Objectives: To evaluate liver enhancement and image quality of abdominal CECT examinations acquired with multiple LBW-based contrast medium injection protocols.
Material & Methods: One hundred fifty patients who underwent a clinically indicated CECT examination were prospectively and randomly assigned to one of the following contrast medium injection protocol groups: A, 700 mg iodine(I)/kg of LBW; B, 650 mgI/kg of LBW; and C, 600 mgI/kg of LBW. Liver signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and magnitude of contrast enhancement (ΔHU) were calculated.
To evaluate a radiomic strategy for predicting progression in advanced gastroenteropancreatic neuroendocrine tumor (GEP-NET) patients treated with somatostatin analogs (SSAs). Fifty-eight patients with GEP-NETs and liver metastases, with baseline computerized tomography (CT) scans from June 2013 to November 2020, were studied retrospectively. Data collected included progression-free survival (PFS), overall survival (OS), tumor grading, death, and Ki67 index.
View Article and Find Full Text PDFThe aim of these evidence-based guidelines is to present a consensus position from members of the Italian Unitary Society of Colon-Proctology (Società Italiana Unitaria di Colon-Proctologia, SIUCP) on the diagnosis and management of hemorrhoidal disease, with the goal of guiding physicians in the choice of the best treatment option. A panel of experts was charged by the Board of the SIUCP to develop key questions on the main topics related to the management of hemorrhoidal disease and to perform an accurate and comprehensive literature search on each topic, in order to provide evidence-based answers to the questions and to summarize them in statements. All the clinical questions were discussed by the expert panel in multiple rounds through the Delphi approach and, for each statement, a consensus among the experts was reached.
View Article and Find Full Text PDFMagnetic resonance elastography (MRE) is an imaging technique that combines low-frequency mechanical vibrations with magnetic resonance imaging to create visual maps and quantify liver parenchyma stiffness. As in recent years, diffuse liver diseases have become highly prevalent worldwide and could lead to a chronic condition with different stages of fibrosis. There is a strong necessity for a non-invasive, highly accurate, and standardised quantitative assessment to evaluate and manage patients with different stages of fibrosis from diagnosis to follow-up, as the actual reference standard for the diagnosis and staging of liver fibrosis is biopsy, an invasive method with possible peri-procedural complications and sampling errors.
View Article and Find Full Text PDFThe aim of this study was to compare CT radiomics and morphological features when assessing benign lymph nodes (LNs) in colon cancer (CC). This retrospective study included 100 CC patients (test cohort) who underwent a preoperative CT examination and were diagnosed as pN0 after surgery. Regional LNs were scored with a morphological Likert scale (NODE-SCORE) and divided into two groups: low likelihood (LLM: 0-2 points) and high likelihood (HLM: 3-7 points) of malignancy.
View Article and Find Full Text PDFIntroduction: The aim of these evidence-based guidelines is to present a consensus position from members of the Italian Unitary Society of Colon-Proctology (SIUCP: Società Italiana Unitaria di Colon-Proctologia) on the diagnosis and management of anal fissure, with the purpose to guide every physician in the choice of the best treatment option, according with the available literature.
Methods: A panel of experts was designed and charged by the Board of the SIUCP to develop key-questions on the main topics covering the management of anal fissure and to performe an accurate search on each topic in different databanks, in order to provide evidence-based answers to the questions and to summarize them in statements. All the clinical questions were discussed by the expert panel in different rounds through the Delphi approach and, for each statement, a consensus among the experts was reached.
Objective: The objective of this study is to prospectively compare quantitative and subjective image quality, scanning time, and diagnostic confidence between a new deep learning-based reconstruction(DLR) algorithm and standard MRI protocol of lumbar spine.
Materials And Methods: Eighty healthy volunteers underwent 1.5T MRI examination of lumbar spine from September 2021 to May 2023.
Diffuse liver diseases are highly prevalent conditions around the world, including pathological liver changes that occur when hepatocytes are damaged and liver function declines, often leading to a chronic condition. In the last years, Magnetic Resonance Imaging (MRI) is reaching an important role in the study of diffuse liver diseases moving from qualitative to quantitative assessment of liver parenchyma. In fact, this can allow noninvasive accurate and standardized assessment of diffuse liver diseases and can represent a concrete alternative to biopsy which represents the current reference standard.
View Article and Find Full Text PDFPurpose: To compare liver MRI with AIR Recon Deep Learning™(ARDL) algorithm applied and turned-off (NON-DL) with conventional high-resolution acquisition (NAÏVE) sequences, in terms of quantitative and qualitative image analysis and scanning time.
Material And Methods: This prospective study included fifty consecutive volunteers (31 female, mean age 55.5 ± 20 years) from September to November 2021.
Background: to assess the performance and speed of two commercially available advanced cardiac software packages in the automated identification of coronary vessels as an aiding tool for inexperienced readers. Methods: Hundred and sixty patients undergoing coronary CT angiography (CCTA) were prospectively enrolled from February until September 2021 and randomized in two groups, each one composed by 80 patients. Patients in group 1 were scanned on Revolution EVO CT Scanner (GE Healthcare), while patients in group 2 had the CCTA performed on Brilliance iCT (Philips Healthcare); each examination was evaluated on the respective vendor proprietary advanced cardiac software (software 1 and 2, respectively).
View Article and Find Full Text PDFIntroduction And Hypothesis: We report the case of a 49-year-old woman who came to our institution complaining of bowel constipation and bladder outlet obstruction due to the recurrence of a pelvic prolapse after anterior abdominal wall hysteropexy performed 1 year before.
Methods: The patient was counseled to undergo robot-assisted re-do sacrohysteropexy performed using the da Vinci Xi surgical system. The step-by-step technique used for the herein reported clinical case of robot-assisted re-do sacrohysteropexy is shown in the accompanying video.
Prior research has been limited in examining at what degree aggressive actions are initially perceived negatively. The present research examined whether anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms were associated with prior abuse or with being attributed to past or present relationships. Scales such as the Dating Relationship Profile (DRP) and hypothetical scenarios of abuse perpetration were used.
View Article and Find Full Text PDFCPH34 HV, a high volume stapler, was tested in order to assess its safety and efficacy in reducing residual/recurrent haemorrhoids. The clinical charts of 430 patients with third- to fourth-degree haemorrhoids undergoing SH in 2012-2013 were consecutively reviewed, excluding those with obstructed defecation (rectocele >2 cm; Wexner's score >15). Follow-up was scheduled at six and 12 months.
View Article and Find Full Text PDFRepresentative models of the different geometries observed for uranyl complexes with fully deprotonated p-R-hexahomotrioxacalix[3]arene (R = tert-Bu, Me) ligands, among which is the rare trigonal geometry, have been investigated using all-electron scalar relativistic density functional theory (DFT). Optimized structures of complexes incorporating triethylammonium (HNEt3+) and 4-methylpiperidinium (HMePi+) cations are in close agreement with experimental crystal diffraction data. Possible explanations for the structural differences between these uranyl complexes are discussed in terms of varying degrees of bonding between uranium and oxygen atoms from the ether and phenoxide groups.
View Article and Find Full Text PDFA new cyclophane featuring two opposite anthracene units linked in 9,10-positions has been synthesized thanks to the template effect of the Me4N(+) ion. It forms pseudorotaxane complexes with alkylviologen ions and undergoes a fast and reversible reaction with tetracyanoethylene. A quantitative analysis has been carried out of the formation of Diels-Alder adducts, whose distribution can be controlled by host-guest complexation.
View Article and Find Full Text PDFIn the acetylation of an oxygenated calix[4]arene homologue in the presence of CsF as a base, relaxation of the reaction system to the equilibrium composition takes place through several intra- and intermolecular steps that can be easily controlled to obtain the various acetyl derivatives. The effect of different bases is also discussed.
View Article and Find Full Text PDFThe authors report their experience on the treatment of GIST. They point out the importance of classification of the disease in low, medium and high risk neoplasms based on the characteristic of the tumour: site, volume and mytotic index as the Consensus Conference of Bethesda recently established. Surgical procedure remains the most important treatment in localized disease, while patients with advanced disease can benefit from imatinib, a chemotherapeutic agent recently introduced, as an adjuvant therapy.
View Article and Find Full Text PDF[structure: see text] The whole set (five compounds) of partially O-methylated products of p-tert-butyl[3.1.3.
View Article and Find Full Text PDFIn the title compound, 4,7,13,16,21,24-hexaoxa-1,10-diazoniabicyclo[8.8.8]hexacosane dioxo[7,13,21,27-tetraphenyl-3,17-dioxapentacyclo[23.
View Article and Find Full Text PDFThe title compound, C(34)H(22)N(4)O(4), results from the reaction of 2,3,6,7-tetrahydroxy-9,10-dimethyl-9,10-dihydro-9,10-ethanoanthracene with 2,3-dichloroquinoxaline. The molecule, which contains a binary crystallographic symmetry axis, comprises two planar 'wings' around a central bicyclic unit. The non-ideal geometry of the latter evidences some strain, as in previous compounds with the same central core.
View Article and Find Full Text PDFIn the title compound, [UO(2)(C(13)H(10)O(2))(C(11)H(19)N(3))].C(3)H(6)O, the U atom is in a pentagonal-bipyramidal environment, with the three N atoms of the 2,6-bis[(dimethylamino)methyl]pyridine ligand and the two O atoms of the dianionic 2,2'-methylenediphenolate ligand in the equatorial plane. The geometry is compared with that of previously reported 1:2 uranyl-diphenoxide complexes.
View Article and Find Full Text PDFThe trinuclear [UO2L]36- and tetranuclear [UO2L]48- metallamacrocycles, obtained by reaction of uranyl nitrate with the rigidly angular ligand (2R,3R,4S,5S)-tetrahydrofurantetracarboxylic acid (H4L) in a basic medium, are in equilibrium in methanol solution. Depending on the counterion, one or the other can be selectively isolated in crystal form. These rare examples of supramolecules incorporating actinide ions confirm the high potential and unique features of uranyl as a building block.
View Article and Find Full Text PDFTwo related compounds containing p-tert-butyl-o-methylene-linked phenol or phenol-derived subunits are described, namely 5,5'-di-tert-butyl-2,2'-dihydroxy-3,3'-methylenedibenzaldehyde, C(23)H(28)O(4), (I), and 6,6'-di-tert-butyl-8,8'-methylenebis(spiro[4H-1,3-benzodioxin-2,1'-cyclohexane]), C(35)H(48)O(4), (II). Both compounds adopt a 'butterfly' shape, with the two phenol or phenol-derived O atoms in distal positions. Phenol and aldehyde groups in (I) are involved in intramolecular hydrogen bonds and the two dioxin rings in (II) are in distorted half-chair conformations.
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