Publications by authors named "Reiner J"

Objectives: Asymmetries on screening contrast-enhanced mammography (CEM) often lead to patient recall. However, in diagnostic settings, negative CEM has effectively classified these as normal or benign, questioning the need for further workup of non-enhancing asymmetries (NEAs).

Material And Methods: A computational search of all screening CEM examinations performed between December-2012 and June-2021 was conducted to identify cases reporting NEAs.

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Women with extremely dense breasts account for approximately 10% of the screening population and face an increased lifetime risk of developing breast cancer. At the same time, the sensitivity of mammography, the first-line screening modality, is significantly reduced in this breast density group, owing to the masking effect of the abundant fibroglandular tissue. Consequently, this population has garnered increasing scientific attention due to the unique diagnostic challenge they present.

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Purpose To evaluate racial disparities in preoperative breast MRI use and surgical margin outcomes among patients with recently diagnosed breast cancer. Materials and Methods This retrospective study included patients with breast cancer who presented to a single cancer center between 2008 and 2020, underwent breast surgery, and self-identified as White or Black. Patients were divided into MRI or no-MRI cohorts based on preoperative MRI use.

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This study introduces a comprehensive approach for classifying individual malting barley kernels, involving dual-sided kernel imaging, a specifically designed image processing algorithm, an optimized deep neural network architecture, and a mechanical sorting system. The proposed method achieves precise classification into multiple classes, aligning with quality standards for malting material assessment. Throughout the study, various image analysis techniques were assessed, including traditional feature engineering, established transfer learning deep neural network architectures, and our custom-designed convolutional neural network tailored for barley kernel image analysis.

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We introduce the domain wall color code, a new variant of the quantum error-correcting color code that exhibits exceptionally high code-capacity error thresholds for qubits subject to biased noise. In the infinite bias regime, a two-dimensional color code decouples into a series of repetition codes, resulting in an error-correcting threshold of 50%. Interestingly, at finite bias, our color code demonstrates thresholds identical to those of the noise-tailored XZZX surface code for all single-qubit Pauli noise channels.

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Article Synopsis
  • * A common issue after this surgery is pouchitis, which often responds well to antibiotics, but some patients experience chronic antibiotic-refractory pouchitis (CARP), caused by complex factors.
  • * The case discussed highlights the successful use of a new treatment with a specific antibody, mirikizumab, targeting IL-23 to address CARP effectively.
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  • This study evaluated an automated system for segmenting breast cancers in MRI scans and compared its effectiveness to that of radiologists across multiple clinical sites.
  • A 3D U-Net model was trained on a substantial dataset and validated against test data from different sites, showing similar performance between the AI and radiologists.
  • The findings indicate that the AI can match radiologists' segmentation accuracy and the code and model weights are shared publicly to encourage reproducibility in radiology AI research.
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Background: Advanced Parkinson's disease (PD) can be treated with Levodopa-Carbidopa Intestinal Gel (LCIG).

Objective: To compare descriptive data of LCIG treatment in GBA1-PD and LRRK2-PD.

Methods: This multicenter retrospective study compared clinical data obtained from electronic medical records of PD patients treated with LCIG.

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Objective: The objective of this study was to project the cost-effectiveness of implementing the Healthy Weight Clinic (HWC), a primary care-based intervention for 6- to 12-year-old children with overweight or obesity, at federally qualified health centers (FQHCs) nationally.

Methods: We estimated intervention costs from a health care sector and societal perspective and used BMI change estimates from the HWC trial. Our microsimulation of national HWC implementation among all FQHCs from 2023 to 2032 estimated cost per child and per quality-adjusted life year (QALY) gained and projected impact on obesity prevalence by race and ethnicity.

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  • Current estimates of genetic variants linked to Parkinson's disease (PD) show limitations and biases across different populations, complicating patient recruitment for clinical trials focused on genetic therapies.
  • The Rostock Parkinson's disease (ROPAD) study analyzes data from 12,580 PD patients across 16 countries, revealing that 14.8% had a genetic test positive for PD-related variants, particularly in specific genes like GBA1 and LRRK2.
  • Findings indicate higher positivity rates in patients with earlier onset (age ≤ 50) or a positive family history, emphasizing the need for more extensive genetic investigation to improve patient stratification for future clinical trials.
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Fibre-reinforced polymers (FRPs) are widely used in industry due to their impressive strength-to-weight ratio, corrosion resistance and high durability. One of the primary components of FRPs is synthetic resins, specifically epoxy, which has been identified as harmful to the environment. To address this concern, an eco-friendly alternative made from basalt fibres and bio resin has the potential to reduce the environmental impact.

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In this protocol, we present a facile nanoscale thermal mapping technique for electronic devices by use of atomic force microscopy and a phase change material GeSbTe. We describe steps for GeSbTe thin film coating, GeSbTe temperature calibration, thermal mapping by varying heater power, and thermal mapping by varying heating time. The protocol can be applied for resolving surface temperatures of various operational microelectronic devices with a nanoscale precision.

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Objectives: The gut-liver axis is discussed to play an important role in hepatic cirrhosis. Decompensated liver cirrhosis is associated with portal hypertension, which can lead to a variety of complications. Transjugular intrahepatic portosystemic shunt (TIPS) is an established treatment option for the complications of portal hypertension.

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  • The study explores a new anesthesia method using ketamine-induced conscious sedation during deep brain stimulation (DBS) surgery for Parkinson's patients, aiming to improve patient experience while maintaining safety and surgical effectiveness.
  • Patients were randomly assigned to receive either ketamine or saline during the physiological testing phase, with both groups receiving moderate sedation before and after.
  • Results showed that ketamine provided similar quality of microelectrode recordings and lead localization compared to the traditional awake method, while significantly enhancing patient satisfaction without negative impacts on health or cognitive function.
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Single electron spins bound to multi-phosphorus nuclear spin registers in silicon have demonstrated fast (0.8 ns) two-qubit gates and long spin relaxation times (~30 s). In these spin registers, when the donors are ionized, the nuclear spins remain weakly coupled to their environment, allowing exceptionally long coherence times.

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The development of novel methodologies that can detect biomarkers from cancer or other diseases is both a challenge and a need for clinical applications. This partly motivates efforts related to nanopore-based peptide sensing. Recent work has focused on the use of gold nanoparticles for selective detection of cysteine-containing peptides.

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With increasing public awareness of PFAS, and their presence in biological and environmental media across the globe, comes a matching increase in the number of PFAS monitoring studies. As more matrices and sample cohorts are examined, there are more opportunities for matrix interferents to appear as PFAS where there are none (i.e.

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Per- and polyfluoroalkyl substances (PFAS) are ubiquitous and persistent environmental contaminants originating from many everyday products. Perfluorooctane sulfonic acid (PFOS) and perfluorooctanoic acid (PFOA) are two PFAS that are commonly found at high concentrations in aquatic environments. Both chemicals have previously been shown to be toxic to fish, as well as having complex and largely uncharacterized mixture effects.

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Prenatal molecular genetic testing for familial variants that cause inherited disorders has been performed for decades and is accepted as standard of care. However, the spectrum of genes considered for prenatal testing is expanding because of genetic testing for hereditary cancer risk (HCR) and inclusion of conditions with associated cancer risk in carrier screening panels. A few of these disorders, such as ataxia telangiectasia and Bloom syndrome, include increased cancer risk as part of the phenotype, already meet professional guidelines for prenatal testing, and may be associated with increased cancer risk in heterozygous carriers.

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Despite gradual progress over the past decades, the simulation of progressive damage in composite laminates remains a challenging task, in part due to inherent uncertainties of material properties. This paper combines three computational methods - finite element analysis (FEA), machine learning and Markov Chain Monte Carlo - to estimate the probability density of FEA input parameters while accounting for the variation of mechanical properties. First, 15,000 FEA simulations of open-hole tension tests are carried out with randomly varying input parameters by applying continuum damage mechanics material models.

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Article Synopsis
  • Essential tremor (ET) is prevalent in older adults, and when severe and resistant to medication, surgical options like deep brain stimulation (DBS) may be necessary.
  • A case study is presented where a patient with non-MR-compatible cardiac leads underwent DBS by utilizing a CT scan for precise targeting of the thalamic Vim, despite typical MR constraints.
  • The results demonstrated that this CT-based approach is feasible, with effective targeting validated through intraoperative recordings and significant clinical improvements in tremor after surgery.
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Optical tweezers have a wide range of uses for mechanical manipulation of objects in the microscopic range. This includes both living and static cells in a variety of biomedical and research applications. Single-focus optical tweezers, formed by focusing a laser beam through a high numerical aperture immersion objective, create a significant force, which enables controlled transport of a variety of different cell types and morphologies in three dimensions.

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Microbial water quality is routinely examined using the fecal indicator bacteria Escherichia coli, coliform bacteria and enterococci. Several practical cases in German drinking water distribution systems indicated invertebrates such as insects or gastropods as a source for the microbiological deterioration. Therefore, we examined three genera of Gastropoda (Arion, Helix and Cepaea) for the presence of fecal indictor bacteria in excreta using standard methods.

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We report the case of a 74-year-old female with abdominal pain, tarry stools, and tachycardia. Previous history included diabetes mellitus with micro- and macroangiopathy. Imaging revealed portal gas, left sided colitis, and emphysematous gastritis, besides severe atherosclerosis with subtotal celiac trunk occlusion and moderate stenosis of the inferior mesenteric artery.

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