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Topic Review
Biological Vectors in Targeted Radionuclide Therapy
The precise delivery of cytotoxic radiation to cancer cells through the combination of a specific targeting vector with a radionuclide for targeted radionuclide therapy (TRT) has proven valuable for cancer care. TRT is increasingly being considered a relevant treatment method in fighting micro-metastases in the case of relapsed and disseminated disease. While antibodies were the first vectors applied in TRT, increasing research data has cited antibody fragments and peptides with superior properties and thus a growing interest in application.
  • 865
  • 15 May 2023
Topic Review
PET-Based Criteria for Response Assessment in Lymphoma
Criteria for response assessment in lymphoma have deeply evolved in the last decade, assigning an outstanding role to FDG-PET/CT. This path starts from the first lymphoma specific CT-based criteria and leads towards the PET-based Lugano Classification, that, nowadays, represents the gold standard. LYRIC (Lymphoma Response to Immunomodulatory Therapy Criteria) criteria, the recent refinement of the Lugano Classification, were conceived to capture new patterns of response (delayed response and pseudoprogression) observed during treatment with novel immunotherapy agents that have entered the clinic.
  • 864
  • 05 Jun 2023
Topic Review
Pterostilbene in Cancer Therapy
Natural polyphenols are organic chemicals which contain phenol units in their structures and possess antitumor properties. However, a key problem is their short half-life and low bioavailability under in vivo conditions. Pterostilbene (3,5-dimethoxy-4'-hydroxystilbene; PT) is a phytoalexin originally isolated from the heartwood of red sandalwood. As recently reported by our group, PT was shown to be effective in the treatment of melanoma. Counterintuitively, PT is not effective (cytotoxic) against melanoma in vitro, and only under in vivo conditions does PT display its anticancer activity. This study elucidated that PT can be effective against melanoma through the inhibition of adrenocorticotropic hormone production in the brain of a mouse, which weakens the Nrf2-dependent antioxidant defenses of melanoma and also pancreatic cancers. This results in both the inhibition of tumor growth and sensitization of the tumor to oxidative stress. Moreover, PT can promote cancer cell death via a mechanism involving lysosomal membrane permeabilization. Different grades of susceptibility were observed among the different cancer cells depending on their lysosomal heat shock protein 70 content, a known stabilizer of lysosomal membranes. In addition, the safety of PT administered i.v. has been evaluated in mice. PT was found to be pharmacologically safe because it showed no organ-specific or systemic toxicity (including tissue histopathologic examination and regular hematology and clinical chemistry data) even when administered i.v. at a high dose (30 mg/kg per day × 23 days). Moreover, new pharmacological advances are being developed to increase its bioavailability and, thereby, its bioefficacy. Therefore, although applications of PT in cancer therapy are just beginning to be explored, it represents a potential (and effective) adjuvant/sensitizing therapy which may improve the results of various oncotherapies. The aim of this review is to present and discuss the results that in our opinion best support the usefulness of PT in cancer therapy, making special emphasis on the in vivo evidence.
  • 858
  • 26 Jul 2021
Topic Review
Radiomics/Deep Learning for Nasopharyngeal Carcinoma
Nasopharyngeal carcinoma (NPC) is one of the most common malignant tumours of the head and neck, and improving the efficiency of its diagnosis and treatment strategies is an important goal. With the development of the combination of artificial intelligence (AI) technology and medical imaging in recent years, an increasing number of studies have been conducted on image analysis of NPC using AI tools, especially radiomics and artificial neural network methods.
  • 858
  • 28 Sep 2021
Topic Review
Magnetic Resonance Imaging of the Gastrointestinal Tract
Magnetic resonance imaging (MRI) performed with the more advanced imaging techniques allows an accurate assessment of many intestinal disorders, particularly inflammatory bowel disease and rectal cancer; in most of these diseases, MRI is invaluable for diagnosis, staging, and monitoring under treatment. Several MRI parameters are currently considered activity biomarkers for inflammatory and neoplastic diseases. Furthermore, in younger patients with acute or chronic GI disease, MRI can be safely used for short-term follow-up studies in many critical clinical situations because it is radiation-free. MRI assessment of functional gastro-esophageal and small bowel disorders is still in its infancy but very promising, while it is well established and widely used for dynamic assessment of anorectal and pelvic floor dysfunction; MRI motility biomarkers have also been described. 
  • 842
  • 07 Aug 2023
Topic Review
Molecular Imaging of DFI
Advances in imaging have the potential to improve the assessment of diabetic foot infection (DFI), particularly in distinguishing infection of soft tissue alone from osteomyelitis (OM). 
  • 837
  • 28 Dec 2021
Topic Review
FDG-PET/CT in the Monitoring of Lymphoma Immunotherapy Response
Cancer immunotherapy is a type of cancer treatment that uses the immune system to fight cancer cells. Some of these treatments stimulate the immune system, while others prime the immune system to identify better and target cancer cells. In parallel with the implementation of cancer immunotherapy, therapy-specific FDG PET/CT response criteria were explicitly designed specifically for that purpose. FDG PET/CT plays a key role in the newly developed response criteria, and several FDG PET/CT-based criteria have been proposed to address all patterns of response to therapy, including indeterminate response, pseudoprogression, and hyperprogression using several metrics, such as SUV, MTV, and TLG. This research aims to discuss the effects and side effects of cancer immunotherapy and to correlate this with the proposed criteria and relevant patterns of FDG PET/CT in lymphoma immunotherapy as applicable. Additionally, the latest updates and future prospects will be explored.
  • 836
  • 24 Feb 2023
Topic Review
Clinical Application of FAPi-PET/CT in Oncology
The tumor microenvironment (TME) surrounding tumor cells is a complex and highly dynamic system that promotes tumorigenesis. Cancer-associated fibroblasts (CAFs) are key elements in TME playing a pivotal role in cancer cells’ proliferation and metastatic spreading. Considering the high expression of the fibroblast activation protein (FAP) on the cell membrane, CAFs emerged as appealing TME targets, namely for molecular imaging, leading to a pan-tumoral approach. Therefore, FAP inhibitors (FAPis) have recently been developed for PET imaging and radioligand therapy, exploring the clinical application in different tumor sub-types.
  • 832
  • 20 Apr 2022
Topic Review
Cone-Beam Breast Computed Tomography
Cone-beam breast computed tomography (CBBCT) is a revolutionary modality that will assist in overcoming the limitations of current imaging for dense breast tissue and overlapping structures. 
  • 829
  • 02 Dec 2021
Topic Review
Radionuclide Development
In the field of radionuclide development, the continual changing of clinically used radionuclides, which is sometimes influenced by instrumentation technology but also driven by availability, patient safety and clinical questions. Some areas, such as tumour imaging, have faced challenges when changing radionuclides based on availability, when this produced undesirable clinical findings with the introduction of unclear focal uptakes and unspecific uptakes.
  • 824
  • 26 Jan 2022
Topic Review
Ultrasound in Telemedicine
The term telemedicine was to describe the practice of delivering health care services through the use of information and communications technology, whereby geographic distance is not as constraining, as in the case of traditional medical practice. Telemedicine is not only used to exchange valid information for the diagnosis, treatment, and prevention of disease and injuries and research and evaluation, but also for the continuing the education of healthcare providers to advance individual and community health.
  • 819
  • 10 Feb 2022
Topic Review
Differentiated Thyroid Cancer
Differentiated thyroid cancer (DTC) is the most common endocrine malignancy with a high incidence rate in females. 
  • 818
  • 03 Jun 2021
Topic Review
CT Imaging Findings of Gastric Volvulus
Gastric volvulus (GV) is a life-threatening emergency condition that prompts emergent surgical management. Although many cases of GV have been described in the literature, its pathophysiology is still poorly understood. Here, we provide imaging evidence supporting that the pathophysiology of many GVs is based on caudal re-descent of hiatal hernia into the abdominal cavity
  • 817
  • 30 Jan 2022
Topic Review
Organ-Preserving Radiation Therapy in Gastric Marginal Zone Lymphoma
Gastric marginal zone lymphoma (MZL) of the stomach is a rare cancer type, often primarily treated with oral proton pump inhibitors, especially in Helicobacter pylori (Hp)-positive cases. However, the prevalence of Hp-unrelated gastric MZL has increased over the last two decades and 70-80% of Hp-negative gastric MZL are antibiotic-unresponsive. Radiation treatment can provide excellent local control in localized antibiotic-refractory gastric MZL.
  • 817
  • 21 Feb 2022
Topic Review
Imaging in Portal Vein Thrombosis
The term portal vein thrombosis (PVT) refers to the complete or partial obstruction of blood flow in the portal vein, due to the presence of a thrombus in the vasal lumen. The underlying etiology of PVT remains unclear in up to 50% of children and adults. PVT, either primary or secondary to an underlying chronic liver disease, is the most common cause of prehepatic portal hypertension. On the one hand, primary PVT can be idiopathic, iatrogenic (neonatal umbilical vein catheterization), or related to an altered coagulation status. On the other hand, the progression of most chronic liver diseases leads to fibrosis, which increases sinusoid resistance and determines an abnormal elevation of portal venous pressure. The spontaneous development of a collateral circulation to divert the flow to the systemic circulation is the first observed anomaly, which itself contributes to PVT. 
  • 813
  • 11 Nov 2022
Topic Review
Coronary Computer Tomography Angiography
Among all non-invasive diagnostic methods employed in the work-up of patients with chronic coronary syndromes (CCS), coronary computer tomography angiography (CCTA) stands out as an excellent integrative tool that provides information regarding calcium burden, presence and degree of coronary stenosis, type of atherosclerotic plaques, and functional relevance of such plaques, all in one examination.
  • 809
  • 17 Jun 2021
Topic Review
Imaging More than Skin-Deep
Systemic disorders often present with both cutaneous and radiologic findings. Some presenting skin lesions are disease-specific (e.g., shagreen patch in tuberous sclerosis); others signify internal organ involvement (e.g., erythema nodosum in sarcoidosis, tuberculosis, or inflammatory bowel disease). Disease entities are broadly categorized into three areas: (1) autoimmune/inflammatory disorders and vasculitides, (2) genetic/congenital disorders, and (3) neoplasms.
  • 792
  • 30 Aug 2022
Topic Review
Preoperative Planning for Superior Mesenteric Artery Aneurysm
Surgical procedures on various artery aneurysms are difficult to perform and require careful preparation. We have developed a software platform, CardioCTNav, that can help in planning such procedures. The planning consists of a 3D rendering of the area of interest, virtual angiography, automated measurements, and virtual stent simulation.
  • 782
  • 05 Nov 2021
Topic Review
Differential Diagnosis of COVID-19 Pneumonia
COVID-19 pneumonia represents a maximum medical challenge due to the virus’s high contagiousness, morbidity, and mortality and the still limited possibilities of the health systems. The differential diagnosis of COVID-19 pneumonia is challenging because there may be standard radiologic features such as ground-glass opacities, crazy paving patterns, and consolidations. A multidisciplinary approach is crucial to define a correct final diagnosis, as an overlap of COVID-19 pneumonia with pre-existing lung diseases is often possible and suggests possible differential diagnoses.
  • 775
  • 30 Nov 2022
Topic Review
Targeted Radionuclide Therapy
Targeted radionuclide therapy has become increasingly prominent as a nuclear medicine subspecialty. Treatment with radionuclides has been mainly restricted to the use of iodine-131 in thyroid disorders. Radiopharmaceuticals, consisting of a radionuclide coupled to a vector that binds to a desired biological target with high specificity, are being developed. The objective is to be as selective as possible at the tumor level, while limiting the dose received at the healthy tissue level. A better understanding of molecular mechanisms of cancer, as well as the appearance of innovative targeting agents (antibodies, peptides, and small molecules) and the availability of new radioisotopes, have enabled considerable advances in the field of vectorized internal radiotherapy with a better therapeutic efficacy, radiation safety and personalized treatments. 
  • 774
  • 07 Jul 2023
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