Publications by authors named "Sommer W"

Purpose: To evaluate the diagnostic accuracy of dual-energy CT (DECT) in renal mass characterization using a single-phase acquisition.

Materials And Methods: A total of 202 patients (148 males, 54 females; 63 +/- 13 years) with ultrasound-based suspicion of a renal mass underwent unenhanced single energy and nephrographic phase DECT on a dual source scanner (Siemens Somatom Definition Dual Source, n = 174; Somatom Definition Flash, n = 28). Scan parameters for DECT were: tube potential, 80/100 and 100/Sn140 kVp; exposure, 404/300 and 96/232 effective mAs; collimation, 14 x 1.

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Excessive alcohol use, a major cause of morbidity and mortality, is less well understood than other addictive disorders. Dopamine release in ventral striatum is a common element of drug reward, but alcohol has an unusually complex pharmacology, and humans vary greatly in their alcohol responses. This variation is related to genetic susceptibility for alcoholism, which contributes more than half of alcoholism risk.

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Objectives: To determine the feasibility of a dynamic CT angiography-protocol in regard to simultaneous assessment of morphology and function.

Method And Materials: Fourteen patients with renal graft dysfunction received a dynamic computed tomography angiography (CTA) using a 128-slice CT-scanner with continuous bi-directional table movement, allowing to cover a scan range of 18 cm within 1.75 seconds.

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Purpose: The aim of this study was to test the feasibility and the additional value of time-resolved computed tomography angiography (CTA) of the aorta, using multiple low-dose phases.

Materials And Methods: Twenty-two consecutive patients underwent a time-resolved CTA protocol (TR-CTA) of the aorta, either for follow-up of endovascular aneurysm repair (EVAR) or aortic dissection, using a CT scanner with the possibility of bidirectional table movements for dynamic CT imaging (Siemens Definition AS+; 12 phases, temporal resolution 2.5 s/scan, 80 kVp, 120 mAs/rot, scan range 27 cm, 60 mL; Imeron 400, flow 5.

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Computed tomographic pulmonary angiography has become the standard of care for the evaluation of patients with suspected pulmonary embolism (PE). In addition to the direct depiction or exclusion of a pulmonary embolus in suspected PE, a number of predictive markers have been established to evaluate the patient's prognosis in acute and in chronic PE. An accurate risk stratification based on CT findings is crucial because optimal management, monitoring, and therapeutic strategies depend on the prognosis.

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The reinforcing properties of ethanol are in part attributed to interactions between opioid and dopaminergic signaling pathways, but intracellular mediators of such interactions are poorly understood. Here we report that an acute ethanol challenge induces a robust phosphorylation of two key signal transduction kinases, AKT and DARPP-32, in the striatum of mice. Ethanol-induced AKT phosphorylation was blocked by the opioid receptor antagonist naltrexone but unaffected by blockade of dopamine D2 receptors via sulpiride.

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Objective: New generation Dual Source computed tomography (CT) scanners offer different x-ray spectra for Dual Energy imaging. Yet, an objective, manufacturer independent verification of the dose required for the different spectral combinations is lacking. The aim of this study was to assess dose and image noise of 2 different Dual Energy CT settings with reference to a standard chest scan and to compare image noise and contrast to noise ratios (CNR).

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Context: Neuropeptide Y (NPY) counters stress and is involved in neuroadaptations that drive escalated alcohol drinking in rodents. In humans, low NPY expression predicts amygdala response and emotional reactivity. Genetic variation that affects the NPY system could moderate stress resilience and susceptibility to alcohol dependence.

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Response preparation usually facilitates performance, but it may also interfere with other concurrent tasks. In this article, the authors used event-related brain potentials to study how intervening tasks affect response preparation. In 3 experiments, participants performed intervening tasks during the preparation of a precued hand choice response.

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Alcohol dependence leads to persistent neuroadaptations, potentially related to structural plasticity. Previous work has shown that hippocampal neurogenesis is modulated by alcohol, but effects of chronic alcohol on neurogenesis in the forebrain subventricular zone (SVZ) have not been reported. Effects in this region may be relevant for the impairments in olfactory discrimination present in alcoholism.

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Background: A crucial question for understanding sentence comprehension is the openness of syntactic and semantic processes for other sources of information. Using event-related potentials in a dual task paradigm, we had previously found that sentence processing takes into consideration task relevant sentence-external semantic but not syntactic information. In that study, internal and external information both varied within the same linguistic domain-either semantic or syntactic.

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Purpose: To compare true and "virtual" noncontrast images derived from dual-energy CT examinations in patients after endovascular repair of aortic aneurysms.

Materials And Methods: Seventy dual-energy CT examinations were performed on a dual-source CT scanner with a single-energy noncontrast scan and a dual-energy acquisition in venous phase. True and virtual noncontrast images were compared regarding image quality, calcifications in true noncontrast images, subtraction of calcification in virtual noncontrast images, and acceptance levels by two radiologists.

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Objective: To determine the practicability and potential dose saving of an imaging algorithm incorporating a pulsing scheme applying systolic data acquisition at heart rates >75 beats per minute (bpm).

Methods: Patients clinically referred for coronary computed tomography angiography (CTA) underwent cardiac CTA using either a diastolic pulsing window (30-70%) or a narrow systolic pulsing window (150 ms at 300 ms). Independent investigators retrospectively determined image quality (1, excellent, to 5, unreadable) and derived effective radiation exposure.

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Objective: High radiation doses remain a drawback of current triple-rule-out computed tomography (CT) protocols. With dual source CT, a new high-pitch dual spiral technique offers the possibility to acquire an Electrocardiography (ECG)-gated-synchronized dataset of the whole chest in less than 1 second. The aim of this study was to compare the dose of such a protocol to a standard, nongated chest scan and to a conventional, retrospectively ECG-gated triple-rule-out protocol.

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Introduction: Reinstatement of responding to a previously alcohol-associated lever following extinction is an established model of relapse-like behavior and can be triggered by stress exposure. Here, we examined whether neuropeptide Y (NPY), an endogenous anti-stress mediator, blocks reinstatement of alcohol-seeking induced by the pharmacological stressor yohimbine.

Materials And Methods: NPY [5.

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Understanding the pathophysiology of addictive disorders is critical for development of new treatments. A major focus of addiction research has for a long time been on systems that mediate acute positively reinforcing effects of addictive drugs, most prominently the mesolimbic dopaminergic (DA) system and its connections. This research line has been successful in shedding light on the physiology of both natural and drug reward, but has not led to therapeutic breakthroughs.

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Endoleaks following endovascular aneurysm repair (EVAR) are common and present a diagnostic challenge in the follow-up after EVAR. Contrast-enhanced ultrasound (CEUS) is a promising new method for the diagnosis and follow-up of endoleaks. CEUS with SonoVue allows a rapid and non-invasive diagnosis in the follow-up after EVAR.

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Microsaccades are very small, involuntary flicks in eye position that occur on average once or twice per second during attempted visual fixation. Microsaccades give rise to EMG eye muscle spikes that can distort the spectrum of the scalp EEG and mimic increases in gamma band power. Here we demonstrate that microsaccades are also accompanied by genuine and sizeable cortical activity, manifested in the EEG.

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Purpose: To evaluate the diagnostic results of different ultrasound techniques: B-scan, color-coded Doppler sonography (CCDS) and contrast-enhanced ultrasound in the diagnosis of abdominal aortic dissection in comparison to multislice computed tomography (MS-CT).

Materials And Methods: Between March 2006 and December 2008, 35 patients (28 males, 7 females) with a mean age of 58 years (range 37-87 years) with abdominal aortic dissection and 15 patients (11 males, 4 females) with a mean age of 53 years (range 42-78 years) without abdominal aortic dissection as a control group were examined with B-scan, CCDS and contrast-enhanced ultrasound (CEUS) after injection of 1.0-1.

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Corticotropin-releasing factor (CRF), encoded by the CRH gene, is a key integrator of stress responses, and, as such, CRH gene variation may contribute to individual differences in susceptibility to stress-related pathology. In rhesus macaques, a single nucleotide polymorphism (SNP) is found within the CRH promoter (-248C--> T). Here, we assessed whether this variant influenced stress responding and, because increased CRF system activity drives alcohol drinking in rodents, we examined whether it predicted voluntary alcohol consumption as a function of prior stress exposure.

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Context: Alcohol dependence is a serious and common public health problem. It is well established that genetic factors play a major role in the development of this disorder. Identification of genes that contribute to alcohol dependence will improve our understanding of the mechanisms that underlie this disorder.

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We investigated whether prior probability (PP) information modulates preparatory processes at a central premotor level or at a peripheral motor level. We provided parametrically graded probability information during the foreperiod of a precuing paradigm. The Contingent Negative Variation (CNV) and the Lateralized Readiness Potential (LRP) were used as indicators for premotor and motor preparation during the foreperiod, respectively.

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Lists of differentially expressed genes in a disease have become increasingly more comprehensive with improvements on all technical levels. Despite statistical cutoffs of 99% or 95% confidence intervals, the number of genes can rise to several hundreds or even thousands, which is barely amenable to a researcher's understanding. This report describes some ways of processing those data by mathematical algorithms.

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The goal of our study was to compare a prospective triggering (PT) CT technique with retrospectively gated (RG) CT techniques in coronary computed tomographic angiograms (CCTA) with respect to image quality and radiation dose. Sixty consecutive patients were enrolled. CCTAs using the RG technique were obtained with a dual-source 64-slice CT system in 40 patients, using ECG-triggered tube current modulation, with either a broad pulsing window at 30-80% of the RR interval (group RGb, 20 patients, heart rate > 70 bpm) or a small pulsing window at 70% (group RGs, 20 patients, heart rate < 70 bpm).

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Individual differences in perceiving, learning, and recognizing faces, summarized under the term face cognition, have been shown on the behavioral and brain level, but connections between these levels have rarely been made. We used ERPs in structural equation models to determine the contributions of neurocognitive processes to individual differences in the accuracy and speed of face cognition as established by Wilhelm, Herzmann, Kunina, Danthiir, Schacht, and Sommer [Individual differences in face cognition, in press]. For 85 participants, we measured several ERP components and, in independent tasks and sessions, assessed face cognition abilities and other cognitive abilities, including immediate and delayed memory, mental speed, general cognitive ability, and object cognition.

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