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Andrea Smargiassi

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https://www.readbyqxmd.com/read/27503755/on-the-physical-basis-of-pulmonary-sonographic-interstitial-syndrome
#1
Gino Soldati, Marcello Demi, Riccardo Inchingolo, Andrea Smargiassi, Libertario Demi
No abstract text is available yet for this article.
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26351968/usefulness-of-conventional-transbronchial-needle-aspiration-for-sampling-of-mediastinal-lymph-nodes-in-lung-cancer
#2
Leonello Fuso, Francesco Varone, Andrea Smargiassi, Daniele Magnini, Sara Colella, Alessandro Di Marco Berardino, Roberta Marra, Antonino Mulè, Guido Rindi, Riccardo Inchingolo
BACKGROUND: Transbronchial needle aspiration (TBNA) is recognized as a valuable tool for the sampling of mediastinal lymph nodes. In this study, we report data about the diagnostic yield of conventional TBNA in the diagnosis and staging of lung cancer. METHODS: All patients with suspected lung cancer who underwent bronchoscopy with conventional TBNA in the years 2008 to 2012 were evaluated. TBNA was performed on mediastinal lymph nodes enlarged at chest computed tomography scan and/or with increased fluorodeoxyglucose uptake on positron emission tomography/computed tomography scan...
October 2015: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/25376260/lung-ultrasonography-may-provide-an-indirect-estimation-of-lung-porosity-and-airspace-geometry
#3
COMPARATIVE STUDY
Gino Soldati, Andrea Smargiassi, Riccardo Inchingolo, Sara Sher, Rosanna Nenna, Salvatore Valente, Cosimo Damiano Inchingolo, Giuseppe Maria Corbo
BACKGROUND: Echographic vertical artifacts (B-lines) in chest ultrasonography have often been associated with pathological patterns. A scientifically sound explanation of these artifacts has not yet been proposed. OBJECTIVES: The 'spongy' nature of the lung in its liquid and solid components and the changes that take place in peripheral airspace (PAS) geometry might be the key point to understanding these phenomena. METHODS: Six excised right rabbit lungs were obtained...
2014: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/24936303/look-at-the-lung-can-chest-ultrasonography-be-useful-in-pregnancy
#4
Riccardo Inchingolo, Andrea Smargiassi, Flaminio Mormile, Roberta Marra, Sara De Carolis, Antonio Lanzone, Salvatore Valente, Giuseppe M Corbo
BACKGROUND: This study aimed to evaluate the clinical value of chest ultrasound (US) in the detection, diagnosis and follow-up of pathologic processes of both peripheral lung parenchyma and pleural space in pregnant women. FINDINGS: Pregnant women admitted to Obstetric Pathology Hospital Department for respiratory diseases were enrolled. Chest US examination was performed when there was a respiratory disease highly suggestive of pneumonia and/or pleural effusion and chest X-ray (CXR) should have been obtained...
2014: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/24834347/ultrasonography-in-lung-pathologies-new-perspectives
#5
Libertario Demi, Marcello Demi, Andrea Smargiassi, Riccardo Inchingolo, Francesco Faita, Gino Soldati
BACKGROUND: Nowadays, ultrasound techniques have not gained importance in the diagnosis and monitoring of lung pathologies yet because of the high mismatch in acoustic impedance between air and intercostal tissues. However, it is evident that B-mode imaging provides important information on pulmonary tissue, although in the form of image artifacts. FINDINGS: Notwithstanding medical evidences, there exists no ultrasound-based method dedicated to the lung, hampering de facto the full exploitation of ultrasound potentials...
2014: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/24732295/ultrasonographic-assessment-of-the-diaphragm-in-chronic-obstructive-pulmonary-disease-patients-relationships-with-pulmonary-function-and-the-influence-of-body-composition-a-pilot-study
#6
Andrea Smargiassi, Riccardo Inchingolo, Linda Tagliaboschi, Alessandro Di Marco Berardino, Salvatore Valente, Giuseppe Maria Corbo
BACKGROUND: Skeletal muscle weakness with loss of fat-free mass (FFM) is one of the main systemic effects of chronic obstructive pulmonary disease (COPD). The diaphragm is also involved, leading to disadvantageous conditions and poor contractile capacities. OBJECTIVES: We measured the thickness of the diaphragm (TD) by ultrasonography to evaluate the relationships between echographic measurements, parameters of respiratory function and body composition data. METHODS: Thirty-two patients (23 males) underwent (1) pulmonary function tests, (2) echographic assessment of TD in the zone of apposition at various lung volumes, i...
2014: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/24486237/ultrasound-analysis-of-diaphragm-kinetics-and-the-diagnosis-of-airway-obstruction-the-role-of-the-m-mode-index-of-obstruction
#7
Alessandro Zanforlin, Andrea Smargiassi, Riccardo Inchingolo, Alessandro di Marco Berardino, Salvatore Valente, Emilio Ramazzina
Diaphragm motion in forced expiration can be analyzed using M-mode ultrasound in an anterior subcostal approach. Maximum expiratory diaphragmatic excursion (EDEMax) and forced expiratory diaphragmatic excursion in the first second (FEDE1) are considered the physiopathological analogues of vital capacity (VC) and forced expiratory volume in the first second (FEV1). As the FEV1/VC % ratio is used as a marker of obstruction, our aim was to determine if the ratio FEDE1/EDEMax (M-mode index of obstruction [MIO]) differs between healthy subjects and patients with airway obstruction...
June 2014: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/24452170/empyema-caused-by-prevotella-bivia-complicating-an-unusual-case-of-spontaneous-chylothorax
#8
Alessandro Di Marco Berardino, Riccardo Inchingolo, Andrea Smargiassi, Antonina Re, Riccardo Torelli, Barbara Fiori, Tiziana d'Inzeo, Giuseppe Maria Corbo, Salvatore Valente, Maurizio Sanguinetti, Teresa Spanu
Spontaneous chylothorax is rare in adults. We present an unusual case that was complicated by Prevotella bivia empyema. Full recovery was achieved with chest tube drainage and prompt treatment with intravenous clindamycin.
April 2014: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/23937897/the-role-of-chest-ultrasonography-in-the-management-of-respiratory-diseases-document-ii
#9
Andrea Smargiassi, Riccardo Inchingolo, Gino Soldati, Roberto Copetti, Giampietro Marchetti, Alessandro Zanforlin, Rosangela Giannuzzi, Americo Testa, Stefano Nardini, Salvatore Valente
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy.This document II is focused on advanced approaches to chest ultrasonography especially in diagnosing sonographic interstitial syndrome with physical hypotheses about the genesis of vertical artifacts, differential diagnosis of cardiogenic pulmonary edema and non-cardiogenic pulmonary edema, raising diagnostic suspicion of pulmonary embolism, ultrasound characterization of lung consolidations and the use of ultrasonography to guide procedural interventions in pulmonology...
2013: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/23937880/the-role-of-chest-ultrasonography-in-the-management-of-respiratory-diseases-document-i
#10
Alessandro Zanforlin, Rosangela Giannuzzi, Stefano Nardini, Americo Testa, Gino Soldati, Roberto Copetti, Giampietro Marchetti, Salvatore Valente, Riccardo Inchingolo, Andrea Smargiassi
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy. This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application. Document I shows how chest ultrasonography can be useful to detect and monitor pleural diseases, pleural effusions and pneumothorax and how it can assess diaphragmatic kinetics and pathologies...
2013: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/23639784/role-of-ultrasound-guided-transbronchial-biopsy-in-the-diagnosis-of-peripheral-pulmonary-lesions
#11
Leonello Fuso, Francesco Varone, Daniele Magnini, Fabiana Baldi, Guido Rindi, Gabriella Pagliari, Riccardo Inchingolo, Andrea Smargiassi
INTRODUCTION: Endobronchial ultrasound (EBUS) can be used as an alternative to fluoroscopy to visualize a peripheral pulmonary lesion (PPL) and to provide an image guidance for transbronchial biopsy (TBB). The aim of this study was to verify the accuracy of EBUS-guided TBB in the diagnosis of PPLs. METHODS: All the patients with CT-scan evidence of PPL who underwent bronchoscopy with EBUS in the period between 2008 and 2011 were retrospectively evaluated. EBUS was performed using a radial-type miniature ultrasound probe...
July 2013: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/23497643/ultrasound-guided-pleural-puncture-in-supine-or-recumbent-lateral-position-feasibility-study
#12
Gino Soldati, Andrea Smargiassi, Riccardo Inchingolo, Sara Sher, Salvatore Valente, Giuseppe Maria Corbo
BACKGROUND: The aim of this study is to evaluate feasibility, safety and efficacy of accessing the pleural space with the patient supine or in lateral recumbent position, under constant ultrasonic guidance along the costophrenic sinus. METHODS: All patients with pleural effusion, referred to thoracentesis or pleural drainage from February 2010 to January 2011 in two institutions, were drained either supine or in lateral recumbent position through an echomonitored cannulation of the costophrenic sinus...
2013: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/22579543/ex-vivo-lung-sonography-morphologic-ultrasound-relationship
#13
Gino Soldati, Riccardo Inchingolo, Andrea Smargiassi, Sara Sher, Rosanna Nenna, Cosimo Damiano Inchingolo, Salvatore Valente
Ultrasound (US) interstitial syndrome is a sonographic lung pattern characterized by the presence of acoustic artifacts (B-lines and white lung). The purpose of this study was to demonstrate how interstitial syndrome is determined by acoustic interactions in lungs of variable density and in healthy organs deflated to a nonphysiologic level of density. Normal rabbit lungs were studied ex vivo by US at varying known degrees of inflation, and their histologic appearances were described. In this experimental setting, US interstitial syndrome recognizes a mechanism related to tissue density or porosity...
July 2012: Ultrasound in Medicine & Biology
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