Publications by authors named "Politi L"

Article Synopsis
  • This study examines the long-term effects of elective Endovascular Aneurysm Repair (EVAR) on the common iliac arteries (CIAs) using various modern aortic endografts in a cohort of 168 patients.* -
  • Over a 5-year follow-up, significant increases in the diameter (11.7% at 24 months, 22.8% at 60 months) and length of CIAs were observed, indicating a concerning progression of aneurysmal disease.* -
  • The research found that increased CIA dilatation significantly predicted long-term EVAR failures, highlighting the need for comprehensive follow-up to ensure ongoing effectiveness of the procedure.*
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Radiomics features (RFs) serve as quantitative metrics to characterize shape, density/intensity, and texture patterns in radiological images. Despite their promise, RFs exhibit reproducibility challenges across acquisition settings, thus limiting implementation into clinical practice. In this investigation, we evaluate the effects of different CT scanners and CT acquisition protocols (KV, mA, field-of-view, and reconstruction kernel settings) on RFs extracted from lumbar vertebrae of a cadaveric trunk.

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Exposure to the non-protein amino acid cyanotoxin β-N-methylamino-L-alanine (BMAA), released by cyanobacteria found in many water reservoirs has been associated with neurodegenerative diseases. We previously demonstrated that BMAA induced cell death in both retina photoreceptors (PHRs) and amacrine neurons by triggering different molecular pathways, as activation of NMDA receptors and formation of carbamate-adducts was only observed in amacrine cell death. We established that activation of Retinoid X Receptors (RXR) protects retinal cells, including retina pigment epithelial (RPE) cells from oxidative stress-induced apoptosis.

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Background: After approval for clinical use in 2017, early investigations of ultra-high-field abdominal magnetic resonance imaging (MRI) have demonstrated its feasibility as well as diagnostic capabilities in neuroimaging. However, there are no to few systematic reviews covering the entirety of its neurosurgical applications as well as the trends in the literature with regard to the aforementioned application.

Aim: To assess the impact of 7-Tesla MRI (7T MRI) on neurosurgery, focusing on its applications in diagnosis, treatment planning, and postoperative assessment, and to systematically analyze and identify patterns and trends in the existing literature related to the utilization of 7T MRI in neurosurgical contexts.

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The integration of 7 Tesla magnetic resonance imaging (7 T MRI) in adult patients has marked a revolutionary stride in radiology. In this article we explore the feasibility of 7 T MRI in paediatric practice, emphasizing its feasibility, applications, challenges, and safety considerations. The heightened resolution and tissue contrast of 7 T MRI offer unprecedented diagnostic accuracy, particularly in neuroimaging.

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Background: waterborne disease outbreaks (WGDOs) following the contamination of drinking water remain a public health concern.

Methods: The current study aims to assess the occurrence and identify gaps in the notification and investigation of WGDOs in Greece. Data for 2004-2023 were retrieved and summarized.

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Article Synopsis
  • This multicentric study investigated neuroradiological findings in COVID-19 patients during the early pandemic in Italy, focusing on data collected from May to June 2020 at two hospitals.
  • A total of 415 patients were enrolled, with notable findings including ischemic stroke (29.4% of patients) and a variety of non-stroke neuroimaging lesions like PRES-like syndrome and encephalitis.
  • The study concluded that COVID-19 patients are at increased risk of strokes due to a pro-thrombotic environment, reinforcing findings observed globally regarding brain imaging in infected patients.
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Background: The prognostic value of the extent of resection in the management of Glioblastoma is a long-debated topic, recently widened by the 2022 RANO-Resect Classification, which advocates for the resection of the non-enhancing disease surrounding the main core of tumors (supramaximal resection, SUPR) to achieve additional survival benefits. We conducted a retrospective analysis to corroborate the role of SUPR by the RANO-Resect Classification in a single center, homogenous cohort of patients.

Methods: Records of patients operated for WHO-2021 Glioblastomas at our institution between 2007 and 2018 were retrospectively reviewed; volumetric data of resected lesions were computed and classified by RANO-Resect criteria.

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Radiomics features (RFs) studies have showed limitations in the reproducibility of RFs in different acquisition settings. To date, reproducibility studies using CT images mainly rely on phantoms, due to the harness of patient exposure to X-rays. The provided CadAIver dataset has the aims of evaluating how CT scanner parameters effect radiomics features on cadaveric donor.

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  • Candida auris cases in Greece rose significantly after 2019, leading to active surveillance from November 2019 to September 2021 in 11 hospitals, focusing on confirmed infections and outbreaks.
  • A study identified 20 invasive infections and 25 colonized cases, with high mortality (53%) and common risk factors such as the use of indwelling devices and previous antibiotic treatments.
  • The fungus showed resistance to fluconazole in all isolates and was mostly linked to a specific South Asian strain, highlighting the need for improved infection control measures in healthcare settings.
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Background: In August 2022, the Hellenic National Public Health Organisation was notified about a gastroenteritis outbreak in town A in Southern Greece. Investigations aimed to identify the source and implement control measures.

Methods: Case definition categories were used in a 1:3 case-control study.

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Background: After approval for clinical use in 2017 early investigations of ultra-high-field abdominal magnetic resonance imaging (MRI) have demonstrated the feasibility as well as diagnostic capabilities of liver, kidney, and prostate MRI at 7-Tesla. However, the elevation of the field strength to 7-Tesla not only brought advantages to abdominal MRI but also presented considerable challenges and drawbacks, primarily stemming from heightened artifacts and limitations in Specific Absorption Rate, Furthermore, evidence in the literature is relatively scarce concerning human studies in comparison to phantom/animal studies which necessitates an investigation into the evidence so far in humans and summarizing all relevant evidence.

Aim: To offer a comprehensive overview of current literature on clinical abdominal 7T MRI that emphasizes current trends, details relevant challenges, and provides a concise set of potential solutions.

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Mucopolysaccharidosis type II (MPS II), or Hunter syndrome, is a rare X-linked recessive lysosomal storage disorder due to a mutation in the lysosomal enzyme iduronate-2-sulfatase (IDS) gene. IDS deficiency leads to a progressive, multisystem accumulation of glycosaminoglycans (GAGs) and results in central nervous system (CNS) manifestations in the severe form. We developed up to clinical readiness a new hematopoietic stem cell (HSC) gene therapy approach for MPS II that benefits from a novel highly effective transduction protocol.

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Article Synopsis
  • Surgery is the main treatment for patients with low-grade gliomas who have epilepsy, but it's hard to do both well.
  • A new imaging technique called MET PET helps doctors see how the tumor acts and plan surgeries better, but it doesn't fully explain how it affects seizures.
  • This study looked at 52 patients with brain tumors to see if MET PET could help understand their seizures before surgery and how well those seizures are controlled afterward.
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Background: The dysregulation of the gut-brain axis in chronic inflammatory bowel diseases can cause neuro-psychological disturbances, but the underlying mechanisms are still not fully understood. The choroid plexus (CP) maintains brain homeostasis and nourishment through the secretion and clearance of cerebrospinal fluid. Recent research has demonstrated the existence of a CP vascular barrier in mice which is modulated during intestinal inflammation.

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Transfusion therapy is an indispensable form of treatment, and an important element of the public health system. Due to its origin, blood's clinical use is associated with various risks that may cause adverse reactions and events. Progress in quality and safety of blood components has eliminated numerous risks, especially those of infectious origin.

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Objective: To quantify the distribution of cauda equina nerve roots in supine and upright positions using manual measurements and radiomics features both in normal subjects and in lumbar spinal canal stenosis (LSCS) patients.

Methods: We retrospectively recruited patients who underwent weight-bearing MRI in supine and upright positions for back pain. 3D T2-weighted isotropic acquisition (3D-HYCE) sequences were used to develop a 3D convolutional neural network for identification and segmentation of lumbar vertebrae.

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Article Synopsis
  • The Omicron variant of SARS-CoV-2 first appeared in Belgium and Switzerland linked to an international water polo tournament held in November 2021 in Brno, Czechia.
  • Researchers performed contact tracing and genetic analysis, finding infected athletes from Belgium, Switzerland, and Germany, along with multiple secondary and tertiary infections.
  • The study concluded that the Omicron variant was likely spreading in Europe before its South Africa detection, highlighting the delay in implementing travel restrictions may not effectively prevent the spread of new variants.
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Objective: The development of specific clinical and neurological symptoms and radiological degeneration affecting the segment adjacent to a spinal arthrodesis comprise the framework of adjacent-level syndrome. Through the analysis of a large surgical series, this study aimed to identify possible demographic, clinical, radiological, and surgical risk factors involved in the development of adjacent-level syndrome.

Methods: A single-center retrospective analysis of adult patients undergoing lumbar fusion procedures between January 2014 and December 2018 was performed.

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Since its inception, primary retinal cultures have been an in vitro tool for modeling the in vivo environment of the retina for biological studies on development and disease. They offer simple and controlled experimental approaches when compared to in vivo models. In this review we highlight the strengths and weaknesses of primary retinal culture models, and the features of dispersed retinal cell cultures.

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  • A study in Greece investigated an outbreak of NDM-1-producing Enterobacter cloacae complex over six years, finding 90 clinical isolates that were resistant to carbapenems.
  • Molecular analysis revealed that over half of the isolates (52.2%) carried the bla gene responsible for resistance, primarily clustering into a single sequence type (ST182).
  • Further examination indicated that these isolates carried additional resistance genes and were associated with a specific plasmid structure, although attempts to transfer resistance through conjugation were unsuccessful.
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