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Biomedical subjects

S Kunze

Publications and source records attributed to S Kunze.

At least 91 records · Page 5Linked to original sources

[MR tomography of astrocytic tumors (I-III)].

Magnetic resonance (MR) imaging was performed on 37 patients with histologically confirmed astrocytomas (I-III). In addition, the MR tissue parameters T1, T2 and proton density (RHO) were analysed by an interlaced CPMG spin echo sequence. Characteristic morphologic tumour patterns which subdivide astrocytomas into each different tumour grade are presented. Quantitative analysis of MR tissue parameters provides a statistically proven classification of each tumour grade and allows differentiation between "semibenign" astrocytomas (II) and "relatively malignant" astrocytomas (III), with high accuracy.

Adolescent↗

Establishment and characterization of human glioblastoma cell lines in vitro and their xenografts in nude mice.

Human gliomas were grown as permanent tissue cultures and xenografts in nude mice. Growth kinetics, immunohistology and karyotypes were established. One tumor showed a distinct change in its karyotype after only two passages in nude mice; by contrast, no change of immunophenotype occurred during and after in vivo passaging. Treatment of this glioma as xenograft in nude mice revealed a high sensitivity towards single agent treatment with BCNU. In view of the cytologic aberrations, however, this result should be interpreted cautiously with regard to the clinical situation.

Animals↗

[Gadolinium dimeglumine gadopentetate compared to CPMG sequencing and image synthesis].

The skulls of 46 patients were examined by means of ordinary scans and after contrast. 24 of these patients with cerebral abnormalities had scans, using identical planes, with and without contrast and with CPMG sequences. Contrast in intracranial, but extracerebral (extra-axial), tumours (meningiomas, neurinomas) was much better after using contrast, but intracerebral (intra-axial) tumours were mostly shown as well on T2-rated CPMG sequences. Image synthesis has shown that contrast uptake occurred only in solid tumour regions.

Brain Diseases↗

In vitro model for the response to irradiation of different types of human intracranial tumours.

Twenty-seven human low and high grade gliomas and five meningiomas were cultured in vitro as tumour tissue and/or tumour cells. Cell survival or growth was taken as a measure of radiation response. Astrocytomas II-III and glioblastomas manifested individual patterns of radiosensitivity, ranging from 10 to 90 Gy. Meningiomas did not react. Our findings are consistent with the differences in radiosensitivity of human gliomas experienced clinically and corroborate the validity of the in vitro model.

Brain Neoplasms↗

Stereotactic percutaneous single dose irradiation of brain metastases with a linear accelerator.

The effectivity of stereotactic percutaneous single dose irradiations in the treatment of solitary brain metastases has been assessed in a series of 12 consecutive patients. Only radioresistant deeply localized metastases have been treated. Photon-irradiation was carried out with the convergent beam technique using stereotactic localization methods, in a linear accelerator facility. In 11 of the 12 patients no side effects occurred. The first 7 patients, who could be observed 3 months or longer, have been studied in detail. In each of these cases single dose irradiation with 20-30 Gy yielded arrest of tumor growth. In one case a marked decrease in contrast enhancement and in four cases shrinkage of the metastasis as well as a marked decrease of the edema occurred. In every patient a marked, sometimes dramatic improvement of the clinical condition was achieved, beginning a few days after irradiation. Stereotactic radiosurgery is a valuable tool in the treatment of inoperable, radioresistant brain metastases, the major advantage being high efficacy and smoothness of the procedure, as well as extremely short hospitalization times (2-3 days).

Adult↗

[MR tomography in intracranial meningiomas].

The typical findings of intracranial meningiomas seen in 24 patients are described. The signal intensities at different acquisition parameters are analysed and optimal pulse sequences derived from these data. In 90% of the patients MR-tissue parameters were measured and correlated with the histological findings. Marked prolongation of T2-times was found in tumours showing regressive changes.

Female↗

[MR tomography of benign brain tumors].

69 Patients with benign brain tumours were examined via MRI (30 meningiomas, 17 pituitary adenomas, 14 acoustic neuromas, and 8 craniopharyngiomas). Typical morphological characteristics and values of the MR tissue parameters (T1, T2, Rho) are presented. The combined analysis of tissue parameters and morphological details allows a satisfying differentiation between different pathohistological entities. Tumour capsule and displacement of neighbouring structures without signs of infiltrating growth are typical criteria of benign neoplasms.

Adenoma, Chromophobe↗

[Trigeminal neuralgia. Results of microsurgical parapontine decompression].

In typical trigeminal neuralgia lasting painlessness can be obtained in 85-90% of all cases by microsurgical decompression of the nerve at the pons. Generally neurological deficits of the trigeminal nerve are not observed after surgery. The method has a favourable effect on many cases of secondary atypical neuralgia too, at least respective the tic douloureux. The follow-up period runs up to several years in most of our 151 cases. In about 5% of these cases recurrence of the neuralgia takes place, for the most part within the first year. The most frequent surgical complication is damage to the acoustic nerve (bradyacousia or deafness), which occurs in about 8% of cases. The over-all surgical mortality is 1.0-1.5%. In every case of typical trigeminal neuralgia there is an indication for microsurgical decompression of the fifth cranial nerve at the pons, provided pharmacotherapy has proved ineffective and anaesthesia carries no increased risk due to old age or ill-health.

Arteries↗

[MR tomography in glioblastomas and cerebral metastases].

36 Patients with glioblastomas (17 cases) and cerebral metastases (19 cases) were investigated by MRI. The typical signal behavior at different acquisition parameters (T1-, T1/T2-, Rho- and Rho/T2-weighted) was analysed using an interlaced triple sequence. In most cases the NMR-tissue parameter T1, T2 and proton-density (Rho) were determined to evaluate the potentials for tissue characterisation. The results of unenhanced vs. enhanced scans (MRI plus Gd-DTPA, CT) were analysed.

Brain↗

[DNA measurement of malignant tumors by impulse cytophotometry. The principles and importance for assessing growth behavior and the degree of abnormality].

Monometric DNA impulse cytophotometry of ploidism state (diploid or aneuploid tumors with stemmline shift, polyploidism ) and proportion of DNA-synthesized cells (S-phase proportion) were determined on over 500, mostly malignant, tumors of different sites. The results were compared with histopathological findings (TNM stage and degree of differentiation). Large diploid carcinomas of the oral cavity have lower S-phase activity than aneuploid tumors. Carcinomas of the breast, stomach and ovary are frequently diploid. Aneuploid carcinomas of these regions generally have high synthesizing activity. Mucoid signet-ring carcinomas of the stomach have lower S-phase activity than non-mucoid carcinomas. In the colorectal region aneuploid carcinoma predominates, in the colon more than in the rectum. Tumor metastases from colon and rectum into the liver predominantly are from aneuploid primary tumors. For tumors of the breast, corpus uteri and ovary with high and moderate differentiation there is a direct correlation between histological grade of differentiation and the S-phase proportions. Aneuploid tumors vary from low to high synthesizing activity. Diploid meningioma and glioma have a low S-phase proportion, aneuploidism correlates with an increase in growth. Supplementation of histopathological diagnosis by determining ploidism and S-phase activity makes an important contribution in the assessment of the degree of malignancy, as well as for therapeutic purposes.

Aneuploidy↗

[Fluid carbenicillin levels after intravenous administration].

Intravenous infusion of carbenicillin was followed by a determination of the concentration of this antibiotic in both the liquor and serum. The examinations, of which the results are reported in this paper, were made on six patients who had undergone surgical operations to the posterior cranial fossa and on whom lumbar punctures were postoperatively performed every day, as well as on seven hydrocephalic patients where a temporary relief of pressure was obtained by draining excess liquor. The level of carbenicillin in the liquor were found to enable even gram-negative problem germs (e.g., Proteus germs) to be controlled.

Adolescent↗