24 results on '"Schamberger B"'
Search Results
2. Curvature in biological systems: its quantification, emergence and implications across the scales
- Author
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Schamberger, B., Roschger, A., Ziege, R., Anselme, K., Amar, M.B., Bykowski, M., Castro, A.P.G., Cipitria, A., Coles, R., Dimova, R., Eder, M., Ehrig, S., Escudero, L.M., Evans, M.E., Fernandes, P.R., Fratzl, P., Geris, L., Gierlinger, N., Hannezo, E., Iglič, A., Kirkensgaard, J.J.K., Kollmannsberger, P., Kowalewska, Ł., Kurniawan, N.A., Papantoniou, I., Pieuchot, L., Pires, T.H.V., Renner, L., Sageman-Furnas, A., Schröder-Turk, G.E., Sengupta, A., Sharma, V.R., Tagua, A., Tomba, C., Trepat, X., Waters, S.L., Yeo, E., Bidan, C.M., and Dunlop, J.W.C.
- Subjects
Cardiovascular and Metabolic Diseases - Abstract
Surface curvature both emerges from, and influences the behavior of, living objects at length scales ranging from cell membranes to single cells to tissues and organs. The relevance of surface curvature in biology has been supported by numerous recent experimental and theoretical investigations in recent years. In this review, we first give a brief introduction to the key ideas of surface curvature in the context of biological systems and discuss the challenges that arise when measuring surface curvature. Giving an overview of the emergence of curvature in biological systems, its significance at different length scales becomes apparent. On the other hand, summarizing current findings also shows that both single cells and entire cell sheets, tissues or organisms respond to curvature by modulating their shape and their migration behavior. Finally, we address the interplay between the distribution of morphogens or micro-organisms and the emergence of curvature across length scales with examples demonstrating these key mechanistic principles of morphogenesis. Overall, this review highlights that curved interfaces are not merely a passive by-product of the chemical, biological and mechanical processes but that curvature acts also as a signal that co-determines these processes. This article is protected by copyright. All rights reserved.
- Published
- 2023
3. Verminderung der Progression einer chronischen Niereninsuffizienz: Strategien
- Author
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Sollinger, D., Schamberger, B., Weinmann-Menke, J., and Lutz, J.
- Published
- 2016
- Full Text
- View/download PDF
4. Immunsuppressive Therapie nach Nierentransplantation
- Author
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Schamberger, B., Sollinger, D., and Lutz, J.
- Published
- 2015
- Full Text
- View/download PDF
5. Kardiorenales Syndrom
- Author
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Schamberger, B., Lutz, J., Bruck, H., and Münzel, T.
- Published
- 2013
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6. Surface tension determines tissue shape and growth kinetics
- Author
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Ehrig, S., primary, Schamberger, B., additional, Bidan, C. M., additional, West, A., additional, Jacobi, C., additional, Lam, K., additional, Kollmannsberger, P., additional, Petersen, A., additional, Tomancak, P., additional, Kommareddy, K., additional, Fischer, F. D., additional, Fratzl, P., additional, and Dunlop, John W. C., additional
- Published
- 2019
- Full Text
- View/download PDF
7. Comparison of Two Electromagnetic Navigation Systems For CT-Guided Punctures: A Phantom Study
- Author
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Putzer, D., additional, Arco, D., additional, Schamberger, B., additional, Schanda, F., additional, Mahlknecht, J., additional, Widmann, G., additional, Schullian, P., additional, Jaschke, W., additional, and Bale, R., additional
- Published
- 2016
- Full Text
- View/download PDF
8. Comparison of Two Electromagnetic Navigation Systems For CT-Guided Punctures: A Phantom Study.
- Author
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Putzer, D., Arco, D., Schamberger, B., Schanda, F., Mahlknecht, J., Widmann, G., Schullian, P., Jaschke, W., and Bale, R.
- Published
- 2016
- Full Text
- View/download PDF
9. Subklinische Insulinresistenz in Patienten mit mit nicht-alkoholischer Steatohepatitis
- Author
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Schattenberg, JM, primary, Schamberger, B, additional, Siebler, J, additional, Biesterfeld, S, additional, Weber, MM, additional, Galle, PR, additional, Geiß, C, additional, and Schuchmann, M, additional
- Published
- 2007
- Full Text
- View/download PDF
10. Glukosetoleranzstörung und Insulinresistenz in Patienten mit nicht-alkoholischer Steatohepatitis
- Author
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Schattenberg, JM, primary, Schamberger, B, additional, Siebler, J, additional, Biesterfeld, S, additional, Weber, MM, additional, Galle, PR, additional, Schuchmann, M, additional, and Geiss, HC, additional
- Published
- 2006
- Full Text
- View/download PDF
11. A novel succinate dehydrogenase subunit D (SDHD) gene mutation, F136frameshift, causes familial malignant extraadrenal paragangliomas
- Author
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Fottner, C, primary, Rossmann, H, additional, Schamberger, B, additional, Bausch, B, additional, Neumann, HPH, additional, Helisch, A, additional, Schreckenberger, M, additional, Musholt, TJ, additional, Bartenstein, T, additional, Lackner, K, additional, and Weber, MM, additional
- Published
- 2006
- Full Text
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12. The effect of growth hormone replacement therapy on lipids, LDL- and HDL-subfractions in patients with growth hormone deficiency
- Author
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Minnemann, T, primary, Lescher, S, additional, Schamberger, B, additional, Torzewski, M, additional, Weber, MM, additional, and Geiss, HC, additional
- Published
- 2006
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13. Influence of LDL-apheresis on LDL-subspecies in patients with coronary heart disease (CHD) and severe LDL-hypercholesterolemia
- Author
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Geiss, H.C., primary, Schamberger, B., additional, Ritter, M.M., additional, Parhofer, K.G., additional, and Schwandt, P., additional
- Published
- 1999
- Full Text
- View/download PDF
14. Influence of LDL apheresis on LDL subtypes in patients with coronary heart disease and severe hyperlipoproteinemia.
- Author
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Schamberger, B M, Geiss, H C, Ritter, M M, Schwandt, P, and Parhofer, K G
- Abstract
Epidemiologic studies and in vitro experiments indicate that low density lipoprotein (LDL) subtypes differ concerning their atherogenic potential. Small, dense LDL are more atherogenic than large, buoyant LDL. LDL apheresis is a potent therapeutic modality to lower elevated LDL-cholesterol. It is unknown whether such therapy induces a shift in the LDL subtype distribution. In this study we evaluated the influence of LDL apheresis on the LDL subtype distribution in patients with CHD and familial hypercholesterolemia (FH, n = 22), combined hyperlipidemia (CHLP, n = 6), or Lp[a]-hyperlipoproteinemia (Lp[a]-HLP, n = 4) regularly treated by LDL apheresis (immunoadsorption (n = 14), HELP apheresis (n = 8), dextran sulfate adsorption (n = 7), cascade filtration (n = 3)). On the basis of 6 LDL subfractions (d 1.020;-1.057 g/mL) isolated by density gradient ultracentrifugation the LDL-density profile was determined in each patient before and after apheresis. There was a relative increase of LDL-subfractions 1, 2, and 3 (P < 0.01, P < 0. 05, and P < 0.01, respectively) and a concomitant decrease of LDL subfractions 5 and 6 (P < 0.05) after apheresis. Subgroup analysis indicates that the degree of the small, dense LDL reduction was much more prominent in patients with CHLP compared to patients with FH or Lp[a]-HLP, whereas the type of apheresis technique had no effect. The extent of small, dense LDL reduction correlated with the preapheresis concentrations of small, dense LDL and triglycerides but not with the extent of triglyceride reduction.We conclude that LDL apheresis not only decreases LDL mass, but also improves LDL-density profile, particularly in patients with CHLP.
- Published
- 2000
15. Multimaterial 3D Laser Printing of Cell-Adhesive and Cell-Repellent Hydrogels.
- Author
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Schwegler N, Gebert T, Villiou M, Colombo F, Schamberger B, Selhuber-Unkel C, Thomas F, and Blasco E
- Subjects
- Animals, Mice, Fibroblasts cytology, Hydrogels chemistry, Printing, Three-Dimensional, Cell Adhesion, Lasers, Oligopeptides chemistry, Polyethylene Glycols chemistry
- Abstract
Here, a straightforward method is reported for manufacturing 3D microstructured cell-adhesive and cell-repellent multimaterials using two-photon laser printing. Compared to existing strategies, this approach offers bottom-up molecular control, high customizability, and rapid and precise 3D fabrication. The printable cell-adhesive polyethylene glycol (PEG) based material includes an Arg-Gly-Asp (RGD) containing peptide synthesized through solid-phase peptide synthesis, allowing for precise control of the peptide design. Remarkably, minimal amounts of RGD peptide (< 0.1 wt%) suffice for imparting cell-adhesiveness, while maintaining identical mechanical properties in the 3D printed microstructures to those of the cell-repellent, PEG-based material. Fluorescent labeling of the RGD peptide facilitates visualization of its presence in cell-adhesive areas. To demonstrate the broad applicability of the system, the fabrication of cell-adhesive 2.5D and 3D structures is shown, fostering the adhesion of fibroblast cells within these architectures. Thus, this approach allows for the printing of high-resolution, true 3D structures suitable for diverse applications, including cellular studies in complex environments., (© 2024 Wiley‐VCH GmbH.)
- Published
- 2024
- Full Text
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16. Microarchitected Compliant Scaffolds of Pyrolytic Carbon for 3D Muscle Cell Growth.
- Author
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Taale M, Schamberger B, Monclus MA, Dolle C, Taheri F, Mager D, Eggeler YM, Korvink JG, Molina-Aldareguia JM, Selhuber-Unkel C, Lantada AD, and Islam M
- Subjects
- Carbon, Muscle Cells, Printing, Three-Dimensional, Tissue Scaffolds chemistry, Tissue Engineering methods
- Abstract
The integration of additive manufacturing technologies with the pyrolysis of polymeric precursors enables the design-controlled fabrication of architected 3D pyrolytic carbon (PyC) structures with complex architectural details. Despite great promise, their use in cellular interaction remains unexplored. This study pioneers the utilization of microarchitected 3D PyC structures as biocompatible scaffolds for the colonization of muscle cells in a 3D environment. PyC scaffolds are fabricated using micro-stereolithography, followed by pyrolysis. Furthermore, an innovative design strategy using revolute joints is employed to obtain novel, compliant structures of architected PyC. The pyrolysis process results in a pyrolysis temperature- and design-geometry-dependent shrinkage of up to 73%, enabling the geometrical features of microarchitected compatible with skeletal muscle cells. The stiffness of architected PyC varies with the pyrolysis temperature, with the highest value of 29.57 ± 0.78 GPa for 900 °C. The PyC scaffolds exhibit excellent biocompatibility and yield 3D cell colonization while culturing skeletal muscle C2C12 cells. They further induce good actin fiber alignment along the compliant PyC construction. However, no conclusive myogenic differentiation is observed here. Nevertheless, these results are highly promising for architected PyC scaffolds as multifunctional tissue implants and encourage more investigations in employing compliant architected PyC structures for high-performance tissue engineering applications., (© 2024 The Authors. Advanced Healthcare Materials published by Wiley‐VCH GmbH.)
- Published
- 2024
- Full Text
- View/download PDF
17. Twisted-plywood-like tissue formation in vitro . Does curvature do the twist?
- Author
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Schamberger B, Ehrig S, Dechat T, Spitzer S, Bidan CM, Fratzl P, Dunlop JWC, and Roschger A
- Abstract
Little is known about the contribution of 3D surface geometry to the development of multilayered tissues containing fibrous extracellular matrix components, such as those found in bone. In this study, we elucidate the role of curvature in the formation of chiral, twisted-plywood-like structures. Tissues consisting of murine preosteoblast cells (MC3T3-E1) were grown on 3D scaffolds with constant-mean curvature and negative Gaussian curvature for up to 32 days. Using 3D fluorescence microscopy, the influence of surface curvature on actin stress-fiber alignment and chirality was investigated. To gain mechanistic insights, we did experiments with MC3T3-E1 cells deficient in nuclear A-type lamins or treated with drugs targeting cytoskeleton proteins. We find that wild-type cells form a thick tissue with fibers predominantly aligned along directions of negative curvature, but exhibiting a twist in orientation with respect to older tissues. Fiber orientation is conserved below the tissue surface, thus creating a twisted-plywood-like material. We further show that this alignment pattern strongly depends on the structural components of the cells (A-type lamins, actin, and myosin), showing a role of mechanosensing on tissue organization. Our data indicate the importance of substrate curvature in the formation of 3D tissues and provide insights into the emergence of chirality., (© The Author(s) 2024. Published by Oxford University Press on behalf of National Academy of Sciences.)
- Published
- 2024
- Full Text
- View/download PDF
18. Curvature in Biological Systems: Its Quantification, Emergence, and Implications across the Scales.
- Author
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Schamberger B, Ziege R, Anselme K, Ben Amar M, Bykowski M, Castro APG, Cipitria A, Coles RA, Dimova R, Eder M, Ehrig S, Escudero LM, Evans ME, Fernandes PR, Fratzl P, Geris L, Gierlinger N, Hannezo E, Iglič A, Kirkensgaard JJK, Kollmannsberger P, Kowalewska Ł, Kurniawan NA, Papantoniou I, Pieuchot L, Pires THV, Renner LD, Sageman-Furnas AO, Schröder-Turk GE, Sengupta A, Sharma VR, Tagua A, Tomba C, Trepat X, Waters SL, Yeo EF, Roschger A, Bidan CM, and Dunlop JWC
- Subjects
- Cell Membrane, Morphogenesis, Mechanical Phenomena
- Abstract
Surface curvature both emerges from, and influences the behavior of, living objects at length scales ranging from cell membranes to single cells to tissues and organs. The relevance of surface curvature in biology is supported by numerous experimental and theoretical investigations in recent years. In this review, first, a brief introduction to the key ideas of surface curvature in the context of biological systems is given and the challenges that arise when measuring surface curvature are discussed. Giving an overview of the emergence of curvature in biological systems, its significance at different length scales becomes apparent. On the other hand, summarizing current findings also shows that both single cells and entire cell sheets, tissues or organisms respond to curvature by modulating their shape and their migration behavior. Finally, the interplay between the distribution of morphogens or micro-organisms and the emergence of curvature across length scales is addressed with examples demonstrating these key mechanistic principles of morphogenesis. Overall, this review highlights that curved interfaces are not merely a passive by-product of the chemical, biological, and mechanical processes but that curvature acts also as a signal that co-determines these processes., (© 2023 The Authors. Advanced Materials published by Wiley-VCH GmbH.)
- Published
- 2023
- Full Text
- View/download PDF
19. Photofungizides Based on Curcumin and Derivates Thereof against Candida albicans and Aspergillus niger .
- Author
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Schamberger B and Plaetzer K
- Abstract
Fungal infections in humans, contamination of food and structural damage to buildings by fungi are associated with high costs for the general public. In addition, the increase in antifungal resistance towards conventional treatment raises the demand for new fungicidal methods. Here, we present the antifungal use of Photodynamic Inactivation (PDI) based on the natural photosensitizer curcumin and a water-soluble positively charged derivative thereof (SA-CUR 12a) against two different model organisms; Candida albicans grown in a liquid culture and photo treated with a 435 nm LED light followed by counting of the colony-forming units and photoinactivation of tissue-like hyphal spheres of Aspergillus niger (diameter ~5 mm) with subsequent monitoring of colony growth. Curcumin (50 µM, no incubation period, i.p.) supplemented with 10% or 0.5% DMSO as well as SA-CUR 12a (50 µM no i.p or 5 min i.p.) triggered a photoantifungal effect of >4 log units towards C. albicans . At 100 µM, SA-CUR 12a (0 min or 5 min i.p.) achieved a reduction of >6 log units. Colonies of A. niger shrunk significantly during PDI treatment. Photoinactivation with 50 µM or 100 µM curcumin (+0.5% DMSO) resulted in complete growth inhibition. PDI using 20, 50 or 100 µM SA-CUR 12a (with or without 10% DMSO) also showed a significant reduction in colony area compared to the control after 48 h, although less pronounced compared to curcumin. In summary, PDI using curcumin or SA-CUR 12a against C. albicans or A. niger is a promising alternative to currently used fungicides, with the advantage of being very unlikely to induce resistance.
- Published
- 2021
- Full Text
- View/download PDF
20. Treatment of Membranous Nephropathy in Patients With THSD7A Antibodies Using Immunoadsorption.
- Author
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Weinmann-Menke J, Holtz S, Sollinger D, Dörken M, Boedecker S, Schamberger B, Pfister F, Amann K, and Lutz J
- Subjects
- Adult, Aged, Biopsy, Needle, Disease Progression, Glomerulonephritis, Membranous pathology, Humans, Immunohistochemistry, Male, Nephrotic Syndrome physiopathology, Plasmapheresis, Prognosis, Proteinuria immunology, Proteinuria physiopathology, Risk Assessment, Sampling Studies, Treatment Outcome, Autoantibodies immunology, Glomerulonephritis, Membranous immunology, Glomerulonephritis, Membranous therapy, Nephrotic Syndrome pathology, Thrombospondins immunology
- Abstract
Antibodies against THSD7A (thrombospondin type 1 domain-containing protein 7A) have been proposed to play a causal role in the development of nephrotic syndrome in patients with THSD7A antibody-positive membranous nephropathy. We hypothesized that removal of these antibodies from plasma could lead to a rapid reduction in proteinuria. Using immunoadsorption to reduce THSD7A antibodies led to a rapid reduction in proteinuria in 2 patients with THSD7A antibody-positive membranous nephropathy. Moreover, our findings support and strengthen the pathogenic role of the antibodies in the development of nephrotic syndrome in patients with THSD7A antibody-positive membranous nephropathy. Taken together, these 2 cases suggest that immunoadsorption could be a useful tool in the treatment of patients with THSD7A antibody-positive membranous nephropathy., (Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
21. Association of Kidney Donor Risk Index with the Outcome after Kidney Transplantation in the Eurotransplant Senior Program.
- Author
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Schamberger B, Lohmann D, Sollinger D, Stein R, and Lutz J
- Subjects
- Aged, Female, Graft Survival, Humans, Male, Retrospective Studies, Treatment Outcome, Kidney Transplantation methods, Tissue Donors, Tissue and Organ Procurement methods
- Abstract
BACKGROUND We evaluated the Kidney Donor Risk Index (KDRI) scoring system for kidney transplantation in the Eurotransplant Senior Program (ESP) that allocates kidneys from older donors to older recipients (≥65 years). MATERIAL AND METHODS We retrospectively analyzed data of 37 kidney transplant recipients and 36 kidney donors who participated in kidney transplantation program according to the ESP at our center from January 2004 until December 2013. RESULTS Mean recipient and donor age was 67.9±2.6 and 70.5±4.0 years respectively. The mean KDRI score was 1.7±0.27. Uncensored graft survival after 1 year and 5 years was 64.2% and 53.7% respectively. Subgroup analysis showed that in kidney transplantation with KDRI >1.83, graft survival was significantly reduced compared to lower KDRI subgroups. KDRI was significantly correlated with serum creatinine level at discharge (r=0.4). CONCLUSIONS ESP kidneys represent a group of high-risk grafts with high KDRI scores. Higher KDRI scores in ESP kidneys was associated with reduced postoperative short-term and long-term graft outcomes. KDRI might be useful in decision-making for selecting donors for ESP kidney transplantation.
- Published
- 2018
- Full Text
- View/download PDF
22. New horizons in microbiological food safety: Photodynamic Decontamination based on a curcumin derivative.
- Author
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Glueck M, Schamberger B, Eckl P, and Plaetzer K
- Subjects
- Anti-Bacterial Agents pharmacology, Cucumis sativus microbiology, Curcumin analogs & derivatives, Curcumin pharmacology, Escherichia coli drug effects, Escherichia coli radiation effects, Food Microbiology, Lactuca microbiology, Light, Solanum lycopersicum microbiology, Photosensitizing Agents pharmacology, Anti-Bacterial Agents chemistry, Curcumin chemistry, Photosensitizing Agents chemistry
- Abstract
Outbreaks of foodborne diseases are regularly reported worldwide. In particular, uncooked plant food is considered risky in terms of microbiological safety. Food is also the most important transmission route for resistant microorganisms from animals to humans. Photodynamic Decontamination (PDc) of foodstuff was recently introduced as a novel approach for increasing microbiological food safety. We investigated the efficiency of PDc on plant food with different geometries (flat, spherical and complex) using a two-dimensional LED array as a light source (435 nm, 33.8 J cm
-2 ) and the cationic curcumin derivative SACUR-3 as a photosensitiser. A photoantibacterial effect (>3 log10 CFU reduction) was achieved on all flat substrates (slices of cucumber, tomato and lettuce) with 10 μM, 50 μM or 100 μM SACUR-3. The maximal photokilling with a relative inactivation of 5.6 log10 was measured on lettuce using 50 μM of the photoactive compound. Phototreatment of non-germinated fenugreek seeds and mung beans was successful if the spherical objects were rotated while under illumination (antibacterial effect at 100 μM SACUR-3). The decontamination of mung bean germlings with a more complex geometry using the PDc approach was ineffective with the two-dimensional light source. In conclusion, PDc based on the cationic curcumin derivative SACUR-3 is very effective at improving the microbiological safety of plant food with a flat or spherical geometry. More complex objects will require the development of novel illumination devices.- Published
- 2017
- Full Text
- View/download PDF
23. Comparison of Two Electromagnetic Navigation Systems For CT-Guided Punctures: A Phantom Study.
- Author
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Putzer D, Arco D, Schamberger B, Schanda F, Mahlknecht J, Widmann G, Schullian P, Jaschke W, and Bale R
- Subjects
- Datasets as Topic, Dimensional Measurement Accuracy, Equipment Design, Radiology Information Systems instrumentation, Reproducibility of Results, Software, Biopsy, Needle instrumentation, Catheter Ablation instrumentation, Electromagnetic Phenomena, Image-Guided Biopsy instrumentation, Phantoms, Imaging, Stereotaxic Techniques instrumentation, Tomography, X-Ray Computed instrumentation
- Abstract
Purpose: We compared the targeting accuracy and reliability of two different electromagnetic navigation systems for manually guided punctures in a phantom., Materials and Methods: CT data sets of a gelatin filled plexiglass phantom were acquired with 1, 3, and 5 mm slice thickness. After paired-point registration of the phantom, a total of 480 navigated stereotactic needle insertions were performed manually using electromagnetic guidance with two different navigation systems (Medtronic Stealth Station: AxiEM; Philips: PercuNav). A control CT was obtained to measure the target positioning error between the planned and actual needle trajectory., Results: Using the Philips PercuNav, the accomplished Euclidean distances were 4.42 ± 1.33 mm, 4.26 ± 1.32 mm, and 4.46 ± 1.56 mm at a slice thickness of 1, 3, and 5 mm, respectively. The mean lateral positional errors were 3.84 ± 1.59 mm, 3.84 ± 1.43 mm, and 3.81 ± 1.71 mm, respectively. Using the Medtronic Stealth Station AxiEM, the Euclidean distances were 3.86 ± 2.28 mm, 3.74 ± 2.1 mm, and 4.81 ± 2.07 mm at a slice thickness of 1, 3, and 5 mm, respectively. The mean lateral positional errors were 3.29 ± 1.52 mm, 3.16 ± 1.52 mm, and 3.93 ± 1.68 mm, respectively., Conclusion: Both electromagnetic navigation devices showed excellent results regarding puncture accuracy in a phantom model. The Medtronic Stealth Station AxiEM provided more accurate results in comparison to the Philips PercuNav for CT with 3 mm slice thickness. One potential benefit of electromagnetic navigation devices is the absence of visual contact between the instrument and the sensor system. Due to possible interference with metal objects, incorrect position sensing may occur. In contrast to the phantom study, patient movement including respiration has to be compensated for in the clinical setting., Key Points: • Commercially available electromagnetic navigation systems have the potential to improve the therapeutic range for CT guided percutaneous procedures by comparing the needle placement accuracy on the basis of planning CT data sets with different slice thickness. Citation Format: • Putzer D, Arco D, Schamberger B et al. Comparison of Two Electromagnetic Navigation Systems For CT-Guided Punctures: A Phantom Study. Fortschr Röntgenstr 2016; 188: 470 - 478., (© Georg Thieme Verlag KG Stuttgart · New York.)
- Published
- 2016
- Full Text
- View/download PDF
24. The effect of ischemia/reperfusion on the kidney graft.
- Author
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Menke J, Sollinger D, Schamberger B, Heemann U, and Lutz J
- Subjects
- Animals, Graft Rejection immunology, Humans, Immunity, Innate, Reperfusion Injury physiopathology, T-Lymphocytes immunology, Kidney Transplantation, Reperfusion Injury immunology
- Abstract
Purpose of Review: Ischemia/reperfusion injury is an unavoidable companion after kidney transplantation and influences short-term as well as long-term graft outcome. Clinically ischemia/reperfusion injury is associated with delayed graft function, graft rejection, and chronic graft dysfunction. Ischemia/reperfusion affects many regulatory systems at the cellular level as well as in the renal tissue that eventually result in a distinct inflammatory reaction of the kidney graft., Recent Findings: Underlying factors include energy metabolism, cellular changes of the mitochondria and cellular membranes, initiation of different forms of cell death-like apoptosis and necrosis together with a recently discovered mixed form termed necroptosis. Chemokines and cytokines together with other factors promote the inflammatory response leading to activation of the innate immune system as well as the adaptive immune system. If the inflammatory reaction continues within the graft tissue, a progressive interstitial fibrosis develops that impacts long-term graft outcome., Summary: It is of particular importance in kidney transplantation to understand the underlying mechanisms and effects of ischemia/reperfusion on the graft as this knowledge also opens strategies to prevent or treat ischemia/reperfusion injury after transplantation in order to improve graft outcome.
- Published
- 2014
- Full Text
- View/download PDF
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