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Biomedical subjects

Raffaella Foschi

Publications and source records attributed to Raffaella Foschi.

3 recordsLinked to original sources

Imaging of small bowel tumors.

Small bowel tumors represent less than 25% of all gastrointestinal tumors and 1-2% of malignant tumors in general. However for their nonspecific clinical presentation, diagnosis is often late, because of the patient delay to contact the doctor and especially the doctor difficulty to advance the clinical suspicion and request the suitable clinicoinstrumental diagnostic tests. The radiologist plays a major role in early diagnosis, treatment and prognosis. In the last decade diagnostic imaging (US, CT, MRI) has supported conventional barium studies: the diagnostic accuracy has been enhanced in terms of identification, characterization and evaluation of the degree of severity of these diseases. The choice of the most suitable technique should be based on the diagnostic skills acquired in the field and on the awareness of the limits and indications of each method. In this article, the contribution of imaging to the diagnosis of small bowel tumors, is analyzed.

Humans↗

Post-processing of digital images.

Post-processing of bi- and three-dimensional images plays a major role for clinicians and surgeons in both diagnosis and therapy. The new spiral (single and multislice) CT and MRI machines have allowed better quality of images. With the associated development of hardware and software, post-processing has become indispensable in many radiologic applications in order to address precise clinical questions. In particular, in CT the acquisition technique is fundamental and should be targeted and optimized to obtain good image reconstruction. Multiplanar reconstructions ensure simple, immediate display of sections along different planes. Three-dimensional reconstructions include numerous procedures: multiplanar techniques as maximum intensity projections (MIP); surface rendering techniques as the Shaded Surface Display (SSD); volume techniques as the Volume Rendering Technique; techniques of virtual endoscopy. In surgery computer-aided techniques as the neuronavigator, which with information provided by neuroimaging helps the neurosurgeon in simulating and performing the operation, are extremely interesting.

Image Interpretation, Computer-Assisted↗

Diagnostic imaging and therapy in a case of myasthenia gravis associated with thymic hyperplasia.

The diagnostic approach to a patient with myasthenia gravis to verify the presence of thymic hyperplasia/thymoma is presented. The study of the mediastinal region was necessary. Mediastinal MRI showed the presence of a mass. The differential diagnosis between a mediastinal and an extramediastinal lesion is possible with MRI for its high contrast resolution, good spatial resolution and multiplanarity that allow the detection, localization, evaluation of the extent and/or infiltration of adjacent tissues/organs based on the analysis of adipose cleavages and typing in the different pulse sequences of pathologic tissue with contrast enhancement. Definitive diagnosis of thymic hyperplasia was established. Therefore surgery should be essentially associated with the severity of the clinical presentation rather than with thymic hyperplasia.

Diagnostic Imaging↗