Publications by authors named "Juliano A"

Article Synopsis
  • MOGAD encephalitis and ADEM present similar symptoms to autoimmune encephalitis (AE) linked with anti-neuronal antibodies, but their treatment and outcomes vary, and testing for anti-MOG antibodies is not routine.
  • In a study of 481 patients with suspected AE, only 3.5% had anti-MOG antibodies, with a higher prevalence in children compared to adults.
  • Patients with MOGAD exhibited fewer behavioral and movement disorders compared to those with AE, but had more symptoms related to demyelination, highlighting the need to consider MOGAD as a differential diagnosis in cases of possible AE.
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Many psychopathologies tied to internalizing symptomatology emerge during adolescence, therefore identifying neural markers of internalizing behavior in childhood may allow for early intervention. We utilized data from the Adolescent Brain and Cognitive Development (ABCD) Study® to evaluate associations between cortico-amygdalar functional connectivity, polygenic risk for depression (PRS), traumatic events experienced, internalizing behavior, and internalizing subscales: withdrawn/depressed behavior, somatic complaints, and anxious/depressed behaviors. Data from 6371 children (ages 9-11) were used to analyze amygdala resting-state fMRI connectivity to Gordon parcellation based whole-brain regions of interest (ROIs).

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FUS::CREM fusion is a distinct primary driver in rare neoplasms of the head and neck and other anatomic sites. Herein, we describe the clinicopathological, imaging, and molecular features of a malignant epithelioid mesenchymal neoplasm harboring FUS::CREM fusion, arising in the tongue of a 46-year-old male. Clinically, the patient presented with a left upper neck mass.

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Article Synopsis
  • - The study focuses on Menière disease (MD), which has two main types: one with an underdeveloped endolymphatic sac (MD-hp) and another with a normally developed sac that deteriorates (MD-dg). Understanding which type a patient has is crucial for predicting disease progression and guiding treatment.
  • - Researchers analyzed CT scans of 32 patients with definite MD and 33 healthy controls to measure the angular trajectory of the vestibular aqueduct (ATVA) and the thickness of the surrounding bone, looking for correlations that could help in differentiating MD types.
  • - Results indicated that patients with MD-hp had significantly thinner retrolabyrinthine bone compared to those with MD-dg, suggesting a
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Background: Genetic optic atrophies comprise phenotypically heterogenous disorders of mitochondrial function. We aimed to correlate quantitative neuroimaging findings of the optic nerves in these disorders with clinical measures.

Methods: From a retrospective database of 111 patients with bilateral optic atrophy referred for genetic testing, 15 patients diagnosed with nonglaucomatous optic atrophy of genetic origin (7 patients with pathogenic variants in OPA1, 3 patients with Wolfram syndrome, and 5 patients with Leber hereditary optic neuropathy) who had accessible magnetic resonance (MR) images of the orbits and/or brain were analyzed.

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Objective: To evaluate for correlation between intraoperative ultrasound (IOUS)-measured tumor thickness (TT) (uTT) and histopathological TT (hTT), and to compare IOUS-assisted resection with conventional resection in patients with oral tongue cancers.

Data Sources: Ovid MEDLINE (1946-2023), Embase.com (1947-2023), and Web of Science (All Databases 1900-2023).

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Purpose: Incomplete partition type II (IP-II) is characterized by specific histological features and radiological appearance. It may occur in isolation or in association with an enlarged vestibular aqueduct (EVA). Among those with IP-II and EVA, a subset has a diagnosis of Pendred syndrome.

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The American Society of Neuroradiology has expanded its global presence, driven by the efforts of the International Collaborations Committee. This committee is actively involved in training radiologists and fostering collaborations worldwide in the fields of education, research, and community service. This article explores key initiatives of the committee, such as the Anne G.

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Background: Anatomic landmarks such as the tympanomastoid suture line, posterior belly of the digastric muscle, tragal pointer, and styloid process can assist the parotid surgeon in identifying and preserving the facial nerve. Vascular structures such as the posterior auricular artery and its branch, the stylomastoid artery, lay in close proximity to the facial nerve and have been proposed as landmarks for the identification of the facial nerve. In this case report, we describe an anatomic variation in which the stylomastoid artery has fenestrated the main trunk of the facial nerve, dividing it in two.

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Article Synopsis
  • - The study suggests that preimplantation word scores aren't reliable for predicting outcomes after cochlear implantation in adults who lost their hearing after learning to speak.
  • - Researchers analyzed 228 patients and found that only age and the cause of hearing loss significantly impacted post-implantation results, while factors like preimplantation word scores showed no predictive power.
  • - Histopathological analysis indicated that a significant number of surviving neurons is necessary for improved word recognition, with most patients showing at least some improvement regardless of their pre-implantation scores.
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Objective: To validate how an automated model for vestibular schwannoma (VS) segmentation developed on an external homogeneous dataset performs when applied to internal heterogeneous data.

Patients: The external dataset comprised 242 patients with previously untreated, sporadic unilateral VS undergoing Gamma Knife radiosurgery, with homogeneous magnetic resonance imaging (MRI) scans. The internal dataset comprised 10 patients from our institution, with heterogeneous MRI scans.

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Background: Neoplasms derived from the sinonasal epithelium are a rare finding in the temporal bone, and their origins are controversial.

Purpose: To review the characteristics of sinonasal epithelial (previously known as Schneiderian) tumors occurring in the temporal bone.

Data Source: This was a 2-center case series and systematic review of MEDLINE, EMBASE, and the Web of Science through May 2021.

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  • The study reviews the last 25 years of functional magnetic resonance imaging drug cue reactivity (FDCR) research, highlighting the gap between findings and clinical applications as no FDCR-derived biomarkers have been approved yet.
  • The objective is to summarize FDCR research, evaluate its readiness for biomarker development, and propose a systematic process for qualifying these biomarkers in the context of addiction treatment.
  • Out of 415 published FDCR studies from 1998 to 2022, a significant number explored addictive substances like nicotine and alcohol, suggesting potential for developing various types of biomarkers related to addiction, though most studies mainly focused on therapeutic and diagnostic responses.
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Objective: To assess the rate of iatrogenic injury to the inner ear in vestibular schwannoma resections.

Study Design: Retrospective case review.

Setting: Multiple academic tertiary care hospitals.

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Tinnitus is abnormal perception of sound and has many subtypes. Clinical evaluation, audiometry, and otoscopy should be performed before ordering any imaging, as the choice of imaging will depend on various factors. Type of tinnitus (pulsatile or nonpulsatile) and otoscopy findings of a vascular retrotympanic lesion are key determinants to guide the choice of imaging studies.

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Imaging of head and neck cancer at initial staging and as part of post-treatment surveillance is a key component of patient care as it guides treatment strategy and aids determination of prognosis. Head and neck cancer includes a heterogenous group of malignancies encompassing several anatomic sites and histologies, with squamous cell carcinoma the most common. Together this comprises the seventh most common cancer worldwide.

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Photobiomodulation therapy (PBMT) is recommended for prevention and treatment of oral mucositis, a painful condition that occurs in cancer patients. Intraoral PBMT is limited to treating distal oral mucosa and oropharynx. Extraoral PBMT may provide a more efficient intervention.

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Leveraging ~10 years of prospective longitudinal data on 704 participants, we examined the effects of adolescent versus young adult cannabis initiation on MRI-assessed cortical thickness development and behavior. Data were obtained from the IMAGEN study conducted across eight European sites. We identified IMAGEN participants who reported being cannabis-naïve at baseline and had data available at baseline, 5-year, and 9-year follow-up visits.

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Background: Pretreatment identification of pathological extranodal extension (ENE) would guide therapy de-escalation strategies for in human papillomavirus (HPV)-associated oropharyngeal carcinoma but is diagnostically challenging. ECOG-ACRIN Cancer Research Group E3311 was a multicentre trial wherein patients with HPV-associated oropharyngeal carcinoma were treated surgically and assigned to a pathological risk-based adjuvant strategy of observation, radiation, or concurrent chemoradiation. Despite protocol exclusion of patients with overt radiographic ENE, more than 30% had pathological ENE and required postoperative chemoradiation.

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Intraoperative ultrasound (IOUS) is a potentially useful adjunct to the resection of oral tongue cancers (OTC). IOUS images of the tumor-normal tissue interface show different patterns of invasion. In this retrospective series of 29 patients treated for OTC, we evaluated if there was a correlation between IOUS findings of patterns of invasion and final histology and assessed if there was any associated risk of increased incidence of positive or close margins with different patterns of invasion as seen on ultrasound.

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Objectives: Accurate pre-treatment imaging determination of extranodal extension (ENE) could facilitate the selection of appropriate initial therapy for HPV-positive oropharyngeal squamous cell carcinoma (HPV + OPSCC). Small studies have associated 7 CT features with ENE with varied results and agreement. This article seeks to determine the replicable diagnostic performance of these CT features for ENE.

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Article Synopsis
  • The study aimed to analyze cochlear anomalies in patients with CHARGE syndrome by reviewing genotypes and imaging from two large medical centers.
  • Researchers assessed CT and MR imaging from 2005 to 2022, categorizing cochlear abnormalities by severity and noting other related radiological findings.
  • Results showed varying cochlear morphology, predominantly hypoplasia, with consistent issues in semicircular canals and vestibules, indicating the CHD7 gene's impact on cochlear development and aiding in clinical diagnosis and surgical planning.
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With the routine use of high-resolution heavily T2-weighted sequences to evaluate patients with hearing deficits, new, subtle phenotypes of cochlear malformations are being discovered and an increasing number of genotype-phenotype correlations are being found through a reverse phenotype approach, which can help guide geneticists. In this brief report, we present subtle malformations of the apical turn of the cochlea related to 3 genetic mutations, emphasizing the importance of a careful assessment of the cochlear apex.

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