101
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Mack M, Vogl TJ. Schnittbildanatomie und Untersuchungstechnik des Halses. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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102
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Eichler K, Mack M, Lehnert T, Proschek D, Zangos S, Vogl TJ. Isolierte Lebermetastasen neuroendokriner Tumore: Tumorkontrollrate und das „Läsion in Nekrosephänomen“. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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103
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Vogl TJ, Zangos S, Balzer JO, Thalhammer A, Mack M. Transarterielle Chemoembolisation (TACE) von Lebermetastasen: Technik, Ergebnisse, Indikationsstellung. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-941023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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104
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Lehnert T, Wohlers J, Streng W, Manegold K, Jacobi V, Mack M, Vogl TJ. Dosisvariation mit einem direkten Selen-Flachbilddetektor – Eine Studie zur Dosisreduktion bis an die Grenzen der diagnostischen Verwertbarkeit. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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105
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Lehnert T, Gazis A, Zangos S, Eichler K, Thalhammer A, Mack M, Balzer JO, Vogl TJ. Ergebnisse einer Langzeitstudie – Qualitative und quantitative Evaluierung der in vivo Leberregeneration nach Intervention. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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106
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Eichler K, Mack M, Lehnert T, Proschek D, Flöter J, Zangos S, Vogl TJ. Hepatozelluläres Karzinoms: Thermoablation im Langzeitverlauf. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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107
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Lehnert T, Gazis A, Wetter A, Hammerstingl R, Eichler K, Mack M, Bechstein WO, Vogl TJ. Hepatocyte growth factor (HGF) – Quantitative Evaluation des Zytokins HGF vor Intervention: Ergebnisse einer Langzeitstudie über die prognostische Aussagekraft für die Leberregeneration. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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108
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Eichler K, Dufas T, Khan V, Mack M, Lehnert T, Balzer JO, Thalhammer A, Vogl TJ. Effektivität und Tolerabilität intraarterieller Chemoperfusion mit Irinotecan bei Patienten mit Lebermetastasen eines Kolorektalen Karzinoms: Phase 1 Studie. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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109
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Vogl TJ, Proschek D, Schwarz W, Mack M, Hochmuth K. CT-guided percutaneous vertebroplasty in the therapy of vertebral compression fractures. Eur Radiol 2005; 16:797-803. [PMID: 16333624 DOI: 10.1007/s00330-005-0021-4] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2005] [Accepted: 08/17/2005] [Indexed: 01/12/2023]
Abstract
The purpose of this study was to determine the efficacy and safety of CT-guided percutaneous vertebroplasty in the treatment of vertebral compression fractures. The primary objectives were pain reduction and bone-cement leakage during a long-term follow-up in patients with osteoporotic vertebral compression fractures. CT-guided percutaneous vertebroplasty was carried out in 61 patients (mean age 71.4 years; range 42-83; female ratio: 73.8%) with vertebral compression fractures. Treatment was carried out on an outpatient basis. Pain, bone-cement leakage and complications were monitored and recorded. The mean follow-up time was 19.8 months (range 3-52). Paired comparison procedures were used for the analysis of the results, which showed that all patients had a significant reduction of pain. The mean visual-analogue scale (VAS) before treatment was 8.8 points (range 6.5-9.8 points). The mean VAS score after treatment was significantly reduced to 2.6 points (range 1.5-4.1 points; p<0.01). No clinical or neurological complications were documented. Minor and asymptomatic bone-cement leakage was observed in 54% of the cases. Percutaneous vertebroplasty is an efficient and safe interventional procedure which rapidly improves the mobility and quality of life of patients with vertebral compression fractures. CT-guidance is a reasonable upgrade in the treatment procedure which reduces the amount of bone-cement leakage.
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110
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Schneidmueller D, Maier M, Mack M, Straub R, Marzi I. Therapeutische Relevanz der Magnetresonanztomographie bei Gelenkverletzungen im Kindesalter. Unfallchirurg 2005; 108:537-43. [PMID: 15870996 DOI: 10.1007/s00113-005-0936-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
AIM In this retrospective study, we assessed whether the use of MRI in children provides additional, therapeutically relevant information to assist in the diagnosis of joint injuries. In addition, we determined whether the usefulness of this approach is dependant on age of the child and localisation of the trauma. METHOD MRI of 45 children aged between 3 and 16 years were analysed independently by four different investigators (two radiologists, two trauma surgeons) and assessed for their therapeutic relevance. RESULT MRI of the knee (n=18) gave additional information in 11 patients (61%) and led to a change in the recommended therapy involving arthroscopy in seven patients (39%). MRI of the ankle (n=21) provided additional information in 12 patients (57%) and the decision for further therapy was influenced in six patients (29%), however, the indication for surgery was not influenced. The diagnosis of injuries of the elbow (n=6) was changed in four patients (67%), but the therapeutic decision was not influenced. CONCLUSION MRI additional to conventional x-ray provides relevant information on the therapeutic procedure to be used for the knee, whereas for the ankle and the elbow MRI it rarely delivers additional information relevant to therapeutic decision making.
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111
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Lehnert T, Gazis A, Kakabadze M, Wetter A, Bourquain H, Bechstein WO, Mack M, Vogl TJ. Human growth factor (HGF) - Quantitative Evaluation des Zytokins HGF vor Intervention: Prognostische Aussagekraft für die Leberregeneration. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867630] [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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112
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Proschek DP, Hochmuth K, Schwarz W, Mack M, Vogl TJ. Komplikationen der perkutanen Vertebroplastie: Systematische Evaluierung der Literatur und Metaanalyse. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868351] [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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113
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Krämer BK, Krüger B, Mack M, Obed A, Banas B, Paczek L, Schlitt HJ. Steroid Withdrawal or Steroid Avoidance in Renal Transplant Recipients: Focus on Tacrolimus-Based Immunosuppressive Regimens. Transplant Proc 2005; 37:1789-91. [PMID: 15919467 DOI: 10.1016/j.transproceed.2005.03.139] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Steroid-induced adverse effects after transplantation include cosmetic, metabolic, and cardiovascular complications. Steroid withdrawal or avoidance with cyclosporine-based regimens have been hampered by an unacceptably high rate of acute rejections and increased rates of graft loss. Recently the results of several large, randomized trials of steroid withdrawal/avoidance with tacrolimus-based immunosuppression in renal transplant recipients became available. A review of these trials appeared to be of clinical interest. Data from the THOMAS trial clearly indicate that steroid withdrawal from a regimen of tacrolimus, mycophenolate mofetil (MMF), steroids after 3 months after transplantation is safe with regard to acute rejection rate and graft survival. If an induction therapy with daclizumab is used in combination with tacrolimus and MMF (CARMEN trial), even steroid avoidance is safe with regard to acute rejection rate and graft survival. Finally, in the ATLAS trial, steroid avoidance with basiliximab in combination with tacrolimus (resulting in tacrolimus monotherapy) or alternatively with tacrolimus and MMF both resulted in similar graft survival, but higher rates of acute rejection. In conclusion, steroid withdrawal is safe from a triple-drug regimen of tacrolimus, MMF, and steroids after 3 months after transplantation, and steroid use may completely be avoided with tacrolimus, and MMF combined with daclizumab induction. Tacrolimus monotherapy may be achieved using basiliximab induction at the price of higher rates of acute rejection, but with unaffected graft survival. Thus tacrolimus-based immunosuppression with or without interleukin-2 receptor antagonist induction has made steroid withdrawal or avoidance a realistic option in renal transplantation.
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Balzer JO, Thalhammer A, Ritter RG, Mack M, Lindhoff-Last E, Schmitz-Rixen T, Vogl TJ. Rekanalisation von iliakalen TASC C- und D-Läsionen: Ergebnisse nach 3 Jahren Follow-up. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867761] [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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115
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Zangos S, Mack M, Balzer JO, Eichler R, Lehnert T, Heller M, Schwarz W, Vogl TJ. Klinische Wertigkeit der neoadjuvanten transarteriellen Chemoembolisation (TACE) bei primären und sekundären Lebermalignomen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868294] [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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116
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Herzog CH, Arning M, Balzer JO, Zangos S, Eichler K, Mack M, Vogl TJ. 16-Zeilen CT-Koronarangiographie: Einfluss von Rekonstruktionstechnik und Herzfrequenz auf Bildqualität und diagnostische Genauigkeit. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867426] [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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117
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Krämer BK, Böger C, Krüger B, Marienhagen J, Pietrzyk M, Obed A, Paczek L, Mack M, Banas B. Cardiovascular Risk Estimates and Risk Factors in Renal Transplant Recipients. Transplant Proc 2005; 37:1868-70. [PMID: 15919488 DOI: 10.1016/j.transproceed.2005.04.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Cardiovascular morbidity, including coronary artery disease and left ventricular hypertrophy, and mortality are high in patients following renal transplantation. Cardiovascular disease is thought to be due to traditional (hypertension, hyperlipidemia, diabetes mellitus and smoking) as well as nontraditional cardiovascular risk factors (microinflammation). Furthermore, immunosuppressive drugs, namely, calcineurin inhibitors, sirolimus, and steroids, have been reported to adversely affect cardiovascular risk factors (e.g., hypertension, hyperlipidemia, hyperglycemia). Evidence from comparative trials and from conversion studies suggest that blood pressure, hyperlipidemia, and hyperglycemia after renal transplantation may be differentially affected by the calcineurin inhibitors cyclosporine and tacrolimus. In the European Tacrolimus versus Cyclosporin A Microemulsion Renal Transplantation Study, 557 patients were randomly allocated to therapy with tacrolimus (n = 286) versus cyclosporine (n = 271). In addition, to blood pressure, serum cholesterol, HDL cholesterol, triglycerides, and blood glucose, we estimated the 10-year risk of coronary heart disease (Framingham risk score). Tacrolimus resulted in a significantly lower time-weighted average of serum cholesterol (P < .001), and mean arterial blood pressure (P < .05), but a higher time-weighted average of blood glucose (P < .01) than cyclosporine. Mean 10-year coronary artery disease risk estimate was significantly lower in men treated with tacrolimus, (10.0% versus 13.2%; P < .01) but was unchanged in women (4.7% versus 7.0%). Tacrolimus and cyclosporine microemulsion have compound-specific effects on cardiovascular risk factors that differentially affect the predicted rate of coronary artery disease.
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118
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Eichler K, Mack M, Lehnert T, Söllner O, Zangos S, Engelmann K, Straub R, Vogl TJ. Ablation des oligonodulären hepatozellulären Karzinoms: Wertigkeit im Langzeitverlauf. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867646] [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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119
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Zangos S, Abedini A, Hammerstingl R, Eichler K, Mack M, Heller M, Herzog C, Vogl TJ. Präinterventionelle pelvine kontrastmittelverstärkte MR-Angiographie (ceMRA): Wertigkeit differenter Kontrastmittel zur Planung der arteriellen Embolisation von Myomen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867526] [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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120
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Proschek DP, Vogl TJ, Hochmuth K, Mack M, Herzog C, Schwarz W. Perkutane Vertebroplastie in der Therapie von osteoporotischen Wirbelkörperfrakturen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868352] [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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121
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Mack M, Eichler K, Lehnert T, Straub R, Lüder-Lühr T, Balzer JO, Roggan A, Vogl TJ. Technik, Indikation und Ergebnisse der perkutane bipolaren Radiofrequenzablation (RFA) von Lungenmalignomen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867638] [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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122
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Lehnert T, Wurster M, Mack M, Balzer JO, Thalhammer A, Vogl TJ. Interventionell-radiologischer Therapieansatz zur Behandlung der Carney Triade. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868347] [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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123
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Zangos S, Vetter T, Mack M, Eichler K, Lehnert T, Herzog C, Heller M, Vogl TJ. MR-gesteuerte perkutane Biopsien am MR-Open: Erste klinische Ergebnisse einer neuen kabellosen Spule. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867850] [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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124
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Vogl TJ, Li J, Mack M, Lehnert T, Eichler K, Ghazy H, Wang Y. Nebennierenmetastasen: palliative Therapie mittels MR-gesteuerter LITT: eine prospektive Studie. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868357] [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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125
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Lehnert T, Gazis A, Kakabadze M, Hammerstingl R, Mack M, Bechstein WO, Bourquain H, Vogl TJ. CT-Evaluation der In-vivo-Leberregeneration nach MR-laserinduzierter Thermotherapie (LITT) von malignen Lebertumoren im Vergleich zur Leberresektion. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868290] [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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