928 results match your criteria: "Helios-Hospital[Affiliation]"

Deep learning-based whole-brain B -mapping at 7T.

Magn Reson Med

October 2024

Physikalisch-Technische Bundesanstalt, Berlin, Germany.

Purpose: This study investigates the feasibility of using complex-valued neural networks (NNs) to estimate quantitative transmit magnetic RF field (B ) maps from multi-slice localizer scans with different slice orientations in the human head at 7T, aiming to accelerate subject-specific B -calibration using parallel transmission (pTx).

Methods: Datasets containing channel-wise B -maps and corresponding multi-slice localizers were acquired in axial, sagittal, and coronal orientation in 15 healthy subjects utilizing an eight-channel pTx transceiver head coil. Training included five-fold cross-validation for four network configurations: used transversal, sagittal, coronal data, and was trained on all slice orientations.

View Article and Find Full Text PDF
Article Synopsis
  • Low-grade endotoxemia, caused by lipopolysaccharide (LPS), is detected in COVID-19 patients, potentially promoting thrombosis through a pro-inflammatory and pro-coagulant state.
  • The study measured various biomarkers in 175 COVID-19 patients and 50 healthy controls, finding significantly elevated levels of markers like sNOX2-dp and D-dimer in COVID-19 patients, especially those with acute respiratory distress syndrome (ARDS).
  • Results suggest that factors like impaired gut barrier function, high NOX2 activation, and low albumin may lead to low-grade endotoxemia, increasing the risk of thrombotic events in COVID-19 patients.
View Article and Find Full Text PDF

Background: IV access is a commonly performed procedure that is often taught based on tradition rather than evidence. The effect of arm retroflexion on vein width, either alone or in combination with a tourniquet or general anesthesia (GA), remains unclear. In this case, the sonographically measured vein width is a surrogate parameter for the success of the puncture.

View Article and Find Full Text PDF

Reliable and reproducible measurement methods have been established, and reference values are used in almost all scientific disciplines. The knowledge of reference values is crucial to distinguish physiological from pathological processes and, therefore, subsequently, for the clinical management of patients. The image storage and documentation of measurements and normal findings should be part of quality assurance in imaging.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines the healthcare response to SARS-CoV-2 in Germany and Switzerland, highlighting disparities in treatment and surveillance that affected patient outcomes, particularly during ICU admissions and in-hospital mortality rates.
  • Using data from over 1.4 million cases across 386 German and 41 Swiss hospitals from 2019 to 2022, the research shows that German patients were older, had more comorbidities, and faced higher rates of ICU admission (28% vs. 20%) and in-hospital mortality (21% vs. 12%) compared to Switzerland.
  • The findings reveal significant healthcare discrepancies between the two countries, suggesting that varying treatment approaches and healthcare resources may have influenced the higher mortality
View Article and Find Full Text PDF
Article Synopsis
  • Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) are severe, drug-induced skin conditions that can be life-threatening and are now viewed as different levels of the same disease known as epidermal necrolysis (EN).
  • A new guideline has been created based on scientific literature and expert consensus to help medical professionals in diagnosing and treating EN.
  • This guideline targets various specialists like dermatologists and intensive care doctors, as well as informing patients, families, insurers, and policymakers about EN and includes recommendations for acute care and follow-up treatment.
View Article and Find Full Text PDF

Tumoricidal Activity and Side Effects of Radiolabeled Anti-NCAM [I]-Iodine-ERIC1 in Neuroblastoma-Bearing Mice.

Int J Mol Sci

October 2024

Department of Nuclear Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany.

Article Synopsis
  • Preliminary research found that a radioactive antibody called [I]I-ERIC1 specifically targets neuroblastoma tumor cells in mice, showing significant accumulation in tumors.
  • Researchers aimed to assess the safety and effectiveness of this antibody in treating neuroblastoma by testing various doses on healthy and tumor-bearing mice.
  • Results indicated that the optimal dose for treatment was between 1.8-2.5 MBq per animal, which improved survival rates significantly while ensuring minimal side effects at lower doses.
View Article and Find Full Text PDF

Association of the Single Nucleotide Polymorphisms rs11556218, rs4778889, rs4072111, and rs1131445 of the Interleukin-16 Gene with Ovarian Cancer.

Int J Mol Sci

September 2024

Molecular Oncology Group, Department of Obstetrics and Gynecology, Comprehensive Cancer Center-Gynecologic Cancer Unit, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Single nucleotide polymorphisms (SNPs) of the IL-16 gene have been reported to influence the risk of several cancers, but their role in ovarian cancer (OC) has not been studied. Using the restriction fragment length polymorphism (PCR-RFLP) method, we examined four IL-16 SNPs: rs11556218 (T > G), rs4778889 (T > C), rs4072111 (C > T), and rs1131445 (T > C) in blood samples from 413 women of Central European descent, including 200 OC patients and 213 healthy controls. Among the patients, 62% were postmenopausal, 84.

View Article and Find Full Text PDF

Males are at higher risk of colonization and infection with multi-drug-resistant organisms than females.

J Hosp Infect

October 2024

Division of Infectious Diseases and Infection Prevention, Helios Hospital Emil-von-Behring, Berlin, Germany; Medical School Berlin, Berlin, Germany.

Article Synopsis
  • The study investigates the rising issue of multidrug-resistant organisms (MDRO) and the gender-specific differences in their colonization and infection patterns.
  • Data was collected from 86 hospitals in Germany between 2015 and 2020, revealing that males are at a higher risk for MDRO colonization and infection compared to females.
  • The findings suggest the importance of considering gender in clinical practices related to MDRO susceptibility to improve patient care and outcomes.
View Article and Find Full Text PDF

Corrigendum to "Detection and analysis of cerebral aneurysms based on X-ray rotational angiography - the CADA 2020 challenge" [Medical Image Analysis, April 2022, Volume 77, 102333].

Med Image Anal

February 2025

Charité Universitätsmedizin Berlin, Augustenburger Pl. 1, Berlin 13353, Germany; Fraunhofer MEVIS, Am Fallturm 1, Bremen 28359, Germany; German Heart Centre Berlin, Augustenburger Pl. 1, Berlin 13353, Germany; DZHK (German Centre for Cardiovascular Research), Berlin, Germany.

View Article and Find Full Text PDF
Article Synopsis
  • Primary atopic disorders (PAD) are rare genetic conditions caused by specific gene variants that affect skin and immune function, making diagnosis challenging among common allergic disease cases.
  • Identifying PAD requires recognizing clinical red flags like family history and unusual infections, as conventional lab tests are inadequate for definitive diagnosis.
  • Whole-genome sequencing (WGS) enhances diagnostic efficiency and accuracy, but requires careful interpretation and collaboration among specialists to effectively manage PAD cases.
View Article and Find Full Text PDF
Article Synopsis
  • - Patients with advanced mycosis fungoides and Sézary syndrome generally have a poor prognosis, with survival rates between 4.7 and 1.4 years, highlighting the need for better treatments that enhance both life quality and length.
  • - Mogamulizumab and low-dose total skin electron beam therapy are established treatments but their combined effects had not been studied until now.
  • - This report examines the concurrent use of low-dose TSEBT with mogamulizumab in two advanced-stage patients, suggesting that the combination may be well tolerated and could improve response times, especially in skin and blood areas, though further research is necessary.
View Article and Find Full Text PDF

17p13 deletions including TP53 and other genes represent a common cause for reduced/lost p53 function in tumor cells. In this study, we analyzed the impact of 17p13 (TP53) deletions and p53 expression on tumor aggressiveness and patient prognosis in urothelial carcinoma. The 17p13 copy number status was analyzed by fluorescence in situ hybridization (FISH) on more than 2700 urothelial bladder carcinomas in a tissue microarray format.

View Article and Find Full Text PDF
Article Synopsis
  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are serious, mostly drug-related conditions that affect the skin and mucous membranes, categorized under the umbrella term epidermal necrolysis (EN), which varies in severity.* -
  • A new guideline for diagnosing and treating SJS/TEN was created based on extensive scientific research and consensus among experts, involving various medical specialties to provide a comprehensive approach to patient care.* -
  • The guideline is designed for healthcare professionals across multiple fields, as well as patients, their families, insurers, and policymakers, with the first part specifically addressing diagnosis, initial treatment, and systemic immunotherapy.*
View Article and Find Full Text PDF

Hypertrophic obstructive cardiomyopathy-left ventricular outflow tract shapes and their hemodynamic influences applying CMR.

Int J Cardiovasc Imaging

November 2024

ECRC Experimental and Clinical Research Center, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Lindenberger Weg 80, 13125, Berlin, Germany.

Hypertrophic cardiomyopathy (HCM) is one of the most common genetic cardiac disorders and is characterized by different phenotypes of left ventricular hypertrophy with and without obstruction. The effects of left ventricular outflow tract (LVOT) obstruction based on different anatomies may be hemodynamically relevant and influence therapeutic decision making. Cardiovascular magnetic resonance (CMR) provides anatomical information.

View Article and Find Full Text PDF

Reslice3Dto2D: Introduction of a software tool to reformat 3D volumes into reference 2D slices in cardiovascular magnetic resonance imaging.

BMC Res Notes

September 2024

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, ECRC Experimental and Clinical Research Center, Lindenberger Weg 80, 13125, Berlin, Germany.

Objective: Cardiovascular magnetic resonance enables the quantification of functional and morphological parameters with an impact on therapeutical decision making. While quantitative assessment is established in 2D, novel 3D techniques lack a standardized approach. Multi-planar-reformatting functionality in available software relies on visual matching location and often lacks necessary functionalities for further post-processing.

View Article and Find Full Text PDF

Advances in Modern Microsurgery.

J Clin Med

September 2024

Clinic of Plastic and Aesthetic Surgery, Helios Hospital Berlin-Buch, Schwanebecker Chaussee 50, 13125 Berlin, Germany.

Article Synopsis
  • Microsurgery utilizes optical magnification and specialized instruments for operating on small structures, playing a crucial role in procedures like tissue transfer and nerve reconstruction in plastic surgery.
  • A comprehensive literature search was conducted to identify relevant studies and advancements in microsurgery, focusing on its historical context and current applications.
  • Recent innovations, including robotic-assisted surgery and advanced imaging techniques, have greatly enhanced surgical precision and outcomes, with future developments in AI and robotics expected to further improve microsurgical practices.
View Article and Find Full Text PDF

Purpose: Augmented reality navigation in liver surgery still faces technical challenges like insufficient registration accuracy. This study compared registration accuracy between local and external virtual 3D liver models (vir3DLivers) generated with different rendering techniques and the use of the left vs right main portal vein branch (LPV vs RPV) for landmark setting. The study should further examine how registration accuracy behaves with increasing distance from the ROI.

View Article and Find Full Text PDF

Purpose: The proximity or overlap of planning target volume (PTV) and organs-at-risk (OARs) poses a major challenge in stereotactic body radiation therapy (SBRT) of pancreatic cancer (PACA). This international treatment planning benchmark study investigates whether simultaneous integrated boost (SIB) and simultaneous integrated protection (SIP) concepts in PACA SBRT can lead to improved and harmonized plan quality.

Methods And Materials: A multiparametric specification of desired target doses (gross target volume [GTV], GTV, PTV, and PTV) with 2 prescription doses of GTV = 5 × 9.

View Article and Find Full Text PDF

Evaluation of Vessel Tracking Software for Prostatic Artery Embolization.

Cardiovasc Intervent Radiol

October 2024

Clinic for Diagnostic and Interventional Radiology, Helios Hospital Krefeld, Lutherplatz 40, 47805, Krefeld, Germany.

Purpose: To evaluate Vessel Tracking software for determining the prostatic arteries feeding the prostate gland during prostatic artery embolization (PAE) using Conebeam-CT (CBCT).

Materials And Methods: EmboGuide is a software developed to assist interventional radiologists in performing embolization of hypervascular tumors in the liver. In this study, a single-center retrospective image collection of 120 intraprocedural CBCT of 60 patients with benign prostatic hyperplasia treated using PAE between May 2017 and January 2019 was evaluated.

View Article and Find Full Text PDF

Background: A standardised dose-reduction strategy has not been established for the widely used gemcitabine plus nab-paclitaxel regimen in patients with metastatic pancreatic ductal adenocarcinoma. We aimed to investigate the efficacy and tolerability of alternating treatment cycles of nab-paclitaxel-gemcitabine combination therapy and gemcitabine alone versus continuous treatment with the nab-paclitaxel-gemcitabine combination.

Methods: ALPACA was a randomised, open-label, phase 2 trial conducted at 29 study centres across Germany.

View Article and Find Full Text PDF

Purpose: Systemic therapy plays a major part in the cure of patients with early breast cancer (eBC). However, personalized treatment concepts are required to avoid potentially harmful overtreatment. Biomarkers are pivotal for individualized therapy.

View Article and Find Full Text PDF

Objective: Common peroneal (fibular) neuropathy is the most common mononeuropathy of the lower extremity. Despite this, there are surprisingly few studies on the topic, and a knowledge gap remains in the literature. As one attempts to address this knowledge gap, a core outcome set (COS) is needed to guide the planning phases of future studies to allow synthesis and comparability of these studies.

View Article and Find Full Text PDF

Objectives: To develop the use of Thiel soft embalmed human cadavers (TeC) in open radical cystectomy (ORC) training for the first time, to investigate the effect of cadaveric training on surgical trainees' technical skills/performance and to determine how trainees perceive the use of cadaveric workshops.

Methods: A 3-day hands-on workshop was organised. Ten trainees performed ORC on five TeC, supervised by five experts.

View Article and Find Full Text PDF

Impact of training data composition on the generalizability of convolutional neural network aortic cross-section segmentation in four-dimensional magnetic resonance flow imaging.

J Cardiovasc Magn Reson

December 2024

Deutsches Herzzentrum der Charité (DHZC), Institute of Computer-assisted Cardiovascular Medicine, Berlin, Germany; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany; Fraunhofer MEVIS, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany; Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Four-dimensional cardiovascular magnetic resonance flow imaging (4D flow CMR) plays an important role in assessing cardiovascular diseases. However, the manual or semi-automatic segmentation of aortic vessel boundaries in 4D flow data introduces variability and limits the reproducibility of aortic hemodynamics visualization and quantitative flow-related parameter computation. This paper explores the potential of deep learning to improve 4D flow CMR segmentation by developing models for automatic segmentation and analyzes the impact of the training data on the generalization of the model across different sites, scanner vendors, sequences, and pathologies.

View Article and Find Full Text PDF