Publications by authors named "Hanns Leonhard Kaatsch"

Background: Male breast cancer is a very rare disease and only accounts for around 1% of all breast cancers. The treatment strategies are based on those used for breast cancer in women. So far, there is a lack of randomized data to support specific treatment modalities in men.

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Article Synopsis
  • This study aimed to assess the effectiveness of virtual monoenergetic images (VMI) from photon-counting detector CT (PCD-CT) in identifying severe lung injuries and atelectasis in patients with multiple traumas.
  • A total of 20 patients were examined using contrast-enhanced PCD-CT, with images created at different energy levels (40 to 120 keV) to analyze the contrast-to-noise ratio between injured and collapsed lung areas.
  • Results showed that lower energy levels (specifically around 40-50 keV) provided the best contrast and clarity for differentiating between severe lung injury and atelectasis, while higher energy levels like 60-70 keV offered better noise perception
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Purpose: This study investigated the differences in subjective and objective image parameters as well as dose exposure of photon-counting CT (PCCT) compared to cone-beam CT (CBCT) in paranasal sinus imaging for the assessment of rhinosinusitis and sinonasal anatomy.

Methods: This single-centre retrospective study included 100 patients, who underwent either clinically indicated PCCT or CBCT of the paranasal sinus. Two blinded experienced ENT radiologists graded image quality and delineation of specific anatomical structures on a 5-point Likert scale.

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Objectives: Photon-counting computed tomography has lately found its way into clinical routine. The new technique could offer substantial improvements regarding general image quality, image noise, and radiation dose reduction. This study evaluated the first abdominal examinations in clinical routine and compared the results to conventional computed tomography.

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Purpose: Advanced angiographic procedures in interventional radiology are becoming more important and are more frequently used, especially in the treatment of several acute life-threatening diseases like stroke or aortic injury. In recent years, technical advancement has led to a broader spectrum of interventions and complex procedures with longer fluoroscopy times. This involves the risk of higher dose exposures, which, in rare cases, may cause deterministic radiation effects, e.

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Background: Computed tomography (CT) is a main contributor to artificial low-dose exposure. Understanding the biological effects induced by CT exposure and their dependency on the characteristics of photon spectra is essential for knowledge-driven risk assessment. In a previous gene expression study, we have identified upregulation of , , , and after ex vivo exposure with single-energy CT and dual-energy CT (DECT).

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Article Synopsis
  • - Dual-energy CT offers similar or lower radiation doses than single-energy CT while enhancing diagnostic capabilities, but it may still cause cellular damage due to its unique photon properties.
  • - A study analyzed blood samples from three healthy individuals, comparing the biological effects of dual-energy and single-energy CT scans, focusing on early gene regulation and DNA double strand breaks (DSBs).
  • - Results showed no significant difference in biological effectiveness between dual-energy and single-energy CT, but both induced higher rates of DSBs and upregulated specific radiation-induced genes, indicating that CT scans pose a risk to gene integrity despite lower doses.
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Sulfur mustard (SM) is a chemical warfare agent that can damage DNA via alkylation and oxidative stress. Because of its genotoxicity, SM is cancerogenic and the progenitor of many chemotherapeutics. Previously, we developed an SM-resistant cell line via chronic exposure of the popular keratinocyte cell line HaCaT to increasing doses of SM over a period of 40 months.

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Computed tomography (CT) is a crucial element of medical imaging diagnostics. The widespread application of this technology has made CT one of the major contributors to medical radiation burden, despite the fact that doses per individual CT scan steadily decrease due to the advancement of technology. Epidemiological risk assessment of CT exposure is hampered by the fact that moderate adverse effects triggered by low doses of CT exposure are likely masked by statistical fluctuations.

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