Checklist of The Monogenea (Platyhelminthes) Parasitic in Tunisian Aquatic Vertebrates.

153 species of monogeneans have been recorded in Tunisian aquatic vertebrates (89 hosts). A list of these species with hosts is presented. A comparison of the Monogenea diversity off the coast of Tunisia with other regions of the Mediterranean Sea and the world is provided. The number of parasites depends on the number of hosts examined and their diversity in the region. This list shows that Monopisthocotylea is the richest group. In addition, new records have been reported during a survey of the diversity of monogeneans fish in the southern coast of Tunisia (Gulf of Gabes) including: Benedenia monticellii (Parona and Perugia, 1895) Johnston, 1929, Lamellodiscus bidens Euzet, 1984, Lamellodiscus confusus Amine, Euzet & Kechemir-Issad, 2007, Lamellodiscus ergensi Euzet & Oliver, 1966, Lamellodiscus hilii Euzet, 1984, Lamellodiscus impervius Euzet, 1984, Lamellodiscus knoepffleri Oliver, 1969, Lamellodiscus theroni Amine, Euzet & Kechemir-Issad, 2007, Ligophorus acuminatus Euzet & Suriano, 1977, Ligophorus angustus Euzet & Suriano, 1977, Ligophorus heteronchus Euzet & Suriano, 1977, Ligophorus macrocolpos Euzet & Suriano, 1977, Ligophorus minimus Euzet & Suriano, 1977, Capsala maccallumi Price, 1939 and Pseudanthocotyloides heterocotyle (Van Beneden, 1871) Euzet & Prost, 1969.

Prediction of overall survival in patients with hepatocellular carcinoma treated with Y-90 radioembolization by imaging response criteria.

PURPOSE: To evaluate the potential of imaging criteria in predicting overall survival of patients with hepatocellular carcinoma (HCC) after a first transcatheter arterial yttrium-90 radioembolization (TARE) MATERIALS AND METHODS: From October 2013 to July 2017, 37 patients with HCC were retrospectively included. There were 34 men and 3 women with a mean age of 60.5±10.2 (SD) years (range: 32.7-78.9 years). Twenty-five patients (68%) were Barcelona Clinic Liver Cancer (BCLC) C and 12 (32%) were BCLC B. Twenty-four primary index tumors (65%) were>5cm. Three radiologists evaluated tumor response on pre- and 4-7 months post-TARE magnetic resonance imaging or computed tomography examinations, using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, modified RECIST (mRECIST), European Association for Study of the Liver (EASL), volumetric RECIST (vRECIST), quantitative EASL (qEASL) and the Liver Imaging Reporting and Data System treatment response algorithm. Kaplan-Meier survival curves were used to compare responders and non-responders for each criterion. Univariate and multivariate Cox proportional hazard ratio (HR) analysis were used to identify covariates associated with overall survival. Fleiss kappa test was used to assess interobserver agreement. RESULTS: At multivariate analysis, RECIST 1.1 (HR: 0.26; 95% confidence interval [95% CI]: 0.09-0.75; P=0.01), mRECIST (HR: 0.22; 95% CI: 0.08-0.59; P=0.003), EASL (HR: 0.22; 95% CI: 0.07-0.63; P=0.005), and qEASL (HR: 0.30; 95% CI: 0.12-0.80; P=0.02) showed a significant difference in overall survival between responders and nonresponders. RECIST 1.1 had the highest interobserver reproducibility. CONCLUSION: RECIST and mRECIST seem to be the best compromise between reproducibility and ability to predict overall survival in patients with HCC treated with TARE.

Immediate and 1-year success rate of type 2 endoleak treatment using three-dimensional image fusion guidance.

PURPOSE: To retrospectively assess immediate and 1-year success rate of type 2 endoleak (T2E) treatment with ethylene-vinyl-alcohol-polymer using three-dimensional (3D) image fusion guidance with cone beam computed tomography via trans-arterial embolization (TAE) or direct percutaneous sac injection (DPSI). MATERIALS AND METHODS: A total of 37 patients with T2E who were treated either using TAE (34/37; 92%) or DPSI (9/37; 8%) were included. There were 34 men and 3 women with a mean age of 86±9 (SD) years (range: 67-104years). Mean aneurysm diameter was 67±14 (SD) mm (range: 42-101mm) at pre-procedure evaluation. Immediate success was complete embolization of the sac and feeding artery. 1-year success was reduction or stability of the aneurysmal sac diameter based on pre-procedure and 12-month follow-up examinations. Safety (treatment-related complications), patient demographics, duration of procedure and contrast volume were reported. RESULTS: Immediate and 1-year successful outcomes were reported in 94% (n=32) and 88% (n=28) of patients after TAE and 100% (n=9) and 89% (n=8) after DPSI. T2E treatments were immediately successful for 95% of the procedures (41/43) and for 88% (36/41) at 1year. Overall, T2E treatment was effective in 33 patients (89%). No major complications occurred. Mean procedure time and contrast volume were significantly different between the 2 techniques with respectively 87±16 (SD) min (range: 65-120min) and 75±26 (SD) mL (range: 40-130mL) for TAE and 32±10 (SD) min (range: 20-50min) (P<0.01) and 6±6 (SD) mL (range: 2-22mL) (P<0.01) for DPSI. Mean aneurysm diameter at 1-year was 68±17 (SD) mm (range: 43-101mm). No significant differences in the pre-procedure sac diameter were found at long-term follow-up between patients without T2E and those with persistent T2E (P=0.1) in the successful embolization group (n=33). CONCLUSION: TAE or DPSI treatments of T2E with ethylene-vinyl-alcohol-polymer using 3D-image fusion guidance were immediately successful for 95% of the procedures and remained effective for 88%. Longer follow-up is necessary to assess sac stability in the case of persistent endoleak.

Morphometrics and levels of infections of digeneans in belonid fish species off the coast of Tunisia.

Three species of belonid fish, Belone belone gracilis Lowe, 1839, Belone svetovidovi Collette & Parin, 1970 and Tylosurus acus imperialis (Rafinesque, 1810), caught off the eastern Tunisian coast were infected with eight species of Digenea. Among these, four species were commonly found in B. b. gracilis and are new host records for B. svetovidovi. They are: Lecithostaphylus retroflexus (Molin, 1859), Tergestia acanthocephala (Stossich, 1887) Stossich, 1899 and Aponurus laguncula Looss, 1907 in the intestine, and the metacercaria Condylocotyla pilodora Pearson and Prévot, 1985 in the pericardial sac. Four other digenean species were recorded from T. a. imperialis: Lecithostaphylus tylosuri Châari et al., 2013 and Tetrochetus coryphaenae Yamaguti, 1934 in the intestine, Oesophagotrema mediterranea Châari et al., 2011 in the oesophagus and vomer teeth, and Sclerodistomoides pacificus Kamegai, 1971 in the gall bladder. Tetrochetus coryphaenae and S. pacificus represent new host and geographical records. The spatial variation of digenean parasites within belonid host species is discussed.

Digenean species diversity in teleost fishes from the Gulf of Gabes, Tunisia (Western Mediterranean).

This study is the first attempt to survey the diversity of fish digeneans in the Gulf of Gabes (southern coast of Tunisia). A total of 779 fishes belonging to 32 species were sampled. 53 species of Digenea belonging to 15 families were recorded. Among these species, 24 are reported for the first time from the coast of Tunisia. We report one new host record, Lecithochirium sp. from Sardinella aurita. The Hemiuridae is the dominant family. A host-parasite list is presented with the information on the prevalence, abundance and mean intensity of each species collected. The diversity of Digenea is compared with other localities in the Mediterranean Sea and the northern east of Tunisia. The Gulf of Gabes shows the lowest diversity linked to the anthropogenic activities and impact of exotic species. The use of Digenea as indicators of the state of the ecosystem is discussed.