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| 1 | Multi-detector CT features of acute intestinal ischemia and their prognostic correlations显示文摘Acute intestinal ischemia is an abdominal emergency occurring in nearly 1% of patients presenting with acute abdomen. The causes can be occlusive or non occlusive. Early diagnosis is important to improve survival rates. In most cases of late or missed diagnosis, the mortality rate from intestinal infarction is very high, with a reported value ranging from 60% to 90%. Multidetector computed tomography(MDCT) is a fundamental imaging technique that must be promptly performed in all patients with suspected bowel ischemia. Thanks to the new dedicated reconstruction program, its diagnostic potential is much improved compared to the past and currently it is superior to that of any other noninvasive technique. The increased spatial and temporal resolution, high-quality multi-planar reconstructions, maximum intensity projections, vessel probe, surface-shaded volume rending and tissue transition projections make MDCT the gold standard for the diagnosis of intestinal ischemia, with reported sensitivity, specificity, positive and negative predictive values of 64%-93%, 92%-100%, 90%-100% and 94%-98%, respectively. MDCT contributes to appropriate treatment planning and provides important prognostic informationthanks to its ability to define the nature and extent of the disease. The purpose of this review is to examine the diagnostic and prognostic role of MDCT in bowel ischemia with special regard to the state of art new reconstruction software. | Marco Moschetta Michele Telegrafo Leonarda Rella Amato Antonio Stabile Ianora Giuseppe Angelelli | 2014 | World Journal of Radiology2014，6，5： | 8 |
| 2 | Pancreatic trauma: The role of computed tomography for guiding therapeutic approach显示文摘AIM: To evaluate the role of computed tomography(CT) for diagnosing traumatic injuries of the pancreas and guiding the therapeutic approach.METHODS: CT exams of 6740 patients admitted to our Emergency Department between May 2005 and January 2013 for abdominal trauma were retrospectively evaluated. Patients were identified through a search of our electronic archive system by using such terms as 'pancreatic injury', 'pancreatic contusion', 'pancreatic laceration', 'peri-pancreatic fluid', 'pancreatic active bleeding'. All CT examinations were performed before and after the intravenous injection of contrast material using a 16-slice multidetector row computed tomography scanner. The data sets were retrospectively analyzed by two radiologists in consensus searching for specific signs of pancreatic injury(parenchymal fracture and laceration, focal or diffuse pancreatic enlargement/edema, pancreatic hematoma, active bleeding, fluid between splenic vein and pancreas) and non-specific signs(inflammatory changes in peri-pancreatic fat and mesentery, fluid surrounding the superior mesentericartery, thickening of the left anterior renal fascia, pancreatic ductal dilatation, acute pseudocyst formation/peri-pancreatic fluid collection, fluid in the anterior and posterior pararenal spaces, fluid in transverse mesocolon and lesser sac, hemorrhage into peri-pancreatic fat, mesocolon and mesentery, extraperitoneal fluid, intraperitoneal fluid).RESULTS: One hundred and thirty-six/Six thousand seven hundred and forty(2%) patients showed CT signs of pancreatic trauma. Eight/one hundred and thirty-six(6%) patients underwent surgical treatment and the pancreatic injures were confirmed in all cases. Only in 6/8 patients treated with surgical approach, pancreatic duct damage was suggested in the radiological reports and surgically confirmed in all cases. In 128/136(94%) patients who underwent non-operative treatment CT images showed pancreatic edema in 97 patients, hematoma in 31 patients, fluid between splenic vein and pancreas in 113 patients. Non-specific CT signs of pancreatic injuries were represented by peri-pancreatic fat stranding and mesentery fluid in 89% of cases, thickening of the left anterior renal fascia in 65%, pancreatic ductal dilatation in 18%, acute pseudocyst/peri-pancreatic fluid collection in 57%, fluid in the pararenal spaces in 45%, fluid in transverse mesocolon and lesser sac in 29%, hemorrhage into peri-pancreatic fat, mesocolon and mesentery in 66%, extraperitoneal fluid in 66%, intra-peritoneal fluid in 41% cases.CONCLUSION: CT represents an accurate tool for diagnosing pancreatic trauma, provides useful information to plan therapeutic approach with a detection rate of 75% for recognizing ductal lesions. | Marco Moschetta Michele Telegrafo Valeria Malagnino Laura Mappa Amato A Stabile Ianora Dario Dabbicco Antonio Margari Giuseppe Angelelli | 2015 | World Journal of Radiology2015，7，11： | 4 |
| 3 | Gastric metastasis from ovarian adenocarcinoma presenting as a subepithelial tumor and diagnosed by endoscopic ultrasound-guided tissue acquisition显示文摘We describe an uncommon case of a patient with a metastatic adenocarcinoma of ovarian origin presented as a gastric subepithelial tumor(SET) and that was diagnosed by endoscopic ultrasound fine-needle biopsy(EUS-FNB). Malignant gastric lesions are rarely metastatic and the primary tumor is mainly breast, lung, esophageal cancer or cutaneous melanoma. Gastric metastasis from ovarian cancer is unusual, presenting synchronously with the primary tumor but also several years later than the initial diagnosis. From an endoscopic point of view, gastric metastasis does not present specific features. They may mimic both a primary gastric tumor or, less frequently, an SET.This case demonstrates the importance of EUS-FNB in distinguishing SETs and how this may alter treatment and prognosis. | Filippo Antonini Liboria Laterza Lorenzo Fuccio Massimo Marcellini Lucia Angelelli Sonia Calcina Corrado Rubini Giampiero Macarri | 2017 | World Journal of Gastrointestinal Oncology2017，9，11： | 3 |
| 4 | Rectal carcinoma : CT staging with water as contrast medium显示文摘 | Angelelli G Macarini L Lupo L | 1990 | Radiology1990，177，： | 1 |
| 5 | The anabolic effect of high dose medroxy progesterone acetate in oncology 显示文摘 | Lelli G Angelelli B Giambias ME | 1983 | Pharmacol Res Commun1983，15，6： | 1 |
| 6 | Use of w ater as an oral con|fast agenl for CT sludy the siomach显示文摘 | Angelelli G Maearini L Fratelh) A | 1987 | A JR Am J R~)entgenol1987，149，5： | 1 |
| 7 | The anabolic effect of high dose medroxyprogterone acetate in oncology显示文摘 | Lelli G Angelelli B Giambiasi Mg | 1983 | Ph-armacol Res Commun1983，15，6： | 1 |
| 8 | Development of neuropsychiatric symptoms in poststroke patients: a cross-sectional study 显示文摘 | Angelelli P Paolucci S Bivona U | 2004 | Acta Psychiatr Scand2004，110，1： | 1 |
| 9 | Rectal carcinoma: CT staging with water as constrast medium显示文摘 | Angelelli G Macarini L Lupo L | 1990 | Radiology1990，177，2： | 1 |
| 10 | Rectal carcinoma: CT staging with water as contrast medium 显示文摘 | Angelelli G Macarini L Lupo L | 1990 | Radiology1990，177，2： | 1 |
| 11 | Role of computerized tomography in the staging of gastrointestinal neoplasms显示文摘 | Angelelli G Ianora AA Scardapane A | 2001 | Semin Surg Oncol2001，20，2： | 1 |
| 12 | The periodic vehicle routing prob- lem with intermediate facilities 显示文摘 | ANGELELLI E SPERANZA M G | 2002 | European Journal of Operational Research2002，137，2： | 1 |
| 13 | Acute bowel is- chemia: CT findings显示文摘 | Angelelli G Scardapane A Memeo Metal | 2004 | Eur J Radiol2004，50，1： | 1 |
| 14 | The periodic vehicle routing problem with intermediate facilities 显示文摘 | Angelelli E Grazia Speranza M | 2002 | European Journal ofOperational Research2002，137，2： | 1 |
| 15 | Development of Neuropsychiatfic Symptoms in Poststroke Patients: A Cross-sectional Study显示文摘 | ANGELELLI P PAOLUCCI S BIVONA U | 2004 | Acta Psychiatr Scand (S0001- 690X)2004，110，： | 1 |
| 16 | Preoperative local staging of colosigmoideal cancer: air versus water multidetector-row CT colonography显示文摘 | A. Stabile Ianora M. Moschetta P. Pedote A. Scardapane G. Angelelli | 2012 | La radiologia medica2012，，2： | 1 |
| 17 | The anabolic effect of high dose medroxyprogesterone acetate in oncology显示文摘 | Lelli G Angelelli B Giambiasi ME | 1983 | Pharmacol Res Commun1983，15，6： | 1 |
| 18 | The application for a vehicle routing model to a waste collection problem:two case studies显示文摘 | Angelelli E Speranza M G | 2002 | Journal of Operational Research Society2002，53，9： | 1 |
| 19 | Development of neuropsychiatric symptoms in poststroke patients:a cross-sectional study显示文摘 | Angelelli P Paolucci S Bivona U | 2004 | Acta Psychiatr Scand2004，110，1： | 1 |
| 20 | Development of neuropsychiatric symptoms in poststroke patients: a cross- sectional study 显示文摘 | Angelelli P Paolucci S Bivona U | 2004 | Acta Psychiatr Scand2004，110，1： | 1 |
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