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Meierhans R, Gelpke H, Hetzel J, Madjdpour C. Bronchoscope-assisted Tritube® placement for resection of sequential tracheal stenosis. Anaesth Rep 2022; 10:e12195. [PMID: 36439297 PMCID: PMC9681651 DOI: 10.1002/anr3.12195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2022] [Indexed: 11/24/2023] Open
Abstract
Symptomatic tracheal stenosis is a rare but significant complication of long-term tracheal intubation and mechanical ventilation. Airway management for tracheal resection in severe tracheal stenosis, especially sequential stenoses, requires multidisciplinary planning. A valuable method of airway management is the insertion of a small-bore, cuffed tracheal tube (Tritube®, Ventinova Medical B.V., Eindhoven, The Netherlands) in combination with flow-controlled ventilation. In this case, a patient with tracheal stenosis following prolonged ventilation required resection of the stenosed tissue. A Tritube was placed via a J-tipped guidewire inserted through the working channel of a bronchoscope. Bronchoscopic cuff visualisation along the tube in severe stenosis is impossible because of the outer diameter of the tracheal tube. In this case, we therefore estimated the position of the tube tip based on the distance from the vocal cords to the carina measured on pre-operative computed tomography imaging. During completion of the dorsal tracheal anastomosis, cross field ventilation using a conventional tracheal tube had to be started due to impeded ventilation caused by the Tritube protruding distal to the carina. In severe sequential tracheal stenosis, a small-bore tracheal tube can safely be placed by guidance with a J-tipped guidewire. However, it is important to plan a backup method of ventilation, such as cross field ventilation, prior to commencing a critical procedure.
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Affiliation(s)
- R. Meierhans
- Department of AnaesthesiologyCantonal HospitalWinterthurSwitzerland
| | - H. Gelpke
- Department of Visceral and Thoracic SurgeryCantonal HospitalWinterthurSwitzerland
| | - J. Hetzel
- Department of PneumologyCantonal HospitalWinterthurSwitzerland
| | - C. Madjdpour
- Department of AnaesthesiologyCantonal HospitalWinterthurSwitzerland
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Darwiche K, Ross B, Gesierich W, Petermann C, Huebner RH, Grah C, Gompelmann D, Hetzel J, Holland A, Eisenmann S, Stanzel F, Kempa A, Conrad K, Hagmeyer L, Eberhardt R. [Recommendations for Performing Bronchoscopy in Times of the COVID-19 Pandemic - Update 12/2020]. Pneumologie 2020; 75:187-190. [PMID: 33307556 PMCID: PMC8043672 DOI: 10.1055/a-1320-8250] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Die Pandemie ausgelöst durch SARS-CoV-19 geht weltweit unverändert mit einer bedeutsamen Morbidität und Mortalität einher, sodass Schutzmaßnahmen zur Verhinderung der Transmission des Virus weiterhin notwendig sind. Mitarbeiter im Gesundheitswesen sind einem höheren Risiko ausgesetzt, und dies gilt insbesondere im Rahmen sog. Aerosol-generierender Verfahren wie der Bronchoskopie. Seit der Veröffentlichung konsentierter Empfehlungen zur Durchführung einer Bronchoskopie unter diesen Bedingungen vor mehr als einem halben Jahr hat sich die Gefahrenlage nicht wesentlich verändert, aber aufgrund des erheblichen Erkenntnisgewinns in der Zwischenzeit war ein Update der Empfehlungen notwendig. Die erneuerten Empfehlungen umfassen u. a. die Verminderung der Aerosolentstehung, den persönlichen Schutz der beteiligten Personen sowie Maßnahmen zur besseren Organisation der Abläufe in der Endoskopie, um eine sichere Durchführung auch in Zeiten von COVID-19 zu gewährleisten.
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Affiliation(s)
- K Darwiche
- Klinik für Pneumologie, Sektion Interventionelle Bronchologie, Ruhrlandklinik - Universitätsmedizin Essen
| | - B Ross
- Krankenhaushygiene, Universitätsmedizin Essen
| | - W Gesierich
- Klinik für Pneumologie, Asklepios Fachkliniken München-Gauting
| | - C Petermann
- Klinik für Pneumologie, Asklepios Klinikum Harburg, Hamburg
| | - R-H Huebner
- Medizinische Klinik mit Schwerpunkt Infektiologie und Pneumologie, Charité - Universitätsmedizin Berlin
| | - C Grah
- Klinik für Innere Medizin, Schwerpunkt Pneumologie und Lungenkrebszentrum (DKG), Gemeinschaftskrankenhaus Havelhöhe, Berlin
| | - D Gompelmann
- Klinische Abteilung für Pulmologie, Universitätsklinik für Innere Medizin II, Medizinische Universität Wien, Österreich
| | - J Hetzel
- Klinik für medizinische Onkologie und Pneumologie, Universitätsklinikum Tübingen.,Klinik für Innere Medizin, Abteilung Pneumologie, Kantonsspital Winterthur, Schweiz
| | - A Holland
- Klinik für Innere Medizin SP Pneumologie, Universitätsklinikum Gießen und Marburg
| | - S Eisenmann
- Klinik für Innere Medizin I, Universitätsklinikum Halle (Saale)
| | - F Stanzel
- Pneumologie - Thorakale Endoskopie, Lungenklinik Hemer
| | - A Kempa
- Pneumologie, Medizinische Klinik I, Klinik Löwenstein
| | - K Conrad
- Pneumologie, Lungenklinik Ballenstedt/Harz
| | - L Hagmeyer
- Klinik für Pneumologie und Allergologie, Zentrum für Schlaf- und Beatmungsmedizin, Krankenhaus Bethanien, Solingen
| | - R Eberhardt
- Pneumologie und Beatmungsmedizin, Thoraxklinik am Universitätsklinikum Heidelberg.,Translational Lung Research Center Heidelberg (TLRCH), Deutsches Zentrum für Lungenforschung (DZL)
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3
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Darwiche K, Ross B, Gesierich W, Petermann C, Huebner RH, Grah C, Gompelmann D, Hetzel J, Holland A, Eisenmann S, Stanzel F, Kempa A, Conrad K, Eberhardt R. [Recommendations for Performing Bronchoscopy in Times of the COVID-19 Pandemic]. Pneumologie 2020; 74:260-262. [PMID: 32289832 PMCID: PMC7295282 DOI: 10.1055/a-1154-1814] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
COVID-19, caused by coronavirus SARS-CoV-2 is a new and ongoing infectious disease affecting healthcare systems worldwide. Healthcare worker are at high risk for COIVD-19 and many have been infected or even died in countries severely affected by COVID-19 like China or Italy. Bronchoscopy causes cough and aerosol production and has to be considered a significant risk for the staff to get infected. Particular recommendations should guide to prevent spreading COVID-19 and to protect healthcare worker when performing a bronchoscopy.
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Affiliation(s)
- K Darwiche
- Klinik für Pneumologie, Sektion Interventionelle Bronchologie, Ruhrlandklinik - Universitätsmedizin Essen
| | - B Ross
- Krankenhaushygiene, Universitätsmedizin Essen
| | - W Gesierich
- Lungenzentrum am Helios Klinikum München West
| | - C Petermann
- Klinik für Pneumologie, Asklepios Klinikum Harburg, Hamburg
| | - R-H Huebner
- Medizinische Klinik mit Schwerpunkt Infektiologie und Pneumologie, Charité - Universitätsmedizin Berlin
| | - C Grah
- Abteilung für Pneumologie, Gemeinschaftskrankenhaus Havelhöhe, Berlin
| | - D Gompelmann
- Klinische Abteilung für Pulmologie, Universitätsklinik für Innere Medizin II, Medizinische Universität Wien, Österreich
| | - J Hetzel
- Klinik für medizinische Onkologie und Pneumologie, Universitätsklinikum Tübingen
| | - A Holland
- Klinik für Innere Medizin SP Pneumologie, Universitätsklinikum Gießen und Marburg
| | - S Eisenmann
- Klinik für Innere Medizin I, Universitätsklinikum Halle (Saale)
| | - F Stanzel
- Pneumologie - Thorakale Endoskopie, Lungenklinik Hemer
| | - A Kempa
- Pneumologie, Medizinische Klinik I, Klinik Löwenstein
| | - K Conrad
- Pneumologie, Lungenklinik Ballenstedt/Harz
| | - R Eberhardt
- Pneumologie und Beatmungsmedizin, Thoraxklinik am Universitätsklinikum Heidelberg.,Translational Lung Research Center Heidelberg (TLRCH), Deutsches Zentrum für Lungenforschung (DZL)
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Wells AU, Flaherty KR, Brown KK, Inoue Y, Devaraj A, Richeldi L, Moua T, Crestani B, Wuyts WA, Stowasser S, Quaresma M, Goeldner RG, Schlenker-Herceg R, Kolb M, Aburto M, Acosta O, Andrews C, Antin-Ozerkis D, Arce G, Arias M, Avdeev S, Barczyk A, Bascom R, Bazdyrev E, Beirne P, Belloli E, Bergna M, Bergot E, Bhatt N, Blaas S, Bondue B, Bonella F, Britt E, Buch K, Burk J, Cai H, Cantin A, Castillo Villegas D, Cazaux A, Cerri S, Chaaban S, Chaudhuri N, Cottin V, Crestani B, Criner G, Dahlqvist C, Danoff S, Dematte D'Amico J, Dilling D, Elias P, Ettinger N, Falk J, Fernández Pérez E, Gamez-Dubuis A, Giessel G, Gifford A, Glassberg M, Glazer C, Golden J, Gómez Carrera L, Guiot J, Hallowell R, Hayashi H, Hetzel J, Hirani N, Homik L, Hope-Gill B, Hotchkin D, Ichikado K, Ilkovich M, Inoue Y, Izumi S, Jassem E, Jones L, Jouneau S, Kaner R, Kang J, Kawamura T, Kessler R, Kim Y, Kishi K, Kitamura H, Kolb M, Kondoh Y, Kono C, Koschel D, Kreuter M, Kulkarni T, Kus J, Lebargy F, León Jiménez A, Luo Q, Mageto Y, Maher T, Makino S, Marchand-Adam S, Marquette C, Martinez R, Martínez M, Maturana Rozas R, Miyazaki Y, Moiseev S, Molina-Molina M, Morrison L, Morrow L, Moua T, Nambiar A, Nishioka Y, Nunes H, Okamoto M, Oldham J, Otaola M, Padilla M, Park J, Patel N, Pesci A, Piotrowski W, Pitts L, Poonyagariyagorn H, Prasse A, Quadrelli S, Randerath W, Refini R, Reynaud-Gaubert M, Riviere F, Rodríguez Portal J, Rosas I, Rossman M, Safdar Z, Saito T, Sakamoto N, Salinas Fénero M, Sauleda J, Schmidt S, Scholand M, Schwartz M, Shapera S, Shlobin O, Sigal B, Silva Orellana A, Skowasch D, Song J, Stieglitz S, Stone H, Strek M, Suda T, Sugiura H, Takahashi H, Takaya H, Takeuchi T, Thavarajah K, Tolle L, Tomassetti S, Tomii K, Valenzuela C, Vancheri C, Varone F, Veeraraghavan S, Villar A, Weigt S, Wemeau L, Wuyts W, Xu Z, Yakusevich V, Yamada Y, Yamauchi H, Ziora D. Nintedanib in patients with progressive fibrosing interstitial lung diseases-subgroup analyses by interstitial lung disease diagnosis in the INBUILD trial: a randomised, double-blind, placebo-controlled, parallel-group trial. Lancet Respir Med 2020; 8:453-460. [PMID: 32145830 DOI: 10.1016/s2213-2600(20)30036-9] [Citation(s) in RCA: 263] [Impact Index Per Article: 65.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 01/06/2020] [Accepted: 01/16/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND The INBUILD trial investigated the efficacy and safety of nintedanib versus placebo in patients with progressive fibrosing interstitial lung diseases (ILDs) other than idiopathic pulmonary fibrosis (IPF). We aimed to establish the effects of nintedanib in subgroups based on ILD diagnosis. METHODS The INBUILD trial was a randomised, double-blind, placebo-controlled, parallel group trial done at 153 sites in 15 countries. Participants had an investigator-diagnosed fibrosing ILD other than IPF, with chest imaging features of fibrosis of more than 10% extent on high resolution CT (HRCT), forced vital capacity (FVC) of 45% or more predicted, and diffusing capacity of the lung for carbon monoxide (DLco) of at least 30% and less than 80% predicted. Participants fulfilled protocol-defined criteria for ILD progression in the 24 months before screening, despite management considered appropriate in clinical practice for the individual ILD. Participants were randomly assigned 1:1 by means of a pseudo-random number generator to receive nintedanib 150 mg twice daily or placebo for at least 52 weeks. Participants, investigators, and other personnel involved in the trial and analysis were masked to treatment assignment until after database lock. In this subgroup analysis, we assessed the rate of decline in FVC (mL/year) over 52 weeks in patients who received at least one dose of nintedanib or placebo in five prespecified subgroups based on the ILD diagnoses documented by the investigators: hypersensitivity pneumonitis, autoimmune ILDs, idiopathic non-specific interstitial pneumonia, unclassifiable idiopathic interstitial pneumonia, and other ILDs. The trial has been completed and is registered with ClinicalTrials.gov, number NCT02999178. FINDINGS Participants were recruited between Feb 23, 2017, and April 27, 2018. Of 663 participants who received at least one dose of nintedanib or placebo, 173 (26%) had chronic hypersensitivity pneumonitis, 170 (26%) an autoimmune ILD, 125 (19%) idiopathic non-specific interstitial pneumonia, 114 (17%) unclassifiable idiopathic interstitial pneumonia, and 81 (12%) other ILDs. The effect of nintedanib versus placebo on reducing the rate of FVC decline (mL/year) was consistent across the five subgroups by ILD diagnosis in the overall population (hypersensitivity pneumonitis 73·1 [95% CI -8·6 to 154·8]; autoimmune ILDs 104·0 [21·1 to 186·9]; idiopathic non-specific interstitial pneumonia 141·6 [46·0 to 237·2]; unclassifiable idiopathic interstitial pneumonia 68·3 [-31·4 to 168·1]; and other ILDs 197·1 [77·6 to 316·7]; p=0·41 for treatment by subgroup by time interaction). Adverse events reported in the subgroups were consistent with those reported in the overall population. INTERPRETATION The INBUILD trial was not designed or powered to provide evidence for a benefit of nintedanib in specific diagnostic subgroups. However, its results suggest that nintedanib reduces the rate of ILD progression, as measured by FVC decline, in patients who have a chronic fibrosing ILD and progressive phenotype, irrespective of the underlying ILD diagnosis. FUNDING Boehringer Ingelheim.
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Affiliation(s)
- Athol U Wells
- National Institute for Health Research Respiratory Biomedical Research Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK
| | - Kevin R Flaherty
- Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Kevin K Brown
- Department of Medicine, National Jewish Health, Denver, CO, USA
| | - Yoshikazu Inoue
- Clinical Research Center, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai City, Osaka, Japan
| | - Anand Devaraj
- Department of Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK; National Heart and Lung Institute, Imperial College, London, UK
| | - Luca Richeldi
- Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Teng Moua
- Division of Pulmonary and Critical Care Medicine, Mayo Clinic Rochester, Rochester, MN, USA
| | - Bruno Crestani
- Université de Paris, Inserm U1152, APHP, Hôpital Bichat, Centre de reference constitutif pour les maladies pulmonaires rares, Paris, France
| | - Wim A Wuyts
- Unit for Interstitial Lung Diseases, Department of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium
| | | | - Manuel Quaresma
- Boehringer Ingelheim International, Ingelheim am Rhein, Germany
| | | | | | - Martin Kolb
- McMaster University and St Joseph's Healthcare, Hamilton, Ontario, Canada
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Perl RM, Risse E, Hetzel J, Bösmüller H, Kloth C, Fritz J, Horger M. The effect of intraparenchymal blood patching on the rate of pneumothorax in patients undergoing percutaneous CT-guided core biopsy of the lung. Eur J Radiol 2019; 116:14-20. [PMID: 31153555 DOI: 10.1016/j.ejrad.2019.04.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 03/26/2019] [Accepted: 04/18/2019] [Indexed: 01/05/2023]
Abstract
PURPOSE To assess the effect of intraparenchymal blood patching (IBP) as well as tumor- and operator-related risk factors on the rate of pneumothoraxes after percutaneous CT-guided core needle biopsy of the lung. MATERIALS AND METHODS We performed a retrospective analysis of 868 CT-guided lung biopsies that were conducted at our institution between 2003 and 2018, of which 419 (48%) received an IBP. Outcome variable included the rates of pneumothorax and chest tube placement, as well as lesion size (<3 cm versus ≥3 cm long axis diameter), lesion depth (≤2 cm, >2-4 cm, >4-5 cm and >5 cm distance to the pleura), location within the lungs (upper lobe, lower lobe, middle lobe), needle caliber (13 G, 15 G, 17 G, 19 G), number of samples taken (1-3 versus ≥4 samples), and experience of the performing physician. RESULTS The rate of pneumothorax was significantly (p < 0.05) lower in the group with IBP (10.7%) compared to the group without IBP (15.4%). The number of post-interventional chest tube placements was also lower in the IBP group (3.1% vs. 5.8%) but not statistically significant. The lesion size correlated negatively with the rate of pneumothoraxes, whereas in both groups (±IBP) lesions ≥ 3 cm showed a significantly lower rate of pneumothorax (p < 0.05). With increasing lesion depth, the pneumothorax rate increased with (p < 0.01) and without (p < 0.001) IBP. The rate of pneumothorax was significantly lower (p < 0.05) for 17 G needles with IBP, but not for other calibers. For biopsies in the lower lobe, the pneumothorax rate reduced significantly (p < 0.001) with IBP. In case of ≥4 tissue samples, the pneumothorax rate was significantly lower with IBP (p < 0.01). For experienced operators, the overall pneumothorax rate was significantly lower compared to less experienced operators (p < 0001). CONCLUSIONS IBP significantly reduces the rate of pneumothorax following CT-guided lung biopsies in particular for lesions located deeper in the lungs, when ≥4 samples are taken, when samples are taken by less-experienced operators, and when sampling from the lower lobes.
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Affiliation(s)
- R M Perl
- Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tübingen, Germany.
| | - E Risse
- Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tübingen, Germany
| | - J Hetzel
- Department of Internal Medicine II, Eberhard Karls University, Tübingen, Germany
| | - H Bösmüller
- Institute of Pathology and Neuropathology and Comprehensive Cancer Center, Eberhard Karls University, Tübingen, Germany
| | - C Kloth
- Department for Diagnostic and Interventional Radiology, University Hospital Ulm, Germany
| | - J Fritz
- Johns Hopkins University School of Medicine, Russell H. Morgan Department of Radiology and Radiological Science, 601 N. Caroline Street, JHOC 3140A, Baltimore, MD, 21287, United States
| | - M Horger
- Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tübingen, Germany
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6
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Hempelmann N, Hejny V, Pretz J, Stephenson E, Augustyniak W, Bagdasarian Z, Bai M, Barion L, Berz M, Chekmenev S, Ciullo G, Dymov S, Etzkorn FJ, Eversmann D, Gaisser M, Gebel R, Grigoryev K, Grzonka D, Guidoboni G, Hanraths T, Heberling D, Hetzel J, Hinder F, Kacharava A, Kamerdzhiev V, Keshelashvili I, Koop I, Kulikov A, Lehrach A, Lenisa P, Lomidze N, Lorentz B, Maanen P, Macharashvili G, Magiera A, Mchedlishvili D, Mey S, Müller F, Nass A, Nikolaev NN, Pesce A, Prasuhn D, Rathmann F, Rosenthal M, Saleev A, Schmidt V, Semertzidis Y, Shmakova V, Silenko A, Slim J, Soltner H, Stahl A, Stassen R, Stockhorst H, Ströher H, Tabidze M, Tagliente G, Talman R, Thörngren Engblom P, Trinkel F, Uzikov Y, Valdau Y, Valetov E, Vassiliev A, Weidemann C, Wrońska A, Wüstner P, Zuprański P, Żurek M. Phase Locking the Spin Precession in a Storage Ring. Phys Rev Lett 2017; 119:014801. [PMID: 28731757 DOI: 10.1103/physrevlett.119.014801] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Indexed: 06/07/2023]
Abstract
This Letter reports the successful use of feedback from a spin polarization measurement to the revolution frequency of a 0.97 GeV/c bunched and polarized deuteron beam in the Cooler Synchrotron (COSY) storage ring in order to control both the precession rate (≈121 kHz) and the phase of the horizontal polarization component. Real time synchronization with a radio frequency (rf) solenoid made possible the rotation of the polarization out of the horizontal plane, yielding a demonstration of the feedback method to manipulate the polarization. In particular, the rotation rate shows a sinusoidal function of the horizontal polarization phase (relative to the rf solenoid), which was controlled to within a 1 standard deviation range of σ=0.21 rad. The minimum possible adjustment was 3.7 mHz out of a revolution frequency of 753 kHz, which changes the precession rate by 26 mrad/s. Such a capability meets a requirement for the use of storage rings to look for an intrinsic electric dipole moment of charged particles.
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Affiliation(s)
- N Hempelmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - V Hejny
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Pretz
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - E Stephenson
- Indiana University Center for Spacetime Symmetries, Bloomington, Indiana 47405, USA
| | - W Augustyniak
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - Z Bagdasarian
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - M Bai
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - L Barion
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - M Berz
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Chekmenev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - G Ciullo
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - S Dymov
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - F-J Etzkorn
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Eversmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - M Gaisser
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Center for Axion and Precision Physics Research, Institute for Basic Science (IBS), Daejeon 34141, Republic of Korea
| | - R Gebel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - K Grigoryev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - D Grzonka
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - G Guidoboni
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - T Hanraths
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Heberling
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - J Hetzel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Hinder
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Kacharava
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - V Kamerdzhiev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - I Keshelashvili
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - I Koop
- Budker Institute of Nuclear Physics, 630090 Novosibirsk, Russia
| | - A Kulikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Lehrach
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - P Lenisa
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - N Lomidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - B Lorentz
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - P Maanen
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - G Macharashvili
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Magiera
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - D Mchedlishvili
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - S Mey
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Müller
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Nass
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - N N Nikolaev
- L.D. Landau Institute for Theoretical Physics, 142432 Chernogolovka, Russia
- Moscow Institute for Physics and Technology, 141700 Dolgoprudny, Russia
| | - A Pesce
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - D Prasuhn
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Rathmann
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Rosenthal
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Saleev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Samara National Research University, 443086 Samara, Russia
| | - V Schmidt
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - Y Semertzidis
- Center for Axion and Precision Physics Research, Institute for Basic Science (IBS), Daejeon 34141, Republic of Korea
- Research Institute for Nuclear Problems, Belarusian State University, 220030 Minsk, Belarus
| | - V Shmakova
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Silenko
- Department of Physics, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 34141, Republic of Korea
- Bogoliubov Laboratory of Theoretical Physics, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - J Slim
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - H Soltner
- Zentralinstitut für Engineering, Elektronik und Analytik (ZEA-1), Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Stahl
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - R Stassen
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Stockhorst
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Ströher
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - M Tabidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | | | - R Talman
- Cornell University, Ithaca, New York 14850, USA
| | - P Thörngren Engblom
- Department of Physics, KTH Royal Institute of Technology, SE-10691 Stockholm, Sweden
| | - F Trinkel
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - Yu Uzikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - Yu Valdau
- Helmholtz-Institut für Strahlen- und Kernphysik, Universität Bonn, 53115 Bonn, Germany
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - E Valetov
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Vassiliev
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - C Weidemann
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - A Wrońska
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - P Wüstner
- Zentralinstitut für Engineering, Elektronik und Analytik (ZEA-2), Forschungszentrum Jülich, 52425 Jülich, Germany
| | - P Zuprański
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - M Żurek
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
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7
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Hetzel J, Eberhardt R, Petermann C, Gesierich W, Darwiche K, Hagmeyer L, Kreuter M, Ehab A, Böckeler M, Häntschel M. Blutungsrisiko nach transbronchialer Kryobiopsie im Vergleich zur transbronchialen Zangenbiopsie – Ergebnisse einer prospektiven, randomisierten, multizentrischen Studie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- J Hetzel
- Medizinische Klinik, Abteilung II, Universitätsklinikum Tübingen
| | - R Eberhardt
- Pneumologie und Beatmungsmedizin, Thoraxklinik Heidelberg gGmbH; 4translational Lung Research Center (Tlrc); Mitglied des Dzl
| | - C Petermann
- Asklepios Klinik Harburg, Thoraxzentrum Hamburg
| | - W Gesierich
- Comprehensive Pneumology Center Munich, Asklepios-Fachkliniken München-Gauting; Mitglied des Dzl
| | - K Darwiche
- Abteilung für Interventionelle Pneumologie, Ruhrlandklinik – Universitätsklinikum Essen
| | - L Hagmeyer
- Klinik für Pneumologie, und Allergologie, Krankenhaus Bethanien gGmbH
| | - M Kreuter
- Pneumologie und Beatmungsmedizin, Thoraxklinik Heidelberg gGmbH; 4translational Lung Research Center (Tlrc); Mitglied des Dzl
| | - A Ehab
- Universitätsklinikum Tübingen
| | - M Böckeler
- Medizinische Klinik II, Universitätsklinik Tübingen
| | - M Häntschel
- Medizinische Klinik, Abteilung II, Universitätsklinikum Tübingen
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8
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Cuyas Cortadellas M, Börner E, Özkan F, Wessendorf TE, Theegarten D, Freitag L, Bonella F, Hetzel J, Costabel U, Darwiche K. Diagnostik interstitieller Lungenerkrankungen mittels Kryobiopsie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - E Börner
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - F Özkan
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - TE Wessendorf
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - D Theegarten
- Institute of Pathology, University Hospital, University Duisburg-Essen
| | - L Freitag
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - F Bonella
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - J Hetzel
- Medizinische Klinik, Abteilung II, Universitätsklinikum Tübingen
| | - U Costabel
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
| | - K Darwiche
- Interstitielle und Seltene Lungenkrankheiten, Interventionelle Pneumologie, Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen
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9
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Syha R, Benz T, Hetzel J, Spengler W, Kohlhäufl MJ, Gatidis S, Grözinger G, Horger M, Nikolaou K, Ketelsen D. Bronchial Artery Embolization in Hemoptysis: 10-Year Survival and Recurrence-Free Survival in Benign and Malignant Etiologies - A Retrospective Study. ROFO-FORTSCHR RONTG 2016; 188:1061-1066. [PMID: 27760440 DOI: 10.1055/s-0042-112227] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Purpose: The aim of the study was to evaluate safety, effectiveness, recurrence rate and 10-year survival after bronchial artery embolization (BAE) in benign and malignant etiologies. Methods: The retrospective study includes 100 BAE procedures in 88 patients. Underlying disease was classified as benign (n = 67) and malignant (n = 21) etiologies. Immediate bleeding control and procedure safety were evaluated in all patients. In 51 (58 %) patients, follow-up data with a median follow-up time of 1015 days (range, 494 to 3727 days) were acquired to assess overall survival, time-to-recurrence of bleeding and recurrence-free survival, using Kaplan-Maier estimates to compare differences between both subgroups. Results: Immediate bleeding control was achieved after 96/100 procedures (96 %), with a minor complication rate of 5.0 %. No major complications occurred. The overall survival was 74 % after 1 year and 59 % after 5 years and 10 years. There was a significant difference in survival between the malignant and benign groups (p < 0.0001). Survival was 90 %, 80 % and 76 % at 1 year, 3 years and 10 years, respectively, in the benign group and 18 % and 0 % at 1 year and 3 years, respectively in the malignant group. The median time to recurrence of bleeding and recurrence-free survival were 239 days and 94 % after 1 year and 87 % after 10 years in the benign group, compared to 66 days and 34 % after 1 year and 0 % after 3 years in the malignant group (p = 0.0107). Conclusion: BAE is a safe and highly effective treatment option in hemoptysis. However, the recurrence rate and survival are highly dependent on the underlying disease. Key Points: • BAE is a safe and highly effective treatment option in hemoptysis.• Recurrence rate and survival are strongly dependent on the underlying disease with significantly impaired results in patients with malignant diseases. • Coil embolization is an effective BAE treatment method. Nevertheless, it should be mentioned, that reinterventions can be impeded, if embolization is performed in the proximal part of bronchial arteries. Citation Format: • Syha R, Benz T, Hetzel J et al. Bronchial Artery Embolization in Hemoptysis: 10-Year Survival and Recurrence-Free Survival in Benign and Malignant Etiologies - A Retrospective Study. Fortschr Röntgenstr 2016; 188: 1061 - 1066.
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Affiliation(s)
- R Syha
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - T Benz
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - J Hetzel
- Internal Medicine II, Department of Oncology, Haematology, Clinical Immunology, Rheumatology and Pneumology, University of Tuebingen, Germany
| | - W Spengler
- Internal Medicine II, Department of Oncology, Haematology, Clinical Immunology, Rheumatology and Pneumology, University of Tuebingen, Germany
| | - M J Kohlhäufl
- Center for Pulmonology and Thoracic Surgery, Division of Pulmonology, Klinik Schillerhoehe, Gerlingen, Germany
| | - S Gatidis
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - G Grözinger
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - M Horger
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - K Nikolaou
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
| | - D Ketelsen
- Diagnostic and Interventional Radiology, University Hospital Tuebingen, Germany
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10
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Guidoboni G, Stephenson E, Andrianov S, Augustyniak W, Bagdasarian Z, Bai M, Baylac M, Bernreuther W, Bertelli S, Berz M, Böker J, Böhme C, Bsaisou J, Chekmenev S, Chiladze D, Ciullo G, Contalbrigo M, de Conto JM, Dymov S, Engels R, Esser FM, Eversmann D, Felden O, Gaisser M, Gebel R, Glückler H, Goldenbaum F, Grigoryev K, Grzonka D, Hahnraths T, Heberling D, Hejny V, Hempelmann N, Hetzel J, Hinder F, Hipple R, Hölscher D, Ivanov A, Kacharava A, Kamerdzhiev V, Kamys B, Keshelashvili I, Khoukaz A, Koop I, Krause HJ, Krewald S, Kulikov A, Lehrach A, Lenisa P, Lomidze N, Lorentz B, Maanen P, Macharashvili G, Magiera A, Maier R, Makino K, Mariański B, Mchedlishvili D, Meißner UG, Mey S, Morse W, Müller F, Nass A, Natour G, Nikolaev N, Nioradze M, Nowakowski K, Orlov Y, Pesce A, Prasuhn D, Pretz J, Rathmann F, Ritman J, Rosenthal M, Rudy Z, Saleev A, Sefzick T, Semertzidis Y, Senichev Y, Shmakova V, Silenko A, Simon M, Slim J, Soltner H, Stahl A, Stassen R, Statera M, Stockhorst H, Straatmann H, Ströher H, Tabidze M, Talman R, Thörngren Engblom P, Trinkel F, Trzciński A, Uzikov Y, Valdau Y, Valetov E, Vassiliev A, Weidemann C, Wilkin C, Wrońska A, Wüstner P, Zakrzewska M, Zuprański P, Zyuzin D. How to Reach a Thousand-Second in-Plane Polarization Lifetime with 0.97-GeV/c Deuterons in a Storage Ring. Phys Rev Lett 2016; 117:054801. [PMID: 27517774 DOI: 10.1103/physrevlett.117.054801] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Indexed: 06/06/2023]
Abstract
We observe a deuteron beam polarization lifetime near 1000 s in the horizontal plane of a magnetic storage ring (COSY). This long spin coherence time is maintained through a combination of beam bunching, electron cooling, sextupole field corrections, and the suppression of collective effects through beam current limits. This record lifetime is required for a storage ring search for an intrinsic electric dipole moment on the deuteron at a statistical sensitivity level approaching 10^{-29} e cm.
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Affiliation(s)
- G Guidoboni
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - E Stephenson
- Indiana University Center for Spacetime Symmetries, Bloomington, Indiana 47405, USA
| | - S Andrianov
- Faculty of Applied Mathematics and Control Processes, St. Petersburg State University, 198504 St. Petersburg, Russia
| | - W Augustyniak
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - Z Bagdasarian
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Bai
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - M Baylac
- LPSC Université Grenoble-Alpes, CNRS/IN2P3, 38000 Grenoble, Cedex, France
| | - W Bernreuther
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, 52056 Aachen, Germany
| | - S Bertelli
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - M Berz
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Böker
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - C Böhme
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Bsaisou
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Chekmenev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - D Chiladze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - G Ciullo
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - M Contalbrigo
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - J-M de Conto
- LPSC Université Grenoble-Alpes, CNRS/IN2P3, 38000 Grenoble, Cedex, France
| | - S Dymov
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R Engels
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F M Esser
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Eversmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - O Felden
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Gaisser
- Center for Axion and Precision Physics Research, Institute for Basic Science, 291 Daehak-ro, Yuseong-gu, Daejeon 305-701, Republic of Korea
| | - R Gebel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Glückler
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Goldenbaum
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - K Grigoryev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - D Grzonka
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - T Hahnraths
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Heberling
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - V Hejny
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - N Hempelmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - J Hetzel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Hinder
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - R Hipple
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Hölscher
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - A Ivanov
- Faculty of Applied Mathematics and Control Processes, St. Petersburg State University, 198504 St. Petersburg, Russia
| | - A Kacharava
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - V Kamerdzhiev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - B Kamys
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - I Keshelashvili
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Khoukaz
- Institut für Kernphysik, Universität Münster, 48149 Münster, Germany
| | - I Koop
- Budker Institute of Nuclear Physics, 630090 Novosibirsk, Russia
| | - H-J Krause
- Peter Grünberg Institut, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Krewald
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Kulikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Lehrach
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - P Lenisa
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - N Lomidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - B Lorentz
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - P Maanen
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - G Macharashvili
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Magiera
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - R Maier
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - K Makino
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Mariański
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - D Mchedlishvili
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - Ulf-G Meißner
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
- Helmholtz-Institut für Strahlen- und Kernphysik, Universität Bonn, 53115 Bonn, Germany
- Bethe Center for Theoretical Physics, Universität Bonn, 53115 Bonn, Germany
| | - S Mey
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - W Morse
- Brookhaven National Laboratory, Upton, New York 11973, USA
| | - F Müller
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Nass
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - G Natour
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - N Nikolaev
- L.D. Landau Institute for Theoretical Physics, 142432 Chernogolovka, Russia
- Moscow Institute of Physics and Technology, 141700 Dolgoprudny, Russia
| | - M Nioradze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - K Nowakowski
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - Y Orlov
- Cornell University, Ithaca, New York 14850, USA
| | - A Pesce
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - D Prasuhn
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Pretz
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - F Rathmann
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Ritman
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - M Rosenthal
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - Z Rudy
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - A Saleev
- Samara State Aerospace University, Samara 443086, Russia
| | - T Sefzick
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - Y Semertzidis
- Center for Axion and Precision Physics Research, Institute for Basic Science, 291 Daehak-ro, Yuseong-gu, Daejeon 305-701, Republic of Korea
- Department of Physics, KAIST, Daejeon 305-701, Republic of Korea
| | - Y Senichev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - V Shmakova
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Silenko
- Research Institute for Nuclear Problems, Belarusian State University, 220030 Minsk, Belarus
- Bogoliubov Laboratory of Theoretical Physics, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - M Simon
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Slim
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - H Soltner
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Stahl
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - R Stassen
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Statera
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - H Stockhorst
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Straatmann
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Ströher
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - M Tabidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - R Talman
- Cornell University, Ithaca, New York 14850, USA
| | - P Thörngren Engblom
- University of Ferrara and INFN, 44100 Ferrara, Italy
- Department of Physics, KTH Royal Institute of Technology, SE-10691 Stockholm, Sweden
| | - F Trinkel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - A Trzciński
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - Yu Uzikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - Yu Valdau
- Helmholtz-Institut für Strahlen- und Kernphysik, Universität Bonn, 53115 Bonn, Germany
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - E Valetov
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Vassiliev
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - C Weidemann
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - C Wilkin
- Physics and Astronomy Department, UCL, London WC1E 6BT, United Kingdom
| | - A Wrońska
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - P Wüstner
- ZentralInstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Zakrzewska
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - P Zuprański
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - D Zyuzin
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
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Hautmann H, Hetzel J, Eberhardt R, Stanzel F, Wagner M, Schneider A, Dirschinger R, Poszler A. Cross-Sectional Survey on Bronchoscopy in Germany--The Current Status of Clinical Practice. Pneumologie 2016; 70:110-6. [PMID: 26894392 DOI: 10.1055/s-0041-110288] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Bronchoscopy is an integral part of pulmonary medicine. In recent years, a series of new technologies have evolved. It is to assume that significant changes have also occurred in clinical practice. We conducted a nationwide survey to evaluate the current status of care and to compare it with earlier reports. METHODS A standard questionnaire was sent to 1875 institutions to assess the clinical practice of bronchoscopy in Germany with respect to general issues, education, sedation/anaesthesia and technical aspects. RESULTS The returned questionnaires cover 301,965 bronchoscopies, performed by 2158 physicians over 12 months, making it the largest survey to date. The proportion of rigid bronchoscopies has decreased and amounts to 7.3% at present. Atropine as a premedication is hardly used any more. Sedation is routinely applied in 88% of flexible bronchoscopies, for which a combination of propofol and midazolam is preferred by most institutions (41.3%), followed by propofol monotherapy (28.3%). 74.4% of institutions accept aspirin for transbronchial biopsy, 8.1% dual platelet inhibition. 62.4% of all institutions perform airway recanalisation, favouring cryotherapy and argon plasma coagulation. 9.1% of bronchoscopies are supported by endobronchial ultrasound. CONCLUSION Compared to preceding surveys, the experience of bronchoscopists, especially regarding interventional procedures, has increased. Endobronchial ultrasound has become a standard of care, as has patient sedation with propofol.
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Affiliation(s)
- H Hautmann
- 1. Medizinische Klinik, Pneumology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
| | - J Hetzel
- Department of Internal Medicine, Division of Pulmonary Medicine, University of Tübingen, Tübingen, Germany
| | - R Eberhardt
- Pneumology and Respiratory Critical Care Medicine, Thorax Clinic at Heidelberg University Hospital, Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research, Heidelberg, Germany
| | | | - M Wagner
- Medizinische Klinik III, Pneumologie, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Nürnberg, Germany
| | - A Schneider
- Institut für Allgemeinmedizin, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
| | - R Dirschinger
- 1. Medizinische Klinik, Pneumology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
| | - A Poszler
- 1. Medizinische Klinik, Pneumology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
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Hetzel J, Böckeler M, Ehab A, Wagner R, Spengler W, Oberle A, Steger V, Bösmüller H, Fend F, Kanz L, Häntschel M. Molekulargenetische Charakterisierung des nicht-kleinzelligen Bronchialkarzinoms mittels Kryobiopsie – unterschätzten wir die EGFR Mutatiosrate? Pneumologie 2016. [DOI: 10.1055/s-0036-1572283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Franke KJ, Linzenbold W, Boesmueller H, Nilius G, Hetzel J. A New Tool for Transbronchial Cryobiopsies in the Lung: An Experimental Feasibility ex-vivo Study. Pneumologie 2016. [DOI: 10.1055/s-0036-1572197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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14
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Häntschel M, Ehab A, Böckeler M, Oberle A, Spengler W, Zahn-Paulsen M, Hautmann H, Hetzel J. Flexible Bronchoskopie unter Sedierung und Verzicht auf eine Lokalanästhesie des Pharynx. Pneumologie 2016. [DOI: 10.1055/s-0036-1572190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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15
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Hautmann H, Hetzel J, Eberhardt R, Stanzel F, Wagner M, Schneider A, Dirschinger R, Poszler A. Querschnittsuntersuchung zur Situation der Bronchoskopie in Deutschland. Pneumologie 2016. [DOI: 10.1055/s-0036-1571981] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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16
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Kloth C, Thaiss WM, Hetzel J, Ditt H, Grosse U, Nikolaou K, Horger M. Impact of endobronchial coiling on segmental bronchial lumen in treated and untreated lung lobes: Correlation with changes in lung volume, clinical and pulmonary function tests. Eur Radiol 2015; 26:2176-83. [DOI: 10.1007/s00330-015-4033-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 08/14/2015] [Accepted: 09/16/2015] [Indexed: 10/23/2022]
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17
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Eversmann D, Hejny V, Hinder F, Kacharava A, Pretz J, Rathmann F, Rosenthal M, Trinkel F, Andrianov S, Augustyniak W, Bagdasarian Z, Bai M, Bernreuther W, Bertelli S, Berz M, Bsaisou J, Chekmenev S, Chiladze D, Ciullo G, Contalbrigo M, de Vries J, Dymov S, Engels R, Esser FM, Felden O, Gaisser M, Gebel R, Glückler H, Goldenbaum F, Grigoryev K, Grzonka D, Guidoboni G, Hanhart C, Heberling D, Hempelmann N, Hetzel J, Hipple R, Hölscher D, Ivanov A, Kamerdzhiev V, Kamys B, Keshelashvili I, Khoukaz A, Koop I, Krause HJ, Krewald S, Kulikov A, Lehrach A, Lenisa P, Lomidze N, Lorentz B, Maanen P, Macharashvili G, Magiera A, Maier R, Makino K, Mariański B, Mchedlishvili D, Meißner UG, Mey S, Nass A, Natour G, Nikolaev N, Nioradze M, Nogga A, Nowakowski K, Pesce A, Prasuhn D, Ritman J, Rudy Z, Saleev A, Semertzidis Y, Senichev Y, Shmakova V, Silenko A, Slim J, Soltner H, Stahl A, Stassen R, Statera M, Stephenson E, Stockhorst H, Straatmann H, Ströher H, Tabidze M, Talman R, Thörngren Engblom P, Trzciński A, Uzikov Y, Valdau Y, Valetov E, Vassiliev A, Weidemann C, Wilkin C, Wirzba A, Wrońska A, Wüstner P, Zakrzewska M, Zuprański P, Zyuzin D. New Method for a Continuous Determination of the Spin Tune in Storage Rings and Implications for Precision Experiments. Phys Rev Lett 2015; 115:094801. [PMID: 26371657 DOI: 10.1103/physrevlett.115.094801] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Indexed: 06/05/2023]
Abstract
A new method to determine the spin tune is described and tested. In an ideal planar magnetic ring, the spin tune-defined as the number of spin precessions per turn-is given by ν(s)=γG (γ is the Lorentz factor, G the gyromagnetic anomaly). At 970 MeV/c, the deuteron spins coherently precess at a frequency of ≈120 kHz in the Cooler Synchrotron COSY. The spin tune is deduced from the up-down asymmetry of deuteron-carbon scattering. In a time interval of 2.6 s, the spin tune was determined with a precision of the order 10^{-8}, and to 1×10^{-10} for a continuous 100 s accelerator cycle. This renders the presented method a new precision tool for accelerator physics; controlling the spin motion of particles to high precision is mandatory, in particular, for the measurement of electric dipole moments of charged particles in a storage ring.
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Affiliation(s)
- D Eversmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - V Hejny
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Hinder
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Kacharava
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Pretz
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - F Rathmann
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Rosenthal
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Trinkel
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Andrianov
- Faculty of Applied Mathematics and Control Processes, Saint Petersburg State University, 198504 Saint Petersburg, Russia
| | - W Augustyniak
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - Z Bagdasarian
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - M Bai
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - W Bernreuther
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, 52056 Aachen, Germany
| | - S Bertelli
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - M Berz
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Bsaisou
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Chekmenev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - D Chiladze
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - G Ciullo
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - M Contalbrigo
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - J de Vries
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Dymov
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R Engels
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F M Esser
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - O Felden
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Gaisser
- Center for Axion and Precision Physics Research, Institute for Basic Science, 291 Daehak-ro, Yuseong-gu, Daejeon 305-701, Republic of Korea
| | - R Gebel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Glückler
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - F Goldenbaum
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - K Grigoryev
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - D Grzonka
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - G Guidoboni
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - C Hanhart
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Heberling
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - N Hempelmann
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - J Hetzel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - R Hipple
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Hölscher
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - A Ivanov
- Faculty of Applied Mathematics and Control Processes, Saint Petersburg State University, 198504 Saint Petersburg, Russia
| | - V Kamerdzhiev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - B Kamys
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - I Keshelashvili
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Khoukaz
- Institut für Kernphysik, Universität Münster, 48149 Münster, Germany
| | - I Koop
- Budker Institute of Nuclear Physics, 630090 Novosibirsk, Russia
| | - H-J Krause
- Peter Grünberg Institut, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - S Krewald
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Kulikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Lehrach
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - P Lenisa
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - N Lomidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - B Lorentz
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - P Maanen
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
| | - G Macharashvili
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Magiera
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - R Maier
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - K Makino
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Mariański
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - D Mchedlishvili
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - Ulf-G Meißner
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
- Helmholtz-Institut für Strahlen-und Kernphysik, Universität Bonn, 53115 Bonn, Germany
| | - S Mey
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Nass
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - G Natour
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - N Nikolaev
- L.D. Landau Institute for Theoretical Physics, 142432 Chernogolovka, Russia
| | - M Nioradze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - A Nogga
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - K Nowakowski
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - A Pesce
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - D Prasuhn
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J Ritman
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - Z Rudy
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - A Saleev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - Y Semertzidis
- Center for Axion and Precision Physics Research, Institute for Basic Science, 291 Daehak-ro, Yuseong-gu, Daejeon 305-701, Republic of Korea
| | - Y Senichev
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - V Shmakova
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Silenko
- Research Institute for Nuclear Problems, Belarusian State University, 220030 Minsk, Belarus
- Bogoliubov Laboratory of Theoretical Physics, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - J Slim
- Institut für Hochfrequenztechnik, RWTH Aachen University, 52056 Aachen, Germany
| | - H Soltner
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Stahl
- III. Physikalisches Institut B, RWTH Aachen University, 52056 Aachen, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - R Stassen
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Statera
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - E Stephenson
- Indiana University Center for Spacetime Symmetries, Bloomington, Indiana 47405, USA
| | - H Stockhorst
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Straatmann
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - H Ströher
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- JARA-FAME (Forces and Matter Experiments), Forschungszentrum Jülich and RWTH Aachen University, 52056 Aachen, Germany
| | - M Tabidze
- High Energy Physics Institute, Tbilisi State University, 0186 Tbilisi, Georgia
| | - R Talman
- Cornell University, Ithaca, New York 14850, USA
| | - P Thörngren Engblom
- University of Ferrara and INFN, 44100 Ferrara, Italy
- Department of Physics, KTH Royal Institute of Technology, SE-10691 Stockholm, Sweden
| | - A Trzciński
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - Yu Uzikov
- Laboratory of Nuclear Problems, Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - Yu Valdau
- Helmholtz-Institut für Strahlen-und Kernphysik, Universität Bonn, 53115 Bonn, Germany
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - E Valetov
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Vassiliev
- Petersburg Nuclear Physics Institute, 188300 Gatchina, Russia
| | - C Weidemann
- University of Ferrara and INFN, 44100 Ferrara, Italy
| | - C Wilkin
- Physics and Astronomy Department, UCL, London, WC1E 6BT, United Kingdom
| | - A Wirzba
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - A Wrońska
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - P Wüstner
- Zentralinstitut für Engineering, Elektronik und Analytik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Zakrzewska
- Institute of Physics, Jagiellonian University, 30348 Cracow, Poland
| | - P Zuprański
- Department of Nuclear Physics, National Centre for Nuclear Research, 00681 Warsaw, Poland
| | - D Zyuzin
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
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Böckeler M, Spengler W, Häntschel M, Horger M, Hetzel J. Endoskopische Lungenvolumenreduktion mit autologem Blut: ein Fallbericht. Pneumologie 2015. [DOI: 10.1055/s-0035-1544701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Oberle A, Weyhern CHV, Horger M, Schuster T, Spengler W, Fend F, Kanz L, Hetzel J. Der diagnostische Algorithmus Interstitieller Lungenerkankungen wird durch transbronchiale Kryobiopsien im Vergleich zur Zangenbiopsie signifikant verbessert. Pneumologie 2015. [DOI: 10.1055/s-0035-1544627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Horger M, Grosse U, Hetzel J, Ioanoviciu SD. [Lung volume reduction by coils and valves and the role of CT-imaging]. ROFO-FORTSCHR RONTG 2014; 186:909-13. [PMID: 25243448 DOI: 10.1055/s-0034-1369265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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21
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Grosse U, Hetzel J, Gündel L, Gatidis S, Syha R, Schabel C, Horger M, Claussen CD. Endobronchiale Coil-Implantation bei heterogenem Lungenemphysem – eine auf die Lungenlappen bezogene Analyse quantitativer CT-Veränderungen zum Verständnis der zugrundeliegenden Wirkmechanismen. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1373611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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22
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Sauter W, Spira D, Schulze M, Pfannenberg C, Hetzel J, Reimold M, Klotz E, Claussen C, Horger M. Relation between [18F]-FDG-PET/CT and volume perfusion-CT in primary tumors and mediastinal lymph nodes of non-small cell lung cancer. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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23
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Deslee G, Kessler R, Blaas S, Gesierich W, Herth FJ, Hetzel J, Hetzel M, Pfeifer M, Stanzel F, Witt C, Slebos DJ, Marquette CH. Étude européenne de faisabilité de la réduction volumique par spirales endobronchiques dans l’emphysème sévère. Résultats préliminaires à 6 et 12 mois. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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24
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Betz M, Beck R, Hetzel J, Horger M. Imaging Findings in H3N2-related Pulmonary Infection – Bildgebung pulmonaler Komplikationen bei H3N2-Influenza. ROFO-FORTSCHR RONTG 2012; 184:863-4. [DOI: 10.1055/s-0032-1318931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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25
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Syha R, Beck R, Hetzel J, Ketelsen D, Grosse U, Springer F, Horger M. Human metapneumovirus (HMPV) associated pulmonary infections in immunocompromised adults--initial CT findings, disease course and comparison to respiratory-syncytial-virus (RSV) induced pulmonary infections. Eur J Radiol 2012; 81:4173-8. [PMID: 22795844 DOI: 10.1016/j.ejrad.2012.06.024] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2012] [Revised: 06/22/2012] [Accepted: 06/26/2012] [Indexed: 11/17/2022]
Abstract
AIM To describe computed tomography (CT)-imaging findings in human metapneumovirus (HMPV)-related pulmonary infection as well as their temporal course and to analyze resemblances/differences to pulmonary infection induced by the closely related respiratory-syncytial-virus (RSV) in immunocompromised patients. MATERIALS AND METHODS Chest-CT-scans of 10 HMPV PCR-positive patients experiencing pulmonary symptoms were evaluated retrospectively with respect to imaging findings and their distribution and results were then compared with data acquired in 13 patients with RSV pulmonary infection. Subsequently, we analyzed the course of chest-findings in HMPV patients. RESULTS In HMPV, 8/10 patients showed asymmetric pulmonary findings, whereas 13/13 patients with RSV-pneumonia presented more symmetrical bilateral pulmonary infiltrates. Image analysis yielded in HMPV patients following results: ground-glass-opacity (GGO) (n=6), parenchymal airspace consolidations (n=5), ill-defined nodular-like centrilobular opacities (n=9), bronchial wall thickening (n=8). In comparison, results in RSV patients were: GGO (n=10), parenchymal airspace consolidations (n=9), ill-defined nodular-like centrilobular opacities (n=10), bronchial wall thickening (n=4). In the course of the disease, signs of acute HMPV interstitial pneumonia regressed transforming temporarily in part into findings compatible with bronchitis/bronchiolitis. CONCLUSIONS Early chest-CT findings in patients with HMPV-related pulmonary symptoms are compatible with asymmetric acute interstitial pneumonia accompanied by signs of bronchitis; the former transforming with time into bronchitis and bronchiolitis before they resolve. On the contrary, RSV-induced pulmonary infection exhibits mainly symmetric acute interstitial pneumonia.
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Affiliation(s)
- R Syha
- Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076 Tübingen, Germany.
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Hetzel J, Böckeler M. [Endoscopic treatment for tumorous obstructions of the tracheobronchial system: a comparison of available techniques]. Pneumologie 2012; 66:408-15. [PMID: 22628181 DOI: 10.1055/s-0031-1291647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Malignant central airway obstruction is a common problem in lung cancer. A symptomatic stenosis can often be treated successfully using endoscopy. Different approaches for recanalisation are available. The goal of treating exophytic obstruction is to remove the endobronchial tumour growth. Mechanic debulking, electrocautery/diathermy, argon plasma coagulation, laser resection and cryoextraction are techniques that can provide immediate relief. Cryotherapy, brachytherapy and photodynamic therapy show delayed recanalisation effects. Silicone or self-expanding metallic airway stents can be used for the treatment of airway obstruction due to extrinsic disease to restore and maintain airway patency.
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Affiliation(s)
- J Hetzel
- Medizinische Klinik, Abteilung II, Hämatologie, Onkologie, Immunologie, Rheumatologie und Pulmologie, Tübingen.
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Schabel C, Hetzel J, Joanoviciu SD, Horger M. [Pulmonary alveolar proteinosis]. ROFO-FORTSCHR RONTG 2012; 184:287-9. [PMID: 22441940 DOI: 10.1055/s-0031-1274793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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28
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Gompelmann D, Herth FJF, Eberhardt R, Klooster K, Hetzel M, Stanzel F, Deslee G, Witt C, Gesierich W, Kessler R, Pfeifer M, Blaas S, Hetzel J, Marquette CH, Slebos DJ. Endoskopische Lungenvolumenreduktion durch Coilimplantation bei Patienten mit schwerem heterogenem Lungenemphysem. Pneumologie 2012. [DOI: 10.1055/s-0032-1302654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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29
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Riessen R, Schwabbauer N, Berg B, Blumenstock G, Haap M, Hetzel J. Nasal high-flow oxygen in patients with hypoxic respiratory failure: effect on functional and subjective respiratory parameters compared to conventional oxygen therapy and noninvasive ventilation. Crit Care 2012. [PMCID: PMC3363554 DOI: 10.1186/cc10743] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Hautmann H, Eberhardt R, Heine R, Herth F, Hetzel J, Hetzel M, Reichle G, Schmidt B, Stanzel F, Wagner M. [Recommendations for sedation during flexible bronchoscopy]. Pneumologie 2011; 65:647-52. [PMID: 22083288 DOI: 10.1055/s-0031-1291395] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Flexible bronchoscopy is a standard examination today and is conducted not only in nearly every hospital but also in privately owned practices. The vast majority of patients want sedation for this examination. Such a procedure is nearly always necessary in complex and interventional procedures, irrespective of the patient's wish. The recommendation at hand to use sedation measures for flexible bronchoscopy is based on the results of numerous clinical studies and also takes account of individual experiences in this area. The structural and procedural requirements and the requirements for staff training are defined and should describe the minimum standard when it comes to conducting a bronchoscopy under sedation. Furthermore the drugs recommended for sedation are discussed and their methods of application shown. Finally the recommendations also include suggestions for patient clarification, monitoring and discharge. They should provide the examiner with concrete operating options and therefore above all increase patient safety.
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Affiliation(s)
- H Hautmann
- Medizinische Klinik und Poliklinik, Pneumologie, Klinikum rechts der Isar, Technische Universität München.
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Kaufmann S, Hetzel J, Joanoviciu SD, Horger M. [Lymph cell interstitial pneumonia]. ROFO-FORTSCHR RONTG 2011; 183:1-3. [PMID: 21847817 DOI: 10.1055/s-0031-1279455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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32
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Hetzel J, Eberhardt R, Herth FJF, Petermann C, Reichle G, Freitag L, Dobbertin I, Franke KJ, Stanzel F, Beyer T, Möller P, Fritz P, Ott G, Schnabel PA, Kastendieck H, Lang W, Morresi-Hauf AT, Szyrach MN, Muche R, Shah PL, Babiak A, Hetzel M. Cryobiopsy increases the diagnostic yield of endobronchial biopsy: a multicentre trial. Eur Respir J 2011; 39:685-90. [PMID: 21852332 DOI: 10.1183/09031936.00033011] [Citation(s) in RCA: 161] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Forceps, brushes or needles are currently the standard tools used during flexible bronchoscopy when diagnosing endobronchial malignancies. The new biopsy technique of cryobiopsy appears to provide better diagnostic samples. The aim of this study was to evaluate cryobiopsy over conventional endobronchial sampling. A total of 600 patients in eight centres with suspected endobronchial tumours were included in a prospective, randomised, single-blinded multicentre study. Patients were randomised to either sampling using forceps or the cryoprobe. After obtaining biopsy samples, a blinded histological evaluation was performed. According to the definitive clinical diagnosis, the diagnostic yield for malignancy was evaluated by a Chi-squared test. A total of 593 patients were randomised, of whom 563 had a final diagnosis of cancer. 281 patients were randomised to receive endobronchial biopsies using forceps and 282 had biopsies performed using a flexible cryoprobe. A definitive diagnosis was achieved in 85.1% of patients randomised to conventional forceps biopsy and 95.0% of patients who underwent cryobiopsy (p<0.001). Importantly, there was no difference in the incidence of significant bleeding. Endobronchial cryobiopsy is a safe technique with superior diagnostic yield in comparison with conventional forceps biopsy.
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Affiliation(s)
- J Hetzel
- Dept of Internal Medicine II, University of Tuebingen, Tuebingen, Germany.
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Pfannenberg C, Aschoff P, Doycheva D, Hetzel J, Reimold M, Schwenzer N, Claussen CD. Gibt es einen Nutzen der 18F-FDG PET/CT bei der Diagnostik einer latenten Tuberkulose als Ursache für eine schwere Uveitis? ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wagner M, Herth F, Stanzel F, Hautmann H, Eberhardt R, Becker H, Hetzel J, Hetzel M, Gesierich W, Ficker J. Empfehlungen zu Trainingskursen in der Bronchoskopie. Pneumologie 2011; 65:219-22. [DOI: 10.1055/s-0030-1256244] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hetzel J, Kumpf M, Hetzel M, Hofbeck M, Baden W. Cryorecanalization of an obstructed bronchial stent in a 12-year-old boy. ACTA ACUST UNITED AC 2011; 82:290-3. [PMID: 21212642 DOI: 10.1159/000322556] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2010] [Accepted: 11/03/2010] [Indexed: 11/19/2022]
Abstract
We report a 12-year-old boy who underwent stent implantation into the left main bronchus at the age of 9.5 years for palliation of severe bronchial stenosis. He had developed complete obstruction of the stent by granulation tissue resulting in respiratory deterioration and the requirement of mechanical ventilation. The stent obstruction was treated at the age of 11.5 years by cryorecanalization. In this technique, cooling of the tip of the cryoprobe is used to induce adherence of the obstructing tissue allowing the subsequent removal of tissue particles by retraction of the probe. Under general anesthesia, a miniaturized cryoprobe was advanced via the working channel of a flexible bronchoscope. Repeat maneuvers of freezing and retraction resulted in complete recanalization of the stent. Repeat bronchoscopies 4 and 12 weeks later revealed recurrent formation of some granulation tissue which was removed by repeat cryorecanalization. Seven months after the initial procedure there was a complete patency of the stent. According to our experience, cryorecanalization is a safe and effective alternative for the treatment of stent obstruction by granulation tissue. Due to the introduction of a miniaturized probe, this method is well applicable in children since it can be performed via the working channel of a flexible pediatric bronchoscope.
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Affiliation(s)
- J Hetzel
- Internal Medicine, Children's Hospital, University of Tübingen, Germany
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Doycheva D, Deuter C, Hetzel J, Frick JS, Aschoff P, Schuelen E, Zierhut M, Pfannenberg C. The use of positron emission tomography/CT in the diagnosis of tuberculosis-associated uveitis. Br J Ophthalmol 2010; 95:1290-4. [DOI: 10.1136/bjo.2010.182659] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Jagannathan M, McDonnell M, Liang Y, Hasturk H, Hetzel J, Rubin D, Kantarci A, Van Dyke TE, Ganley-Leal LM, Nikolajczyk BS. Toll-like receptors regulate B cell cytokine production in patients with diabetes. Diabetologia 2010; 53:1461-71. [PMID: 20383694 PMCID: PMC2895399 DOI: 10.1007/s00125-010-1730-z] [Citation(s) in RCA: 120] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2009] [Accepted: 02/24/2010] [Indexed: 02/07/2023]
Abstract
AIMS/HYPOTHESIS Understanding cellular and molecular events in diabetes mellitus will identify new approaches for therapy. Immune system cells are important modulators of chronic inflammation in diabetes mellitus, but the role of B cells is not adequately studied. The aim of this work was to define the function of B cells in diabetes mellitus patients through focus on B cell responses to pattern recognition receptors. METHODS We measured expression and function of Toll-like receptors (TLRs) on peripheral blood B cells from diabetes mellitus patients by flow cytometry and multiplexed cytokine analysis. We similarly analysed B cells from non-diabetic donors and periodontal disease patients as comparative cohorts. RESULTS B cells from diabetes mellitus patients secrete multiple pro-inflammatory cytokines, and IL-8 production is significantly elevated in B cells from diabetic patients compared with those from non-diabetic individuals. These data, plus modest elevation of TLR surface expression, suggest B cell IL-8 hyperproduction is a cytokine-specific outcome of altered TLR function in B cells from diabetes mellitus patients. Altered TLR function is further evidenced by demonstration of an unexpected, albeit modest 'anti-inflammatory' function for TLR4. Importantly, B cells from diabetes mellitus patients fail to secrete IL-10, an anti-inflammatory cytokine implicated in inflammatory disease resolution, under a variety of TLR-stimulating conditions. Comparative analyses of B cells from patients with a second chronic inflammatory disease, periodontal disease, indicated that some alterations in B cell TLR function associate specifically with diabetes mellitus. CONCLUSIONS/INTERPRETATION Altered TLR function in B cells from diabetes mellitus patients increases inflammation by two mechanisms: elevation of pro-inflammatory IL-8 and lack of anti-inflammatory/protective IL-10 production.
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Affiliation(s)
- M. Jagannathan
- Department of Pathology, Boston University School of Medicine, Boston, MA, USA
| | - M. McDonnell
- Department of Medicine, Section of Endocrinology, Evans Biomedical Research Center, Boston Medical Center, Boston, MA, USA
| | - Y. Liang
- Department of Medicine, Section of Infectious Diseases, Evans Biomedical Research Center, Boston Medical Center, Boston, MA, USA
| | - H. Hasturk
- Department of Periodontology and Oral Biology, Boston University Goldman School of Dental Medicine, Boston, MA, USA
| | - J. Hetzel
- Department of Medicine, Section of Endocrinology, Evans Biomedical Research Center, Boston Medical Center, Boston, MA, USA
| | - D. Rubin
- Department of Medicine, Section of Endocrinology, Evans Biomedical Research Center, Boston Medical Center, Boston, MA, USA
| | - A. Kantarci
- Department of Periodontology and Oral Biology, Boston University Goldman School of Dental Medicine, Boston, MA, USA
| | - T. E. Van Dyke
- Department of Periodontology and Oral Biology, Boston University Goldman School of Dental Medicine, Boston, MA, USA
| | - L. M. Ganley-Leal
- Department of Medicine, Section of Infectious Diseases, Evans Biomedical Research Center, Boston Medical Center, Boston, MA, USA
| | - B. S. Nikolajczyk
- Department of Microbiology, Boston University School of Medicine, 72 East Concord Street, L-516, Boston, MA 02118, USA
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Horger M, Spengler W, Schulze M, Ernemann U, Hetzel J. Rezidivierende Polychondritis: Bildgebung beim Befall des oberen und unteren Respirationstrakts. ROFO-FORTSCHR RONTG 2010; 182:455-7. [DOI: 10.1055/s-0030-1254279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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39
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Hetzel M, Hetzel J, Merk T, Willems P, Prettner R, Philipp A, Bartscher E, Muradov A, Babiak A. Endoskopische Behandlung von Karzinoidtumoren mit der flexiblen Kryosonde. Pneumologie 2010. [DOI: 10.1055/s-0030-1251176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hetzel M, Hetzel J, Prettner R, Philipp A, Willems P, Merk T, Bartscher E, Berweiler I, Stamatopoulou A, Babiak A. Kryorekanalisation für die Behandlung von Tumorverschlüssen der Lappenbronchien. Pneumologie 2010. [DOI: 10.1055/s-0030-1251173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hetzel M, Hetzel J, Merk T, Philipp A, Willems P, Prettner R, Hnidek K, Bartscher E, Babiak A. Möglichkeiten und Grenzen der Navigationsbronchoskopie. Pneumologie 2010. [DOI: 10.1055/s-0030-1251174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Koeppe S, Hetzel J, Kötter I, Horger M. Radiologische Diagnostik der pulmonalen Manifestation der progressiven systemischen Sklerose. ROFO-FORTSCHR RONTG 2010; 182:209-12. [DOI: 10.1055/s-0030-1248988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hetzel J, Eberhardt R, Herth FJF, Petermann C, Reichle G, Freitag L, Dobbertin I, Francke K, Stanzel F, Beyer T, Möller P, Fritz P, Schnabel PA, Kastendieck H, Lang W, Morresi-Hauf A, Szyrach M, Muche R, Babiak A, Hetzel M. Endobronchiale Kryosondenbiopsie oder endobronchiale Zangenbiopsie bei endoskopischem Malignitätsverdacht. Pneumologie 2010. [DOI: 10.1055/s-0030-1251108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hetzel M, Hetzel J, Prettner R, Merk T, Philipp A, Willems P, Hnidek K, Berweiler I, Bartscher E, Babiak A. Die transbronchiale Biopsie mit der Kryosonde. Pneumologie 2010. [DOI: 10.1055/s-0030-1251172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hetzel M, Hetzel J, Prettner R, Merk T, Rupp A, Willems P, Philipp A, Hnidek K, Bartscher E, Babiak A. Diagnostische Bronchoskopien bei Spontanatmung unter tiefer Sedierung mit Propofol. Pneumologie 2010. [DOI: 10.1055/s-0030-1251106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Koeppe S, Haap M, Hetzel J, Spengler W, Horger M. [Radiologic manifestations of Legionnaire's disease]. ROFO-FORTSCHR RONTG 2010; 181:1025-9. [PMID: 20058333 DOI: 10.1055/s-0029-1241982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hetzel J, Horger M, Spengler W, Aebert H, Kanz L, Müssig K. Diagnostik und Therapie parapneumonischer Pleuraergüsse – Fall 10/2009. Dtsch Med Wochenschr 2009; 134:2341. [DOI: 10.1055/s-0028-1082834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Sauter A, Hetzel J, Schüllen E, Horger M. [High Resolution CT (HRCT) Imaging Findings in Hypersensitivity Pneumonitis]. ROFO-FORTSCHR RONTG 2009; 181:405-407. [PMID: 19412983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Sauter A, Hetzel J, Schüllen E, Horger M. Hochauflösende CT-Bildgebung (HRCT) der Hypersensitivitätspneumonie. ROFO-FORTSCHR RONTG 2009; 181:405-7. [DOI: 10.1055/s-0029-1220617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hetzel M, Hetzel J, Babiak A, Willems P, Hofmann B, Philipp A, Hnidek K, Miller M, Balli T. Verwendung von Führungskathetern bei der Untersuchung des Alveolarraumes mittels konfokaler Laserscanmikroskopie. Pneumologie 2009. [DOI: 10.1055/s-0029-1213915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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