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2. Gadolinium DTPA-enhanced MRI of degenerative cervical spine disease*
- Author
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Schubeus, P., Schörner, W., Sander, B., Heim, T., Hosten, N., and Felix, R.
- Published
- 1992
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3. Abstract
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Mache, Ch., Urban, Ch., Sauer, H., Brandesky, G., Meßner, H., Grienberger, H., Becker, H., Slave, I., Hauer, Ch., Pakisch, B., Oberbauer, R., Mokry, M., Ebner, F., Kleinert, R., Schiller, D., Kasparu, H., Schneider, G., Sega, W., Lutz, D., Mader, R. M., Steger, G. G., Sieder, A. E., Ovissi, L., Roth, E., Hamilton, G., Jakesz, R., Rainer, H., Schenk, T., Kornek, G., Schulz, F., Depisch, D., Rosen, H., Sebesta, Ch., Scheithauer, W., Locker, G. J., Czernin, J., Derfler, K., Gnant, M., Schiessel, R., Petru, E., Pickel, H., Heydarfadai, M., Lahousen, M., Haas, J., Sagaster, P., Flamm, J., Umek, H., Essl, R., Teich, G., Micksche, M., Ludwig, H., Ambros, P. 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E., Huhn, D., Bergmann, L., Dönner, H., Hartlapp, J. H., Kreiter, H., Schuhmacher, K., Schalk T., Sparwasser C., Peschel U., Fraaß C. Huber, HIadik, F., Kolbe, K., Irschick, E., Bajko, G., Wozny, T., Hansz, J., Bares, R., Buell, U., Baumann, I., Harms, H., Kuse, R., Wilms, K., Müller-Hermelink, H. K., Baurmann, H., Cherif, D., Berger, R., Becker, K., Zeller, W., Helmchen, U., Hossfeld, D. K., Bentrup, I., Plusczyk, T., Kemkes-Matthes, B., Matthes, K., Bentz, M., Speicher, M., Schröder, M., Moos, M., Döhner, H., Lichter, P., Stilgenbauer, S., Korfel, A., Harnoss, B. -M., Boese-Landgraf, J., May, E., Kreuser, E. -D., Thiel, E., Karacas, T., Jahn, B., Lautenschläger, G., Szepes, S., Fenchel, K., Mitrou, P. S., Hoelzer, D., Heil, G., Lengfelder, E., Puzicha, E., Martin, H., Beyer, J., Kleiner, S., Strohscheer, I., Schwerdtfeger, R., Schwella, N., Schmidt-Wolf, I., Siegert, W., Weyer, C., arzen, G., Risse, G., Miksits, K., Farshidfar, G., Birken, R., Schilling, C. v., Brugger, W., Holldack, J., Mertelsmann, R., Kanz, L., Blanz, J., Mewes, K., Ehninger, G., Zeller, K. -P., Böhme. A., Just G., Bergmann. 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W., Klein, G., Beck-Gessert, S., Timpl, R., Hinrichs, H., Lux, E., Döring, G., Scheinichen, D., Döring, G., Wernet, P., Vogeley, K. T., Richartz, G., Südhoff, T., Horstkotte, D., Klocker, J., Trotsenburg, M. v., Schumer, J., Kanatschnig, M., Henning, K., Knauf, W. U., Pottgießer, E., Raghavachar, A., Zeigmeister, B., Bollow, M., Schilling, A., König, H., Koch, M., Volkenandt, M., Seger, Andrea, Banerjee, D., Vogel, J., Bierhoff, E., Heidi, G., Neyses, L., Bertino, J., Kocki, J., Rozynkowa, D. M., M.Rupniewska, Z., Wojcierowski, J., König, V., Hopf, U., Koenigsmann, M., Streit, M., Koeppen, K. M., Martini, I., Poppy, U., Hardel, M., Havemann, K., Havemann, K., Clemm, Ch., Wendt, Th., Gauss, J., Kreienberg, R., Hohenfellner, R., Krieger, O., Istvan, L., Komarnicki, M., Kazmierczak, M., Haertle, D., Korossy, P., Haus, S. Kotlarek, Gabryś, K., Kuliszkiewicz-Janus, M., Krauter, J., Westphal, C., Werner, K., Lang, P., Preissner, K. T., Völler, H., Schröder, K., Uhrig, A., Behles, Ch., Seibt-Jung, H., Besserer, A., Kreutzmann, H., Kröning, H., Kähne, T., Eßbach, U., Kühne, W., Krüger, W. H., Krause, K., Nowicki, B., Stockschläder, M., Peters, S. O., Zander, A. R., Kurowski, V., Schüler, C., Höher, D., Montenarh, M., Lang, W., Schweiger, H., Dölken, Gottfried, Lege, H., Dölken, G., Wex, Th., Frank, K., Hastka, J., Bohrer, M., Leo, R., Peest, D., Tschechne, B., Atzpodien, J., Kirchner, H., Hein, R., Hoffmann, L., Stauch, M., Franks, C. R., Palmer, P. A., Licht, T., Mertelsmann, R., Liersch, T., Vehmeyer, K., Kaboth, U., Maschmeyer, G., Meyer, P., Helmerking, M., Schmitt, J., Adam, D., Prahst, A., Hübner, G., Meisner, M., Seifert, M., Richard, D., Yver, A., Spiekermann, K., Brinkmann, L., Battmer, K., Krainer, M., Löffel, J., Stahl, H., Wust, P., Lübbert, M., Schottelius, A., Mertelsmann, R., Henschler, R., Mertelsmann, R., Mapara, M. Y., Bargou, R., Zugck, C., Krammer, P. H., Dörken, B., Maschek, Hansjörg, Kaloutsi, Vassiliki, Maschek, Hansjörg, Gormitz, Ralf, Meyer, P., Kuntz, B. M. E., Mehl, B., Günther, I., Bülzebruck, H., Menssen, H. D., Mergenthaler, H. -G., Dörmer, P., Heusers, P., Zeller, K. -P., Enzinger, H. M., Neugebauer, T., Klippstein, T., Burkhardt, K. L., Putzicha, E., Möller, Peter, Henne, Christof, Eichelmann, Anette, Brüderlein, Silke, Dhein, Jens, Möstl, M., Krieger, O., Mucke, H., Schinkinger, M., Moiling, J., Daoud, A., Willgeroth, Ch., Mross K., Bewermeier P., Krüger W., Peters S., Berger C., Bohn, C., Edler, L., Jonat, W., Queisser, W., Heidemann, E., Goebel, M., Hamm, K., Markovic-Lipkovski, J., Bitzer, G., Müller, H., Oethinger, M., Grießhammer, M., Tuner, I., Musch E., Malek, M., Peter-Katalinic, J., Hügl, E., Helli, A., Slanicka, M., Filipowicz, A., Nissen, C., Speck, B., Nehls, M. C., Grass, H. -J., Dierbach, H., Mertelsmann, R., Thaller, J., Fiebeler, A., Schmidt, C. A., O'Bryan, J. P., Liu, E., Ritter, M., de Kant, E., Brendel, C., He, M., Dodge, R., George, S., Davey, F., Silver, R., Schiffer, C., Mayer, R., Ball, E., Bloomfield, C., Ramschak, H., Tiran, A., Truschnig-Wilders, M., Nizze, H., Bühring, U., Oelschlägel, U., Jermolow, M., Oertel, J., Weisbach, V., Zingsem, J., Wiens, M., Jessen, J., Osthoff, K., Timm, H., Wilborn, F., Bodak, K., Langmach, K., Bechstein, W., Blumhardt, G., Neuhaus, P., Olek, K., Ottinger, H., Kozole, G., Belka, C., Meusers, P., Hense, J., Papadileris, Stefan, Pasternak, G., Pasternak, L., Karsten, U., Pecherstorfer, M., Zimmer-Roth, I., Poloskey, A., Petrasch, S., Kühnemund, O., Uppenkamp, M., Lütticken, R., Kosco, M., Schmitz, J., Petrides, Petro E., Dittmann, Klaus H., Krieger, O., Pflueger, K. -H., Grueber, A., Schoeneberger, J., Wenzel, E., Havemann, K., Pies, A., Kneba, M., Edel, G., Pohl, S., Bulgay-Mörschel, M., Polzin, R., Issing, W., Clemm, Ch., Schorn, K., Ponta, H., Zöller, M., Hofmann, M., Arch, R., Heider, K. -H., Rudy, W., Tölg, C., Herrlich, P., Prümmer, O., Scherbaum, W. A., Porzsolt, F., Prümmer, O., Krüger, A., Schrezenmeier, H., Schlander, H., Pineo, G., Marin, P., Gluckman, E., Shahidi, N. T., Bacigalupo, A., Ratajczak, M. Z., Gewirtz, A. M., Ratei, R., Borner, K., Bank, U., Bühling, F., Reisbach, G., Bartke, L., Kempkes, B., Kostka, G., Ellwart, X., Birner, A., Bornkamm, G. W., Ullrich, A., Dörmer, P., Henze, G., Parwaresch, R., Müller-Weihrich, S. T., Klingebiel, Th., Odenwald, E., Brandhorst, D., Tsuruo, T., Wetter, O., Renner, C., Pohl, C., Sahin, U., Renner, U., Zeller, K. -P., Repp, R., Valerius, Th., Sendler, A., Kalden, J. R., PIatzer, E., Reuss-Borst, M. A., Bühring, H. J., Reuter, C., der Landwehr, II, U. Auf, der Landwehr, II, U. Auf, Schleyer, E., Rolf, C., Ridwelski, K., Matthias, M., Preiss, R., Riewald, M., Puzo, A., Serke, S., Rohrer, B., Pfeiffer, D., Hepp, H., Romanowski, R., Schött, C., Rüther, U., Rothe, B., Pöllmann, H., Nunnensiek, C., Schöllhammer, T., Ulshöfer, Th., Bader, H., Jipp, P., Müller, H. A. G., Rupp, W., Lüthgens, M., Eisenberger, F., Afflerbach, C., Höller, A., Schwamborn, J. S., Daus, H., Krämer, K., Pees, H., Salat, C., Reinhardt, B., Düll, T., Knabe, H., Hiller, E., Sawinski, K., Schalhorn, A., Kühl, M., Heil, K., Schardt, Ch., Drexler, H. G., Scharf, R. E., Suhijar, D., del Zoppo, G. J., Ruggeri, Z. M., Roll, T., Möhler, T., Giselinger, H., Knäbl, P., Kyrie, P. A., Lazcíka, K., Lechner, X., Scheulen, M. E., Beelen, D. W., Reithmayer, H., Daniels, R., Weiherich, A., Quabeck, K., Schaefer, U. W., Reinhardt J., Grimm M., Unterhalt M., Schliesser, G., Lohmeyer, J., Schlingheider, O., von Eiff, M., Schulze, F., Oehme, C., van de Loo, J., Schlögl E., Bemhart M., Schmeiser, Th., Rozdzinski, E., Kern, W., Reichle, A., Moritz, T., Merk, Bruno, Schmid, R. M., Perkins, N. D., Duckett, C. S., Leung, K., Nabel, G. J., Pawlaczyk-Peter, B., Kellermann-Kegreiß, Schmidt E., Steiert, I., Schmidt-Wolf, G., Schmidt-Wolf, I. G. H., Schlegel, P., Blume, K. G., Chao, N. J., Lefterova, P., Laser, J., Schmitz, G., Rothe, G., Schönfeld, S., Schulz, S., Nyce, J. W., Graf, N., Ludwig, R., Steinhauser, I., Brommer, A. E., Qui, H., Schroeder, M., Grote-Kiehn, J., Bückner, U., Rüger, I., Schröder, J., Meusers, P., Weimar, Ch., Schoch, C., Schröter, G., Stern, H., Buchwald, B., Schick, K., Avril, N., Flierdt, E. v. d., Langhammer, H. R., Pabst, H. W., Alvarado, M., Witte, T., Vogt, H., Schuler, U., Brammer, K., Klann, R. C., Schumm, M., Hahn, J., Günther, W., Wullich, B., Moringlane, J. R., Schöndorf, S., Schwartz, S., Bühring, H. -J., Notter, M., Böttcher, S., Martin, M., Schmid, H., Lübbe, A. S., Leib-Mösch C., Wankmüller, H., Eilbrück, D., Funke, I., Cardoso, M., Duranceyk, H., Seitz, R., Rappe, N., Kraus, H., Egbring, R., Haasberg, M., Havemann, K., Seibach, J., Wollscheid, Ursula, Serke, St., Zimmermann, R., Shirai, T., Umeda, M., Anno, S., Kosuge, T., Katoh, M., Moro, S., Su, C. -Y., Shikoshi, K., Arai, N., Schwieder, G., Silling-Engelhardt, G., Zühlsdorf, M., Aguion-Freire-Innig, E., van de Loo, J., Stockdreher, K., Gatsch, L., Tischler, H. -J., Ringe, B., Diedrich, H., Franzi, A., Kruse, E., Lück, R., Trenn, G., Sykora, J., Wen, T., Fung-Leung, W. P., Mak, T. W., Brady, G., Loke, S., Cossman, J., Gascoyne, R., Mak, T., Urasinski, I., Zdziarska, B., Usnarska-Zubkiewicz, L., Kotlarek-Haus, S., Sciborskl, R., Nowosad, H., Kummer, G., Schleucher, N., Preusser, P., Niebel, W., Achterrath, W., Pott, D., Eigler, F. -W., Venook, A., Stagg, R., Frye, J., Gordon, R., Ring, E., Verschuer, U. v., Baur, F., Heit, W., Corrons, J. L. L. Vives, Vogel, M., Nekarda, H., Remy, W., Bissery, M. C., Aapro, M., Buchwald-Pospiech, A., Kaltwasser, J. P., Jacobi, V., de Vos, Sven, Asano, Yoshinobu, Voss, Harald, Knuth, Alexander, Wiedemann, G., Komischke, B., Horisberger, R., Wussow, P. v., Wanders, L., Senekowitsch, R., Strohmeyer, S., Emmerich, B., Selbach, J., Gutensohn, K., Wacker-Backhaus, G., Winkeimann, M., Send, W., Rösche, J., Weide, R., Parviz, B., Havemann, K., Weidmann, B., Henss, H., Engelhardt, R., Bernards, P., Zeidler, D., Jägerbauer, E., Colajori, E., Kerpel-Fronius, S., Weiss, A., Buchheidt, D., Döring, A., D.Saeger, H., Weissbach, L., Emmler, J., Wermes, R., Meusers, P., Flasshove, M., Skorzec, M., Käding, J., Platow, S., Winkler, Ute, Thorpe, Philip, Winter, S. F., Minna, J. D., Nestor, P. J., Johnson, B. E., Gazdar, A. F., Havemann, K., Carbone, D. P., Wit, M. de, Bittner, S., Hossfeld, D., Wittmann, G., Borchelt, M., Steinhagen-Thiessen, E., Koch, K., Brosch, T., Haas, N., Wölfel, C., Knuth, A., Wölfel, T., Safford, M., Könemann, S., Zurlutter, K., Schreiber, K., Piechotka, K., Drescher, M., Toepker, S., Terstappen, L. W. M. M., Bullerdiek, J., Jox, A., zur Hausen, H., Wolters, B., Stenzinger, W., Woźny, T., Sawiński, K., Kozłowska-Skrzypczak, M., Wussow, P. v., Hochhaus, T., Ansarl, H., Prümmer, O., Zapf, H., Thorban, S., Präuer, H., Zeller, W., Stieglitz, J. v., Dürken, M., Greenshaw, C., Kabisch, H., Reuther, C., Knabbe, C., Lippman, M., Havemann, K., Wellstein, A., Degos, L., Castaigne, S., Fenaux, P., Chomienne, C., Raza, A., Preisler, H. D., PEG Interventional Antimicrobial Strategy Study Group, Interventional Antimicrobial Strategy Study Group of the Paul Ehrlich Society (PEG), and H. Riehm for the BFM study group
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- 1992
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4. Multiple slice FLASH imaging: An improved pulse sequence for contrast enhanced MR brain studies
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Schörner, W., Sander, B., Henkes, H., Heim, T., Lanksch, W., and Felix, R.
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- 1990
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5. Intracranial meningiomas: How frequent are indicative findings in CT and MRI?
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Schubeus, P., Schörner, W., Rottacker, C., and Sander, B.
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- 1990
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6. “Menigeal sign”: a characteristic finding of meningiomas on contrast-enhanced MR images
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Schörner, W., Schubeus, P., Henkes, H., Lanksch, W., and Felix, R.
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- 1990
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7. Intracranial meningiomas: Comparison of plain and contrast-enhanced examinations in CT and MRI
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Schörner, W., Schubeus, P., Henkes, H., Rottacker, C., Hamm, B., and Felix, R.
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- 1990
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8. The value of paramagnetic contrast agent gadolinium-DTPA in the diagnosis of pituitary adenomas
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Nakamura, T., Schörner, W., Bittner, R. Ch., and Felix, R.
- Published
- 1988
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9. Peritumoral edema in meningiomas: A radiological and histological study
- Author
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Bradac, G. B., Ferszt, R., Bender, A., and Schörner, W.
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- 1986
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10. Cavernous sinus meningiomas: An MRI study
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Bradac, G. B., Riva, A., Schörner, W., and Stura, G.
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- 1987
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11. Application of contrast agents in CT and MRI (NMR): their potential in imaging of brain tumors
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Claussen, C., Laniado, M., Kazner, E., Schörner, W., and Felix, R.
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- 1985
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12. MRI (NMR) in the diagnosis of brain-stem tumors
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Bradac, G. B., Schörner, W., Bender, A., and Felix, R.
- Published
- 1985
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13. Comparison of multi echo and contrast-enhanced MR scans: Image contrast and delineation of intracranial tumors
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Schörner, W., Laniado, M., Kornmesser, W., and Felix, R.
- Published
- 1989
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14. Magnetic resonance imaging (MRI) in the diagnosis of cerebral arteriovenous angiomas
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Schörner, W., Bradac, G. B., Treisch, J., Bender, A., and Felix, R.
- Published
- 1986
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15. A comparative study of CT and MRI in midline tumors of childhood and adolescence
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Sprung, C., Baerwald, R., Henkes, H., and Schörner, W.
- Published
- 1989
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16. Intracranial meningiomas.
- Author
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Schörner, W., Schubeus, P., Henkes, H., Rottacker, C., Hamm, B., and Felix, R.
- Abstract
Fifty patients with intracranial meningiomas underwent plain and contrast-enhanced examinations with CT and MRI. Each of the MR studies consisted of three plain (T1, proton density and T2-weighted) and a post-contrast series (0.1 mmol Gd-DTPA/kg body weight). All techniques (plain CT, plain MRI, contrastenhanced CT, contrast-enhanced MRI) proved to be highly efficient as regards tumour detection: depending on the technique, an intracranial lesion was demonstrated in 47-50 cases. The image contrast was assessed as good or excellent in 21 cases having plain CT and in 33 cases having plain MRI, but in 46 and 50 of the contrast-enhanced CT and MRI studies respectively. Adequate tumour delineation was achieved in 18 cases with plain CT, in 35 cases with plain MRI and in 46 and 50 cases of the contrast-enhanced CT and MRI examinations. The contrast-enhanced studies proved to be superior to the plain CT and MRI studies as regards image contrast and tumor delineation. Because of the methodological advantages of the MRI technique, contrast-enhanced MRI was judged to be slightly superior to contrast-enhanced CT. [ABSTRACT FROM AUTHOR]
- Published
- 1990
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17. Long-term follow-up of MS: disease activity detected clinically and by MRI.
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Baum, K., Nehrig, C., Schörner, W., and Girke, W.
- Published
- 1990
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18. Detection of brainstem lesions in multiple sclerosis: comparison of brainstem auditory evoked potentials with nuclear magnetic resonance imaging.
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Baum, K., Scheuler, W., Hegerl, U., Girke, W., and Schörner, W.
- Published
- 1988
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19. Schnelle MR-Messung von Kontrastmittelverdünnungskinetiken (Gd-DTPA) in einem Kreislaufphantom.
- Author
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Bock, J. C., Sander, B., Frank, J., Schörner, W., and Felix, R.
- Published
- 1990
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20. Multiple sclerosis: relations between MRI and CT findings, cerebrospinal fluid parameters and clinical features
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Baum, K., Nehrig, C., Girke, W., Bräu, H., and Schörner, W.
- Published
- 1990
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21. 123. FIRST USE OF CdDTPA IN MAN.
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Weinmann, H. J., Schörner, W., and Felix, R
- Published
- 1984
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22. MRI in malignant chest wall invasion; A comparison with CT and surgical findings (in German)
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Bittner, R., Schörner, W., Sander, B., Weiss, Th., Loddenkemper, R., Kaiser, D., and Felix, R.
- Published
- 1990
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23. Hyperostosis in meningiomas: MR findings in patients with recurrent meningioma of the sphenoid wings.
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Terstegge K, Schörner W, Henkes H, Heye N, Hosten N, and Lanksch WR
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Hyperostosis etiology, Hyperostosis pathology, Magnetic Resonance Imaging, Meningioma physiopathology, Middle Aged, Neoplasm Recurrence, Local physiopathology, Skull Neoplasms physiopathology, Sphenoid Bone diagnostic imaging, Tomography, X-Ray Computed, Hyperostosis diagnostic imaging, Meningioma diagnostic imaging, Neoplasm Recurrence, Local diagnostic imaging, Skull Neoplasms diagnostic imaging, Sphenoid Bone pathology
- Abstract
Purpose: We used MR imaging to analyze retrospectively the pattern of hyperostosis occurring concomitantly with recurrent sphenoid wing meningiomas., Methods: Bone involvement was compared in 12 corresponding CT and MR studies of 10 female patients with sphenoid wing meningiomas recurrence after earlier surgical treatment. Four of these had histologically confirmed meningiomatous infiltration of the bone., Results: All patients had CT findings of localized hyperostosis of parts of the sphenoid wings. MR revealed inhomogeneous areas of slightly increased signal intensity in hyperostotic bone on T2-, proton density- and T1-weighted sequences. In nine of 10 patients, segments of the hyperostotic bone showed different degrees of gadolinium enhancement., Conclusions: Because earlier studies have revealed high incidences of meningiomatous bone infiltration in sphenoid wing meningiomas, and because infiltration was confirmed in four of our patients, we postulate that the gadolinium enhancement in the area of hyperostosis may be related to meningiomatous bone infiltration.
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- 1994
24. Picture archiving and communication systems and videoconference for medical communication.
- Author
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Schörner W
- Subjects
- Radiology Information Systems, Telecommunications
- Abstract
The following summarize the present capability and future potential for telecommunications in radiology: 1. When used as a central archiving, reporting, and directing unit PACS principally leads to an increased economy and centralization and allows a more rational and efficient use of experienced staff and a better education for the young physicians. 2. PACS also have the capability to produce composite imaging, whereby an overall report, consisting of different radiologic examinations can be obtained. The integration of image and text data and the digital link between specialized clinical departments also makes immediate transmission of images and reports possible. 3. Analog and digital videoconferences permit long distance communication and consultation between specialists, without physicians and radiologists having to change location. These television conferences also lead to an important enhancement of education, providing interaction with specialists who might not usually be available.
- Published
- 1993
25. Psychopathological symptoms and magnetic resonance imaging findings in multiple sclerosis.
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Reischies FM, Baum K, Nehrig C, and Schörner W
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- Adult, Analysis of Variance, Brain pathology, Humans, Magnetic Resonance Imaging, Middle Aged, Psychiatric Status Rating Scales, Multiple Sclerosis pathology, Multiple Sclerosis psychology
- Published
- 1993
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26. Triple-dose versus standard-dose gadopentetate dimeglumine: a randomized study in 199 patients.
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Haustein J, Laniado M, Niendorf HP, Louton T, Beck W, Planitzer J, Schöffel M, Reiser M, Kaiser W, and Schörner W
- Subjects
- Adult, Central Nervous System Diseases diagnosis, Contrast Media toxicity, Drug Combinations, Female, Gadolinium DTPA, Humans, Magnetic Resonance Imaging, Male, Contrast Media administration & dosage, Gadolinium administration & dosage, Gadolinium toxicity, Meglumine administration & dosage, Meglumine toxicity, Organometallic Compounds administration & dosage, Organometallic Compounds toxicity, Pentetic Acid administration & dosage, Pentetic Acid toxicity
- Abstract
To investigate the safety, patient tolerance, and efficacy with 0.3 mmol/kg gadopentetate dimeglumine in magnetic resonance (MR) imaging of the central nervous system (CNS), a phase 3 trial was conducted in 199 patients with suspected CNS lesions. Patients received either 0.1 or 0.3 mmol/kg gadopentate dimeglumine (injection time, 15 seconds and 45 seconds, respectively). T1- and T2-weighted spin-echo sequences were performed at either 0.5 T or 1.5 T. In 80 patients with enhancing brain lesions, contrast-to-noise ratios (C/Ns) were calculated, and lesion-to-brain contrast was evaluated visually. Six patients (6%) in each dose group reported adverse events. Eight adverse events occurred with 0.1 mmol/kg and seven with 0.3 mmol/kg. Vital signs and laboratory values did not change significantly. C/N (P < .05) and visual assessment ratings were higher with 0.3 mmol/kg than with 0.1 mmol/kg. According to these preliminary results, 0.3 mmol/kg gadopentetate dimeglumine is safe and well tolerated when administered at approximately 1 mL/sec.
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- 1993
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27. Systemic lupus erythematosus: neuropsychiatric signs and symptoms related to cerebral MRI findings.
- Author
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Baum KA, Hopf U, Nehrig C, Stöver M, and Schörner W
- Subjects
- Adolescent, Adult, Atrophy, Brain pathology, Brain Damage, Chronic psychology, Cerebral Ventricles pathology, Epilepsy diagnosis, Epilepsy psychology, Female, Humans, Male, Middle Aged, Neurocognitive Disorders psychology, Brain Damage, Chronic diagnosis, Magnetic Resonance Imaging, Neurocognitive Disorders diagnosis, Neuropsychological Tests
- Abstract
A 76.2% prevalence of abnormalities was found in the cerebral MR scans of 21 patients with systemic lupus erythematosus (SLE). These patients were enrolled in the study consecutively as they presented at an immunological out-patient unit. They were not selected on the basis of neuro/psychiatric findings. Circumscribed non-periventricular brain lesions were found in 12 patients (57.1%), mainly in the frontal white or gray matter. Periventricular lesions directly adjacent to the ventricles were detected in 10 patients (47.6%). Eleven patients (52.4%) showed signs of cerebral atrophy. MRI detected more lesions in patients with clinically focal CNS lupus than in patients with seizures or patients without clinically localized findings. Eleven patients had abnormal neuropsychiatric CNS findings; there was no clear correlation between neuropsychiatric signs and symptoms and brain abnormalities as shown by MRI. Seven patients had asymptomatic lesions. Cerebral MRI proved to be the method of choice for the non-clinical diagnosis of neuropsychiatric SLE.
- Published
- 1993
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28. Acute fracture of the femoral neck: assessment of femoral head perfusion with gadopentetate dimeglumine-enhanced MR imaging.
- Author
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Lang P, Mauz M, Schörner W, Schwetlick G, Henkes H, Berthezene Y, Grampp S, Jergesen HE, Mühler A, and Felix R
- Subjects
- Acute Disease, Adult, Aged, Aged, 80 and over, Angiography, Digital Subtraction, Contrast Media, Drug Combinations, Female, Femoral Neck Fractures complications, Femoral Neck Fractures diagnostic imaging, Femur Head Necrosis diagnosis, Femur Head Necrosis diagnostic imaging, Femur Head Necrosis etiology, Gadolinium DTPA, Humans, Male, Middle Aged, Regional Blood Flow, Femoral Neck Fractures diagnosis, Femur Head blood supply, Magnetic Resonance Imaging, Meglumine, Organometallic Compounds, Pentetic Acid
- Abstract
Objective: Evaluation of the perfusion and viability of the femoral head after fracture of the femoral neck is important because the outcome of conservative treatment or joint-preserving surgery is adversely affected by the development of capital osteonecrosis. We evaluated the use of MR imaging, before and after IV administration of gadopentetate dimeglumine, for assessing perfusion of the femoral head in 13 patients with acute fracture of the femoral neck., Subjects and Methods: Multiecho (1600/30-240 [TR/TE]) MR images were obtained before contrast administration and gradient-echo (315/14, 90 degrees flip angle) MR images were obtained both before and after contrast administration. MR findings were correlated with findings on superselective digital subtraction angiograms of the vessels supplying the femoral head and with clinical-radiographic follow-up for at least 12 months., Results: Digital subtraction angiography showed impaired blood supply to the femoral head in five patients. On contrast-enhanced MR images of these patients, the femoral head did not enhance and was lower in signal intensity than were the enhancing femoral shaft and neck distal to the fracture and the enhancing femoral head on the unaffected side. In the patients with persistent perfusion, contrast-enhanced MR images showed a uniform increase in signal intensity in the femoral shaft and neck as well as the femoral head; the femoral head on the fractured side showed contrast enhancement similar to that on the healthy side., Conclusion: These preliminary results indicate that contrast-enhanced MR imaging may be useful for noninvasive evaluation of femoral head perfusion after fracture of the femoral neck. MR findings also may aid the clinician in deciding between joint-preserving therapy and hip arthroplasty.
- Published
- 1993
- Full Text
- View/download PDF
29. [MRT in cervical disk herniation: plain vs. contrast-enhanced images].
- Author
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Schubeus P, Schörner W, Sander B, Hansen K, Lanksch WR, and Felix R
- Subjects
- Adult, Aged, Female, Gadolinium DTPA, Humans, Magnetic Resonance Imaging methods, Male, Middle Aged, Cervical Vertebrae, Contrast Media, Intervertebral Disc Displacement diagnosis, Organometallic Compounds, Pentetic Acid
- Abstract
Aim of this study was to assess the value of Gd-DTPA administration in MRI of cervical disk herniations. In 34 patients, showing 40 cervical disk herniations, plain proton density- and T1-weighted as well as contrast-enhanced T1-weighted 2D-FLASH images were generated. Contrast between the herniated material and the CSF already was sufficient without administration of Gd-DTPA in all cases. Sufficient contrast between the herniations and the intraforaminal structures was obtained in 13/40 cases and 40/40 cases on plain and contrast-enhanced images, respectively. Definition of the herniated disks was judged to be sufficient in 30/40 cases on plain images and 40/40 cases on contrast-enhanced images. The diagnostic value of the images was improved in 3/12 lateral and 7/8 intraforaminal herniations by contrast administration, whereas there was no significant increase in diagnostic value in posterior or posterolateral herniations. As a result, Gd-DTPA administration is recommended if definition of lateral and intraforaminal disk herniations in MRI is poor.
- Published
- 1993
- Full Text
- View/download PDF
30. [Pleural diseases in magnetic resonance tomography (MRT)].
- Author
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Bittner RC, Schörner W, Loddenkemper C, Auffermann W, Schönfeld N, Hieckel HG, Thalhofer S, Dorow P, Krumhaar D, and Kaiser D
- Subjects
- Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Pleura pathology, Pleural Diseases pathology, Pleural Neoplasms diagnosis, Pleural Neoplasms pathology, Pleural Neoplasms secondary, Tomography, X-Ray Computed, Magnetic Resonance Imaging, Pleural Diseases diagnosis
- Abstract
MR images of 48 patients with histologically confirmed benign and malignant diseases of the pleura were retrospectively compared with CT and bioptically/surgically obtained findings. In 47/48 patients pathological changes of the pleura were visualized by increased signal intensities on T2-weighted and contrast enhanced T1-weighted MR images. This lead to a slightly improved sensitivity compared to CT, where pathological pleura findings were confirmed in 45/48 patients. MRI was able to identify 24/28 confirmed pleural effusions, whereas CT was successful in 26/28 patients. In two cases effusions not identified on CT were visible on T2-weighted MRI. 4 pleural effusions were missed with MRI.. On CT images differentiation of pleural changes vs effusions or adjacent lesions of lung parenchyma was successful in 20/28 and in 17/23 cases, respectively. Contrast enhanced T1-weighted images achieved the highest diagnostic accuracy with 22/28 and 20/23 cases, respectively. Signal intensities on MRI were unsuitable as sole criterion for the differentiation of benign and malignant diseases of the pleura. Contour and pattern of spreading of pleural changes were helpful in differential diagnosis. Nodular changes, thickening of more than 10 mm and mediastinal, circumferential and entire hemithoracic affection of the pleura were suggestive for malignant pleural disease. Infiltration of the diaphragm and the chest wall were most indicative for malignancy; here MRI (2/2 resp. 18/19 cases) was superior to CT (0/2 resp. 14/19 cases). CT was superior in the detection of pleural calcifications and osseous destruction.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1992
31. [Space-occupying lesions of the orbit: modern imaging diagnosis].
- Author
-
Hosten N, Schörner W, Lietz A, Kind A, Seiler T, and Wollensak J
- Subjects
- Diagnosis, Differential, Humans, Magnetic Resonance Imaging methods, Orbital Diseases diagnostic imaging, Orbital Neoplasms diagnostic imaging, Tomography, X-Ray Computed methods, Orbital Diseases diagnosis, Orbital Neoplasms diagnosis
- Abstract
The paper summarises imaging of orbital diseases by CT and MRI. As localisation is an important clue to differential diagnosis in orbital tumours, the different pathologies are described according to sites of prevalent occurrence. Morphological criteria of orbital pathology are described, and the more frequent entities are illustrated.
- Published
- 1992
32. [The regional blood flow in intracranial tumors: a comparison of HMPAO-SPECT with a newer magnetic resonance tomographic procedure].
- Author
-
Böck JC, Sander B, Hierholzer J, Haustein J, Scholz M, Radke KH, Schörner W, Lanksch W, and Felix R
- Subjects
- Brain diagnostic imaging, Brain pathology, Color, Contrast Media, Evaluation Studies as Topic, Gadolinium, Gadolinium DTPA, Humans, Organometallic Compounds, Pentetic Acid, Technetium Tc 99m Exametazime, Brain Neoplasms blood supply, Brain Neoplasms diagnosis, Cerebrovascular Circulation, Magnetic Resonance Imaging methods, Organotechnetium Compounds, Oximes, Technetium therapeutic use, Tomography, Emission-Computed, Single-Photon methods
- Abstract
We compared the value of gadolinium-enhanced first-pass MRI perfusion studies and HMPAO-SPECT for the assessment of regional cerebral blood flow in a prospective study of 23 intracranial tumour patients. In five tumours with homogeneous hypoperfusion and eight tumours with homogeneous hyperperfusion, tumour blood flow patterns in MRI and HMPAO-SPECT were similar. By contrast, in ten patients with inhomogeneous tumour blood flow pattern only MRI was able to differentiate between tumour areas with no or low flow, tumour tissue with high flow, and perifocal oedema with reduced flow. In HMPAO-SPECT, these inhomogeneous tumours were represented as areas of homogeneously reduced tracer retention corresponding to different tumour constituents and perifocal oedema. In conclusion, the high spatial resolution of MRI enables a detailed analysis of tumour blood flow.
- Published
- 1992
- Full Text
- View/download PDF
33. [The magnetic resonance tomographic differential diagnosis between reactively enlarged lymph nodes and cervical lymph node metastases].
- Author
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Steinkamp HJ, Heim T, Schubeus P, Schörner W, and Felix R
- Subjects
- Contrast Media, Diagnosis, Differential, Female, Gadolinium, Gadolinium DTPA, Humans, Lymphatic Diseases epidemiology, Lymphatic Metastasis, Male, Neck, Organometallic Compounds, Pentetic Acid, Prospective Studies, Sensitivity and Specificity, Lymph Nodes pathology, Lymphatic Diseases diagnosis, Magnetic Resonance Imaging instrumentation, Magnetic Resonance Imaging methods, Magnetic Resonance Imaging statistics & numerical data
- Abstract
A prospective study was carried out involving 27 patients to determine whether MRT can distinguish between lymph node metastases and reactive lymph node enlargement. The results of MRT were compared with the pathological findings. Using T1 and T2 weighted sequences and proton density sequences it was not possible to differentiate between reactively enlarged lymph nodes and lymph node metastases. Following the administration of Gd-DTPA the observation of central hypo-intensity with marginal hyper-intensity is a reliable sign of a lymph node metastasis. Using the criterion of length greater than 10 mm for lymph node metastases results in a specificity of 32% and sensitivity of 75%. The use of the sonographic maximal/cross measurement quotient > 2 in the axial/coronary/sagittal dimension improves specificity and sensitivity to 94%.
- Published
- 1992
- Full Text
- View/download PDF
34. [The course of the disease in endocrine orbitopathy. Magnetic resonance tomographic documentation].
- Author
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Hosten N, Schörner W, Lietz A, and Wenzel KW
- Subjects
- Edema diagnosis, Humans, Oculomotor Muscles pathology, Orbit pathology, Orbital Diseases diagnosis, Time Factors, Graves Disease diagnosis, Magnetic Resonance Imaging methods
- Abstract
MR imaging of the orbits was performed in 59 patients with untreated Graves' ophthalmopathy (follow-up exams were performed in 11 patients). T2-relaxation times of eye muscles were calculated and correlated with duration of disease. Elevated T2 times indicating eye muscle edema were found even if ophthalmopathy had been existing for more than one year. MRI documented specific eye muscle changes and transformation of oedema to fibrosis and fatty degeneration. MRI thus allows for standardized planning of therapy and follow-up in patients with Graves' ophthalmopathy.
- Published
- 1992
- Full Text
- View/download PDF
35. [The value of nuclear magnetic resonance tomography in tumor staging of laryngeal-/hypopharyngeal cancer].
- Author
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Steinkamp HJ, Heim T, Zwicker C, Mathe F, Schörner W, and Felix R
- Subjects
- Carcinoma, Squamous Cell surgery, Humans, Hypopharyngeal Neoplasms surgery, Hypopharynx pathology, Laryngeal Cartilages pathology, Laryngeal Neoplasms surgery, Laryngoscopy, Larynx pathology, Lymph Nodes pathology, Lymphatic Metastasis, Neoplasm Staging, Carcinoma, Squamous Cell pathology, Hypopharyngeal Neoplasms pathology, Laryngeal Neoplasms pathology, Magnetic Resonance Imaging
- Abstract
Twenty-four patients with tumors of the larynx and hypopharynx were examined with magnetic resonance imaging (MRI) and laryngoscopy. The results of MRI and laryngoscopy were then correlated with the pathology reports. Diagnostic findings of 84% of the MRI studies correlated with the pathology report, while laryngoscopy provided exact classification in 79%. MRI tended to overestimate tumor size because edema or inflammatory reactions of surrounding tissues simulated tumors. However, normal mucosa also enhanced contrast medium, restricting the value of this technique. Laryngoscopy tended to underestimate tumor size, because deep extensions of tumor and cartilage involvement were difficult to detect. Nonetheless, the utility of MRI in obtaining axial, coronal and sagittal slices was found to facilitate the preoperative staging of tumor extensions.
- Published
- 1992
36. [Magnetic resonance tomography (MRT) in pleural diseases. A comparison with CT and histopathological findings].
- Author
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Bittner RC, Schörner W, Auffermann W, Böck JC, Loddenkemper R, Grassot A, Hieckel HG, and Felix R
- Subjects
- Adult, Aged, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Pleura diagnostic imaging, Pleural Diseases pathology, Pleural Neoplasms diagnosis, Pleural Neoplasms pathology, Magnetic Resonance Imaging instrumentation, Magnetic Resonance Imaging methods, Pleura pathology, Pleural Diseases diagnosis, Tomography, X-Ray Computed instrumentation, Tomography, X-Ray Computed methods
- Abstract
The MRI and CT appearances in 48 patients with histologically confirmed benign and malignant pleural abnormalities were compared retrospectively. Abnormal pleural changes were shown in 47 out of the 48 patients by high signal intensity of the pleura in T2-weighted sequences and in contrast enhanced T1-weighted sequences on MRI. CT showed abnormalities in 45 out of 48 patients. Delineation of pleural and pulmonary changes by CT was possible in 13 out of 23 cases, and pleural disease from effusions in 15 out of 28 cases. T2-weighted MRI was successful in 14 out of 23 and 4 out of 28 cases, respectively. T1-weighted images after contrast were successful in 20 out of 23 and 22 out of 28 cases, respectively. Indications of malignant pleural disease were the presence of mediastinal or circumferential involvement or involvement of the entire pleura, thickness of more than 10 mm and nodular changes. The most reliable sign of malignancy was infiltration of the thoracic wall and the diaphragm; this was better demonstrated by MRI (18 out of 19 and 2 out of 2 cases) than by CT (14 out of 19 and 0 out of 2 cases).
- Published
- 1992
- Full Text
- View/download PDF
37. [The magnetic resonance tomography of intracranial ependymomas. Their clinical appearance and comparison with computed tomography].
- Author
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Neumann K, Schörner W, Hosten N, Iglesias JR, and Böck JC
- Subjects
- Adolescent, Adult, Aged, Brain diagnostic imaging, Brain pathology, Child, Child, Preschool, Diagnosis, Differential, Evaluation Studies as Topic, Female, Humans, Male, Middle Aged, Brain Neoplasms diagnosis, Ependymoma diagnosis, Magnetic Resonance Imaging instrumentation, Magnetic Resonance Imaging methods, Tomography, X-Ray Computed
- Abstract
The MRT and CT images of histologically confirmed intracranial ependymomas in 10 patients have been compared. All tumours were demonstrated by CT and MRT. The solid portions of the tumours showed variation in density on CT (hypodense, isodense, hyperdense, or mixed), whereas there was uniform signal intensity on MRT (T1 weighted: hypointense, T2 weighted: hyperintense). Cystic portions of the tumours (6 patients) were shown equally well by both procedures, calcifications were only shown by CT. All ependymomas were related to the ventricles. On unenhanced CT only 3 tumours were clearly delineated, whereas MRT defined all tumours satisfactorily. The significant advantage of MRT is better topographic demonstration of the tumour.
- Published
- 1992
- Full Text
- View/download PDF
38. [Magnetic resonance tomographic screening studies of the bone marrow with gradient-echo sequences. II. Gadolinium-DTPA-supported studies of plasmocytoma patients].
- Author
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Hosten N, Schörner W, Neumann K, Sander B, Oertel J, Kirsch A, Schubeus P, Cordes M, Felix R, and Huhn D
- Subjects
- Gadolinium DTPA, Humans, Magnetic Resonance Imaging instrumentation, Multiple Myeloma diagnosis, Multiple Myeloma pathology, Neoplasm Staging, Plasmacytoma pathology, Tomography, X-Ray Computed, Bone Marrow pathology, Contrast Media, Gadolinium, Magnetic Resonance Imaging methods, Organometallic Compounds, Pentetic Acid, Plasmacytoma diagnosis
- Abstract
MR imaging was performed in 19 patients with proven multiple myeloma. Both plain and Gd-DTPA enhanced in-phase and opposed-phase gradient-echo techniques were used (0.1 mmol Magnevist/kg body weight). Plain, opposed-phase imaging demonstrated more lesions than plain in-phase imaging (35 vs. 16); enhanced opposed-phase imaging demonstrated more lesions than plain opposed-phase and enhanced in-phase imaging (47 vs. 35 and 17 lesions). These results suggest that enhanced opposed-phase images which have a high contrast between normal and infiltrated bone marrow are especially suited for MR screening in multiple myeloma.
- Published
- 1992
- Full Text
- View/download PDF
39. Administration of gadopentetate dimeglumine in MR imaging of intracranial tumors: dosage and field strength.
- Author
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Haustein J, Laniado M, Niendorf HP, Hilbertz T, Planitzer J, Schörner W, and Louton T
- Subjects
- Adult, Aged, Gadolinium DTPA, Humans, Middle Aged, Random Allocation, Brain Neoplasms diagnosis, Contrast Media administration & dosage, Magnetic Resonance Imaging, Organometallic Compounds administration & dosage, Pentetic Acid administration & dosage
- Abstract
Purpose: To investigate the efficacy of 0.025, 0.05 and 0.1 mmol/kg gadopentetate dimeglumine in MR imaging of patients with intracranial tumors at mid and high field strength., Methods: In 88 patients, an open-label phase III multicenter dose-finding study was performed at 0.5, 1.0, and 1.5 T MR units. Before and after (5, 15, 25 minutes) intravenous administration of gadopentetate dimeglumine, imaging was performed with T1-weighted spin-echo sequences., Results: With 0.1 mmol/kg yielding the highest values, tumor enhancement and numerical tumor/brain contrast showed dose-dependent 5-minute postcontrast values (P less than 0.05). Compared to 5-minute postcontrast values, there was no significant change at 15 and 25 minutes. Although the lowest values of enhancement were found at 0.5 T, differences in enhancement among the field strengths were not statistically significant. The numerical data were confirmed by visual assessment of tumor/brain contrast. Eighty to 90% of cases had diagnostically valuable enhancement at 0.1 mmol/kg, 50% at 0.05 mmol/kg, and 10% at 0.025 mmol/kg (P less than 0.05). There were no adverse events., Conclusion: Our results confirm that 0.1 mmol/kg gadopentetate dimeglumine is more effective at enhancing intracranial tumors than lower doses at mid and high field MR units.
- Published
- 1992
40. [Magnetic resonance tomography of the bone marrow in malignant hematologic system diseases. A review with special reference to magnetic resonance tomographic techniques].
- Author
-
Schörner W, Hosten N, Neumann K, Huhn D, and Felix R
- Subjects
- Humans, Bone Marrow pathology, Leukemia diagnosis, Lymphoma diagnosis, Magnetic Resonance Imaging methods, Multiple Myeloma diagnosis
- Published
- 1992
41. [The regional cerebral circulation in infarct patients. Rapid dynamic T2*-weighted MRT after a bolus injection of gadolinium-DTPA].
- Author
-
Böck JC, Sander B, Hierholzer J, Cordes M, Haustein J, Schörner W, and Felix R
- Subjects
- Cerebral Infarction epidemiology, Cerebral Infarction physiopathology, Gadolinium DTPA, Humans, Injections, Intravenous, Magnetic Resonance Imaging instrumentation, Organotechnetium Compounds administration & dosage, Oximes administration & dosage, Prospective Studies, Reference Values, Technetium Tc 99m Exametazime, Tomography, Emission-Computed, Single-Photon, Cerebral Infarction diagnosis, Cerebrovascular Circulation, Contrast Media administration & dosage, Gadolinium administration & dosage, Magnetic Resonance Imaging methods, Organometallic Compounds administration & dosage, Pentetic Acid administration & dosage
- Abstract
The aim was to validate the MRI assessment of regional cerebral blood flow. Measurements were performed on a 1.5 T imaging system using a fast T2*-weighted gradient-echo sequence. After intravenous injection of gadolinium-DTPA 30 images were acquired in the same slice position during 84 seconds. In 12 volunteers we observed a symmetrical cortical decrease of signal intensity during the passage of the contrast medium. In 9/23 patients with impairment of cerebral blood flow a circumscribed area of reduced signal intensity decrease (hypoperfusion) was found. In 4/23 patients the decrease of signal intensity was more pronounced than in normals (hyperfusion). In 9/23 patients signal intensity changes were normal. HMPAO-SPECT confirmed successful MRI assessment of cerebral blood flow in 22/23 patients.
- Published
- 1992
- Full Text
- View/download PDF
42. ["Surgical projection" in the gadolinium-DTPA (Gd-DTPA)-supported NMR tomographic diagnosis of lateral lumbar disk prolapse].
- Author
-
Tosch U, Baerwald R, Schubeus P, Sander B, Lanksch WR, Schörner W, and Felix R
- Subjects
- Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Gadolinium DTPA, Humans, Intervertebral Disc Displacement surgery, Lumbar Vertebrae diagnostic imaging, Lumbar Vertebrae surgery, Middle Aged, Time Factors, Tomography, X-Ray Computed, Contrast Media, Gadolinium, Intervertebral Disc Displacement diagnosis, Lumbar Vertebrae pathology, Magnetic Resonance Imaging methods, Organometallic Compounds, Pentetic Acid
- Abstract
In a group of 25 patients the coronal views of plain and Gd-DTPA-enhanced MRI studies were correlated with CT and operative findings. All series included sagittal, transverse and coronal FLASH sequences (GE 500/6, flip angle 70 degrees), sagittal proton density-(SE 2500/15) and T2-(SE 2500/70) weighted images. MR diagnosis proved to be correct in all cases. Compared to CT and axial MRI herniated disk material in the lateral intravertebral space and its relationship to nerve roots was demonstrated more clearly on coronal views.
- Published
- 1992
- Full Text
- View/download PDF
43. Periventricular plaques in multiple sclerosis: irreversible? An MRI follow-up study.
- Author
-
Baum K, Nehrig C, Schörner W, and Girke W
- Subjects
- Adolescent, Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Multiple Sclerosis diagnosis, Myelin Sheath pathology, Neurologic Examination, Prospective Studies, Cerebral Ventricles pathology, Magnetic Resonance Imaging, Multiple Sclerosis pathology
- Abstract
Follow-up MRIs over a period of 2-3 years in 50 patients with multiple sclerosis demonstrate that, in contrast to the circumscribed nonperiventricular lesions of the cerebral white matter, the periventricular plaques only show a remission in exceptional cases as ovoid lesions adjacent to the pars centralis of the lateral ventricles. 90% of the patients exhibited at least one new or enlarged nonperiventricular lesion. 72% had more pronounced periventricular lesions in the second scan. With the help of serial MRIs, inferences can be drawn about the histopathological stage of individual demyelination plaques.
- Published
- 1992
- Full Text
- View/download PDF
44. Dosing of Gd-DTPA in MR imaging of intracranial tumors.
- Author
-
Schubeus P, Schörner W, and Haustein J
- Subjects
- Female, Gadolinium DTPA, Humans, Male, Middle Aged, Brain Neoplasms diagnosis, Contrast Media, Gadolinium, Magnetic Resonance Imaging, Organometallic Compounds administration & dosage, Pentetic Acid administration & dosage
- Published
- 1991
- Full Text
- View/download PDF
45. [Lymphocytic infiltrations of the orbit in MRT and CT. Lymphoma, pseudolymphoma and inflammatory pseudotumor].
- Author
-
Hosten N, Schörner W, Zwicker C, Lietz A, Serke S, Huhn D, and Felix R
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymphocytes, Tumor-Infiltrating diagnostic imaging, Lymphoma diagnostic imaging, Magnetic Resonance Imaging, Male, Middle Aged, Orbital Neoplasms diagnostic imaging, Orbital Pseudotumor diagnostic imaging, Tomography, X-Ray Computed, Lymphocytes, Tumor-Infiltrating pathology, Lymphoma pathology, Orbital Neoplasms pathology, Orbital Pseudotumor pathology
- Abstract
MR and CT examinations of 16 patients with lymphoma, pseudolymphoma and inflammatory pseudotumours were analysed to describe morphologic features of lymphocytic infiltration. Density and signal did not allow for differentiation, but localisation was the most important criterion: lymphoma and pseudolymphoma were located in the anterior superior orbit, inflammatory pseudotumours being retrobulbar lesions. Differentiation is of clinical importance, since both lymphoma and pseudolymphoma are accompanied by generalised malignant lymphoma while inflammatory pseudotumours are localised. Imaging of topographic relations of lens, optic nerve and lesion on sagittal MR images was found helpful for radiation therapy planning.
- Published
- 1991
- Full Text
- View/download PDF
46. [More rapid MRT with T2-weighted spin-echo sequences through variation of the flip angle].
- Author
-
Schubeus P, Sander B, Schörner W, Deimling M, Tosch U, and Felix R
- Subjects
- Adult, Aged, Aged, 80 and over, Brain pathology, Brain Diseases diagnosis, Female, Humans, Image Enhancement instrumentation, Magnetic Resonance Imaging instrumentation, Male, Middle Aged, Time Factors, Image Enhancement methods, Magnetic Resonance Imaging methods
- Abstract
In the present study the influence of the flip angle on image contrast in spin echo imaging was investigated. It was evaluated, whether variation of the flip angle allows for shorter repetition and imaging times in T2-weighted spin echo sequences. 10 patients with cerebral white matter lesions were investigated with an 1.5 Tesla whole body tomograph using a conventional double-spin echo sequence (TR = 2500 ms, TE = 15 and 70 ms) and time-optimized double-spin echo sequences (TR = 1900 ms, TE 15 and 70 ms) at flip angles of 90, 80, 70, 60 and 50 degrees. A reduction of the flip angles resulted in a decrease of T1-weighting and a relative increase of T2-weighting of the images. Despite the reduced repetition time at a flip angle of 70 degrees visually and quantitatively assessed contrast between lesions and brain as well as image artifacts of the time-optimized sequence were comparable to the conventional spin echo sequence; however, imaging time was shortened about 25%.
- Published
- 1991
- Full Text
- View/download PDF
47. [The rapid magnetic resonance tomography measurement of the contrast medium dilution kinetics (gadolinium-DTPA) in a circulatory phantom].
- Author
-
Böck JC, Sander B, Frank J, and Schörner W
- Subjects
- Gadolinium DTPA, Humans, Indicator Dilution Techniques, Magnetic Resonance Imaging instrumentation, Pulsatile Flow, Contrast Media pharmacokinetics, Gadolinium pharmacokinetics, Magnetic Resonance Imaging methods, Models, Cardiovascular, Models, Structural, Organometallic Compounds pharmacokinetics, Pentetic Acid pharmacokinetics
- Abstract
We studied first-pass MRI contrast dilution to compute flow and volume of distribution in a realistic flow phantom. Pulsatile flow was provided by a one-chamber artificial heart. Physiological stroke volume, rate, pressure, and flow were adjustable. An elastic tube with dimensions similar to that of the human aorta was imaged at a rate of 2.4 Hz. After contrast injection, an initial increase in signal intensity was followed by a decrease. Signal-intensity time plots demonstrated slightly skewed curves as expected from dispersion theory. After calibration at different gadolinium-DTPA concentrations, signal intensities were converted into true gadolinium concentrations, and flow was calculated from the concentration-time curves. Flow was varied between 2.5 and 10.0 l/min and a significant correlation was found between the MRI estimate and true flow. Volume of distribution between injection and detection site was reliably estimated. This study demonstrates rapid 2-D imaging of a paramagnetic contrast bolus in a realistic flow phantom. Reliable estimates of flow and volume are obtained.
- Published
- 1991
- Full Text
- View/download PDF
48. [Magnetic resonance tomographic differentiation of eye muscle enlargement. Study technique, characteristic images, literature review].
- Author
-
Hosten N, Schörner W, Lietz A, and Felix R
- Subjects
- Humans, Magnetic Resonance Imaging, Muscles pathology, Orbit pathology, Orbital Diseases diagnosis
- Abstract
Multiplanar facilities of MR imaging allow for a detailed analysis of eye muscle enlargement. For taking full advantage of MRI's diagnostic possibilities, thorough knowledge of pathological anatomy is necessary. The paper describes examination technique and criteria for analysis. Diseases leading to eye muscle enlargement are illustrated by exemplary cases.
- Published
- 1991
49. [Magnetic resonance tomographic screening studies of the bone marrow with gradient echo sequences: (I) the contrast relations of phase-identical and phase-shifted gradient echo sequences. Studies on probands and pathological-anatomical preparations].
- Author
-
Hosten N, Sander B, Schörner W, Hackl A, Henkes H, Schubeus P, Neumann K, Felix R, and Schneider V
- Subjects
- Adult, Aged, Bone Marrow pathology, Femur anatomy & histology, Femur pathology, Humans, In Vitro Techniques, Infant, Magnetic Resonance Imaging instrumentation, Middle Aged, Reference Values, Time Factors, Bone Marrow anatomy & histology, Magnetic Resonance Imaging methods
- Abstract
Anatomical specimens and normal persons were studied by gradient echo MR imaging to determine the influence of different echo times (TE) on bone marrow contrast. First of all, six normal persons were studied to determine specific echo times for in-phase and opposed-phase states. Using different sequences bone marrow contrast in isolated femoral bones was determined and compared to results of pathological exams. Red bone marrow had no signal on opposed-phase images; contrast between red and yellow marrow was higher on opposed-phase than on in-phase images. Bone marrow lesions can be expected to be visualised with high signal on opposed-phase images; this technique should be especially suited for MR imaging of bone marrow.
- Published
- 1991
- Full Text
- View/download PDF
50. [The differential diagnosis of liver metastasis and regional fatty liver: a comparison of CT and MRT].
- Author
-
Schörner W, Neumann K, Langer M, Heim T, Keck H, and Felix R
- Subjects
- Adult, Aged, Diagnosis, Differential, Evaluation Studies as Topic, Female, Humans, Liver diagnostic imaging, Liver pathology, Male, Middle Aged, Fatty Liver diagnosis, Liver Neoplasms diagnosis, Liver Neoplasms secondary, Magnetic Resonance Imaging methods, Tomography, X-Ray Computed methods
- Abstract
Differentiation between liver metastases and local fat deposition may be difficult when using CT; the value of MRI was therefore investigated in 18 patients with metastases and ten patients with fat deposits. CT shows both lesions as similar hypodense areas. MRI, however, produces different appearances: T1- and 2-weighted images show marked differences in the signal arising from metastases, whereas local fat collections in both sequences differ little in their signal from normal liver. Quantitative MRI signal intensity of the two types of lesion were also different. Where the differentiation by CT may be difficult, it may be made with certainty by means of MRI.
- Published
- 1991
- Full Text
- View/download PDF
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