369 results match your criteria: "Imaging Institute of Southern Switzerland[Affiliation]"

Performance of computer scientists in the assessment of thyroid nodules using TIRADS lexicons.

J Endocrinol Invest

December 2024

Clinic for Radiology, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland.

Objectives: Ultrasound (US) evaluation is recognized as pivotal in assessing the risk of malignancy (RoM) of thyroid nodules (TNs). Recently, various US-based risk-classification systems (Thyroid Imaging and Reporting Data Systems [TIRADSs] have been developed. An important ongoing project concerns the creation of an international system (I-TIRADS) using unique terminology.

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Machine learning predicts pulmonary Long Covid sequelae using clinical data.

BMC Med Inform Decis Mak

November 2024

Department of Diagnostic Imaging and Stereotactic Radiosurgey, Centro Diagnostico Italiano S.p.A., Via S. Saint Bon 20, Milan, 20147, Italy.

Long COVID is a multi-systemic disease characterized by the persistence or occurrence of many symptoms that in many cases affect the pulmonary system. These, in turn, may deteriorate the patient's quality of life making it easier to develop severe complications. Being able to predict this syndrome is therefore important as this enables early treatment.

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Decoding Radiomics: A Step-by-Step Guide to Machine Learning Workflow in Hand-Crafted and Deep Learning Radiomics Studies.

Diagnostics (Basel)

November 2024

Radiology Department, ASST Fatebenefratelli Sacco, Piazza Principessa Clotilde 3, 20121 Milan, Italy.

Although radiomics research has experienced rapid growth in recent years, with numerous studies dedicated to the automated extraction of diagnostic and prognostic information from various imaging modalities, such as CT, PET, and MRI, only a small fraction of these findings has successfully transitioned into clinical practice. This gap is primarily due to the significant methodological challenges involved in radiomics research, which emphasize the need for a rigorous evaluation of study quality. While many technical aspects may lie outside the expertise of most radiologists, having a foundational knowledge is essential for evaluating the quality of radiomics workflows and contributing, together with data scientists, to the development of models with a real-world clinical impact.

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Tumor immune modulation can be achieved using intratumoral injection of different immunomodulators during different phases of the cancer-immunity cycle. Intratumoral infusion catheters have been used in brain tumors, but these are not suitable outside the brain, where breathing motion results in catheter migration. Here, we use microstereolithography to manufacture a barbed sidehole catheter, modeled after the barbs in a bee stinger, where the barbs maintain the catheter position in the tumor, and sideholes within the barbs infuse drug into tumor tissue.

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Recent research has proposed using positron emission tomography/computed tomography (PET/CT) along with the administration of prostate-specific membrane antigen (PSMA)-targeting radiopharmaceuticals to identify breast cancer (BC) lesions. An extensive literature review to investigate the possible diagnostic utility of PET/CT with PSMA-targeting radiopharmaceuticals in BC patients was performed. The research comprised different clinical scenarios, including both newly diagnosed BC patients and those who had experienced disease relapse.

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Article Synopsis
  • Cardiac neuroendocrine tumour metastases (CNTM) are uncommon, but advances in SSTR-PET/CT imaging may help detect them more frequently, prompting this systematic review and meta-analysis.
  • A total of ten studies with 163 patients showed that SSTR-PET/CT detects CNTM earlier than other imaging methods, with a pooled prevalence of 1.5% among neuroendocrine neoplasm (NEN) patients undergoing the procedure.
  • The findings suggest that SSTR-PET/CT improves early detection of CNTM but indicate a need for more thorough studies to assess its effects on patient outcomes and treatment decisions in NEN cases.
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Article Synopsis
  • Radioligand therapy (RLT) with Lu-labelled prostate specific membrane antigen ([Lu]Lu-PSMA-X) is showing promise as a treatment for metastatic castration-resistant prostate cancer (mCRPC), especially for those who haven't received taxane chemotherapy.
  • This study conducted a systematic review and meta-analysis to compare the efficacy of [Lu]Lu-PSMA-X to traditional taxane chemotherapy in patients who haven't been treated with taxane.
  • The results indicated that both treatment groups had similar rates of prostate specific antigen (PSA) response, suggesting that [Lu]Lu-PSMA-X could be a viable option for mCRPC patients who are taxane-naïve.
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Background: The incidence of iatrogenic injuries in peripheral arteries is increasing due to the expanding opportunities of managing various cardiovascular diseases by means of percutaneous intervention. Thus, endovascular repair with implantation of covered stent (CS) after vascular injury is gaining importance as an alternative to open surgery. In cases of smaller side-branch injuries, stenting of the main vessel with subsequent exclusion and sealing of the side-branch is associated with unfavourable revascularization rates and unpredictable ischemic complications in the corresponding supply area.

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Infective endocarditis and infection of cardiac devices are conditions characterized by high morbidity and mortality, thus requiring a prompt diagnosis. Advanced imaging modalities are often required in the management of infectious endocarditis according to guidelines. The aim of this review is to collect and describe evidence-based knowledge about the diagnostic role and clinical usefulness of [F]FDG PET/CT in endocarditis and cardiac device infections based on published systematic reviews and meta-analyses on this topic and on recent guidelines.

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EANM/SNMMI guideline/procedure standard for [F]FDG hybrid PET use in infection and inflammation in adults v2.0.

Eur J Nucl Med Mol Imaging

October 2024

Department of Nuclear Medicine, Cliniques Universitaires Saint-Luc and Institute of Clinical and Experimental Research (IREC), Université Catholique de Louvain, Brussels, Belgium.

Article Synopsis
  • - Hybrid [F]FDG PET imaging is the preferred method for diagnosing infectious and inflammatory disorders, with recent updates in clinical guidelines reflecting a surge in evidence-based research since 2013.
  • - The aim of the updated guidelines is to furnish physicians with current, evidence-based knowledge to effectively conduct and interpret hybrid [F]FDG PET scans in adult patients.
  • - A systematic literature review revealed that hybrid [F]FDG PET is highly effective for managing these conditions, although monitoring treatment response remains a challenging area due to limited research.
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Refining the role of presurgical PET/4D-CT in a large series of patients with primary hyperparathyroidism undergoing [F]Fluorocholine PET/CT.

Eur J Clin Invest

October 2024

Nuclear Medicine, Institut de Cancérologie de Strasbourg Europe (ICANS), Strasbourg University Hospitals, University of Strasbourg, Strasbourg, France.

Article Synopsis
  • A study evaluated the effectiveness of a diagnostic strategy combining [F]Fluorocholine PET/CT with 4D-CT for patients with primary hyperparathyroidism (pHPT) undergoing surgery.
  • The results showed that PET/CT was significantly more accurate than 4D-CT, with high sensitivity and specificity rates (83% and 97%, respectively), whereas 4D-CT had lower rates (53% sensitivity).
  • When PET/CT results were inconclusive, using the two imaging methods together improved diagnostic accuracy, making it a recommended personalized imaging approach for pHPT patients.
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Article Synopsis
  • The study addresses the advancement of synthetic CT (sCT) in MR-guided radiotherapy and aims to define current practices through a survey distributed among ESTRO members in 2023.
  • Results showed that sCT is primarily used for pelvic treatments and conventional fractionation, with varying application across different areas and limited engagement in proton therapy.
  • A strong consensus emerged for the need for standardized, vendor-neutral guidelines to improve the development and use of sCT in clinical settings, as many centers lack dedicated quality assurance programs.
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Article Synopsis
  • The study aimed to validate a deep learning model for predicting treatment outcomes in diffuse large B-cell lymphoma patients across 5 clinical trials, comparing it to the international prognostic index (IPI) and radiomic models.
  • The deep learning model, trained on PET/CT scans, demonstrated a higher predictive performance (AUC of 0.66) than IPI (AUC of 0.60) and performed well across all trials.
  • While the deep learning and clinical PET models showed similar performance (AUC of 0.69), the PET model achieved the highest AUC (0.71), although the deep learning model provided outcomes without requiring tumor delineation.
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Purpose: This updated systematic review and bivariate meta-analysis aimed to investigate the diagnostic performance of 2-[F]FDG PET/CT for the detection of recurrent disease in patients with differentiated thyroid cancer (DTC) who have negative I whole body scintigraphy and increased antithyroglobulin antibodies (TgAb) levels.

Methods: The current systematic review was carried out following a preset protocol, and the "Preferred Reporting Items for a Systematic Review and Meta-Analysis" served as a guideline for its development and reporting. A comprehensive research of the PubMed/MEDLINE, Embase and Cochrane library databases was conducted until June 2024.

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Article Synopsis
  • - The study evaluated the prognostic value of baseline and post-treatment [18F]FDG PET/CT scans in patients with oropharynx cancer (OPC) undergoing chemotherapy and/or radiotherapy.
  • - Researchers analyzed PET/CT data from 66 patients and found that volumetric parameters significantly predicted overall survival (OS) and were useful for predicting progression-free survival (PFS) at restaging.
  • - No notable relationship was found between human papillomavirus (HPV) infection and PET/CT results, highlighting the importance of imaging parameters in assessing OPC prognosis.
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Fundamental misunderstandings and methodological flaws in "exploring kappa statistics considerations between two raters" by Yu et al.

Radiol Med

October 2024

Unit of Radiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Policlinico San Martino, Via Largo Rosanna Benzi, 10, 16132, Genoa, Italy.

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Article Synopsis
  • The IELSG37 trial investigated whether patients with primary mediastinal B-cell lymphoma (PMBCL) who have a complete metabolic response (CMR) after treatment can safely skip consolidation radiotherapy.
  • It was a randomized noninferiority study involving 545 patients, focusing on progression-free survival (PFS) over 30 months, with results showing high PFS rates of 96.2% for observation and 98.5% for radiotherapy.
  • The study concluded that avoiding irradiation does not negatively impact survival, highlighting positive outcomes for patients with CMR.
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Objective: The aim of this study was compare elective surgical repair of popliteal artery aneurysms (PAAs) via a posterior approach vs. endovascular exclusion, analysing early and five year outcomes in a multicentre retrospective study.

Methods: Between January 2010 and December 2023, a retrospectively maintained dataset of all consecutive asymptomatic PAAs that underwent open repair with posterior approach or endovascular repair in 37 centres was investigated.

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