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Fischer T, Anke T, Mühler M, Budde K, Hamm B, Filimonow S. Rejektionsdiagnostik nach Nierentransplantation mittels Echosignalverstärker. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Johnson K, Fischer T, Chapman S, Wilson B. Accidental head injuries in children under 5 years of age. Clin Radiol 2005; 60:464-8. [PMID: 15767104 DOI: 10.1016/j.crad.2004.09.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2004] [Revised: 08/31/2004] [Accepted: 09/07/2004] [Indexed: 10/25/2022]
Abstract
AIM To evaluate the type and nature of head injuries sustained by children under the age of 5 years who present to a busy accident and emergency (A&E) department following an accidental fall. MATERIALS AND METHODS This study included all children under the age of 5 years, who over an 8-month period were referred to our A&E Department with head injury following an accidental fall. Data were collected regarding the height of the fall, whether or not stairs were involved, the type of surface that the child landed on and the height of the child. This was correlated with any soft-tissue injury or skull fracture. RESULTS A total of 72 children (aged 4 months to 4.75 years) fulfilled all the criteria for an accidental fall. The heights of the falls ranged from less than 50 cm to over 3 m, with the majority below 1 m. Of the falls, 49 were onto a hard surface and 23 were onto a soft surface. Of the 72 children, 52 had visible evidence of head injury, 35 (71%) of 49 being the result of falls onto hard surfaces and 17 (74%) of 23 onto soft (carpeted) surfaces. There was no significant difference in the type of surface that resulted in a visible head injury. A visible head injury was seen in all children who fell from a height of over 1.5 m and in 95% of children who fell over 1 m. Of the 72 children, 32 (44%) had skull radiographs performed in accordance with established guidelines and 4 (12.5%) were identified as having a fracture. Of the 3 linear parietal fractures 2 were inflicted by falls of just over 1 m (from a work surface) and 1 by a fall of 80 to 90 cm onto the hard-edged surface of a stone fire surround. The 4th was a fracture of the base of skull following a fall from more than 3 m (from a first-storey window). CONCLUSIONS In the vast majority of domestic accidents children do not suffer significant harm. Skull fractures are rare and probably occur in less than 5% of cases. To cause a skull fracture the fall needs to be from over 1 m or, if from a lesser height, then a small-area impact point should be considered an integral component of the injury.
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Kotsianos D, Wirth S, Fischer T, Hiltawsky K, Sittek H, Reiser M. 3D-Ultraschall (3D-US) in der Diagnostik von Mammaherdbefunden. Radiologe 2005; 45:237-44. [PMID: 15747149 DOI: 10.1007/s00117-005-1181-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND It was to analyse whether 3D breast US is able to enhance the diagnosis of focal breast lesions. MATERIAL AND METHODS 60 patients were examined with 2D- and 3D US (GE logiq 9, 14 MHz). The solid lesions were analyzed by using the BIRADS classification. As standard of reference, histopathologic results were available in all cases. RESULTS 38 malignant and 22 benign lesions were analyzed. With 2D US the sensitivity/specificity was 92/81%, with 3D US 97/72%, and by combination of 2D and 3D 97/81%. Characteristics of benign solid masses included a round or oval shape as well as clearly defined and sharply demarcated margins. CONCLUSIONS 3D US allows to demonstrate breast masses in multiple planes. Distorsion of the surrounding soft tissues is an important sign indicative of malignancy.
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Kluner C, Fischer T, Filimonow S, Hamm B, Kröncke T. Die endovasale Lasertherapie varikös veränderter Stammvenen: Eine effektive und komplikationsarme Alternative zum Venenstripping? ROFO-FORTSCHR RONTG 2005; 177:179-87. [PMID: 15666225 DOI: 10.1055/s-2004-813892] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Endovenous laser therapy (EVLT) is a new, minimally invasive therapeutic option for treating primary varicose veins and provides an effective and safe alternative to conventional surgical management (stripping). Short-term and intermediate-term outcome is comparable to surgical stripping in terms of elimination of venous reflux (90 % - 98 %), resolution of visible varices (85 %), and improvement of subjective complaints such as sensations of heaviness and tension (96 %). Complications occur in 1 % - 3 % of cases, which is markedly below the rate of conventional surgical management (up to 30 %). The intermediate-term incidence of recurrent varicosis in a vein treated by EVLT depends on the laser fluence applied and is reported to range from 7 % - 9 % compared to 10 % - 20 % after surgical intervention. Based on a review of the current literature and our own experience, this survey article presents an overview of the indications and contraindications, the technique and pathophysiology of laser-induced venous occlusion, and the results and possible complications of EVLT.
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Daumer M, Harner N, Fischer T, Pildner von Steinburg S, Schneider KTM. Ermittlung der normalen fetalen Herzfrequenz des Feten am Termin anhand von 40.000 elektronisch gespeicherten CTG-Stunden. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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306
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Hauenstein E, Fischer T, Seck K, Pildner von Steinburg S, Schneider KTM. Spätabort in der 19. Schwangerschaftwoche bei Rezidiv eines zytotoxischen T-Zell-Lymphoms des Magens: Bedeutung der adjuvanten Chemotherapie. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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307
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Gottschalk N, Fischer T, Schneider KTM, Pildner von Steinburg S. Malignes Melanom in der Schwangerschaft. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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308
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Saupe S, Fischer R, Neumayer HH, Latrell BC, Pildner von Steinburg S, Schneider KTM, Budde C, Fischer T. Einfluss des Transplantations-Schwangerschaftsintervalls auf die Transplantatfunktion nierentransplantierter Patientinnen. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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309
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Seck K, Schneider KTM, Pildner von Steinburg S, Hauenstein E, Fischer T. Fallbericht und Therapieoptionen bei habituellen Aborten. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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310
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Fischer T, Fischer R, Latrell BC, Neumayer C, Pildner von Steinburg S, Saupe S, Schneider KTM, Budde C. Effekt einer Schwangerschaft auf die Langzeit-Nierenfunktion nierentransplantierter Patientinnen unter Cyclosporin- und Azathioprintherapie. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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311
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Pildner von Steinburg S, Voigt M, Pätzold S, Fischer T, Schneider KTM. Einfluss vorangegangener Aborte auf Geburtsgewicht und Frühgeburtenrate. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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312
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Baumgärtner AK, Schneider KTM, Nährig J, Fischer T, Pildner von Steinburg S. Retroperitoneales Leiomyosarkom in der Schwangerschaft. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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313
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Saupe S, Fischer R, Budde C, Lattrell BC, Neumayer HH, Pildner von Steinburg S, Schneider KTM, Fischer T. Effekt des Geburtsmodus auf die Langzeit-Transplantatfunktion nierentransplantierter Patientinnen unter Cyclosporin- und Azathioprintherapie. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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314
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Schleußner E, Fischer T, Kemkes-Matthes B, Seeger S, Thaler C, Bauersachs R. Therapie mit Dalteparin bei habitueller Abortneigung - Vorstellung der ETHiG II-Studienplanung. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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315
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Diedrich F, Fischer T, Pildner von Steinburg S, Saupe S, Schneider KTM. Fallbericht und Literaturübersicht: Erfolgreiche Langzeit-Anwendung von Nitroglycerin bei schwerer Plazentainsuffizienz vor Erreichen der 34. SSW. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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316
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Huhn EA, Fischer T, Schneider R, Schneider KTM, Schmidt G. Neue Analysemethode der fetalen Herzfrequenz im CTG bei wachstumsretardierten Feten. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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317
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Buhmann S, Kirchhoff C, Wielage C, Fischer T, Mussack T, Reiser M, Lienemann A. Funktionelle Cine-MRT des Kolon: Darstellung und Quantifizierung der Darmmotilität. ROFO-FORTSCHR RONTG 2004; 177:35-40. [PMID: 15657818 DOI: 10.1055/s-2004-813733] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE To develop and evaluate a method to visualize and quantify large bowel motility using functional cine MRI. METHODS Fifteen healthy individuals (8 males, 7 females, 20 to 45 years old) with no history or present symptoms of bowel disorders were enrolled in a functional cine MRI examination at 6 a. m. after a starving phase for at least eight hours before and after oral administration of Senna tea (mild stimulating purgative). Two consecutive sets of repeated measurements of the entire abdomen were performed using a 1.5 T MRI system with coronal T2-weighted HASTE sequences anatomically adjusted to the course of the large bowel. A navigator technique was used for respiratory gating at the level of the right dorsal diaphragm. The changes in diameter (given in cm) were measured at 5 different locations of the ascending (AC), transverse (TC) and descending colon (DC), and assessed as parameters for the bowel motility. RESULTS The mean values as a statistical measure for large bowel relaxation were determined. Before ingestion of Senna tea, the mean diameter measured 3.41 cm (ascending colon), 3 cm (transverse colon) and 2.67 cm (descending colon). After the ingestion of Senna tea, the mean diameter increased to 3.69 cm (ascending colon) to 3.4 cm (transverse colon) and to 2.9 cm (descending colon). A statistically significant difference was demonstrated with the Wilcoxon test (level of confidence 0.05). For the determination of dynamic increase, the changes of the statistical scatter amplitude to the mean value were expressed as percentage before and after the ingestion of Senna tea. Thereby, an increase in variation and dynamic range was detected for the AC (112.9 %) and DC (100 %), but a decrease in the dynamics for the TC (69 %). CONCLUSION A non-invasive method for the assessment of bowel motility was developed for the first time. The use of functional cine MRI utilizing a prokinetic stimulus allowed visualisation and quantification of large bowel motility. Further studies have to determine whether this technique is clinically relevant.
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Chenot JF, Fischer T, Simmenroth-Nayda A, Fassheber S, Hummers-Pradier E, Aut B, Kernbach-Wighton G, Emmert S, Küntzel H, Klockgether-Radke A, Kochen M. Interdisziplinärer Pilot-OSCE „Medizinische Basisfähigkeiten”. ACTA ACUST UNITED AC 2004. [DOI: 10.1055/s-2004-832399] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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319
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Kröncke TJ, Gauruder-Burmester A, Scheurig C, Gronewold M, Klüner C, Fischer T, Klessen C, Rudolph J, Siara K, Zimmermann E, Hamm B. Transarterielle Embolisation bei Uterus myomatosus: klinische Erfolgsrate und kernspintomographische Ergebnisse. ROFO-FORTSCHR RONTG 2004; 177:89-98. [PMID: 15657826 DOI: 10.1055/s-2004-813739] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE To analyze the clinical success rate and the findings of magnetic resonance imaging (MRI) after uterine artery embolization of symptomatic leiomyomas (fibroids) of the uterus. MATERIALS AND METHODS This is a prospective single-center case study of 80 consecutively treated patients, followed for 3 - 6 months (group I), 7 - 12 months, (group II), and 13 - 25 months (group III). MRI was used to determine the uterine volume and size of the dominant leiomyoma. Symptoms and causes requiring repeat interventions were analyzed. RESULTS Significant (p < 0.01) volume reduction of the uterus (median: 34.95 % confidence interval [CI]: 30.41 - 41.76 %) and dominant leiomyoma (median: 52.07 %, CI: 47.71 - 61.57 %) was found. The decrease in uterine volume (I-III: 22.68 %, 33.56 %, 47.93 %) and dominant leiomyoma volume (I-III: 41.86 %, 62.16 %, 73.96 %) progressed with the follow-up time. Bleeding resolved significantly (p < 0.0001) in all three follow-up groups (groups I-III: 92.86 %, 95.23 %, 96.67 %). Furthermore, urinary frequency (groups I-III: 70 %, 75 %, 82.35 %) and sensation of pelvic pressure (groups I-III: 42.86 %, 60 %, 93.75 %) improved, which was statistically significant in group III (p < 0.01). The number of leiomyomas correlated (p < 0.05) with improvement of the bleeding and the pelvic pressure. Repeat therapy was necessary for complications in four patients (5 %) and for therapeutic failure in three patients (3.8 %). Permanent amenorrhea was observed in four patients (5 %) of age 45 years or older. CONCLUSION Uterine artery embolization of uterine leiomyomas has a high clinical success rate with an acceptable incidence of complications and repeat interventions.
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Schmitz N, Ljungman P, Cordonnier C, Kempf C, Linkesch W, Alegre A, Solano C, Simonsson B, Sonnen R, Diehl V, Fischer T, Caballero D, Littlewood T, Noppeney R, Schafhausen P, Jost L, Delabarre F, Marcus R. Lenograstim after autologous peripheral blood progenitor cell transplantation: results of a double-blind, randomized trial. Bone Marrow Transplant 2004; 34:955-62. [PMID: 15489865 DOI: 10.1038/sj.bmt.1704724] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A phase III, randomized, double-blind, placebo-controlled, multi-center trial was conducted in order to compare the incidence of microbiologically defined infections occurring after high-dose chemotherapy (HDT) and ASCT in 98 patients given lenograstim (Granocyte) and 94 patients given placebo after transplantation. Hematopoietic recovery, the use of i.v. antibiotics, the numbers of red blood cell and platelet transfusions, the days spent in hospital, and the days on parenteral nutrition were also compared. The incidence of infections until neutrophil recovery was significantly less in patients who received lenograstim after HDT and ASCT as compared to patients who received placebo (66 of 98 vs 86 of 94 patients, P<0.001). Lenograstim also significantly reduced the use of i.v. antibiotics (P<0.001) and the median duration of i.v. antibiotic treatment (8 days vs 10 days, P=0.04), improved neutrophil recovery (absolute neutrophil count >0.5 x 10(9)/l: 11 days vs 15 days, P<0.001) and reduced the number of days spent in hospital (15 days vs 17 days, P<0.001). The administration of lenograstim after HDT and ASCT significantly reduces the incidence of microbiologically defined infections until neutrophil recovery. It also leads to less use of antibiotics and earlier discharge from hospital.
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Fischer T, Felenda M, Dittel KK. Die metastasenbedingte pathologische Fraktur der langen Röhrenknochen. ACTA ACUST UNITED AC 2004. [DOI: 10.1055/s-2004-821289] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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322
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Fischer T, Reynolds JH, Trotter SE. The idiopathic interstitial pneumonias: a beginner's guide. IMAGING 2004. [DOI: 10.1259/imaging/58153976] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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323
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Fischer T, Reynolds JH, Trotter SE, Gomersall LN, Olson S, Hill C, Van Beek EJR, Screaton NJ, Koh T. Picture quiz. IMAGING 2004. [DOI: 10.1259/imaging/69000275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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324
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Abstract
We demonstrate that microspheres above a substrate act as microscopic lenses. Their Brownian motion causes the focal point to change abruptly, thereby creating characteristic intensity fluctuations which depend on the interaction between the spheres. To this end, superparamagnetic spheres in a magnetic field assemble into long pearl chains, where the intensity fluctuations depend on the stiffness of the chain. Upon assembling the superparamagnetic beads into a two-dimensional colloidal crystal, the fluctuations are restricted in two dimensions, and temporal network structures develop.
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Beck J, Fischer T, Rowinsky E, Huber C, Mita M, Atadja P, Peng B, Kwong C, Dugan M, Patnaik A. Phase I pharmacokinetic (PK) and pharmacodynamic (PD) study of LBH589A: A novel histone deacetylase inhibitor. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.3025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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