsyndromic craniosynostosis (NSC) aims to restore cranial shape. Reossification of bone defects is paramount for the best aesthetic prognosis. However, the literature on the quantitative evaluation of bone defects after NSC surgery is scarce.

View Article and Find Full Text PDF

Purpose: Immunotherapy has dramatically improved the prognosis of patients with metastatic melanoma (MM). Yet, there is a lack of biomarkers to predict whether a patient will benefit from immunotherapy. Our aim was to create radiomics models on pretreatment computed tomography (CT) to predict overall survival (OS) and treatment response in patients with MM treated with anti-PD-1 immunotherapy.

View Article and Find Full Text PDF

Objective: Shunt malfunctions seem more frequent in children (44 to 81%) than in adults (18 to 29%). Because of discrepancies between studies, it is not possible to affirm this disparity. The objective was to verify whether the incidence of cerebrospinal fluid (CSF) shunt malfunctions is higher in children than adults.

View Article and Find Full Text PDF

Purpose: Given the growing prevalence of obesity and metabolic syndrome, the management of hepatic steatosis, especially its quantification, is a major issue. We assessed the quantification of liver steatosis using four different MR methods, in order to determine the one that is best correlated with the reference method which consists of histological measurement by liver biopsy.

Method: Seventy-one successive patients requiring liver biopsy for acute or chronic liver disease were enrolled prospectively between March 2017 and March 2018, 11 were excluded and 60 were reported.

View Article and Find Full Text PDF

Background: The effect of personalised mechanical ventilation on clinical outcomes in patients with acute respiratory distress syndrome (ARDS) remains uncertain and needs to be evaluated. We aimed to test whether a mechanical ventilation strategy that was personalised to individual patients' lung morphology would improve the survival of patients with ARDS when compared with standard of care.

Methods: We designed a multicentre, single-blind, stratified, parallel-group, randomised controlled trial enrolling patients with moderate-to-severe ARDS in 20 university or non-university intensive care units in France.

View Article and Find Full Text PDF

Background: High frequency percussive ventilation (HFPV) combines diffusive (high frequency mini-bursts) and convective ventilation patterns. Benefits include enhanced oxygenation and hemodynamics, and alveolar recruitment, while providing hypothetic lung-protective ventilation. No study has investigated HFPV-induced changes in lung aeration in patients with early acute respiratory distress syndrome (ARDS).

View Article and Find Full Text PDF

Objectives: To describe computed tomography (CT) scanning parameters, volume CT dose index (CTDIvol) and dose-length product (DLP) in paediatric practice and compare them to current diagnostic reference levels (DRLs).

Methods: The survey was conducted in radiology departments of six major university hospitals in France in 2010-2013. Data collection was automatised to extract and standardise information on scanning parameters from DICOM-header files.

View Article and Find Full Text PDF
Article Synopsis
  • This study compared the foramen magnum area (FMA) and posterior cranial fossa volume (PCFV) in relation to ossification of cranial base synchondroses in healthy children.
  • It found that boys have significantly larger FMA and PCFV compared to girls, with growth occurring in two phases: rapid growth followed by stabilization, with girls' growth phases being shorter and occurring earlier.
  • The research also established a timeline for the closure of various synchondroses, indicating that earlier closure in girls contributes to their smaller FMA and PCFV at birth.
View Article and Find Full Text PDF

Hepatic capsular retraction is an imaging feature that deserves the attention of the radiologist. Hepatic capsular retraction is associated with a number of hepatic lesions, benign or malignant, treated or untreated. The purpose of this pictorial review is to discuss the most common benign and malignant hepatic lesions associated with this feature with an emphasis on magnetic resonance imaging (MRI).

View Article and Find Full Text PDF

Abdominal wall endometriosis is unusual and mostly occurs in scars following Cesarean section. Although malignant transformation is rare, it must be recognized in order to benefit from radical resection. We report a very rare case of mixed endometrioid and serous carcinoma developing in a Cesarean section endometriosis scar and the way we managed it using surgery and chemotherapy.

View Article and Find Full Text PDF

Purpose: To describe in CT scan the absence of a portal vein bifurcation.

Methods: We described the contrast-enhanced CT scan appearance of an absence of portal vein bifurcation in an "asymptomatic" 39 year old woman.

Results: It was a single intrahepatic portal vein which crossed the entire liver parenchyma from the right to the left and with a gradually decreasing diameter.

View Article and Find Full Text PDF

Hepatic necrosis after ethanol ablation for hepatocellular carcinoma (HCC), although rare, is well known and described, particularly in patients with chronic liver disease. The present report describes a rare case of massive hepatic necrosis with partial gastric, splenic, and pancreatic infarctions after local treatment of liver HCC with ethanol ablation and discusses the reasons for this complication. With the increasing use of percutaneous techniques to treat liver tumors, it is imperative for the interventional radiologist to be aware of the potential vascular complications of these techniques.

View Article and Find Full Text PDF
Article Synopsis
  • Percutaneous stenting of the superior vena cava is generally considered a low-risk, palliative treatment for malignant SVC obstruction.
  • The report highlights two rare cases where patients experienced cardiac tamponade after undergoing SVC stenting.
  • Echocardiography plays a crucial role in quickly diagnosing this complication and facilitating pericardial drainage during the procedure.
View Article and Find Full Text PDF

Epithelioid hemangioendothelioma of the liver is a very rare vascular tumour in children with intermediate malignant potential. We present a case in which the typical imaging appearances of coalescent peripheral hepatic masses with capsular retraction contributed to the diagnosis. A positron emission tomography-CT (PET-CT) procedure was performed in staging the disease with a strong suspicion of coeliac nodal involvement confirmed after laparotomy and histological analysis.

View Article and Find Full Text PDF
Article Synopsis
  • Interventional radiology has expanded significantly, allowing for a range of arterial and venous procedures in cancer treatment, including emergency and planned palliative or curative options.
  • Successful interventions require a team approach, addressing factors like iodine contrast media use, immunosuppression, hemostasis issues, and appropriate pain management strategies.
  • The review details various endovascular procedures like biopsies, embolization for tumor treatment, revascularization for vein or artery blockages, and management of central venous access complications.
View Article and Find Full Text PDF

We report a case of a bilateral persistent sciatic artery aneurysm, diagnosed by atypical sciatica on computed tomography and magnetic resonance imaging. The different variants, the revealing features, and possible treatment are discussed.

View Article and Find Full Text PDF

In paleo-anthropology the fragility of fossil pieces (teeth and supporting bones) reduces their possible manipulation when studying the interarch relations. Two original impression methods of the jaw pieces are proposed, both adapted from those currently practiced in odontology. The plaster replicas of the dental occlusal parts are prepared according to the manufacturing procedures used in prosthetic dental laboratories.

View Article and Find Full Text PDF

The aim of this work was to study the wear affecting the almost complete dentition of a Sao individual fossil from Cameroon prehistory (XIVth century). Occlusal surfaces of the fossil fragile pieces were plaster replicated with an original technique adapted from usual dental impression methods (silicon elastomer polymerising by addition). Axial macro-photographs of both sectional dental casts and original pieces made it possible to produce drawings of the occlusal areas on transparencies in order to superimpose the lateral hemiarch counterparts in their optimal intercuspal position.

View Article and Find Full Text PDF
Article Synopsis
  • Dental occlusal relations in paleo-anthropology are infrequently documented, but techniques like hemi-arch replicas and superimposing drawings have been used to study these relationships.
  • The analysis focused on relationships between dental arches and molars in different planes, providing insights into the functional aspects of tooth contact during chewing.
  • Despite some alterations like canine extrusion from tribal practices, the overall dental structure maintained a regular and balanced wear pattern, indicating stable interarch relations.
View Article and Find Full Text PDF

We evaluated immediate and long-term results of percutaneous transluminal angioplasty (PTA) and stent placement to treat stenotic and occluded arteries in patients with chronic mesenteric ischemia. Fourteen patients were treated by 3 exclusive celiac artery (CA) PTAs (2 stentings), 3 cases with both Superior Mesenteric Artery (SMA) and CA angioplasties, and 8 exclusive SMA angioplasties (3 stentings). Eleven patients had atheromatous stenoses with one case of an early onset atheroma in an HIV patient with antiphospholipid syndrome.

View Article and Find Full Text PDF