- Lymphatic System and Diseases
- Head and Neck Cancer Studies
- Diagnosis and Treatment of Venous Diseases
- Sympathectomy and Hyperhidrosis Treatments
- Salivary Gland Tumors Diagnosis and Treatment
- Ear and Head Tumors
- Pediatric Urology and Nephrology Studies
- Cutaneous Melanoma Detection and Management
- Systemic Sclerosis and Related Diseases
- Renal and Vascular Pathologies
- Body Contouring and Surgery
- Breast Cancer Treatment Studies
- Oral Health Pathology and Treatment
- Kidney Stones and Urolithiasis Treatments
- Bladder and Urothelial Cancer Treatments
- Cancer Diagnosis and Treatment
- Nonmelanoma Skin Cancer Studies
- Urological Disorders and Treatments
- Vascular Malformations and Hemangiomas
- MRI in cancer diagnosis
- Cell Image Analysis Techniques
- Cancer and Skin Lesions
- Tumors and Oncological Cases
- Urinary Bladder and Prostate Research
- Optical Coherence Tomography Applications
Ospedale Cristo Re
2016-2025
ORCID
2022
Istituto Dermopatico dell'Immacolata
2000-2017
University of Southern California
2016
Committee on Publication Ethics
2016
Queen Alexandra Hospital
2016
UCLouvain
2016
Istituti di Ricovero e Cura a Carattere Scientifico
2000
Presidio Ospedaliero
1991
Sentinel lymph node biopsy is an essential staging tool in patients with clinically localized oral cavity squamous cell carcinoma. The harvesting of a sentinel entails sequence procedures participation specialists nuclear medicine, radiology, surgery, and pathology. aim this document to provide guidelines for medicine physicians performing lymphoscintigraphy detection early N0 carcinoma.These practice were written have been approved by the European Association Nuclear Medicine (EANM)...
Abstract Objective Primary megaureter is a disease defined as the dilatation of ureter caused by congenital abnormality lower ureteral tract. Adult patients with primary megaureters typically present no symptoms, making conservative management preferred treatment. However, if an obstruction present, we recommend reimplantation. The major diagnostic challenge to distinguish which need surgical intervention. Ultrasound, computed tomography, and magnetic resonance imaging urogram findings may...
Introduction Supermicrosurgical lymphatic‐venous anastomosis (LVA) can improve limbs lymphedema. We describe a technique that we employ for preoperative lymphatic mapping of the upper limb (UL), when indocyanine green (ICG) lymphography shows only dermal backflow (DB) and no vessel is detectable. Patients methods Sixteen patients undergoing LVA unilateral UL lymphedema, showing “stardust” or “diffuse” DB pattern, were included. Demographic, clinical data, measurements recorded. LymQoL arm...
Nuclear imaging plays a crucial role in lymphatic mapping of oral cancer. This evaluation represents subanalysis the original multicenter SENT trial data set, involving 434 patients with T1-T2, N0, and M0 squamous cell carcinoma. The impact acquisition techniques, tracer injection timing relative to surgery, causes false-negative rate were assessed.Three 24 hours before all received dose Tc-nanocolloid (10-175 MBq), followed by lymphoscintigraphy. According institutional protocols, underwent...
The aim of this study was to evaluate the effect implementing a new technique, intradermal injection lymphoscintigraphy, at rest and after muscular exercise on functional assessment lymphatic system in group patients with delayed or absent lymph drainage.We selected 44 (32 women 12 men; 15 upper limb 29 lower lymphoedema). Thirty had bilateral lymphoedema 14 unilateral disease; contralateral normal limbs were used as controls. Twenty-three secondary lymphadenectomy remaining 21 idiopathic...
ObjectiveSupermicrosurgical lymphaticovenular anastomosis (LVA) is increasingly being recognized as a first-line treatment for limb lymphedema because it minimally invasive and highly effective. Lymphoscintigraphy indocyanine green (ICG) lymphography are the two most commonly performed diagnostic imaging examinations to establish indication plan procedure in patients affected by lymphedema. In small group of patients, information between these tools can be discordant, showing different...
Cancer treatments with axillary or pelvic lymph nodes dissection and radiation place patients at lifelong risk for the development of secondary lymphedema. Our aim was to evaluate role stress lymphoscintigraphy early detection management lymphedema.Stress performed within 1 year after surgery completion chemotherapy treatments. All were classified by International Society Lymphology clinical stages from 0 3. A dose 50 MBq 99mTc-HSA-nanocolloidal in 0.4mL injected intradermally first fourth...
Abstract Lipedema is a chronic and progressive disease characterized by symmetrical bilateral swelling of the lower extremities. In general, feet are not involved. believed to affect nearly 1 in 9 adult women worldwide. Despite this relatively common disease, lipedema often confused with primary lymphedema or obesity. clinically advanced stages, fat continues build up may block lymphatic vessels causing secondary (Lipo-Lymphedema). We consecutively evaluated 54 clinical diagnosis limbs...
Aim To evaluate the role of dynamic lymphoscintigraphy with a same-day protocol for sentinel node biopsy in oral cavity cancer. Methods Twenty-two consecutive patients affected by cT1-2N0 squamous cell carcinoma were enrolled between September 2001 and November 2005. After local anaesthetic (10% lidocaine spray), dose 30–50 MBq 99mTc human serum albumin nanocolloid, ml saline, was injected superficially (1–2 mm subendothelial injection) into four points around lesion. Dynamic acquired...
The objective of this study was to compare 2 diuretic renography procedures: F-15 versus F+10(sp) for diagnosis obstructive uropathy in adults.Thirty-six patients with unilateral or bilateral hydronephrosis had consecutive Tc-MAG3 renograms within 7 days, using the widely used procedure supine position, and a new seated-position whereby patient drinks 400 500 mL water at 5 minutes receives an injection 20 mg furosemide 10 [F+10 (sp)].F-15 showed nonobstructive results 63.9% kidneys,...
Purpose Lymphoscintigraphy is the criterion-standard method for diagnosing lymphedema, and there no universally standardized imaging modality. In our center, we use a new approach: rest/stress intradermal lymphoscintigraphy. Methods We tested 231 consecutive patients with suspected lymphedema. All were studied after complex physical therapy program to reduce edema. Two doses of 99m Tc-nanocolloid injected intradermally. static planar scans taken at rest following tracer injection. Next,...
The aim of our study was to evaluate the role scintigraphy in lymphatic mapping and identification sentinel lymph node (SLN) patients with head neck cancer.Between September 1999 February 2001 we enrolled 22 consecutive cancer region: five squamous cell carcinomas, one Merkel tumor cheek, 16 malignant melanomas. Lymphoscintigraphy performed three hours before surgery after injection 30-50 MBq 99mTc -Nanocoll 0.3 mL; dose fractionated by injecting radiotracer at two points around lesion....
Abstract Stress-lymphoscintigraphy evaluates the effects of exercise on lymph drainage. Results may predict outcomes complex physical therapy as a first-line lymphedema treatment. Microsurgical approaches are best in patients with lymphangectasia or dermal backflow. Lymphatic pathway mapping helps plan lympho-venous anastomoses. For improved lymphatic visualization, we suggest scan at rest, after quick (stepping weight lifting for 2 min) and delayed scanning prolonged symptom limited...