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Fink C, Meyer FJ, Risse F, Vollmer C, Ley S, Kauczor HU. Quantitative Perfusions MRT der Lunge bei Pulmonaler Hypertension: Korrelation mit hämodynamischen Rechtherzkathetermessungen. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940667] [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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202
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Grenacher L, Klauss M, Mohr A, Knaebel HP, Tengg-Koblik H, Kauczor HU, Büchler MW, Kauffmann GW, Richter GM. Resektabilitätsbeurteilung von Pankreaskarzinomen im 16 Zeilen Spiral-CT: was sieht der Radiologe? Was sieht der Chirurg? ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940883] [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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203
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Biederer J, Bolte H, Dinkel J, Thierfelder C, Hoffmann B, Welzel T, Debus J, Heller M, Kauczor HU. Analyse von Bildqualität und Artefakten aus respiratorisch gegateten 4D-CT der Lunge: Vergleich mit statischen Datensätzen in definierter Atemlage. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940583] [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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204
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Fink C, Eichinger M, Molinari F, Risse F, Kauczor HU. Navigator- und EKG-getriggerte sauerstoffverstärkte MRT der Lunge bei Patienten mit interstitieller Lungenerkrankung. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940670] [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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205
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Plathow C, Thieke C, Münther MW, Claussen CD, Tuengerthal S, Kauczor HU, Dienemann J. Bildgebung des malignen Pleuramesothelioms unter Verwendung der morphologischen und funktionellen MRT. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-941174] [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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206
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Hertel R, Weber MA, Essig M, Kauczor HU. Grundlagen und klinische Anwendung der 1H-Magnetresonanz-Spektroskopie (MRS) bei neuroonkologischen Fragestellungen. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-941177] [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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207
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Weber MA, Hildebrandt W, Krakowski-Roosen H, Krix M, Millies J, Renk H, Kinscherf R, Kauczor HU, Delorme S. Vergleich der mit kontrastverstärktem Ultraschall bestimmten Skelettmuskelperfusion und der histologischen Kapillardichte. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940624] [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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208
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Weber MA, Essig M, Kauczor HU. Gliome. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940489] [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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209
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Biederer J, Plathow C, Puderbach M, Zaporozhan J, Bolte H, Kauczor HU, Heller M. Phantomversuch für die reproduzierbare Simulation einer Zwerchfellatmung an tierischen Herz-Lungen-Präparaten. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940985] [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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210
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Plathow C, Schöbinger M, Hof H, Fink C, Ley S, Biederer J, Claussen CD, Schäfer J, Kauczor HU. Darstellung der Lungen- und Lungentumorbewegung während des Atemzyklus – Neue Möglichkeiten der MRT. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-941173] [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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211
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Wasser K, Moehler T, Nosas-Garcia S, Rehm C, Bartl R, Goldschmidt H, Düber C, Kauczor HU, Delorme S. [Correlation of MRI and histopathology of bone marrow in patients with multiple myeloma]. ROFO-FORTSCHR RONTG 2005; 177:1116-22. [PMID: 16021544 DOI: 10.1055/s-2005-858362] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE To compare MRI findings and histological plasmacellular infiltration of the bone marrow in patients with multiple myeloma (MM). MATERIAL AND METHODS Twenty-four patients with different stages of MM underwent 1.5T MRI of the pelvic bone before iliac crest punch biopsy. Precontrast T1wSE and STIR and postcontrast (Gd-DTPA) T1wSE-fatsat were acquired using axial slices. Immediately after the biopsy, T1wSE was repeated to locate the biopsy canal. The corresponding region in the examination before punch biopsy was assessed for bone marrow involvement using a three-point score (0: negative, 1: suspect, 2: definite). RESULTS Two patients were not included because the location of the biopsy canal was unclear. Of 7 patients without histological plasmacellular infiltration, MRI was false positive in one case (suspect). Of 15 patients with histological infiltration, MRI was positive in 10 cases (4 suspect, 6 definite). The T1wSE was positive in 9 cases, STIR in 8 cases, and postcontrast T1wSE-fatsat in 7 cases. In 10 of the 15 patients, the infiltration was histologically graded as low (5 - 20 % of bone marrow). In this group, MRI was only positive in 5 cases (3 suspect, 2 definite). Of five patients with the infiltration histologically graded as high (> 20 % of bone marrow), MRI was positive in all cases (1 suspect, 4 definite). CONCLUSION Only advanced bone marrow infiltration in MM can be reliably detected by MRI. None of the used sequences proved to be significantly superior or inferior.
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212
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Weber MA, Nielles-Vallespin S, Huttner HB, Meinck HM, Wöhrle J, Lehmann-Horn F, Kauczor HU, Essig M. Die 23Na-Magnetresonanztomographie visualisiert die intrazelluläre Natriumakkumulation bei Patienten mit der hereditären Natriumkanalmyopathie-Paramyotonia congenita Eulenburg. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867748] [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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213
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Krix M, Plathow C, Kauczor HU, Karcher A, Delorme S. Chemotherapiemonitoring bei Lebermetastasen durch die Detektion von Änderungen in der Tumorperfusion mittels kontrastverstärkter Sonographie - erste Ergebnisse. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867703] [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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214
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Wegs H, Hertel R, Weber MA, Kauczor HU, Essig M. Quantifizierung von zerebralem Blutvolumen und Blutfluss mit der dynamischen suszeptibilitätsgewichteten Magnetresonanz-Tomographie (MRT). ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868279] [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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215
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Krix M, Plathow C, Essig M, Debus J, Kauczor HU, Delorme S. Monitoring von Lebermetastasen nach stereotaktischer Strahlentherapie mittels kontrastverstärktem Ultraschall - erste Ergebnisse. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867700] [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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216
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Fink C, Bock M, Ley S, Buhmann R, Plathow C, Puderbach M, Kauczor HU. Zeitaufgelöste parallele MRA der Lunge: Einsatz der Korrelationsanalyse zur Verbesserung des Signal-zu-Rausch Verhältnisses. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867659] [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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217
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Plathow C, Schöbinger MA, Bock M, Fink C, Ley SE, Puderbach M, Meinzer HP, Kauczor HU. Evaluation der dreidimensionalen Lungenbewegung und -volumetrie während des Atemzyklus mittels dynamischer MRT. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867876] [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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218
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Weber MA, Zoubaa S, Jüttler E, Huttner HB, Geletneky K, Lichy M, Kauczor HU, Essig M. Vergleich der spektroskopischen, der perfusionsgewichteten und der T1-gewichteten dynamischen MRT bei Hirntumoren mit der histologisch bestimmten Gefäßdichte und der Proliferationsaktivität. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867610] [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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219
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Fink C, Puderbach M, Ley S, Risse F, Kuder TA, Bock M, Plathow C, Kauczor HU. Intraindividueller Vergleich von 1 M und 0,5 M Gd-Chelaten für die zeitaufgelöste 3D-MRA des Thorax und Abdomens. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868260] [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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220
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Plathow C, Fink C, Hof HO, Sandner AL, Eichinger MO, Debus J, Schmähl A, Kauczor HU. Analyse der Lungen- und intrathorakalen Tumorbewegung vor und nach Strahlentherapie: Therapiemonitoring unter Verwendung der dynamischen MRT. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867652] [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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221
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Hertel R, Heiß J, Weber MA, Baudendistel K, Schröder L, Kauczor HU, Essig M. Phosphor-Magnetresonanz-Spektroskopie (31P-MRS) zur Bestimmung des Energiestoffwechsels am Muskel. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868273] [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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222
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Heiß J, Wegs H, Weber MA, Baudendistel K, Kauczor HU, Essig M. Pharmakokinetische Nachverarbeitung von kontrastverstärkten, T1-gewichteten, dynamischen Datensätzen in der Magnetresonanz-Tomographie (MRT). ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868272] [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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223
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Zechmann CZ, Baudendistel K, Aftab K, Trojan L, Delorme S, Michel MS, Kauczor HU. Prostata-MRT: Vergleich von T1-Dynamik und Spektroskopie bei gesichertem Prostatakarzinom. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867533] [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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224
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Kauczor HU. MRT Thorax: Was ist klinisch einsetzbar? Was kommt Neues? ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867321] [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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225
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Vomweg TW, Teifke A, Kauczor HU, Achenbach T, Rieker O, Schreiber WG, Heitmann KR, Beier T, Thelen M. Selbstorganisierende neuronale Netze zur automatischen Detektion und Klassifikation von Kontrast(mittel)-verstärkten Läsionen in der dynamischen MR-Mammographie. ROFO-FORTSCHR RONTG 2005; 177:703-13. [PMID: 15871086 DOI: 10.1055/s-2005-858090] [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 Investigation and statistical evaluation of "Self-Organizing Maps," a special type of neural networks in the field of artificial intelligence, classifying contrast enhancing lesions in dynamic MR-mammography. MATERIAL AND METHODS 176 investigations with proven histology after core biopsy or operation were randomly divided into two groups. Several Self-Organizing Maps were trained by investigations of the first group to detect and classify contrast enhancing lesions in dynamic MR-mammography. Each single pixel's signal/time curve of all patients within the second group was analyzed by the Self-Organizing Maps. The likelihood of malignancy was visualized by color overlays on the MR-images. At last assessment of contrast-enhancing lesions by each different network was rated visually and evaluated statistically. RESULTS A well balanced neural network achieved a sensitivity of 90.5 % and a specificity of 72.2 % in predicting malignancy of 88 enhancing lesions. Detailed analysis of false-positive results revealed that every second fibroadenoma showed a "typical malignant" signal/time curve without any chance to differentiate between fibroadenomas and malignant tissue regarding contrast enhancement alone; but this special group of lesions was represented by a well-defined area of the Self-Organizing Map. DISCUSSION Self-Organizing Maps are capable of classifying a dynamic signal/time curve as "typical benign" or "typical malignant." Therefore, they can be used as second opinion. In view of the now known localization of fibroadenomas enhancing like malignant tumors at the Self-Organizing Map, these lesions could be passed to further analysis by additional post-processing elements (e.g., based on T2-weighted series or morphology analysis) in the future.
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