Publications by authors named "Madhavi Tripathi"

Purpose: This study aimed to assess the biodistribution and radiation dosimetry of 68Ga-DATA5m LM4 in patients with gastroenteropancreatic neuroendocrine tumors.

Patients And Methods: Eight patients (5 females and 3 males) with various gastroenteropancreatic neuroendocrine tumors were included in the study. Each patient underwent 3 whole-body PET scans at 10, 60, and 120 minutes after receiving an IV injection of approximately 162.

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Background And Objectives: Tau PET is being increasingly appraised as a novel diagnostic modality for dementia work up. Given limited data among South Asians, we assessed the frequency, patterns, phenotypic associations and incremental value of positive Tau PET scans in clinically diagnosed neurodegenerative dementia.

Methods: This cross-sectional study recruited consecutive patients of Alzheimer's disease (AD) and non-AD syndromes (September 2021 to October 2022, India).

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Introduction: Plasma cell-free DNA (cfDNA) estimation offers a non-invasive method to potentially diagnose, monitor, and prognosticate patients with malignancy. This prospective study aimed to assess plasma cfDNA levels in patients with differentiated thyroid cancer (DTC) to determine its role in predicting disease status in the post-operative setting.

Materials And Methods: This was a single-center prospective observational study conducted at a public medical research university and hospital in New Delhi, India.

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Article Synopsis
  • The study aimed to identify treatment endpoints for necrotizing otitis externa (NOE) and examine the relationship between inflammatory markers (ESR and CRP) and disease status.
  • Conducted over two years with 28 patients, the research found a strong agreement between clinical improvement and PET-scan results, indicating that treatment termination can be guided by symptom relief.
  • Although inflammatory markers declined with clinical resolution, they did not return to normal levels, suggesting that while symptoms may improve, underlying inflammation could persist.
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We present a case of 12-year-old boy evaluated in view of refractory ascites in whom 18 F-FDG PET/CT incidentally revealed hypermetabolism in the medulla that was proven to be hypertrophic olivary degeneration on MRI.

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  • Immune-mediated epilepsy (IME) is a significant type of epilepsy that doesn't respond to typical drugs, requiring quick diagnosis and treatment with immunosuppressants alongside antiseizure medications.
  • The study discusses three unrelated children who developed fever, brain dysfunction, and seizures, ultimately testing positive for specific rare antibodies that indicate an immune-related brain condition.
  • Imaging showed abnormal brain activity connected to autoimmune encephalitis, and while treatment led to varying levels of seizure control, some behavioral issues remained in all patients, highlighting that early immunosuppression doesn’t always ensure a complete recovery.
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  • Two patients with established Wilson's disease had calcific myonecrosis in their pelvic girdles after pelvic fractures, complicating their treatment.
  • Despite initial benefits from chelation therapy, both experienced worsening ambulation, leading to concerns about neurological decline.
  • Investigation showed the issue was due to calcific myonecrosis, a previously unrecognized complication of Wilson's disease, which improved with intensive rehabilitation, suggesting early recognition could prevent further disability.
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Purpose: This study evaluates the efficacy of SISCOS (Subtraction ictal-interictal SPECT coregistered to SPECT) in localizing the epileptogenic zone (EZ) in focal cortical dysplasia (FCD), comparing its predictive performance with MRI and post-surgical outcomes based on ILAE classification.

Methods: 84 patients with drug refractory epilepsy (DRE) who were operated and had histopathology consistent with FCD, were included in the study. All patients had undergone a complete work-up including SISCOS and MRI for EZ localization, followed by discussion in the multidisciplinary epilepsy surgery meeting prior to surgery.

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Neuroendocrine tumors (NETs) are slow-growing tumors that express high levels of somatostatin receptors (SSTRs). Recent studies have shown the superiority of radiolabeled SSTR antagonists in theranostics compared to agonists. In this prospective study, we compared the diagnostic efficacy between [Ga]Ga-DOTANOC and [Ga]Ga-DATA-LM4 in the detection of primary and metastatic lesions in patients with well differentiated gastroenteropancreatic (GEP) NETs.

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  • Neuropsychological Rehabilitation (NR) is crucial for managing cognitive deficits in epilepsy, particularly in resource-limited countries, leading to the development of a culturally suitable 6-week program called EMPOWER, which includes psychoeducation, compensatory training, and cognitive retraining.
  • A randomized controlled trial was conducted with 28 adults aged 18-45 with Drug Refractory Epilepsy (DRE) to determine the program's efficacy, assessing various outcomes like memory improvement, mood, and quality of life through specific tests.
  • Results indicated significant improvements in memory-related tasks (learning, recall) and patient-reported everyday memory issues, particularly among those with temporal lobe epilepsy who had previously undergone surgery.
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Copper sulfide nanoparticles (CuS) hold tremendous potential for applications in photothermal therapy (PTT) and photoacoustic imaging (PAI). However, the conventional chemical coprecipitation method often leads to particle agglomeration issues. To overcome this challenge, we utilized polyvinylpyrrolidone (PVP) as a stabilizing agent, resulting in the synthesis of small PVP-CuS nanoparticles named PC10, PCK30, and PC40.

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Background: Hemispherotomy (HS) is an effective treatment for unilateral hemispheric onset epilepsy. There are few publications for HS in adults, and there is no series comparing adults and pediatric patients of HS.

Objective: To compare the hemispherotomies done in adult patients with pediatric ones in terms of efficacy and safety.

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Tertiary hyperparathyroidism (THPT) is characterized by over secretion of parathyroid hormone caused by long-standing secondary hyperparathyroidism. THPT can affect the bones as well as cause extraskeletal calcifications. The bony lesions often mimic multiple skeletal metastases or multiple myeloma.

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Paraneoplastic neurologic syndromes (PNSs) are rare in pediatrics and are understood to be consequences of cross-reactivity against various neuroendocrine antigens expressed on cancer cells. Here, we report a case of autoimmune encephalitis, a type of PNS associated with a case of adrenocortical carcinoma (ACC), that had a clinical response to immunosuppressive therapy. ACC is a rare tumor with controversial tissue of origin but expresses various neuroendocrine antigens that could be the possible mechanism for this rare yet interesting association.

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In this case report, we present the clinical management of a 52-year-old female patient with a recurrent right temporo-parietal glioblastoma multiforme (GBM). The patient presented with symptoms of headache and loss of balance and recurrence on magnetic resonance imaging (MRI). To evaluate the fibroblast activation protein inhibitor (FAPi) expression in the recurrent lesion, an exploratory [ Ga]Ga-DOTA.

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Purpose: The aim of this study was to directly evaluate glucose, amino-acid and membrane metabolism in tumor cells for diagnosis and prognostication of recurrent gliomas.

Methods: Fifty-five patients (median age = 36 years; 33 men) with histologically proven gliomas and suspected recurrence were prospectively recruited and underwent 18F-FDG (Fluorodeoxyglucose), 18F-FDOPA (fluorodopa) and 18F-Fluorocholine-PET/CT. Images were evaluated by two physicians visually and quantitatively [lesion-SUVmax, tumor (T) to gray-matter (G) and metabolically-active tumor volumes (MTV)].

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  • The study explores the effectiveness of F-fluorocholine (FCH) PET/CT imaging for locating abnormal parathyroid tissue in patients with primary hyperparathyroidism, comparing it to standard techniques like Tc-sestamibi scintigraphy and neck ultrasonography.
  • Fifty-five patients participated in the study, undergoing multiple imaging tests, with 33 having surgical resection of identified lesions, while others were followed up clinically for results.
  • The findings revealed that F-FCH PET/CT had a superior detection rate of 97.6% for parathyroid lesions, outperforming the other methods (78.5% for Tc-sestamibi and 71.4%
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Introduction: Recurrent/persistent primary hyperparathyroidism in patients who have undergone previous parathyroidectomy is a challenging condition. Imaging is important for localizing the parathyroid adenoma for re-exploration and F-Fluorocholine (F-FCH) positron emission tomography/computed tomography (PET/CT) seems ideal for this purpose.

Aim: This prospective study attempted to ascertain the utility of F-FCH PET/CT as an investigation in preoperative localization of abnormal parathyroid tissue in recurrent/persistent primary hyperparathyroidism while comparing it with Tc-Sestamibi dual-phase scintigraphy with early single-photon emission CT (SPECT)/CT and neck ultrasonography (USG).

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  • FDG-PET is becoming a valuable imaging tool for diagnosing autoimmune encephalitis (AIE), despite not yet being part of standard diagnostic criteria.
  • A study of 52 patients revealed that FDG-PET had a higher sensitivity (86%) compared to MRI (42%) in detecting AIE, with specific metabolic patterns observed in both antibody-positive and antibody-negative cases.
  • The findings suggest that FDG-PET can aid in early diagnosis and treatment of AIE, particularly in cases where MRI results are negative.
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Objective: Skeletal metastases in differentiated thyroid cancer (DTC) patients are associated with poor prognosis. The objective was to determine the maximum I-131 cumulative activity that could be safely administered without compromising efficacy. The secondary objective was to identify other prognostic factors affecting survival outcomes.

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Purpose: The upregulation of fibroblast activation protein (FAP) expression has been observed in various cancers, including metastatic breast carcinoma, prompting research into small molecule inhibitors for both diagnostic and therapeutic purposes. While the diagnostic value of PET/CT imaging using  Ga- or F-labelled FAPi-monomers in breast cancer diagnosis is well-established, there is a significant need for therapeutic analogs. This retrospective study aimed to assess the safety and effectiveness of [Lu]Lu-DOTAGA.

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The clinical utility of F-FDG PET/CT is being increasingly recognized in histiocytic disorders. We report the case of a 23-y-old woman who presented with slowly progressive, yellowish-brown papules, plaques, and nodules over her face and flexures. Besides the multiple cutaneous lesions, lesions of the brain, stomach, gallbladder, and marrow were additionally revealed by baseline F-FDG PET/CT.

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