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Biomedical subjects

J Burmeister

Publications and source records attributed to J Burmeister.

At least 19 recordsLinked to original sources
PubMed2005

Measured microdosimetric spectra and therapeutic potential of boron neutron capture enhancement of 252Cf brachytherapy.

Californium-252 is a neutron-emitting radioisotope used as a brachytherapy source for radioresistant tumors. Presented here are microdosimetric spectra measured as a function of simulated site diameter and distance from applicator tube 252Cf sources. These spectra were measured using miniature tissue-equivalent proportional counters (TEPCs). An investigation of the clinical potential of boron neutron capture (BNC) enhancement of 252Cf brachytherapy is also provided. The absorbed dose from the BNC reaction was measured using a boron-loaded miniature TEPC. Measured neutron, photon and BNC absorbed dose components are provided as a function of distance from the source. In general, the absorbed dose results show good agreement with results from other measurement techniques. A concomitant boost to 252Cf brachytherapy may be provided through the use of the BNC reaction. The potential magnitude of this BNC enhancement increases with increasing distance from the source and is capable of providing a therapeutic gain greater than 30% at a distance of 5 cm from the source, assuming currently achievable boron concentrations.

Boron Neutron Capture Therapy↗
PubMed2004

Applicability of CORVUS pencil beam model and scatter dose model for intensity modulated neutron therapy.

Intensity modulated neutron radiotherapy (IMNRT) is currently being investigated as a mechanism to improve dose conformality in neutron radiotherapy, thereby minimizing normal tissue toxicity. This study investigates the applicability of two different dose calculation algorithms for IMNRT, a commercial system which utilizes a finite size pencil beam (FSPB) model, and an in-house planning system which uses a differential scatter air ratio (DSAR) method. Calculated dose distributions were compared with measured profiles for validation purposes. The beam-profiles matched to within +/-3% in the central region of the field. The 80-20% penumbra width as measured using an ionization chamber varied as 0.6 cm and 1.0 cm for 3 x 3 and 10 x 10 cm2 profile at a depth of 2.5 cm. The FSPB model fitted the data to a penumbra width of 0.1 cm for both 3 x 3 and 10 x 10 cm2 profiles. These results indicate that the commercial system needs further investigation. However, the in-house planning system has been validated for small irregular fields for IMNRT to an accuracy of +/-5%. Absolute dose measurements agreed with the calculated doses to within +/-3%.

Algorithms↗
PubMed2002

Classical microdosimetry in radiation protection dosimetry and monitoring.

Classical microdosimetry concerns the measurement and analysis of the spectrum of radiation energy deposition events in simulated microscopic tissue-equivalent sites. Over the past three decades, classical microdosimetry has been extensively applied for the direct measurement of dosimetric quantities, such as the ambient dose equivalent, and for the spectroscopic properties of tissue-equivalent proportional counters that have led to methods of mixed-field analysis and particle identification. This paper reviews some of the special applications of classical microdosimetry such as the determination of kerma coefficients, differential dosimetry and aviation dosimetry. Also reviewed are some of the technological innovations related to the application of microdosimetry in operational health physics and in particular the development of multi-element proportional counters and detectors based on gas microstrip technology.

Dose-Response Relationship, Radiation↗
PubMed2002

Application of TEPC microdosimetry to boron neutron capture therapy.

Boron neutron capture therapy (BNCT) is a bimodal radiation therapy used primarily for highly malignant gliomas. Tissue-equivalent proportional counter (TEPC) microdosimetry has proven an ideal dosimetry technique for BNCT, facilitating accurate separation of the photon and neutron absorbed dose components, assessment of radiation quality and measurement of the BNC dose. A miniature dual-TEPC system has been constructed to facilitate microdosimetry measurements with excellent spatial resolution in high-flux clinical neutron capture therapy beams. A 10B-loaded TEPC allows direct measurement of the secondary charged particle spectrum resulting from the BNC reaction. A matching TEPC fabricated from brain-tissue-equivalent plastic allows evaluation of secondary charged particle spectra from photon and neutron interactions in normal brain tissue. Microdosimetric measurements performed in clinical BNCT beams using these novel miniature TEPCs are presented, and the advantages of this technique for such applications are discussed.

Boron Neutron Capture Therapy↗
PubMed2001

Miniature tissue-equivalent proportional counters for BNCT and BNCEFNT dosimetry.

A dual miniature tissue-equivalent proportional counter (TEPC) system has been developed to facilitate microdosimetry for Boron Neutron Capture Therapy (BNCT). This system has been designed specifically to allow the analysis of the single event charged particle spectrum in phantom in high intensity BNCT beams and to provide this microdosimetric information with excellent spatial resolution. Paired A-150 and 10B-loaded A-150 TEPCs with 12.3 mm3 collecting volumes have been constructed. These TEPCs allow more accurate neutron dosimetry than current techniques, offer a direct measure of the boron neutron capture dose, and provide a framework for predicting the biological effectiveness of the absorbed dose. Design aspects and characterization of these detectors are reviewed, along with an exposition of the advantages of microdosimetry using these detectors over conventional dosimetry methods. In addition, the utility of this technique for boron neutron capture enhancement of fast neutron therapy (BNCEFNT) is discussed.

Biophysical Phenomena↗
PubMed2001

Computer-guided, population-based screening system for growth disorders (CrescNet) and on-line generation of normative data for growth and development.

The mean age at which the diagnosis of growth disorders such as Turner's syndrome, growth hormone (GH) deficiency or true GH-dependent gigantism is established is still rather late in many countries around the world. In addition, the question of secular trends in a given population and the rate at which childhood obesity is increasing in industrialized countries make it mandatory to establish a time-adapted system to develop percentiles for body height, weight and body mass index (BMI) and also to develop a screening system for growth disorders. In 1998 we established a network, now involving more than 160 paediatric practices in Germany and seven paediatric endocrinology departments. Paediatricians record heights, weights and growth velocities of all children in their care and systematically feed the data into the database at our centre usually by mailing formatted, structured data tickets. Data are then continuously analysed at the centre and the paediatricians in the network are informed immediately about their individual patients' growth situations via phone or E-mail (feedback system). Regular annual conferences including structured reports, scientific presentations and discussion groups are organized for all participants at our centre. By May 2001, the data of 83,721 children and adolescents had been analysed. The mean values for height were 1-1.5 cm higher than the mean values in the German Synthetic Growth Curve, which serves as an internal standard. However, and most importantly, in comparison with the internal standard and historical normative data from Germany and Switzerland, there is a continuous increase in the 97th percentile for weight and BMI, while the third percentile remains unchanged. In addition, many children with short stature and tall stature due to a variety of endocrine disorders and genetic diseases which had not been diagnosed previously are now being identified. In conclusion, the databank allows for a continuous adaptation of normative curves based on a large number of children in a given population, i.e. eastern Germany. Secondly, the system allows for detection of pathological growth curves and is already serving to diagnose growth disorders in a defined population in a systematic way.

Adolescent↗
PubMed2000

A conducting plastic simulating brain tissue.

A new conducting plastic has been composed which accurately simulates the photon and neutron absorption properties of brain tissue. This tissue-equivalent (TE) plastic was formulated to match the hydrogen and nitrogen constituents recommended by ICRU Report #44 for brain tissue. Its development was initiated by the inability of muscle tissue-equivalent plastic to closely approximate brain tissue with respect to low-energy neutron interactions. This new plastic is particularly useful as an electrode in TE dosimetry devices for boron neutron capture therapy (BNCT), which utilizes low-energy neutrons for radiotherapy of the brain. Absorbed dose measurements in a clinical BNCT beam using a proportional counter constructed from this TE plastic show good agreement with Monte Carlo calculations.

Boron Neutron Capture Therapy↗
PubMed2000

[Model program for the early detection and optimal treatment of disorders of growth and physical development using a medical competence netwok].

The growth and development of a child is a mirror of his living conditions and health. For decades pediatricians have been trying to achieve an earlier identification of children with growth disorders. The measures of prevention in Germany have not been successful so far. Diagnosis for example of GH-deficiency to ensure optimal substitution with growth hormone is usually not early enough. A screening system using an auxological data bank for growth disorders has been set up by us recently. Since 1998 we have collected height and weight measurements in relation to age and sex from patients cared for by a large number of pediatricians in the region of Leipzig, Germany. By september 1999, 30,182 children of different ages have been screened. The system identifies children with short stature below the 3. centile and tall stature above the 97. centile of the German Synthetic Normcurve (Hermanussen/Burmeister 1999). In 6.81% of the children a growth disorder was identified (3.03% above 97. and 3.78% below 3. centile). In 54 cases (0.18%) we found a pathological reason for short or tall stature. A sensitive screening system has been set up for the early detection of growth disorders and obesity in childhood. We generate a data pool for multiple questions in research of human growth. We will generate yearly reports for the development of new strategies in preventive medicine.

Body Composition↗
PubMed1999

Dosimetry of the boron neutron capture reaction for BNCT and BNCEFNT.

The use of paired proportional counters, constructed from A-150 tissue equivalent plastic (TEP) and A-150 TEP loaded with an appropriate amount of 10B (50 to 200 ppm), for the dosimetry of the boron neutron capture reaction has been investigated for several years at the Gershenson Radiation Oncology Center. This method has been used for determining the dose components (fast neutron, gamma ray and boron capture product dose) in both Boron Neutron Capture Therapy (BNCT) beams and in beams proposed for boron neutron capture enhancement of fast neutron therapy (BNCEFNT). A disadvantage of this method, when standard 1/2" diameter Rossi type proportional counters are used, is that the beam intensity must be relatively low in order to avoid saturation effects (pulse pile-up) in the counter. This is a major problem if measurements are to be made in a reactor beam, since reducing the beam intensity generally results in a change in the neutron spectrum. In order to overcome this problem, miniature cylindrical proportional counters have been developed which may be used in high intensity beams. The operational characteristics of these counters are compared with the standard 1/2" spherical counters. A further disadvantage of proportional counters is the relatively long time it takes to collect data, particularly if detailed information (depth-dose curves and beam profiles) is required. This problem could be overcome by using a set of ionization chambers (an A-150 TEP chamber, a Mg chamber and a Mg chamber with a 25 microns boron loaded inner wall) which can be scanned in a water phantom. After calibration against the paired proportional counters it should be possible to extract the fast neutron, gamma ray and boron neutron capture product doses from measurements made with these three ionization chambers. A set of such chambers has been used to make preliminary measurements in a fast neutron beam and the results of these measurements are presented.

Boron Neutron Capture Therapy↗
PubMed1999

Synthetic growth reference charts.

Distance standards of height (growth charts) tend to get out of date and must be actualized from time to time. The aim of the present meta-analysis was to investigate characteristics of the cross sectional incremental pattern of body stature, evaluating the possibility of generating distance standards of height without the need for extensive de novo measurements. In view of the differences in growth in early and late childhood, we divided the total period of child development into the period between birth and the age of 6y, and between 6 and early adulthood (15y in females, 18 y in males). With respect to birth length, we meta-analysed 50 European and US American growth studies; with respect to growth in early childhood, 14 studies were analysed; and with respect to growth in late childhood, we meta-analysed 40 male and 51 female growth studies, from 14 European countries and the USA. Variations in body stature were meta-analysed in very large data samples, including the 1992 German birth cohort with more than 500 000 measurements of newborns, 10 000 measurements of 2-y-old German children, more than 500 000 measurements of German school children, and 6 large growth surveys of Japan and Czechoslovakia, with altogether more than 24 000 000 measurements. We found a rigid pattern of cross sectional body stature increment between birth and early adulthood that could be expressed by age-specific linear regression coefficients. Body stature was found to be related between sexes. Male birth length correlated with female length (r = 0.933, p < 0.001, slope = 4.62, intercept = 0.89), stature of 6-y-old boys correlated with stature of 6-y-old girls (r = 0.96, p < 0.001, slope = 1.05, intercept= -6.75), and stature of 18-y-old boys correlated with stature of 15-y-old girls (r=0.96, p < 0.001, slope = 0.90, intercept = 2.85). The developmental pace was also strongly related in both sexes. In conclusion, age-specific linear regression coefficients can be utilized synthetically to generate distance standards for height (synthetic growth reference charts). Synthetic growth reference charts can help to actualize current growth charts without much additional effort, and they may also be used for populations for which autochthonous growth standards are not available.

Adolescent↗
PubMed1999

Paired Mg and Mg(B) ionization chambers for the measurement of boron neutron capture dose in neutron beams.

The use of the boron neutron capture (BNC) reaction to provide a dose enhancement in fast neutron therapy is currently under investigation at the Gershenson Radiation Oncology Center of Harper Hospital in Detroit, MI. The implementation of this treatment modality presents unique challenges in dosimetry. In addition to the measurement of photon and neutron doses in the mixed field, a measure of the thermal neutron flux and the associated boron neutron capture dose throughout the treatment volume is desired. A pair of small-volume magnesium ionization chambers has been constructed with the aim of providing this information. One of the chambers, denoted the Mg(B) chamber, is lined with a boron-loaded foil. The ionization response of this chamber has been calibrated in terms of BNC dose per ppm loading of 10B. These paired chambers can be used to map the local BNC response in neutron beams. From this data and an estimation of the boron concentration in the tumor and normal tissue, the boron neutron capture enhancement may be evaluated.

Boron↗
PubMed1998

Short-term growth: evidence for chaotic series of mini growth spurts in rat growth.

Five thousand and eighteen quadruplet daily measurements of lower-leg length of 62 female and 81 male rats, were performed in order to characterize short-term growth. Within a short time, growth proceeds irregularly and consists of multiple incremental bursts (mini growth spurts) with no evidence for strict periodic behavior. Mini growth spurts are S-shaped incremental patterns that can be characterized by double-exponential functions (Gompertz's functions). Gompertz's functions are S-shaped, and can be defined by three parameters that identify amplitude, inflection point (age at peak growth velocity), and slope. The latter not only refers to the rapidity of each incremental burst, but also alludes to the duration that one incremental burst needs for completion. In regard to these characteristics, mini growth spurts differ significantly between the sexes in rats. Mean amplitude of mini growth spurts was 2153 microm (SD 1034 microm) in female rats and 2958 microm (SD 1614 microm) in male rats. Peak growth velocity of mini growth spurts appeared lower in male rats than in female rats. Female rats showed mean gamma of -1.23 (SD 0.72), whereas male rats showed mean y of -0.96 (SD 0.72). Partial growth hormone deficiency led to a modification in rats that was reversed when exogenous growth hormone was administered. Mean intervals between subsequent mini growth spurts ranged between 4.2 and 4.6 days, but the large variation of these intervals (SD between 1.6 and 2.3 days) and the fact that neither spurt-spurt interval nor spurt amplitude appeared predictable, strongly suggest chaotic behavior of mini growth spurts.

Algorithms↗
PubMed1997

[Dimensional structure of the German version of the Brief Psychiatric Rating Scale (BPRS)].

Since the early 1960s the Brief Psychiatric Rating Scale (BPRS) has been one of the most frequently used standardized methods in international psychiatric research. The BPRS is used mainly for the rating of psychopathological symptoms of schizophrenic subjects. According to the results of factorial analyses, the original version of the BPRS is divided into five subscales, which have been preserved in the German translation. The validity of this original scale structure for the German BPRS version has not been investigated, however. A principal-components analysis of the 18 BPRS items carried out on the data of 301 schizophrenics yielded four factors that are comparable with four of the original subscales: Thought disturbance, Hostility/suspiciousness, Anxiety/depression, and Anergia. These results are compared with earlier findings and similarities and differences are discussed.

Adolescent↗
PubMed1997

Comparison of intraocular lens computations using a neural network versus the Holladay formula.

PURPOSE: To compare the accuracy of intraocular lens (IOL) calculations using Holladay personalized calculations and a new method of trained neural networks. SETTING: A private ophthalmic practice. METHODS: We developed and trained a neural network to predict IOL powers using a personalized Holladay program and clinical data from 200 consecutive cases of one surgeon's results with one IOL. Clinical data included preoperative axial length, both keratometry values, anterior chamber depth, and human lens thickness. The neural network was trained to produce the actual postoperative refractive error, and the Holladay surgeon factor was continuously refined using the same results. After the network was successfully trained against the clinical data, it was used to compute IOL power in a double-masked study. Ninety-five patients were randomized between the Holladay personalized calculation and the neural network computation. There were no significant differences in age or preoperative refractive errors between the two groups. Manifest refractions were obtained during the masked period at least 6 weeks after surgery. RESULTS: Mean postoperative error from predicted refraction was +0.271 diopters (D) for the neural network group and -0.217 D for the Holladay personal group. Mean absolute error from predicted refraction was +0.63 D for the neural network group and +0.93 D for the Holladay personal group. There was a significant difference in postoperative refractive errors and mean absolute error between the two groups (P < .022; nonparametric Mann-Whitney test). An error of less than +/- 0.75 D was obtained by 72.5% of the neural network group and 50.0% of the Holladay group. CONCLUSIONS: The neural network prediction formula can improve IOL implantation calculations by tightening the variance of errors.

Cataract Extraction↗
PubMed1996

Differential catch-up in body weight and bone growth after short-term starvation in rats.

Catch-up or compensatory growth is known as a physiological phenomenon. However, most studies of catch-up growth were based on measurements of body weight, whereas changes in longitudinal bone growth remained largely undescribed. The present study describes the dynamics of both weight and longitudinal bone growth using mikro-knemometry, during normal feeding, severe food restriction (starvation), and refeeding of 14 intact and 28 GH-deficient male rats. Starvation induced rapid weight loss (P < 0.001), and stunted leg growth (P < 0.001). Refeeding led to rapid catch-up in weight of up to 4 times above normal daily weight gain, both in intact and GH-deficient animals, whereas an equivalent compensation of lower leg growth remained undetectable. Intact and GH-deficient animals show a circaseptan spontaneous variation of growth velocity (mini growth spurts). During starvation, mini growth spurts disappear, and return to normal after refeeding with no evidence of catch-up. In GH-deficient animals, GH (1 IU/rat, administered twice daily s.c. at 10:00 hand 16:00 h) was capable of augmenting catch-up in weight and, to a lesser extent, in leg length increment.

Animal Nutritional Physiological Phenomena↗
PubMed1995

Mikro-knemometry: an accurate technique of growth measurement in rats.

A novel, noninvasive technique for accurate measurements is presented which determines the distance between knee and heel of the rear lower leg in the conscious rat (mikro-knemometry). Each measurement consists of initially six, later four subsequent and independent estimations of this distance. During a 14-day training study, the mean standard deviation (technical error) of five (six minus the first estimation) decreased from 196 microns to 101 microns. Measurements at exact 24-h intervals revealed nonlinear increments of rat lower leg growth, with marked infradian variation once every four to six days, similar to "mini growth spurts", described in rabbit and human growth. There was also a significant circadian periodicity of leg length increment (p < 0.01), with a minimum leg increment (after midnight dip) between 2400 h and 0300 h (mean: 4.8% (SEM 2.3%) of the total 24-h increment, p < 0.01), and a maximum increment (early morning spurt) between 0600 h and 0900 h (mean: 34.9% (SEM 2.5%) of the total 24-h increment, p < 0.001). Thus, the technique of mikro-knemometry seems to be a useful tool for the investigation of longitudinal growth in laboratory rats, and may replace conventional techniques of growth measurements such as measuring body weight, nose-tail, or tail length.

Animals↗