547 results on '"Kontrastmittel"'
Search Results
2. Safety of Magnetic Resonance Imaging in Pregnancy.
- Author
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Maralani, Pejman Jabehdar, Pai, Vivek, and Ertl-Wagner, Birgit B.
- Abstract
Copyright of Die Radiologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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- View/download PDF
3. Leberdiagnostik in der Magnetresonanztomografie.
- Author
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Banzhaf, Katharina
- Subjects
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MANGANESE , *LIVER tumors , *METASTASIS , *LIVER , *HEPATOCELLULAR carcinoma , *CONTRAST media , *CHLORIDES - Abstract
The liver, as the largest gland in the human body with vital functions, can be affected by a wide variety of tumors. Hepatocellular carcinoma is rare, but has a poor prognosis. In addition, a number of metastases can occur. The article describes the importance of the various contrast agents in diagnostics and also discusses new developments such as oral manganese chloride tetrahydrate. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Neue Kontrastmittel für die photonenzählende Computertomographie.
- Author
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Sawall, Stefan
- Abstract
Copyright of Die Radiologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
5. Katheterablation ventrikulärer Tachykardien – Update 2023.
- Author
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Bourier, Felix
- Subjects
CONTRAST media ,MYOCARDIAL depressants ,CARDIOMYOPATHIES ,CATHETERS ,ELECTROCARDIOGRAPHY - Abstract
Copyright of Herz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
6. Gasvesikel und ihr Einsatz in der Biomedizin.
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PFEIFER, FELICITAS
- Abstract
Gas vesicles are gas-filled, intracellular nanostructures produced by several microbes as flotation device in their watery environment. Gas-vesiculate photosynthetic cyanobacteria, or the extremely halophilic archaeon Halobacterium salinarum, float with gas vesicles towards the surface. The gas vesicle shell consists of two Gvp proteins only, but ten additional Gvp proteins are required to form these spindle- or cylinder-shaped nanostructures. Gas vesicles scatter waves like light or ultrasound. They can easily isolated and applied as novel contrast agent for ultrasound imaging or used as acoustic biosensors. The properties of gas vesicles can be modulated by altering the surface protein GvpC. A fusion of GvpC with peptides of bacterial or viral pathogens results in decorated gas vesicles that are used as effective antigen display system for vaccination. [ABSTRACT FROM AUTHOR]
- Published
- 2023
7. Kontrastmittelinduzierte Nierenfunktionsstörungen gemessen am Serumcystatin C: Ein Vergleich zwischen euvolämen und hypovolämen Patienten nach Koronarangiographie.
- Author
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Vahed, Farshad Moussazadeh and Trappe, Hans-Joachim
- Abstract
Copyright of Der Kardiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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8. Kontrastmittelunterstützter Ultraschall in der Differenzialdiagnose komplexer renaler Zysten und kleiner renaler Raumforderungen
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Thiemann, Janine and Clevert, Dirk-André
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- 2023
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9. Diagnostik und intraarterielle Therapien primärer Lebertumoren: Hepatozelluläres vs. intrahepatisches cholangiozelluläres Karzinom.
- Author
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Becker, Lena S., Wacker, Frank K., and Hinrichs, Jan B.
- Abstract
Copyright of Der Onkologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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10. Sonographie von Nieren, Retroperitoneum und Harnblase: Stellenwert für den Urologen in Klinik und Praxis.
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Büttner, Thomas and Ritter, Manuel
- Abstract
Copyright of Der Urologe A is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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11. State-of-the-art in der Diagnostik des hepatozellulären Karzinoms und aktuelle therapeutische Optionen.
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Ringe, K. I. and Hinrichs, J. B.
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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- View/download PDF
12. Die (schwer) verletzte schwangere Patientin aus Sicht der Radiologie.
- Author
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Armbruster, M. and Koliogiannis, V.
- Abstract
Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
13. Detektion von Lungenveränderungen bei Patienten mit Mukoviszidose: Innovationen der Magnetresonanztomographie des Thorax.
- Author
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Nyilas, Sylvia, Bauman, Grzegorz, and Sommer, Gregor
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
14. Magnetresonanztomographie der Lunge bei Mukoviszidose.
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Leutz-Schmidt, P., Eichinger, M., Sommerburg, O., Stahl, M., Triphan, S. M. F., Gehlen, S., Kauczor, H.-U., Puderbach, M. U., Mall, M. A., and Wielpütz, M. O.
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
15. Visible‐Light‐Excited Room‐Temperature Phosphorescence in Water by Cucurbit[8]uril‐Mediated Supramolecular Assembly.
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Wang, Jie, Huang, Zizhao, Ma, Xiang, and Tian, He
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CUCURBITACEAE , *PHOSPHORESCENCE , *RAPID thermal processing , *MATERIALS science , *AQUEOUS solutions , *QUATERNARY structure - Abstract
Solid‐state materials with efficient room‐temperature phosphorescence (RTP) emissions have found widespread applications in materials science, while liquid or solution‐phase pure organic RTP emission systems has been rarely reported, because of the nonradiative decay and quenchers from the liquid medium. Reported here is the first example of visible‐light‐excited pure organic RTP in aqueous solution by using a supramolecular host‐guest assembly strategy. The unique cucurbit[8]uril‐mediated quaternary stacking structure allows tunable photoluminescence and visible‐light excitation, enabling the fabrication of multicolor hydrogels and cell imaging. The present assembly‐induced emission approach, as a proof of concept, contributes to the construction of novel metal‐free RTP systems with tunable photoluminescence in aqueous solution, providing broad opportunities for further applications in biological imaging, detection, optical sensors, and so forth. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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16. Covalent Organic Framework for Improving Near‐Infrared Light Induced Fluorescence Imaging through Two‐Photon Induction.
- Author
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Zeng, Jin‐Yue, Wang, Xiao‐Shuang, Xie, Bo‐Ru, Li, Min‐Jie, and Zhang, Xian‐Zheng
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FLUORESCENCE , *NONLINEAR optics , *STACKING interactions , *CRYSTAL structure , *CHROMOPHORES - Abstract
Fluorescent materials exhibiting two‐photon induction (TPI) are used for nonlinear optics, bioimaging, and phototherapy. Polymerizations of molecular chromophores to form π‐conjugated structures were hindered by the lack of long‐range ordering in the structure and strong π–π stacking between the chromophores. Reported here is the rational design of a benzothiadiazole‐based covalent organic framework (COF) for promoting TPI and obtaining efficient two‐photon induced fluorescence emissions. Characterization and spectroscopic data revealed that the enhancement in TPI performance is attributed to the donor‐π‐acceptor‐π‐donor configuration and regular intervals of the chromophores, the large π‐conjugation domain, and the long‐range order of COF crystals. The crystalline structure of TPI‐COF attenuates the π–π stacking interactions between the layers, and overcomes aggregation‐caused emission quenching of the chromophores for improving near‐infrared two‐photon induced fluorescence imaging. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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17. A Phototheranostic Strategy to Continuously Deliver Singlet Oxygen in the Dark and Hypoxic Tumor Microenvironment.
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Zou, Jianhua, Zhu, Jianwei, Yang, Zhen, Li, Ling, Fan, Wenpei, He, Liangcan, Tang, Wei, Deng, Liming, Mu, Jing, Ma, Yuanyuan, Cheng, Yaya, Huang, Wei, Dong, Xiaochen, and Chen, Xiaoyuan
- Subjects
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TUMOR microenvironment , *TREATMENT effectiveness , *PHOTODYNAMIC therapy , *TUMOR growth , *CHEMICAL energy , *COBALT chloride , *REACTIVE oxygen species - Abstract
Continuous irradiation during photodynamic therapy (PDT) inevitably induces tumor hypoxia, thereby weakening the PDT effect. In PDT‐induced hypoxia, providing singlet oxygen from stored chemical energy may enhance the cell‐killing effect and boost the therapeutic effect. Herein, we present a phototheranostic (DPPTPE@PEG‐Py NPs) prepared by using a 2‐pyridone‐based diblock polymer (PEG‐Py) to encapsulate a semiconducting, heavy‐atom‐free pyrrolopyrrolidone‐tetraphenylethylene (DPPTPE) with high singlet‐oxygen‐generation ability both in dichloromethane and water. The PEG‐Py can trap the 1O2 generated from DPPTPE under laser irradiation and form a stable intermediate of endoperoxide, which can then release 1O2 in the dark, hypoxic tumor microenvironment. Furthermore, fluorescence‐imaging‐guided phototherapy demonstrates that this phototheranostic could completely inhibit tumor growth with the help of laser irradiation. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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18. Intraoperativer Ultraschall in der Viszeralchirurgie.
- Author
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Hackl, C., Bitterer, F., Platz Batista da Silva, N., Jung, E. M., and Schlitt, H. J.
- Abstract
Background: Intraoperative ultrasound is a routine procedure in abdominal surgery. Not only detection of focal lesions but also perfusion and elasticity analyses using color-coded Doppler sonography, contrast-enhanced ultrasound and elastography enable highly sensitive and highly specific diagnostics, especially in oncological surgery. Objective: This article provides an overview on current techniques of intraoperative ultrasound and gives an outlook on future possibilities and applications. Material and methods: Literature-based presentation of evidence-based intraoperative ultrasound, discussion of current basic research and expert recommendations. Results: Modern intraoperative ultrasound is a highly efficient technique for detection and characterization of focal space-occupying lesions in surgery of benign and malignant diseases. Conclusion: Intraoperative ultrasound is a highly sensitive and specific diagnostic tool, providing real-time diagnostics with a manageable amount of technical equipment. Thus, preoperative diagnostics can be refined, partly resulting in a modification of intraoperative treatment management. Future developments in the fields of digital image fusion with preoperative sectional imaging, optical guidance of surgical instruments and molecular targeted tumor therapy will increase the importance of intraoperative sonography even more. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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19. Dual‐Phase Thermally Activated Delayed Fluorescence Luminogens: A Material for Time‐Resolved Imaging Independent of Probe Pretreatment and Probe Concentration.
- Author
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Li, Xuping, Baryshnikov, Gleb, Ding, Longjiang, Bao, Xiaoyan, Li, Xin, Lu, Jianjun, Liu, Miaoqing, Shen, Shen, Luo, Mengkai, Zhang, Man, Ågren, Hans, Wang, Xudong, and Zhu, Liangliang
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DELAYED fluorescence , *LUMINESCENCE , *LUMINESCENT probes - Abstract
Developing luminescent probes with long lifetime and high emission efficiency is essential for time‐resolved imaging. However, the practical applications usually suffer from emission quenching of traditional luminogens in aggregated states, or from weak emission of aggregation‐induced emission type luminogens in monomeric states. Herein, we overcome this dilemma by a rigid‐and‐flexible alternation design in donor–acceptor–donor skeletons, to achieve a thermally activated delayed fluorescence luminogen with high emission efficiency both in the monomeric state (quantum yield up to 35.3 %) and in the aggregated state (quantum yield up to 30.8 %). Such a dual‐phase strong and long‐lived emission allows a time‐resolved luminescence imaging, with an efficiency independent of probe pretreatment and probe concentration. The findings open opportunities for developing luminescent probes with a usage in larger temporal and spatial scales. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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20. A Smart, Autocatalytic, DNAzyme Biocircuit for in Vivo, Amplified, MicroRNA Imaging.
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Wei, Jie, Wang, Huimin, Wu, Qiong, Gong, Xue, Ma, Kang, Liu, Xiaoqing, and Wang, Fuan
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MICRORNA , *DNA probes , *MAGNETIC resonance imaging , *DEOXYRIBOZYMES - Abstract
DNAzymes have been recognized as promising transducing agents for visualizing endogenous biomarkers, but their inefficient intracellular delivery and limited amplification capacity (including insufficient cofactor supply) preclude their extensive biological application. Herein, an autocatalytic DNAzyme (ACD) biocircuit is constructed for amplified microRNA imaging in vivo based on a hybridization chain reaction (HCR) and DNAzyme biocatalysis, sustained by a honeycomb MnO2 nanosponge (hMNS). The hMNS not only delivers DNA probes, but also supplies Mn2+ as a DNAzyme cofactor and magnetic resonance imaging (MRI) agent. Through the subsequent cross‐activation of HCR and DNAzyme amplicons, the ACD amplifies the limited signal resulting from miRNA recognition. The hMNS/ACD system was used to image microRNA in vivo, thus demonstrating its great promise in cancer diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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21. Radiologische Diagnostik chronisch-entzündlicher Darmerkrankungen bei Kindern und Jugendlichen.
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Nagy, E. and Sorantin, E.
- Abstract
Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
22. MR-Arthrographien.
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Streif, M. and Hirschmann, A.
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
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23. A Class of FeIII Macrocyclic Complexes with Alcohol Donor Groups as Effective T1 MRI Contrast Agents.
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Snyder, Eric M., Asik, Didar, Abozeid, Samira M., Burgio, Ariel, Bateman, Gage, Turowski, Steven G., Spernyak, Joseph A., and Morrow, Janet R.
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ALCOHOL , *KIDNEYS , *CHEMICAL speciation , *MICE , *LIVER , *ARSENATES - Abstract
Early studies suggested that FeIII complexes cannot compete with GdIII complexes as T1 MRI contrast agents. Now it is shown that one member of a class of high‐spin macrocyclic FeIII complexes produces more intense contrast in mice kidneys and liver at 30 minutes post‐injection than does a commercially used GdIII agent and also produces similar T1 relaxivity in serum phantoms at 4.7 T and 37 °C. Comparison of four different FeIII macrocyclic complexes elucidates the factors that contribute to relaxivity in vivo including solution speciation. Variable‐temperature 17O NMR studies suggest that none of the complexes has a single, integral inner‐sphere water that exchanges rapidly on the NMR timescale. MRI studies in mice show large in vivo differences of three of the FeIII complexes that correspond, in part, to their r1 relaxivity in phantoms. Changes in overall charge of the complex modulate contrast enhancement, especially of the kidneys. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
24. Superresolution-Ultraschallbildgebung: Methoden und Anwendungen
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Porte, Céline and Kiessling, Fabian
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- 2022
- Full Text
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25. Yttrium‐86 Is a Positron Emitting Surrogate of Gadolinium for Noninvasive Quantification of Whole‐Body Distribution of Gadolinium‐Based Contrast Agents.
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Le Fur, Mariane, Rotile, Nicholas J., Correcher, Carlos, Clavijo Jordan, Veronica, Ross, Alana W., Catana, Ciprian, and Caravan, Peter
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GADOLINIUM , *POSITRONS , *ORGANS (Anatomy) , *MAGNETIC resonance - Abstract
Gadolinium‐based contrast agents (GBCAs) are used to provide diagnostic information in clinical magnetic resonance (MR) examinations. Gadolinium (Gd) has been detected in the brain, bone and skin of patients, months and years following GBCA administration, raising concerns about long term toxicity. Despite increased scrutiny, the concentration, chemical form and fate of the retained gadolinium species remain unknown. Importantly, the whole body biodistribution and organ clearance of GBCAs is poorly understood in humans. Gadolinium lacks suitable isotopes for nuclear imaging. We demonstrate that the yttrium‐86 isotope can be used as a gadolinium surrogate. We show that Gd and their analogous Y complexes have similar properties both in solution and in vivo, and that yttrium‐86 PET can be used to track the biodistribution of GBCAs over a two‐day period. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
26. Genetically Encoded Ratiometric RNA‐Based Sensors for Quantitative Imaging of Small Molecules in Living Cells.
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Wu, Rigumula, Karunanayake Mudiyanselage, Aruni P. K. K., Shafiei, Fatemeh, Zhao, Bin, Bagheri, Yousef, Yu, Qikun, McAuliffe, Kathleen, Ren, Kewei, and You, Mingxu
- Subjects
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SMALL molecules , *IMAGE sensors , *CYTOLOGY , *CELLS , *BROCCOLI , *METABOLITES , *APTAMERS - Abstract
Precisely determining the intracellular concentrations of metabolites and signaling molecules is critical in studying cell biology. Fluorogenic RNA‐based sensors have emerged to detect various targets in living cells. However, it is still challenging to apply these genetically encoded sensors to quantify the cellular concentrations and distributions of targets. Herein, using a pair of orthogonal fluorogenic RNA aptamers, DNB and Broccoli, we engineered a modular sensor system to apply the DNB‐to‐Broccoli fluorescence ratio to quantify the cell‐to‐cell variations of target concentrations. These ratiometric sensors can be broadly applied for live‐cell imaging and quantification of metabolites, signaling molecules, and other synthetic compounds. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
27. Enzyme‐Mediated Endogenous and Bioorthogonal Control of a DNAzyme Fluorescent Sensor for Imaging Metal Ions in Living Cells.
- Author
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Lin, Yao, Yang, Zhenglin, Lake, Ryan J., Zheng, Chengbin, and Lu, Yi
- Subjects
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METAL ions , *IMAGE sensors , *HELA cells , *CELLS - Abstract
Bioorthogonal control of metal‐ion sensors for imaging metal ions in living cells is important for understanding the distribution and fluctuation of metal ions. Reported here is the endogenous and bioorthogonal activation of a DNAzyme fluorescent sensor containing an 18‐base pair recognition site of a homing endonuclease (I‐SceI), which is found by chance only once in 7×1010 bp of genomic sequences, and can thus form a near bioorthogonal pair with I‐SceI for DNAzyme activation with minimal effect on living cells. Once I‐SceI is expressed inside cells, it cleaves at the recognition site, allowing the DNAzyme to adopt its active conformation. The activated DNAzyme sensor is then able to specifically catalyze cleavage of a substrate strand in the presence of Mg2+ to release the fluorophore‐labeled DNA fragment and produce a fluorescent turn‐on signal for Mg2+. Thus I‐SceI bioorthogonally activates the 10–23 DNAzyme for imaging of Mg2+ in HeLa cells. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
28. Rational Design of a Dual‐Reactivity‐Based Fluorescent Probe for Visualizing Intracellular HSNO.
- Author
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Chen, Wei, Matsunaga, Tetsuro, Neill, Deshka L., Yang, Chun‐tao, Akaike, Takaaki, and Xian, Ming
- Subjects
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FLUORESCENT probes , *CHEMICAL biology , *BIOLOGICAL systems , *BIOLOGY - Abstract
Thionitrous acid (HSNO), the smallest S‐nitrosothiol, is emerging as a potential key intermediate in cellular redox regulation linking two signaling molecules H2S and NO. However, the chemical biology of HSNO remains poorly understood. A major hurdle is the lack of methods for selective detection of HSNO in biological systems. Herein, we report the rational design, synthesis, and evaluation of the first fluorescent probe TAP‐1 for HSNO detection. TAP‐1 showed high selectivity and sensitivity to HSNO in aqueous media and cells, providing a useful tool for understanding the functions of HSNO in biology. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
29. Development of Zinc‐Specific iCEST MRI as an Imaging Biomarker for Prostate Cancer.
- Author
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Yuan, Yue, Wei, Zhiliang, Chu, Chengyan, Zhang, Jia, Song, Xiaolei, Walczak, Piotr, and Bulte, Jeff W. M.
- Subjects
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ZINC ions , *PROSTATE cancer , *CARCINOMA , *MAGNETIZATION transfer , *ZINC transporters , *MAGNETIC resonance imaging - Abstract
The healthy prostate contains the highest concentration of mobile zinc in the body. As this level decreases dramatically during the initial development of prostate cancer, in vivo detection of prostate zinc content may be applied for diagnosis of prostate cancer. Using 19F ion chemical exchange saturation transfer magnetic resonance imaging (iCEST MRI) and TF‐BAPTA as a fluorinated Zn‐binding probe with micromolar sensitivity, we show that iCEST MRI is able to differentiate between normal and malignant prostate cells with a 10‐fold difference in contrast following glucose‐stimulated zinc secretion in vitro. The iCEST signal decreased in normal prostate cells upon downregulation of the ZIP1 zinc transporter. In vivo, using an orthotopic prostate cancer mouse model and a transgenic adenocarcinoma of the mouse prostate (TRAMP) model, a gradual decrease of >300 % in iCEST contrast following the transition of normal prostate epithelial cells to cancer cells was detected. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
30. A Bivalent Inhibitor of Prostate Specific Membrane Antigen Radiolabeled with Copper‐64 with High Tumor Uptake and Retention.
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Zia, Nicholas A., Cullinane, Carleen, Van Zuylekom, Jessica K., Waldeck, Kelly, McInnes, Lachlan E., Buncic, Gojko, Haskali, Mohammad B., Roselt, Peter D., Hicks, Rodney J., and Donnelly, Paul S.
- Subjects
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PROSTATE , *EXOCRINE glands , *FUNCTIONAL groups , *CANCER diagnosis , *ANTIGENS , *PROSTATE cancer , *RADIOPHARMACEUTICALS - Abstract
Molecules containing lysine‐ureido‐glutamate functional groups bind to the active site of prostate specific membrane antigen, which is overexpressed in prostate cancer. To prepare copper radiopharmaceuticals for the diagnosis and therapy of prostate cancer, macrobicyclic sarcophagine ligands tethered to either one or two lysine‐ureido‐glutamate functional groups through an appropriate linker have been prepared. Sarcophagine ligands can be readily radiolabeled with positron‐emitting copper‐64 at room temperature. The bivalent agent, in which two targeting groups are tethered to a single copper complex, dramatically outperforms the monomeric agent with respect to tumor uptake and retention. The high tumor uptake, low background, and prolonged tumor retention, even at 24 hours post injection, suggest the bivalent agent is a promising diagnostic for prostate cancer and could be used for prospective dosimetry for therapy with a copper‐67 variant. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
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31. Kontrastmittelinduziertes Nierenversagen: Sinnvolle Schutzmaßnahmen vor Kontrastmittelgabe.
- Author
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Wiora, J. and Westenfeld, R.
- Abstract
Copyright of Der Internist is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
32. NIR‐II Fluorescent Self‐Assembled Peptide Nanochain for Ultrasensitive Detection of Peritoneal Metastasis.
- Author
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Wen, Qiuxiang, Zhang, Yejun, Li, Chunyan, Ling, Sisi, Yang, Xiaohu, Chen, Guangcun, Yang, Yang, and Wang, Qiangbin
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CYTOREDUCTIVE surgery , *INTRAPERITONEAL injections , *TUMOR classification , *METASTASIS , *CANCER cells , *PEPTIDE amphiphiles , *AMYLOID beta-protein precursor - Abstract
Fluorescence‐guided cytoreductive surgery is one of the most promising approaches for facile elimination of tumors in situ, thereby improving prognosis. Reported herein is a simple strategy to construct a novel chainlike NIR‐II nanoprobe (APP‐Ag2S‐RGD) by self‐assembly of an amphiphilic peptide (APP) into a nanochain with subsequent chemical crosslinking of NIR‐II Ag2S QDs and the tumor‐targeting RGD peptide. This probe exhibits higher capability for cancer cell detection compared with that of RGD‐functionalized Ag2S QDs (Ag2S‐RGD) at the same concentration. Upon intraperitoneal injection, superior tumor‐to‐normal tissue signal ratio is achieved and non‐vascularized tiny tumor metastatic foci as small as about 0.2 mm in diameter could be facilely eliminated under NIR‐II fluorescent imaging guidance. These results clearly indicate the potential of this probe for fluorescence‐guided tumor staging, preoperative diagnosis, and intraoperative navigation. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
33. Terminal Diazirines Enable Reverse Polarization Transfer from 15N2 Singlets.
- Author
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Zhang, Guannan, Colell, Johannes F. P., Glachet, Thomas, Lindale, Jacob R., Reboul, Vincent, Theis, Thomas, and Warren, Warren S.
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DIAZIRINES , *DIAZOMETHANE , *METHYL groups - Abstract
Diazirine moieties are chemically stable and have been incorporated into biomolecules without impediment of biological activity. The 15N2 labeled diazirines are appealing motifs for hyperpolarization supporting relaxation protected states with long‐lived lifetimes. The (‐CH15N2) diazirine groups investigated here are analogues to methyl groups, which provides the opportunity to transfer polarization stored on a relaxation protected (‐CH15N2) moiety to 1H, thus combining the advantages of long lifetimes of 15N polarization with superior sensitivity of 1H detection. Despite the proximity of 1H to 15N nuclei in the diazirine moiety, 15N T1 times of up to (4.6±0.4) min and singlet lifetimes Ts of up to (17.5±3.8) min are observed. Furthermore, we found terminal diazirines to support hyperpolarized 1H2 singlet states in CH2 groups of chiral molecules. The singlet lifetime of 1H singlets is up to (9.2±1.8) min, thus exceeding 1H T1 relaxation time (at 8.45 T) by a factor of ≈100. [ABSTRACT FROM AUTHOR]
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- 2019
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34. Biochemische Knorpeldiagnostik – Update 2019.
- Author
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Trattnig, S., Raudner, M., Schreiner, M., Roemer, F., and Bohndorf, K.
- Abstract
Copyright of Der Radiologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2019
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- View/download PDF
35. Regioselective Functionalization of Stable BN‐Modified Luminescent Tetraphenes for High‐Resolution Fingerprint Imaging.
- Author
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Huang, Huanan, Zhou, Ying, Wang, Meng, Zhang, Jianying, Cao, Xiaohua, Wang, Shitao, Cao, Dapeng, and Cui, Chunming
- Subjects
- *
IMAGING systems in chemistry , *FORENSIC fingerprinting , *FORENSIC sciences , *ALUMINUM foil , *CHEMICAL potential , *OPTICAL properties , *BORON nitride - Abstract
A series of novel BN tetraphene derivatives have been prepared successfully for the first time via a post‐functionalization strategy. The optical and electronic properties of these derivatives could be tuned systematically by the incorporation of different substituents on the main skeleton. The functionalized BN‐containing luminogens have been explored for the detection of latent fingerprints (LFPs) on different substrates, including glass, aluminum foil, plastic, and ironware. This strategy provides great versatility in LFP imaging and good potential in elucidating the chemical information within LFPs, making the strategy valuable in forensic investigations. [ABSTRACT FROM AUTHOR]
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- 2019
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36. Carbon Dots as a New Class of Diamagnetic Chemical Exchange Saturation Transfer (diaCEST) MRI Contrast Agents.
- Author
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Zhang, Jia, Yuan, Yue, Gao, Minling, Han, Zheng, Chu, Chengyan, Li, Yuguo, van Zijl, Peter C. M., Ying, Mingyao, Bulte, Jeff W. M., and Liu, Guanshu
- Subjects
- *
MAGNETIZATION transfer , *MAGNETIC resonance imaging , *CARBON , *EXCHANGE - Abstract
While carbon dots (C‐dots) have been extensively investigated pertaining to their fluorescent, phosphorescent, electrochemiluminescent, optoelectronic, and catalytic features, their inherent chemical exchange saturation transfer magnetic resonance imaging (CEST MRI) properties are unknown. By virtue of their hydrophilicity and abundant exchangeable protons of hydroxyl, amine, and amide anchored on the surface, we report here that C‐dots can be adapted as effective diamagnetic CEST (diaCEST) MRI contrast agents. As a proof‐of‐concept demonstration, human glioma cells were labeled with liposomes with or without encapsulated C‐dots and implanted in mouse brain. In vivo CEST MRI was able to clearly differentiate labeled cells from non‐labeled cells. The present findings may encourage new applications of C‐dots for in vivo imaging in deep tissues, which is currently not possible using conventional fluorescent (near‐infrared) C‐dots. [ABSTRACT FROM AUTHOR]
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- 2019
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37. Visualizing Microglia with a Fluorescence Turn‐On Ugt1a7c Substrate.
- Author
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Kim, Beomsue, Fukuda, Masahiro, Lee, Jung‐Yeol, Su, Dongdong, Sanu, Srikanta, Silvin, Aymeric, Khoo, Audrey T. T., Kwon, Taejoon, Liu, Xiao, Chi, Weijie, Liu, Xiaogang, Choi, Sejong, Wan, Diana S. Y., Park, Sung‐Jin, Kim, Jin‐Soo, Ginhoux, Florent, Je, H. Shawn, and Chang, Young‐Tae
- Subjects
- *
MICROGLIA , *FLUORESCENCE spectroscopy , *DISEASE progression , *SUBSTRATES (Materials science) , *NEURAL development - Abstract
Microglia, the brain‐resident macrophage, are involved in brain development and contribute to the progression of neural disorders. Despite the importance of microglia, imaging of live microglia at a cellular resolution has been limited to transgenic mice. Efforts have therefore been dedicated to developing new methods for microglia detection and imaging. Using a thorough structure–activity relationships study, we developed CDr20, a high‐performance fluorogenic chemical probe that enables the visualization of microglia both in vitro and in vivo. Using a genome‐scale CRISPR‐Cas9 knockout screen, the UDP‐glucuronosyltransferase Ugt1a7c was identified as the target of CDr20. The glucuronidation of CDr20 by Ugt1a7c in microglia produces fluorescence. [ABSTRACT FROM AUTHOR]
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- 2019
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38. Bildgebung bei Nierenzellkarzinom.
- Author
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Hallscheidt, Peter
- Abstract
Copyright of Der Onkologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
39. SCOTfluors: Small, Conjugatable, Orthogonal, and Tunable Fluorophores for In Vivo Imaging of Cell Metabolism.
- Author
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Benson, Sam, Fernandez, Antonio, Barth, Nicole D., de Moliner, Fabio, Horrocks, Mathew H., Herrington, C. Simon, Abad, Jose Luis, Delgado, Antonio, Kelly, Lisa, Chang, Ziyuan, Feng, Yi, Nishiura, Miyako, Hori, Yuichiro, Kikuchi, Kazuya, and Vendrell, Marc
- Subjects
- *
FLUOROPHORES , *CELL metabolism , *METABOLITES , *CANCER cells , *CHROMOPHORES - Abstract
The transport and trafficking of metabolites are critical for the correct functioning of live cells. However, in situ metabolic imaging studies are hampered by the lack of fluorescent chemical structures that allow direct monitoring of small metabolites under physiological conditions with high spatial and temporal resolution. Herein, we describe SCOTfluors as novel small‐sized multi‐colored fluorophores for real‐time tracking of essential metabolites in live cells and in vivo and for the acquisition of metabolic profiles from human cancer cells of variable origin. [ABSTRACT FROM AUTHOR]
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- 2019
- Full Text
- View/download PDF
40. Photoacoustic Imaging of Nanoparticle Transport in the Kidneys at High Temporal Resolution.
- Author
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Jiang, Xingya, Du, Bujie, Tang, Shaoheng, Hsieh, Jer‐Tsong, and Zheng, Jie
- Subjects
- *
ACOUSTIC imaging , *NANOPARTICLES , *NEPHROLOGY , *KIDNEY diseases , *RENAL hypertension - Abstract
Noninvasive monitoring of kidney elimination of engineered nanoparticles at high temporal and spatial resolution will not only significantly advance our fundamental understandings of nephrology on the nanoscale, but also aid in the early detection of kidney disease, which affects more than 10 % of the worldwide population. Taking advantage of strong NIR absorption of the well‐defined Au25(SG)18 nanocluster, photoacoustic (PA) imaging was used to visualize its transport in situ through the aorta to the renal parenchyma and its subsequent filtration into the renal pelvis at a temporal resolution down to 1 s. High temporal and spatial resolution imaging of Au25(SG)18 kidney elimination allowed the accurate quantification of the glomerular filtration rate (GFR) of individual kidneys in normal and pathological conditions, broadening the biomedical applications of engineered nanoparticles in preclinical kidney research. [ABSTRACT FROM AUTHOR]
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- 2019
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41. Harnessing Intramolecular Rotation To Enhance Two‐photon Imaging of Aβ Plaques through Minimizing Background Fluorescence.
- Author
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Shin, Jinwoo, Verwilst, Peter, Choi, Hayoung, Kang, Sangrim, Han, Jiyou, Kim, Na Hee, Choi, Jin Gyu, Oh, Myung Sook, Hwang, Ji Sun, Kim, Dokyoung, Mook‐Jung, Inhee, and Kim, Jong Seung
- Subjects
- *
AMYLOID beta-protein , *AMYLOID plaque , *PHOTONS , *FLUOROPHORES , *FLUORESCENCE - Abstract
The aggregation of amyloid beta (Aβ) proteins in senile plaques is a critical event during the development of Alzheimer's disease, and the postmortem detection of Aβ‐rich proteinaceous deposits through fluorescent staining remains one of the most robust diagnostic tools. In animal models, fluorescence imaging can be employed to follow the progression of the disease, and among the different imaging methods, two‐photon microscopy (TPM) has emerged as one of the most powerful. To date, several near‐infrared‐emissive two‐photon dyes with a high affinity for Aβ fibrils have been developed, but there has often been a tradeoff between excellent two‐photon cross‐sections and large fluorescence signal‐to‐background ratios. In the current work, we introduced a twisted intramolecular charge state (TICT)‐based de‐excitation pathway, which results in a remarkable fluorescence increase of around 167‐fold in the presence of Aβ fibrils, while maintaining an excellent two‐photon cross section, thereby enabling high‐contrast ex vivo and in vivo TPM imaging. Overall, the results suggest that adopting TICT de‐excitation in two‐photon fluorophores may represent a general method to overcome the tradeoff between probe brightness and signal‐to‐background ratio. [ABSTRACT FROM AUTHOR]
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- 2019
- Full Text
- View/download PDF
42. Release of Amino‐ or Carboxy‐Containing Compounds Triggered by HOCl: Application for Imaging and Drug Design.
- Author
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Wei, Peng, Liu, Lingyan, Wen, Ying, Zhao, Guilong, Xue, Fengfeng, Yuan, Wei, Li, Ruohan, Zhong, Yaping, Zhang, Mengfan, and Yi, Tao
- Subjects
- *
HYPOCHLORITES , *AMINO acids , *DRUG design , *DRUG delivery systems , *PRODRUGS , *CHEMICAL detectors - Abstract
The overproduction of HOCl is highly correlated with diseases such as atherosclerosis, rheumatoid arthritis, and cancer. Whilst acting as a marker of these diseases, HOCl might also be used as an activator of prodrugs or drug delivery systems for the treatment of the corresponding disease. In this work, a new platform of HOCl probes has been developed that integrates detection, imaging, and therapeutic functions. The probes can detect HOCl, using both NIR emission and the naked eye in vitro, with high sensitivity and selectivity at ultralow concentrations (the detection limit is at the nanomolar level). Basal levels of HOCl can be imaged in HL‐60 cells without special stimulation. Moreover, the probes provided by this platform can rapidly release either amino‐ or carboxy‐containing compounds from prodrugs, during HOCl detection and imaging, to realize a therapeutic effect. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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- View/download PDF
43. A Fluorogenic Probe for Cell Surface Phosphatidylserine Using an Intramolecular Indicator Displacement Sensing Mechanism.
- Author
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Zwicker, Vincent E., Oliveira, Bruno L., Yeo, Jia Hao, Fraser, Stuart T., Bernardes, Gonçalo J. L., New, Elizabeth J., and Jolliffe, Katrina A.
- Subjects
- *
APOPTOSIS , *CELL membranes , *CANCER cells , *CELL proliferation , *CELL death - Abstract
The detection of externalized phosphatidylserine (PS) on the cell surface is commonly used to distinguish between living, apoptotic, and necrotic cells. The tools of choice for many researchers to study apoptosis are annexin V‐fluorophore conjugates. However, the use of this 35 kDa protein is associated with several drawbacks, including temperature sensitivity, Ca2+ dependence, and slow binding kinetics. Herein, a fluorogenic probe for cell surface PS, P‐IID, is described, which operates by an intramolecular indicator displacement (IID) mechanism. An intramolecularly bound coumarin indicator is released in the presence of cell surface PS, leading to a fluorescence "turn‐on" response. P‐IID demonstrates superior performance when compared to annexin V, for both fluorescence imaging and flow cytometry. This allows P‐IID to be used in time‐lapse imaging of apoptosis using confocal laser scanning microscopy and demonstrates the utility of the IID mechanism in live cells. [ABSTRACT FROM AUTHOR]
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- 2019
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- View/download PDF
44. Multimodale Kontrastmittel für die kombinierte Positronenemissionstomographie.
- Author
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Ni, Dalong, Ehlerding, Emily B., and Cai, Weibo
- Abstract
Positronenemissionstomographie (PET) liefert quantitative In‐vivo‐Informationen mit höchster Empfindlichkeit, ist aber von einer vergleichsweise niedrigen räumlichen Auflösung geprägt. Um diese Einschränkung zu überwinden, stehen kommerziell erhältliche Kombinationen aus PET und orthogonalen Bildgebungsverfahren zur Verfügung, wie etwa PET/Computertomographie (CT) oder PET/Magnetresonanztomographie (MR). Inspiriert von Entwicklungen in der Nanomedizin sind zahlreiche Nanopartikel zur Kontrastverstärkung multimodaler Bildgebungsverfahren entwickelt worden. Dieser Kurzaufsatz fasst die jüngsten Entwicklungen bei PET‐basierten Nanosonden zusammen und gibt einen Überblick über die wichtigsten Fortschritte und Herausforderungen in diesem Gebiet. Multimodale Nanosonden werden in diesem Kurzaufsatz diskutiert, mit besonderem Schwerpunkt auf der Entwicklung PET‐basierter dualer und multimodaler Kontrastmittel. Eigenschaften, biomedizinische Anwendungen und Perspektiven für den klinischen Einsatz werden beschrieben. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
45. Gasotransmitter Regulation of Phosphatase Activity in Live Cells Studied by Three‐Channel Imaging Correlation.
- Author
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Ou, Pan, Zhang, Ruilong, Liu, Zhengjie, Tian, Xiaohe, Han, Guangmei, Liu, Bianhua, Hu, Zhangjun, and Zhang, Zhongping
- Subjects
- *
PHOSPHATASES , *ENZYMES , *GREEN fluorescent protein , *ENERGY transfer , *ENDOENZYMES - Abstract
Enzyme activity in live cells is dynamically regulated by small‐molecule transmitters for maintaining normal physiological functions. A few probes have been devised to measure intracellular enzyme activities by fluorescent imaging, but the study of the regulation of enzyme activity via gasotransmitters in situ remains a long‐standing challenge. Herein, we report a three‐channel imaging correlation by a single dual‐reactive fluorescent probe to measure the dependence of phosphatase activity on the H2S level in cells. The two sites of the probe reactive to H2S and phosphatase individually produce blue and green fluorescent responses, respectively, and resonance energy transfer can be triggered by their coexistence. Fluorescent analysis based on the three‐channel imaging correlation shows that cells have an ideal level of H2S to promote phosphatase activity up to its maximum. Significantly, a slight deviation from this H2S level leads to a sharp decrease of phosphatase activity. The discovery further strengthens our understanding of the importance of H2S in cellular signaling and in various human diseases. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
46. Contrast agent dose and slow/no-reflow in percutaneous coronary interventions.
- Author
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Ding, S., Shi, Y., Sun, X., Cao, Q., Dai, H., and Guan, J.
- Abstract
Background: The angiographic slow/no-reflow phenomenon after primary percutaneous coronary intervention carries a poor prognosis for patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). There is evidence that contrast agents cause endothelial dysfunction, myocardial cell damage, and coronary spasms. We hypothesized that the contrast agent dose may be related to slow/no-reflow in patients with NSTEACS undergoing percutaneous transluminal coronary angioplasty and stent (PTCA + stent).Patients and methods: We enrolled 3369 patients with NSTEACS who underwent PTCA + stent only in the culprit vessel for the first time from September 2007 to May 2017 in this study. Coronary blood flow of ≤TIMI grade 2 after PTCA + stent was defined as slow/no-reflow. The relationship between the contrast agent dose and slow/no-reflow phenomenon was analyzed by multivariate conditional logistic regression and smooth curve fitting.Results: In multivariable conditional logistic regression analysis, the contrast agent dose was found to be an independent risk factor for slow/no-reflow after adjusting for the number of stents and the thrombus burden (OR: 1.0112; 95% CI: 1.0049-1.0176; p < 0.0001), and after adjusting for type 2 diabetes mellitus, NSTEACS risk stratification, application of platelet glycoprotein (GP) IIB/IIIA receptor antagonists, type of contrast agent, number of balloon dilatations, number of stents, and thrombus burden (OR: 1.0113; 95% CI: 1.0036-1.0191; p = 0.004). Further, the risk of slow/no-reflow increased significantly with the contrast agent level up to the inflection point of 160 ml.Conclusion: The contrast agent dose may be a risk factor for slow/no-reflow phenomenon after PTCA + stent in patients with NSTEACS. When the dose was greater than 160 ml, the risk of slow/no-reflow increased significantly. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
47. Paravasate in der radiologischen Diagnostik: Was ist ein Paravasat bezogen auf die Radiologie?
- Author
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Petersen, Dorina
- Subjects
- *
EXTRAVASATION , *CONTRAST media , *VEINS - Abstract
Sometimes you have to act fast. The patient comes for an emergency examination, you must use the existing venous access and there is no time to place another, possibly more suitable one. Or the patient has difficult vein conditions, you must resort to a CVC, a PORT, or an osseous access. What should one then look out for to avoid extravasation and what should one do if it does happen? This article addresses and explains this issue. [ABSTRACT FROM AUTHOR]
- Published
- 2022
48. The importance of contrast-enhanced MRI in traumatic and posttraumatic injuries of the hand
- Author
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Laas, Susanne Franziska
- Subjects
Intravenöse Applikation ,Kernspintomographie ,ddc:610 ,Kontrastmittel ,Hand ,610 Medizin und Gesundheit ,Trauma - Abstract
Die vorliegende Arbeit hat zum Ziel, den Stellenwert von kontrastverstärkten MR- Sequenzen in der bildgebenden Diagnostik von Hand und Fingern zu untersuchen. Denn trotz einer breiten empirischen Anwendung von gadoliniumhaltigen Kontrastmitteln im europäischen Raum besteht keine ausreichende wissenschaftliche Datengrundlage zur kontrastverstärkten Hand-MRT nach einem Trauma. Zu diesem Zweck wurden zwischen Januar 2016 und August 2018 am Rhön-Klinikum Campus Bad Neustadt 165 MRT-Untersuchungen von distalem Unterarm, Karpus, Metakarpus und/oder Fingern selektiert. Einschlusskriterien waren eine positive Traumaanamnese, standardisierte MRT-Sequenzen und das Fehlen von Kontraindikationen. Zur Definition eines diagnostischen Referenzstandards wurden alle Fälle vorab durch einen Senior-Investigator mit 36 Jahren Erfahrung in muskuloskelettaler Radiologie analysiert. Für die Bildevaluation wurden aus jeder MRT-Untersuchung zwei Datensätze erstellt, wobei der erste Datensatz nur die nativen Sequenzen (PD / T2 FSE fs und T1 FSE ) und der zweite Datensatz zusätzlich zu eine kontrastverstärkte Sequenz als T1 FSE fs nach Gadolinium-Applikation enthielt. Als Observer fungierten zwei radiologische Fach- bzw. Oberärzte des Universitätsklinikum Würzburgs. In der vorliegenden Studie wurde ein diagnostisch relevantes Kontrastmittelenhancement an Patienten mit traumatischen Handverletzungen nachgewiesen. Der Kontrastmitteleffekt war mit subjektiven und objektiven Messgrößen statistisch signifikant bei Läsionen der Ligamente und an den ligamentähnlichen Insertionen des ulnaren TFCC-Abschnittes. Als Erklärung für das Kontrastmittelenhancement in der MRT dient in erster Linie die bereits früher beschriebene Hyperämie, die posttraumatisch am Traumaort mit Ausgang von der Synovialis entsteht. Anhand der Studienergebnisse kann die Empfehlung ausgesprochen werden, in der MRT-Diagnostik von traumatischen Läsionen der Hand immer dann intravenöses Kontrastmittel auf Gadolinium-Basis zu verabreichen, wenn am vermuteten Läsionsort der T2-Kontrast für eine sichere Diagnose unzureichend ist., The aim of this study was to examine the impact of contrast-enhanced MRI-sequences in radiological diagnostics of the wrist and fingers. In spite of widespread empirical usage of gadolinium-enhanced contrast agents in Europe, there is insufficient scientific data regarding the contrast-enhanced MRT of the posttraumatic hand. In this study, 165 MRT scans of the distal forearm, carpus, metacarpus and/or fingers were selected at the Rhön-Klinikum Campus Bad Neustadt between January 2016 and August 2018. Inclusion criteria included a positive trauma anamnesis, standardized MRT sequences and the lack of contra-indications. In order to define a diagnostic standard as a reference, each case was analyzed beforehand by a senior-investigator with 36 years of professional experience in musculoskeletal radiology. Two data records were generated from each MRI-Scan, the first data record containing only the native sequences (PD / T2 FSE fs and T1 FSE) and the second record containing an additional contrast-enhanced sequence as T1 FSE fs after gadolinium. Two radiological specialists/assistant medical directors of the Universitätsklinikum Würzburg served as observers. This study succeeded in demonstrating diagnostically relevant contrast enhancement in patients with traumatic hand injuries. It is known that enhancement in MRI scans is linked to posttraumatic synovial hyperemia. The positive diagnostic effect of gadolinium enhancement was demonstrated in ligament lesions and insertions of the ulnar TFCC and proved statistically significant in the subjective and objective radiological examination. Taking these results into account, intravenous application of gadolinium may be beneficial when interpreting traumatic lesions of the hand, especially when T2-contrast is not sufficient for diagnosis.
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- 2023
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49. Quantitative Bestimmung der Darmwandvaskularisation des (neo-)terminalen Ileums bei M. Crohn mittels kontrastmittelverstärktem Ultraschall: Ein Vergleich mit dem C-reaktiven Protein, dem Calprotectin, dem Crohn’s Disease Activity Index und der Histopathologie
- Author
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Steib, Johannes, Von Boyen, Georg, and Markovic, Sinisa
- Subjects
Histology ,Kontrastmittel gestützter Ultraschall ,Contrast media ,Crohn disease ,Kontrastmittel ,Histopathologie ,Ultraschall ,Crohn-Krankheit ,C-reactive protein ,C-reaktives Protein ,ddc:610 ,M. Crohn ,DDC 610 / Medicine & health ,Ultrasonography - Abstract
Vergleichsarbeit zur quantitative Bestimmung der Darmwandvaskularisation des (neo-)terminalen Ileums bei M. Crohn mittels kontrastmittelverstärktem Ultraschall. Ein Vergleich mit dem C-reaktiven Protein, dem Calprotectin, dem Crohn’s Disease Activity Index und der Histopathologie
- Published
- 2023
- Full Text
- View/download PDF
50. The association of iodine-containing contrast media and thyroid storm
- Author
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Mikhaeel, Mirna
- Subjects
Thyreotoxikose ,Thyroid ,Thyrotoxicosis ,Thyreotoxische Krise ,Contrast media ,Schilddrüse ,Kontrastmittel ,Thyroid storm - Abstract
Diese Arbeit beschäftigt sich mit der Anwendung von jodhaltigem Kontrastmittel und den dadurch induzierten Schilddrüsen-Fehlfunktionen. Hierbei ist es essentiell die Bedeutung der Schilddrüsenfunktion hervorzuheben und diese in Relation mit jodhaltigem Kontrastmittel zu analysieren. Des Weiteren ist es von Relevanz näher auf die KM-induzierten Schilddrüsendysfunktionen einzugehen und die daraus sich bildenden Symptome zu identifizieren, um frühzeitig vorbeugende Maßnahmen zu setzen. Als Methodik wird ein systematischer Literaturreview herangezogen, der Information verschiedener Quellen in eine Arbeit zusammenfasst. Recherchiert wird hauptsächlich im Internet in verschiedenen Suchmaschinen, sowohl deutsche als auch englische Literatur. Das gesammelte Material wird dann einem Vergleichsprozess unterzogen, was sich über einen längeren Zeitraum erstreckt. Schlussendlich wird die selektierte Literatur in die Arbeit miteinbezogen. Daraus folgend ergibt sich, dass die Schilddrüse ein wichtiges Organ im menschlichen Körper ist, was hochsensibel auf jegliche Veränderungen reagiert. Im Zuge dessen entwickeln sich Schilddrüsen-Fehlfunktionen, die sich mitunter auf andere Organsysteme auswirken und somit weitere Pathologien hervorrufen. Ein typisches Krankheitsbild wäre die thyreotoxische Krise. Diese äußert sich im Vergleich zu einer Hyperthyreose so gering, dass sie aufgrund dessen oft nicht bemerkt wird. Aufgrund dessen ist hierbei stets mit Achtsamkeit und Vorsicht vorzugehen, da diese unbehandelt ansonsten tödlich endet. Hierbei ist das Arbeiten mit jodhaltigem Kontrastmittel mit hoher Bedachtsamkeit anzumerken. Der Jodgehalt in Kontrastmittel ist ein Auslöser für solche Erkrankungen, der daher in der Menge und somit bei der Applikation berücksichtigt werden muss. In solchen Fällen sind Maßnahmen zu ergreifen, die beispielsweise Thyreostatika oder Perchlorat beinhalten. Diese führen zu einer Hemmung bzw. Abschwächung der Jodaufnahme, die aber selten zum Einsatz kommt. Im absoluten Notfall würde sich auch eine Thyreoidektomie anbieten, die aber nur durchgeführt wird, wenn andere Therapiealternativen keine Wirkung zeigen. Daher wird diese Maßnahme nur „als letzte Möglichkeit“ in Betracht gezogen. This thesis deals with the use of iodinated contrast media and the thyroid malfunctions induced thereby. It is essential to emphasize the importance of thyroid function and to analyze this in relation to iodinated contrast media. Furthermore, it is relevant to take a closer look at the contrast media-induced thyroid dysfunction and to identify the resulting symptoms in order to take preventive measures at an early stage. A systematic literature review is used as a methodology, which summarizes information from various sources in one work. Research is mainly done on the Internet using various search engines, both in German and in English literature. The collected material is then subjected to a comparison process, which extends over a longer period of time. Finally, the selected literature is included in the work. As a result, the thyroid gland is an important organ in the human body, which is highly sensitive to any changes. In the course of this, thyroid malfunctions develop, which also affect other organ systems and thus cause further pathologies. A particular pathology would be the thyrotoxic crisis. Compared to hyperthyroidism, this manifests itself so little that it often goes unnoticed. Because of this, care and caution must always be taken, as this would otherwise be fatal if left untreated. Working with iodinated contrast media should be noted with great care. The iodine content in contrast media is a trigger for such diseases, which must therefore be taken into account in terms of quantity and application. In such cases, measures must be taken that include, for example, antithyroid drugs or perchlorate. These lead to an inhibition or weakening of the iodine intake, which is rarely used. In an absolute emergency, a thyroidectomy would also be an option, but this is only performed if other therapy alternatives are ineffective. Therefore, this measure is only considered “as a last opportunity”.
- Published
- 2023
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