Poster

Settembre 9, 2023

Diagnostic approach for intra-pelvic masses mimicking gynecologic masses

Radiographics; 2003; 23:403–424 MR imaging of common and uncommon large pelvic masses Radiographics; 2012; 32:795–817 Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach Radiographics; 2019: 39 MRI of tumors and tumor mimics in the pelvis: anatomic pelvic space-based approach
Settembre 9, 2023

Role of MRI with diffusion-weighted imaging (DWI) in patients with uterine cervical cancer for intracavitary brachytherapy treatment alignment

Seventeen patients with locally advanced cancer (LACC) undergoing brachytherapy (BRT) after external beam radiotherapy (EBRT) were recruited. MR images were analysed, considering volume and ADC as variables during treatment. A significant decrease in volume during treatment was observed, more pronounced after EBRT than after BRT, which serves as a boost. Conversely, the ADC value appeared to increase somehow linearly with treatment, with mean initial values of 0.71 ± 0.06 × 10−3 mm2/s and final values of 1,29 ± 0.50 × 10−3 mm2/s. In relapsing patients, the difference between initial and post-treatment ADC values seemed significantly smaller compared to responder patients.
Settembre 9, 2023

Patho-radiological correlation of clear cell renal cancer on double energy twim-beam abdominal computed tomography and biopsy samples

NA
Settembre 9, 2023

Evaluation of extraprostatic neoplastic extension through Multiparametric Magnetic Resonance of the Prostate.

The EPE scale by mpMRI of the prostate has moderate accuracy in detecting EPE, with good correlation being observed especially between grades 0 on the EPE scale and the absence of non-focal extension and grade 3 with the presence of non-focal extension. Grades 1 and 2 showed great variability in the results, which can be considered indeterminate.
Settembre 9, 2023

How to differentiate endometrial polyps from endometrial carcinomas on MRI: Tips and tricks

1. Chaudhry S, Reinhold C, Guermazi A, Khalili I, Maheshwari S. Benign and malignant diseases of the endometrium. Top Magn Reson Imaging. 2003 Aug;14(4):339-57. 2. Brenner PF. Differential diagnosis of AUB. Am J Obstet Gynecol. 1996;175:766-9. 3. Salim S, Won H, Nesbitt-Hawes E, Campbell N, Abbott J. Diagnosis and management of endometrial polyps: a critical review of the literature. J Minim Invasive Gynecol. 2011 Sep-Oct;18(5):569-81. 4. Kurman RJ, Zaino RJ, Norris HJ (1994) Endometrial carcinoma. In: Kurman RJ (ed) Blaustein’s pathology of the female genital tract, 4th edn. Springer, Berlin Heidelberg New York, pp 439–486. 5. Reslová T, Tosner J, Resl M, Kugler R, Vávrová I. Endometrial polyps. A clinical study of 245 cases. Arch Gynecol Obstet. 1999;262(3-4):133-9. 6. Peterson WP and Novak ER. Endometrial polyps. Obstet Gynecol 1956 Jul;8(1):40-9. 7. Weschler T. Taking charge of your fertility. Revised ed. New York: Harper Collins, 2002. 8. Hamani Y, Eldar I, Sela HY, Voss E, Haimov-Kochman R. The clinical significance of small endometrial polyps. Eur J Obstet Gynecol Reprod Biol. 2013 Oct;170(2):497-500. 9. Grasel RP, Outwater EK, Siegelman ES, Capuzzi D, Parker L, Hussain SM. Endometrial polyps: MR imaging features and distinction from endometrial carcinoma. Radiology. 2000 Jan;214(1):47-52. 10. Takeuchi M, Matsuzaki K, Uehara H, Yoshida S, Nishitani H, Shimazu H. Pathologies of the uterine endometrial cavity: usual and unusual manifestations and pitfalls on magnetic resonance imaging. Eur Radiol. 2005 Nov;15(11):2244-55. 11. Park BK, Kim B, Park JM, Ryu JA, Kim MS, Bae DS, Ahn GH. Differentiation of the various lesions causing an abnormality of the endometrial cavity using MR imaging: emphasis on enhancement patterns on dynamic studies and late contrast-enhanced T1-weighted images. Eur Radiol. 2006 Jul;16(7):1591-8. 12. Fujii S, Matsusue E, Kigawa J, Sato S, Kanasaki Y, Nakanishi J, Sugihara S, Kaminou T, Terakawa N, Ogawa T. Diagnostic accuracy of the apparent diffusion coefficient in differentiating benign from malignant uterine endometrial cavity lesions: initial results. Eur Radiol. 2008 Feb;18(2):384-9. 13. Wang J, Yu T, Bai R, et al. The value of the apparent diffusion coefficient in differentiating stage IA endometrial carcinoma from normal endometrium and benign diseases of the endometrium: initial study at 3-T magnetic resonance scanner. Journal of Computer Assisted Tomography. 2010 May-Jun;34(3):332-337. 14. Sala E, Rockall AG, Freeman SJ, Mitchell DG, Reinhold C. The added role of MR imaging in treatment stratification of patients with gynecologic malignancies: what the radiologist needs to know. Radiology. 2013 Mar;266(3):717-40. 15.Pintican R, Bura V, Zerunian M, Smith J, Addley H, Freeman S, Caruso D, Laghi A, Sala E, Jimenez-Linan M. MRI of the endometrium - from normal appearances to rare pathology. Br J Radiol. 2021 Sep 1;94(1125):20201347. 16. Sironi S, Colombo E, Villa G, Taccagni G, Belloni C, Garancini P, DelMaschio A. Myometrial invasion by endometrial carcinoma: assessment with plain and gadolinium-enhanced MR imaging. Radiology. 1992 Oct;185(1):207-12. 17. Lien HH, Blomlie V, Tropé C, Kaern J, Abeler VM. Cancer of the endometrium: value of MR imaging in determining depth of invasion into the myometrium. AJR Am J Roentgenol. 1991 Dec;157(6):1221-3. 18. Imaoka I, Sugimura K, Masui T, Takehara Y, Ichijo K, Naito M. Abnormal uterine cavity: differential diagnosis with MR imaging. Magn Reson Imaging. 1999 Dec;17(10):1445-55. 19. Yamashita Y, Harada M, Sawada T, Takahashi M, Miyazaki K, Okamura H. Normal uterus and FIGO stage I endometrial carcinoma: dynamic gadolinium-enhanced MR imaging. Radiology. 1993 Feb;186(2):495-501. 20. Joja I, Asakawa M, Asakawa T, Nakagawa T, Kanazawa S, Kuroda M, Togami I, Hiraki Y, Akamatsu N, Kudo T. Endometrial carcinoma: dynamic MRI with turbo-FLASH technique. J Comput Assist Tomogr. 1996 Nov-Dec;20(6):878-87. 21. Tanaka YO, Nishida M, Tsunoda H, Ichikawa Y, Saida Y, Itai Y. A thickened or indistinct junctional zone on T2-weighted MR images in patients with endometrial carcinoma: pathologic consideration based on microcirculation. Eur Radiol. 2003 Aug;13(8):2038-45.
Settembre 9, 2023

Impact of body composition on clinical outcomes in patients with metastatic hormone sensitive prostate cancer treated with androgen deprivation therapy plus second-generation antiandrogen.

This comprehensive investigation delves deeply into the multifaceted interplay between second-generation antiandrogen treatments, body composition dynamics, and clinical outcomes in mHSPC. Our findings raise intriguing questions about the potential clinical significance of changes in BMI and BCPs, as well as the varying impacts of ABI and APA on disease progression and response. These insights have the potential to inform personalized treatment strategies and enhance our understanding of the intricate relationship between body composition and mHSPC management, ultimately striving for improved therapeutic outcomes and patient well-being.
Settembre 9, 2023

What is the best T1-weighted Dixon protocol for diagnosis of endometriosis?

T1 weighted Dixon sequences can be used for the detection of endometriosis. The acquisition of both axial and sagittal planes allows the highest detection rate with the lowest false positive rate.
Settembre 9, 2023

Development of an interpretable CT radiomics model for the diagnosis of clear cell renal cell carcinoma in small solid renal masses

Al Nasibi, K. et al. Development of a Multiparametric Renal CT Algorithm for Diagnosis of Clear Cell Renal Cell Carcinoma Among Small (≤ 4 cm) Solid Renal Masses. Am. J. Roentgenol. 219, 814–823 (2022).
Settembre 9, 2023

PRACTICAL GUIDE TO PERFORM AND REPORT AN WB-DW-MRI STUDY FOR CARCINOMATOSIS OF GYNECOLOGICAL ORIGIN

Ovarian cancer is the gynecological cancer with the highest mortality. In most cases it is diagnosed at an advanced stage, when the tumor is already spread throughout the peritoneum. The only prognostic factor that improves survival in patients with ovarian cancer is complete cytoreduction (R0). To assess whether this resection is feasible, the most effective imaging study, with the best correlation with the results of surgery, is whole-body MRI with diffusion weighted sequences (WB-DW-MRI). The aim of this work is to provide a practical and complete guide so that any radiologist can confidently perform a study of good diagnostic quality as well as a complete report that contains all the relevant information so that an appropriate decision can be made on the management of the patient.