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Ravesh MS, Langguth P, Moritz JD, Rinne K, Harneit PL, Schulze-Nagel J, Graessner J, Uebing A, Jansen O, Both M, Hansen JH. Fontan-Associated Liver Disease: Quantification and Visualization of Abdominal Hemodynamics by 4D Flow MRI. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761859] [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: 03/22/2023]
Affiliation(s)
- M. Salehi Ravesh
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - P. Langguth
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - J. D. Moritz
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - K. Rinne
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - P. L. Harneit
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - J. Schulze-Nagel
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | | | - A. Uebing
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - O. Jansen
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - M. Both
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - J. H. Hansen
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
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Langguth P, Aludin S, Horr A, Campbell GM, Lebenatus A, Salehi Ravesh M, Schunk D, Austein F, Larsen N, Syrek H, Both M, Jansen O, Sedaghat S. Iodine uptake of adrenal glands: A novel and reliable spectral dual-layer computed tomographic-derived biomarker for acute septic shock. Eur J Radiol 2022; 156:110492. [PMID: 36108480 DOI: 10.1016/j.ejrad.2022.110492] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 06/03/2022] [Revised: 08/09/2022] [Accepted: 08/15/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Septic shock is a potentially fatal condition. This study aims to assess whether iodine uptake and iodine density of abdominal organs on dual-layer spectral detector computed tomography (SDCT) could serve as a new imaging biomarker for patients in septic shock. METHODS Here, 95 patients who received contrast-enhanced abdominal CT examinations were included and separated into two groups: group A - septic shock; group B - no shock condition. Preselected abdominal (right and left adrenal gland, right and left kidney, infrarenal inferior vena cava (IVC), pancreas, spleen, and liver) localizations were independently evaluated by two radiologists, who measured iodine concentrations (mg/ml) and Hounsfield units (HU). RESULTS In all, 1520 measurements of iodine concentrations in mg/ml and HU were performed, with 27 patients in group A and 68 in group B. Iodine concentrations in mg/ml and HU correlated significantly in all organs measured. The corresponding correlation coefficient (r) ranged from 0.809 (pancreas) to 0.963 (right kidney). Inter-rater reliability (IRR) was very good for mg/ml (κ = 0.8; p < 0.01) and good for HU (κ = 0.773; p < 0.01) measurements. The mean iodine concentration and HU of the adrenal glands in septic and nonseptic patients was 4.88 ± 1.16 mg/ml/153 ± 36 HU and 2.67 ± 1.07 mg/ml/112 ± 41 HU, respectively. Iodine concentrations in the adrenal glands were significantly higher in group A than in group B patients (p < 0.01). The other organs remained unaffected and no significant difference was observed between patients in group A and B. Patients in group A presented significantly more often with an iodine uptake of >3.5 mg/ml of one adrenal gland (sensitivity = 0.926, specificity = 0.849, AUC = 0.951) or/and a combined concentration of >7 mg/ml of both adrenal glands (sensitivity = 0.889, specificity = 0.836, AUC = 0.928). CONCLUSION SDCT-derived iodine concentration of the adrenal glands could serve as a novel imaging biomarker for patients in acute septic shock. Our data suggest that an iodine uptake of >3.5 mg/ml of at least one adrenal gland or a combined iodine uptake of >7 mg/ml in both adrenal glands identifies patients in this condition.
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Affiliation(s)
- P Langguth
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany.
| | - S Aludin
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - A Horr
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | | | - A Lebenatus
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - M Salehi Ravesh
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - D Schunk
- Department for Interdisciplinary Emergency, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - F Austein
- Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - N Larsen
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - H Syrek
- Mediri GmbH, Heidelberg, Germany
| | - M Both
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - O Jansen
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | - S Sedaghat
- Department for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus Kiel, Germany; Department of Radiology, University of California San Diego, San Diego, CA, United States
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Wipfler-Freißmuth E, Dejaco C, Both M. [Long-term complications, monitoring and interventional treatment of large vessel vasculitis]. Z Rheumatol 2020; 79:523-531. [PMID: 32430565 DOI: 10.1007/s00393-020-00807-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Giant cell arteritis (GCA) and Takayasu's arteritis (TAK) both belong to the group of large vessel vasculitides and require long-term drug treatment. Glucocorticoids (GC) are the first choice for the treatment of both diseases. For GCA immunosuppressants, such as tocilizumab or methotrexate should be considered in cases of treatment refractory and relapses or if there is a high risk for GC-related adverse events. In TAK patients the use of immunosuppressive agents should be considered for all patients. In the course of the disease, severe disease-associated and treatment-associated complications can occur. The most frequent disease-associated complications include visual impairment up to blindness in GCA, as well as vascular stenoses with ischemia and aortic aneurysms with possible dissection in GCA and TAK. Percutaneous transluminal angioplasty (PTA) and stenting are minimally invasive, low-risk interventional procedures for GCA and TAK patients with clinically significant vascular stenoses, despite a tendency to restenosis. Interventional procedures should be weighed up against vascular surgical approaches depending on the localization and the total clinical situation. All interventions should be conducted in a phase of stable remission when possible. For monitoring of disease activity in patients with GCA and TAK, assessment of clinical manifestations as well as C‑reactive protein (CRP) and the erythrocyte sedimentation rate (ESR) are useful; however, both are unreliable under interleukin‑6 block with tocilizumab. The value of new biomarkers independent from interleukin‑6 and the importance of imaging (sonography, magnetic resonance angiography, computed tomography and positron emission tomography-CT) for monitoring GCA and TAK still have to be investigated in future studies.
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Affiliation(s)
- E Wipfler-Freißmuth
- Rheumatologische Spezialambulanz, Krankenhaus der Barmherzigen Brüder Graz-Eggenberg, Bergstr. 27, 8010, Graz, Österreich.
| | - C Dejaco
- Landesweiter Dienst für Rheumatologie, Südtiroler Sanitätsbetrieb, Krankenhaus Bruneck, Bruneck, Italien
| | - M Both
- Klinik für Radiologie und Neuroradiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
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Peters S, Huhndorf M, Jensen-Kondering U, Larsen N, Koktzoglou I, Edelman RR, Graessner J, Both M, Jansen O, Salehi Ravesh M. Non-Contrast-Enhanced Carotid MRA: Clinical Evaluation of a Novel Ungated Radial Quiescent-Interval Slice-Selective MRA at 1.5T. AJNR Am J Neuroradiol 2019; 40:1529-1537. [PMID: 31395666 DOI: 10.3174/ajnr.a6171] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Accepted: 07/04/2019] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Non-contrast-enhanced MRA techniques have experienced a renaissance due to the known correlation between the use of gadolinium-based contrast agents and the development of nephrogenic systemic fibrosis and the deposition of gadolinium in some brain regions. The purpose of this study was to assess the diagnostic performance of ungated non-contrast-enhanced radial quiescent-interval slice-selective MRA of the extracranial supra-aortic arteries in comparison with conventional contrast-enhanced MRA in patients with clinical suspicion of carotid stenosis. MATERIALS AND METHODS In this prospective study, both MRA pulse sequences were performed in 31 consecutive patients (median age, 68.8 years; 19 men). For the evaluation, the cervical arterial system was divided into 35 segments (right and left side). Three blinded reviewers separately evaluated these segments. An ordinal scoring system was used to assess the image quality of arterial segments and the stenosis grading of carotid arteries. RESULTS Overall venous contamination in quiescent-interval slice-selective MRA was rated as "none" by all readers in 84.9% of cases and in 8.1% of cases in contrast-enhanced MRA (P < .0001). The visualization quality of arterial segments was considered good to excellent in 40.2% for the quiescent-interval slice-selective MRA and in 52.2% for the contrast-enhanced MRA (P < .0001). The diagnostic accuracy of ungated quiescent-interval slice-selective MRA concerning the stenosis grading showed a total sensitivity and specificity of 85.7% and 90.0%, respectively. CONCLUSIONS Ungated quiescent-interval slice-selective MRA can be used clinically as an alternative to contrast-enhanced MRA without a significantly different image quality or diagnostic accuracy for the detection of carotid stenosis at 1.5T.
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Affiliation(s)
- S Peters
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - M Huhndorf
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - U Jensen-Kondering
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - N Larsen
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - I Koktzoglou
- Department of Radiology (I.K., R.R.E.), NorthShore University Health System, Evanston, Illinois.,University of Chicago Pritzker School of Medicine (I.K.), Chicago, Illinois
| | - R R Edelman
- Department of Radiology (I.K., R.R.E.), NorthShore University Health System, Evanston, Illinois.,Northwestern University Feinberg School of Medicine (R.R.E.), Chicago, Illinois
| | | | - M Both
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - O Jansen
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - M Salehi Ravesh
- From the Department of Radiology and Neuroradiology (S.P., M.H., U.J.-K., N.L., M.B., O.J., M.S.R.), University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
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Eisenhauer A, Müller M, Heuser A, Kolevica A, Glüer CC, Both M, Laue C, Hehn UV, Kloth S, Shroff R, Schrezenmeir J. Calcium isotope ratios in blood and urine: A new biomarker for the diagnosis of osteoporosis. Bone Rep 2019; 10:100200. [PMID: 30997369 PMCID: PMC6453776 DOI: 10.1016/j.bonr.2019.100200] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Accepted: 03/10/2019] [Indexed: 11/30/2022] Open
Abstract
We assessed the potential of Calcium (Ca) isotope fractionation measurements in blood (δ44/42CaBlood) and urine (δ44/42CaUrine) as a new biomarker for the diagnosis of osteoporosis. One hundred post-menopausal women aged 50 to 75 years underwent dual-energy X-ray absorptiometry (DXA), the gold standard for determination of bone mineral density. After exclusion of women with kidney failure and vitamin D deficiency (<25 nmol/l) 80 women remained in the study. Of these women 14 fulfilled the standard diagnostic criteria for osteoporosis based on DXA. Both the δ44/42CaBlood (p < 0.001) and δ44/42CaUrine (p = 0.004) values were significantly different in women with osteoporosis (δ44/42CaBlood: −0.99 ± 0.10‰, δ 44/42CaUrine: +0.10 ± 0.21‰, (Mean ± one standard deviation (SD), n = 14)) from those without osteoporosis (δ44/42CaBlood: −0.84 ± 0.14‰, δ44/42CaUrine: +0.35 ± 0.33‰, (SD), n = 66). This corresponded to the average Ca concentrations in morning spot urine samples ([Ca]Urine) which were higher (p = 0.041) in those women suffering from osteoporosis ([Ca]Urine-Osteoporosis: 2.58 ± 1.26 mmol/l, (SD), n = 14) than in the control group ([Ca]Urine-Control: 1.96 ± 1.39 mmol/l, (SD), n = 66). However, blood Ca concentrations ([Ca]Blood) were statistically indistinguishable between groups ([Ca]Blood, control: 2.39 ± 0.10 mmol/l (SD), n = 66); osteoporosis group: 2.43 ± 0.10 mmol/l (SD, n = 14) and were also not correlated to their corresponding Ca isotope compositions. The δ44/42CaBlood and δ44/42CaUrine values correlated significantly (p = 0.004 to p = 0.031) with their corresponding DXA data indicating that both Ca isotope ratios are biomarkers for osteoporosis. Furthermore, Ca isotope ratios were significantly correlated to other clinical parameters ([Ca]Urine, ([Ca]Urine/Creatinine)) and biomarkers (CRP, CTX/P1NP) associated with bone mineralization and demineralization. From regression analysis it can be shown that the δ44/42CaBlood values are the best biomarker for osteoporosis and that no other clinical parameters need to be taken into account in order to improve diagnosis. Cut-off values for discrimination of subjects suffering from osteoporosis were − 0.85‰ and 0.16‰ for δ44/42CaBlood and δ44/42CaUrine, respectively. Corresponding sensitivities were 100% for δ44/42CaBlood and ~79% for δ44/42CaUrine. Apparent specificities were ~55% for δ44/42CaBlood and ~71%. The apparent discrepancy in the number of diagnosed cases is reconciled by the different methodological approaches to diagnose osteoporosis. DXA reflects the bone mass density (BMD) of selected bones only (femur and spine) whereas the Ca isotope biomarker reflects bone Ca loss of the whole skeleton. In addition, the close correlation between Ca isotopes and biomarkers of bone demineralization suggest that early changes in bone demineralization are detected by Ca isotope values, long before radiological changes in BMD can manifest on DXA. Further studies are required to independently confirm that Ca isotope measurement provide a sensitive, non-invasive and radiation-free method for the diagnosis of osteoporosis.
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Affiliation(s)
- A Eisenhauer
- GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany.,OSTEOLABS GmbH, c/o GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany
| | - M Müller
- University Medical Center Schleswig-Holstein (UKSH), Arnold-Heller-Str. 3, 24105 Kiel, Germany.,OSTEOLABS GmbH, c/o GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany
| | - A Heuser
- GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany.,OSTEOLABS GmbH, c/o GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany
| | - A Kolevica
- GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany.,OSTEOLABS GmbH, c/o GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany
| | - C-C Glüer
- Sektion Biomedizinische Bildgebung, Klinik für Radiologie und Neuroradiologie, Am Botanischen Garten 14, 24118 Kiel, Germany
| | - M Both
- Klinik für Neuroradiologie und Radiologie, (UKSH), Arnold-Heller-Str. 3, 24105 Kiel, Germany
| | - C Laue
- Clinical Research Center Kiel GmbH, Schauenburgerstraße 116, 24118 Kiel, Germany
| | - U V Hehn
- Medistat, GmbH, Kieler Straße 15, 24119 Kronshagen, Germany
| | - S Kloth
- OSTEOLABS GmbH, c/o GEOMAR Helmholtz Centre for Ocean Research Kiel, 24148 Kiel, Wischhofstr.1-3, Germany
| | - R Shroff
- Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, United Kingdom of Great Britain and Northern Ireland
| | - J Schrezenmeir
- Clinical Research Center Kiel GmbH, Schauenburgerstraße 116, 24118 Kiel, Germany
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Both M, Humbert J, Müller A, Duwendag D, Holl-Ulrich K, Heneweer C, Meyer P, Fritzer E, Oltmann Schröder J, Glüer C, Jansen O, Tiwari S. Kathepsine als Marker für die molekulare Fluoreszenzbildgebung der Riesenzellarteriitis. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600344] [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: 10/19/2022]
Affiliation(s)
- M Both
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - J Humbert
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - A Müller
- Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Rheumatologie, Lübeck
| | - D Duwendag
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Ophthalmologie, Kiel
| | - K Holl-Ulrich
- Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Institut für Pathologie, Lübeck
| | - C Heneweer
- Universitätsklinikum Köln, Institut für Diagnostische und Interventionelle Radiologie, Köln
| | - P Meyer
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - E Fritzer
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Institut für Medizinische Informatik und Statistik, Kiel
| | - J Oltmann Schröder
- Universitätsklinikum Schleswig Holstein, Campus Kiel, Klinik für Innere Medizin I, Kiel
| | - C Glüer
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - O Jansen
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - S Tiwari
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
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Both M, Daum C, Holle J, Fritzer E, Jansen O, Henes F. Computertomografische Varianten der Lungenfibrose bei Patienten mit mikroskopischer Polyangiitis. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600439] [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: 10/19/2022]
Affiliation(s)
- M Both
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - C Daum
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - J Holle
- Rheumazentrum Schleswig-Holstein Mitte, Neumünster
| | - E Fritzer
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Insitut für Medizinische Informatik und Statisik, Kiel
| | - O Jansen
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie, Kiel
| | - F Henes
- Universitätsklinikum Hamburg Eppendorf, Klinik für Diagnostische und Interventionelle Radiologie, Hamburg
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Heneweer C, Sieler J, Jansen O, Both M. Einfluss verschiedener Narkotika auf mittels Kontrastultraschall erhobene Perfusionsparameter. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581651] [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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Meyer P, Bartels A, Heneweer C, Seeger M, Holl-Ulrich K, Duwendag D, Saeger M, Schröder J, Kopetsch C, Zimmermann P, Jansen O, Both M. Diagnostik der Riesenzellarteriitis: Untersuchungen der humanen Arteria temporalis im Hochfrequenzbereich mit einem Kleintier-Ultraschallgerät. ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1551009] [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: 10/23/2022]
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Heneweer C, v. Broich-Oppert J, Meyer P, Both M, Jansen O, Molinari F. Charakterisierung des Gefäßsystems im subkutanen Mausmodell mittels Skeletonization von kontrastverstärkten hochauflösenden 3D-Ultraschallbildern. ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1550851] [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: 10/23/2022]
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Treumer F, Metzger LM, Both M, Rohnen M, Kandzia C, Wiltfang J, Roider J. [Orbital impalement by wooden foreign bodies - an interdisciplinary challenge]. Klin Monbl Augenheilkd 2015; 232:189-92. [PMID: 25700256 DOI: 10.1055/s-0034-1383386] [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: 10/24/2022]
Affiliation(s)
- F Treumer
- Klinik für Ophthalmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - L M Metzger
- Klinik für Ophthalmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - M Both
- Klinik für Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - M Rohnen
- Klinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - C Kandzia
- Klinik für Ophthalmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - J Wiltfang
- Klinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
| | - J Roider
- Klinik für Ophthalmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
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Petersen H, Gotz P, Both M, Hey M, Ambrosch P, Bremer J, Holle J, Moosig F, Laudien M. Manifestation of eosinophilic granulomatosis with polyangiitis in head and neck. Rhinology 2015. [DOI: 10.4193/rhin14.074] [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] [Indexed: 11/08/2022]
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Langer C, Both M, Harders H, Lutz M, Eden M, Kühl C, Sattler B, Jansen O, Schaefer P, Frey N. Late enhanced computed tomography in Hypertrophic Cardiomyopathy enables accurate left-ventricular volumetry. Eur Radiol 2014; 25:575-84. [PMID: 25316053 DOI: 10.1007/s00330-014-3434-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Revised: 08/22/2014] [Accepted: 09/04/2014] [Indexed: 01/19/2023]
Abstract
OBJECTIVES Late enhancement (LE) multi-slice computed tomography (leMDCT) was introduced for the visualization of (intra-) myocardial fibrosis in Hypertrophic Cardiomyopathy (HCM). LE is associated with adverse cardiac events. This analysis focuses on leMDCT derived LV muscle mass (LV-MM) which may be related to LE resulting in LE proportion for potential risk stratification in HCM. METHODS N=26 HCM-patients underwent leMDCT (64-slice-CT) and cardiovascular magnetic resonance (CMR). In leMDCT iodine contrast (Iopromid, 350 mg/mL; 150mL) was injected 7 minutes before imaging. Reconstructed short cardiac axis views served for planimetry. The study group was divided into three groups of varying LV-contrast. LeMDCT was correlated with CMR. RESULTS The mean age was 64.2 ± 14 years. The groups of varying contrast differed in weight and body mass index (p < 0.05). In the group with good LV-contrast assessment of LV-MM resulted in 147.4 ± 64.8 g in leMDCT vs. 147.1 ± 65.9 in CMR (p > 0.05). In the group with sufficient contrast LV-MM appeared with 172 ± 30.8 g in leMDCT vs. 165.9 ± 37.8 in CMR (p > 0.05). Overall intra-/inter-observer variability of semiautomatic assessment of LV-MM showed an accuracy of 0.9 ± 8.6 g and 0.8 ± 9.2 g in leMDCT. All leMDCT-measures correlated well with CMR (r > 0.9). CONCLUSIONS LeMDCT primarily performed for LE-visualization in HCM allows for accurate LV-volumetry including LV-MM in > 90% of the cases. KEY POINTS • LeMDCT of relatively low contrast allows for LV planimetry in HCM. • The correlation of leMDCT-based LV volumetry with gold-standard CMR was excellent (r > 0.9). • LeMDCT requires approximately 2.0mL/kgBW of dye to achieve acceptable contrast.
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Affiliation(s)
- Christoph Langer
- Department of Cardiology, Angiology and Critical Care Medicine, University Medical Center Schleswig-Holstein, Campus Kiel, Christian-Albrechts-Universität Kiel, Schittenhelmstr. 12, 24105, Kiel, Germany,
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Tesch K, Kopetsch C, Sauer F, Zeuner R, Mrowietz U, Oltmann Schröder J, Jansen O, Both M, Wulff A. ICG-based Optical Imaging Suggests Subclinical Involvement of Asymptomatic Joints in Psoriatic Arthritis but not in Arthrosis. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1373326] [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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15
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Kopetsch C, Tesch K, Sauer F, Zeuner R, Mrowietz U, Oltmann Schröder J, Jansen O, Wulff A, Both M. Differentiation between arthrosis (Art) and psoriatic arthritis (PA) using fluorescence optical imaging. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1373327] [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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Both M. Wann muss man als Radiologe daran denken? ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372953] [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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Moritz J, Claviez A, Ahlgrim C, Both M. Extranodales T-Zell-Lymphom. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1352582] [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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Holle J, Röhl C, Laudien M, Both M, Holl-Ulrich K, Gross W. THU0216 Subglottic stenosis and tracheobronchitis in granulomatosis with polyangiitis (GPA, wegener’s) are associated with a high burden of disease and damage. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2181] [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: 11/04/2022]
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Holle J, Voigt C, Nölle B, Both M, Holl-Ulrich K, Laudien M, Gross W. OP0184 Retrospective monocentric cohort of orbital masses in granulomatosis with polyangiitis (GPA, wegener’s): rare disease manifestation with a refractory disease course. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1867] [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: 11/04/2022]
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Veldhoen S, Klink T, Geiger J, Both M, Vaith P, Neß T, Markl M, Adam G, Bley TA. Mit der kontrastmittelgestützten MRT gelingt die valide Beurteilung des kraniellen Befallsmusters bei Patienten mit Riesenzellarteriitis. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346253] [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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Schinke S, Reinhold-Keller E, Both M, Nölle B, Laudien M, Gross W, Holle J. Long-term outcome of 123 microscopic polyangiitis patients in a monocentric German cohort. Presse Med 2013. [DOI: 10.1016/j.lpm.2013.02.191] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Moosig F, Reinhold-Keller E, Holl-Ulrich K, Feller AC, Bley T, Holle JU, Zwerina J, Lamprecht P, Dalhoff K, Venhoff N, Thiel J, Peter HH, Laudien M, Quetz J, Ambrosch P, Both M, Heller M. [How I treat …]. Z Rheumatol 2012; 71:775-84. [PMID: 23138555 DOI: 10.1007/s00393-012-0988-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- F Moosig
- Klinikum Bad Bramstedt GmbH, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Bad Bramstedt, Deutschland.
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Schröder JO, Zeuner RA, Bewig B, Both M. [Pulmonary emergencies in connective tissues disorders and vasculitides]. Z Rheumatol 2012; 71:278-87. [PMID: 22699216 DOI: 10.1007/s00393-011-0916-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Pulmonary emergencies in rheumatic diseases are rare, potentially life-threatening conditions that occur either as a manifestation of the disease itself or as an adverse event of immunosuppressive treatment. Diffuse alveolar hemorrhage, tracheal stenosis, acute pneumonitis and drug-induced lung injury belong to this category. The management of these emergencies requires intensive cooperation between rheumatology and pulmonology. The latter contributes its experience in the care of related conditions, specific endoscopic techniques and local interventions as well as the indispensable and life-supporting forms of assisted ventilation. The present article summarizes the current knowledge on diagnostic and therapeutic procedures including the newly available B-cell directed treatments.
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Affiliation(s)
- J O Schröder
- Medizinische Klinik I, Sektion Rheumatologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 12, 24105, Kiel, Deutschland.
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Bley TA, Geiger J, Both M, Ness T, Veith P, Markl M, Adam G, Langer M, Schröder O, Nölle B, Klink T. Multizentrische, prospektive Kohortenstudie zur Diagnostischen Wertigkeit der hochauflösenden MRT bei Arteriitis temporalis (Horton). ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311232] [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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Henes FO, Chen Y, Bley TA, Fabel M, Both M, Herrmann K, Csernok E, Gross WL, Moosig F. Correlation of serum level of high mobility group box 1 with the burden of granulomatous inflammation in granulomatosis with polyangiitis (Wegener's). Ann Rheum Dis 2011; 70:1926-9. [PMID: 21765168 DOI: 10.1136/ard.2010.146456] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To investigate the correlation of serum levels of high mobility group box 1 (HMGB1) with the extent of granulomatous inflammation in granulomatosis with polyangiitis (GPA). METHODS From 169 patients with GPA, 17 patients with granulomatous inflammation, without evidence of vasculitis were identified and 36 patients without measurable 'granuloma' formation. HMGB1 serum levels were determined and compared between the two groups, using a Mann-Whitney U test. Serum levels of 26 healthy individuals served as controls. In a further 21 patients with GPA with a pulmonary granulomatous manifestation from the study population, CT volumetry of 'granuloma' was performed. Volumes were compared with serum levels of HMGB1 (Spearman rank order test). RESULTS Serum levels of HMGB1 were significantly higher in patients with predominant granulomatous disease than in patients without measurable 'granuloma' manifestations (6.44 ± 4.53 ng/ml vs 3.85 ± 2.88 ng/ml; p=0.0107). In both groups, levels of HMGB1 were significantly higher than in controls (2.34 ± 2.01 ng/ml; p<0.01). A positive correlation of HMGB1 serum levels with volumes of pulmonary 'granuloma' (r=0.761, p<0.0017) was seen. CONCLUSIONS HMGB1 serum levels are significantly higher in GPA with predominant granulomatous manifestations and correlate with volumes of pulmonary 'granuloma'. HMGB1 may be used as a marker of the burden of granulomatous inflammation in GPA.
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Affiliation(s)
- F O Henes
- Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
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Both M, Schulte K, Moosig F, Fritzer E, Gross WL, Heller M, Biederer J. High white blood cell count in patients with giant cell arteritis predicts an increased risk of stenosis in upper extremity arteries: Figure 1. Ann Rheum Dis 2011; 70:1879-80. [DOI: 10.1136/ard.2010.146910] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Schniewind B, Schafmayer C, Both M, Arlt A, Fritscher-Ravens A, Hampe J. Ingrowth and device disintegration in an intralobar abscess cavity during endosponge therapy for esophageal anastomotic leakage. Endoscopy 2011; 43 Suppl 2 UCTN:E64-5. [PMID: 21341185 DOI: 10.1055/s-0030-1255799] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- B Schniewind
- General Surgery and Thoracic Surgery, University Hospital Schleswig-Holstein, Kiel, Germany.
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Both M, Gribl B, Seeger M, Heller M, Biederer J. Tiefe Beinvenenthrombosen in der MR-Angiographie mit Gadofosveset. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279316] [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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Hampe J, Schniewind B, Both M, Fritscher-Ravens A. Use of a NOTES closure device for full-thickness suturing of a postoperative anastomotic esophageal leakage. Endoscopy 2010; 42:595-8. [PMID: 20593338 DOI: 10.1055/s-0030-1255518] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Leakages at surgical anastomoses in the gastrointestinal tract represent a challenging clinical problem. Standard therapy entails conservative or surgical revision of the anastomotic area with high morbidity and mortality up to 30 %. None of the previous endoscopic approaches, which include stenting, endoscopic clip closure, and fibrin glue injection, are sufficiently established for routine clinical use. We report a case of a 68-year-old woman with a postoperative leakage and abscess at the esophagojejunostomy. The defect was closed with two anchor-lock sutures. The patient was able to resume oral food intake 5 days later and made a full recovery with endoscopically documented mucosal healing at the site of the anastomosis. In summary, endoscopic suturing may be a promising approach for the treatment of postoperative leaks that warrants further, controlled investigation.
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Affiliation(s)
- J Hampe
- Department of Internal Medicine I, University Hospital Schleswig-Holstein, Kiel, Germany
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Zlomuzica A, Reichinnek S, Maxeiner S, Both M, May E, Wörsdörfer P, Draguhn A, Willecke K, Dere E. Deletion of connexin45 in mouse neurons disrupts one-trial object recognition and alters kainate-induced gamma-oscillations in the hippocampus. Physiol Behav 2010; 101:245-53. [PMID: 20471991 DOI: 10.1016/j.physbeh.2010.05.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2009] [Revised: 04/16/2010] [Accepted: 05/07/2010] [Indexed: 10/19/2022]
Abstract
Neuronal gap junctions, allowing fast intercellular electrotonic signal transfer, have been implicated in mechanisms governing learning and memory processes. We have examined conditional neuron-directed (Cx45fl/fl:Nestin-Cre) connexin45 deficient mice in terms of behavioral and electrophysiological correlates of learning and memory. Behavioral habituation to a novel environment and motor learning were not changed in these mice. Novel object recognition after delays of up to 60min was impaired in neuronal Cx45 deficient mice. However, object-place recognition was not significantly different from controls. Analysis of enhanced green fluorescent reporter protein expression controlled by the endogenous mouse Cx45 promoter in the brain of neuronal Cx45 deficient mice suggested that Cx45 is expressed in the perirhinal cortex and the CA3 subregion of the hippocampus. The neuronal Cx45 deficient mice were also examined for aberrations in the generation and synchronization of network oscillations in the hippocampus. General excitability, synaptic short time plasticity, and spontaneous high-frequency oscillations (sharp-wave ripples) in the hippocampus were not different from controls. However, bath stimulation of hippocampal slices with kainate induced significantly lower gamma-oscillation amplitudes in the CA3, but not in the CA1 subfield of the neuronal Cx45 deficient mice. Additionally, they exhibited a significantly larger full width half maximum of the frequency distribution in the CA1 subfield as compared to the controls. In conclusion, the neuron-directed deletion of Cx45 impaired one-trial novel object recognition and altered kainate-induced gamma-oscillations possibly via the disruption of inter-neuronal gap junctional communication in the hippocampus or perirhinal cortex.
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Affiliation(s)
- A Zlomuzica
- Institute of Experimental Psychology, Heinrich-Heine-University Düsseldorf, Universitätsstr. 1, D-40225 Düsseldorf, Germany
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Friedrich O, Both M, Weber C, Schürmann S, Teichmann MDH, von Wegner F, Fink RHA, Vogel M, Chamberlain JS, Garbe C. Microarchitecture is severely compromised but motor protein function is preserved in dystrophic mdx skeletal muscle. Biophys J 2010; 98:606-16. [PMID: 20159157 DOI: 10.1016/j.bpj.2009.11.005] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2009] [Revised: 10/27/2009] [Accepted: 11/05/2009] [Indexed: 10/19/2022] Open
Abstract
Progressive force loss in Duchenne muscular dystrophy is characterized by degeneration/regeneration cycles and fibrosis. Disease progression may involve structural remodeling of muscle tissue. An effect on molecular motorprotein function may also be possible. We used second harmonic generation imaging to reveal vastly altered subcellular sarcomere microarchitecture in intact single dystrophic mdx muscle cells (approximately 1 year old). Myofibril tilting, twisting, and local axis deviations explain at least up to 20% of force drop during unsynchronized contractile activation as judged from cosine angle sums of myofibril orientations within mdx fibers. In contrast, in vitro motility assays showed unaltered sliding velocities of single mdx fiber myosin extracts. Closer quantification of the microarchitecture revealed that dystrophic fibers had significantly more Y-shaped sarcomere irregularities ("verniers") than wild-type fibers (approximately 130/1000 microm(3) vs. approximately 36/1000 microm(3)). In transgenic mini-dystrophin-expressing fibers, ultrastructure was restored (approximately 38/1000 microm(3) counts). We suggest that in aged dystrophic toe muscle, progressive force loss is reflected by a vastly deranged micromorphology that prevents a coordinated and aligned contraction. Second harmonic generation imaging may soon be available in routine clinical diagnostics, and in this work we provide valuable imaging tools to track and quantify ultrastructural worsening in Duchenne muscular dystrophy, and to judge the beneficial effects of possible drug or gene therapies.
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Affiliation(s)
- O Friedrich
- Medical Biophysics, Institute of Physiology and Pathophysiology, Ruprecht Karls University, Heidelberg, Germany.
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Both M, Schulte K, Moosig F, Fritzer E, Gross WL, Heller M, Biederer J. Thorakale Aortenaneurysmata und arterielle Stenosen der oberen Extremitäten bei Patienten mit Riesenzellarteriitis: MRA- Befunde im Zusammenhang mit serologischen Parametern. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252822] [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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Biederer J, Bolte H, Schmidt T, Charalambous N, Both M, Kopp U, Hoffmann B, Freitag-Wolf S, Van Metter R, Heller M. Detection of artificial air space opacities with digital radiography: ex vivo study on enhanced latitude post-processing. ROFO-FORTSCHR RONTG 2010; 182:235-42. [PMID: 20099215 DOI: 10.1055/s-0028-1109961] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To evaluate in a.-p. digital chest radiograms of an ex vivo system if increased latitude and enhanced image detail contrast (EVP) improve the accuracy of detecting artificial air space opacities in parts of the lung that are superimposed by the diaphragm. MATERIALS AND METHODS 19 porcine lungs were inflated inside a chest phantom, prepared with 20-50 ml gelatin-stabilized liquid to generate alveolar air space opacities, and examined with direct radiography (3.0 × 2.5 k detector/ 125 kVp/ 4 mAs). 276 a.-p. images with and without EVP of 1.0-3.0 were presented to 6 observers. 8 regions were read for opacities, the reference was defined by CT. Statistics included sensitivity/specificity, interobserver variability, and calculation of Az (area under ROC curve). RESULTS Behind the diaphragm (opacities in 32/92 regions), the median sensitivity increased from 0.35 without EVP to 0.53-0.56 at EVP 1.5-3.0 (significant in 5/6 observers). The specificity decreased from 0.96 to 0.90 (significant in 6/6), and the Az value and interobserver correlation increased from 0.66 to 0.74 and 0.39 to 0.48, respectively. Above the diaphragm, the median sensitivity for artificial opacities (136/276 regions) increased from 0.71 to 0.77-0.82 with EVP (significant in 4/6 observers). The specificity and Az value decreased from 0.76 to 0.62 and 0.74 to 0.70, respectively, (significant in 3/6). CONCLUSION In this ex vivo experiment, EVP improved the diagnostic accuracy for artificial air space opacities in the superimposed parts of the lung (area under the ROC curve). Above the diaphragm, the accuracy was not affected due to a tradeoff in sensitivity/specificity.
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Affiliation(s)
- J Biederer
- Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
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Both M, Nölle B, von Forstner C, Moosig F, Gross WL, Heller M. [Imaging techniques in the evaluation of primary large vessel vasculitides: Part 2: duplex ultrasound, positron emission tomography, computed tomography, and ophthalmological methods]. Z Rheumatol 2009; 68:819-33. [PMID: 19937036 DOI: 10.1007/s00393-009-0565-9] [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] [Indexed: 11/24/2022]
Abstract
This article focuses on the clinical application and technical aspects of imaging methods which are used alternatively or additionally to angiography or magnetic resonance imaging in patients with Takayasu's arteritis or giant cell arteritis. Providing a high spatial resolution, duplex ultrasound is particularly suitable for the evaluation of peripheral arteries. With the exception of cranial arteries, positron emission tomography as a whole body examination is the best imaging modality for the assessment of inflammatory activity. Computed tomography is used for angiographic examinations and enables evaluation of wall thickening in large arteries. It is the method of choice in the case of emergencies due to aortic aneurysm or dissection. In addition to angiographic and ultrasound techniques, ophthalmological methods comprise biomicroscopy, including funduscopy and optical coherence tomography.
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Affiliation(s)
- M Both
- Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 9, 24105, Kiel, Deutschland.
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Hermann D, Both M, Ebert U, Gross G, Schoemaker H, Draguhn A, Wicke K, Nimmrich V. Synaptic transmission is impaired prior to plaque formation in amyloid precursor protein-overexpressing mice without altering behaviorally-correlated sharp wave-ripple complexes. Neuroscience 2009; 162:1081-90. [PMID: 19477243 DOI: 10.1016/j.neuroscience.2009.05.044] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2009] [Revised: 05/20/2009] [Accepted: 05/20/2009] [Indexed: 01/17/2023]
Abstract
One of the hallmarks of Alzheimer's disease is the accumulation of amyloid plaques in brains of affected patients. Several recent studies provided evidence that soluble oligomer forms of amyloid-beta (Abeta) rather than plaques determine cognitive decline. In vitro studies using artificial Abeta oligomer preparations suggest that such pathophysiology is caused by a specific impairment of synaptic function. We examined whether synaptic deficits occur before deposition of insoluble fibrillar Abeta by analyzing brain slices taken from young Tg2576 mice overexpressing mutant amyloid precursor protein. Excitatory synaptic transmission in the hippocampal CA1 region was strongly impaired before plaque development, suggesting a dissociation of an early synaptic impairment, probably caused by soluble oligomeric amyloid-beta, from subsequent plaque formation. At higher age neurotransmission was also decreased in wild type mice, paralleling a cognitive decline of normal aged animals. Memory formation in rats is accompanied by distinct hippocampal network oscillations. It has recently been shown that hippocampal gamma oscillations, a network correlate of exploratory behavior, are impaired in amyloid precursor protein (APP)-overexpressing mice. We determined whether sharp wave-ripple complexes, which contribute to memory consolidation during slow wave-sleep, are modified in Tg2576 mice. Interestingly, neither sharp waves nor superimposed ripples were changed at pre-plaque or plaque stages. During aging, however, there was a strong reduction of sharp wave frequency and ripple energy in wild type and APP-overexpressing animals. This indicates that the reported changes in network oscillations following APP-overexpression are specific for gamma oscillations, whereas aging has a more general effect on network properties. Taken together our data suggest that non-fibrillar forms of Abeta--possibly Abeta oligomers--specifically interfere with synaptic function in Tg2576, but do not globally alter memory-related network properties. We propose that mechanisms leading to Abeta-related cognitive decline are different from those related to aging.
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Affiliation(s)
- D Hermann
- Neuroscience Research, Global Pharmaceutical Research and Development, Abbott, D-67061, Ludwigshafen, Germany
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Both M, Holl-Ulrich K, Csernok E, Charalambous N, Bremer P, Valerius T, Schäfer PJ, Heneweer C, Heller M. Intraarterielle Diagnostik der Riesenzellarteriitis. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221477] [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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Both M, Riedel C, Loock J, Kähler KC, Moosig F, Gross WL, Heller M, Biederer J. Zererebrale Schädigungsmuster bei Patienten mit Riesenzellarteriitis. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1221461] [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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Abstract
Giant cell arteritis and Takayasu's arteritis are classified as primary large-vessel vasculitides. Inflammatory cell infiltrates and cytokines induce destruction and hyperplasia of the vessel wall, leading to stenoses or aneurysms. When extracranial large arteries are involved, there is often a similar clinical and radiologic disease pattern of an inflammatory aortic arch syndrome. Rare causes of large-vessel vasculitis include Behçet's disease, association with other autoimmune diseases, and infection. Depending on the localization, imaging is usually performed by means of duplex ultrasound, magnetic resonance imaging, computed tomography, or positron emission tomography. These imaging modalities are used not only to establish the diagnosis but also to determine the disease extent and activity and to perform follow-up in the course of medical therapy. Angiography offers the option to perform interventional therapy for vascular stenoses and occlusions.
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Affiliation(s)
- M Both
- Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
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Heneweer C, Becker D, Emme D, Graeff C, Both M, Glueer CC, Kalthoff H, Heller M. Comparison of tumour vascularisation by small animal ultrasound in a subcutaneous and an orthotopic xenotransplantation model in mice. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-0028-1085907] [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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Heneweer C, Becker D, Schniewind B, Tiwari S, Ammerpohl O, Emme D, Graeff C, Both M, Glueer CC, Kalthoff H, Heller M. Volumetry of ultrasound images of orthotopic tumours in a xenotransplantation model in mice. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-0028-1085919] [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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Nölle B, Both M, Heller M, Roider J. Typische Fragen aus der Rheumatologie an den Augenarzt und den kooperierenden Radiologen. Z Rheumatol 2008; 67:360-4, 366-71. [DOI: 10.1007/s00393-008-0336-z] [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: 11/24/2022]
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Abstract
Transient or lasting increases in glucocorticoids accompany deficits in hippocampus-dependent memory formation. Recent data indicate that the formation and consolidation of declarative and spatial memory are mechanistically related to different patterns of hippocampal network oscillations. These include gamma oscillations during memory acquisition and the faster ripple oscillations (approximately 200 Hz) during subsequent memory consolidation. We therefore analysed the effects of acutely applied glucocorticoids on network activity in mouse hippocampal slices. Evoked field population spikes and paired-pulse responses were largely unaltered by corticosterone or cortisol, respectively, despite a slight increase in maximal population spike amplitude by 10 microm corticosterone. Several characteristics of sharp waves and superimposed ripple oscillations were affected by glucocorticoids, most prominently the frequency of spontaneously occurring sharp waves. At 0.1 microm, corticosterone increased this frequency, whereas maximal (10 microm) concentrations led to a reduction. In addition, gamma oscillations became slightly faster and less regular in the presence of high doses of corticosteroids. The present study describes acute effects of glucocorticoids on sharp wave-ripple complexes and gamma oscillations in mouse hippocampal slices, revealing a potential background for memory deficits in the presence of elevated levels of these hormones.
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Affiliation(s)
- E K Weiss
- Institut für Physiologie und Pathophysiologie, Universität Heidelberg, Im Neuenheimer Feld, Heidelberg, Germany
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Both M, Ahmadi-Simab K, Reuter M, Dourvos O, Fritzer E, Ullrich S, Gross WL, Heller M, Bähre M. MRI and FDG-PET in the assessment of inflammatory aortic arch syndrome in complicated courses of giant cell arteritis. Ann Rheum Dis 2008; 67:1030-3. [PMID: 18223265 DOI: 10.1136/ard.2007.082123] [Citation(s) in RCA: 99] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVES To evaluate the use of MRI and FDG-PET for the diagnosis and measurement of disease activity of inflammatory aortic arch syndrome in patients with complicated giant cell arteritis. METHODS MRI and FDG-PET were performed for 25 patients with giant cell arteritis who presented with a complicated disease course despite immunosuppressive therapy. Disease activity of the thoracic aorta and the supra-aortic arteries as assessed by both modalities was compared with serological (C-reactive protein (CRP), erythrocyte sedimentation rate (ESR)) and clinical findings (Birmingham vasculitis activity score (BVAS.2)). Additionally, the usefulness of MRI for assessment of vessel wall thickening, aneurysms and stenoses was evaluated. RESULTS In 17/25 patients, MRI disclosed structural vessel lesions suspicious for vasculitis. Active disease was detected by MRI, thoracic PET, and whole body PET in 22, 14 and 20 patients, respectively. While serological and clinical findings correlated significantly with each other, there was no concordance with MRI and only low, non-significant correlation of PET with CRP (r(s) = -0.158, 0.136), ESR (r(s) = -0.232, 0.320) and BVAS.2 (r(s) = -0.064, 0.221) for disease activity. CONCLUSIONS MRI and PET are unreliable for assessing large-vessel inflammation in patients with giant cell arteritis and pre-existing immunosuppressive therapy. MRI is valuable for its ability to detect morphological vessel lesions, such as aneurysms and stenoses.
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Affiliation(s)
- M Both
- University Hospital Schleswig-Holstein, Campus Kiel, Department of Diagnostic Radiology, Arnold-Heller-Strasse 9, 24105 Kiel, Germany.
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Abstract
In small vessel vasculitides, imaging studies aid in determining disease extent and activity, localization for biopsy, and for disease monitoring. They do not directly delineate the vasculitic lesion. Imaging studies focus on the upper and lower respiratory tract. Cranial magnetic resonance imaging (MRI) shows upper respiratory and retrobulbar granuloma in Wegener's granulomatosis. Furthermore, MRI depicts both mastoiditis and mucosal inflammation of the ear, nose, and throat. It is sensitive but not specific for the detection of cerebral vasculitis. Computed tomography (CT) reliably detects osseous facial lesions. Chest radiography in two planes remains the standard method of investigation for the lower respiratory tract. High-resolution CT aids in detecting further interstitial pathologies. Medium-sized vasculitides frequently occur with aneurysms. The classification criteria for polyarteritis nodosa involve the angiographic detection of visceral aneurysms. Patients with Kawasaki disease may develop coronary aneurysms that may be described by echocardiography or angiography according to diagnostic criteria. In large-vessel vasculitides such as temporal arteritis (giant cell arteritis) and Takayasu arteritis, MRI, MR-angiography, CT, CT-angiography, and duplex sonography delineate characteristic homogenous wall thickening with or without stenoses in the aorta and other arteries. There is a high correlation with angiography and positron emission tomography. Duplex sonography of the temporal arteries has a high sensitivity and specificity for the diagnosis. Data on temporal artery MRI in giant cell arteritis have recently been published.
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Affiliation(s)
- W A Schmidt
- Rheumaklinik Berlin-Buch, Immanuel Diakonie Group, Karower Strasse 11, 13125 Berlin.
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Schaefer P, Mueller-Huelsbeck S, Schaefer F, Charalambous N, Both M, Heller M, Jahnke T. PO13-330 PROSPECTIVE, RANDOMIZED SINGLE-CENTER STUDY TO COMPARE CRYOPLASTY VERSUS POBA IN THE POPLITEAL ARTERY: FIRST RESULTS OF THE “ROLL-IN” PHASE. ATHEROSCLEROSIS SUPP 2007. [DOI: 10.1016/s1567-5688(07)71340-5] [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: 10/23/2022]
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Heneweer C, Kossel E, Schlorf T, Both M, Mentlein R, Glüer CC, Heller M. Detektion von Eisenoxid-beladenen Endothelzellmonolayern in einem klinschen 3 T-Scanner. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2006-956187] [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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Both M, Aries PM, Reuter M, Schäfer PJ, Gross WL, Heller M, Biederer J. Pulmonale Manifestationen bei Patienten mit mikroskopischer Polyangiitis: Diagnostik mittels HRCT. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977378] [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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Heneweer C, Kossel E, Both M, Jansen O, Mentlein R, Kalthoff H, Glüer CC, Heller M. E-Selektin-Markierung mittels spezifischer superparamagnetischer Eisenoxidnanopartikel: Nachweis von stimulierten Endothelzell-Monolayern bei 3 T. ROFO-FORTSCHR RONTG 2007. [DOI: 10.1055/s-2007-977338] [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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Wegner FV, Both M, Fink RHA, Friedrich O. Elementary Ca2+ release events in mammalian skeletal muscle: effects of the anaesthetic drug thiopental. J Muscle Res Cell Motil 2006; 27:315-26. [PMID: 16897573 DOI: 10.1007/s10974-006-9092-3] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2006] [Accepted: 07/13/2006] [Indexed: 02/04/2023]
Abstract
We examined the effect of clinically relevant doses of thiopental (10-100 microM) on Ca2+ release from the sarcoplasmic reticulum of chemically skinned skeletal muscle fibres of the mouse. Elementary Ca2+ release events (ECRE) were recorded with confocal microscopy and were detected and analysed by an automated algorithm. Thiopental at 25 microM evoked a marked increase in ECRE frequency (events/100 microm/s) from 0.64 +/- 0.32 to 1.56 +/- 0.38 (P < 0.001). Incubation with 5 microM ryanodine significantly reduced spontaneous and evoked ECRE frequencies to 0.08 +/- 0.08 (P < 0.001) and 0.39 +/- 0.25 (25 microM thiopental, P < 0.001) respectively. Thiopental-evoked ECRE show different morphological characteristics compared to spontaneous events. Maximum relative amplitudes (DeltaF/F0)max and spatial width (full width at half maximum) of the events were substantially increased. Full duration at half maximum was increased and some very long events (200 ms compared to approximately 30 ms standard) were produced. The rise times as an indicator of the channel open time were slightly increased. Furthermore, the occurrence of repetitive ECRE was observed. These events, in contrast to previous observations in amphibian skeletal muscle fibres, displayed a multitude of different release patterns. In particular, a repetitive ECRE mode with successively decaying amplitudes was identified and the inter-event intervals were analysed. Estimation of the underlying Ca2+ release current suggests that during repetitive events with a decaying amplitude a decreasing amount of Ca2+ was released within the individual release event. Possible underlying mechanisms are discussed. In summary, thiopental seems to be a potent RyR1 agonist and substantially alters the gating mechanisms of RyR Ca2+ release channel clusters already in clinically relevant doses, i.e. doses administered during general anaesthesia.
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Affiliation(s)
- F v Wegner
- Medical Biophysics, Institute for Physiology and Pathophysiology, University of Heidelberg, INF 326, D-69120, Heidelberg, Germany
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Both M, Aries PM, Müller-Hülsbeck S, Jahnke T, Schäfer PJ, Gross WL, Heller M, Reuter M. Balloon angioplasty of arteries of the upper extremities in patients with extracranial giant-cell arteritis. Ann Rheum Dis 2006; 65:1124-30. [PMID: 16464985 PMCID: PMC1798271 DOI: 10.1136/ard.2005.048470] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.5] [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: 02/06/2023]
Abstract
OBJECTIVES To evaluate the outcome of balloon angioplasty in the arteries of the upper extremities in patients with giant-cell arteritis (GCA) and stenosing extracranial involvement. METHODS Percutaneous transluminal angioplasty (PTA) for symptomatic upper limb artery stenoses (n = 29) and occlusions (n = 1) resistant to medical treatment was carried out in 10 patients (all women, mean age 65 years) with GCA. Vascular lesions were located in the subclavian (n = 4), axillary (n = 10) and brachial (n = 16) arteries. Interventional treatment was accompanied by immunosuppressive drugs in all patients. Follow-up included clinical and serological examination, magnetic resonance angiography and colour duplex ultrasound. RESULTS Initial technical success of angioplasty was achieved in the case of all vascular lesions. In five patients, marked recurrent stenoses (vascular territories; n = 10/30) were found during follow-up (mean 24 months). The cumulative primary patency rate was 65.2%. All recurrent lesions developed in the territories of the initial long-segment stenoses. Repeated PTA (vascular territories, n = 8; patients, n = 5) provided a cumulative secondary patency rate of 82.6% and a cumulative tertiary patency rate of 89.7%. CONCLUSIONS Despite a tendency to restenoses, balloon angioplasty of the upper-extremity artery, in combination with immunosuppressive treatment, is an efficient method for the treatment of extracranial GCA.
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Affiliation(s)
- M Both
- Department of Diagnostic Radiology, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 9, 24105 Kiel, Germany.
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