Scattering and absorption imaging of a highly fractured fluid-filled seismogenetic volume in a region of slow deformation

Regions of slow strain often produce swarm-like sequences, characterized by the lack of a clear mainshock-aftershock pattern. The comprehension of their underlying physical mechanisms is challenging and still debated. We used seismic recordings from the last Pollino swarm (2010–2014) and nearby to separate and map seismic scattering (from P peak-delays) and absorption (from late-time coda-wave attenuation) at different frequencies in the Pollino range and surroundings. High-scattering and high-absorption anomalies are markers of a fluid-filled fracture volume extending from SE to NW (1.5–6 Hz) across the range. With increasing frequency, these anomalies approximately cover the area where the strongest earthquakes occurred from the sixteenth century until 1998. In our interpretation, the NW fracture propagation ends where carbonates of the Lucanian Apennines begin, as marked by a high-scattering and low-absorption area. At the highest frequency (12 Hz) the anomalies widen southward in the middle of the range, consistently marking the faults active during the recent Pollino swarm. Our results suggest that fracture healing has closed small-scale fractures across the SE faults that were active in the past centuries, and that the propagation of fluids may have played a crucial role in triggering the 2010–2014 Pollino swarm. Assuming that the fluid propagation ended at the carbonates barrier in the NW direction, fractures opened new paths to the South, favoring the nucleation of the last Pollino swarm. Indeed, the recently active faults in the middle of the seismogenic volume are marked by a high-scattering and high-absorption footprints. Our work provides evidence that attenuation parameters may track shape and dynamics of fluid-filled fracture networks in fault areas. Keywords: Pollino, Seismic attenuation, Scattering, Fluids, Fractures, Healin

Accuracy of magnetic resonance imaging to identify pseudocapsule invasion in renal tumors

Purpose: To evaluate accuracy of MRI in detecting renal tumor pseudocapsule (PC) invasion and to propose a classification based on imaging of PC status in patients with renal cell carcinoma. Methods: From January 2017 to June 2018, 58 consecutive patients with localized renal cell carcinoma were prospectively enrolled. MRI was performed preoperatively and PC was classified, according to its features, as follows: MRI-Cap 0 (absence of PC), MRI-Cap 1 (presence of a clearly identifiable PC), MRI-Cap 2 (focally interrupted PC), and MRI-Cap 3 (clearly interrupted and infiltrated PC). A 3D image reconstruction showing MRI-Cap score was provided to both surgeon and pathologist to obtain complete preoperative evaluation and to compare imaging and pathology reports. All patients underwent laparoscopic partial nephrectomy. In surgical specimens, PC was classified according to the renal tumor capsule invasion scoring system (i-Cap). Results: A concordance between MRI-Cap and i-Cap was found in 50/58 (86%) cases. ρ coefficient for each MRI-cap and iCap categories was: MRI-Cap 0: 0.89 (p < 0.0001), MRI-Cap1: 0.75 (p < 0.0001), MRI-Cap 2: 0.76 (p < 0.0001), and MRI-Cap3: 0.87 (p < 0.0001). Sensitivity, specificity, positive predictive value, negative predictive value, and AUC were: MRI-Cap 0: Se 97.87% Spec 83.3%, PPV 95.8%, NPV 90.9%, and AUC 90.9; MRI-Cap 1: Se 77% Spec 95.5%, PPV 83.3%, NPV 93.5%, and AUC 0.86; MRI-Cap 2- iCap 2: Se 88% Spec 90%, PPV 79%, NPV 95%, and AUC 0.89; MRI-Cap 3: Se 94% Spec 95%, PPV 88%, NPV 97%, and AUC 0.94. Conclusions: MRI-Cap classification is accurate in evaluating renal tumor PC features. PC features can provide an imaging-guided landmark to figure out where a minimal margin could be preferable during nephron-sparing surgery

The Discipline of Pediatric Urology: Prerogatives and Necessities

To the Editor, The aim of this “position paper” is to describe the discipline of Pediatric Urology with its clinical and cultural competencies, represent the reasons for legitimizing its existence, and reinforce its importance in the “scenario” of the National Italian Healthcare System. The requisites and the educational requirements were defined by both the Italian Ministry of Health with the State-Regions Conference, and the European Union [...

Telehealth in Urology: A Systematic Review of the Literature. How Much Can Telemedicine Be Useful During and After the COVID-19 Pandemic?

Coronavirus disease 2019 (COVID-19) pandemic has caused increased interest in the application of telehealth to provide care without exposing patients and physicians to the risk of contagion. The urological literature on the topic is sparse

Urology practice during the COVID-19 vaccination campaign

The current scenario of the COVID-19 pandemic is significantly different from that of the first, emergency phase. Several countries in the world are experiencing a second, or even a third, wave of contagion, while awaiting the effects of mass vaccination campaigns. The aim of this report was to provide an update of previously released recommendations on prioritization and restructuring of urological activities

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

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