La Radiologia medica
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La Radiologia medica · Mar 2005
Comparative StudyOsteoid osteoma: our experience using radio-frequency (RF) treatment.
To present the results of two years experience with a minimally invasive radio-frequency technique designed by our team in the treatment of osteoid osteoma. ⋯ After two years experience, we believe percutaneous RF treatment of osteoid osteoma to be the first choice technique when compared to traditional surgery due to the fact that it is almost non-invasive, quick, repeatable if need be and offers a high reduction in costs. Moreover early weight bearing is the norm and the patient is dismissed after only one day of hospitalization. The clinical results indicate a 100% success rate with complete remission of symptoms and no relapses having been reported at the time of writing for those patients who have arrived at the two year follow up (4 out of 21).
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La Radiologia medica · Jan 2005
Early smoking-induced lung lesions in asymptomatic subjects. Correlations between high resolution dynamic CT and pulmonary function testing.
To evaluate the prevalence and significance of the pathological effects of cigarette smoking on the lung and the sensitivity of high-resolution CT (HRCT) in the recognition of early smoking-induced lesions in asymptomatic former or current smokers. ⋯ Our study demonstrates that HRCT is more sensitive and specific than commonly-used functional tests for the evaluation of initial emphysema in asymptomatic smokers. We observed expiratory air trapping only in the smokers' group, and only of the lobular type, without evidence of disease in inspiratory scans. Among the smokers and former-smokers, air trapping was found in 30.7% of subjects, with a mean extension lower than 10%. Our results therefore suggest that, even in asymptomatic subjects, expiratory air trapping is probably pathological and, once bronchial asthma has been excluded, it may be related to cigarette smoking and indicate early inflammatory bronchiolar damage. HRCT may therefore be regarded as a useful tool in the early diagnosis of smoking-related lung disease.
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La Radiologia medica · Nov 2004
Comparative StudyTibial plateau fractures: evaluation with multidetector-CT.
To evaluate the role of Multislice CT (MSCT) in classifying tibial plateau fractures and deciding on the appropriate therapeutic treatment compared to conventional radiology. ⋯ MSCT and 3D reconstructions are very useful for classifying tibial plateau fractures and for preoperative assessment. Patients with clinical evidence of fracture might benefit from an examination with CT instead of conventional radiology.
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La Radiologia medica · Nov 2004
Real-time, contrast-enhanced sonographic imaging in emergency radiology.
To report our pilot experience in the evaluation of traumatic and nontraumatic emergencies with contrast-specific, continuous-mode sonography (US) and a second-generation contrast medium. ⋯ Real-time contrast-specific US is an effective technique in emergency imaging. Its role should not be considered as a replacement of CT (though in some instances it can be considered a valuable alternative) but as a useful integration of conventional US. By always having the opportunity to add contrast-enhanced imaging, in case of interpretation doubts or diagnostic difficulties, the radiologist can assess the emergency patient with improved confidence and skill.