Publications by authors named "Stefan Thieme"

Aim: The purpose of this prospective study was to compare the diagnostic performance of diffusion-weighted (DWI) and dynamic contrast-enhanced imaging (DCE) and volumetric analyses in the preoperative assessment of myometrial invasion in patients with endometrial carcinoma.

Materials And Methods: Thirty-five patients with endometrial cancer underwent preoperative magnetic resonance imaging including DWI and DCE for evaluation of the depth of myometrial invasion and volumetric analyses [tumor volume (TV), uterine volume (UV), tumor to volume ratio (TVR=(TV/TU)×100)]. The results of the evaluations were compared to the histopathological examinations.

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  • Radiofrequency ablation (RFA) is a treatment for liver tumors that can't be surgically removed; using a technique called the Pringle maneuver (PM) can help grow the size of ablations but may cause tissue damage.
  • The study tested different PM techniques on porcine livers, comparing continuous PM, intermittent PM, and no PM to see how they affected the size of the ablations.
  • Results showed that intermittent PM didn't reduce ablation size compared to continuous or no PM, and it even increased the ablation area when there was an initial flow before applying the PM.
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  • Ongoing research aims to improve the safety of radiofrequency ablation (RFA) for liver tumors using animal models, focusing on understanding the accuracy of ablation zone observations.
  • The study involved performing RFA on domestic pigs' livers and analyzing the results through both photography and histological techniques, measuring cell viability in the resulting ablation zones.
  • Findings revealed three distinct ablation zones with strong correlations between macro and micro-morphological data, demonstrating the ability to differentiate between non-viable (white zone) and various viable cell areas (red zones) in the liver tissue after RFA.
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Background The use of computed tomography (CT) scans of the head and cervical spine has markedly increased in patients with blunt minor trauma. The actual likelihood of a combined injury of head and cervical spine following a minor trauma is estimated to be low. Purpose To determine the incidence of such combined injuries in patients with a blunt minor trauma in order to estimate the need to derive improved diagnostic guidelines.

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The authors report on an observational study designed to isolate the impact of navigated transcranial magnetic stimulation (nTMS) on surgical outcome in glioblastoma treatment. We undertook a controlled observational study to identify the additive impact of presurgical nTMS in patients scheduled for surgical treatment of glioblastoma in or near motor eloquent locations. The trial data is derived from a large university hospital with a differential availability of its nTMS mapping service at its two campuses, both equally served by a single neurosurgical department.

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  • Radiofrequency ablation (RFA) is used to treat liver tumors, but can have areas of incomplete necrosis, making immediate detection important for potential re-treatment.
  • A study was conducted on healthy pig livers to compare computed tomography (CT) perfusion analysis with traditional imaging methods to assess ablative effectiveness.
  • Results indicated that CT perfusion parameters could effectively differentiate necrotic tissue from healthy tissue, with significant differences noted in blood volume and flow metrics, thus highlighting the potential of CT analysis for monitoring ablation success.
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Succinic dihydrazide (SDH), N-methyl-S-methyl dithiocarbazate (HDTCZ) and PEGylated N-methyl-S-methyl dithiocarbazate (HO2C-PEG600-DTCZ) are nitrido nitrogen atom donors employed for the preparation of nitride [M(N)]-complexes (M=(99m)Tc and (188)Re). This study aims to compare the capability and the efficiency of these three N(3-) group donors, in the preparation of [M(N)PNP]-based target-specific compounds (M=(99m)Tc, (188)Re; PNP=aminodiphosphine). For this purpose, three different kit formulations (SDH kit; HO2C-PEG600-DTCZ kit; HDTCZ kit) were assembled and used in the preparation of [M(N)(cys~)(PNP3)](0/+) complexes (cys~=cysteine derivate ligands).

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The PET radionuclide (61)Cu is accessible through several nuclear reactions. Besides the common production route via (61)Ni(p,n)(61)Cu the (64)Zn(p,α)(61)Cu reaction offers some advantages. Especially the comparatively cheap enriched (64)Zn makes this process economical.

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We report on an efficient procedure for the preparation of [(188)Re(N)(PNP)]-based complexes (where PNP is diphosphinoamine) useful in the development of target-specific radiopharmaceuticals. The radiochemical yield of the compounds was optimized considering such reaction parameters as nature of the nitrido nitrogen donor, reaction times and pH level. The chemical identity of the (188)Re agents was determined by high-performance liquid chromatography comparison with the corresponding well-characterized cold Re compounds.

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