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G Adam

Publications and source records attributed to G Adam.

At least 181 records · Page 10Linked to original sources
PubMed1997

[Flow direction-sensitive spin-echo MR angiography].

New blood pool contrast agents yield a significant shortening of T1 of blood. Consequently, the usual techniques of time-of-flight and phase-contrast angiographies cannot produce angiograms sensitive to one flow direction, even if saturation slabs are applied. It was our aim to test the hypothesis of displaying arterial and venous flow selectively with a specially designed spin echo sequence even after administration of contrast agents. Parallel slice selective 90-degree and 180-degree pulses were applied. The distance between slices could be varied. It was attempted to obtain MR angiographies that were flow sensitive for one direction only. We performed flow phantom studies without the use of contrast media and first in vivo experiments in pigs after administration of iron oxide particles. With our modified spin echo sequence unidirectional flow can be displayed, whereas stationary tissue is totally suppressed. There are no special demands for the hardware and no additional postprocessing needs to be performed. The locally off-centred 90-degree and 180-degree pulses are responsible for this. Exclusively, protons excited by the 90-degree pulse and flowing into the slice of the 180-degree pulse will be refocused and only such protons will give rise to signal in the images.

Animals↗
PubMed1997

[T1-weighted excretory MR urography using GD-DTPA after low-dose diuretic administration].

PURPOSE: Assessment of the morphology of the urinary tract by gadolinium (Gd)-enhanced T1-weighted MR-urography (MRU) and precontrast diuretic injection. METHODS: MRU was performed in 5 patients using Gd-DTPA-enhanced coronal T1-weighted 3D-gradient-echo sequences with different spatial resolution. Prior to contrast injection, 10 mg of furosemide were administered intravenously. RESULTS: Secondary to the precontrast furosemide injection, the increase of the renal excretion rate allows complete visualisation of the entire collecting system within 10 minutes following Gd injection. Maximum intensity projections provide a three-dimensional overview of the ureters separate from the bladder. To achieve detailed anatomic imaging of the calices, both optimal distension and high resolution sequences are prerequisites which cannot be realized by means of survey urograms only. CONCLUSIONS: Contrast-enhanced excretory MRU performed after injection of a diuretic offers a rapid approach to visualising the morphology of the nondilated urinary tract. Imaging of caliceal details must be done with high-resolution 3D-gradient-echo sequences.

Adult↗
PubMed1997

[Cava filter placement under MRI control. Experimental in vitro and in vivo studies].

PURPOSE: An instrument has been developed for the introduction of caval filters which can be used with MRI; it has been investigated in in vitro and in in vivo experiments. MATERIAL AND METHOD: The ferromagnetic components of a commercially available instrument for the femoral introduction of the MR-eye Tulip IVC filter were changed for similar, non-ferromagnetic parts and the lock and dilator marked with dysprosium oxide rings. The instrument was used in a flow phantom and in animal experiments (two domestic pigs) in order to insert filters under MRI control on a 1.5 T Philips Gyroscan with integrated mobile digital subtraction angiography. RESULTS: Both in vitro and in vivo, the introducer, catheter and caval filter could be identified by MRI and positioned under MRI control. The position of the filter as indicated by MRI corresponded with radiological and macroscopic findings in all cases (5 phantoms, 2 pigs). CONCLUSION: The early experimental results indicate that percutaneous introduction of caval filters with placement under MRI control is possible.

Animals↗
PubMed1997

[MR-guided biopsies with high-resolution ultrafast T2-weighted turbo spin-echo sequence LoLo: initial clinical experience].

PURPOSE: The feasibility of the "LoLo"-technique for MR guidance of biopsy procedures was tested. MATERIAL AND METHODS: MR-guided biopsies were performed on 10 patients employing a 1.5 T system. The "LoLo"-technique used is a single shot turbo spin echo technique. Only a small field of view is covered in order to yield images with a resolution of 1 mm2 in 600 ms. The orthogonal orientation of the slice selective radio frequency pulses to each other prevents foldover artifacts. RESULTS: No complications occurred. All biopsy procedures yielded sufficient material to diagnose the underlying disease. The "LoLo"-technique enabled good depiction of the needle tip in all cases. T2-weighted contrast typical for turbo spin echo images was observed. No foldover artifacts were detectable. CONCLUSION: MR-guided biopsies are possible with the "LoLo"technique. Compared to gradient echo sequences T2-weighting and smaller susceptibility artifacts proved to be advantageous.

Adult↗
PubMed1997

Interventional magnetic resonance. Initial clinical experience with a 1.5-tesla magnetic resonance system combined with c-arm fluoroscopy.

RATIONALE AND OBJECTIVES: The authors evaluate the feasibility of performing magnetic resonance (MR) procedures on a 1.5-tesla (T) system combined with conventional c-arm fluoroscopy. METHODS: A 1.5-T MR imaging system was combined with a conventional c-arm fluoroscopy unit in one room. The two systems were connected via a floating table top. Twenty-six interventional procedures (biopsies, MR-portography, percutaneous alcohol injection, laser ablation, fluid aspiration, and breast marking) were performed in 22 patients under MR, fluoroscopic control, or both. For MR guidance, fast gradient echo sequences were used, initiated from a panel at the front of the magnet. Images were displayed on an liquid crystal display screen positioned on the magnet. RESULTS: All MR-guided procedures were performed successfully without complications. The addition of c-arm fluoroscopy was useful for bone interventions and MR-portography. All diagnostic biopsies yielded sufficient amounts of tissue for histologic diagnosis. In breast lesions, the target identified on dynamic MR imaging was marked correctly in each case. In interstitial laser thermotherapy the laser effect could be visualized, and in percutaneous ethanol injection the distribution of the alcohol could be seen. Both imaging systems worked without image distortions and high-quality MR images were obtained. CONCLUSIONS: The combination of a 1.5-T MR imager with a c-arm fluoroscopy system seems to be a promising technical solution for performing interventional MR procedures.

Adult↗
PubMed1997

Contrast-enhanced magnetic resonance urography. First experimental results with a polymeric gadolinium bloodpool agent.

RATIONALE AND OBJECTIVES: The authors investigated the feasibility of contrast-enhanced excretory magnetic resonance urography to visualize the nonobstructed urinary tract with a macromolecular gadolinium-based bloodpool agent. METHODS: Excretory magnetic resonance imaging was performed in seven pigs using a T1-weighted three dimensional fast-field-echo sequence before and up to 120 minutes after administration of a gadolinium bloodpool prototype agent. RESULTS: During the first 15 minutes after injection, the urographic effect was predominantly poor. Visualization of the entire urinary tract was excellent in four pigs and incomplete but satisfactory in three 105 minutes after injection. Furosemide application was tested in one case, which improved image quality effectively. Corresponding to the physiological excretion rate, signal measurements in the renal parenchyma revealed a gradual decrease of the initially distinct contrast enhancement. CONCLUSIONS: T1-weighted contrast-enhanced magnetic resonance urography using a polymeric gadolinium bloodpool allows detailed visualization of the normal urinary tract, while information about the excretory function is obtained simultaneously. However, application of a diuretic seems to be essential to prevent lengthy examination duration.

Animals↗
PubMed1997

Computed tomography characterization of renal cell tumors in correlation with histopathology.

RATIONALE AND OBJECTIVES: The authors distinguish the histomorphologic subtypes of renal cell tumors (RCTs) by computed tomography (CT). METHODS: In a consensus conference between radiologists, pathologists, and urologists, the CT criteria of the various subtypes of RCTs (clear cell, chromophilic cell, chromophobic cell renal carcinoma and oncocytoma) were established. Computed tomography scans of 65 resected RCTs were reevaluated independently by seven radiologists. Using a numerical scoring system, they first attempted to differentiate clear cell from nonclear cell RCTs. A further attempt then was made to classify each tumor into one of the four categories. RESULTS: The sensitivity for the diagnosis of clear cell RCT was 72.5% (213 of 294 true-positive findings) and 82% (132 of 161 true-positive findings) for the nonclear cell group. For tumors more than 3 cm in diameter the sensitivities were 80.25% for the clear cell group and 80.7% for the nonclear cell group. Specific differentiation into the four subtypes was not possible. Oncocytomas were classified correctly in only 6 of 49 observations (12.2%). CONCLUSIONS: Small clear cell tumors often fail to show the CT characteristics that would permit an accurate classification. In tumors measuring 3 cm or more, differentiation between clear cell and nonclear cell types by means of CT criteria is possible. Nevertheless, as RCTs show a great variation in appearance, a differentiation into subtypes of the nonclear cell RCTs cannot be accomplished by CT. Using a uniform examination protocol and spiral scanning technique, the sensitivity of CT in the diagnosis of the subtypes of RCTs may be able to be further increased. Some tumors, especially oncocytomas, undoubtedly will remain diagnostic dilemmas.

Adenocarcinoma↗
PubMed1997

Copy number, epigenetic state and expression of the rRNA genes in young and senescent rat embryo fibroblasts.

The recent cloning of the gene that causes the premature aging in Werner syndrome patients has evoked speculations that deficits in expression of the ribosomal RNA genes could be related to cellular aging in general. Here we compare the state of the rRNA genes and the rRNA metabolism in young and senescent (aged) rat embryo fibroblasts (REF). Southern blot analysis revealed that the copy number and the methylation state of the genes did not change significantly with increasing cumulative population doublings (CPD) of the culture. Hence, young (low numbers of CPD) and senescent REF (high numbers of CPD), respectively, have the same repertoire of rDNA units that can be transcribed. The rRNA synthesis in these cells was analyzed by incorporation of labeled uridine at conditions allowing the measurement of absolute rather than relative rRNA synthesis rates. We revealed that the cell density dependence of the rRNA synthesis diminishes in senescent cells. Exponentially growing young REF exhibited an rRNA synthesis of 16 amol uridine incorporation per minute and cell. The rRNA synthesis decreased 10-fold in quiescent cells at saturating cell densities. Exponentially growing REF near the end of their replicative lifespan exhibited a 2-fold lower rRNA synthesis rate compared to young cells. However, in senescent REF the rRNA synthesis rate decreased only 2-fold with increasing cell densities resulting in a 3-fold higher rRNA synthesis rate compared to young cells at saturating cell densities. These data could be confirmed by calculating the rRNA synthesis rates from the rRNA content, the rRNA half-life, and the proliferation rate of the cells. Hence, senescent REF exhibited a higher rRNA synthesis rate when compared to young cells at similar growth rates resulting in the generally observed higher rRNA content (and cell size) of senescent cells. We conclude that cellular senescence of REF is not accompanied by rRNA expression deficiencies.

Animals↗
PubMed1996

Role of actin in the organisation of brain postsynaptic densities.

Brain synaptic junctions are marked by a prominent dense-staining structure, the postsynaptic density (PSD), embedded in the postsynaptic membrane. Isolated PSDs contain a complex mixture of proteins among which the most abundant are the alpha subunit of calcium/calmodulin-dependent kinase II (CaMK II alpha) the membrane cytoskeletal proteins actin and spectrin and receptors for both excitatory and inhibitory neurotransmitters. We have investigated the relationship of these proteins to the junctional structure by extracting isolated PSDs with lithium diiodosalicylate (LIS). This selectively solubilized actin and spectrin while other prominent PSD proteins, such as CaMK II alpha, the AMPA- and NMDA-type glutamate receptors and GABA receptors, were not extracted at all. Electron microscopy revealed that LIS treatment caused some fragmentation of PSDs but that their basic lattice-like structure remained intact. These observations suggest that PSD structure is organised at two levels; a core component containing CaMK II alpha and neurotransmitter receptors which we have previously described as the postsynaptic junctional lattice and a peripheral actin-associated component that draws the lattice components together into the complete PSD structure.

Actins↗
PubMed1996

3-amino-3,4-dihydro-2H-1-benzopyran derivatives as 5-HT1A receptor ligands and potential anxiolytic agents. 2. Synthesis and quantitative structure-activity relationship studies of spiro[pyrrolidine- and piperidine-2,3'(2'H)-benzopyrans].

In continuation of our work on 3-amino-3,4-dihydro-2H-1-benzopyran derivatives with high affinity for 5-HT1A receptors, we have prepared rigid spirobenzopyran analogues designed from the pharmacophore models of Mellin and selected via a quantitative structure-activity relationship approach mainly based on similarity indices. A series of spiro[pyrrolidine- and piperidine-2,3'(2'H)-benzopyrans] with various substitutions on the aromatic ring as well as on the extracyclic spiranic nitrogen atom were then synthesized and evaluated for their serotonergic and dopaminergic activities. Good correlation between the predicted and the experimental binding values was observed with an average difference of 0.2 unit on log(IC50). Affinities for the 5-HT1A receptors were in the nanomolar range for the best compounds ((+)-11a,23) with a high selectivity versus other 5-HT (5-HT1B, 5-HT2, 5-HT3) or dopamine (D1, D2) receptor subtypes. As for the 3-amino-3,4-dihydro-2H-1-benzopyran series, the dextrorotatory enantiomer (+)-11a showed better affinity and selectivity for 5-HT1A receptors than its levorotatory analogue (-)-11a. Compound (+)-11a proved in vitro to be a full agonist and in vivo to be active in various comportmental tests predictive of psychotropic activity, such as the forced swim test and the tail suspension test, and is currently under complementary investigations.

Animals↗
PubMed1996

Optimizing joint imaging: MR imaging techniques.

For optimizing MR imaging of the joints, a sophisticated knowledge of MR system hard- and software conditions and coil technologies, sequence and contrast preparation techniques, and the use of paramagnetic contrast agents is necessary. This review article discusses the basic principles of the appropriate use of surface coils as well as the different conventional and fast imaging sequences, including three-dimensional (3D) MR imaging. In addition, the applications of contrast agents as well as the most important contrast preparation techniques are reviewed.

Humans↗
PubMed1996

MRI of degenerative bone marrow lesions in experimental osteoarthritis of canine knee joints.

OBJECTIVE: The objective of this study was to determine the value of MRI in the detection of degenerative bone marrow abnormalities in an animal osteoarthritis model. DESIGN: In 10 dogs with experimentally induced unilateral osteoarthritis of the knee, MRI was performed using two-dimensional spin-echo (2D-SE) and three-dimensional gradient-echo (3D-GE) imaging. Contrast enhanced T1-weighted 2D-SE sequences were also obtained after injection of gadolinium-DTPA. The results were compared with the gross and histopathologic findings and with radiography. RESULTS: Histopathologic specimens revealed 21 osteosclerotic lesions and 5 intraosseous cysts. On 2D-SE images, 24 of 26 lesions were detected, while 21 of 26 lesions were identified on 2D-GE sequences. Radiography, including conventional tomography, demonstrated 9 of 26 lesions. Regardless of the sequence weighting, all osteosclerotic lesions appeared hypointense on MRI. Signal loss in bone sclerosis resulted primarily from the reduction of intact fat marrow, the increased bone density being of secondary importance. Quantitative signal analysis allowed approximate estimation of the grade of sclerosis. On postcontrast images, sclerotic bone remained hypointense, although significant but non-specific enhancement relative to the normal fat marrow was observed. The extent of contrast enhancement did not correlate with the grade of osteosclerosis. All five cysts were readily diagnosed by MRI. Cysts displayed either central or marginal contrast enhancement within their cavities. CONCLUSIONS: MRI provides a sensitive method for the diagnosis of osteoarthritic bone abnormalities, allowing their differentiation from most non-degenerative subarticular lesions.

Animals↗
PubMed1996

Ankle-arm blood pressure index as a predictor of mortality in hemodialysis patients.

The ankle-arm blood pressure index (AAI, ratio of ankle to arm systolic blood pressure), a simple, noninvasive, and inexpensive screening test, has recently been found to be highly predictive of subsequent mortality in several populations. The purpose of this study was to evaluate the relationship of the AAI to cardiovascular and all-cause mortality in hemodialysis patients. A cohort of 132 patients was followed for 1 year. The primary outcome measures were cardiovascular and all-cause mortality. An AAI of <0.9 was associated with a relative risk (RR) of cardiovascular mortality of 7.5, (95% CI, 2.3 to 24.8). Other predictive variables included diabetes mellitus RR 3.0, (95% CI, 1.2 to 7.3), and a history of any vascular disease RR 2.6 (95% CI, 1.0 to 7.0). An AAI of <0.9 was also predictive of all-cause mortality, RR 2.4 (95% CI, 1.2 to 4.7). Other predictive variables for all-cause mortality included older age, RR 1.4 per 10 years (95% CI, 1.0 to 2.1), decreased serum albumin RR 0.9 per 0.1 mg/dL (95% CI, 0.8 to 1.0), and diabetes mellitus RR 2.0 (95% CI, 1.0 to 3.7). Multivariate analysis showed an AAI of <0.9 and diabetes mellitus to be the only independent predictors of cardiovascular mortality, and an AAI of <0.9, older age, and a decreased serum albumin were independent predictors of all-cause mortality. In conclusion, we have found an AAI of <0.9 to be a powerful, independent predictor of mortality in hemodialysis patients.

Age Factors↗