We reported three cases of acute intracranial tuberculosis including miliary tuberculosis, basal meningitis, tuberculomas and neuritis of cranial nerves. All patients had native and contrast enhanced CT and MRI scans. MRI revealed more granulomas and a better imaging contrast in the detection of basal meningitis. Neuritis was diagnosed only with the MRI. MRI scans should be prefered as the imaging procedure in clinically presumed intracranial tuberculosis. (orig.) [Deutsch] Die Befunde von drei Patienten mit intrakranieller Tuberkulose (intrakranielle Miliartuberkulose, Meningitis tuberculosa, Neuritis und Tuberkulome) in der Magnetresonanztomographie (MRT) wurden mit der Computertomographie (CT) verglichen. Sowohl die MRT als auch die CT wurden nativ und nach Kontrastmittelgabe durchgefuehrt. Die MRT zeigte sich im Nachweis von Granulomen insbesondere im Bereich des Hirnstamms ueberlegen. Ebenso wurde ein hoeherer Bildkontrast bei der Darstellung der Meningitis ...
Better quality of thermal comfort as well as reduced heat energy demand and accordingly CO{sub 2} emission can be achieved by better heating and ventilation strategies in private buildings. The paper deals with a novel model-based measurement and automation system. It describes the implementation of better strategies under given technical circumstances. (orig.) [German] Durch Verbesserung der Heizungs- und Lueftungsstrategien im privaten Lebensbereich kann sowohl Heizenergie eingespart und damit die CO{sub 2}-Emission verringert, als auch die Raumbehaglichkeit verbessert werden. Der Beitrag behandelt ein modellgestuetztes Mess- und Automatisierungssystem, mit dem die Realisierung der verbesserten Strategien unter gegebenen technischen Randbedingungen praktisch erst moeglich wird. (orig.)
The early diagnosis of such disorders is of major importance because, in most cases, severe consequences can only be averted by early treatment. The value of magnetic resonance imaging (MRI) in many orthopaedic and traumatological conditions is generally accepted. The value of MRI in this particular field is illustrated by typical case reports on common clinical problems [Deutsch] Der Fruehdiagnose von Erkrankungen des Kindes- und Jugendalters kommt grosse Bedeutung zu, da oftmals nur durch eine daraus resultierende Fruehbehandlung schwerwiegende Folgen vermieden werden koennen. Die Kernspintomographie (Magnetresonanztomographie=MRT) ist in zahlreichen orthopaedischen-traumatologischen Fragestellungen bereits etabliert. An ausgewaehlten Fallbeispielen haeufiger klinischer Problemstellungen soll in der vorliegenden Arbeit der Stellenwert der MRT dargestellt werden. (orig.)
Optische Uhren nutzen die Anregung optischer Ubergange in neutralen Atomen oder Ionen. Deren Ubergangsfrequenz liegt bei etwa 1015 Hz, also funf Groenordnungen oberhalb der Gigahertz-Schwingungen heutiger Atomuhren. Das erlaubt eine bis zu tausendmal prazisere Zeitmessung. Fur die Genauigkeit ist es entscheidend, dass der Uhrenubergang eine schmale Linienbreite besitzt und seine Frequenz nicht verschoben wird. Dazu mussen die Atome oder Ionen moglichst ungestort und genau lokalisiert sein. Deshalb basiert ein Uhrentyp auf einem kalten Ion in einer Paul-Falle, ein anderer Uhrentyp arbeitet mit vielen kalten Neutralatomen in optischen Gittern. Der Metrologie sollen optische Uhren zunachst als sekundare Realisierung der Sekunde dienen. Derzeit ermoglichen sie bereits Frequenzmessungen mit 17 ...
The proposed ERICAM model exhibits deficiencies of a nature making it inacceptable to responsible governments. These deficiencies are: it does not provide the required financial security. The availability of insurance coverage will be dependent on the situation in the financial markets. Pricing will not be determined by the absolute probability of incidents causing damage, so that this may entail a distortion of allocations of resources. (orig./HP) [Deutsch] Das ERICAM Modell hat Konstruktionsmaengel, dass es sicher fuer verantwortliche Regierungen nicht in Frage kaeme, dessen Realisierung in Erwaegung zu ziehen. Die wichtigsten sind: Die benoetigte Sicherheit der Deckungsmittel ist nicht gegeben. Die Lage an den Finanzmaerkten dominiert die Verfuegbarkeit der Deckungsmittel. Die Preisbildung wird nicht durch die absolute Schadenswahrscheinlichkeit bestimmt, so dass eine Verfaelschung der Allokation von Ressourcen eintreten wuerde. (orig./HP)
Precondition for the low-NO operation of gas turbine burners is the generation of as homogeneous as possible a gaseous fuel/air mixture. Such a burner behavior can be achieved by selective adaptation of the flow and injection. A computing model is introduced that calculates the dynamically balanced GASs/droplet flow through numerical solution of the transport equations in a curved orthogonal coordinate system. The feedback reaction of the fuel droplets to the gas phase is considered by source terms and/or sink terms. Test computations were carried out for comparison with analytical solutions from the flow mechanics and validated by comparison with measurement results. Droplet motion and evaporation were checked by means of published experimental results on single droplets. For the validation of the developed computing technique, model tests were carried out with water in place of fuel. It is pointed out that the choice of different parameters is of importance for selective ...
This paper deals with the externally coal-fired combined cycle (EFCC). A process simulation for different configurations of the EFCC-process is carried out as well as an investigation of the effect of the key parameters such as the gas turbine inlet temperature and the compressor intake airflow. The results show a promising potential of the efficiency. One component of this combined gas and steam turbine cycle is a high temperature heat exchanger that has to withstand the extrem chemical and thermal operating conditions. Fibre reinforced ceramics and combinations of them with monolithic ceramics seem to be the most promising materials for this application. A cost estimating of the EFCC-process shows that a competitive operation should be possible. (orig.) [Deutsch] Die Ergebnisse der Prozesssimulationen weisen ein vielversprechendes Wirkungsgradpotential des extern kohlebefeuerten Gasturbinenprozesses auf. Der fuer dieses neue Kraftwerkskonzept notwendige Hochtemperatur-Waermetauscher ...
The regenerator of Stirling cycle machines has an relatively unknown potential for thermal shorting, because the thermal flow path within the solid of a randomly stacked wire mesh, which is defined by its 'connectivity', is unknown. Earlier publications have shown two principles of experimental techniques to quantify connectivity. One quantifies connectivity as a function of axial pressure using the electric current analogy, the other measures connectivity via the temperature gradients along a regenerator and a series-connected reference body of known conductivity. Both papers offer preliminary results of reduced usefulness related to the testing method or setup. This contribution describes a new setup and its technique, which results from the practical knowledge and experience of the first two attempts, and aims for an improved determination of connectivity of the original representative Stirling regenerators with and without housing. Please contact the author for ...
About 25 years after the last edification of a new large high voltage institute at Technical University of Karlsruhe and about 10 years afte the edification of the test lab at Kaiserslautern University, the Brandenburg Technical University of Cottbus had the opportunity to design new high voltage test facilities from the very beginning on and to realize it in a very short time. To review the project from the first ideas followed by the planning and realization phase and the final commissioning of the technical equipment, this book should be a contribution to spred the experiences made among interested people and to demonstrate the actual technical possibilities. To ensure an international exchange of these experiences, all co-authors to the trouble to translate their participation's also to the English language. (orig.) [German] Etwa 25 Jahre nach dem letzten grossen hochspannungstechnischen Institutsneubau in der deutschen Hochschullandschaft an der TH Karlsruhe, bzw. 10 ...
Steam turbines of the new power plant generation enable the realisation of over-critical steam parameters with 600 C and 300 bar by means of simple and double resuperheating. Extensive research work in the field of material technology has provided the pre-conditions. Forged pieces, castings, high-temperature ferritic 9 - 10 % CrMoV steels, which are additionally alloyed with niobium, nitrogen and wolfram, are used in steam turbines. A proof of strength for shaft and cast steels is available by means of a long-term stress-rupture test of up to max. 60,000 hours. The strength of turbine steels exceeds the one in tube and header steels (x 10 CrMoVNbN 9 1). (orig./MM) [Deutsch] Dampfturbinen der neuen Kraftwerksgeneration erlauben heute die Realisierung von ueberkritischen Dampfparametern mit 600 C und 300 bar mit einfacher und zweifacher Zwischenueberhitzung. Umfangreiche werkstofftechnische Forschungsarbeiten haben dafuer die Voraussetzung geschaffen. Zur Anwendung ...
A numeric method for predicting mineral ash deposition in coal dust furnaces is presented which is based on a bidirectional working time coupling of thermodynamic calculation routines (ChemApp{sup TM}) with the commercial CFD code FLUENT{sup TM}. The deposition characteristics of particles and wall surfaces is assessed on the basis of evaluations of flow simulation parameters and results of thermodynamic calculations for the mineral matter contained in the fuel particles, taking into account the complete energy, momentum and mass exchange history of the ash and the mineral conversion. The models enables calculations of the gaseous release of mineral components (e.g. alkaline substances and chlorine) from ash during combustion and its distribution inside a combustion chamber. The method and model are validated using experimental data. (orig.) [German] In der vorliegenden Arbeit wird ein numerisches Verfahren beschrieben, mit dem die Ansatzbildung in Kohlestaubfeuerungen praediktiv ...
Aim: Changes within the brain detected by MRI after chronic manganese poisoning raised the question whether morphological changes of the basal ganglia, particularly of the globus pallidus, could be detected after chronic occupational exposure to manganese dioxide. Results: No cases of parkinsonism were detected in clinical examinations or by other means. The mean manganese concentration in blood was 12 {mu}g/l (range: 3.9-23.3 {mu}g/l). In comparison to the upper reference value of 10 {mu}g/l, 42 workers (56%) had a higher body burden. A significant positive correlation between manganese levels in blood and the PI (indicated by T{sub 1}-shortening) was observed as well as between the CBI and workplace-specific exposure. Brain atrophy was not detected in any of the observed cases. Conclusions: Long-term exposure to manganese dioxide dust correlates with the Pallidum-Index in MRI scans. Although the MRI findings have no current clinical relevance for individuals, further studies are ...
Maintenance of power stations so far operated on the concept of using or extending the expected service life of a machine or plant as far as possible in order to avoid early and costly replacement. This was done by means of time-oriented maintenance, inspection and repair, otherwise called preventive maintenance. A European study on maintenance methods totals the cost of these measures at between 140 to 200 billion DM. One way of reducing these costs is 'predictive maintenance'. Estimated savings are about 8 percent or between 12 and 16 billion DM per year. Predictive maintenance identifies irregulaties of machine parts at an early point in time by means of condition monitoring and can help to cut costs: unplanned repairs can be avoided; repairs can be fitted into production schedules; production will not be disturbed to to unforeseen repairs, optimised spare part warehousing helps to cut costs. Predictive maintenance aims at keeping availability high, give maximum ...
A comparative process can be shown for the design of combined fuel cell powerstations. It is worth noting that the output of a combined powerstation working reversibly is independent of the thermodynamic state of the cell, and only depends on the reaction and thermodynamic state of the environment. The potential efficiency of gas-fired combined fuel cell powerstations is estimated at 80%. The fuel cell proves to be an isothermal heat source and not an adiabatic fluegas generator. This applies generally for all combustion power processes. Compared with external reforming, the integration of the reforming in the whole process leads to distinct advantages in efficiency if the possibilities of using the waste heat of intermediate thermal power processes are fully exploited. The plant implementation with an SOFC gas turbine process shows that realisation of a relatively simple plant concept leads to efficiencies distinctly above 70%. The enclosure design is of central improtance for the ...
Purpose: In an experimental study, the correlation between the trabecular bone density of the different regions of the proximal femur and the fracture load in the setting of femoral neck fractures was examined. Methods: The bone mineral density 41 random proximal human femora was estimated by single-energy quanitative CT (SE-QCT). The trabecular bone density was measured at the greatest possible extracortical volume at midcapital, midneck and intertrochanteric level and in the 1 cm{sup 3} volumes of the centres of these regions in a standardised 10 mm thick slice in the middle of the femoral neck axis (in mg/ml Ca-hydroxyl apatite). The proximal femora were then isolated and mounted on a compression/bending device under two-legged stand conditions and loaded up to the point when a femoral neck fracture occurred. Results: Statistical analysis revealed a linear correlation between the trabecular bone density and the fracture load for the greater regions, with the highest value in the ...
In technical combustors, flow and combustion processes inside the combustion chamber determine the design and also the safety of the plant. A modelling technique was developed at TU Dresden which comprises both numerical simulations and experimental data and thus achieves a high degree of transparency in its visualisation of the processes inside the combustion chambers under investigation. With the experience gained, numerical models of commercial simulation software (FLUENT, CFX) can be validated by measured values, and potential applications of the programs can be investigated. The first stage of experimental modelling consisted in isothermal (cold) modelling in consideration of flow-relevant similarity characteristics. In the reactive, non-isothermal models, the fuel/air ratio and temperature conditions inside the original combustion chamber were modelled as well. In order to obtain detailed data on the combustion conditions at the burner, measurements were made on a separate ...
In a prospective study 102 patients with malignant tumors of the tongue, oropharynx, hypopharynx, and larynx were staged by means of MRI. Special attention was directed at those tumour extensions that could influence the treatment strategy. The MR findings were correlated with the results of palpation, endoscopy, ultrasound, computerised tomography and histopathological findings. MRI showed a good delineation of pT{sub 2} to pT{sub 4} tumours. However, visualisation of small tumours in the soft palate, the tonsils, the pyriform sinuses and vocal cords was difficult. In conclusion our results suggest that in addition to endoscopy MRI is a valuable tool for the examination of tumours of tongue, oropharynx, hypopharynx and larynx. (orig.) [Deutsch] In einer prospektiven Studie wurden 102 Patienten mit malignen Tumoren der Mundhoehle, des Oro- und Hypopharynx sowie des Larynx mit der Mgnetresonanztomographie (MRT) untersucht, wobei besonders Wert auf die Bestimmung derjenigen ...
The aim of this study was to qualitatively and quantitatively study MR artifacts of various stents on the basis of in vitro experiments. We were particularly interested whether sequence type and orientation of the stent with respect to the static magnetic field influences the artifact. We examined 18 stents of different material (nitinol, stainless steel, cobalt alloy), different design of the stent meshes (AccuLink, OmniLink, DynaLink, Xact, Protoge, Wallstent Monorail), different diameter (5-10 mm) and different length (18-58 mm) with a turbo spin echo (TSE), a 2D-fast low angle shot (FLASH) and a 3D-FLASH sequence. The MR images were examined qualitatively with respect to possible artifacts. Furthermore we examined the MR data quantitatively: The contrast-noise-ratio (CNR) was determined both within the stent and outside (within the tube); based on these values we calculated the transparency factor P, furthermore we calculated the apparent vascular lumen within the tube and within ...
The typical MRI features of the most common pancreatic diseases, such as pancreatitis and adenocarcinoma of the pancreas, have been established. However, even in these common pancreatic disorders, MRI correlation with the underlying pathology is limited for clinical reasons. We emphasize MR-pathological correlation of inflammatory and neoplastic pancreatic changes, including pancreatitis, adenocarcinoma, acinar cell carcinoma, rare cystic and solid pancreatic neoplasms, and islet cell tumors. By highlighting the correlation of key pathological features with MR findings, a better understanding of the MR appearance of pancreatic pathology can be provided. In addition, MRI may prove a powerful tool in detection and characterization of pancreatic tumors. (orig.) [Deutsch] Das MR-tomographische Erscheinungsbild von Pankreatitiden und Adenokarzinomen des Pankreas, als den haeufigsten Pankreaserkrankungen, ist zwar ausreichend bekannt; allerdings ist selbst bei diesen Pankreaserkrankungen die ...
As an alternative to surgery, endovascular therapy with stent grafts has become the second main treatment option for infrarenal abdominal aortic aneurysms. Unlike surgery, endovascular treatment with stent grafts is also applicable in patients unfit for open repair. Despite current improvements in endovascular repair devices, significant anatomic barriers still exclude this technique for a large number of patients. Computed tomography, magnetic resonance imaging, and ultrasound are essential for diagnostics, preintervention planning, and postintervention follow-up of abdominal aneurysms treated with stent grafts. This review covers etiology, pathology, and diagnostic aspects. Materials and methods for endovascular treatment of abdominal aortic aneurysms are presented in detail, and clinical results and complications are discussed. (orig.) [German] Die endovaskulaere Therapie des infrarenalen Bauchaortenaneurysmas hat sich als Alternative zur offenen chirurgischen Versorgung etabliert. ...
Nuclear medicine and magnetic resonance imaging (MRI) are widely used in cardiac diagnostics. Both techniques have been carefully evaluated and are equivalent for the assessment of regional and global wall motion as well as the evaluation of ejection fraction and cardiac volumes, though MRI is herein currently seen as gold standard. For evaluation of myocardial perfusion, extensive data exist for nuclear imaging, that, next to high diagnostic accuracy for evaluation of coronary artery disease, show incremental prognostic information and allow for independent risk stratification. Because of rapid technical advance, myocardial perfusion imaging has also become feasible with cardiac MRI. Results of recent studies are promising, but the data are few compared to perfusion scintigraphy. For viability assessment in patients with ischemic cardiomyopathy, positron emission tomography (PET) with FDG is currently seen as gold standard. However, single photon emission computed tomography (SPECT) ...
This contribution provides an overview and imparts basic knowledge on pertinent technical developments in magnetic resonance imaging (MRI) of the liver: 3D sequences, respiratory triggering, parallel imaging, and 3 Tesla (3T). 3D sequences can be used as T1-weighted (T1w) sequences for analyzing dynamics of contrast enhancement or as T2w sequences for MR cholangiography. Consistent improvements in respiratory triggering make it possible to obtain good image quality on T2w scans even in patients unable to hold their breath. Parallel imaging as a universal technique to accelerate image acquisition is particularly appropriate for MRI of the liver, and it has been shown that the reduced acquisition time is not achieved at the expense of image quality. Further progress in MRI of the liver can be expected with use of the 3T systems, but hitherto irrelevant problems must still be solved. Overall the innovations presented here, applied alone or in combination, facilitate rapid, robust, and ...
Minimally invasive thermotherapies for focal tissue destruction on the basis of laser-, microwave-, focused ultrasound-, or cryogeninduced changes of tissue temperature represent an alternative to surgical tissue ablation, particularly in the treatment of tumors. The thermotherapy modalities listed necessitate indirect guidance and monitoring, since they often do not lend themselves to immediate visual control. In the brain, in head and neck tumors, in the liver, and in the prostate, MRI reliably and accurately delineates both the positions of interstitial thermotherapy applicators and - in contrast-enhanced, T1-weighted images - the perfusion defects in tissue necrosis induced by thermotherapy. The transfer of results of in-vitro and in-vivo model studies to assess interstitial temperature and lesion development during thermotherapy to the actual treatment of patients, however, is still in an initial phase. Further development of both rapid MRI sequences and MRI scanners suited for ...
T{sub 2} weighted ultra-short turbo spin echo sequences were used in five individuals with variations in echo times, delayed triggering and echo intervals. To reduce movement artifacts all examinations were carried out with ECG and respiratory triggering. The sequences giving optimal image quality were then employed in 19 patients having various pulmonary abnormalities. Image resolutions, artifacts, image contrasts and diagnostic value were then judged by two observers and compared with CT. In the first study, a diastole-triggered UTSE sequence with the shortest echo proved optimal (T{sub E}=90 ms, T{sub R}=2-4 s, echo=9 ms, turbo factor=19). In the patient series studied, MRT was inferior to CT with regard to resolution and number of artifacts, but better in respect of contrast and diagnostic value. Using UTSE of the lung, MRT can produce images of good quality. Compared with CT, contrast is better with MRT, offering diagnostic advantages for MRT. (orig./MG) [Deutsch] Zuerst wurde an ...
The experimental effect investigation programme on Zircaloy-4/air oxidation was pursued and expanded to isothermal specimen exposure and the comparison of the oxidation between the atmospheres Ar/O{sub 2} and air. In close connection with the EC project OPSA, which is meanwhile terminated, the investigation concerned specimen exposure in a thermobalance to flowing atmospheres, namely dry Ar/O{sub 2} of composition 80/20 or synthetic air, respectively. As test parameters the linear heat-up rate was varied in the range 5 to 40 K/min and the ramp or holding temperature between 800 and 1500 C. Mass increase and reaction rate were continuously recorded or evaluated in temperature/time dependence. The oxide scale growth was found to be accompanied by colour changes, crack formation and spalling of layers, as well as by dimensional substrate growth, which are the reasons for the observed kinetic results. The microstructural investigation confirms nitrogen to be essentially responsible for the ...
The R and D activities of the institute focused on two major projects, ``Molecular and cellular environmental toxicology``, and ``Biophysics of multi-cellular systems``. For assessment of health risks emanating from the uptake of heavy metal compounds, work performed under the first mentioned project studies the formation of allergy-inducing metabolic products from membrane lipids, and the effects of related cellular signaling processes. These studies are accompanied by an approach to quantify and classify the toxicity of environmental organometallic compounds. Another major task is research into the pathogenesis of lung disease induced by dusts, gases, and gas-dust mixtures and the liberation of inflammatory agents by immunological cell reactions (alveolar macrophages). Atomic force microscopy is the tool used to visualize the related dynamic changes in bronchial cells. Studies for detection of the localisation and structure of the Fe-Mo co-factor in nitrogenase by means of the method ...
Purpose: In the present study the reduction of artifacts using an extended CT scale technique was examined in 5 vitallium and 5 titanium-aluminium-vanadium tumor prostheses. Methods: 5 titanium-aluminium-vanadium and 5 vitallium distal femur Mutars {sup trademark} tumor prostheses (Mutars {sup trademark} - Modular Universal Tumor And Revision System) were implanted in 10 human femur specimens. 110 artifical drill hole lesions of 1 mm, 2 mm, 3 mm, 5 mm and 8 mm diameter were placed in the bone around the hexagonal stem of the tumor prosthesis and furthermore in the proximal part of the femur. All specimens were examined using conventional CT and an extended CT scale technique in a slice thickness of 3 mm. Results: In the proximal part of the femur all drill holes could be detected using 3 mm slices, no artefacts were observed. Along the hexagonal stem smooth lines arising from each hexagonal plane could be observed. This made it impossible to detect a 1 mm drill in 1 vitallium and in 1 ...
Early recognition of recurrence and work-up of clinically indeterminate lesions may be impaired after reconstruction with silicone implants due to superimposition of the implant or to scarring. This study was undertaken to evaluate the use of contrast-enhanced MRI in patients with silicone implant after breast cancer. Contrast-enhanded MRI was offered to 169 patients. Comparative two- to three-view mammography was also performed in 169 patients, as well as comparative sonography in 144 patients. Conventional imaging and clinical examination detected only 8/13 recurrences, whereas 12/13 were detected by MRI. One recurrence had been visible as a strongly enhancing 2-mm dot in a previous examination (2 years before), but was not called. It was therefore counted as false negative. In addition, multicentricity was detected by MRI alone in two of three cases. MRI correctly diagnosed scar tissue in all cases with indeterminate findings. However, due to false-positive calls caused by enhancing ...
The role of high-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) in the diagnosis of preoperative and postoperative complications caused by acquired cholesteatomas will be described in this paper. The pre- and postoperative imaging of the temporal bone was performed with HRCT and MRI. HRCT and MRI were performed in the axial and coronal plane. MRI was done with T2 weighted and T1 weighted sequences both before and after the intravenous application of contrast material. All imaging findings were confirmed clinically or surgically. The preoperative cholesteatoma-caused complications depicted by HRCT included bony erosions of the ossicles, scutum, facial canal in the middle ear, tympanic walls including the tegmen tympani, and of the labyrinth. The preoperative cholesteatoma-caused complications depicted by MRI included signs indicative for labyrinthitis, and brain abscess. Postoperative HRCT depicted bony erosions caused by recurrent cholesteatoma, bony defects ...
Purpose: Liposarcoma is the most common soft tissue sarcoma in adults. The purpose of the study was to correlate MR imaging features with the four ICD subclasses. Methods: 28 patients with liposarcoma were examined preoperatively on a 1.0 T MRI system, using spin echo sequences, gradient echo imaging and STIR sequences. In all patients, classification of the liposarcomas was made by histologic diagnosis (ICD-10-M-classification). Results: Well differentiated liposarcomas (9 patients) showed a number of MRI features consistent with lipoma (well defined mass high signal intensity (SI) on T{sub 1} images, low signal on T{sub 2} images, no or only little signal increase of tumour tissue after contrast material application, no necrosis). Not well differentiated liposarcomas (myxoid 14 patients, pleomorphic three patients, round cell two patients) revealed the largest part of the mass to be of low SI on T{sub 1}-weighted images. Only scattered fatty islands and septa (9 patients with myxoid ...
Purpose: To determine the diagnostic value of high resolution MR imaging with a circularly polarised (c.p.) body phased-array coil for the staging of pelvic lymph nodes in cervical carcinoma. Material and methods: 42 patients with histologically proven carcinoma of the cervix were studied on a 1.5 T scanner by using a c.p. body phased-array coil. The imaging protocol included T{sub 2}-weighted turbo-spin-echo (TSE) and T{sub 1}-weighted spin-echo sequences pre and post IV application of Gd-DTPA; slice thickness was 5-7 mm and pixel size 0.53 mm{sup 2}. Lymph nodes with a diameter of {>=}8 mm were considered to have metastatic involvement. MR imaging results were compared with histopathologic findings. Results: MR imaging showed enlarged lymph nodes ({>=} 8 mm) in 16 of 18 patients with histologic proof of lymph node metastases (sensitivity 89%). In 22 of 24 cases MR findings were true negative (specificity 92%). Diagnostic accuracy was 91%. Conclusion: High-resolution MR imaging ...
Purpose: Evaluation of the diagnostic efficacy and cost-benefit of contrast enhanced CT (CT) and MRI pre- and post-SPIO-particles in focal hepatic disease with consideration of therapeutic outcome. Results: In 34/52 (65.4%) of the cases the correct diagnosis was primarily stated by CT (sensitivity [se.] 85.2%, specificity [sp.] 44.0%). In additional 10/52 of the cases unenhanced MRI (se. 91.4%, sp. 75.0%) enabled correct diagnoses, and in another 6 cases the diagnosis was established only by SPIO-MRI (se. 100%, sp. 86.7%). Considering the possible therapeutic recommendation arising from each modality, CT would have induced needless therapy costs of 191,042 DM, unenhanced MRI of 171,035 DM, and SPIO-MRI of 7,311 DM. In comparison to the real therapy costs of 221,873 DM, this would have corresponded to an unnecessary increase of therapy costs of 86.1%, 77.1%, and 3.3%, respectively. In two cases (91 hemangioma, 1 regenerative nodule) all modalities failed, causing unnecessary surgery in ...
Purpose: The aim of this study was to demonstrate the typical appearance of ganglioneuromas in computer-assisted tomography (CT), and magnetic resonance imaging (MRI). Material and methods: Retrospective analysis of diagnostic imaging (9 CT, 6 MRI) in 9 children aged 3 to 15 years with the histological diagnosis of ganglioneuroma. Results: The tomographies showed large (max. 13.4 cm in diameter) round or oval tumors with sharp delineation. The sites of the tumors were the retroperitoneum (5), the mediastinum (3), and the adrenal gland (1). Intraspinal tumor involvement occurred in 4 cases. On comparing CT with MRI, MRI was more accurate in defining the intraspinal involvement. The ganglioneuromas were of hypodense appearance in the native CT scan and showed moderate enhancement upon administration of contrast media. In five patients tumor calcifications with a disseminated sprinkled pattern were seen in CT. In MRI T{sub 1}-weighted scans the tumors were homogeneous and hypointense, ...
Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager (`Vision`, Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of 6 images/s and an in-plane resolution of ...
Purpose: Measurement of the oscillating CSF flow in the spinal canal (SC) of healthy volunteers and in patients with post-traumatic syringomyelia (PTS) using an optimized MRI protocol as well as to determine whether stenosis induced velocity changes are detectable using MRI. Methods: In 68 healthy volunteers quantitative studies of CSF flow in the cervical, thoracic, and lumbar regions were performed. First, an optimized sequence was developed and tested in 19 volunteers using four different flow-encoding velocities (4, 8, 12, 16 cm/s). Secondly, the optimized sequence was employed in 49 volunteers to measure the different CSF patterns in the cervical, thoracic, and lumbar spinal canals (CSC, TSC, LSC). Part three of the study, in which patients with PTS are being examined is still underway. We measured the maximum velocity (cm/s), the pixel area (mm{sup 2}), and the stroke volume (ml/s). Using a flow model the velocities prior to and after compression with 5 different power levels ...