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Your search keyword '"Viggiano, M."' showing total 12 results
Start Over Author "Viggiano, M." Publisher wiley
12 results on '"Viggiano, M."'

1. Using IOTA terminology to evaluate fetal ovarian cysts: analysis of 51 cysts over 10-year period

Author

Romiti, A, Moro, Francesca, Ricci, Luigia, Codeca, C, Pozzati, Federica, Viggiano, M, Vicario, R, Fabietti, I, Scambia, Giovanni, Bagolan, P, Testa, Antonia Carla, Caforio, Leonardo, Moro, F, Ricci, L, Pozzati, F, Scambia, G (ORCID:0000-0003-2758-1063), Testa, A C (ORCID:0000-0003-2217-8726), Caforio, L (ORCID:0000-0002-1677-695X), Romiti, A, Moro, Francesca, Ricci, Luigia, Codeca, C, Pozzati, Federica, Viggiano, M, Vicario, R, Fabietti, I, Scambia, Giovanni, Bagolan, P, Testa, Antonia Carla, Caforio, Leonardo, Moro, F, Ricci, L, Pozzati, F, Scambia, G (ORCID:0000-0003-2758-1063), Testa, A C (ORCID:0000-0003-2217-8726), and Caforio, L (ORCID:0000-0002-1677-695X)

Abstract

ObjectivesTo describe ultrasound features of fetal ovarian cysts as reported by the original ultrasound examiner, to apply International Ovarian Tumor Analysis (IOTA) terminology after retrospective analysis of the images and to describe patient management and evolution of fetal cysts during pregnancy and after delivery. MethodsThis retrospective observational study included pregnant women diagnosed on ultrasound examination with a fetal ovarian cyst at the Prenatal Diagnosis Division of the Bambino Gesu Children's Hospital, in Rome, between March 2011 and May 2020. Cysts were classified by the original ultrasound examiner as 'simple' (unilocular anechoic cyst) or 'complex' (cyst with other morphology). In addition, three ultrasound examiners, experienced in gynecologic ultrasound, classified retrospectively the fetal ovarian cysts according to IOTA terminology, by reviewing stored ultrasound images. The evolution of these fetal ovarian cysts during pregnancy and after birth was recorded. ResultsIncluded were 51 ovarian cysts in 48 fetuses. Of the 51 cysts, 29 (56.9%) had been classified by the original ultrasound examiner as 'simple', and 22 (43.1%) as 'complex'. Of the simple cysts, the majority (20/29 (69.0%)) resolved spontaneously after delivery, 2/29 (6.9%) resolved following intrauterine aspiration, 2/29 (6.9%) resolved after postnatal aspiration and 5/29 (17.2%) underwent surgery due to persistence after delivery; in all five, normal ovarian parenchyma without signs of necrosis was observed at histology. Of the complex cysts, 7/22 (31.8%) resolved spontaneously. The other 15/22 (68.2%) were removed surgically and, at histology, necrosis was observed in most (12/15 (80.0%)), while a benign epithelial cyst with normal ovarian parenchyma was observed in 3/15 (20%). After reviewing the ultrasound images and applying IOTA terminology, all 51 (100%) fetal cysts were described as unilocular; 29/51 (56.9%) cysts showed anechoic content (described as simple cysts by

Published
2023

12. Brain cortical assessment by MRI in fetuses with left congenital diaphragmatic hernia.

Author

Fabietti I, Grassini G, Savelli S, Vicario R, Romiti A, Viggiano M, Vassallo C, Valfrè L, Giliberti P, Capolupo I, Bonito M, Bagolan P, Morini F, and Caforio L

Subjects
Pregnancy, Female, Humans, Ultrasonography, Prenatal methods, Fetus diagnostic imaging, Gestational Age, Brain, Magnetic Resonance Imaging methods, Lung diagnostic imaging, Hernias, Diaphragmatic, Congenital diagnostic imaging
Abstract

Objective: To evaluate fetal brain development using MRI (magnetic resonance imaging) in CDH (congenital diaphragmatic hernia)., Methods: 52 isolated left CDH and 104 control fetuses were imaged using MRI. Brain morphometry (Biparietal diameter-BPD, brain fronto-occipital diameter-BFOD, third ventricle, posterior ventricles, transcerebellar diameter-TCD, anteroposterior and craniocaudal cerebellar vermis diameter-AP and CC) and cortical structures (bilateral cingulate fissure-CF, insular fissure-IF, insular depth - ID) were compared with controls using Mann-Whitney test., Results: Median gestational age at MRI (p = 0.95)and the median biparietal diameter (p = 0.737) were comparable. Among morphometric parameters, only the brain fronto-occipital diameter was significantly smaller in CDH (p = 0.001) and the third ventricle was significantly greater in CDH (<0.0001). Among cortical structures, the cingulate and insular fissures were significantly deeper in CDH fetuses (p < 0.0001) as the insular depth ID was smaller in CDH (p < 0.03)., Conclusions: CDH fetuses have a smaller fronto-occipital diameter, reduced insular depth, deeper cingulate and insular fissure, and greater third ventricle width as compared to controls. These findings suggest that left CDH may have an impact on fetal brain development with an overall reduction in brain volume., (© 2023 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.)

Published
2023
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