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14. Delphi definition of the EADC‐ADNI Harmonized Protocol for hippocampal segmentation on magnetic resonance

Author

Boccardi, Marina, Bocchetta, Martina, Apostolova, Liana G, Barnes, Josephine, Bartzokis, George, Corbetta, Gabriele, DeCarli, Charles, deToledo‐Morrell, Leyla, Firbank, Michael, Ganzola, Rossana, Gerritsen, Lotte, Henneman, Wouter, Killiany, Ronald J, Malykhin, Nikolai, Pasqualetti, Patrizio, Pruessner, Jens C, Redolfi, Alberto, Robitaille, Nicolas, Soininen, Hilkka, Tolomeo, Daniele, Wang, Lei, Watson, Craig, Wolf, Henrike, Duvernoy, Henri, Duchesne, Simon, Jack, Clifford R, Frisoni, Giovanni B, and Segmentation, EADC‐ADNI Working Group on the Harmonized Protocol for Manual Hippocampal

Subjects
Neurosciences, Alzheimer Disease, Atrophy, Consensus, Delphi Technique, Hippocampus, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Internationality, Magnetic Resonance Imaging, Neuroimaging, Volumetry, Manual segmentation, Harmonization, Anatomical landmarks, Delphi procedure, Alzheimer's disease, Medial temporal Jobe, Hippocampal atrophy, Magnetic.resonance, Standard operational procedures, Enrichment, MCI, Reliability, EADC-ADNI Working Group on the Harmonized Protocol for Manual Hippocampal Segmentation, Magnetic resonance, Medial temporal lobe, Clinical Sciences, Geriatrics
Abstract

BackgroundThis study aimed to have international experts converge on a harmonized definition of whole hippocampus boundaries and segmentation procedures, to define standard operating procedures for magnetic resonance (MR)-based manual hippocampal segmentation.MethodsThe panel received a questionnaire regarding whole hippocampus boundaries and segmentation procedures. Quantitative information was supplied to allow evidence-based answers. A recursive and anonymous Delphi procedure was used to achieve convergence. Significance of agreement among panelists was assessed by exact probability on Fisher's and binomial tests.ResultsAgreement was significant on the inclusion of alveus/fimbria (P = .021), whole hippocampal tail (P = .013), medial border of the body according to visible morphology (P = .0006), and on this combined set of features (P = .001). This definition captures 100% of hippocampal tissue, 100% of Alzheimer's disease-related atrophy, and demonstrated good reliability on preliminary intrarater (0.98) and inter-rater (0.94) estimates.DiscussionConsensus was achieved among international experts with respect to hippocampal segmentation using MR resulting in a harmonized segmentation protocol.

Published
2015

15. The EADC‐ADNI Harmonized Protocol for manual hippocampal segmentation on magnetic resonance: Evidence of validity

Author

Frisoni, Giovanni B, Jack, Clifford R, Bocchetta, Martina, Bauer, Corinna, Frederiksen, Kristian S, Liu, Yawu, Preboske, Gregory, Swihart, Tim, Blair, Melanie, Cavedo, Enrica, Grothe, Michel J, Lanfredi, Mariangela, Martinez, Oliver, Nishikawa, Masami, Portegies, Marileen, Stoub, Travis, Ward, Chadwich, Apostolova, Liana G, Ganzola, Rossana, Wolf, Dominik, Barkhof, Frederik, Bartzokis, George, DeCarli, Charles, Csernansky, John G, deToledo‐Morrell, Leyla, Geerlings, Mirjam I, Kaye, Jeffrey, Killiany, Ronald J, Lehéricy, Stephane, Matsuda, Hiroshi, O'Brien, John, Silbert, Lisa C, Scheltens, Philip, Soininen, Hilkka, Teipel, Stefan, Waldemar, Gunhild, Fellgiebel, Andreas, Barnes, Josephine, Firbank, Michael, Gerritsen, Lotte, Henneman, Wouter, Malykhin, Nikolai, Pruessner, Jens C, Wang, Lei, Watson, Craig, Wolf, Henrike, deLeon, Mony, Pantel, Johannes, Ferrari, Clarissa, Bosco, Paolo, Pasqualetti, Patrizio, Duchesne, Simon, Duvernoy, Henri, Boccardi, Marina, Initiative, EADC‐ADNI Working Group on The Harmonized Protocol for Manual Hippocampal Volumetry and for the Alzheimer's Disease Neuroimaging, Albert, Marilyn S, Bennet, David, Camicioli, Richard, Collins, D Louis, Dubois, Bruno, Hampel, Harald, denHeijer, Tom, Hock, Christofer, Jagust, William, Launer, Leonore, Maller, Jerome J, Mueller, Susan, Sachdev, Perminder, Simmons, Andy, Thompson, Paul M, Visser, Peter‐Jelle, Wahlund, Lars‐Olof, Weiner, Michael W, and Winblad, Bengt

Subjects
Biomedical and Clinical Sciences, Neurosciences, Clinical Sciences, Brain Disorders, Biomedical Imaging, Clinical Research, Aged, Alzheimer Disease, Atrophy, Female, Functional Laterality, Hippocampus, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Internet, Magnetic Resonance Imaging, Male, Middle Aged, Neuroimaging, Organ Size, Reproducibility of Results, Hippocampal volumetry, Magnetic resonance, Alzheimer's disease, Biomarkers, Diagnostic criteria, Enrichment, Clinical trials, Validation, Harmonized protocol, Standard operating procedures, Manual segmentation, EADC-ADNI Working Group on The Harmonized Protocol for Manual Hippocampal Volumetry and for the Alzheimer's Disease Neuroimaging Initiative, Geriatrics, Clinical sciences, Biological psychology
Abstract

BackgroundAn international Delphi panel has defined a harmonized protocol (HarP) for the manual segmentation of the hippocampus on MR. The aim of this study is to study the concurrent validity of the HarP toward local protocols, and its major sources of variance.MethodsFourteen tracers segmented 10 Alzheimer's Disease Neuroimaging Initiative (ADNI) cases scanned at 1.5 T and 3T following local protocols, qualified for segmentation based on the HarP through a standard web-platform and resegmented following the HarP. The five most accurate tracers followed the HarP to segment 15 ADNI cases acquired at three time points on both 1.5 T and 3T.ResultsThe agreement among tracers was relatively low with the local protocols (absolute left/right ICC 0.44/0.43) and much higher with the HarP (absolute left/right ICC 0.88/0.89). On the larger set of 15 cases, the HarP agreement within (left/right ICC range: 0.94/0.95 to 0.99/0.99) and among tracers (left/right ICC range: 0.89/0.90) was very high. The volume variance due to different tracers was 0.9% of the total, comparing favorably to variance due to scanner manufacturer (1.2), atrophy rates (3.5), hemispheric asymmetry (3.7), field strength (4.4), and significantly smaller than the variance due to atrophy (33.5%, P < .001), and physiological variability (49.2%, P < .001).ConclusionsThe HarP has high measurement stability compared with local segmentation protocols, and good reproducibility within and among human tracers. Hippocampi segmented with the HarP can be used as a reference for the qualification of human tracers and automated segmentation algorithms.

Published
2015

17. Effect of once-daily, modified-release hydrocortisone versus standard glucocorticoid therapy on metabolism and innate immunity in patients with adrenal insufficiency (DREAM): a single-blind, randomised controlled trial

Author

Isidori, Andrea M, Venneri, Mary Anna, Graziadio, Chiara, Simeoli, Chiara, Fiore, Daniela, Hasenmajer, Valeria, Sbardella, Emilia, Gianfrilli, Daniele, Pozza, Carlotta, Pasqualetti, Patrizio, Morrone, Stefania, Santoni, Angela, Naro, Fabio, Colao, Annamaria, Pivonello, Rosario, and Lenzi, Andrea

Published
2018
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18. Imaging markers for Alzheimer disease

Author

Frisoni, Giovanni B, Bocchetta, Martina, Chételat, Gael, Rabinovici, Gil D, de Leon, Mony J, Kaye, Jeffrey, Reiman, Eric M, Scheltens, Philip, Barkhof, Frederik, Black, Sandra E, Brooks, David J, Carrillo, Maria C, Fox, Nick C, Herholz, Karl, Nordberg, Agneta, Jack, Clifford R, Jagust, William J, Johnson, Keith A, Rowe, Christopher C, Sperling, Reisa A, Thies, William, Wahlund, Lars-Olof, Weiner, Michael W, Pasqualetti, Patrizio, and DeCarli, Charles

Subjects
Acquired Cognitive Impairment, Neurosciences, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Clinical Research, Dementia, Aging, Alzheimer's Disease, Biomedical Imaging, Brain Disorders, Neurodegenerative, Detection, screening and diagnosis, 4.1 Discovery and preclinical testing of markers and technologies, 4.2 Evaluation of markers and technologies, Alzheimer Disease, Biomarkers, Fluorodeoxyglucose F18, Humans, Magnetic Resonance Imaging, Radiography, Tomography, Emission-Computed, Single-Photon, ISTAART's NeuroImaging Professional Interest Area, Clinical Sciences, Cognitive Sciences, Neurology & Neurosurgery
Abstract

Revised diagnostic criteria for Alzheimer disease (AD) acknowledge a key role of imaging biomarkers for early diagnosis. Diagnostic accuracy depends on which marker (i.e., amyloid imaging, ¹⁸F-fluorodeoxyglucose [FDG]-PET, SPECT, MRI) as well as how it is measured ("metric": visual, manual, semiautomated, or automated segmentation/computation). We evaluated diagnostic accuracy of marker vs metric in separating AD from healthy and prognostic accuracy to predict progression in mild cognitive impairment. The outcome measure was positive (negative) likelihood ratio, LR+ (LR-), defined as the ratio between the probability of positive (negative) test outcome in patients and the probability of positive (negative) test outcome in healthy controls. Diagnostic LR+ of markers was between 4.4 and 9.4 and LR- between 0.25 and 0.08, whereas prognostic LR+ and LR- were between 1.7 and 7.5, and 0.50 and 0.11, respectively. Within metrics, LRs varied up to 100-fold: LR+ from approximately 1 to 100; LR- from approximately 1.00 to 0.01. Markers accounted for 11% and 18% of diagnostic and prognostic variance of LR+ and 16% and 24% of LR-. Across all markers, metrics accounted for an equal or larger amount of variance than markers: 13% and 62% of diagnostic and prognostic variance of LR+, and 29% and 18% of LR-. Within markers, the largest proportion of diagnostic LR+ and LR- variability was within ¹⁸F-FDG-PET and MRI metrics, respectively. Diagnostic and prognostic accuracy of imaging AD biomarkers is at least as dependent on how the biomarker is measured as on the biomarker itself. Standard operating procedures are key to biomarker use in the clinical routine and drug trials.

Published
2013

21. Impairment in Social Functioning differentiates youth meeting Ultra-High Risk for psychosis criteria from other mental health help-seekers: A validation of the Italian version of the Global Functioning: Social and Global Functioning: Role scales

Author

Lo Cascio, Nella, Curto, Martina, Pasqualetti, Patrizio, Lindau, Juliana Fortes, Girardi, Nicoletta, Saba, Riccardo, Brandizzi, Martina, Monducci, Elena, Masillo, Alice, Colafrancesco, Giada, Solfanelli, Andrea, De Crescenzo, Franco, Kotzalidis, Georgios D., Dario, Claudia, Ferrara, Mauro, Vicari, Stefano, Girardi, Paolo, Auther, Andrea M., Cornblatt, Barbara A., Correll, Christoph U., and Fiori Nastro, Paolo

Published
2017
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23. Effects on Corticospinal Tract Homology of Faremus Personalized Neuromodulation Relieving Fatigue in Multiple Sclerosis: A Proof-of-Concept Study

Author

Bertoli, Massimo, primary, Tataranni, Angela, additional, Porziani, Susanna, additional, Pasqualetti, Patrizio, additional, Gianni, Eugenia, additional, Grifoni, Joy, additional, L’Abbate, Teresa, additional, Armonaite, Karolina, additional, Conti, Livio, additional, Cancelli, Andrea, additional, Cottone, Carlo, additional, Marinozzi, Franco, additional, Bini, Fabiano, additional, Cecconi, Federico, additional, and Tecchio, Franca, additional

Published
2023
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24. On the Homology of the Dominant and Non-Dominant Corticospinal Tracts: A Novel Neurophysiological Assessment

Author

Pagliara, Maria Rita, primary, Cecconi, Federico, additional, Pasqualetti, Patrizio, additional, Bertoli, Massimo, additional, Armonaite, Karolina, additional, Gianni, Eugenia, additional, Grifoni, Joy, additional, L’Abbate, Teresa, additional, Marinozzi, Franco, additional, Conti, Livio, additional, Paulon, Luca, additional, Uncini, Antonino, additional, Zappasodi, Filippo, additional, and Tecchio, Franca, additional

Published
2023
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25. Frequency-Dependent Reduction of Cyber-Sickness in Virtual Reality by Transcranial Oscillatory Stimulation of the Vestibular Cortex

Author

Benelli, Alberto, primary, Neri, Francesco, additional, Cinti, Alessandra, additional, Pasqualetti, Patrizio, additional, Romanella, Sara M., additional, Giannotta, Alessandro, additional, De Monte, David, additional, Mandalà, Marco, additional, Smeralda, Carmelo, additional, Prattichizzo, Domenico, additional, Santarnecchi, Emiliano, additional, and Rossi, Simone, additional

Published
2023
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27. Violent behavior of patients living in psychiatric residential facilities: A comparison of male patients with different violence histories

Author

Andreose, S., Basso, P., Beneduce, R., Bongiorno, F., Braida, V., Cortini, E., Dagani, J., De Dominicis, F., Di Giovanni, A., Ghilardi, A., Jaretti Sodano, A., Magni, L., Milazzo, D., Lo Presti, E., Paulon, L., Pioli, R., Ricci, C., Rillosi, L., Savio, G., Scaratti, L., Scioli, R., Veneroni, L., Zamburlini, S., Zorzella, L., Candini, Valentina, Buizza, Chiara, Ferrari, Clarissa, Boero, Maria Elena, Giobbio, Gian Marco, Goldschmidt, Nicoletta, Greppo, Stefania, Iozzino, Laura, Maggi, Paolo, Melegari, Anna, Pasqualetti, Patrizio, Rossi, Giuseppe, and de Girolamo, Giovanni

Published
2015
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36. Deaf Children Attending Different School Environments: Sign Language Abilities and Theory of Mind

Author

Tomasuolo, Elena, Valeri, Giovanni, Di Renzo, Alessio, Pasqualetti, Patrizio, and Volterra, Virginia

Abstract

The present study examined whether full access to sign language as a medium for instruction could influence performance in Theory of Mind (ToM) tasks. Three groups of Italian participants (age range: 6-14 years) participated in the study: Two groups of deaf signing children and one group of hearing-speaking children. The two groups of deaf children differed only in their school environment: One group attended a school with a teaching assistant (TA; Sign Language is offered only by the TA to a single deaf child), and the other group attended a bilingual program (Italian Sign Language and Italian). Linguistic abilities and understanding of false belief were assessed using similar materials and procedures in spoken Italian with hearing children and in Italian Sign Language with deaf children. Deaf children attending the bilingual school performed significantly better than deaf children attending school with the TA in tasks assessing lexical comprehension and ToM, whereas the performance of hearing children was in between that of the two deaf groups. As for lexical production, deaf children attending the bilingual school performed significantly better than the two other groups. No significant differences were found between early and late signers or between children with deaf and hearing parents.

Published
2013
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40. Correlations of Obstructive Sleep Apnea Syndrome and Daytime Sleepiness with the Risk of Car Accidents in Adult Working Population: A Systematic Review and Meta-Analysis with a Gender-Based Approach

Author

Luzzi, Valeria, primary, Mazur, Marta, additional, Guaragna, Mariana, additional, Di Carlo, Gabriele, additional, Cotticelli, Luisa, additional, Magliulo, Giuseppe, additional, Marasca, Beatrice, additional, Pirro, Valentina, additional, Di Giorgio, Gianni, additional, Ndokaj, Artnora, additional, Pasqualetti, Patrizio, additional, Simonelli, Ilaria, additional, Martini, Agnese, additional, Pietrafesa, Emma, additional, and Polimeni, Antonella, additional

Published
2022
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41. Home treatment against fatigue in multiple sclerosis by a personalized, bilateral whole-body somatosensory cortex stimulation

Author

Tecchio, Franca, primary, Cancelli, Andrea, additional, Pizzichino, Arianna, additional, L'Abbate, Teresa, additional, Gianni, Eugenia, additional, Bertoli, Massimo, additional, Paulon, Luca, additional, Zannino, Silvana, additional, Giordani, Alessandro, additional, Lupoi, Domenico, additional, Pasqualetti, Patrizio, additional, Mirabella, Massimiliano, additional, and Filippi, Maria Maddalena, additional

Published
2022
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42. Sex-specific effects of daily tadalafil on diabetic heart kinetics in RECOGITO, a randomized, double-blind, placebo-controlled trial

Author

Pofi, Riccardo, primary, Giannetta, Elisa, additional, Feola, Tiziana, additional, Galea, Nicola, additional, Barbagallo, Federica, additional, Campolo, Federica, additional, Badagliacca, Roberto, additional, Barbano, Biagio, additional, Ciolina, Federica, additional, Defeudis, Giuseppe, additional, Filardi, Tiziana, additional, Sesti, Franz, additional, Minnetti, Marianna, additional, Vizza, Carmine D., additional, Pasqualetti, Patrizio, additional, Caboni, Pierluigi, additional, Carbone, Iacopo, additional, Francone, Marco, additional, Catalano, Carlo, additional, Pozzilli, Paolo, additional, Lenzi, Andrea, additional, Venneri, Mary Anna, additional, Gianfrilli, Daniele, additional, and Isidori, Andrea M., additional

Published
2022
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47. Recognition of Schematic Facial Displays of Emotion in Parents of Children with Autism

Author

Palermo, Mark T., Pasqualetti, Patrizio, and Barbati, Giulia

Abstract

Performance on an emotional labeling task in response to schematic facial patterns representing five basic emotions without the concurrent presentation of a verbal category was investigated in 40 parents of children with autism and 40 matched controls. "Autism fathers" performed worse than "autism mothers," who performed worse than controls in decoding displays representing sadness or disgust. This indicates the need to include facial expression decoding tasks in genetic research of autism. In addition, emotional expression interactions between parents and their children with autism, particularly through play, where affect and prosody are "physiologically" exaggerated, may stimulate development of social competence. Future studies could benefit from a combination of stimuli including photographs and schematic drawings, with and without associated verbal categories. This may allow the subdivision of patients and relatives on the basis of the amount of information needed to understand and process social-emotionally relevant information. (Contains 2 tables.)

Published
2006
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48. What Are the Attributes Prioritized in the Choice of Therapy in Chronic Lymphocytic Leukemia? A Patient-physician Cross-matching Analysis of a Discrete Choice Experiment

Author

Laurenti, Luca, Gaidano, Gianluca, Mauro, Francesca Romana, Molica, Stefano, Pasqualetti, Patrizio, Scarfò, Lydia, Ghia, Paolo, Laurenti, Luca (ORCID:0000-0002-8327-1396), Laurenti, Luca, Gaidano, Gianluca, Mauro, Francesca Romana, Molica, Stefano, Pasqualetti, Patrizio, Scarfò, Lydia, Ghia, Paolo, and Laurenti, Luca (ORCID:0000-0002-8327-1396)

Abstract

Several treatment options are available for chronic lymphocytic leukemia (CLL) and, for this reason, treatment choice can result challenging after introducing oral targeted agents. This study aims at comparing patients' and hematologists' preferences for attributes of CLL treatments. An online cross-sectional survey has been delivered to clinicians and patients affected by CLL in Italy. A discrete choice experiment has been conducted so to estimate each attribute's relative importance (RI) and assess the preference weight for each level of each attribute. An expert panel agreed on investigating the following attributes: progression-free survival (PFS) and measurable residual disease, route of administration/therapy duration and follow-up frequency, incidence of diarrhea (episodes/day), serious infections (grade 3 or 4), and atrial fibrillation. Overall, 746 patients and 109 clinicians accessed the survey, and 215 and 69, respectively, filled it in. The most important attributes were PFS (RI 30%) for hematologists and the risk of severe infections (RI 24%) for patients. Clinicians rated preference for maximum efficacy and lowest risk of severe infection very high (30%). Both patients and clinicians preferred oral administration while considering duration of therapy less relevant. The frequency of hospital appointments was negligible for patients, while clinicians preferred a quarterly frequency. Considering all attributes, diarrhea was weighted more by clinicians than by patients. Atrial fibrillation was not relevant for clinicians, while it was not negligible for patients. In conclusion, clinicians and patients favor an oral therapy, including continuous treatment, if associated with prolonged PFS, albeit with particular attention to the risk of serious infections.

Published
2022

49. Home treatment against fatigue in multiple sclerosis by a personalized, bilateral whole-body somatosensory cortex stimulation

Author

Tecchio, Franca, Cancelli, Andrea, Pizzichino, Arianna, L'Abbate, Teresa, Gianni, Eugenia, Bertoli, Massimo, Paulon, Luca, Zannino, Silvana, Giordani, Alessandro, Lupoi, Domenico, Pasqualetti, Patrizio, Mirabella, Massimiliano, Filippi, Maria Maddalena, Mirabella, Massimiliano (ORCID:0000-0002-7783-114X), Tecchio, Franca, Cancelli, Andrea, Pizzichino, Arianna, L'Abbate, Teresa, Gianni, Eugenia, Bertoli, Massimo, Paulon, Luca, Zannino, Silvana, Giordani, Alessandro, Lupoi, Domenico, Pasqualetti, Patrizio, Mirabella, Massimiliano, Filippi, Maria Maddalena, and Mirabella, Massimiliano (ORCID:0000-0002-7783-114X)

Abstract

Background: Fatigue in multiple sclerosis (MS) is a highly invalidating symptom with no pharmacological efficacious therapies, which furthermore present frequent severe side effects. In two previous randomized controlled trials we observed the efficacy of a personalized neuromodulation treatment consisting of a personalized transcranial Direct Current Stimulation (tDCS) for 15 min per day for 5 days (Faremus). Methods: By this medical-device phase II study, we aimed at assessing the feasibility, acceptance, safety and efficacy of Faremus treatment when applied at patients' home. We considered the efficacy as primary outcome assessed by a reduction of fatigue levels measured by Modified Fatigue Impact Scale (mFIS) scored before and after the treatment. Primary outcome determined the sample size estimate. Individual ad-hoc questionnaires quantified the acceptance, safety and side effects during the treatment. Results: All 15 patients completed the treatment, reporting optimal acceptance and safety on using Faremus at their home without side-effects. The treatment ameliorated fatigue symptoms more than 20% of baseline in 10 out of the 15 patients and of 37% on average, with a corresponding effect size 1.21. Conclusions: Faremus personalized electroceutical intervention, a 5-days anodal tDCS over the bilateral whole-body somatosensory cortex, is well accepted and can be feasibly, safely, and efficaciously applied at patients' home, offering a comfortable treatment by reducing the need to travel when fatigue-related symptoms hamper the quality of life. Keywords: Non-invasive brain stimulation (NIBS); neuromodulation; personalization; telemedicine; transcranial electric stimulation (tES).

Published
2022

50. A Crosslinguistic Study of the Relationship between Grammar and Lexical Development

Author

Devescovi, Antonella, Caselli, Maria Cristina, Marchione, Daniela, Pasqualetti, Patrizio, Reilly, Judy, and Bates, Elizabeth

Abstract

The relationship between grammatical and lexical development was compared in 233 English and 233 Italian children aged between 1;6 and 2;6, matched for age, gender, and vocabulary size on the MacArthur Communicative Development Inventories (CDI). Four different measures of Mean Length of Utterance were applied to the three longest utterances reported by parents, and to corrected/expanded versions representing the "target" for each utterance. Italians had longer MLUs on most measures, but the ratio of actual to target MLUs did not differ between languages. Age and vocabulary both contributed significant variance to MLU, but the contribution of vocabulary was much larger, suggesting that vocabulary size may provide a better basis for crosslinguistic comparisons of grammatical development. The relationship between MLU and vocabulary size was non-linear in English but linear in Italian, suggesting that grammar "gets off the ground" earlier in a richly inflected language. A possible mechanism to account for this difference is discussed. [This research was partially funded by the National Council of Research Institute of Psychology.]

Published
2005
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