{"id":12550,"date":"2023-10-30T16:07:31","date_gmt":"2023-10-30T15:07:31","guid":{"rendered":"https:\/\/www.aitertc.it\/web\/?p=12550"},"modified":"2024-07-10T13:47:05","modified_gmt":"2024-07-10T12:47:05","slug":"tc-whole-body-low-dose-nellidentificazione-delle-lesioni-litiche-in-pazienti-affetti-da-mieloma-multiplo-riduzione-di-dose-e-accuratezza-diagnostica","status":"publish","type":"post","link":"https:\/\/www.aitertc.it\/web\/2023\/10\/30\/tc-whole-body-low-dose-nellidentificazione-delle-lesioni-litiche-in-pazienti-affetti-da-mieloma-multiplo-riduzione-di-dose-e-accuratezza-diagnostica\/","title":{"rendered":"t(20)_TC Whole Body Low Dose nell\u2019identificazione delle lesioni litiche in pazienti affetti da Mieloma Multiplo: riduzione di dose e accuratezza diagnostica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"12550\" class=\"elementor elementor-12550\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a72151 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a72151\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-619a955\" data-id=\"619a955\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-587f70c elementor-widget elementor-widget-text-editor\" data-id=\"587f70c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>M.Iacono1*, M. Marconi1, G. Marletti1, C. Magni2, G. Murzilli3, R. Ferrara4, D. Travaglini5, P. Mancini6, E. Pofi7<\/p><p>1) TSRM U.O.C. TECNICI SANITARI ASL ROMA 1, 2) STUDENTE TRMIR UNIROMA 1, 3) FUNZIONE DI COORDINAMENTO U.O.C. TECNICI SANITARI ASL 1 ROMA 1, 4) FUNZIONE ORGANIZZATIVA U.O.C. ASL ROMA 1 <br \/>5) DIRETTORE U.O.C TECNICI SANITARI ASL ROMA 1, 6) DIRIGENTE MEDICO U.O.C RADIOLOGIA S.F. NERI, 7) DIRETTORE U.O.C. RADIOLOGIA S.F. NERI<br \/>*matteo.iacono@aslroma1.it<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8da6051 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8da6051\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a08516e\" data-id=\"a08516e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-87de377 elementor-widget elementor-widget-text-editor\" data-id=\"87de377\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019obiettivo del lavoro \u00e8 l\u2019ottimizzazione del protocollo TC Whole Body Low Dose (WBLD-CT) per lo studio dei pazienti affetti da Mieloma Multiplo (MM) che accedono al PDTA dedicato dell\u2019ASL ROMA 1.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-121c672 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"121c672\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0093bf2\" data-id=\"0093bf2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b14cd8 elementor-widget elementor-widget-text-editor\" data-id=\"0b14cd8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Introduzione:<\/strong><\/p><p>Il Mieloma Multiplo (MM) \u00e8 una neoplasia ematologica delle plasmacellule, tipico dell&#8217;et\u00e0 medio-avanzata.<\/p><p>Il compito della Diagnostica per Immagini, nella gestione multidisciplinare del paziente affetto da MM, \u00e8 quello di fornire una valutazione morfologica e funzionale.<\/p><p>La prima \u00e8 importante per la diagnosi, la stadiazione e il Follow-Up (FU), mentre la seconda fornisce informazioni sulla prognosi e il grado di risposta alla terapia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-368560c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"368560c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6282aab\" data-id=\"6282aab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5146cfb elementor-widget elementor-widget-text-editor\" data-id=\"5146cfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Materiale e metodi:<\/strong><\/p><p>La TC svolge un ruolo significativo nel rilevamento e nella caratterizzazione delle lesioni osteolitiche nei pazienti affetti da MM.<\/p><p>In accordo con le attuali Linee Guida dell\u2019International Myeloma Working Group (IMWG), il PDTA MM aziendale (ASL ROMA 1) prevede che tutti i pazienti che accedono a questo percorso, debbano effettuare una WBLD-CT senza mdc.<\/p><p>La metodica \u00e8 in grado di evidenziare lesioni &gt;5 mm a carico dello scheletro assile (cranio, rachide in toto, cingolo scapolare e pelvico) e dello scheletro appendicolare prossimale (omero e femore dx\/sn).<\/p><p>Gli esami sono stati acquisiti su uno scanner 128 strati, usando un protocollo di riferimento con parametri ricavati dalla letteratura, secondo acquisizione assiale cranio-femori.<\/p><p>L\u2019indagine viene eseguita secondo appropriati algoritmi di ricostruzione iterativa e di modulazione di dose: nonostante si tratti di una tecnica \u2019\u2019low-dose\u2019\u2019, la WBLD-CT fornisce un&#8217;eccellente qualit\u00e0 dell&#8217;immagine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3280a8e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3280a8e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-caa0210\" data-id=\"caa0210\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-061fbf7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"061fbf7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dd53f06\" data-id=\"dd53f06\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-359b7c1 elementor-widget elementor-widget-image\" data-id=\"359b7c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"899\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160141-1024x899.png\" class=\"attachment-large size-large wp-image-12552\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160141-1024x899.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160141-300x263.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160141-768x675.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160141.png 1216w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-70f0a1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"70f0a1f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d8cd40d\" data-id=\"d8cd40d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e38423c elementor-widget elementor-widget-image\" data-id=\"e38423c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"691\" height=\"454\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-3.png\" class=\"attachment-large size-large wp-image-12553\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-3.png 691w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-3-300x197.png 300w\" sizes=\"(max-width: 691px) 100vw, 691px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ad4c6fd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ad4c6fd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1e933dd\" data-id=\"1e933dd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3523582 elementor-widget elementor-widget-image\" data-id=\"3523582\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"728\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-2-1024x728.png\" class=\"attachment-large size-large wp-image-12555\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-2-1024x728.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-2-300x213.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-2-768x546.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-2.png 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ae12d5b\" data-id=\"ae12d5b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39bf9c1 elementor-widget elementor-widget-image\" data-id=\"39bf9c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"953\" height=\"698\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-3.png\" class=\"attachment-large size-large wp-image-12556\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-3.png 953w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-3-300x220.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-3-768x563.png 768w\" sizes=\"(max-width: 953px) 100vw, 953px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7630629 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7630629\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-913fe23\" data-id=\"913fe23\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-143ce85 elementor-widget elementor-widget-text-editor\" data-id=\"143ce85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Conclusioni:<\/strong><\/p><p>L\u2019uso di algoritmi iterativi ha consentito non solo una qualit\u00e0 diagnostica ottimale, a fronte di una ragionevole dose espositiva, ma anche un\u2019adeguata valutazione della risposta terapeutica.<\/p><p>Nella nostra esperienza la WBLD-CT si \u00e8 rivelata una modalit\u00e0 di Imaging fondamentale per la valutazione dell\u2019osteolisi: offre una visione completa dello scheletro e fornisce informazioni essenziali per la diagnosi ed il monitoraggio di malattia.<\/p><p>La capacit\u00e0 di individuare precocemente le lesioni, e di quantificarne le caratteristiche, \u00e8 importante per iniziare quanto prima il trattamento farmacologico e migliorare la prognosi dei pazienti.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf8b2ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf8b2ea\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70a0f15\" data-id=\"70a0f15\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4581579 elementor-widget elementor-widget-image\" data-id=\"4581579\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"854\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160538-1024x854.png\" class=\"attachment-large size-large wp-image-12554\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160538-1024x854.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160538-300x250.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160538-768x640.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-160538.png 1310w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>M.Iacono1*, M. Marconi1, G. Marletti1, C. Magni2, G. Murzilli3, R. Ferrara4, D. Travaglini5, P. Mancini6, E. Pofi7 1) TSRM U.O.C. TECNICI SANITARI ASL ROMA 1, 2) STUDENTE TRMIR UNIROMA 1,&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[499,1],"tags":[318],"class_list":["post-12550","post","type-post","status-publish","format-standard","hentry","category-bibliografia-e-linee-guida","category-news","tag-eposter2023"],"_links":{"self":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/comments?post=12550"}],"version-history":[{"count":5,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12550\/revisions"}],"predecessor-version":[{"id":12786,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12550\/revisions\/12786"}],"wp:attachment":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/media?parent=12550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/categories?post=12550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/tags?post=12550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}