1
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Zimmermann M, Jayakody D. Supporting the diagnosis of hearing loss and dementia in the clinical setting: A community conversation. Australas J Ageing 2024. [PMID: 38531817 DOI: 10.1111/ajag.13305] [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] [Received: 02/19/2024] [Accepted: 02/25/2024] [Indexed: 03/28/2024]
Affiliation(s)
- Matthew Zimmermann
- University of Western Australia, Perth, Western Australia, Australia
- Ear Science Institute Australia, Perth, Western Australia, Australia
| | - Dona Jayakody
- University of Western Australia, Perth, Western Australia, Australia
- Ear Science Institute Australia, Perth, Western Australia, Australia
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2
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Marques R, Brazo A, Aspillaga E, Zimmermann M, Hereu B, Saragoni G, Mercière A, Crec'Hriou R, Mercader M, Verdoit-Jarraya M, Cadène F, Lenfant P. Movements and spatial distribution of an endangered fish (Sciaena umbra) within a marine protected area. Sci Rep 2024; 14:3103. [PMID: 38326313 PMCID: PMC10850223 DOI: 10.1038/s41598-023-50194-1] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 12/16/2023] [Indexed: 02/09/2024] Open
Abstract
The brown meagre (Sciaena umbra) is an endangered species, which requires specific protection measures to ensure its conservation. These measures need to be informed by high-quality scientific knowledge on their space use patterns. Here, we used acoustic telemetry to assess its seasonal movement patterns and habitat use within a marine protected area (MPA). Our results suggested that S. umbra is a highly sedentary species (home range < 1.0 km2) and, therefore, the MPA is extensive enough to protect the local population. Their population was discretely distributed in two main areas within the MPA, which was likely a result of habitat segregation and density-dependent movements. The temporal variability of their movements further uncovered when and where spawning occurs (mainly, but probably not only, in the fully protected area in June) and indicated that spillover of this species is limited but still possible. Overall, we highlight the importance of MPAs in the recovery of S. umbra, we advocate the need to perpetuate the current national fishing bans and extend it to other countries in the Mediterranean region, and we emphasize that considering the fine-scale movements of S. umbra in future management actions is key to achieving a successful recovery of their populations.
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Affiliation(s)
- R Marques
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
- German Center for Marine Biodiversity Research (DZMB), Senckenberg am Meer, Martin-Luther-King Platz 3, 20146, Hamburg, Germany
| | - A Brazo
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
| | - E Aspillaga
- Institut Mediterrani d'Estudis Avançats, IMEDEA (CSIC-UIB), C/Miquel Marquès 21, 07190, Esporles, Balearic Islands, Spain
| | - M Zimmermann
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
| | - B Hereu
- Department of Evolutionary Biology, Ecology and Environmental Sciences, Institut de Recerca de la Biodiversitat (IRBIO), University of Barcelona (UB), Av. Diagonal 643, 08028, Barcelona, Spain
| | - G Saragoni
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
| | - A Mercière
- PSL Research University: EPHE-CNRS-UPVD, UAR 3278 CRIOBE, BP 1013, 98729, Papetoai, Mo'orea, French Polynesia
- Laboratoire d'Excellence «CORAIL», Papetoai, Moorea, French Polynesia
| | - R Crec'Hriou
- Station Biologique CNRS-Sorbonne Université - Service Observation, Place Georges Teissier CS90074, 29688, Roscoff, France
| | - M Mercader
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
- Marine Eco-Evo-Devo Unit, Okinawa Institute of Science and Technology, Onna-son, Okinawa, 904-0495, Japan
| | - M Verdoit-Jarraya
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France
| | - F Cadène
- Réserve Naturelle Marine de Cerbère Banyuls, 5 Rue Roger David, 66650, Banyuls-sur-Mer, France
| | - Philippe Lenfant
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, Université de Perpignan, Via Domitia, 66860, Perpignan, France.
- Centre de Formation et de Recherche sur les Environnements Méditerranéens, UMR 5110, CNRS, 66860, Perpignan, France.
- Centre de Recherche sur les Ecosystèmes Marins - Plateforme Intervention et Expertise en Environnement Marin (CREM-IEEM), Impasse du Solarium, 66420, Le Barcares, France.
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3
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Clark G, Raniwala H, Koppa M, Chen K, Leenheer A, Zimmermann M, Dong M, Li L, Wen YH, Dominguez D, Trusheim M, Gilbert G, Eichenfield M, Englund D. Nanoelectromechanical Control of Spin-Photon Interfaces in a Hybrid Quantum System on Chip. Nano Lett 2024; 24:1316-1323. [PMID: 38227973 PMCID: PMC10835722 DOI: 10.1021/acs.nanolett.3c04301] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/03/2024] [Accepted: 01/05/2024] [Indexed: 01/18/2024]
Abstract
Color centers (CCs) in nanostructured diamond are promising for optically linked quantum technologies. Scaling to useful applications motivates architectures meeting the following criteria: C1 individual optical addressing of spin qubits; C2 frequency tuning of spin-dependent optical transitions; C3 coherent spin control; C4 active photon routing; C5 scalable manufacturability; and C6 low on-chip power dissipation for cryogenic operations. Here, we introduce an architecture that simultaneously achieves C1-C6. We realize piezoelectric strain control of diamond waveguide-coupled tin vacancy centers with ultralow power dissipation necessary. The DC response of our device allows emitter transition tuning by over 20 GHz, combined with low-power AC control. We show acoustic spin resonance of integrated tin vacancy spins and estimate single-phonon coupling rates over 1 kHz in the resolved sideband regime. Combined with high-speed optical routing, our work opens a path to scalable single-qubit control with optically mediated entangling gates.
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Affiliation(s)
- Genevieve Clark
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
| | - Hamza Raniwala
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
| | - Matthew Koppa
- Sandia
National Laboratories, P.O. Box 5800, Albuquerque, New Mexico 87185, United States
| | - Kevin Chen
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
| | - Andrew Leenheer
- Sandia
National Laboratories, P.O. Box 5800, Albuquerque, New Mexico 87185, United States
| | - Matthew Zimmermann
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
| | - Mark Dong
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
| | - Linsen Li
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
| | - Y. Henry Wen
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
| | - Daniel Dominguez
- Sandia
National Laboratories, P.O. Box 5800, Albuquerque, New Mexico 87185, United States
| | - Matthew Trusheim
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
- DEVCOM,
Army Research Laboratory, Adelphi, Maryland 20783, United States
| | - Gerald Gilbert
- The
MITRE Corporation, 200
Forrestal Road, Princeton, New Jersey 08540, United States
| | - Matt Eichenfield
- College of
Optical Sciences, University of Arizona, Tucson, Arizona 85719, United States
| | - Dirk Englund
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, 50 Vassar Street, Cambridge, Massachusetts 02139, United States
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4
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Dong M, Boyle JM, Palm KJ, Zimmermann M, Witte A, Leenheer AJ, Dominguez D, Gilbert G, Eichenfield M, Englund D. Synchronous micromechanically resonant programmable photonic circuits. Nat Commun 2023; 14:7716. [PMID: 38001076 PMCID: PMC10673894 DOI: 10.1038/s41467-023-42866-3] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 10/22/2023] [Indexed: 11/26/2023] Open
Abstract
Programmable photonic integrated circuits (PICs) are emerging as powerful tools for control of light, with applications in quantum information processing, optical range finding, and artificial intelligence. Low-power implementations of these PICs involve micromechanical structures driven capacitively or piezoelectrically but are often limited in modulation bandwidth by mechanical resonances and high operating voltages. Here we introduce a synchronous, micromechanically resonant design architecture for programmable PICs and a proof-of-principle 1×8 photonic switch using piezoelectric optical phase shifters. Our design purposefully exploits high-frequency mechanical resonances and optically broadband components for larger modulation responses on the order of the mechanical quality factor Qm while maintaining fast switching speeds. We experimentally show switching cycles of all 8 channels spaced by approximately 11 ns and operating at 4.6 dB average modulation enhancement. Future advances in micromechanical devices with high Qm, which can exceed 10000, should enable an improved series of low-voltage and high-speed programmable PICs.
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Affiliation(s)
- Mark Dong
- The MITRE Corporation, 202 Burlington Road, Bedford, MA, 01730, USA.
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.
| | - Julia M Boyle
- The MITRE Corporation, 202 Burlington Road, Bedford, MA, 01730, USA
| | - Kevin J Palm
- The MITRE Corporation, 202 Burlington Road, Bedford, MA, 01730, USA
| | | | - Alex Witte
- The MITRE Corporation, 202 Burlington Road, Bedford, MA, 01730, USA
| | - Andrew J Leenheer
- Sandia National Laboratories, P.O. Box 5800, Albuquerque, NM, 87185, USA
| | - Daniel Dominguez
- Sandia National Laboratories, P.O. Box 5800, Albuquerque, NM, 87185, USA
| | - Gerald Gilbert
- The MITRE Corporation, 200 Forrestal Road, Princeton, NJ, 08540, USA
| | - Matt Eichenfield
- Sandia National Laboratories, P.O. Box 5800, Albuquerque, NM, 87185, USA
- College of Optical Sciences, University of Arizona, Tucson, AZ, 85719, USA
| | - Dirk Englund
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA
- Brookhaven National Laboratory, 98 Rochester Street, Upton, NY, 11973, USA
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5
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Petrich C, Dimroth A, Kraus KM, Winter J, Matejcek C, Butzek M, Natour G, Ravichandran M, Zimmermann M, Aulenbacher K, Galek M, Wilkens J, Combs SE, Bartzsch S. Towards Clinical Translation of Microbeam Radiation Therapy (MRT) with a Compact Source. Int J Radiat Oncol Biol Phys 2023; 117:S38-S39. [PMID: 37784488 DOI: 10.1016/j.ijrobp.2023.06.308] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) MRT is an innovative concept of spatially fractionated radiation therapy that has demonstrated substantially improved normal tissue tolerance while achieving local tumor control in a wealth of preclinical studies. In MRT a collimator shapes a few micrometers wide planar x-ray beams with a spacing of a few 100 µm. MRT has the potential to improve cancer treatment substantially. However, until now, only a few large 3rd generation synchrotrons provide beam parameters that would allow patient treatments and therefore, MRT has not yet become clinically available. For a clinical translation, compact x-ray sources are required, that produce high dose rate orthovoltage x-rays from a micrometer sized emitter. MATERIALS/METHODS We developed and built a first prototype of a line focus x-ray tube (LFxT) dedicated to preclinical MRT research. By exploiting the heat capacity limit, the LFxT can deliver dose rates above 100 Gy/s from a just 50 µm-wide focal spot without destroying the rapidly (>200 Hz) rotating x-ray target. A bespoke collimator splits the homogeneous x-ray field into 50 µm wide high-dose peaks separated by 350 µm wide low-dose troughs (valleys). While the prototype in our lab is restricted to a power of 90 kW and 10 Gy/s at 300 kVp, we have started the development of the first clinically usable LFxT-2 at 1.5 MW power and >100 Gy/s at 600 kVp beam quality. We investigated the clinical applicability of the LFxT-2 by performing retrospective treatment planning studies. In particular, we were examining, whether 600 kVp photons would suffice to meet clinical dose constraints in MRT treatments treatment scenarios for first clinical use of MRT. We coupled the open source platform 3D Slicer with an in-house developed dose calculation algorithm for MRT treatment planning. For comparability of spatially fractionated MRT doses with conventional broad beam treatments, the MRT dose was converted to equivalent uniform dose (EUD) and equivalent doses in 2-Gy-fractions (EQD2). The 3D Slicer RT toolkit enabled the dosimetric analysis based on dose volume histograms (DVHs). RESULTS We installed a preclinical prototype of the LFxT that is currently put into operation and commissioned. Simulations show the feasibility of the next generation LFxT-2 with more than 100 Gy/s peak dose rate. Planned MRT dose distributions with the LFxT-2 meet established radiotherapy dose constraints in many of the investigated clinical cases. However, treatment planning procedures are not yet optimal and require improvement. CONCLUSION In a next step, we will build the LFxT-2 and aim for first clinical MRT trials at this source. In order to further improve calculated MRT dose distributions, we will implement inverse treatment planning techniques.
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Affiliation(s)
- C Petrich
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany; Neutron Source Heinz Maier-Leibnitz (FRM II), Munich, Germany
| | - A Dimroth
- Research Centre Juelich, Juelich, Germany
| | - K M Kraus
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany; Institute of Radiation Medicine (IRM), Helmholtz Zentrum München (HMGU) GmbH German Research Center for Environmental Health, Neuherberg, Germany
| | - J Winter
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany; Institute for Radiation Medicine, Helmholtz Zentrum München, Neuherberg, Germany
| | - C Matejcek
- Helmholtz Institute Mainz, Mainz, Germany
| | - M Butzek
- Research Centre Juelich, Juelich, Germany
| | - G Natour
- Research Centre Juelich, Juelich, Germany
| | - M Ravichandran
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany; Technical University of Munich, Munich, Germany
| | | | | | - M Galek
- University of Applied Sciences Munich, Munich, Germany
| | - J Wilkens
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany
| | - S E Combs
- Institute for Radiation Medicine, Helmholtz Zentrum München, Neuherberg, Germany; Department of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - S Bartzsch
- Department of Radiation Oncology, School of Medicine and Klinikum rechts der Isar, Technical University of Munich (TUM), Munich, Germany; Neutron Source Heinz Maier-Leibnitz (FRM II), Munich, Germany
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6
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Golter DA, Clark G, El Dandachi T, Krastanov S, Leenheer AJ, Wan NH, Raniwala H, Zimmermann M, Dong M, Chen KC, Li L, Eichenfield M, Gilbert G, Englund D. Selective and Scalable Control of Spin Quantum Memories in a Photonic Circuit. Nano Lett 2023; 23:7852-7858. [PMID: 37643457 PMCID: PMC10510697 DOI: 10.1021/acs.nanolett.3c01511] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 07/07/2023] [Indexed: 08/31/2023]
Abstract
A central goal in many quantum information processing applications is a network of quantum memories that can be entangled with each other while being individually controlled and measured with high fidelity. This goal has motivated the development of programmable photonic integrated circuits (PICs) with integrated spin quantum memories using diamond color center spin-photon interfaces. However, this approach introduces a challenge into the microwave control of individual spins within closely packed registers. Here, we present a quantum memory-integrated photonics platform capable of (i) the integration of multiple diamond color center spins into a cryogenically compatible, high-speed programmable PIC platform, (ii) selective manipulation of individual spin qubits addressed via tunable magnetic field gradients, and (iii) simultaneous control of qubits using numerically optimized microwave pulse shaping. The combination of localized optical control, enabled by the PIC platform, together with selective spin manipulation opens the path to scalable quantum networks on intrachip and interchip platforms.
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Affiliation(s)
- D. Andrew Golter
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
| | - Genevieve Clark
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Tareq El Dandachi
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Stefan Krastanov
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Andrew J. Leenheer
- Sandia
National Laboratories, P.O. Box 5800, Albuquerque, New Mexico 87185, United States
| | - Noel H. Wan
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Hamza Raniwala
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Matthew Zimmermann
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
| | - Mark Dong
- The
MITRE Corporation, 202 Burlington Road, Bedford, Massachusetts 01730, United States
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Kevin C. Chen
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Linsen Li
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Matt Eichenfield
- Sandia
National Laboratories, P.O. Box 5800, Albuquerque, New Mexico 87185, United States
- College
of Optical Sciences, University of Arizona, Tucson, Arizona 85719, United States
| | - Gerald Gilbert
- The
MITRE Corporation, 200
Forrestal Road, Princeton, New Jersey 08540, United States
| | - Dirk Englund
- Research
Laboratory of Electronics, Massachusetts
Institute of Technology, Cambridge, Massachusetts 02139, United States
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7
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Rahmani F, Jindal S, Raji CA, Wang W, Nazeri A, Perez-Carrillo GG, Miller-Thomas MM, Graner P, Marechal B, Shah A, Zimmermann M, Chen CD, Keefe S, LaMontagne P, Benzinger TLS. Validity Assessment of an Automated Brain Morphometry Tool for Patients with De Novo Memory Symptoms. AJNR Am J Neuroradiol 2023; 44:261-267. [PMID: 36797031 PMCID: PMC10187815 DOI: 10.3174/ajnr.a7790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 01/09/2023] [Indexed: 02/18/2023]
Abstract
BACKGROUND AND PURPOSE Automated volumetric analysis of structural MR imaging allows quantitative assessment of brain atrophy in neurodegenerative disorders. We compared the brain segmentation performance of the AI-Rad Companion brain MR imaging software against an in-house FreeSurfer 7.1.1/Individual Longitudinal Participant pipeline. MATERIALS AND METHODS T1-weighted images of 45 participants with de novo memory symptoms were selected from the OASIS-4 database and analyzed through the AI-Rad Companion brain MR imaging tool and the FreeSurfer 7.1.1/Individual Longitudinal Participant pipeline. Correlation, agreement, and consistency between the 2 tools were compared among the absolute, normalized, and standardized volumes. Final reports generated by each tool were used to compare the rates of detection of abnormality and the compatibility of radiologic impressions made using each tool, compared with the clinical diagnoses. RESULTS We observed strong correlation, moderate consistency, and poor agreement between absolute volumes of the main cortical lobes and subcortical structures measured by the AI-Rad Companion brain MR imaging tool compared with FreeSurfer. The strength of the correlations increased after normalizing the measurements to the total intracranial volume. Standardized measurements differed significantly between the 2 tools, likely owing to differences in the normative data sets used to calibrate each tool. When considering the FreeSurfer 7.1.1/Individual Longitudinal Participant pipeline as a reference standard, the AI-Rad Companion brain MR imaging tool had a specificity of 90.6%-100% and a sensitivity of 64.3%-100% in detecting volumetric abnormalities. There was no difference between the rate of compatibility of radiologic and clinical impressions when using the 2 tools. CONCLUSIONS The AI-Rad Companion brain MR imaging tool reliably detects atrophy in cortical and subcortical regions implicated in the differential diagnosis of dementia.
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Affiliation(s)
- F Rahmani
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - S Jindal
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - C A Raji
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - W Wang
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - A Nazeri
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - G G Perez-Carrillo
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
| | - M M Miller-Thomas
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
| | - P Graner
- Siemens Medical Solutions (P.G., B.M., M.Z.), Malvern, Pennsylvania
- Advanced Clinical Imaging Technology (P.G., B.M., M.Z.), Siemens Healthcare, Lausanne, Switzerland
- Department of Radiology (P.G., B.M., M.Z.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (P.G., B.M., A.S., M.Z.), Lausanne, Switzerland
- Siemens Healthcare (P.G., B.M., M.Z.), Erlangen, Germany
| | - B Marechal
- Siemens Medical Solutions (P.G., B.M., M.Z.), Malvern, Pennsylvania
- Advanced Clinical Imaging Technology (P.G., B.M., M.Z.), Siemens Healthcare, Lausanne, Switzerland
- Department of Radiology (P.G., B.M., M.Z.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (P.G., B.M., A.S., M.Z.), Lausanne, Switzerland
- Siemens Healthcare (P.G., B.M., M.Z.), Erlangen, Germany
| | - A Shah
- LTS5, École Polytechnique Fédérale de Lausanne (P.G., B.M., A.S., M.Z.), Lausanne, Switzerland
| | - M Zimmermann
- Siemens Medical Solutions (P.G., B.M., M.Z.), Malvern, Pennsylvania
- Advanced Clinical Imaging Technology (P.G., B.M., M.Z.), Siemens Healthcare, Lausanne, Switzerland
- Department of Radiology (P.G., B.M., M.Z.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (P.G., B.M., A.S., M.Z.), Lausanne, Switzerland
- Siemens Healthcare (P.G., B.M., M.Z.), Erlangen, Germany
| | - C D Chen
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
| | - S Keefe
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
| | - P LaMontagne
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
| | - T L S Benzinger
- From the Mallinckrodt Institute of Radiology, Division of Neuroradiology (F.R., S.J., C.A.R., W.W., A.N., G.G.P.-C., M.M.M.-T., C.D.C., S.K., P.L., T.L.S.B.)
- Charles F. and Joanne Knight Alzheimer Disease Research Center (F.R., S.J., C.A.R., W.W., A.N., C.D.C., T.L.S.B.), Washington University in St. Louis, St. Lous, Missouri
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8
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Riquelme A, Zimmermann M, von Mersi H, Kabíčková E, Foerster J, Finger J, Müller S, Attarbaschi A, Burkhardt B, Woessmann W. NON-HODGKIN LYMPHOMA PRESENTING WITH SPINAL CORD COMPRESSION: A POPULATION-BASED ANALYSIS ON THE NHL-BFM STUDY GROUP. Leuk Res 2022. [DOI: 10.1016/s0145-2126(22)00297-1] [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: 11/05/2022]
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9
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Setton J, Gallo D, Glodzik D, Kaiser B, Braverman S, Ubhi T, Fournier S, Selenica P, Laterreur N, Roulston A, Brown G, Morris S, Reis-Filho J, Zimmermann M. CDK12 loss leads to replication stress and sensitivity to combinations of the ATR inhibitor camonsertib (RP-3500) with PARP inhibitors. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01063-2] [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: 11/03/2022]
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10
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Damm-Welk C, Luedersen J, Stadt U, Richter J, Oschlies I, Klapper W, Rosenwald A, Kalinova M, Simonitsch-Klupp I, Siebert R, Zimmermann M, Alawi M, Nakel J, Scheinemann K, Knörr F, Attarbaschi A, Kabickova E, Woessmann W. VARIANT ALK-FUSION POSITIVE ANAPLASTIC LARGE CELL LYMPHOMA (ALCL): A POPULATION-BASED COHORT OF THE NHL-BFM STUDY GROUP. Leuk Res 2022. [DOI: 10.1016/s0145-2126(22)00235-1] [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: 11/06/2022]
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11
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Iaccarino I, Au-Yeung R, Padilla L, Zimmermann M, Reinke S, Oschlies I, Escherich G, Woessmann W, Burkhardt B, Klapper W. MOLECULAR GENETICS ANALYSIS OF B-CELL PRECURSOR LYMPHOMA IN PEDIATRIC AND ADOLESCENT PATIENTS REVEALS HIGH FREQUENCY OF KMT2A TRANSLOCATIONS. Leuk Res 2022. [DOI: 10.1016/s0145-2126(22)00246-6] [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: 11/06/2022]
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12
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Dzajic E, Alten J, Zimmermann M, Möricke A, Schrappe M, Cario G. Prognostic significance of minimal residual disease prior to
reinduction in intermediate risk patients with ALL. KLINISCHE PADIATRIE 2022. [DOI: 10.1055/s-0042-1748678] [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] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- E Dzajic
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
| | - J Alten
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
| | - M Zimmermann
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
| | - A Möricke
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
| | - M Schrappe
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
| | - G Cario
- Department of Pediatrics, University Medical Center Schleswig-Holstein,
Campus Kiel, Germany
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13
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Zimmermann M, Zenk M, Breuer K, Schwab F, Ströhle S, Pemsel F, Keßler P, Greber J, Flentje M, Polat B. PO-1231 Deep inspiration breath-hold in breast cancer radiotherapy using a laser beam based gating system. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03195-4] [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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14
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Nofcz L, Alten J, Zimmermann M, Koehler R, Möricke A, Schrappe M, Cario G. Prognostic relevance of persisting minimal residual disease in
children with ALL and slow early response to chemotherapy. KLINISCHE PADIATRIE 2022. [DOI: 10.1055/s-0042-1748694] [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] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- L Nofcz
- Department of Pediatrics, University Hospital Schleswig-Holstein, Kiel,
Germany
| | - J Alten
- Department of Pediatrics, University Hospital Schleswig-Holstein, Kiel,
Germany
| | - M Zimmermann
- Department of Pediatric Hematology and Oncology, Hannover Medical
School, Hannover, Germany
| | - R Koehler
- Institute of Human Genetics, University Hospital Heidelberg,
Germany
| | - A Möricke
- Department of Pediatrics, University Hospital Schleswig-Holstein, Kiel,
Germany
| | - M Schrappe
- Department of Pediatrics, University Hospital Schleswig-Holstein, Kiel,
Germany
| | - G Cario
- Department of Pediatrics, University Hospital Schleswig-Holstein, Kiel,
Germany
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15
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Bartzsch S, Dimroth A, Winter J, Petrich C, Matejcek C, Zhang Y, Rieser J, Rötzer S, Krämer KL, Zimmermann M, Galek M, Butzek M, Aulenbacher K, Wilkens J, Combs S. THE LINE FOCUS X-RAY TUBE: AN X-RAY SOURCE FOR FLASH AND SPATIALLY FRACTIONATED RADIATION THERAPY. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)01595-2] [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: 10/19/2022] Open
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16
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Zimmermann M, Moser L, Moret C, Iordache E, Amsler F, Rasch H, Hügli R, Hirschmann MT. Under-correction of preoperative varus alignment does not lead to a difference in in-vivo bone loading in 3D-SPECT/CT compared to neutral alignment. Knee 2022; 34:259-269. [PMID: 35077945 DOI: 10.1016/j.knee.2022.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 11/15/2021] [Accepted: 01/06/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND The aim was to investigate the correlation of bone tracer uptake (BTU) in SPECT/CT and changes in coronal knee alignment after total knee arthroplasty (TKA). We questioned if undercorrection of preoperative varus alignment leads to a difference in BTU compared to neutral alignment. METHODS Consecutive 66 patients who received SPECT/CT before and after TKA were retrospectively included. Adjusted mechanical alignment was the alignment target. The alignment of the knee was measured on 3D-CT by selecting standardized landmarks. Maximum (mean ± SD) and relative BTU (ratio to the reference) were recorded using a previously validated localization scheme (p < 0.05). RESULTS In the native group, 20 knees were aligned (30.3%) in valgus (HKA > 181.5°), 12 (18.2%) in neutral (178.5°-181.5°) and 34 (51.5%) in varus (HKA < 178°). Overall TKA changed the alignment towards neutral. 48.5% remained in the same groups, whereas 50% of native valgus and 33% of varus knees changed to neutral after TKA. In native varus alignment mean BTU was significantly higher in some medial tibial and femoral regions (fem1ia (p = 0.010), fem1ip (p = 0.002), tib1a.mid (p = 0.005), tib1a.tray (p = 0.000), tib1p.tray (p = 0.000)); in native valgus alignment mean BTU was higher in the corresponding lateral tibial and femoral regions (fem2ip (p = 0.001), tib2a.tray (p = 0.011), tib2p.tray (p = 0.002)). After TKA, a significant decrease in femoral and tibial BTU (femoral preoperative BTU 1.64 +/-0.69; femoral postoperative BTU 0.95 +/-0.42; p = 0.000// tibial preoperative BTU 1.65 +/- 0.93; tibial postoperative BTU 1.16 +/- 0.48; p = 0.000) and an increase in patellar BTU was observed (p = 0.025). Native varus alignment correlated with a higher medial BTU decrease medially. Undercorrection of preoperative varus alignment showed no higher BTU after TKA. CONCLUSION Preoperative varus alignment correlated with a higher decrease in BTU in specific femoral and tibial medial regions. Preoperative valgus alignment correlated with a higher decrease in the corresponding lateral regions. Undercorrection of preoperative varus alignment did not lead to higher bone loading reflected by BTU after TKA.
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Affiliation(s)
- M Zimmermann
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland; University of Basel, Basel, Switzerland
| | - L Moser
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland
| | - C Moret
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland; University of Basel, Basel, Switzerland
| | - E Iordache
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland; University of Basel, Basel, Switzerland
| | - F Amsler
- Amsler Consulting, Basel, Switzerland
| | - H Rasch
- Institute of Radiology and Nuclear Medicine, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland
| | - R Hügli
- Institute of Radiology and Nuclear Medicine, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland
| | - M T Hirschmann
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland; University of Basel, Basel, Switzerland.
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17
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Zimmermann M, Mostowski P, Rutkowski P, Tomaszewski P, Krzysztofiak P, Jednoróg K, Marchewka A, Szwed M. The Extent of Task Specificity for Visual and Tactile Sequences in the Auditory Cortex of the Deaf and Hard of Hearing. J Neurosci 2021; 41:9720-9731. [PMID: 34663627 PMCID: PMC8612642 DOI: 10.1523/jneurosci.2527-20.2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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] [Received: 09/28/2020] [Revised: 09/23/2021] [Accepted: 09/27/2021] [Indexed: 11/21/2022] Open
Abstract
It has been proposed that the auditory cortex in the deaf humans might undergo task-specific reorganization. However, evidence remains scarce as previous experiments used only two very specific tasks (temporal processing and face perception) in visual modality. Here, congenitally deaf/hard of hearing and hearing women and men were enrolled in an fMRI experiment as we sought to fill this evidence gap in two ways. First, we compared activation evoked by a temporal processing task performed in two different modalities, visual and tactile. Second, we contrasted this task with a perceptually similar task that focuses on the spatial dimension. Additional control conditions consisted of passive stimulus observation. In line with the task specificity hypothesis, the auditory cortex in the deaf was activated by temporal processing in both visual and tactile modalities. This effect was selective for temporal processing relative to spatial discrimination. However, spatial processing also led to significant auditory cortex recruitment which, unlike temporal processing, occurred even during passive stimulus observation. We conclude that auditory cortex recruitment in the deaf and hard of hearing might involve interplay between task-selective and pluripotential mechanisms of cross-modal reorganization. Our results open several avenues for the investigation of the full complexity of the cross-modal plasticity phenomenon.SIGNIFICANCE STATEMENT Previous studies suggested that the auditory cortex in the deaf may change input modality (sound to vision) while keeping its function (e.g., rhythm processing). We investigated this hypothesis by asking deaf or hard of hearing and hearing adults to discriminate between temporally and spatially complex sequences in visual and tactile modalities. The results show that such function-specific brain reorganization, as has previously been demonstrated in the visual modality, also occurs for tactile processing. On the other hand, they also show that for some stimuli (spatial) the auditory cortex activates automatically, which is suggestive of a take-over by a different kind of cognitive function. The observed differences in processing of sequences might thus result from an interplay of task-specific and pluripotent plasticity.
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Affiliation(s)
- M Zimmermann
- Institute of Psychology, Jagiellonian University, 30-060 Krakow, Poland
| | - P Mostowski
- Section for Sign Linguistics, University of Warsaw, 00-927 Warsaw, Poland
| | - P Rutkowski
- Section for Sign Linguistics, University of Warsaw, 00-927 Warsaw, Poland
| | - P Tomaszewski
- Polish Sign Language and Deaf Communication Research Laboratory, Faculty of Psychology, University of Warsaw, 00-183 Warsaw, Poland
| | - P Krzysztofiak
- Faculty of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland
| | - K Jednoróg
- Laboratory of Language Neurobiology, Nencki Institute for Experimental Biology, 02-093 Warsaw, Poland
| | - A Marchewka
- Laboratory of Brain Imaging, Nencki Institute for Experimental Biology, 02-093 Warsaw, Poland
| | - M Szwed
- Institute of Psychology, Jagiellonian University, 30-060 Krakow, Poland
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18
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Knörr F, Zimmermann M, Attarbaschi A, Kabíčková E, Maecker‐Kolhoff B, Ruf S, Kühnle I, Ebinger M, Garthe A, Oschlies I, Klapper W, Burkhardt B, Wößmann W. DOSE‐ADJUSTED EPOCH‐RITUXIMAB OR INTENSIFIED B‐NHL‐BFM‐TYPE THERAPY FOR PEDIATRIC PRIMARY MEDIASTINAL B‐CELL LYMPHOMA. Hematol Oncol 2021. [DOI: 10.1002/hon.36_2879] [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: 11/08/2022]
Affiliation(s)
- F Knörr
- UKE Departement of Pediatric Hematology and Oncology, Hamburg Germany
| | - M Zimmermann
- annover Medical School Clinic for Pediatric Hematology and Oncology Hannover Germany
| | - A Attarbaschi
- St. Anna Children's Hospital Medical University of Vienna Department of Pediatric Hematology and Oncology Vienna Austria
| | - E Kabíčková
- University of Prague Department for Paediatric Haematology and Oncology Prague Czech Republic
| | - B Maecker‐Kolhoff
- annover Medical School Clinic for Pediatric Hematology and Oncology Hannover Germany
| | - S Ruf
- University of Gießen Pediatric Hematology and Oncology Gießen Germany
| | - I Kühnle
- University Medical Center Göttingen Division of Pediatric Hematology and Oncology Göttingen Germany
| | - M Ebinger
- University of Tübingen Department of Pediatric Hematology and Oncology Tübingen Germany
| | - A.‐K Garthe
- University‐Hospital of Münster Pediatric Hematology and Oncology Münster Germany
| | - I Oschlies
- niversitätsklinikum Schleswig‐Holstein Campus Kiel Institute of Pathology Hematopathology Section and Lymph Node Registry Kiel Germany
| | - W Klapper
- niversitätsklinikum Schleswig‐Holstein Campus Kiel Institute of Pathology Hematopathology Section and Lymph Node Registry Kiel Germany
| | - B Burkhardt
- University‐Hospital of Münster Pediatric Hematology and Oncology Münster Germany
| | - W Wößmann
- UKE Departement of Pediatric Hematology and Oncology, Hamburg Germany
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Dommasch M, Zimmermann M, Kanz KG, Spinner CD. [Role of university hospitals in Bavaria during the COVID-19 pandemic]. Med Klin Intensivmed Notfmed 2021; 117:305-308. [PMID: 33646331 PMCID: PMC7917524 DOI: 10.1007/s00063-021-00793-5] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Revised: 12/17/2020] [Accepted: 01/20/2021] [Indexed: 11/21/2022]
Abstract
Hintergrund Anfang 2020 wurde deutschlandweit das Gesundheitswesen bedingt durch die coronavirus disease 2019 (COVID-19)-Pandemie auf einen Notbetrieb umgestellt. In Bayern wurde durch das zuständige Innen- und Gesundheitsministerium zu Beginn der ersten Welle eine Allgemeinverfügung erlassen, in der unter anderem die Organisation der Krankenhausbelegung, Neukonzeption der Informationstechnologie(IT)-Steuerung und Meldepflichten angeordnet wurden. Ziel dieser Auswertung war es, die Bedeutung der universitären Medizin für die stationäre Behandlung von COVID-19-Patienten in Bayern zu untersuchen. Methoden Es erfolgte eine retrospektive Auswertung aller stationär behandelten COVID-19-Patienten, die über das Modul IVENA Sonderlage (IVENA eHealth, [IVENA, interdisziplinärer Versorgungsnachweis, mainis IT-Service GmbH, Offenbach am Main, Deutschland]) gemeldet wurden. Hierbei wurden die gemeldeten Behandlungstage aller bayerischen Kliniken, die an der Versorgung von COVID-19-Patienten teilgenommen haben, ausgewertet. Ergebnisse Im Rahmen der ersten Welle der COVID-19-Pandemie wurden 90,9 % der Behandlungstage von kommunalen und öffentlichen sowie privaten Krankenhäusern in Bayern bereitgestellt. Neben der medizinischen Versorgung von COVID-19-Patienten mit komplexen Verläufen (20 % der Intensivstations[ICU]- und Intermediate-care-Stations [IMC]-Behandlungstage) leistete die Universitätsmedizin in Bayern mit ihren Kliniken einen relevanten wissenschaftlichen Beitrag und war wesentlich an der Beratung von Ärzten, Krankenhäusern und Politik zur Pandemie beteiligt.
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Affiliation(s)
- M Dommasch
- Fakultät für Medizin, Zentrale Interdisziplinäre Notaufnahme, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.
| | - M Zimmermann
- Fakultät für Medizin, Zentrale Notaufnahme, Universitätsklinikum Regensburg, Universität Regensburg, Regensburg, Deutschland
| | - K-G Kanz
- Fakultät für Medizin, Zentrale Interdisziplinäre Notaufnahme, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland
| | - C D Spinner
- Fakultät für Medizin, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technische Universität München, München, Deutschland
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20
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Cipryan L, Kutac P, Dostal T, Zimmermann M, Krajcigr M, Jandackova V, Sram R, Jandacka D, Hofmann P. Regular running in an air-polluted environment: physiological and anthropometric protocol for a prospective cohort study (Healthy Aging in Industrial Environment Study - Program 4). BMJ Open 2020; 10:e040529. [PMID: 33303450 PMCID: PMC7733192 DOI: 10.1136/bmjopen-2020-040529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 10/27/2020] [Accepted: 11/18/2020] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Ambient air pollution is a global environmental problem, which causes adverse health effects and premature deaths worldwide. Although regular exercise and physical activity have evident health benefits, the influence of long-term air pollution exposure during regular outdoor running has not been definitively clarified. METHODS AND ANALYSIS This study protocol describes the physiological and anthropometric perspectives of the 'Healthy Aging in Industrial Environment' Study - Programme 4 (4HAIE). The 4HAIE research project is intended to be a single-centre, prospective, longitudinal and multidisciplinary cohort study. The presented study protocol describes the cross-sectional measurements and analyses. Overall, 1500 adult participants (age 18-65 years), runners and inactive individuals, living in a high or low air-polluted area of the Czech Republic will be recruited. We will measure and analyse biomarkers of oxidative stress and inflammation in the blood, exercise capacity (graded exercise test and spiroergometry), blood pressure, lung function (spirometry), cardiac autonomic regulation and anthropometry (body composition). ETHICS AND DISSEMINATION The 4HAIE study protocol has already been approved by the Ethics Committee of the University of Ostrava (3/2018). A detailed participant information sheet will be provided to each individual prior to obtaining their written informed consent. The study poses little to no risk to participants. The findings of this study will be disseminated at regional and international conferences, in peer-reviewed journals and via social and broadcast media.
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Affiliation(s)
- Lukas Cipryan
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Petr Kutac
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Tomas Dostal
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Matthew Zimmermann
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Miroslav Krajcigr
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Vera Jandackova
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
- Department of Epidemiology and Public Health, University of Ostrava, Ostrava, Czech Republic
| | - Radim Sram
- Department of Genetic Toxicology and Epigenetics, Institute of Experimental Medicine, Czech Academy of Sciences, Prague, Czech Republic
- Centre for Epidemiological Research, University of Ostrava, Ostrava, Czech Republic
| | - Daniel Jandacka
- Department of Human Movement Science, University of Ostrava, Ostrava, Czech Republic
| | - Peter Hofmann
- Institute of Human Movement Science, Sport & Health, Exercise Physiology, Training & Training Therapy Research Group, University of Graz, Graz, Austria
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Rima L, Fränkl A, Syntychaki A, Oliva P, Zimmermann M, Wildermuth X, Sütterlin R, Braun T. Microfluidics and Electron Microscopy: A Powerful Couple. Chimia (Aarau) 2020. [DOI: 10.2533/chimia.2020.906] [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: 11/19/2022] Open
Affiliation(s)
- Luca Rima
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel
| | - Andri Fränkl
- Swiss Nanoscience Institute, University of Basel, CH-4056 Basel
| | - Anastasia Syntychaki
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel
| | - Paola Oliva
- Swiss Nanoscience Institute, University of Basel, CH-4056 Basel
| | - M. Zimmermann
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel
| | - Xavier Wildermuth
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel
| | - Rosemarie Sütterlin
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel
| | - Thomas Braun
- Center for Cellular Imaging and Nanoanalytics, Biozentrum, University of Basel, Mattenstrasse 26, CH-4058 Basel; Swiss Nanoscience Institute, University of Basel, CH-4056 Basel;,
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22
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Vamvakeros A, Coelho AA, Matras D, Dong H, Odarchenko Y, Price SWT, Butler KT, Gutowski O, Dippel AC, Zimmermann M, Martens I, Drnec J, Beale AM, Jacques SDM. DLSR: a solution to the parallax artefact in X-ray diffraction computed tomography data. J Appl Crystallogr 2020. [DOI: 10.1107/s1600576720013576] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
A new tomographic reconstruction algorithm is presented, termed direct least-squares reconstruction (DLSR), which solves the well known parallax problem in X-ray-scattering-based experiments. The parallax artefact arises from relatively large samples where X-rays, scattered from a scattering angle 2θ, arrive at multiple detector elements. This phenomenon leads to loss of physico-chemical information associated with diffraction peak shape and position (i.e. altering the calculated crystallite size and lattice parameter values, respectively) and is currently the major barrier to investigating samples and devices at the centimetre level (scale-up problem). The accuracy of the DLSR algorithm has been tested against simulated and experimental X-ray diffraction computed tomography data using the TOPAS software.
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Zimmermann M, Vallier S, Sanchez BG, Agossou M, Venissac N. Tracheal obstruction due to tumour: use of veno-venous extracorporeal membrane oxygenation during rigid bronchoscopy. Anaesth Rep 2020; 8:120-122. [PMID: 33089217 DOI: 10.1002/anr3.12064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2020] [Indexed: 12/19/2022] Open
Abstract
Tracheal tumour is rare but can lead to upper airway obstruction and acute respiratory distress. Its management includes surgical resection, radiotherapy or interventional bronchoscopy. Ventilation or difficulties with tracheal intubation can occur during the peri-operative course resulting in serious adverse consequences. We report the case of an 83-year-old man with an obstructive tracheal chondrosarcoma resected by rigid bronchoscopy undergoing veno-venous extracorporeal membrane oxygenation. Such support should be considered when the patient's airway patency cannot be ensured by conventional methods.
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Affiliation(s)
- M Zimmermann
- Department of Thoracic and Cardiovascular Surgery University Hospital of Martinique Fort-De-France France
| | - S Vallier
- Department of Anaesthesiology and Reanimation University Hospital of Martinique Fort-De-France France
| | - B G Sanchez
- Department of Thoracic and Cardiovascular Surgery University Hospital of Martinique Fort-De-France France
| | - M Agossou
- Pneumology University Hospital of Martinique Fort-De-France France
| | - N Venissac
- Department of Thoracic and Cardiovascular Surgery University Hospital of Martinique Fort-De-France France
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24
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Janjic T, Pereverzyev S, Hammerl M, Neubauer V, Lerchner H, Wallner V, Steiger R, Kiechl-Kohlendorfer U, Zimmermann M, Buchheim A, Grams AE, Gizewski ER. Feed-forward neural networks using cerebral MR spectroscopy and DTI might predict neurodevelopmental outcome in preterm neonates. Eur Radiol 2020; 30:6441-6451. [PMID: 32683551 PMCID: PMC7599175 DOI: 10.1007/s00330-020-07053-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 06/11/2020] [Accepted: 06/30/2020] [Indexed: 11/28/2022]
Abstract
Objectives We aimed to evaluate the ability of feed-forward neural networks (fNNs) to predict the neurodevelopmental outcome (NDO) of very preterm neonates (VPIs) at 12 months corrected age by using biomarkers of cerebral MR proton spectroscopy (1H-MRS) and diffusion tensor imaging (DTI) at term-equivalent age (TEA). Methods In this prospective study, 300 VPIs born before 32 gestational weeks received an MRI scan at TEA between September 2013 and December 2017. Due to missing or poor-quality spectroscopy data and missing neurodevelopmental tests, 173 VPIs were excluded. Data sets consisting of 103 and 115 VPIs were considered for prediction of motor and cognitive developmental delay, respectively. Five metabolite ratios and two DTI characteristics in six different areas of the brain were evaluated. A feature selection algorithm was developed for receiving a subset of characteristics prevalent for the VPIs with a developmental delay. Finally, the predictors were constructed employing multiple fNNs and fourfold cross-validation. Results By employing the constructed fNN predictors, we were able to predict cognitive delays of VPIs with 85.7% sensitivity, 100% specificity, 100% positive predictive value (PPV) and 99.1% negative predictive value (NPV). For the prediction of motor delay, we achieved a sensitivity of 76.9%, a specificity of 98.9%, a PPV of 90.9% and an NPV of 96.7%. Conclusion FNNs might be able to predict motor and cognitive development of VPIs at 12 months corrected age when employing biomarkers of cerebral 1H-MRS and DTI quantified at TEA. Key Points • A feed-forward neuronal network is a promising tool for outcome prediction in premature infants. • Cerebral proton magnetic resonance spectroscopy and diffusion tensor imaging can be used for the construction of early prognostic biomarkers. • Premature infants that would most benefit from early intervention services can be spotted at the time of optimal neuroplasticity. Electronic supplementary material The online version of this article (10.1007/s00330-020-07053-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- T Janjic
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria. .,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria.
| | - S Pereverzyev
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria
| | - M Hammerl
- Department of Paediatrics II, Neonatology, Medical University of Innsbruck, Innsbruck, Austria
| | - V Neubauer
- Department of Paediatrics II, Neonatology, Medical University of Innsbruck, Innsbruck, Austria
| | - H Lerchner
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria
| | - V Wallner
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria
| | - R Steiger
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria
| | - U Kiechl-Kohlendorfer
- Department of Paediatrics II, Neonatology, Medical University of Innsbruck, Innsbruck, Austria
| | - M Zimmermann
- Department of Paediatrics II, Neonatology, Medical University of Innsbruck, Innsbruck, Austria
| | - A Buchheim
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - A E Grams
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria
| | - E R Gizewski
- Department of Neuroradiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.,Neuroimaging Research Core Facility, Medical University of Innsbruck, Innsbruck, Austria
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25
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Schulze-Hagen M, Truhn D, Duong F, Keil S, Pedersoli F, Kuhl CK, Lurje G, Neumann U, Isfort P, Bruners P, Zimmermann M. Correlation Between Sarcopenia and Growth Rate of the Future Liver Remnant After Portal Vein Embolization in Patients with Colorectal Liver Metastases. Cardiovasc Intervent Radiol 2020; 43:875-881. [PMID: 31974746 PMCID: PMC7225189 DOI: 10.1007/s00270-020-02416-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Accepted: 01/09/2020] [Indexed: 12/16/2022]
Abstract
PURPOSE To investigate whether sarcopenia and myosteatosis correlate with the degree of hypertrophy (DH) and kinetic growth rate (KiGR) of the future liver remnant (FLR) in patients with colorectal liver metastases undergoing portal vein embolization (PVE) in preparation for right hepatectomy. MATERIALS AND METHODS Forty-two patients were included. Total liver volume and FLR volume were measured before and 2-4 weeks after PVE. KiGR of the FLR was calculated. Sarcopenia was assessed using the total psoas muscle volume (PMV), the psoas muscle cross-sectional area (PMCS) and the total skeletal muscle index (L3SMI) at the level of 3rd lumbar vertebra. Degree of myosteatosis was assessed by mean muscle attenuation at L3 (L3MA). Correlations between muscle indices and DH and KiGR were assessed using simple linear regression analyses. RESULTS Mean DH was 8.9 ± 5.7%, and mean KiGR was 3.6 ± 2.3. Mean PMV was 55.56 ± 14.19 cm3/m3, mean PMCS was 8.76 ± 2.3 cm2/m2, mean L3SMI was 45.6 ± 9.89 cm2/m2, and mean L3MA was 27.9 ± 18.6 HU. There was a strong positive correlation between PMV and DH (R = 0.503, p = 0.001) and PMV and KiGR (R = 0.545, p < 0.001). Furthermore, there was a moderate correlation between PMCS and KiGR (R = 0.389, p = 0.014). L3SMI and L3MA were neither associated with DH (p = 0.390 and p = 0.768, respectively) nor with KiGR (p = 0.188 and p = 0.929, respectively). CONCLUSION We identified a positive correlation between PMV and PMCS, as markers for sarcopenia, and the KiGR of the FLR after PVE. PMV and PMCS might therefore aid to identify patients who are poor candidates for FLR augmentation using PVE alone.
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Affiliation(s)
- M Schulze-Hagen
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany.
| | - D Truhn
- Institute of Imaging and Computer Vision, RWTH Aachen University, Aachen, DE, Germany
| | - F Duong
- Institute of Imaging and Computer Vision, RWTH Aachen University, Aachen, DE, Germany
| | - S Keil
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - F Pedersoli
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - C K Kuhl
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - G Lurje
- Department of Surgery and Transplantation, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - U Neumann
- Department of Surgery and Transplantation, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - P Isfort
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - P Bruners
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
| | - M Zimmermann
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, DE, Germany
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26
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Höcketstaller F, Henkemeier U, Zimmermann M, Burkhardt H, Behrens F, Drott U, Köhm M. SAT0325 STELLATE BLOCKADE COMBINED TO ILOPROST AS SUPPORTIVE TREATMENT OPTION IMPROVES PAIN AND ISCHAEMIC SYMPTOMS IN PATIENTS WITH SYSTEMIC SCLEROSIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.5393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Peripheral ischaemia is a common symptom in systemic sclerosis (SSc) patients with risk of development of digital ulcers (DU). For its treatment, intravenous iloprost is the most effective option. Accompanying pain symptoms worsen the ischaemic symptoms, so a combination with anaesthetic procedures may improve ischaemic status and the subjective sensation of raynaud and pain. The aim of this study was to observe the impact of a combined treatment of iloprost with stellate blockade (ILOST) in improvement of ischaemic symptoms compared to iloprost treatment only (ILO).Objectives:To evaluate efficacy of the ILOST treatment on changes in vascularisation and sensation of patients with SSc and indication for vasodilatative treatment with Iloprost.Methods:Twenty SSc-patients with indication for ILO-treatment (prophylactic or due to digital ulcerations (DU)) will be included in a prospective observational study. Patients will be offered to combine ILO with stellate blockade (ILOST). Beside documentation of disease activity characteristics (mRSS, number of DU, capillary microscopy at baseline, after ILO-treatment and at week 12), patients are assessed using fluorescence-optical imaging (FOI) as innovative method for illustration of changes in microvascularisation and patient reported outcomes (DASH, VAS) at week 12.Results:This interims analysis includes the result of the first 11 patients treated. Mean baseline characteristics (age and gender) are well balanced. Iloprost treatment was initiated due to prophylactic treatment to avoid DU in all patients. 100% of the patients in the ILOST-group were diagnosed as limited SSc compared to 60% in the ILO-group (diffuse type with 40%). All patients showed abnormalities in capillary microscopy (ILOST group: 83,3% late pattern 16.7% active pattern; ILO group: 80% late pattern, 20% early pattern). MRSS was low in both groups with 1.8, the disease duration in mean 15.3 years in the ILOST-group compared to 13.2 in the ILO-group, respectively. In both groups, no new DU occurred in the 12-week follow-up. Improvement in VAS pain was reported in 83% of the patients in the ILOST group compared to 60% in the ILO group. DASH improved with a mean of 5.5 points in the ILOST group compared to 3 points in the ILO group. FOI was compared individual at both arms in the ILOST group only. The arm with stellatum blockade showed a pronounced increase of FOI signals of 5% in mean whereas the opposite site showed a decrease of the signal shortly after ILO treatment indicating a pronounced increase of vascularisation in the ILOST treated body site.Conclusion:A new treatment approach to improve acute ischaemic symptoms was tested by combining stellate blockade to iloprost treatment. No new DU occurred up to 12 weeks after treatment in all patients of both groups indicating the relevance of iloprost as effective vascular dilatative therapy in SSc. The additional intervention was well tolerated and asked to repeat. Subjective sensation on pain of the hands as well as DASH was improved in the combined group. FOI showed a relevant increase in vascularisation in the blockade arm compared to the opposite site in which signals decreased indicating a stronger effect of the combined treatment for improvement of vascularisation.Disclosure of Interests:Franziska Höcketstaller Grant/research support from: Rheumazentrum Rhein-Main, Ulf Henkemeier: None declared, Michael Zimmermann: None declared, Harald Burkhardt Grant/research support from: Pfizer, Roche, Abbvie, Consultant of: Sanofi, Pfizer, Roche, Abbvie, Boehringer Ingelheim, UCB, Eli Lilly, Chugai, Bristol Myer Scripps, Janssen, and Novartis, Speakers bureau: Sanofi, Pfizer, Roche, Abbvie, Boehringer Ingelheim, UCB, Eli Lilly, Chugai, Bristol Myer Scripps, Janssen, and Novartis, Frank Behrens Grant/research support from: Pfizer, Janssen, Chugai, Celgene, Lilly and Roche, Consultant of: Pfizer, AbbVie, Sanofi, Lilly, Novartis, Genzyme, Boehringer, Janssen, MSD, Celgene, Roche and Chugai, Ulrich Drott: None declared, Michaela Köhm Grant/research support from: Pfizer, Janssen, BMS, LEO, Consultant of: BMS, Pfizer, Speakers bureau: Pfizer, BMS, Janssen, Novartis
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Ottria A, Hoekstra AT, Zimmermann M, van der Kroef M, Vazirpanah N, Cossu M, Chouri E, Rossato M, Beretta L, Tieland RG, Wichers CGK, Stigter E, Gulersonmez C, Bonte-Mineur F, Berkers CR, Radstake TRDJ, Marut W. Fatty Acid and Carnitine Metabolism Are Dysregulated in Systemic Sclerosis Patients. Front Immunol 2020; 11:822. [PMID: 32528464 PMCID: PMC7256194 DOI: 10.3389/fimmu.2020.00822] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 04/09/2020] [Indexed: 12/19/2022] Open
Abstract
Systemic sclerosis (SSc) is a rare chronic disease of unknown pathogenesis characterized by fibrosis of the skin and internal organs, vascular alteration, and dysregulation of the immune system. In order to better understand the immune system and its perturbations leading to diseases, the study of the mechanisms regulating cellular metabolism has gained a widespread interest. Here, we have assessed the metabolic status of plasma and dendritic cells (DCs) in patients with SSc. We identified a dysregulated metabolomic signature in carnitine in circulation (plasma) and intracellularly in DCs of SSc patients. In addition, we confirmed carnitine alteration in the circulation of SSc patients in three independent plasma measurements from two different cohorts and identified dysregulation of fatty acids. We hypothesized that fatty acid and carnitine alterations contribute to potentiation of inflammation in SSc. Incubation of healthy and SSc dendritic cells with etoposide, a carnitine transporter inhibitor, inhibited the production of pro-inflammatory cytokines such as IL-6 through inhibition of fatty acid oxidation. These findings shed light on the altered metabolic status of the immune system in SSc patients and opens up for potential novel avenues to reduce inflammation.
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Affiliation(s)
- A Ottria
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - A T Hoekstra
- Biomolecular Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research, Utrecht University, Utrecht, Netherlands
| | - M Zimmermann
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - M van der Kroef
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - N Vazirpanah
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - M Cossu
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - E Chouri
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - M Rossato
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - L Beretta
- Referral Center for Systemic Autoimmune Diseases, University of Milan and Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy
| | - R G Tieland
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - C G K Wichers
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - E Stigter
- Department of Molecular Cancer Research, Center Molecular Medicine, Oncode Institute, University Medical Center Utrecht, Utrecht, Netherlands
| | - C Gulersonmez
- Department of Molecular Cancer Research, Center Molecular Medicine, Oncode Institute, University Medical Center Utrecht, Utrecht, Netherlands
| | - F Bonte-Mineur
- Department of Rheumatology and Clinical Immunology, Maasstad Hospital, Rotterdam, Netherlands
| | - C R Berkers
- Biomolecular Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research, Utrecht University, Utrecht, Netherlands.,Department of Biochemistry and Cell Biology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - T R D J Radstake
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
| | - W Marut
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
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Vora PS, Estes H, Grigor D, Hodge B, Hurst WJ, LeBlanc D, Shuford C, Walker K, Zimmermann M. High Pressure Liquid Chromatographic Determination of Glycyrrhizic Acid or Glycyrrhizic Acid Salts in Various Licorice Products: Collaborative Study. J AOAC Int 2020. [DOI: 10.1093/jaoac/65.3.572] [Citation(s) in RCA: 1] [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: 11/13/2022]
Abstract
Abstract
A collaborative study determining glycyrrhizic acid or glycyrrhizic acid salts content of various licorice products has been conducted using high pressure liquid chromatography (HPLC). Five samples containing various concentrations of glycyrrhizic acid were analyzed in blind replicates by 8 collaborators. The results indicate excellent repeatability and reproducibility with coefficients of variation less than 7.5%. In addition, this method allows the determination of glycyrrhizic acid in less than 15 min compared with 3 days for the conventional gravimetric and colorimetric methods. The method has been adopted official first action.
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Affiliation(s)
- Peter S Vora
- MacAndrews & Forbes Co., Third St and Jefferson Ave, Camden, NJ 08104
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Carvalheiro T, Zimmermann M, Radstake TRDJ, Marut W. Novel insights into dendritic cells in the pathogenesis of systemic sclerosis. Clin Exp Immunol 2020; 201:25-33. [PMID: 31970748 PMCID: PMC7290079 DOI: 10.1111/cei.13417] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2020] [Indexed: 12/14/2022] Open
Abstract
Systemic sclerosis (SSc) is a severe autoimmune fibrotic disease characterized by fibrosis, vasculopathy, and immune dysregulation. Dendritic cells (DCs) are the most potent antigen-presenting cells, specialized in pathogen sensing, with high capacity to shape the immune responses. The most recent technological advances have allowed the discovery of new DC subsets with potential implications in inflammatory conditions. Alterations of DC distribution in circulation and affected tissue as well as impaired DC function have been described in SSc patients, pointing towards a crucial role of these cells in SSc pathogenesis. In particular, recent studies have shown the importance of plasmacytoid DCs either by their high capacity to produce type I interferon or other inflammatory mediators implicated in SSc pathology, such as chemokine C-X-C motif ligand 4 (CXCL4). In-vivo models of SSc have been vital to clarify the implications of DCs in this disease, especially DCs depletion and specific gene knock-down studies. This review provides these new insights into the contribution of the different DCs subsets in the pathogenesis of SSc, as well as to the novel developments on DCs in in-vivo models of SSc and the potential use of DCs and their mediators as therapeutic targets.
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Affiliation(s)
- T Carvalheiro
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - M Zimmermann
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - T R D J Radstake
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - W Marut
- Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.,Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
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Zimmermann M, Ender A, Mehl A. Influence of CAD/CAM Fabrication and Sintering Procedures on the Fracture Load of Full-Contour Monolithic Zirconia Crowns as a Function of Material Thickness. Oper Dent 2019; 45:219-226. [PMID: 31738694 DOI: 10.2341/19-086-l] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The purpose of this in vitro study was to analyze the effect of computer-aided design/computer-aided manufacturing (CAD/CAM) fabrication and sintering procedures on the fracture load of monolithic zirconia crowns with different material thicknesses adhesively seated to methacrylate dies fabricated with stereolithography technology. METHOD Monolithic zirconia crowns were fabricated from inCoris TZI C material with a chairside CAD/CAM system (CEREC MCXL) comprising three material thicknesses (0.5/1.0/1.5 mm, n=8 each). Two CAD/CAM fabrication procedures (milling, MI; grinding, GR), two chairside sintering procedures (superspeed, SS; speedfire sintering, SF), and one labside sintering procedure (classic, CL) were evaluated. In total, 144 crowns were fabricated. Restorations were adhesively seated to methacrylate dies fabricated with SLA technology. Thermomechanical cycling (TCML) was performed before fracture testing. Loading forces until fracture were registered and statistically analyzed with one-way analysis of variance (ANOVA), post hoc Scheffé test, and three-way ANOVA (α=0.05). RESULTS Test groups showed statistically significant differences (p<0.05). The highest mean value was found for 1.5-mm crowns of group GR_SF with 3678.6 ± 363.9 N. The lowest mean value was found for group 0.5-mm crowns of group MI_SF with 382.4 ± 30.7 N. There was a significant three-way interaction effect between thickness, sintering, and processing [F(4,126)=9.542; p<0.001; three-way ANOVA, significance level α=0.05]. CONCLUSIONS CAD/CAM fabrication and sintering procedures influence the maximum loading force of monolithic zirconia crowns with different material thicknesses. A material thickness of 0.5 mm should be considered as a critical thickness for monolithic zirconia crown restorations.
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Zimmermann M, Wurster I, Lerche S, Roeben B, Machetanz G, Sünkel U, von Thaler A, Eschweiler G, Fallgatter AJ, Maetzler W, Berg D, Brockmann K. Orthostatic hypotension as a risk factor for longitudinal deterioration of cognitive function in the elderly. Eur J Neurol 2019; 27:160-167. [DOI: 10.1111/ene.14050] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 07/22/2019] [Indexed: 01/08/2023]
Affiliation(s)
- M. Zimmermann
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
| | - I. Wurster
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
| | - S. Lerche
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
| | - B. Roeben
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
| | - G. Machetanz
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
| | - U. Sünkel
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
| | - A.‐K. von Thaler
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
| | - G. Eschweiler
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
- Department of Psychiatry University of Tübingen TübingenGermany
| | - A. J. Fallgatter
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
- Department of Psychiatry University of Tübingen TübingenGermany
| | - W. Maetzler
- Department of Neurology Christian‐Albrechts‐University of Kiel Kiel Germany
| | - D. Berg
- Department of Neurology Christian‐Albrechts‐University of Kiel Kiel Germany
| | - K. Brockmann
- Center of Neurology Department of Neurodegeneration and Hertie‐Institute for Clinical Brain Research University of Tübingen TübingenGermany
- German Center for Neurodegenerative Diseases (DZNE) University of Tübingen TübingenGermany
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Amit O, Margalit Y, Dobkowski O, Zhou Z, Japha Y, Zimmermann M, Efremov MA, Narducci FA, Rasel EM, Schleich WP, Folman R. T^{3} Stern-Gerlach Matter-Wave Interferometer. Phys Rev Lett 2019; 123:083601. [PMID: 31491196 DOI: 10.1103/physrevlett.123.083601] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Indexed: 06/10/2023]
Abstract
We present a unique matter-wave interferometer whose phase scales with the cube of the time the atom spends in the interferometer. Our scheme is based on a full-loop Stern-Gerlach interferometer incorporating four magnetic field gradient pulses to create a state-dependent force. In contrast to typical atom interferometers that make use of laser light for the splitting and recombination of the wave packets, this realization uses no light and can therefore serve as a high-precision surface probe at very close distances.
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Affiliation(s)
- O Amit
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
| | - Y Margalit
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
- Research Laboratory of Electronics, MIT-Harvard Center for Ultracold Atoms, Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - O Dobkowski
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
| | - Z Zhou
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
| | - Y Japha
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
| | - M Zimmermann
- Institut für Quantenphysik and Center for Integrated Quantum Science and Technology (IQST), Universität Ulm, D-89081 Ulm, Germany
| | - M A Efremov
- Institut für Quantenphysik and Center for Integrated Quantum Science and Technology (IQST), Universität Ulm, D-89081 Ulm, Germany
| | - F A Narducci
- Department of Physics, Naval Postgraduate School, Monterey, California 93943, USA
| | - E M Rasel
- Institut für Quantenoptik, Leibniz Universität Hannover, D-30167 Hannover, Germany
| | - W P Schleich
- Institut für Quantenphysik and Center for Integrated Quantum Science and Technology (IQST), Universität Ulm, D-89081 Ulm, Germany
- Hagler Institute for Advanced Study at Texas A&M University, Texas A&M AgriLife Research, Institute for Quantum Science and Engineering (IQSE), and Department of Physics and Astronomy, Texas A&M University, College Station, Texas 77843-4242, USA
- Institute of Quantum Technologies, German Aerospace Center (DLR), D-89069 Ulm, Germany
| | - R Folman
- Department of Physics, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel
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Thüring J, Zimmermann M, Bruners P, Pedersoli F, Schulze-Hagen M, Barzakova E, Kuhl CK, Isfort P. Short-Term Oral Sorafenib for Therapy of Intratumoral Shunts of Hepatocellular Carcinoma to Enable Intraarterial Treatment. Cardiovasc Intervent Radiol 2019; 42:1494-1499. [PMID: 31363899 PMCID: PMC6715807 DOI: 10.1007/s00270-019-02294-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 07/18/2019] [Accepted: 07/20/2019] [Indexed: 01/02/2023]
Abstract
INTRODUCTION Significant intratumoral shunts between tumor-supplying arteries and portal or liver veins are a contraindication for transarterial therapy of HCC because interventional treatment of these shunts is frequently insufficient. Sorafenib has anti-angiogenic effects and is indicated for palliative treatment of patients with HCC. Here, we report our experience with the use of sorafenib for the closure of intratumoral shunts in patients scheduled for transarterial therapy of HCC. MATERIALS AND METHODS Three patients with HCC, aged 65, 82 and 79 years, exhibited a significant intratumoral shunting from tumor artery to portal (n = 1) or liver veins (n = 2). In all cases, intratumoral shunting had already been suspected based on pre-interventional CT angiography, and DSA confirmed the shunt. Oral sorafenib (800 mg/day) was administered for at least four weeks, only and specifically to occlude the shunt. Hereafter, patients were re-evaluated by CT and DSA. RESULTS All patients tolerated the full prescribed dose for at least 4 weeks. In one case, therapy was prolonged with an adapted dose (400 mg/day) due to sorafenib-related hand-foot syndrome. After sorafenib treatment, CT and DSA confirmed a complete closure of intratumoral shunts for all patients. No tumor progression was observed. All three patients hereafter underwent successful transarterial treatment by TACE (n = 2) or TARE (n = 1) without complications. Progression-free survival according to mRECIST was 501, 397 and 599 days, respectively. CONCLUSION Even short-term oral sorafenib seems to effectively close intratumoral shunts in patients with HCC and thus might enable transarterial treatment of these patients.
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Affiliation(s)
- J Thüring
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany.
| | - M Zimmermann
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - P Bruners
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - F Pedersoli
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - M Schulze-Hagen
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - E Barzakova
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - C K Kuhl
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
| | - P Isfort
- Department of Diagnostic and Interventional Radiology, Aachen University Hospital, Pauwelsstreet 30, 52072, Aachen, Germany
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Zimmermann M, Weick S, Exner F, Richter A, Flentje M, Polat B. EP-1458 Acute toxicities comparing VMAT versus 3DCRT in locally advanced rectal cancer. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31878-x] [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: 11/27/2022]
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Zwahlen DR, Herrmann C, Mousavi M, Bordoni A, Bouchardy C, Konzelmann I, Staehlin K, Rohrmann S, Oehler C, Zimmermann M. Abstract P1-08-32: Treatment delivery waiting times for stage I-III breast cancer patients in Switzerland : A pooled analysis of 7 cancer registries over the 2003-2008 period. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p1-08-32] [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: 11/16/2022]
Abstract
Abstract
Background: To examine time intervals between needle/core biopsy, breast cancer diagnosis, surgery and radiotherapy (RT) as quality metrics in the management of stage I-III breast cancer in a representative Swiss population sample.
Methods: Based on seven regional cancer registries covering 45% of the Swiss population, we identified 2628 women which underwent surgery for stage I-III breast cancer without receiving (neo)-adjuvant chemotherapy between January 1, 2003 and December 31, 2005.
Four different time intervals were defined: a) time between needle/core biopsy and diagnosis of breast cancer, b) time between diagnosis of breast cancer and surgery, c) time between needle/core biopsy and surgery, d) time between surgery and adjuvant RT.
These four time intervals were analyzed according to age, nationality, health insurance status, public vs. private hospitals and geography. We also investigated whether case discussion at tumor board delayed patient management.
A one-way analysis of variance (ANOVA) and multiple comparison tests were used to assess differences between groups. All tests were performed using STATA v.15.
Results: 2628 women were identified, median age was 67 years (IQR: 58-77). Breast-conserving surgery was performed in 1899 cases (72.3%), mastectomy in 539 cases (20.5%), unspecified surgery /missing data in 190 cases (7.2%). Adjuvant RT was delivered in 1546/2628 patients (58.8 %).
Time interval between biopsy and surgery was age-dependent, ranging from 22 days (95% CI: 19.6 - 25.2) for women < 60 years to 39 days (95% CI: 27.0-50.3) for women 80+ years old (p<0.001). After biopsy, women waited on average 19 days until surgery in private clinics (95% CI: 16.4-21.6) and 30 days in public hospitals (95% CI: 26.6-33.3) (p<0.001). Women with private insurance were operated 24 days after biopsy (95% CI: 17.0-31.1), compared with 30 days (95% CI: 27.1-33.2) (p<0.01)for women with basic state insurance. After biopsy, time interval for foreign nationals was significantly longer than for Swiss citizen (30 vs 24 days, p<0.01). Tumor board presentation postponed surgery by 10 days (31 vs 22 days, p<0.01).
Time between surgery and RT did not correlate with age (p=0.83); the interval was 33% longer in tertiary teaching hospitals than in private clinics (61 vs. 46 days, p<0.001), and 8 days longer for patients with private insurance than for those without (61 vs 53 days, p<0.01). There was a trend for foreign nationals to receive adjuvant RT later than Swiss citizen (58 vs 55 days, p=0.09). RT started later in larger metropolitan areas compared to more rural regions (59 vs 53 days, p<0.01). Presenting patients at a tumor board after surgery had no impact on RT start (p=0.12).
Conclusions: Major differences in treatment waiting times were observed between patients with stage I-III breast cancer. Elderly and foreign patients were at risk for delayed surgery after biopsy. Data from patients with longer timelines need to be analyzed to identify further reasons for delays.
Citation Format: Zwahlen DR, Herrmann C, Mousavi M, Bordoni A, Bouchardy C, Konzelmann I, Staehlin K, Rohrmann S, Oehler C, Zimmermann M. Treatment delivery waiting times for stage I-III breast cancer patients in Switzerland : A pooled analysis of 7 cancer registries over the 2003-2008 period [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P1-08-32.
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Affiliation(s)
- DR Zwahlen
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - C Herrmann
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - M Mousavi
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - A Bordoni
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - C Bouchardy
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - I Konzelmann
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - K Staehlin
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - S Rohrmann
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - C Oehler
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
| | - M Zimmermann
- Kantonsspital Graubunden, Chur, Switzerland; Kantonsspital Sankt Gallen, Sankt Gallen, Switzerland; Registro Tumori del Ticino, Locarno, Switzerland; Registre Genevois des Tumeurs, Geneva, Switzerland; Registre Valaisan des Tumeurs, Sion, Switzerland; Krebsregister beider Basel, Basel, Switzerland; Krebsregister der Kantone Zurich und Zug, Zurich, Switzerland
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Abstract
SUMMARY
Clinical Relevance:
Accurate reproduction of the jaw relationship is important in many fields of dentistry. Maximum intercuspation can be registered with digital buccal scan procedures implemented in the workflow of many intraoral scanning systems.
Objective:
The aim of this study was to investigate the accuracy of buccal scan procedures with intraoral scanning devices for the registration of habitual intercuspation in vivo. The hypothesis was that there is no statistically significant difference for buccal scan procedures compared to registration methods with poured model casts.
Methods and Materials:
Ten individuals (full dentition, no dental rehabilitations) were subjects for five different habitual intercuspation registration methods: (CI) poured model casts, manual hand registration, buccal scan with inEOS X5; (BC) intraoral scan, buccal scan with CEREC Bluecam; (OC4.2) intraoral scan, buccal scan with CEREC Omnicam software version 4.2; (OC4.5β) intraoral scan, buccal scan with CEREC Omnicam version 4.5β; and (TR) intraoral scan, buccal scan with Trios 3. Buccal scan was repeated three times. Analysis of rotation (Rot) and translation (Trans) parameters was performed with difference analysis software (OraCheck). Statistical analysis was performed with one-way analysis of variance and the post hoc Scheffé test (p<0.05).
Results:
Statistical analysis showed no significant (p>0.05) differences in terms of translation between groups CI_Trans (98.74±112.01 μm), BC_Trans (84.12±64.95 μm), OC4.2_Trans (60.70±35.08 μm), OC4.5β_Trans (68.36±36.67 μm), and TR_Trans (66.60±64.39 μm). For rotation, there were no significant differences (p>0.05) for groups CI_Rot (0.23±0.25°), BC_Rot (0.73±0.52°), OC4.2_Rot (0.45±0.31°), OC4.5β_Rot (0.50±0.36°), and TR_Rot (0.47±0.65°).
Conclusions:
Intraoral scanning devices allow the reproduction of the static relationship of the maxillary and mandibular teeth with the same accuracy as registration methods with poured model casts.
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Affiliation(s)
- M Zimmermann
- Moritz Zimmermann, Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
| | - A Ender
- Andreas Ender, Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
| | - T Attin
- Thomas Attin, Prof. Dr. med. dent., Center of Dental Medicine, Clinic of Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zurich, Switzerland
| | - A Mehl
- Albert Mehl, Prof. Dr. rer. nat. Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
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Zimmermann M, Gaenslen A, Prahl K, Srulijes K, Hauser AK, Schulte C, Csoti I, Berg D, Brockmann K. Patient's perception: shorter and more severe prodromal phase in GBA-associated PD. Eur J Neurol 2018; 26:694-698. [PMID: 30107068 DOI: 10.1111/ene.13776] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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: 02/09/2018] [Accepted: 08/09/2018] [Indexed: 02/04/2023]
Abstract
BACKGROUND Prevalence and time of occurrence of prodromal symptoms of Parkinson's disease (PD) in relation to the onset of classical motor manifestation varies between patients. Possible modifying factors might be different genetic architectures predisposing to varying burden of manifestations. OBJECTIVES To characterize the prodromal phase in PD patients with heterozygous mutations in the GBA gene compared to PD patients without GBA mutation. METHODS In a retrospective design, 151 participants [47 PD patients carrying a GBA mutation (PDGBA ), 52 idiopathic PD patients (PDidiopathic ), 52 healthy elderly (CON)] underwent a validated structured interview designed to assess prevalence and time of occurrence of prodromal symptoms. RESULTS PDGBA showed a higher prevalence of prodromal symptoms and almost simultaneous occurrence of non-motor and early motor symptoms shortly before PD diagnosis whereas PDidiopathic reported a longer prodromal phase starting with non-motor symptoms. CONCLUSION The short and severe prodromal phase in PDGBA might call for shorter assessment intervals in yet premanifest GBA mutation carriers.
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Affiliation(s)
- M Zimmermann
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
| | - A Gaenslen
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
| | - K Prahl
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany
| | - K Srulijes
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
| | - A-K Hauser
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
| | - C Schulte
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
| | - I Csoti
- Gertrudis Klinik, Leun-Biskirchen, Germany
| | - D Berg
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,Department of Neurology, Christian-Albrechts-University of Kiel, Kiel, Germany
| | - K Brockmann
- Department of Neurodegeneration, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.,German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany
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Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D. Influence of Different CAM Strategies on the Fit of Partial Crown Restorations: A Digital Three-dimensional Evaluation. Oper Dent 2018; 43:530-538. [DOI: 10.2341/17-130-l] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
ABSTRACT
Objective:
CAM fabrication is an important step within the CAD/CAM process. The internal fit of restorations is influenced by the accuracy of the subtractive CAM procedure. Little is known about how CAM strategies might influence the fit of CAD/CAM fabricated restorations. The aim of this study was to three-dimensionally evaluate the fit of CAD/CAM fabricated zirconia-reinforced lithium silicate ceramic partial crowns fabricated with three different CAM strategies. The null hypothesis was that different CAM strategies did not influence the fitting accuracy of CAD/CAM fabricated zirconia-reinforced lithium silicate ceramic partial crowns.
Methods and Materials:
Preparation for a partial crown was performed on a maxillary right first molar on a typodont. A chairside CAD/CAM system with the intraoral scanning device CEREC Omnicam (Dentsply Sirona, York, PA, USA) and the 3+1 axis milling unit CEREC MCXL was used. There were three groups with different CAM strategies: step bur 12 (12), step bur 12S (12S), and two step-mode (12TWO). The zirconia-reinforced lithium silicate ceramic Celtra Duo (Dentsply Sirona) was used as the CAD/CAM material. A new 3D method for evaluating the fit was applied, consisting of the quadrant scan with the intraoral scanning device CEREC Omnicam. The scan of the PVS material adherent to the preparation and the preparation scan were matched, and the difference analysis was performed with special software OraCheck (Cyfex AG, Zurich, Switzerland). Three areas were selected for analysis: margin (MA), axial (AX), and occlusal (OC). Statistical analysis was performed using 80% percentile, one-way ANOVA, and the post hoc Scheffé test with α=0.05.
Results:
Statistically significant differences were found both within and between the test groups. The aspect axial fit results varied from 90.5 ± 20.1 μm for the two-step milling mode (12TWO_AX) to 122.8 ± 12.2 μm for the milling with step bur 12S (12S_AX). The worst result in all groups was found for the aspect occlusal fit with the highest value for group 12S of 222.8 ± 35.6 μm. Group two-step milling mode (12TWO) performed statistically significantly better from groups 12 and 12S for the occlusal fit (p<0.05). Deviation patterns were visually analyzed with a color-coded scheme for each restoration.
Conclusions:
CAM strategy influenced the internal adaptation of zirconia-reinforced lithium silicate partial crowns fabricated with a chairside CAD/CAM system. Sensible selection of specific areas of internal adaptation and fit is an important factor for evaluating the CAM accuracy of CAD/CAM systems.
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Affiliation(s)
- M Zimmermann
- Moritz Zimmermann, Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland, and visiting professor, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - A Valcanaia
- Andre Valcanaia, DDS, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - G Neiva
- Gisele Neiva, DDS, MS, MS, clinical associate professor, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - A Mehl
- Albert Mehl, Prof. Dr. med. dent. Dr. rer. nat., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
| | - D Fasbinder
- Dennis Fasbinder, DDS, clinical professor, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
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Hupf J, Schlossbauer M, Hubauer U, Fischer M, Zimmermann M, Maier LS, Jungbauer CG. P1738Panel of emerging cardiac biomarkers in patients with acute chest pain. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1738] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Hupf
- University Hospital Regensburg, Regensburg, Germany
| | | | - U Hubauer
- University Hospital Regensburg, Regensburg, Germany
| | - M Fischer
- University Hospital Regensburg, Regensburg, Germany
| | - M Zimmermann
- University Hospital Regensburg, Regensburg, Germany
| | - L S Maier
- University Hospital Regensburg, Regensburg, Germany
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Zimmermann M, Mendes F, Rodrigues D, Faleiro M, Campos G, Araújo E. Membrana de látex natural de Hevea brasiliensis auxilia no processo de reparação tecidual em bovinos. ARQ BRAS MED VET ZOO 2018. [DOI: 10.1590/1678-4162-9189] [Citation(s) in RCA: 1] [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: 11/22/2022] Open
Abstract
RESUMO Feridas cutâneas em bovinos são um constante desafio clínico cirúrgico por desencadearem perdas econômicas bastante significativas. O látex proveniente da seiva da seringueira (Hevea brasiliensis) apresenta potencial terapêutico para incrementar o processo de reparação tecidual. Portanto, pretendeu-se com esse estudo avaliar o tipo de reação tecidual e os possíveis mecanismos de angiogênese desencadeados pelo implante de uma membrana de látex natural em bovinos. Para tal, foram utilizados seis bovinos da raça Nelore, submetidos ao implante subcutâneo experimental de três fragmentos de membranas de látex natural. Foram coletadas amostras de tecido e da membrana aos 15, 30 e 45 dias após a implantação, para avaliações histológicas, ultraestruturais por microscopia eletrônica de varredura e imunoistoquímicas com anticorpos antimarcador de macrófagos (MAC), CYR 61 e VEGF. O implante de látex proporcionou aumento da angiogênese e reparação tecidual em bovinos, não mediada pela expressão do VEGF e CYR 61.
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John D, Zimmermann M, Böker A. Generation of 3-dimensional multi-patches on silica particles via printing with wrinkled stamps. Soft Matter 2018; 14:3057-3062. [PMID: 29658034 PMCID: PMC5944390 DOI: 10.1039/c8sm00224j] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 03/25/2018] [Indexed: 05/13/2023]
Abstract
A simple route towards patchy particles with anisotropic patches with respect to a different functionality and directionality is presented. This method is based on microcontact printing of positively charged polyethylenimine (PEI) on silica particles using wrinkled stamps. Due to the wrinkled surface, the number of patches on the particles as well as the distance between two patches can be controlled.
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Affiliation(s)
- D. John
- Saint Gobain Glass Deutschland , Poststraße 103 , 51143 Köln , Germany .
| | - M. Zimmermann
- Fraunhofer-Institut für Angewandte Polymerforschung IAP , Geiselbergstraße 69 , 14476 Potsdam-Golm , Germany . ;
- Lehrstuhl für Polymermaterialien und Polymertechnologien , Universität Potsdam , Karl-Liebknecht-Straße 24-25 , 14476 Potsdam , Germany
| | - A. Böker
- Fraunhofer-Institut für Angewandte Polymerforschung IAP , Geiselbergstraße 69 , 14476 Potsdam-Golm , Germany . ;
- Lehrstuhl für Polymermaterialien und Polymertechnologien , Universität Potsdam , Karl-Liebknecht-Straße 24-25 , 14476 Potsdam , Germany
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Zimmermann M, Escrig S, Lavik G, Kuypers MMM, Meibom A, Ackermann M, Schreiber F. Substrate and electron donor limitation induce phenotypic heterogeneity in different metabolic activities in a green sulphur bacterium. Environ Microbiol Rep 2018; 10:179-183. [PMID: 29393582 DOI: 10.1111/1758-2229.12616] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Revised: 10/13/2017] [Accepted: 01/14/2018] [Indexed: 06/07/2023]
Abstract
Populations of genetically identical cells can display marked variation in phenotypic traits; such variation is termed phenotypic heterogeneity. Here, we investigate the effect of substrate and electron donor limitation on phenotypic heterogeneity in N2 and CO2 fixation in the green sulphur bacterium Chlorobium phaeobacteroides. We grew populations in chemostats and batch cultures and used stable isotope labelling combined with nanometer-scale secondary ion mass spectrometry (NanoSIMS) to quantify phenotypic heterogeneity. Experiments in H2 S (i.e. electron donor) limited chemostats show that varying levels of NH4+ limitation induce heterogeneity in N2 fixation. Comparison of phenotypic heterogeneity between chemostats and batch (unlimited for H2 S) populations indicates that electron donor limitation drives heterogeneity in N2 and CO2 fixation. Our results demonstrate that phenotypic heterogeneity in a certain metabolic activity can be driven by different modes of limitation and that heterogeneity can emerge in different metabolic processes upon the same mode of limitation. In conclusion, our data suggest that limitation is a general driver of phenotypic heterogeneity in microbial populations.
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Affiliation(s)
- M Zimmermann
- Department of Environmental Systems Science, ETH Zurich - Swiss Federal Institute of Technology, Zurich, Switzerland
- Department of Environmental Microbiology, Eawag - Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
| | - S Escrig
- Laboratory for Biological Geochemistry, School of Architecture, Civil and Environmental Engineering (ENAC), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - G Lavik
- Department of Biogeochemistry, Max Planck Institute for Marine Microbiology, Bremen, Germany
| | - M M M Kuypers
- Department of Biogeochemistry, Max Planck Institute for Marine Microbiology, Bremen, Germany
| | - A Meibom
- Laboratory for Biological Geochemistry, School of Architecture, Civil and Environmental Engineering (ENAC), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
- Center for Advanced Surface Analysis, Institute of Earth Sciences, University of Lausanne, Lausanne, Switzerland
| | - M Ackermann
- Department of Environmental Systems Science, ETH Zurich - Swiss Federal Institute of Technology, Zurich, Switzerland
- Department of Environmental Microbiology, Eawag - Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
| | - F Schreiber
- Department of Environmental Systems Science, ETH Zurich - Swiss Federal Institute of Technology, Zurich, Switzerland
- Department of Environmental Microbiology, Eawag - Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
- Division Biodeterioration and Reference Organisms, Department of Materials and Environment, Federal Institute for Materials Research and Testing (BAM), Berlin, Germany
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Larmonie NSD, Arentsen-Peters TCJM, Obulkasim A, Valerio D, Sonneveld E, Danen-van Oorschot AA, de Haas V, Reinhardt D, Zimmermann M, Trka J, Baruchel A, Pieters R, van den Heuvel-Eibrink MM, Zwaan CM, Fornerod M. MN1 overexpression is driven by loss of DNMT3B methylation activity in inv(16) pediatric AML. Oncogene 2018; 37:107-115. [PMID: 28892045 DOI: 10.1038/onc.2017.293] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [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: 08/31/2016] [Revised: 06/09/2017] [Accepted: 07/17/2017] [Indexed: 12/15/2022]
Abstract
In acute myeloid leukemia (AML), specific genomic aberrations induce aberrant methylation, thus directly influencing the transcriptional programing of leukemic cells. Therefore, therapies targeting epigenetic processes are advocated as a promising therapeutic tool for AML treatment. However, to develop new therapies, a comprehensive understanding of the mechanism(s) driving the epigenetic changes as a result of acquired genetic abnormalities is necessary. This understanding is still lacking. In this study, we performed genome-wide CpG-island methylation profiling on pediatric AML samples. Six differentially methylated genomic regions within two genes, discriminating inv(16)(p13;q22) from non-inv(16) pediatric AML samples, were identified. All six regions had a hypomethylated phenotype in inv(16) AML samples, and this was most prominent at the regions encompassing the meningioma (disrupted in balanced translocation) 1 (MN1) oncogene. MN1 expression primarily correlated with the methylation level of the 3' end of the MN1 exon-1 locus. Decitabine treatment of different cell lines showed that induced loss of methylation at the MN1 locus can result in an increase of MN1 expression, indicating that MN1 expression is coregulated by DNA methylation. To investigate this methylation-associated mechanism, we determined the expression of DNA methyltransferases in inv(16) AML. We found that DNMT3B expression was significantly lower in inv(16) samples. Furthermore, DNMT3B expression correlated negatively with MN1 expression in pediatric AML samples. Importantly, depletion of DNMT3B impaired remethylation efficiency of the MN1 exon-1 locus in AML cells after decitabine exposure. These findings identify DNMT3B as an important coregulator of MN1 methylation. Taken together, this study shows that the methylation level of the MN1 exon-1 locus regulates MN1 expression levels in inv(16) pediatric AML. This methylation level is dependent on DNMT3B, thus suggesting a role for DNMT3B in leukemogenesis in inv(16) AML, through MN1 methylation regulation.
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MESH Headings
- Adolescent
- Azacitidine/analogs & derivatives
- Azacitidine/pharmacology
- Carcinogenesis/genetics
- Cell Line, Tumor
- Child
- Child, Preschool
- CpG Islands/genetics
- DNA (Cytosine-5-)-Methyltransferases/metabolism
- DNA Methylation/drug effects
- DNA Methylation/genetics
- Decitabine
- Epigenesis, Genetic/genetics
- Exons/genetics
- Female
- Gene Expression Regulation, Leukemic
- Humans
- Infant
- Infant, Newborn
- Leukemia, Myeloid, Acute/blood
- Leukemia, Myeloid, Acute/genetics
- Leukemia, Myeloid, Acute/pathology
- Male
- Nucleic Acid Hybridization/methods
- Oligonucleotide Array Sequence Analysis/methods
- Oncogene Proteins, Fusion/genetics
- Promoter Regions, Genetic/genetics
- Trans-Activators
- Tumor Suppressor Proteins/genetics
- DNA Methyltransferase 3B
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Affiliation(s)
- N S D Larmonie
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - T C J M Arentsen-Peters
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - A Obulkasim
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - D Valerio
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - E Sonneveld
- Dutch Childhood Oncology Group (DCOG), The Hague, The Netherlands
| | - A A Danen-van Oorschot
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - V de Haas
- Dutch Childhood Oncology Group (DCOG), The Hague, The Netherlands
| | - D Reinhardt
- Department of Pediatric Oncology/Hematology, Medical High School, Hannover, Germany
| | - M Zimmermann
- Department of Pediatric Oncology/Hematology, Medical High School, Hannover, Germany
| | - J Trka
- Pediatric Hematology/Oncology, 2nd Medical School, Charles University, Prague, Czech Republic
| | - A Baruchel
- CHU de Paris-Hôpital Robert Debré, Paris, France
| | - R Pieters
- Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands
| | | | - C M Zwaan
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
| | - M Fornerod
- Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands
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Funke U, Schulze M, Lutze G, Zimmermann M, Praße T, Töpfer G, Eder C. Kontrolle der Thrombozytenaggregationshemmung unter Therapie mit Azetylsalizylsäure und/oder Clopidogrel mit einem modifizierten Thrombozytenaggregationstest. Hamostaseologie 2017. [DOI: 10.1055/s-0037-1616907] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
ZusammenfassungPatienten mit Atherothrombose erhalten prophylaktisch ASS und/oder Clopidogrel zur Hemmung der Plättchenaggregation. Es wurde untersucht, ob ein aggregometrisches Verfahren den Effekt aggregationshemmender Substanzen (ASS 30, 50, 100, 300 mg/d, Clopidogrel 75 mg/d oder ASS 100 + Clopidogrel 75 mg/d) abbilden kann. Ein modifizierter Plättchenaggregationstest diente der Bestimmung der maximalen Aggregation nach Induktion mit ADP, Kollagen, Adrenalin und Arachidonsäure. Aus Werten eines gesunden Kollektivs wurden Referenzwerte abgeleitet und ein einfaches System zur Detektion inadäquater Plättchenhemmung entwickelt. Im Vergleich zur Kontrollgruppe zeigte sich eine signifikante Hemmung der maximalen Aggregation mit allen Induktoren bei Patienten unter ASS und der Kombination ASS + Clopidogrel. Bei Patienten unter Clopidogrel fand sich eine Hemmung der Aggregation nach Induktion mit ADP, Kollagen und Arachidonsäure. Unter 100 mg ASS/d trat eine ungenügende Hemmung bei 27%, unter 75 mg Clopidogrel/d bei 26% und unter der Kombinationstherapie bei 7% der Patienten auf. Die Ergebnisse zeigen, dass bei vielen Patienten mit arteriellen Thrombosen eine inadäquate Plättchenhemmung vorliegt.
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Schmidt R, Pilz S, Lindemann I, Damm C, Hufenbach J, Helth A, Geissler D, Henss A, Rohnke M, Calin M, Zimmermann M, Eckert J, Lee M, Gebert A. Powder metallurgical processing of low modulus β-type Ti-45Nb to bulk and macro-porous compacts. POWDER TECHNOL 2017. [DOI: 10.1016/j.powtec.2017.09.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Schloericke E, Zimmermann M, Benecke C, Laubert T, Meyer R, Bruch HP, Bouchard R, Keck T, Hoffmann M. Surgical management of complicated rectovaginal fistulas and the role of omentoplasty. Tech Coloproctol 2017; 21:945-952. [DOI: 10.1007/s10151-017-1657-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Accepted: 05/18/2017] [Indexed: 12/15/2022]
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47
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Oros-Peusquens A, Loução R, Zimmermann M, Langen KJ, Shah N. Methods for molecular imaging of brain tumours in a hybrid MR-PET context: Water content, T 2 ∗ , diffusion indices and FET-PET. Methods 2017; 130:135-151. [DOI: 10.1016/j.ymeth.2017.07.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 05/22/2017] [Accepted: 07/27/2017] [Indexed: 11/27/2022] Open
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Kringel D, Ultsch A, Zimmermann M, Jansen JP, Ilias W, Freynhagen R, Griessinger N, Kopf A, Stein C, Doehring A, Resch E, Lötsch J. Emergent biomarker derived from next-generation sequencing to identify pain patients requiring uncommonly high opioid doses. Pharmacogenomics J 2017; 17:419-426. [PMID: 27139154 PMCID: PMC5637232 DOI: 10.1038/tpj.2016.28] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Revised: 11/05/2015] [Accepted: 11/13/2015] [Indexed: 12/14/2022]
Abstract
Next-generation sequencing (NGS) provides unrestricted access to the genome, but it produces 'big data' exceeding in amount and complexity the classical analytical approaches. We introduce a bioinformatics-based classifying biomarker that uses emergent properties in genetics to separate pain patients requiring extremely high opioid doses from controls. Following precisely calculated selection of the 34 most informative markers in the OPRM1, OPRK1, OPRD1 and SIGMAR1 genes, pattern of genotypes belonging to either patient group could be derived using a k-nearest neighbor (kNN) classifier that provided a diagnostic accuracy of 80.6±4%. This outperformed alternative classifiers such as reportedly functional opioid receptor gene variants or complex biomarkers obtained via multiple regression or decision tree analysis. The accumulation of several genetic variants with only minor functional influences may result in a qualitative consequence affecting complex phenotypes, pointing at emergent properties in genetics.
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MESH Headings
- Analgesics, Opioid/administration & dosage
- Analgesics, Opioid/therapeutic use
- Biomarkers, Pharmacological/analysis
- Chronic Pain/drug therapy
- Chronic Pain/genetics
- Dose-Response Relationship, Drug
- Genotype
- High-Throughput Nucleotide Sequencing
- Humans
- Pharmacogenomic Testing
- Pharmacogenomic Variants
- Receptors, Opioid/genetics
- Receptors, Opioid, delta/genetics
- Receptors, Opioid, kappa/genetics
- Receptors, Opioid, mu/genetics
- Receptors, sigma/genetics
- Sigma-1 Receptor
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Affiliation(s)
- D Kringel
- Institute of Clinical Pharmacology, Goethe-University, Frankfurt am Main, Germany
| | - A Ultsch
- DataBionics Research Group, University of Marburg, Marburg, Germany
| | - M Zimmermann
- Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany
| | | | - W Ilias
- Department of Anaesthesiology and Intensive Care Medicine, Vienna, Austria
| | - R Freynhagen
- Zentrum für Anästhesiologie, Intensivmedizin, Schmerztherapie & Palliativmedizin, Benedictus Krankenhaus Tutzing, Tutzing, Germany
- Klinik für Anästhesiologie, Technische Universität München, München, Germany
| | - N Griessinger
- Department of Anesthesiology, University Hospital Erlangen, Erlangen, Germany
| | - A Kopf
- Department of Anesthesiology and Critical Care Medicine, Freie Universität Berlin–Charité, Berlin, Germany
| | - C Stein
- Department of Anesthesiology and Critical Care Medicine, Freie Universität Berlin–Charité, Berlin, Germany
| | - A Doehring
- Institute of Clinical Pharmacology, Goethe-University, Frankfurt am Main, Germany
| | - E Resch
- Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Project Group Translational Medicine and Pharmacology TMP, Frankfurt am Main, Germany
| | - J Lötsch
- Institute of Clinical Pharmacology, Goethe-University, Frankfurt am Main, Germany
- Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Project Group Translational Medicine and Pharmacology TMP, Frankfurt am Main, Germany
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Krumkamp R, Zimmermann M. Malaria Elimination mittels synchronisierter Massenverabreichung – ein mathematisches Modell. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605997] [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: 10/18/2022]
Affiliation(s)
- R Krumkamp
- Bernhard Nocht Institut für Tropenmedizin, Infektionsepidemiologie, Hamburg
| | - M Zimmermann
- Bernhard Nocht Institut für Tropenmedizin, Infektionsepidemiologie, Hamburg
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Zimmermann M, Das M, Kuhl CK, Keil S. Computer-assisted Diagnosis of Pulmonary Embolism in Multidetector Computed Tomography. Hong Kong J Radiol 2017. [DOI: 10.12809/hkjr1716402] [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: 11/05/2022] Open
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