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F Corbetti

Publications and source records attributed to F Corbetti.

At least 19 recordsLinked to original sources

[The prevalence of diffuse and focal lesions of the hepatic parenchyma in a nonselected, resident population. A prospective echographic study].

A group of 2978 randomly chosen residents from a rural area of Veneto (Italian region), aged 18-69 years, was assumed as a study population. They underwent US examination of the liver, routine liver function tests, and--when necessary--other imaging techniques and liver biopsy. Liver US exam detected diffuse lesions in 26% of cases (mostly bright liver pattern), and focal lesions in 3%; US findings were normal in 66% of patients and questionable or inconclusive in 5%. As far as focal lesions were concerned, the final diagnosis was angioma (24 cases), cyst (31), neoplasm (5). When bright liver pattern was observed, liver function tests were altered in 78% of the patients; when US findings were normal, liver function tests were normal in 59% of cases. In conclusion our data: 1) show that focal and diffuse liver abnormalities are relatively frequent in unselected and asymptomatic people, 2) confirm US diagnostic utility, and 3) suggest that US be employed as a screening exam in study populations.

Adolescent↗

[Pericardial liquid layer as an occasional finding in internal echography. Normal patterns and pathologic limits].

A small amount of fluid in the pericardial sac is often observed incidentally during upper abdomen US studies. In order to assess the normality range for this finding, 500 patients undergoing liver US were evaluated for the presence of pericardial fluid, the thickness of which was subsequently measured in positive cases. In a group of 20 patients with pericardial fluid thickness ranging 5-9 mm and in 6 cases with pericardial effusion greater than 10 mm, cardiologic evaluation was performed (clinical examination, ECG, echocardiography). Pericardial fluid was quite a common finding (20.8%) which had no clinical relevance when less than 10 mm. On the contrary, its clinical relevance was high when greater than 10 mm, and extending around the heart.

Humans↗

[Meniscal injuries of the knee: arthrographic and echographic study].

In order to evaluate the diagnostic capabilities of sonography (US) in meniscal lesions of the knee, 65 unquestionable cases of meniscopathy at arthrography were studied with high-resolution US. In 92% of the cases, inhomogeneous echo structure was demonstrated in correspondence with pathological meniscus, with irregular hyperechoic areas and, in some cases, with hyperechoic lines corresponding to the tear. 40% of patients presented with tumefaction and external bulging of the parameniscal region, while in 87% of the cases the articular capsule was thickened. These results confirm that, as reported by some authors, US is a promising method for the study of meniscopathies. We therefore believe that US could nowadays be at least employed as a complement to clinical examination, while its diagnostic capabilities are further assessed through other studies.

Adolescent↗

[Renal parenchymal neoplasm as a chance finding during hepatobiliary echography].

Renal cell carcinomas are often diagnosed as incidental findings during abdominal US or CT carried out for extra-urological reasons. In order to ascertain the incidence of renal carcinoma two groups of patients were considered: a) 2400 outpatients who had undergone hepato-biliary US for routine screening; b) 1330 inpatients who had undergone US, for non-urological purposes, which had been systematically extended to the kidneys. Two cases of renal cell carcinoma (PT1) were found in group A. Four cases were found in group B--2 of them were stage PT1, and 2 were PT3. These results show how a certain number of unsuspected and early-stage renal cell carcinomas can be diagnosed by US, even when the examination is not intended as a renal study. On the basis of the above observations, we suggest that US be performed in all upper abdomen examinations. At any rate, right kidney US seems to us mandatory when hepatobiliary US is performed.

Adolescent↗

[Echography with portable equipment. Its possibilities and limits in the hepatobiliary area].

Ultrasound examination of the liver by simple low-cost equipment (LCUS) is currently performed. In order to evaluate the accuracy of this imaging technique in the detection of liver diseases, 150 outpatients were examined with a LCUS unit. The same patients were then re-examined with more sophisticated equipment (SEUS) in a department of radiology. The images thus obtained were compared to the previous ones: LCUS appears to be a valuable screening method, even though several US features--i.e. hyperechogenicity of the liver, focal hypoechoic lesions, and microlithiasis--are better demonstrated by more sophisticated units.

Adolescent↗

[High-resolution echography of the neck. Preoperative evaluation of lymph node metastases in patients with thyroid carcinoma].

Twenty-six patients with papillary and 4 with medullary thyroid carcinoma were examined by HRUS before surgery in order to evaluate its accuracy in detecting lymph node metastasis (N) of the neck from thyroid carcinoma. All patients underwent total thyroidectomy and nodal dissection. HRUS was accurate in 73% of cases in N staging, while clinical staging was accurate in 60% of cases only. In 50% of patients HRUS provided with interesting additional information, such as disclosing lymphadenopathy in 8 patients with no clinical evidence, proving nodal involvement in 5 cases, and showing extranodal extension in 5 cases. HRUS allowed the observation of anechoic necrotic areas and microcalcified nodes. On the other hand, according to our results, HRUS cannot either discriminate metastatic from benign nodal involvement, or identify mediastinal adenopathy. False negatives are possible due to micrometastatic areas in normal size nodes. Nevertheless, HRUS proved to be a valuable aid to complete clinical examination of the neck, and a good guide for the surgeon during nodal neck dissection.

Carcinoma↗

[High-resolution echography and angiography in the study of vascular accesses for hemodialysis].

In 23 hemodialytic patients with clinically presumed complications of the vascular access the arteriovenous shunt was studied by high resolution ultrasonography (US) and by angiography. In 21/23 cases US identified the shape of the shunt correctly; in these patients US always showed the alterations of vascular size (stenosis, aneurysm) and complete occlusion, also detecting the intravascular extension of thrombosis. In 3 patients US identified partial venous thrombosis missed on angiography; furthermore, unlike angiography, US gave precise information on the vascular wall and perivascular tissue changes. These findings suggest that US may represent the first imaging procedure in the study of the vascular access in hemodialytic patients; angiography might be performed when US findings are uncertain or when a vascular map is needed for surgery.

Adult↗

Knee arthrography: effects of various contrast media and epinephrine on synovial fluid.

Changes in synovial fluid leukocytes, total protein, and total complement were studied in 58 patients after they underwent single contrast material-enhanced knee arthrography with ionic (sodium iothalamate, sodium meglumine diatrizoate, meglumine iothalamate) and nonionic (iopamidol, iohexol) contrast media. In 30 of 58 cases, 0.3 mg epinephrine was also injected. In patients examined without epinephrine, a significant increase in the number of leukocytes was observed when sodium iothalamate and sodium meglumine diatrizoate were used. When administered with epinephrine all ionic compounds produced significant leukocytosis; articular reactions were most evident in patients examined with sodium salts. No inflammatory changes in the synovial fluid were observed when nonionic compounds were used. These data suggest that sodium-containing compounds produce a greater reaction in the joint compared with other contrast media, nonionic compounds are better tolerated by the joint, and epinephrine increases the articular reaction to ionic contrast media.

Adolescent↗

[A simple method of studying cruciate ligaments in arthrography].

After a review of the methods employed for arthrographic visualization of cruciate ligaments (CL), the authors present a new technique to separately study the anterior and posterior CL during traction. This technique enables to obtain a good visualization of CL and a good diagnostic accuracy; it can radiographically demonstrate a pathologic sagittal instability of the knee; it is easy to perform and is easily repeatable in different patients.

Humans↗