Publications by authors named "Palmucci Stefano"

Article Synopsis
  • Intestinal volvulus is a serious condition that can cause bowel obstruction and reduced blood flow to the intestines, potentially leading to death if not treated.
  • Symptoms of volvulus are often unclear but usually include sudden abdominal pain, distension, nausea, and vomiting.
  • A highlighted case in the article involves a patient who showed respiratory symptoms rather than typical gastrointestinal signs, making diagnosis challenging, with contrast-enhanced CT scans being the preferred diagnostic tool.
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Atherosclerotic disease of the carotid arteries is a crucial risk factor in predicting the likelihood of future stroke events. In addition, emerging studies suggest that carotid stenosis may also be an indicator of plaque load on coronary arteries and thus have a correlation with the risk of acute cardiovascular events. Furthermore, although in symptomatic patients the degree of stenosis is the main morphological parameter studied, recent evidence suggests, especially in asymptomatic patients, that plaque vulnerability should also be evaluated as an emerging and significant imaging parameter.

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Ultrasound (US) is the primary tool for evaluating patients with thyroid nodules, and the risk of malignancy assessed is based on US features. These features help determine which patients require fine-needle aspiration (FNA) biopsy. Classification systems for US features have been developed to facilitate efficient interpretation, reporting, and communication of thyroid US findings.

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  • Left renal vein variants are rare but important to recognize due to their potential clinical impacts, particularly during surgeries.
  • Standard anatomy involves the renal vein running in front of the aorta to the inferior vena cava, whereas common variants include circumaortic or retroaortic veins.
  • A unique case is presented in which the left renal vein is compressed by the left iliac artery and vertebral bodies, also linked to superior mesenteric artery syndrome, where the duodenum gets compressed between major blood vessels.
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In this retrospective case series, we investigate the synergistic effect and the immunomodulatory potential of combination radiotherapy and immunotherapy on 11 patients affected by locally advanced or metastatic cutaneous squamous cell carcinoma (CSCC), treated at our institution between 2020 and 2023. The primary endpoints of this study are objective tumor response, assessed by Immunotherapy Response Evaluation Criteria in Solid Tumors (iRECIST), and time to treatment failure (disease progression). In all patients, surgery was deemed not amenable, due to its potential functional and aesthetic impact.

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The term congenital lung malformation (CLM) is used to describe a wide range of pathological conditions with different imaging and clinical manifestations. These anomalies stem from abnormal embryological lung development, potentially occurring across various stages of prenatal life. Their natural history can be variable, presenting in a wide range of severity levels and encompassing asymptomatic individuals who remain so until adulthood, as well as those who experience respiratory distress in the neonatal period.

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: type 1 neurofibromatosis (NF1) is the most common neurocutaneous disorder, and it is an inherited condition that causes a tumour predisposition. Central nervous system (CNS) manifestations are a significant cause of morbidity and mortality in NF1. We provide a pictorial review of neuroradiological features of NF1, with emphasis on magnetic resonance imaging (MRI), and we assess the frequency of those features on a cohort of NF1 patients.

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Idiopathic pulmonary fibrosis (IPF) represents a fibrotic interstitial lung disease characterized by uncertain etiology and poor prognosis. Over the years, the path to effective treatments has been marked by a series of advances and setbacks. The introduction of approved antifibrotic drugs, pirfenidone and nintedanib, marked a pivotal moment in the management of IPF.

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Article Synopsis
  • The systematic review aimed to assess the safety and effectiveness of percutaneous Transarterial Embolization (TAE) in treating spontaneous retroperitoneal hematomas, analyzing data from 141 patients across six studies.
  • Results showed a 100% technical success rate but clinical success rates varied, with complications occurring in 10 out of 116 procedures analyzed.
  • The study concluded that TAE is a safe and effective treatment option for life-threatening hematomas, with low complication rates and no significant difference in rebleeding between targeted and empirical embolization.
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Wernicke encephalopathy (WE) is a rare but severe neurological syndrome characterized, in its classic form, by the acute onset of ocular disturbances, ataxia, and cognitive impairment. It is caused by a deficiency of thiamine (vitamin B1) and mainly affects chronic alcoholics, although it can also affect patients with pathologies that lead to malnutrition. We present a case of a 58-year-old woman, who presented with significant weight loss over the past 6 months and who came to the emergency department for episodes of repetitive vomiting and a sleepy state.

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: Benign prostatic hyperplasia (BPH) has a significant impact on the quality of life of symptomatic patients. In patients manifesting lower urinary tract symptoms (LUTS), prostatic arterial embolization (PAE) has become a topic of interest in recent years. The purpose of this systematic review is to analyze and review techniques and clinical outcomes of patients who underwent endovascular treatment of BPH, with a special focus on the comparison of surgical and endovascular procedures.

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Extramedullary hematopoiesis represents a clinical compensatory condition characterized by the growth of hematopoietic tissue outside the bone marrow. It can mainly occur in patient with myeloproliferative disorders where alteration or neoplastic invasion of the bone marrow causes ineffective production of blood cells with the recruitment of progenitrix blood cells in non-hematopoietic organs, including kidneys. Renal extramedullary hematopoiesis is a rare condition manifesting as parenchymal or perirenal soft tissue masses with different patterns mimicking neoplasms, infectious or vascular diseases.

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Article Synopsis
  • Lung cancer screening (LCS) using low-dose CT scans can lower mortality rates by 20-40%, but putting these programs into practice is complex and challenging.
  • The PEOPLHE program in Italy seeks to optimize LCS implementation by enrolling 1,500 high-risk individuals from different regions, focusing on strategies for workflow, radiology standards, and resources for smoking cessation.
  • This initiative will gather data on recruitment strategies, healthcare needs, and any incidental findings, aiming to improve LCS methods within the national healthcare system.
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Article Synopsis
  • - The study introduces "UIPAF," a term for patients with Usual Interstitial Pneumonia linked only to one aspect of "Interstitial Pneumonia with Autoimmune Features," aiming to compare its clinical outcomes with IPAF and idiopathic pulmonary fibrosis (IPF) patients.
  • - A total of 110 IPF, 69 UIPAF, and 123 IPAF patients were analyzed, showing that UIPAF patients have autoimmune traits similar to IPAF but differ in certain antibody presence, with both groups having a similar rate of progression to specific autoimmune diseases.
  • - Findings indicate that UIPAF shares autoimmune characteristics with IPAF, leading to suggestions that UIPAF could be reclassified, while highlighting that its management and prognosis align closely with
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Prune exopolyphosphatase 1 (PRUNE1) is a short-chain phosphatase that is part of the aspartic acid-histidine-histidine (DHH) family of proteins. PRUNE1 is highly expressed in the central nervous system and is crucially involved in neurodevelopment, cytoskeletal rearrangement, cell migration, and proliferation. Recently, biallelic variants have been identified in patients with neurodevelopmental disorders, hypotonia, microcephaly, variable cerebral anomalies, and other features.

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The WWOX gene encodes a 414-amino-acid protein composed of two N-terminal WW domains and a C-terminal short-chain dehydrogenase/reductase (SDR) domain. WWOX protein is highly conserved among species and mainly expressed in the cerebellum, cerebral cortex, brain stem, thyroid, hypophysis, and reproductive organs. It plays a crucial role in the biology of the central nervous system, and it is involved in neuronal development, migration, and proliferation.

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Orbital and ocular adnexa lymphomas are rare neoplasms confined to the orbital region. The prognosis is generally favorable, with a high proportion of localized disease, indolent clinical course, prolonged disease-free intervals, and low lymphoma-related mortality rate. We report our experience on eleven patients with confirmed histological diagnosis of lymphoma stage IE-IIE, treated between 2010 and 2021 with radiotherapy alone or in association with chemotherapy or immunotherapy.

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Article Synopsis
  • Acute colonic diverticulitis (ACD) is a serious abdominal issue stemming from diverticular disease, which can vary from mild inflammation to severe complications like fecal peritonitis, making accurate diagnosis essential.
  • Contrast-enhanced computed tomography (CE-CT) is a key diagnostic tool due to its excellent sensitivity and ability to accurately identify inflamed areas and complications, while also helping to rule out other conditions.
  • The study introduces a structured reporting template aimed at standardizing terminology to enhance communication among medical specialists involved in the treatment of ACD.
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Histopathologically, uveal melanomas (UMs) can be classified as spindle cell, mixed cell and epithelioid cell type, with the latter having a more severe prognosis. The aim of our study was to assess the correlation between the apparent diffusion coefficient (ADC) and the histologic type of UMs in order to verify the role of diffusion-weighted magnetic resonance imaging (DWI) as a noninvasive prognostic marker. A total of 26 patients with UMs who had undergone MRI and subsequent primary enucleation were retrospectively selected.

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Autosomal dominant polycystic renal disease (ADPKD) is the most frequent kidney inheritable disease, characterized by the presence of numerous bilateral renal cysts, causing a progressive increase in total kidney volume (TKV) and a progressive loss of renal function. Several methods can be used to measure TKV by using MRI, and they differ in complexity, accuracy and time consumption. This study was performed to assess the performance of the ellipsoid method and the semi-automatic segmentation method, both for TKV and SKV (single kidney volume) computation.

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Isolated rapid eye movement (REM) sleep behavior disorder (iRBD) is a parasomnia characterized by loss of physiological atonia of skeletal muscles with abnormal behaviors arising during REM sleep. RBD is often the early manifestation of neurodegenerative diseases, particularly alpha-synucleinopathies, such as Parkinson's disease (PD). Both structural and functional neuroimaging studies suggest that iRBD might share, or even precede, some of the features commonly found in PD, although without a definitive conclusion.

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To investigate the clinical impact of multiple courses of irradiation on pediatric patients with progressive diffuse intrinsic pontine glioma (DIPG), we conducted a retrospective case series on three children treated at our institution from 2018 to 2022. All children were candidates to receive systemic therapy with vinorelbine and nimotuzumab. Radiotherapy was administered to a total dose of 54 Gy.

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