Publications by authors named "Ulf Teichgraber"

Article Synopsis
  • CCTA is a noninvasive method for diagnosing coronary artery disease (CAD) and may guide surgical decisions, particularly before valve surgery.
  • * A meta-analysis was conducted using data from 5 studies involving 6,654 patients to compare outcomes between patients receiving ICA and CCTA.
  • * The analysis found no significant differences in perioperative mortality or secondary outcomes like AKI, MI, or stroke, suggesting that CCTA is a safe alternative to ICA.
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Purpose: To compare the quality of deep learning image reconstructed (DLIR) virtual monochromatic images (VMI) and material density (MD) iodine images from dual-energy computed tomography (DECT) for the evaluation of head and neck neoplasms with CT scans from a conventional single-energy protocol.

Method: A total of 294 head and neck CT scans (98 VMIs operated at 60 keV, 102 MD iodine images, and 94 images from a 120 kVp single-energy CT (SECT) protocol) were retrospectively evaluated. VMIs and MD iodine images were generated using the Gemstone Spectral Imaging (GSI) mode using DLIR and metal artifact reduction (MAR) algorithms.

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High-resolution computed tomography (HRCT) is important for diagnosing interstitial lung disease (ILD) in inflammatory rheumatic disease (IRD) patients. However, visual ILD assessment via HRCT often has high inter-reader variability. Artificial intelligence (AI)-based techniques for quantitative image analysis promise more accurate diagnostic and prognostic information.

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The interrelation between acute ischemic stroke, persistent disability, and uncertain prognosis underscores the need for improved methods to predict clinical outcomes. Traditional approaches have largely focused on analysis of clinical metrics, lesion characteristics, and network connectivity, using techniques such as resting-state functional magnetic resonance imaging (rs-fMRI) and diffusion tensor imaging (DTI). However, these methods are not routinely used in acute stroke diagnostics.

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Objectives: Inflammatory rheumatic diseases (IRD) are often associated with interstitial lung disease (ILD). The aim of the present study was to establish a correlation between the findings on HRCT and the immunological bronchoalveolar lavage (BAL).

Methods: The study included 74 patients with newly diagnosed IRD and evidence of ILD on HRCT with the following pattern: ground-glass opacities (GGO), non-specific interstitial pneumonia (NSIP) and usual interstitial pneumonia (UIP).

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Article Synopsis
  • The study examines the ratio of coronary artery lumen volume (V) to myocardial mass (M) to understand the relationship between coronary arteries and heart muscle in patients with complex coronary artery disease (CAD) prior to surgery.
  • It analyzes data from coronary computed tomography angiography (CCTA) in participants from a specific trial (FAST-TRACK CABG) and compares results with another patient cohort (ADVANCE registry).
  • Findings indicate that patients requiring coronary artery bypass grafting (CABG) had significantly lower V/M ratios than those in the ADVANCE registry, suggesting that V/M could serve as a useful non-invasive marker for assessing CAD severity, particularly alongside fractional flow reserve (FFR) measurements.
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Pancreatic ductal adenocarcinoma (PDAC), characterized by hypovascularity, hypoxia, and desmoplastic stroma is one of the deadliest malignancies in humans, with a 5-year survival rate of only 7%. The anatomical location of the pancreas and lack of symptoms in patients with early onset of disease accounts for late diagnosis. Consequently, 85% of patients present with non-resectable, locally advanced, or advanced metastatic disease at diagnosis and rely on alternative therapies such as chemotherapy, immunotherapy, and others.

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Article Synopsis
  • The study aimed to determine if quantitative features from coronary computed tomography angiography (CCTA) can help distinguish total occlusions (TOs) from severe stenoses observed during invasive coronary angiography (ICA).
  • A total of 84 TOs were identified in a sample of 114 patients, showing a 56% agreement rate in diagnosis between CCTA and ICA, with TOs having a greater average lesion length compared to severe stenoses.
  • The key finding indicated that a lesion length greater than 5.5 mm is a strong predictor for differentiating between TOs and severe stenoses, with notable differences in calcium and fibro-fatty atheroma volumes as well.
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Article Synopsis
  • In patients with complex coronary artery disease, selecting a revascularization strategy using coronary computed tomography angiography (CCTA) shows high agreement with invasive coronary angiography (ICA) results.
  • The study involved planning coronary artery bypass grafting (CABG) based on CCTA alone, achieving a high feasibility rate of 99.1% and strong agreement between the CCTA team and actual treatment decisions.
  • Follow-up results indicated a 92.6% graft patency rate after 30 days, with low rates of major adverse cardiac events (7.2%) and major bleeding (2.7%), supporting the safety of this approach.
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Background: Health professionals are increasingly called upon and willing to engage in planetary health care and management. However, so far, this topic is rarely covered in medical curricula. As the need for professional communication is particularly high in this subject area, this study aimed to evaluate whether the objective structured clinical examination (OSCE) could be used as an accompanying teaching tool.

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Purpose: To determine accurate organ doses, effective doses, and image quality of computed tomography (CT) compared with cone beam CT (CBCT) for correct identification of prostatic arteries.

Method: A dual-energy CT scanner and a flat-panel angiography system were used. Dose measurements (gallbladder (g), intestine (i), bladder (b), prostate (p), testes (t), active bone marrow of pelvis (bmp) and femura (bmf)) were performed using an anthropomorphic phantom with 65 thermoluminescent dosimeters in the pelvis and abdomen region.

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Article Synopsis
  • Mixed reality (MR) holograms can effectively display 3D images while allowing users to remain aware of their surroundings, offering a new method for measuring coronary artery bypass grafts using gestures and voice commands.
  • A study involving follow-up CT scans of 30 patients demonstrated that holographic measurements were feasible in 97.1% of cases, with high accuracy and excellent agreement between hologram and CT measurements.
  • The findings suggest that this real-time holographic measurement approach is quick and reliable, potentially enhancing clinical decision-making by enabling doctors to visualize and measure grafts directly.
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Background: One-third of all persons with peripheral arterial occlusive disease (PAOD) suffer from intermittent claudication. Exercise training under appropriate supervision is recommended in the pertinent guidelines, but physicians order it too rarely, and so-called vascular exercise groups are not available everywhere. This situation needs improvement in view of the impor - tance of walking ability and cardiorespiratory fitness for patients' quality of life and long-term disease outcome.

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Background: Since the initial attempt to adapt the anatomical SYNTAX score (aSS) to coronary computed tomography angiography (CCTA), CCTA imaging technology has evolved, and is currently used as a "decision-maker" for revascularization strategy in complex coronary artery disease (CAD) and has rendered necessary some updating of the aSS to the CCTA modality.

Objectives: The aim is to provide updated definitions of the aSS derived from CCTA in patients with complex CAD undergoing CABG.

Methods: The modifications of CCTA-aSS are the following; (i) updated definition and detection criteria of total occlusion (TO) in CCTA based on length assessment, (ii) inclusion of scoring points for serial bifurcations located in one single coronary segment.

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Article Synopsis
  • The text outlines the development of a new metric called the CCTA-CABG anatomic SYNTAX Score (aSS), which evaluates how well coronary artery bypass grafts (CABG) have been implemented using coronary computed tomographic angiography (CCTA).
  • This score quantifies the effectiveness of grafting by comparing scores from successfully connected grafts against the original native coronary artery condition, thereby measuring surgical completeness.
  • The study showed high reproducibility in the CCTA-CABG aSS among 45 patients, making this new assessment a reliable tool for evaluating the success of revascularization procedures post-CABG.
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A 69-year-old male patient with seropositive erosive rheumatoid arthritis (RA) presented to our clinic due to progressive dyspnea. High-resolution computed tomography (HRCT) and immunological bronchioalveolar lavage revealed ground-glass opacities and a lymphocytic alveolitis caused by interstitial lung disease (ILD) in RA. Considering previous forms of treatment, disease-modifying antirheumatic drug (DMARD) treatment was switched to tofacitinib.

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Endovascular revascularisation with paclitaxel-coated balloons for the treatment of peripheral artery disease has been shown to be an effective therapeutic option in the femoropopliteal segment. The antiproliferative effect of paclitaxel prevents restenosis. In contrast, in the infra-popliteal segment, the evidence is currently conflicting.

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Article Synopsis
  • The study investigates whether coronary computed tomography angiography (CCTA) can effectively predict long-term survival in patients with severe heart conditions who have undergone revascularization.
  • Researchers compared the prognostic value of the SYNTAX score II 2020 (SS-2020) obtained from both invasive coronary angiography (ICA) and CCTA to categorize patients based on their risk of mortality over five years.
  • Results indicated that both ICA and CCTA showed similar effectiveness in predicting five-year mortality, allowing for the identification of high- and low-risk patients with comparable accuracy.
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The value of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the detection of prostate cancer is controversial. There are currently insufficient peer reviewed published data or expert consensus to support routine adoption of DCE-MRI for clinical use. Thus, the objective of this study was to explore the optimal temporal resolution and measurement length for DCE-MRI to differentiate cancerous from normal prostate tissue of the peripheral zone of the prostate by non-parametric MRI analysis and to compare with a quantitative MRI analysis.

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