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C Colosimo

Publications and source records attributed to C Colosimo.

140 records · Page 8Linked to original sources
PubMedDate not supplied

Gliomatosis cerebri: report of an atypical case.

Gliomatosis cerebri (GC) is a rare, diffusely infiltrating tumor of neuroepithelial origin. The clinical diagnosis is difficult since GC is a diffuse and progressive disease of the central nervous system (CNS). Non-specific findings can be detected by computed tomography (CT) whereas, according to some authors, the extent of this tumor can be accurately depicted by magnetic resonance imaging (MRI). In this paper the neuroradiologic, neuropathologic and immunohistochemical features in a further case of GC are reported.

Adult↗
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Brain stem gliomas.

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Brain Neoplasms↗
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Tumors of cerebral hemispheres.

Pediatric brain tumors are substantially represented by neuroepithelial neoplasms. If intraventricular tumors are excluded, diagnostic imaging can be referred to 3 main types: gliomas, neuronal and mixed tumors, embryonal tumors. Following a short review of the various neuroimaging procedures, CT and MRI findings of most common pediatric hemispheric neoplasms, are described. Neuroradiologic findings supply a satisfactory "characterization" of the neoplasm. They are at times so specific as to achieve a univocal diagnostic hypothesis. More frequently, only a likely histologic hypothesis is achieved based on the combination of neuroimaging and clinical findings. Finally, the role of diagnostic imaging is underlined, being important in the definition of the relationships between hemispheric tumors with some "critical" areas, because of "functional" relevance, and in the identification of the site and pattern of infiltration which impact on prognosis and treatment.

Adolescent↗
PubMedDate not supplied

Neoplasms of the basal ganglia.

Neoplasms of the basal ganglia are deep-seated and this markedly impacts on therapy, especially with respect to the surgical approach. However, neoplasms purely involving the basal ganglia are rare: more frequently, basal ganglia are secondarily involved by tumors originating in the cerebral hemispheres, the ventricles and the pineal or suprasellar regions. Following an anatomical and epidemiologic overview, most frequent CT and MR imaging findings of pediatric neoplasms of basal ganglia are described.

Adolescent↗
PubMedDate not supplied

Doppler US in interventional neuroradiology.

Doppler ultrasonography and transcranial Doppler ultrasonography can be applied to the study of the hemodynamic aspects of cerebrovascular disease curable with intravascular therapy. There are three stages where Doppler ultrasonography is considered appropriate: 1) in the diagnosis of cerebrovascular disease to study its hemodynamics and support the therapeutic approach; 2) during the interventional procedure to assess the hemodynamic modifications while therapy is administered; 3) in posttreatment control and in follow-up. The role and findings of transcranial Doppler ultrasonography and Doppler sonography in cerebral arteriovenous malformations, in dural arteriovenous malformations, in arteriovenous fistulae of large vessels in cerebral aneurysms and in steno-obstructive disease, are considered.

Cerebrovascular Circulation↗
PubMedDate not supplied

Diagnostic imaging of musculoskeletal tuberculosis.

In the last decade an increase in the incidence of tuberculosis has been observed, due in part to the growing number of AIDS-patients. Musculoskeletal involvement is observed in 1-3% of tuberculosis cases. Aim of this article is to describe the diagnostic imaging of musculoskeletal tuberculosis and in particular the diagnostic potentialities of conventional radiology, CT and MRI. The role of MRI in the early identification of vertebral infectious process, in the determination of its locoregional extension and sometimes in its characterization, is underlined. In peripheral osteoarticular tuberculosis both CT and MRI do not supply additional diagnostic information as compared to conventional radiology; the tuberculous process is of difficult differentiation from other degenerative, inflammatory or neoplastic processes; in any case very careful attention is mandatory to establish an early diagnosis.

Adult↗
PubMedDate not supplied

Diagnostic imaging of neurotuberculosis.

Neurotuberculosis is represented by different and possibly concomitant forms, of which the most frequent are tuberculous meningitis and parenchymal tuberculosis followed by cerebral miliary tuberculosis and the extremely rare tuberculous abscesses. Tuberculous meningitis is characterized by the presence of inflammatory meningeal exudate involving meningeal surfaces and CSF spaces with involvement of relative vascular and nervous structures. Most frequent complications are parenchymal infarction, hydrocephalus and mycotic aneurysms. Inflammatory meningeal exudate shows intense contrast enhancement. Parenchymal tuberculosis may directly involve the cerebral and/or medullary parenchyma as areas of cerebritis/myelitis with solid nodular lesions (tuberculomas) with a central area of caseating necrosis. Tuberculomas are characterized by intense nodular or ring enhancement.

Diagnostic Imaging↗
PubMedDate not supplied

[Optimization and diagnostic accuracy of computerized tomography with tridimensional spiral technique in the study of craniostenosis].

INTRODUCTION: Conventional Computed Tomography (CT) with three-dimensional (3D) reconstructions is considered the most complete and accurate imaging modality to diagnose craniosynostosis. However, the introduction of Spiral CT (SCT) opened new possibilities for 3D studies of the skull in pediatric patients with craniosynostosis. The purpose of our study is two fold: first, to optimize the scanning and imaging parameters to obtain diagnostic images in a single spiral scan; second, to assess the diagnostic accuracy of such images in the identification of normal and abnormal cranial vault sutures. MATERIAL AND METHODS: Seventy-eight pediatric patients (age range: 1-35 months; mean: 11.8 months) with craniosynostosis were submitted to SCT of the head. The images were acquired with the following parameters: 3- and 5-mm nominal slice thickness, 5-6 mm/s table feed (pitch 1-2), 165 mAs and 120 kV. Two different algorithms and increases were used for image reconstructions. A first set of images was reconstructed with 2-mm increases and a soft tissue algorithm: these images were used for brain studies and for 3D reconstructions. A second set of slices was reconstructed with 5-mm increases and a bone algorithm to visualize the sutures of the axial plane. The 3D images were processed with the Shaded Surface Display software with threshold values ranging 120-150 HU. All images were acquired with a single spiral scan lasting less than 30 seconds. Two blinded radiologists analyzed the 3D and the planar images independently to evaluate the course and depth of each cranial suture. The sensitivity, specificity and diagnostic accuracy of both 3D and planar SCT images were evaluated. The frequency of artifacts (the Lego effect, boiled egg, pseudoforamina, movement, and chainsaw artifacts) and their influence on the final diagnosis were studied on 3D SCT images. RESULTS: The diagnostic accuracy rates of 3D SCT images, by suture, were: sagittal 90.7%, metopic 100%, left lamboid 90.9%, right lamboid 93.9%, left coronal 85.7%, right coronal 91.1%. The diagnostic accuracy rates of the axial images, by suture, were: sagittal 90.7%, metopic 95.5%, left lamboid 86.4%, right lamboid 90.9%, left coronal 83.7%, right coronal 91.1%. The interobserver agreement on 3D images was: sagittal 91.1%, metopic 100%, left lamboid 88.9%, right lamboid 91.1%, left coronal 88.9%, right coronal 84.4%. The Lego effect artifact was the most frequent one (82%) and affected image evaluation in 6.3% of cases. CONCLUSIONS: Our results prove that 3D SCT is a very accurate technique for identifying normal and abnormal sutures and presents many advantages over conventional 3D CT in the examination of pediatric patients with craniosynostosis. The quality of 3D SCT images was adequate and the artifacts did not affect the final diagnostic yield significantly.

Child, Preschool↗