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Eiber M, Holzapfel K, Ganther C, Souvatzoglou M, Krause BJ, Rummeny EJ, Gaa J. Diffusionsgewichtete MRT ermöglicht die Unterscheidung zwischen malignen und beginen Lymphnknoten bei Prostatakarzinom. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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77
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Holzapfel K, Dütsch S, Rummeny EJ, Fauser C, Gaa J. Wertigkeit der diffusionsgewichteten MR-Bildgebung bei der Unterscheidung zwischen malignen und benignen zervikalen Lymphknoten. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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78
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Brügel M, Gaa J, Waldt S, Holzapfel K, Wörtler K, Rummeny EJ. MR-Diagnostik von Lebermetastasen: Vergleich einer atemgetriggerten diffusionsgewichteten EPI-Sequenz versus Gadolinium. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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79
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Meier R, Tavri S, Henning TD, Piontek G, Wels WS, Rummeny EJ, Daldrup-Link HE. Monitoring neuer Immuntherapien für Prostatakarzinome mittels Magnetresonanztomographie. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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80
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Bauer JS, Müller D, Monetti R, Räth CW, Link TM, Rummeny EJ. Hochauflösende MRT der trabekulären Mikrostruktur des Calcaneus: Worin liegen die Vorteile von 3T gegenüber 1,5T? ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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81
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Kuhn KA, Knoll A, Mewes HW, Schwaiger M, Bode A, Broy M, Daniel H, Feussner H, Gradinger R, Hauner H, Höfler H, Holzmann B, Horsch A, Kemper A, Krcmar H, Kochs EF, Lange R, Leidl R, Mansmann U, Mayr EW, Meitinger T, Molls M, Navab N, Nüsslin F, Peschel C, Reiser M, Ring J, Rummeny EJ, Schlichter J, Schmid R, Wichmann HE, Ziegler S. Informatics and medicine--from molecules to populations. Methods Inf Med 2008; 47:283-295. [PMID: 18690362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVES To clarify challenges and research topics for informatics in health and to describe new approaches for interdisciplinary collaboration and education. METHODS Research challenges and possible solutions were elaborated by scientists of two universities using an interdisciplinary approach, in a series of meetings over several months. RESULTS AND CONCLUSION In order to translate scientific results from bench to bedside and further into an evidence-based and efficient health system, intensive collaboration is needed between experts from medicine, biology, informatics, engineering, public health, as well as social and economic sciences. Research challenges can be attributed to four areas: bioinformatics and systems biology, biomedical engineering and informatics, health informatics and individual healthcare, and public health informatics. In order to bridge existing gaps between different disciplines and cultures, we suggest focusing on interdisciplinary education, taking an integrative approach and starting interdisciplinary practice at early stages of education.
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Mariss J, Hellerhoff P, Schmidt S, Burian M, Rummeny EJ, Gaa J. Akute Blutung eines seltenen gastrointestinalen Tumors: Magenlipom – CT Befunde. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1074036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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83
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Kleis M, Daldrup-Link HE, Matthay KK, Goldsby RE, Rummeny EJ, Schuster T, Hawkins RA, Franc BL. PET/CT Staging und Restaging maligner Tumore bei Kindern und Jugendlichen. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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84
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Dobritz M, Schneider A, Engels HP, Wieder H, Rummeny EJ, Stollfuss J. MSCT in arterieller und portalvenöser Kontrastphase zur Detektion intestinaler Blutungen. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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85
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Holzapfel K, von Beckerath N, Rummeny EJ, Gaa J. [Recurring nose bleeds, dyspnea and conspicuous findings in the lung and liver]. Radiologe 2007; 47:716-20. [PMID: 17028839 DOI: 10.1007/s00117-006-1424-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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86
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Simon GH, Daldrup-Link HE, Rummeny EJ. [Macrophage specific MRI imaging for antigen induced arthritides. A potential new strategy for the diagnosis of rheumatoid arthritis]. Radiologe 2007; 47:43-52. [PMID: 17221243 DOI: 10.1007/s00117-006-1453-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The present work describes the potential of iron oxides for the detection of macrophages in synovitis in experimental, antigen-induced arthritis. METHODS The pivotal role of macrophages in rheumatoid arthritis (RA) in humans and in antigen-induced arthritis (AIA) in animal models is discussed. The latter appear to be very similar in many aspects to the human RA. We show the potential for iron oxide-enhanced magnetic resonance imaging (MRI) to determine the macrophage content in the arthritic synovial membranes. The results of our own research, as well as those of other research groups, are presented and discussed. RESULTS MRI after the intravenous (i.v.) administration of iron oxides enables the depiction of macrophage content in arthritic synovial membranes in AIA through the effects of the intracellular compartmentalisation of iron oxide particles. These effects can be demonstrated in 24-h delayed images after i.v. contrast application, on T2-weighted spin-echo or turbo-spin-echo sequences, and especially on T2*-weighted gradient-echo sequences. The signal effects are not only apparent in high field strength (4.7 Tesla) but also on 1.5 Tesla clinical scanners. CONCLUSIONS AND PERSPECTIVES The use of iron oxides enables the determination of the macrophage content in synovitis in animals with AIA. This parameter represents a potential marker to determine disease activity, and possibly represents a marker to evaluate the effectiveness of specific therapies in human RA. Current knowledge of iron oxide-enhanced MRI is limited to animal models. The clinical evaluation of this new method in patients with RA has not yet been performed. However, based on the considerations presented here, significant progress in the diagnostic work-up of RA can be expected.
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Holzapfel K, Rummeny EJ, Gaa J. CMR 2007: 13.02: Contrast-enhanced magnetic resonance cholangiography using Gd-EOB-DTPA (Primovist®): additional value compared with conventional MRCP sequences. CONTRAST MEDIA & MOLECULAR IMAGING 2007. [DOI: 10.1002/cmmi.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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88
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Wieder HA, Feussner H, Rummeny EJ, Gaa J. [Radiological diagnostics for iatrogenic retained foreign bodies after surgery]. Chirurg 2007; 78:22-7. [PMID: 17151841 DOI: 10.1007/s00104-006-1279-z] [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: 10/23/2022]
Abstract
Retention of surgical sponges is rare. They cause either an aseptic reaction without significant symptoms or an exudative reaction which results in early but non-specific symptoms. Even if there are no studies which compare the diagnostic accuracy of the different imaging modalities, CT seems to be the most promising tool to diagnose foreign bodies. However, apart from radio-paque markers there are no specific signs for the existence of surgical sponges in CT. Therefore, an experienced radiologist is needed to differentiate foreign bodies from morphologically quite similar differential diagnoses such as abscess and haematoma.
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Saar B, Meining A, Beer A, Settles M, Helmberger H, Frimberger E, Rummeny EJ, Rösch T. Prospective study on bright lumen magnetic resonance colonography in comparison with conventional colonoscopy. Br J Radiol 2007; 80:235-41. [PMID: 17329681 DOI: 10.1259/bjr/83959666] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
The aim of this prospective trial was to evaluate sensitivity and specificity of bright lumen magnetic resonance colonography (MRC) in comparison with conventional colonoscopy (CC). A total of 120 consecutive patients with clinical indications for CC were prospectively examined using MRC (1.5 Tesla) which was then followed by CC. Prior to MRC, the cleansed colon was filled with a gadolinium-water solution. A 3D GRE sequence was performed with the patient in the prone and supine position, each acquired during one breathhold period. After division of the colon into five segments, interactive data analysis was carried out using three-dimensional post-processing, including a virtual intraluminal view. The results of CC served as a reference standard. In all patients MRC was performed successfully and no complications occurred. Image quality was diagnostic in 92% (574/620 colonic segments). On a per-patient basis, the results of MRC were as follows: sensitivity 84% (95% CI 71.7-92.3%), specificity 97% (95% CI 89.0-99.6%). Five flat adenomas and 6/16 small polyps (< or =5 mm) were not identified by MRC. MRC offers high sensitivity and excellent specificity rates in patients with clinical indications for CC. Improved MRC techniques are needed to detect small polyps and flat adenomas.
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90
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Holzapfel K, Rummeny EJ, Hannig C, Beer AJ. [MSCT for staging and response evaluation of esophageal cancer]. Radiologe 2007; 47:101-9. [PMID: 17225186 DOI: 10.1007/s00117-006-1455-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Squamous cell carcinomas and adenocarcinomas account for the majority of cases of esophageal cancer. Esophageal cancer often is diagnosed in advanced stages as clinical symptoms are lacking in early stages. The major aims of imaging in esophageal cancer are to determine local tumor extension (T and N staging), to rule out systemic disease (M staging), and to assess response to neoadjuvant therapy (response evaluation). CT is still inferior to endoscopic ultrasound in differentiating T stages and detecting regional lymph node metastases. However, it plays a central role in determining infiltration into adjacent organs (T4 stage) and in ruling out distant metastases. Multislice-CT (MSCT) offers the possibility of reconstructions, which often help to assess the relationship between tumor and anatomic landmarks like the tracheobronchial tree or the diaphragm. First results of CT volumetry for response evaluation are promising; however, PET and PET/CT with the glucose analogue FDG are the standard methods to evaluate response to neoadjuvant therapy.
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91
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Metz S, Heider P, Settles M, Botnar R, Rummeny EJ. Evaluierung arteriosklerotischer Plaques mit SHU 555 C – verstärkter MRT bei Patienten mit hochgradiger Karotisstenose. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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92
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Müller D, Bauer J, Monetti R, Rummeny EJ, Link TM, Raeth C. Reproduzierbarkeit von nichtlinearen 3D- und morphologischen 2D-Strukturparametern anhand von hochauflösenden MRT-Daten des distalen Radius. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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93
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Bruegel M, Gaa J, Woertler K, Waldt S, Ganter C, Holzapfel K, Rummeny EJ. MR-tomographische Detektion fokaler Leberläsionen: Wertigkeit einer diffusionsgewichteten EPI-Sequenz mit navigatorgestützter Atemtriggerung im Vergleich zu verschiedenen T2-gewichteten TSE-Sequenzen. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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94
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Holzapfel K, Bruegel M, Ganther C, Stemmer A, Kiefer B, Rummeny EJ, Gaa J. Charakterisierung fokaler Leberläsionen durch diffusionsgewichtete MR-Bildgebung unter Verwendung einer hoch auflösenden, Navigator-gesteuerten echo-planaren Sequenz. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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95
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Müller D, Raeth CW, Bauer J, Rummeny EJ, Link TM, Majumdar S, Eckstein F, Monetti R. 3D-Strukturanalyse der Wirbelsäule mittels Wavelet Filter Techniken und der Skalierungsindexmethode. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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96
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Holzapfel K, Beer AJ, Neudorfer J, Piontek G, Settles M, Rummeny EJ, Bernhard H. In vitro-Markierung humaner zytotoxischer T-Lymphozyten mit superparamagnetischen Eisenoxid-Partikeln. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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97
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Bauer JS, Müller D, Räth CW, Monetti R, Rummeny EJ, Link TM. Nichtlineare Analyse der trabekulären Mikrostruktur des Calcaneus: Vergleich von 1,5T und 3,0T MRT für die Osteoporosediagnostik. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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98
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Bauer JS, Müller D, Monetti R, Rummeny EJ, Link TM, Eckstein F, Räth CW. Charakterisierung verschiedener struktureller Elemente des trabekulären Knochens mittels nichtlinearer Strukturanalyse: Verbesserungen für die Osteoporosediagnostik. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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99
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Holzapfel K, Rummeny EJ, Gaa J. Kontrastverstärkte MR-Cholangiographie mit Gadolinium-EOB-DTPA (Primovist®): vorläufige Erfahrungen. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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100
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Hannig C, Wuttge-Hannig A, Rummeny EJ. Pharyngo-ösophageale Interaktionen bei Achalasie und diffusem Ösophagusspasmus. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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