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Biomedical subjects

D Sirinelli

Publications and source records attributed to D Sirinelli.

At least 55 records · Page 3Linked to original sources

[Cartilaginous forms of Jaffé-Lichtenstein fibrous dysplasia].

Radiologic images suggestive of chondroma may be observed in polyostotic or mono-osteotic fibrous dysplasia and were detected in 11 out of 27 patients with the polyostotic form and 1 out of 7 with the mono-osteotic form. Histology in some cases showed cartilaginous tissue foci suggestive of an isolated chondroma or Ollier's disease. Pathogenicity of these cartilaginous lesions and relations between Ollier's chondrodysplasia and fibrous dysplasia are discussed.

Adolescent↗

[A case of epiphyseal osteoid osteoma].

The authors describe a case of osteoid osteoma developing in the lower femoral epiphysis of a 9-year-old child. It was close to the growth plate and was recognised with the aid of digital angiography and tomo-densitometry. It was removed by a surgical approach across the growth plate.

Angiography↗

[Radiologic investigative technics].

The authors in a first part of their contribution indicate the various types of imaging investigations which can be used by the radiologist: Conventional radiographs og the thorax; Conventional complementary examinations: esophagogram, conventional tomography, tracheo-bronchography, angiography, pulmonary scintigraphies; Modern complementary investigations: CT echography, digitalized angiography, magnetic resonance imaging. In the second part of this article the authors explain which are the most appropriate procedures for every type of tracheal and/or bronchial malformation.

Angiocardiography↗

[Cerebral x-ray computed tomography and tuberculous meningitis. Radio-clinical correlations].

Two cases of tuberculous meningitis showed that there is a delay between the C.T. images and the clinical signs. The computed tomography which was still normal one and two months after the first clinical signs did not permit an early diagnosis of the tuberculous meningitis. It did not give either, at least in the beginning, a good appreciation of the results of the treatment, since most of the C.T. images appeared and/or increased while the patient's conditions had already been improving under treatment for several days or weeks. In a long range, however, the C.T. images usually disappear.

Adult↗

Prospective evaluation of time-of-flight MR angiography in the follow-up of intracranial saccular aneurysms treated with Guglielmi detachable coils.

PURPOSE: The purpose of our study was to prospectively evaluate 3D time-of-flight (TOF) MR angiography (MRA) in the follow-up of 27 intracranial aneurysms treated with Guglielmi detachable coils (GDCs). METHOD: From February 1997 to June 1998, 26 patients with 27 aneurysms were included in this prospective study. Aneurysms were located in the anterior circulation in 23 cases and in the posterior circulation in 4 cases. All patients underwent 3D TOF MRA and digital subtraction angiography (DSA) in the same week within 4 months after aneurysmal treatment with GDCs. No clinical events occurred during the follow-up. We analyzed residual flow within the coil mass and within the aneurysmal neck and the patency of the parent and adjacent arteries on MRA and DSA. MRA analysis was based upon MIPPED and source images. DSA was our gold standard. RESULTS: In all cases, the quality of MRA was good enough to be informative. In aneurysmal analysis, the sensitivity, specificity, positive predictive value, and negative predictive value of MRA were, respectively, 80, 100, 100, and 96% to diagnose residual flow within the coil mass (one false-negative case) and 83, 100, 100, and 95.5% to diagnose residual flow within the aneurysmal neck (one false-negative case). In arterial analysis, sensitivity and positive predictive value of MRA were 89 and 100% to diagnose patency of the parent artery (three false-negative cases) and 83 and 100% to diagnose patency of adjacent arteries (seven false-negative cases). CONCLUSION: In the follow-up of intracranial aneurysms treated with GDCs, 3D TOF MRA could be used as a screening test to select patients that should undergo DSA and thus could improve patient follow-up in terms of risk-benefit.

Adult↗