Paolo Spinnato
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View article: Spinal Epidural Fat as an Imaging Biomarker of Visceral Obesity: An MRI-Based Quantitative Analysis
Spinal Epidural Fat as an Imaging Biomarker of Visceral Obesity: An MRI-Based Quantitative Analysis Open
Background/Objectives: Spinal epidural lipomatosis (SEL) is increasingly recognized as a possible radiological indicator of Metabolic Syndrome (MS) and visceral adiposity. However, the precise relationship between visceral adiposity and th…
View article: Zero and Ultra-Short Echo Time Sequences at 3-Tesla Can Accurately Depicts the Normal Anatomy of the Human Achilles Tendon Enthesis Organ in Vivo
Zero and Ultra-Short Echo Time Sequences at 3-Tesla Can Accurately Depicts the Normal Anatomy of the Human Achilles Tendon Enthesis Organ in Vivo Open
Background/Objectives: Accurate visualization of the Achilles tendon enthesis is critical for distinguishing mechanical, degenerative, and inflammatory pathologies. Although ultrasonography is the first-line modality for suspected enthesis…
View article: Atypically Displaced Meniscal Tears: An Educational Review with Focus on MRI and Arthroscopy
Atypically Displaced Meniscal Tears: An Educational Review with Focus on MRI and Arthroscopy Open
This review article on atypically displaced meniscal tears serves as a critical reminder for radiologists and orthopedic surgeons. It highlights and details uncommon lesions that may be overlooked during MRI evaluation and/or arthroscopic …
View article: The Vertebral Bone Marrow clot as cell therapy and multifunctional bioscaffold for spinal fusion surgery: protocol for a randomized clinical trial
The Vertebral Bone Marrow clot as cell therapy and multifunctional bioscaffold for spinal fusion surgery: protocol for a randomized clinical trial Open
Introduction Spinal fusion (SF) represents a commonly performed orthopedic surgical procedure, and to enhance its success rate, various adjunctive therapies have been explored, including the application of local autografts, bone allografts…
View article: Clear Cell Sarcoma of Soft Tissues: Radiological Analysis of 14 Patients—MRI Findings Related to Metastatic Disease
Clear Cell Sarcoma of Soft Tissues: Radiological Analysis of 14 Patients—MRI Findings Related to Metastatic Disease Open
Background/Objectives: Clear cell sarcoma (CCS) is a very uncommon, aggressive soft-tissue sarcoma (STS) with a dismal prognosis. In the current literature, there are very limited data focused on the radiological features of CCS. Our study…
View article: Adipose tissue-derived versus bone marrow-derived cell concentrates for the injective treatment of knee osteoarthritis: protocol of a prospective randomised controlled trial
Adipose tissue-derived versus bone marrow-derived cell concentrates for the injective treatment of knee osteoarthritis: protocol of a prospective randomised controlled trial Open
Introduction Intra-articular injections of mesenchymal stromal cells concentrates showed promising results in the treatment of knee osteoarthritis (OA). Among these, bone marrow aspirate concentrate (BMAC) has been widely adopted in clinic…
View article: Conventional radiography for the assessment of focal bone lesions of the appendicular skeleton: fundamental concepts in the modern imaging era
Conventional radiography for the assessment of focal bone lesions of the appendicular skeleton: fundamental concepts in the modern imaging era Open
View article: A comprehensive scoring system for the diagnosis and staging of adhesive capsulitis: development, application, and implications
A comprehensive scoring system for the diagnosis and staging of adhesive capsulitis: development, application, and implications Open
Introduction Adhesive capsulitis (AC), often referred to as frozen shoulder, presents a diagnostic challenge due to its insidious onset and progressive nature. The condition is characterized by pain and restricted motion in the shoulder, w…
View article: Imaging of Osteosarcoma: Presenting Findings, Metastatic Patterns, and Features Related to Prognosis
Imaging of Osteosarcoma: Presenting Findings, Metastatic Patterns, and Features Related to Prognosis Open
Background: Osteosarcomas are rare malignancies (<1% of all cancers) that produce an osteoid matrix. Osteosarcomas are the second most frequent type of primary bone tumor after multiple myeloma and the most prevalent primary bone tumor in …
View article: Ultrasound assessment and scoring of tendinopathy in hemophilia: Development of the <scp>Tendon Haemophilic Damage ‐ Ultrasound (THD</scp>‐<scp>US)</scp> method
Ultrasound assessment and scoring of tendinopathy in hemophilia: Development of the <span>Tendon Haemophilic Damage ‐ Ultrasound (THD</span>‐<span>US)</span> method Open
This study aimed to develop and validate the tendinopathy hemophilia detection with ultrasonography (THD‐US) protocol for assessing hemophilia‐related tendinopathy. Twenty male patients with hemophilic arthropathy underwent ultrasound eval…
View article: Ultrasound Imaging in Knee Osteoarthritis: Current Role, Recent Advancements, and Future Perspectives
Ultrasound Imaging in Knee Osteoarthritis: Current Role, Recent Advancements, and Future Perspectives Open
While conventional radiography and MRI have a well-established role in the assessment of patients with knee osteoarthritis, ultrasound is considered a complementary and additional tool. Moreover, the actual usefulness of ultrasound is stil…
View article: 3D computed tomography diagnosis of Klippel-Feil syndrome and Sprengel's deformity with omovertebral bone
3D computed tomography diagnosis of Klippel-Feil syndrome and Sprengel's deformity with omovertebral bone Open
View article: Adhesive capsulitis: the importance of early diagnosis and treatment
Adhesive capsulitis: the importance of early diagnosis and treatment Open
Background Adhesive capsulitis (AC), more commonly known as "frozen shoulder”, is a painful shoulder condition. The illness progresses through three phases: freezing, frozen and thawing. A gold standard treatment for adhesive capsulitis is…
View article: Image-Guided Minimally Invasive Treatment Options for Degenerative Lumbar Spine Disease: A Practical Overview of Current Possibilities
Image-Guided Minimally Invasive Treatment Options for Degenerative Lumbar Spine Disease: A Practical Overview of Current Possibilities Open
Lumbar back pain is one of the main causes of disability around the world. Most patients will complain of back pain at least once in their lifetime. The degenerative spine is considered the main cause and is extremely common in the elderly…
View article: Imaging of Spondylodiscitis: A Comprehensive Updated Review—Multimodality Imaging Findings, Differential Diagnosis, and Specific Microorganisms Detection
Imaging of Spondylodiscitis: A Comprehensive Updated Review—Multimodality Imaging Findings, Differential Diagnosis, and Specific Microorganisms Detection Open
Spondylodiscitis is defined by infectious conditions involving the vertebral column. The incidence of the disease has constantly increased over the last decades. Imaging plays a key role in each phase of the disease. Indeed, radiological t…
View article: Can Secondary Adhesive Capsulitis Complicate Calcific Tendinitis of the Rotator Cuff? An Ultrasound Imaging Analysis
Can Secondary Adhesive Capsulitis Complicate Calcific Tendinitis of the Rotator Cuff? An Ultrasound Imaging Analysis Open
Background: Adhesive capsulitis (AC) of the glenohumeral joint is a recognized cause of pain associated with both active and passive restricted ranges of movement. AC can be subdivided into primary and secondary forms. Trauma, surgery, imm…
View article: Lower extremity infections: Essential anatomy and multimodality imaging findings
Lower extremity infections: Essential anatomy and multimodality imaging findings Open
In modern practice, imaging plays an integral role in the diagnosis, evaluation of extent, and treatment planning for lower extremity infections. This review will illustrate the relevant compartment anatomy of the lower extremities and hig…
View article: Imaging of lower extremity infections: predisposing conditions, atypical infections, mimics, and differentiating features
Imaging of lower extremity infections: predisposing conditions, atypical infections, mimics, and differentiating features Open
Imaging evaluation for lower extremity infections can be complicated, especially in the setting of underlying conditions and with atypical infections. Predisposing conditions are discussed, including diabetes mellitus, peripheral arterial …
View article: Safety and efficacy of autologous bone marrow clot as a multifunctional bioscaffold for instrumental posterior lumbar fusion: a 1-year follow-up pilot study
Safety and efficacy of autologous bone marrow clot as a multifunctional bioscaffold for instrumental posterior lumbar fusion: a 1-year follow-up pilot study Open
Background Bone marrow aspirate (BMA), when combined with graft substitutes, has long been introduced as a promising alternative to iliac crest bone graft in spinal fusion. However, the use of BMA is limited by the absence of a standardize…
View article: Usability Assessment of Technologies for Remote Monitoring of Knee Osteoarthritis
Usability Assessment of Technologies for Remote Monitoring of Knee Osteoarthritis Open
Goal: To evaluate the usability of different technologies designed for a remote assessment of knee osteoarthritis. Methods: We recruited eleven patients affected by mild or moderate knee osteoarthritis, eleven caregivers, and…
View article: Transpedicular Contrast-enhanced CT-guided biopsy of the body and dens of the axis avoiding the trans-oral approach: Technical report and literature review
Transpedicular Contrast-enhanced CT-guided biopsy of the body and dens of the axis avoiding the trans-oral approach: Technical report and literature review Open
This technical report illustrates the technique to perform computed tomography (CT)-guided bone biopsies in the body and dens of the axis (C2 vertebra) through a posterior transpedicular approach with the use of preoperative contrast-enhan…
View article: Imaging Features of Alveolar Soft Part Sarcoma: Single Institution Experience and Literature Review
Imaging Features of Alveolar Soft Part Sarcoma: Single Institution Experience and Literature Review Open
Alveolar soft part sarcoma (ASPS) is an extremely rare and aggressive soft-tissue sarcoma (STS) subtype with poor prognosis and limited response to radiation therapy and chemotherapy. Prompt recognition and referral to sarcoma centers for …
View article: Aneurysmal bone cyst: Is selective arterial embolization effective as curettage and bone grafting?
Aneurysmal bone cyst: Is selective arterial embolization effective as curettage and bone grafting? Open
Introduction Aneurysmal bone cyst (ABC) is a lytic benign bone lesion representing about 1% of all primary bone tumors. Method to treat ABC's have developed over time. The standard of care cure for ABC has been curettage with or without bo…
View article: Unraveling the enigma of Adamkiewicz: exploring the prevalence, anatomical variability, and clinical impact in spinal embolization procedures for bone metastases
Unraveling the enigma of Adamkiewicz: exploring the prevalence, anatomical variability, and clinical impact in spinal embolization procedures for bone metastases Open
Background The artery of Adamkiewicz (AKA) is vital for spinal cord blood supply. Its role in embolization procedures for bone metastases can cause serious complications. We explored its prevalence, anatomical variation, and effect on spin…
View article: The New Ice Age of Musculoskeletal Intervention: Role of Percutaneous Cryoablation in Bone and Soft Tissue Tumors
The New Ice Age of Musculoskeletal Intervention: Role of Percutaneous Cryoablation in Bone and Soft Tissue Tumors Open
In the rapidly evolving field of interventional oncology, minimally invasive methods, including CT-guided cryoablation, play an increasingly important role in tumor treatment, notably in bone and soft tissue cancers. Cryoablation works usi…
View article: Percutaneous CT-Guided Bone Biopsies: Indications, Feasibility and Diagnostic Yield in the Different Skeletal Sites—From the Skull to the Toe
Percutaneous CT-Guided Bone Biopsies: Indications, Feasibility and Diagnostic Yield in the Different Skeletal Sites—From the Skull to the Toe Open
CT-guided bone biopsies are currently the diagnostic tool of choice for histopathological (and microbiological) diagnoses of skeletal lesions. Several research works have well-demonstrated their safety and feasibility in almost all skeleta…
View article: Ultrasound Evaluation of Tendinopathy in Hemophiliac Patients for the Purpose of Rehabilitation Indications
Ultrasound Evaluation of Tendinopathy in Hemophiliac Patients for the Purpose of Rehabilitation Indications Open
Background: Hemophilia is a inherited bleeding disorder that is characterized by intra-articular bleeding (hemarthrosis). The aim of the study was to evaluate the state of the satellite tendons of the target joints in the patient with hemo…
View article: Osteoid Osteoma of the Hand: Surgical Treatment versus CT-Guided Percutaneous Radiofrequency Thermal Ablation
Osteoid Osteoma of the Hand: Surgical Treatment versus CT-Guided Percutaneous Radiofrequency Thermal Ablation Open
(1) Background: Osteoid osteoma (OO) is one of the most common benign bone tumors. This type of osteogenic tumor is generally characterized by a well-defined lytic area with a vascularized central nidus surrounded by sclerosis and bone thi…
View article: Assessment of Bone Mineral Density from Lumbosacral MRI: A Retrospective Study with Texture Analysis Radiomics
Assessment of Bone Mineral Density from Lumbosacral MRI: A Retrospective Study with Texture Analysis Radiomics Open
Osteoporosis is a common condition characterized by low bone mineral density (BMD) and deterioration of bone microarchitecture, leading to increased risk of fractures. Early diagnosis and treatment of osteoporosis are critical for preventi…
View article: Ultrasound-Guided Percutaneous Bone Biopsy: Feasibility, Diagnostic Yield and Technical Notes
Ultrasound-Guided Percutaneous Bone Biopsy: Feasibility, Diagnostic Yield and Technical Notes Open
While nowadays, CT-guided bone biopsy represents the gold standard tool for histopathological and microbiological diagnosis of skeletal lesions, the role of US-guided bone biopsy has not yet been fully explored. US-guided biopsy offers sev…