Publications by authors named "Riccardo Spairani"

Purpose: To report real-world diagnostic performance of chest x-ray (CXR) readings during the COVID-19 pandemic.

Methods: In this retrospective observational study we enrolled all patients presenting to the emergency department of a Milan-based university hospital from February 24th to April 8th 2020 who underwent nasopharyngeal swab for reverse transcriptase-polymerase chain reaction (RT-PCR) and anteroposterior bedside CXR within 12 h. A composite reference standard combining RT-PCR results with phone-call-based anamnesis was obtained.

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Article Synopsis
  • * Five raters, including radiologists and a forensic pathologist, evaluated 85 radiographs of fractures at various healing stages using an adapted scale for assessing fracture healing (AFHS).
  • * The agreement among raters varied; radiologists showed good consistency (ICC 0.68 to 0.94), while other physicians had mixed results, suggesting that training in skeletal anatomy and radiology is necessary for effective use of AFHS.
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Purpose: To evaluate the diagnostic performance of machine learning for discrimination between low-grade and high-grade cartilaginous bone tumors based on radiomic parameters extracted from unenhanced magnetic resonance imaging (MRI).

Methods: We retrospectively enrolled 58 patients with histologically-proven low-grade/atypical cartilaginous tumor of the appendicular skeleton (n = 26) or higher-grade chondrosarcoma (n = 32, including 16 appendicular and 16 axial lesions). They were randomly divided into training (n = 42) and test (n = 16) groups for model tuning and testing, respectively.

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Purpose: To compare half-Fourier acquisition single-shot turbo spin-echo thoracic MRI (HASTE-MRI) with chest x-ray (CXR).

Methods: A total of 287 patients (median age 53 years) undergoing both axial HASTE-MRI and CXR (<7 days apart) were retrospectively analyzed. Pulmonary nodules and consolidations, pleural effusion, and cardiac or aortic enlargement were considered.

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The diagnosis of bone lesions is a fundamental part of the study of skeletal remains, both in the archeological and forensic context. On the one side, the literature proved the relevance of radiography for the detection of bone lesions; on the other side, the careful macroscopic observation of the morphology of bone lesions is often underestimated. For this study, we examined and performed plain radiography on 14 skeletons of the CAL Milano Cemetery Skeletal Collection diagnosed with rheumatoid arthritis, diabetes, multiple myeloma, metastatic cancer, and osteomalacia to compare the macroscopic morphology and radiographic visualization of bone lesions.

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Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and the second leading cause of cancer-related deceases worldwide. Early diagnosis is essential for correct management and improvement of prognosis. Proposed for the first time in 2011 and updated for the last time in 2017, the Liver Imaging-Reporting and Data System (LI-RADS) is a comprehensive system for standardized interpretation and reporting of computed tomography (CT) and magnetic resonance imaging (MRI) liver examinations, endorsed by the American College of Radiology to achieve congruence with HCC diagnostic criteria in at-risk populations.

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Purpose: The clinical differentiation between athlete's heart and mild forms of non-obstructive hypertrophic cardiomyopathy (HCM) is crucial. We hypothesized that differences do exist between the myocardial metabolism of patients with non-obstructive HCM and competitive athletes (CAs). Our aim was to evaluate myocardial metabolism with P-MRS and H-MRS in HCM patients and CAs.

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