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Liu X, Lu D, Saw WY, Shaw PJ, Wangkumhang P, Ngamphiw C, Fucharoen S, Lert-Itthiporn W, Chin-Inmanu K, Chau TNB, Anders K, Kasturiratne A, de Silva HJ, Katsuya T, Kimura R, Nabika T, Ohkubo T, Tabara Y, Takeuchi F, Yamamoto K, Yokota M, Mamatyusupu D, Yang W, Chung YJ, Jin L, Hoh BP, Wickremasinghe AR, Ong RH, Khor CC, Dunstan SJ, Simmons C, Tongsima S, Suriyaphol P, Kato N, Xu S, Teo YY. Characterising private and shared signatures of positive selection in 37 Asian populations. Eur J Hum Genet 2017; 25:499-508. [PMID: 28098149 DOI: 10.1038/ejhg.2016.181] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Revised: 10/22/2016] [Accepted: 11/01/2016] [Indexed: 11/09/2022] Open
Abstract
The Asian Diversity Project (ADP) assembled 37 cosmopolitan and ethnic minority populations in Asia that have been densely genotyped across over half a million markers to study patterns of genetic diversity and positive natural selection. We performed population structure analyses of the ADP populations and divided these populations into four major groups based on their genographic information. By applying a highly sensitive algorithm haploPS to locate genomic signatures of positive selection, 140 distinct genomic regions exhibiting evidence of positive selection in at least one population were identified. We examined the extent of signal sharing for regions that were selected in multiple populations and observed that populations clustered in a similar fashion to that of how the ancestry clades were phylogenetically defined. In particular, populations predominantly located in South Asia underwent considerably different adaptation as compared with populations from the other geographical regions. Signatures of positive selection present in multiple geographical regions were predicted to be older and have emerged prior to the separation of the populations in the different regions. In contrast, selection signals present in a single population group tended to be of lower frequencies and thus can be attributed to recent evolutionary events.
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Affiliation(s)
- Xuanyao Liu
- NUS Graduate School for Integrative Science and Engineering, National University of Singapore, Singapore, Singapore.,Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Dongsheng Lu
- Max Planck Independent Research Group on Population Genomics, Chinese Academy of Sciences and Max Planck Society Partner Institute for Computational Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China
| | - Woei-Yuh Saw
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.,Life Sciences Institute, National University of Singapore, Singapore, Singapore
| | - Philip J Shaw
- National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, Thailand
| | - Pongsakorn Wangkumhang
- National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, Thailand
| | - Chumpol Ngamphiw
- National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, Thailand
| | - Suthat Fucharoen
- Institute of Molecular Biosciences, Mahidol University, Nakhon Pathom, Thailand
| | - Worachart Lert-Itthiporn
- Faculty of Science, Molecular Medicine Graduate Programme, Mahidol University, Bangkok, Thailand.,Division of Bioinformatics and Data Management for Research, Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Kwanrutai Chin-Inmanu
- Division of Bioinformatics and Data Management for Research, Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Tran Nguyen Bich Chau
- Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam
| | - Katie Anders
- Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.,Nuffield Department of Clinical Medicine, Centre for Tropical Medicine, University of Oxford, Oxford, UK
| | | | - H Janaka de Silva
- Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka
| | - Tomohiro Katsuya
- Department of Clinical Gene Therapy, Osaka University Graduate School of Medicine, Suita, Japan
| | - Ryosuke Kimura
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara-cho, Japan
| | - Toru Nabika
- Department of Functional Pathology, Shimane University School of Medicine, Izumo, Japan
| | - Takayoshi Ohkubo
- Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan
| | - Yasuharu Tabara
- Center for Genomic Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan
| | - Fumihiko Takeuchi
- Department of Gene Diagnostics and Therapeutics, National Center for Global Health and Medicine, Tokyo, Japan
| | - Ken Yamamoto
- Department of Medical Chemistry, Kurume University School of Medicine, Kurume, Japan
| | - Mitsuhiro Yokota
- Department of Genome Science, School of Dentistry, Aichi Gakuin University, Nagoya, Japan
| | - Dolikun Mamatyusupu
- College of the Life Sciences and Technology, Xinjiang University, Urumqi, China
| | - Wenjun Yang
- Key Laboratory of Reproduction and Heredity of Ningxia Region, Ningxia Medical University, YinchuanChina
| | - Yeun-Jun Chung
- Department of Microbiology, Integrated Research Center for Genome Polymorphism, The Catholic University Medical College, Seoul, Korea
| | - Li Jin
- State Key Laboratory of Genetic Engineering and Ministry of Education (MOE), Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, China
| | - Boon-Peng Hoh
- Faculty of Medicine and Health Sciences, UCSI University, Kuala Lumpur, Malaysia
| | | | - RickTwee-Hee Ong
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Chiea-Chuen Khor
- Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore
| | - Sarah J Dunstan
- Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.,Nuffield Department of Clinical Medicine, Centre for Tropical Medicine, University of Oxford, Oxford, UK.,The Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australia
| | - Cameron Simmons
- Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.,Nuffield Department of Clinical Medicine, Centre for Tropical Medicine, University of Oxford, Oxford, UK.,Department of Microbiology and Immunology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Sissades Tongsima
- National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, Thailand
| | - Prapat Suriyaphol
- Division of Bioinformatics and Data Management for Research, Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.,Institute of Personalized Genomics and Gene Therapy (IPGG), Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Norihiro Kato
- Department of Gene Diagnostics and Therapeutics, National Center for Global Health and Medicine, Tokyo, Japan
| | - Shuhua Xu
- Max Planck Independent Research Group on Population Genomics, Chinese Academy of Sciences and Max Planck Society Partner Institute for Computational Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China.,School of Life Sciences and Technology, ShanghaiTech University, Shanghai, China.,Collaborative Innovation Center of Genetics and Development, Shanghai, China
| | - Yik-Ying Teo
- NUS Graduate School for Integrative Science and Engineering, National University of Singapore, Singapore, Singapore.,Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.,Life Sciences Institute, National University of Singapore, Singapore, Singapore.,Department of Gene Diagnostics and Therapeutics, National Center for Global Health and Medicine, Tokyo, Japan.,Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.,Department of Statistics and Applied Probability, National University of Singapore, Singapore, Singapore
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Perez C, Jukica A, Listopad JJ, Anders K, Kühl AA, Loddenkemper C, Blankenstein T, Charo J. Permissive expansion and homing of adoptively transferred T cells in tumor-bearing hosts. Int J Cancer 2015; 137:359-71. [PMID: 25530110 DOI: 10.1002/ijc.29401] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [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: 03/03/2014] [Accepted: 11/25/2014] [Indexed: 12/14/2022]
Abstract
Activated T cells expressing endogenous or transduced TCRs are two cell types currently used in clinical adoptive T-cell therapy. The ability of these cells to recognize their antigen, expand and traffic to the tumor site are the initial steps necessary for successful therapy. In this study, we used in vivo bioluminescent imaging (BLI) of Renilla luciferase (RLuc) expressing T cells to evaluate the ability of adoptively transferred T cells to survive, expand and home to tumor site in vivo. Using this method, termed RT-Rack (Rluc T cell tracking), we followed T-cell response against tumors in vivo. Expansion and homing of adoptively transferred T cells were antigen dependent, but independent of the host immune status. Moreover, we successfully detected T-cell response to small and large tumors, including autochthonous liver tumors. The adoptively transferred T cells were not ignorant or excluded in a partially tolerant host, which expressed low level of the target in the periphery. Using T cell receptor (TCR)-engineered T cells, we showed the ability of these cells to respond in tumor-bearing hosts by expanding and homing to the tumor site. In all these models, the host immune status, the nature of the tumor or of the antigen, the tumor size and the presence of the targeted antigen in the periphery did not prevent the adoptively transferred T cells from responding by expanding and homing to the tumor. However, T cells had higher expression of the inhibitory receptor PD1 and reduced functional activity when a self-antigen was targeted.
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Affiliation(s)
- C Perez
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany
| | - A Jukica
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany
| | - J J Listopad
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany
| | - K Anders
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany
| | - A A Kühl
- Department of Medicine I for Gastroenterology, Infectious Disease and Rheumatology, Berlin, 12200, Germany
| | - C Loddenkemper
- Institute of Pathology, Charité Campus Benjamin Franklin, Berlin, 12200, Germany
| | - T Blankenstein
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany.,Institute of Immunology, Charité Campus Buch, Berlin, 13125, Germany
| | - J Charo
- Max-Delbrück-Center for Molecular Medicine, Berlin, 13125, Germany
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Schäfer V, Agaimy A, Wachter D, Wacker J, Anders K, Schett G, Manger B. Multi-organ Involvement in Refractory IgG4-related Disease. AKTUEL RHEUMATOL 2014. [DOI: 10.1055/s-0034-1383585] [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: 10/25/2022]
Affiliation(s)
- V. Schäfer
- Department of Rheumatology and Clinical Immunology, Asklepios Medical Center Bad Abbach, Bad Abbach, Germany
| | - A. Agaimy
- Department of Pathology, University Hospital of Erlangen, Erlangen, Germany
| | - D. Wachter
- Department of Pathology, University Hospital of Erlangen, Erlangen, Germany
| | - J. Wacker
- Department of Medicine III, University Hospital of Erlangen, Erlangen, Germany
| | - K. Anders
- Department of Radiology, University Hospital of Erlangen, Erlangen, Germany
| | - G. Schett
- Department of Medicine III, University Hospital of Erlangen, Erlangen, Germany
| | - B. Manger
- Department of Medicine III, University Hospital of Erlangen, Erlangen, Germany
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Leinung S, Würl P, Anders K, Deckert F, Schönfelder M. Portkatheterbrüche bei 361 implantierten Portsystemen Ursachenanalyse – Lösungsmöglichkeiten – Literaturübersicht. Chirurg 2014; 73:696-9. [PMID: 12242978 DOI: 10.1007/s00104-002-0442-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
INTRODUCTION The use of a venous port-catheter-system is known as a relatively safe implant. Besides infections, the breakage of PIPS is the most common reason for explanation before term. The purpose of this study is to analyse port-related complications and to show ways of preventing them. METHOD Between 1.1.1994 and 31.12.1999, 391 PIPS were implanted in the V. subclavia with the Seldinger technique at Surgical Clinic 1 of the University of Leipzig. Subsequently, 311 of them were followed up until 31.12.2000, with a mean observation time of 45 months. RESULTS We registered 48 complications altogether (15.4% of 311), 21(6.7%) of which occurred immediately after implantation (up to 30 days postoperatively). These could be divided either into wound-healing disorders/pulmonary distress (4.5%, n = 14) or complications concerning the catheter systems (2.3%, n = 7). Long-term complications after 31 days were evident in 27 patients (8.7%), due either to infections (4.5%, n = 13) or catheter-associated problems (4.5%, n = 14). Catheter lesions occurred in nine cases (2.9% out of 311) at the point of entry into the musculus pectoralis, i.e., where the catheter had to change direction. Typically these were lengthways tears caused by the catheter. We observed one full breakage without dislocation, and two dislocated catheter fragments in the systemic circulation. We consider the change of direction to be responsible for wear on the silicon catheter. During implantation, extreme change of direction of the catheter should be avoided because this is where breakage happens. Catheter implantation by means of exposure of the vena basilica in the infraclavicular triangle is the method of choice.
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Affiliation(s)
- S Leinung
- Chirurgische Klinik I der Universität Leipzig, Liebigstrasse 20a, 04103 Leipzig.
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Adamietz BR, Fasching PA, Jud S, Schulz-Wendtland R, Anders K, Uder M, Wüst W, Rauh C, Meier-Meitinger M. Ultrasound elastography of pulmonary lesions - a feasibility study. Ultraschall Med 2014; 35:33-37. [PMID: 24327473 DOI: 10.1055/s-0033-1355893] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION The potential of sonography in the examination of lung tissue is extremely limited by the air-filled alveoles of the lung. Only in special circumstances like pleural adhesion lesions, atelectasis or pneumonia can lung tissue be visualized by B-mode sonography. Real-time elastography was primarily applied to detect and visualize pulmonary lesions. METHODS AND PATIENTS 8 patients with a total of 18 histologically proven metastases of the lung were included. All pulmonary lesions were detected by computed tomography. Sonographic examination was performed with a 7.5 MHz linear transducer (Acuson Antares premium edition, Siemens, Erlangen, Germany), including B-mode and real-time elastography (RTE). The mean distance between pleura and the lesions ranged from 0 to 2.5 cm. Two lesions were located in the upper right lobe, eleven lesions in the lower right and five in the lower left lobe. RESULTS RTE was able to detect and visualize all 18 pulmonary lesions in contrast to B-mode. The size and distance of the lesions from the pleura correlated with the CT findings. CONCLUSION In contrast to B-mode sonography, RTE is able to detect and visualize peripheral, non-pleural adherent pulmonary lesions.
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Affiliation(s)
| | - P A Fasching
- Department of Gynaecology and Obstetrics, University of Erlangen
| | - S Jud
- Department of Gynaecology and Obstetrics, University of Erlangen
| | | | - K Anders
- Institute of Radiology, University of Erlangen
| | - M Uder
- Institute of Radiology, University of Erlangen
| | - W Wüst
- Institute of Radiology, University of Erlangen
| | - C Rauh
- Department of Gynaecology and Obstetrics, University of Erlangen
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Barzowska J, Szczodrowski K, Grinberg M, Mahlik S, Anders K, Piramidowicz R, Zorenko Y. Time evolution of luminescence of Sr₂SiO₄:Eu²⁺. J Phys Condens Matter 2013; 25:425501. [PMID: 24077336 DOI: 10.1088/0953-8984/25/42/425501] [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] [Indexed: 06/02/2023]
Abstract
In this contribution, the photoluminescence, time-resolved luminescence and luminescence kinetics of α'-Sr2SiO4:Eu(2+) are studied. The luminescence of Sr2SiO4:Eu(2+) consists of two broad bands, peaked at 490 nm (blue-green) and 570 nm (yellow-orange), which originate from two luminescence centers, related to Eu(2+) in ten-coordinated SI and nine-coordinated SII sites, respectively. Based on spectroscopic data the energetic structure of Sr2SiO4:Eu(2+) has been developed, which includes the bands edges, energies of Eu(2+) in the SI and SII sites and energies of strontium and oxygen vacancies. To investigate the long-lasting luminescence phenomenon in Sr2SiO4:Eu(2+) the temperature influence on the time evolution of luminescence was analyzed. It has been found that the long-lasting luminescence is related to the Eu(2+) in SII site. The shallowest traps responsible for emission decaying within a few seconds are tentatively attributed to the [Eu(3+)(SII)-[Formula: see text]] centers. The depth of traps responsible for the long-lasting luminescence observed at room temperature has been estimated as equal 0.73 eV.
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Affiliation(s)
- J Barzowska
- Institute of Experimental Physics, University of Gdańsk, Wita Stwosza 57, 80-952 Gdańsk, Poland
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Lell M, Anders K, Janka R, Schmid A, Ropers D, Bamberg F. Kardiale CT (Q1-Level) - Teil 1. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346043] [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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Saldana L, Abid M, McCarthy N, Hunter N, Inglis R, Anders K. Factors affecting delay in initiation of treatment of tuberculosis in the Thames Valley, UK. Public Health 2013; 127:171-7. [PMID: 23313162 DOI: 10.1016/j.puhe.2012.11.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Revised: 08/15/2012] [Accepted: 11/20/2012] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To quantify and determine factors associated with delay in initiation of tuberculosis (TB) treatment in the Thames Valley area, South East England, and the proportion of this delay that could be attributed to patient care-seeking or to delay within the National Health Service (NHS). STUDY DESIGN Retrospective analysis study reviewing medical notes and enhanced TB surveillance data. METHODS Demographic and clinical information was collected from medical notes and the Enhanced TB Surveillance database for patients who were diagnosed with TB and resident in the Thames Valley. Treatment delay was defined as the period between the onset of symptoms and the start of treatment. Patient delay was defined as the period between the onset of symptoms and the first presentation to the NHS. Health service delay was defined as the period between the first contact with the NHS and the start of treatment. Univariate and multivariate linear regression analyses were used to assess the association between delays and explanatory variables (age, gender, place of birth, ethnicity, disease site, sputum smear, culture, primary care trust of residence). RESULTS The study included 273 patients with TB. The median time between symptom onset and initiation of treatment was 73 days [95% confidence interval (CI) 65-89], of which the contributions of health service, patient and referral delays were 39 (95% CI 34-55), 29 (95% CI 22-36) and 16 (95% CI 12-24) days, respectively. On multivariate analysis, extrapulmonary TB (P = 0.010), female (P = 0.003) and UK-born (P = 0.008) patients were associated with longer health service delay. Age (P = 0.001) and extrapulmonary TB (P = 0.010) were associated with longer overall treatment delay. CONCLUSION Treatment delay for TB, especially delay after first presentation to the NHS, remains a public health concern. Differences in health service delay, for example by gender and country of birth, highlight that some of this should be open to health service intervention.
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Affiliation(s)
- L Saldana
- Thames Valley Heath Protection Unit, Centre for Radiation, Chemical and Environmental Hazards, Health Protection Agency, Chilton, Didcot, UK.
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Cuong H, Thai K, Boni M, Rabaa M, Vu N, Quang L, Huu T, Cazelles B, Simmons C, Anders K. Spatial and temporal dynamics of dengue in southern Vietnam. Int J Infect Dis 2012. [DOI: 10.1016/j.ijid.2012.05.036] [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] Open
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Anders K. Ca-Scoring und CTA. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310846] [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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Anders K. Technik der koronaren CTA. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310738] [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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Lell M, Anders K, Janka R, Schmid A, Ropers D, Bamberg F. Kardiale CT (Q1-Level) - Teil 1. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310842] [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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Lell M, Anders K, Bamberg F, Janka R, Ropers D, Schmid A. Untersuchungsprotokolle und Dosis. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310844] [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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Dudek M, Jusza A, Anders K, Lipińska L, Baran M, Piramidowicz R. Luminescent properties of praseodymium doped Y2O3 and LaAlO3 nanocrystallites and polymer composites. J RARE EARTH 2011. [DOI: 10.1016/s1002-0721(10)60610-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fraser G, Giraudon I, Cohuet S, Bishop L, Maguire H, Thomas HL, Mandal S, Anders K, Sanchez-Padilla E, Charlett A, Evans B, Gross R. Epidemiology of internal contamination with polonium-210 in the London incident, 2006. J Epidemiol Community Health 2011; 66:114-20. [PMID: 21636613 DOI: 10.1136/jech.2009.102087] [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: 11/04/2022]
Abstract
BACKGROUND More than 700 UK residents were tested for possible contamination with polonium-210 ((210)Po) following the alleged poisoning of Mr Alexander Litvinenko in London in November 2006. This paper describes the epidemiology of internal contamination with the radionuclide in this group. METHODS 11 locations in London had been identified as sufficiently environmentally contaminated with (210)Po to present a health risk to people associated with them. Public health consultant teams identified individuals at risk and offered 24-h urine testing for (210)Po excretion. Prevalence of internal contamination was estimated, and a retrospective cohort analysis was completed for each location. RESULTS Overall 139 individuals (prevalence 0.19 (95% CI 0.13 to 0.27)) showed evidence of internal contamination with (210)Po, although none with uptakes likely to cause adverse health effects. Substantial prevalence was seen among specific hotel service staff, customers, staff and other users of a hotel bar, office and hospital staff, staff of one restaurant and residents of and visitors to the family home. Increased risks of contamination were seen for a hotel bar in association with occupational, behavioural and temporal factors. Occupational and guest exposure to contaminated areas of hotels were also associated with increased contamination risk. Nurses were more likely to become contaminated than other staff involved in direct patient care. CONCLUSIONS Uptake of trace amounts of radionuclide in this incident was frequent. Occupational, behavioural and temporal gradients in contamination risk were mostly consistent with a priori site risk assessments. Utility of the investigation methods and findings for future accidental or deliberate environmental contamination incidents are discussed.
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Affiliation(s)
- G Fraser
- Health Protection Agency (HPA), 151 Buckingham Palace Road London SW1W 9SZ, UK.
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Anders K. Wann und wie mache ich eine CT-Angiographie? ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1278837] [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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Küfner MA, Brand M, Engert C, Sommer M, Anders K, Achenbach S, Uder M. Strahleninduzierte DNA-Doppelstrangbrüche in der Herz-CT. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279485] [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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Küfner MA, Brand M, Sommer M, Engert C, Anders K, Löbrich M, Achenbach S, Uder M. Strahleninduzierte DNA-Doppelstrangbrüche bei der koronaren CT-Angiografie: Einfluss der Untersuchungsprotokolle. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1268332] [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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Kuefner MA, Grudzenski S, Hamann J, Achenbach S, Lell M, Anders K, Schwab SA, Häberle L, Löbrich M, Uder M. Effect of CT scan protocols on x-ray-induced DNA double-strand breaks in blood lymphocytes of patients undergoing coronary CT angiography. Eur Radiol 2010; 20:2917-24. [PMID: 20625737 DOI: 10.1007/s00330-010-1873-9] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2010] [Revised: 05/17/2010] [Accepted: 05/26/2010] [Indexed: 12/11/2022]
Abstract
AIMS To compare in vivo DNA lesions induced during helical and sequential coronary computed tomography angiography (CTA) and to evaluate the effect of CT parameters on double-strand break (DSB) levels. METHODS Thirty-six patients were examined with various CT protocols and modes (helical scan, n = 27; sequential scan, n = 9) either using a 64-slice dual-source or a 128-slice CT system. Blood samples were obtained before and 30 min after CT. Lymphocytes were isolated, stained against the phosphorylated histone variant γ-H2AX, and DSBs were visualised by using fluorescence microscopy. RESULTS DSB yields 30 min after CTA ranged from 0.04 to 0.71 per cell and showed a significant correlation to DLP (ρ = 0.81, p < 0.00001). Median DSB yield and median DLP were significantly lower after sequential compared to helical CT examinations (0.11 vs. 0.37 DSBs/cell and 249 vs. 958 mGy cm, p < 0.00001). Additional calcium scoring led to an increase in DLP (p = 0.15) and DSB levels (p = 0.04). DSB levels normalised to the DLP showed a significant correlation to the attenuation of the blood (ρ = 0.53, p = 0.01) and a negative correlation to the body mass index of the patients (ρ = -0.37, p = 0.06). CONCLUSION γ-H2AX immunofluorescence microscopy allows one to determine dose-related effects on x-ray-induced DSB levels and to consider individual factors which cannot be monitored by physical dose measurements.
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Affiliation(s)
- M A Kuefner
- Department of Radiology, University of Erlangen-Nürnberg, Maximiliansplatz 1, 91054, Erlangen, Germany.
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Anders K, Engert C, Achenbach S, Uder M, Küfner MA. Effekt der Scanprotkolle auf die Strahlenexposition bei der koronaren CT-Angiographie. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252570] [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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Anders K. Recent developments in stress urinary incontinence in women. Nurs Stand 2009; Suppl:25-32. [PMID: 20085018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This article provides an overview of stress urinary incontinence (SUI) and current treatments. The role of the specialist nurse is also explored. It is recommended that conservative treatment is offered to all women with SUI. This article was originally published in Nursing Standard in 2006, volume 20, number 35, pages 48-54.
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Affiliation(s)
- K Anders
- St. Peter's Hospital, Chertsey, Surrey.
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Anders K, Ropers D, Baum U, Gauss S, Kuefner MA, Achenbach S, Bautz WA. Erste klinische Erfahrungen mit der sequentiellen, prospektiv getriggerten CT-Koronarangiographie an einem 128-Schicht-Computertomographen. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221415] [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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Küfner MA, Schwab SA, Anders K, Hess M, Bautz WA, Achenbach S, Löbrich M, Uder M. DNS-Doppelstrangbrüche bei koronaren CT-Angiographien – Vergleich eines sequentiellen vs. eines Spiral-Modus in einem biologischen Phantommodel. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221645] [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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Wüst W, Zunker C, May M, Anders K, Ropers D, Achenbach S, Uder M, Kuettner A. Abgrenzbarkeit des interventrikulären Septums mit einem 20 % Kontrastmittelspülbolus in der CT-Koronarangiografie: Ein Vergleich von 64-Schicht- und Dual-Source-CT. ROFO-FORTSCHR RONTG 2009; 181:324-31. [DOI: 10.1055/s-2008-1027857] [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: 10/21/2022]
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Anders K, Baum U, Gauss S, Kuefner M, Achenbach S, Kuettner A, Daniel W, Uder M, Ropers D. Erste Erfahrungen mit der sequenziellen, prospektiv getriggerten CT-Koronarangiografie an einem 128-Schicht-Computertomografen. ROFO-FORTSCHR RONTG 2009; 181:332-8. [DOI: 10.1055/s-2008-1027852] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [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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Schwab SA, Uder M, Anders K, Heinrich MC, Kuefner MA. Peripheral intravenous power injection of iodinated contrast media through 22G and 20G cannulas: can high flow rates be achieved safely? A clinical feasibility study. ROFO-FORTSCHR RONTG 2009; 181:355-61. [PMID: 19280548 DOI: 10.1055/s-0028-1109181] [Citation(s) in RCA: 15] [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: 10/21/2022]
Abstract
PURPOSE Modern examination protocols for computed tomography (CT) often require high injection rates of iodinated contrast media (CM). The purpose of this study was to evaluate the maximum achievable flow rates and stability of different peripheral intravenous catheters (IVC) in vitro and to assess the feasibility of higher injection rates through small IVC in vivo. MATERIALS AND METHODS For in vitro experiments flow measurements followed by high pressure testing of different types of IVC (22, 20, and 18 gauge [G]) were performed. For the in vitro study 91 patients with already inserted 22 or 20G IVC who had been referred for CT received Iopamidol (300 mg iodine/ml) at flow rates between 2 and 5 ml/sec. Complications were documented. RESULTS The maximal achievable flow rate of the tested IVC in vitro ranged from 5 to 8 ml/sec. No damage was observed during in vitro testing. The initially targeted in vivo flow rate was dropped in 33 of 91 (36 %) patients because the IVC could not be flushed adequately with saline before CM injection. Extravasation of CM occurred in 2 cases. In the remaining 58 patients the standard CT protocol was performed with flow rates of 3 ml/sec through 22G IVC and 5 ml/sec through 20G IVC, respectively. In this group, the extravasation of CM was observed twice (p > 0.05). CONCLUSION Even with highly viscous CM, high flow rates can be applied in vitro in 22, 20, and 18G IVC without risking material damage. In vivo power injection of iodinated CM through 22G and 20G IVC seems to be safely achievable in the majority of patients with flow rates of up to 3 ml/sec and 5 ml/sec. Extravasation rates do not differ significantly between patients with high-flow or low-flow injections.
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Affiliation(s)
- S A Schwab
- Radiologisches Institut, Universitätsklinikum Erlangen
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Uder M, Schwab S, Anders K, Bautz W, Löbrich M, Küfner M. DNA-Doppelstrangbrüche bei koronaren CT-Angiografien – In-vivo- und In-vitro-Vergleich eines sequentiellen mit einem Spiral-Modus sowie Einfluss verschiedener Scanparameter. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1208343] [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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Kuefner MA, Anders K, Schulz-Wendtland R, Papadopoulos T, Bautz W, Wenkel E. Unusual subcutaneous localisation of a dermatofibrosarcoma protuberans of the female breast: a case report. Ultraschall Med 2008; 29:535-537. [PMID: 19241512 DOI: 10.1055/s-2007-963026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Dermatofibrosarcoma protuberans (DFSP) is a slow growing soft tissue neoplasm of dermal fibroblastic origin characterised by local invasion and a high propensity for local recurrence. We report a 31-year-old woman with subcutaneous DFSP of the breast, which is an unusual localisation. Diagnostic work-up comprised clinical examination, mammography and ultrasound. Definitive diagnosis was not possible prior to histological analysis of the lesion. Wide excision of the tumour was performed, which is the therapy of choice in DFSP. Ultrasound played an important role in histological diagnosis before definitive surgery and might be helpful in follow-up of patients with DFSP of the breast.
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Affiliation(s)
- M A Kuefner
- Radiologisches Institut, Universitat Erlangen.
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Anders K, Baum U, Achenbach A, Ropers D, Renz A, Bautz W. Körpergewicht, Body Mass Index und Herzfrequenz als Einflussfaktoren für die koronaren Kontrastierung in der CT-Angiographie des Herzens. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073693] [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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Küfner MA, Anders K, Hamann J, Schwab SA, Achenbach S, Bautz W, Löbrich M, Uder M. Etablierung eines Phantommodells für die biologische Dosismessung bei der Herz-Computertomographie. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073956] [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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Anders K, Achenbach S, Küttner A, Ropers U, Wechsel M, Bautz W. Semiautomatisierte Befundung in der CT-Angiographie der Koronarien: kann der Einsatz rotierbarer gekrümmter Reformationen (CPR) nach automatischer Gefäßextraktion die Stenosedetektion verbessern? ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073860] [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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Küfner MA, Hamann J, Anders K, Schwab SA, Achenbach S, Bautz W, Löbrich M, Uder M. Biologische Strahlenwirkung bei der Herz-Computertomographie am Dual-Source-Gerät. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073753] [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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Abstract
Exclusive biannual mammography screening for women ages 50-69 years reduces the mortality from breast cancer among participants by 35%. Compared with 50% of clinically detected cancers, only 20% of carcinomas detected in screening have nodal metastases, and up to 55% of screening carcinomas are in the T1 stage of "minimal cancer." In many European countries (including Sweden, Norway, the Netherlands, and Great Britain), mammography screening programmes have been established for more than 10 years. In Germany, the aim is to establish, by 2008, a nationwide organised programme on the basis of the European Guidelines for Quality Assurance. This goal requires 80-100 mammography screening units. The first screening units went into use in 2005. Women between 50 and 69 years are invited to participate in 2-year intervals.
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Affiliation(s)
- R Schulz-Wendtland
- Radiologisches Institut, Gynäkologische Radiologie, Universität Erlangen-Nürnberg, Universitätsstrasse 21-23, 91056, Erlangen, Deutschland.
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Voit H, Kraus B, Dimmler A, Adamietz B, Anders K, Kuettner A. Dual-Source CT: Charakterisierung von Gallensteinen mittels Dual-Energy Analyse. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2006-956215] [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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Anders K, Ropers U, Pflederer T, Ropers D, Küttner A, Achenbach S, Bautz W. Dual-source CTA der Koronarien – herzfrequenzabhängige Verschiebungen des optimalen Rekonstruktionsintervalles innerhalb des Herzzyklus und ihre Auswirkungen auf den Einsatz des sog. EKG-Pulsing. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976853] [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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Küttner A, Zunker C, Wüst W, Voit H, Wechsel M, Achenbach S, Anders K, Bautz W. Optimiertes Kontrastmittel-Injektionsprotokoll für die kardiale Bildgebung unter Verwendung einer neuen Dual-Injection Technik. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977140] [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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Küttner A, Voit H, Anders K, Dimmler A, Kraus B, Adamietz B, Bautz W. Dual-Source CT: Charakterisierung von Gallensteinen mittels Dual-Energy Analyse. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976892] [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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Küttner A, Schmid A, Voit H, Wechsel M, Pflederer T, Achenbach S, Anders K, Bautz W. Kardio-CT: Aktuelle Indikationen, Untersuchungsstrategien, Auswertung und Befundung. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-976776] [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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Lell M, Anders K, Klotz E, Ditt H, Bautz W, Tomandi B. Clinical evaluation of bone-subtraction CT angiography (BSCTA) in head and neck imaging. Clin Imaging 2006. [DOI: 10.1016/j.clinimag.2006.05.011] [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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Anders K, Rixe J, Baum U, Ropers D, Küttner A, Achenbach S, Bautz W. Nicht-invasive Verlaufskontrolle nach koronarer Stentimplantation mittels 64-Schicht CT-Angiographie. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940847] [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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Kuettner A, Anders K, Voit H, Schmid A, Rixe J, Ropers D, Achenbach S, Uder M, Bautz W. Darstellung der Koronararterien im Dual-Source-CT: Erste Erfahrungen. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940754] [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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Anders K. Fortschritte in der radiologischen Diagnostik. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940502] [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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Greess H, Hendrich E, Baum U, Anders K, Brand M, Bautz W. Tägliche Routine bei Kinderuntersuchungen in der CT mit Dosisautomatik. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940575] [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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Kuettner A, Anders K, Schmid A, Voit H, Ropers D, Achenbach S, Baum U, Bautz W. CT-Koronarangiographie: Von der Aquisition über die Nachverarbeitung zur Diagnose. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-940423] [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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Lell M, Anders K, Klotz E, Ditt H, Bautz W, Tomandl BF. Clinical evaluation of bone-subtraction CT angiography (BSCTA) in head and neck imaging. Eur Radiol 2005; 16:889-97. [PMID: 16267665 DOI: 10.1007/s0330-005-0032-1] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.8] [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: 04/29/2005] [Revised: 08/09/2005] [Accepted: 09/13/2005] [Indexed: 11/27/2022]
Abstract
Fifty-one patients were examined with bone subtraction CT angiography (BSCTA). Data were acquired on 4-and 64-slice spiral CT systems. The post-processing method is based on fully automatic registration of non-enhanced and contrast-enhanced CT data and subsequent selective bone removal. Vascular structures and brain tissue are retained with the original CTA noise level. Image quality and delineation of the pathologic process were assessed and artifacts introduced by the bone removal process recorded. The bone subtraction algorithm worked successfully in all examinations. The processing time was 6 min on average. Image quality was rated excellent in 20 (39%), good in 26 (51%) and acceptable in 5 (10%) patients. Ophthalmic arteries were visible in 12 (24%) patients bilaterally, in 13 (25%) patients unilaterally and in 26 (51%) patients at least at the origin. BSCTA improved visualization of the infraclinoid ICA and the vertebral arteries. The depiction of stenosis of the extracranial ICA and supraclinoid aneurysms was not significantly improved. In patients with suspicion of sinus thrombosis, BSCTA and conventional CTA yielded similar results. To conclude, BSCTA improves the visualization of vessels with close contact to bone and can improve the diagnostic accuracy and therapy planning of infraclinoid aneurysms.
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Affiliation(s)
- M Lell
- Institute of Diagnostic Radiology, University of Erlangen-Nuremberg, Germany.
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Affiliation(s)
- J Ben Nagi
- Department of Urogynaecology, King's College Hospital, London, UK
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Lell M, Hornegger J, Scherl H, Prümmer M, Anders K, Baum U, Bautz W. CTA: Semiautomatische Quantifizierung von Karotisstenosen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868247] [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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Baum U, Anders K, Lell M, Gress H, Kachelriess M, Kalender W, Bautz W. Verbesserungen von Bildqualität und Dosis in der Mehrschicht-CT der Kopf-Hals-Region mit einer Kombination aus schwächungsbasierter Röhrenstrommodulation und rohdatenbasierter Filterung. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868264] [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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Abstract
Noninvasive modalities like CTA are increasingly replacing selective angiography in the evaluation of carotid artery stenosis. Dedicated scan protocols and contrast injection techniques are mandatory for the morphological assessment of carotid artery stenosis. These protocols need to be adapted to different scanner types. The delineation of plaque components and the residual lumen is improved with high resolution scan protocols and dedicated reconstruction algorithms. The exact delineation of in-stent stenosis remains limited. Standardization of postprocessing is crucial in order to attain reproducible results. Multislice spiral CT allows reliable grading of carotid artery stenosis. Relevant venous opacification and pulsation artifacts have to be expected with 4-slice scanners, the short scan time of the latest CT scanners minimize these problems.
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Affiliation(s)
- M Lell
- Institut für Diagnostische Radiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg.
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Baum U, Lell M, Anders K, Greess H, Kachelrieß M, Kalender WA, Bautz W. Optimierung der Bildqualität und Dosisnutzung in der MSCT der Kopf-Hals durch den gleichzeitigen Einsatz von schwächungsbasierter Röhrenstrommodulation und mehrdimensionalem adaptivem F. ROFO-FORTSCHR RONTG 2004. [DOI: 10.1055/s-2004-827763] [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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