4 results on '"M. Rivellini"'
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2. The first breast cancer screening program in southern Italy: Preliminary results from three municipalities on the Naples province
- Author
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S. De Placido, M. Rivellini, E. Di Palma, Chiara Carlomagno, A. Sodano, P. L. Cerato, C. Gallo, G. Petrella, Ar Bianco, Paolo Delrio, A. Noviello, Caterina Bianco, Francesco Nuzzo, M. T. Pini, F. Perrone, DE PLACIDO, Sabino, F., Nuzzo, F., Perrone, Carlomagno, Chiara, A., Noviello, P., Delrio, E., di Palma, M. T., Pini, P. L., Cerato, C., Bianco, DE PLACIDO, S, Nuzzo, F, Perrone, F, Carlomagno, C, Noviello, A, Delrio, P, DI PALMA, E, Pini, Mt, Cerato, Pl, Bianco, C, Rivellini, M, Petrella, G, Gallo, Ciro, Sodano, A, and Bianco, Ar
- Subjects
Cancer Research ,medicine.medical_specialty ,mammography ,Physical examination ,Breast Neoplasms ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Breast cancer screening ,0302 clinical medicine ,Breast cancer ,breast cancer ,Biopsy ,medicine ,Mammography ,Humans ,Mass Screening ,Mass screening ,Aged ,medicine.diagnostic_test ,Traditional medicine ,business.industry ,Obstetrics ,screening ,Cancer ,General Medicine ,Middle Aged ,medicine.disease ,Fine-needle aspiration ,Oncology ,Italy ,030220 oncology & carcinogenesis ,Female ,business - Abstract
Aims and Background It has been demonstrated that breast cancer screening induces a 30% reduction of specific mortality. In May 1990, we started a pilot screening program to assess the feasibility of carrying out such a program in Campania (southern Italy). Herein we report the results of the first round of the program from three municipalities (Giugliano, Mugnano and Qualiano) that lie within the local health district no. 23, close to the city of Naples. Methods Women between the ages of 50 and 69 years were sent a personalized letter inviting them to attend the screening test; those not responding were sent a second invitation. The screening test consisted of clinical examination followed by two-view mammography. Second–level diagnostic tools were sonography, fine needle aspiration (manual, echo-guided and stereotaxic) and surgical biopsy. Results Out of 5,732 women invited for the first round, 1,813 (31.6%) attended the screening. Attendance rate was higher among younger women. Ninety-one women were positive at the screening test and underwent further examination (recall rate, 5.0%). Among them, 19 had surgical biopsy (biopsy rate, 1.0%) that led to breast cancer diagnosis in 11 cases. The benign/malignant biopsy rate was 0.73. Detection rate was 6.07 × 1,000 screened women and varied among age categories, increasing within the 60–69 subgroup; detection rate/expected incidence ratio in the overall group was 4.5 and also increased within the older age category. Seven out of 11 cancers were at UICC stage 0-I. Among 327 self-referring women, 38 were positive (recall rate, 11.6%), and 14 underwent biopsy (biopsy rate, 4.3%), which showed cancer in 7 cases (benign/malignant biopsy rate, 1.0). In addition, 2 inflammatory cancers were diagnosed without surgical biopsy. Thus 9 cancer cases were detected in this group. Self-referring women differed from responding women in that they had a higher frequency of symptoms or familiar history of cancer, and a higher educational level and awareness of preventive medicine. Clinical examination added no diagnostic advantage in the responding group but did not significantly worsen the recall rate. In the self-referring group, one case of inflammatory cancer was missed by mammography and diagnosed by clinical examination. Conclusion The early results (recall rate = 5%, detection rate/expected incidence ratio = 4.5, benign/malignant biopsy rate = 0.73, advanced cancers = 36.4%) are encouraging and indicate the validity of the program. Strategies to improve attendance rate are planned.
3. Infarct-like versus Non-Infarct-like Clinical Presentation of Acute Myocarditis: Comparison of Cardiac Magnetic Resonance (CMR) Findings.
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Capasso R, Imperato MC, Serra N, Rodriguez R, Rivellini M, De Filippo M, and Pinto A
- Abstract
Background: The clinical presentation of acute myocarditis (AM) is widely variable, ranging from a subclinical disease to an infarct-like syndrome. Cardiac magnetic resonance (CMR) has become the reference non-invasive diagnostic tool for suspected AM, allowing the identification of the various hallmarks of myocardial inflammation (edema, fibrosis, and hyperemia). The aim of the study was to investigate any differences in morphological, functional, and tissue characterization CMR parameters between infarct-like AM in patients with unobstructed coronary arteries and non-infarct-like AM, diagnosed according to the original Lake-Louise Criteria (LLC); Methods: We retrospectively selected 39 patients diagnosed with AM according to LLC, divided into 2 groups according to the clinical presentation: infarct-like in group 1 patients and non-infarct-like in group 2 patients. CMR morphologic, functional, and tissue characterization parameters were analyzed and compared., Results: In group 1, CMR tissue characterization parameters were mainly altereda in septal location with mesocardial myocardial involvement; in group 2, CMR tissue characterization parameters were mainly altered in a lateral location with subepicardial myocardial involvement mainly at the mid-cavity. No significant differences in morphological or functional parameters were observed between the two study groups., Conclusions: Our results showed differences in the localization and distribution of myocardial tissue damage assessed by CMR among forms of AM accompanied by an infarct-like clinical presentation compared with non-infarct-like presentations of AM. The mechanisms underlying the different preferential sites of damage observed in our study are not known, and we do not exclude the possibility of their prognostic implications.
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- 2023
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4. [Lung interstitial disease in systemic sclerosis: semiologic characteristics with high-resolution computerized tomography and comparison with other methods].
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Rotondo A, Grassi R, Catalano O, Del Viscovo L, Vatti M, Gallo M, Bianco L, Celentano L, Brunetti A, and Rivellini M
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- Adult, Aged, False Negative Reactions, Female, Humans, Lung Diseases, Interstitial diagnosis, Lung Diseases, Interstitial etiology, Male, Middle Aged, Sensitivity and Specificity, Lung Diseases, Interstitial diagnostic imaging, Scleroderma, Systemic complications, Tomography, X-Ray Computed methods
- Abstract
In 28 patients with systemic sclerosis interstitial lung involvement was investigated with high-resolution Computed Tomography (HRCT) in comparison with other diagnostic methods (respiratory function tests, lung scintigraphy and conventional radiography of the chest). The most frequent CT signs were: interlobular septal thickening, intralobular interstitial thickening, and ground-glass density. Their distribution was generally basal and posterior and high correlation was observed between the extent of lung disease and the cutaneous pattern of scleroderma. Pathological findings were present in 93% of cases: HRCT can must be considered more effective than the other methods in the evaluation of systemic sclerosis and should therefore be a fundamental diagnostic tool in the study and follow-up of interstitial diseases in the patients with systemic sclerosis.
- Published
- 1993
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