26c51f340b7ded80602428a50a9047800acfde50

 

As a researcher, I believe my greatest achievement has been the successful direction as PI of two big studies involving of a cohort of more than 5000 patients for the study ASTOUND (J Clin Oncol 2016 Jun 1;34(16):1882-1888) and 5300 patients for the study ASTOUND-2 (A prospective comparative trial of adjunct screening with tomosynthesis or ultrasound in women with mammography-negative dense breasts (ASTOUND-2), (Eur J Cancer 2018 Nov;104:39-46). Both studies were supported by the same IG Grant by AIRC. In that effort, I performed most of the data analyses, as well as a large part of the clinical activity, coordination and statistics. Thanks to my contribution, our team was able to discover clinically relevant approaches to breast cancer screening. For that studies, but not only for them of course, I was awarded in 2019 with the prestigious Carla Boetes Award by EUSOBI (European Society Of Breast Imaging).  

 

However, during my career, one of my passion is musculoskeletal radiology with interests focused on evidence-based radiology with practical implications on patient care, biomarkers and clinical decision rules, specifically in oncologic imaging applications and technical developments with a special focus on US, CT and MR-imaging. I have published >170 papers, book chapters, and reviews in the field of imaging and received national and international awards (h-index >30 which high for Radiology). In the ESSR (European Society of Musculoskeletal Radiology) I took the scientific lead of the Research Committee for three years (2016-2019) to encourage Research on MSK oncology. Currently, my researches are dedicated to Multiple Myeloma and radiological scores and biomarkers. I developed a score called myeloma spine and bone damage score (MSBDS) using easy descriptive criteria, highly reproducible for harmonizing of total body CT in multiple myeloma patients (doi: 10.1186/s40644-020-00306-1) and my research group was one of the first using radiomics in MM showing that, in clinical practice, radiomics improves the radiological evaluation of focal and diffuse pattern on CT (doi: 10.1016/j.ejrad.2019.108739.). In addition, in Radiomics research Tagliafico and collegues, according to Crivelli et al. (A New Challenge for Radiologists: Radiomics in Breast Cancer, Biomed Res Int) were the first to perform a multicentric and prospective study using a radiomics approach to digital breast tomosynthesis in order to differentiate normal breast tissue from malignant breast tissue in patients with dense breasts (The Breast, vol. 40, pp. 92–96, 2018.)

 

In biomarkers Research I patented a method to assess sarcopenia on thoracic imaging which has been used in a big study published on Nature (Nature. 2020 Jul;583(7817):620-624. doi: 10.1038/s41586-020-2502-7).

 

5 major scientific accomplishments:

 

1) ASTOUND (J Clin Oncol 2016 Jun 1;34(16):1882-1888)

 

2) ASTOUND-2 (Eur J Cancer 2018 Nov;104:39-46)

 

3) Patent: 102019000016049 for sarcopenia assessment on pectoralis muscle

 

4) Carla Boetes Award

 

5) Research Committee Chair ESSR 2016-2019

Il varore della Radiolgia e del Medico Radiolgo

2021-01-15 10:03

Array() no author 85405

Il varore della Radiolgia e del Medico Radiolgo

Il valore della Radiologia

 


Spesso mi chiedono cosa fa un Radiologo. Il Radiologo è un Medico Chirurgo laureato in Medicina e Chirurgia e Abilitato alla Professione e poi Specialista in Diagnostica per Immagini. Quindi prima di tutto è un Medico e poi un Radiologo. Il Radiologo ha la conoscenza clinica per svolgere la sua professione. Infatti le comune tecniche di diagnostica per immagini ossia la TC, l'RM, l'ecografia di per se' non dicono nulla. Spesso si sente dire: "cosa ha detto l'ecografia?" . L'ecografia, ad esempio, non dice nulla di per se', è il Medico che la interpreta che riesce a capire se ci sono dei segni di patologici. Ma torniamo al valore della Radiologia.


 


Quale è il valore che il Medico Radiologo fornisce al paziente?


 


Sicuramente il paziente non desidera eseguire un'ecografia, una TC o una risonanza magnetica, ma desidera una risposta a una domanda clinica.


 


Lo scopo del Medico Radiologo è di rispondere a un quesito clinico usando l'imaging medico per aiutare e guidare la cura del paziente nel modo più efficace possibile. A volte il valore del consulto radiologico può anche essere quello di non eseguire affatto un test di imaging perché' potenzialmente dannoso.


 


Con la diagnostica per immagini il Medico Radiologo può effettuare attività di:


 


1) Prevenzione: prevenzione delle malattie con lo screening, rassicurazione del paziente comprensibilmente ansioso eliminando la necessità di altre indagini diagnostiche.  


 


 


La radiologia è una parte essenziale e irrinunciabile della medicina moderna, il Medico Radiologo fornisce un contributo significativo alla diagnosi del paziente e all'assistenza nel tempo del paziente e quindi il Medico Radiolgo fornisce un valore per il paziente.


References:


- Brady A, Brink J, Slavotinek J (2020) Radiology and value-based healthcare. JAMA. https ://doi.org/10.1001/jama.2020.14930


- European Society of Radiology (ESR) (2017) ESR concept paper on valuebased radiology. Insights Imaging 8:447–454


 




 

As a researcher, I believe my greatest achievement has been the successful direction as PI of two big studies involving of a cohort of more than 5000 patients for the study ASTOUND (J Clin Oncol 2016 Jun 1;34(16):1882-1888) and 5300 patients for the study ASTOUND-2 (A prospective comparative trial of adjunct screening with tomosynthesis or ultrasound in women with mammography-negative dense breasts (ASTOUND-2), (Eur J Cancer 2018 Nov;104:39-46). Both studies were supported by the same IG Grant by AIRC. In that effort, I performed most of the data analyses, as well as a large part of the clinical activity, coordination and statistics. Thanks to my contribution, our team was able to discover clinically relevant approaches to breast cancer screening. For that studies, but not only for them of course, I was awarded in 2019 with the prestigious Carla Boetes Award by EUSOBI (European Society Of Breast Imaging).  

 

However, during my career, one of my passion is musculoskeletal radiology with interests focused on evidence-based radiology with practical implications on patient care, biomarkers and clinical decision rules, specifically in oncologic imaging applications and technical developments with a special focus on US, CT and MR-imaging. I have published >170 papers, book chapters, and reviews in the field of imaging and received national and international awards (h-index >30 which high for Radiology). In the ESSR (European Society of Musculoskeletal Radiology) I took the scientific lead of the Research Committee for three years (2016-2019) to encourage Research on MSK oncology. Currently, my researches are dedicated to Multiple Myeloma and radiological scores and biomarkers. I developed a score called myeloma spine and bone damage score (MSBDS) using easy descriptive criteria, highly reproducible for harmonizing of total body CT in multiple myeloma patients (doi: 10.1186/s40644-020-00306-1) and my research group was one of the first using radiomics in MM showing that, in clinical practice, radiomics improves the radiological evaluation of focal and diffuse pattern on CT (doi: 10.1016/j.ejrad.2019.108739.). In addition, in Radiomics research Tagliafico and collegues, according to Crivelli et al. (A New Challenge for Radiologists: Radiomics in Breast Cancer, Biomed Res Int) were the first to perform a multicentric and prospective study using a radiomics approach to digital breast tomosynthesis in order to differentiate normal breast tissue from malignant breast tissue in patients with dense breasts (The Breast, vol. 40, pp. 92–96, 2018.)

 

In biomarkers Research I patented a method to assess sarcopenia on thoracic imaging which has been used in a big study published on Nature (Nature. 2020 Jul;583(7817):620-624. doi: 10.1038/s41586-020-2502-7).

 

5 major scientific accomplishments:

 

1) ASTOUND (J Clin Oncol 2016 Jun 1;34(16):1882-1888)

 

2) ASTOUND-2 (Eur J Cancer 2018 Nov;104:39-46)

 

3) Patent: 102019000016049 for sarcopenia assessment on pectoralis muscle

 

4) Carla Boetes Award

 

5) Research Committee Chair ESSR 2016-2019