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J Seitz

Publications and source records attributed to J Seitz.

At least 55 records · Page 3Linked to original sources
PubMed2000

[Contrast media-enhanced MR angiography of the lower extremity arteries using a dedicated peripheral vascular coil system. First clinical results].

PURPOSE: To evaluate contrast enhanced magnetic resonance angiography (ceMRA) of the pelvic and peripheral arteries with a dedicated peripheral vascular coil system and automated table-feed technique in patients with arterial occlusive disease. METHODS: Three-dimensional gadolinium-enhanced MR angiography in a two-step automatic table feed technique was performed in 45 patients using a 1.5 Tesla imager (Magnetom Symphony, Siemens). The pelvic arteries were imaged with a single injection of contrast material. The upper and the lower leg were imaged with a second injection of contrast material in an automated table feed technique using a dedicated vascular coil system. In 20 patients ceMRA was compared with digital subtraction angiography (DSA) as the standard of reference and in 25 patients ceMRA was performed solely. RESULTS: Sensitivity and specificity for grading significant stenoses > or = 50% and occlusions (in parenthesis) were in the pelvic arteries 94.7%, 96.8%, (100%, 100%), in the arteries of the upper leg 92.3%, 93.3% (87.5%, 100%) and in the arteries of the lower leg 96.5%, 95.8%, (95.2%, 96.8%), respectively. Depiction of the runoff vessels of the lower leg was excellent in ceMRA. CeMRA was of diagnostic quality in all the patients. CONCLUSION: Contrast-enhanced MRA using a dedicated peripheral vascular coil system increases the diagnostic quality of the lower leg. The runoff vessels can be evaluated. Thus, ceMRA in the presented technique is a diagnostic alternative to arterial angiography.

Adult↗
PubMed2000

Reduction of motion artifacts in magnetic resonance imaging of the neck and cervical spine by long-term averaging.

RATIONALE AND OBJECTIVES: We performed a prospective comparison of T1-weighted turbo spin-echo (TSE) imaging with standard averaging and with the long-term averaging method (LOTA), comparing the effects on signal-to-artifact noise ratio (S/aN) and motion artifacts. METHODS: In 30 consecutive patients undergoing imaging of the neck or cervical spine, a transverse T1-weighted TSE sequence was applied with and without LOTA by using identical sequence parameters. Quantitative image analysis was done by calculating S/Ns in the phase-encoding direction (S/aN). Visual image analysis was performed by four independent, masked readers using a standardized score sheet for anatomic and pathological findings. RESULTS: The LOTA sequence yielded significantly superior S/aN values compared with the standard averaging sequence. In the subjective evaluation, the LOTA sequence showed significantly fewer motion artifacts and better visualization of normal anatomy of the neck, cervical spine, and spinal cord, as well as of the pathological findings. CONCLUSIONS: LOTA is a valuable method for increasing S/aN in magnetic resonance imaging of the neck and cervical spine. It reduces motion artifacts and increases the conspicuity of pathology without increasing acquisition time. No additional hardware is needed, and this technique can be combined with other artifact-reducing methods.

Adult↗
PubMed2000

Time-resolved contrast-enhanced MR angiography of renal artery stenosis: diagnostic accuracy and interobserver variability.

OBJECTIVE: The purpose of this study was to evaluate diagnostic accuracy and interobserver variability of time-resolved three-dimensional gadolinium-enhanced MR angiography in the detection of renal artery stenosis in comparison with intraarterial digital subtraction angiography as the standard of reference. SUBJECTS AND METHODS: Forty consecutive patients (age range, 25-81 years; mean, 62.9 +/- 11.9 years) with suspected renal artery stenosis underwent intraarterial digital subtraction angiography and gadolinium-enhanced MR angiography, performed on a 1.5-T system with fast low-angle shot three-dimensional imaging (3.8/1.49 [TR/TE], 25 degrees flip angle, 10-sec acquisition time, and 1.5-mm partition thickness). Three time-resolved phases were obtained in a single breath-hold. Digital subtraction angiography and gadolinium-enhanced MR angiography were evaluated by four observers who studied 80 main renal arteries and 19 accessory vessels to evaluate the degree of stenosis. A stenosis reducing the intraarterial diameter by more than 50% was regarded as hemodynamically significant. Interobserver variability was calculated. RESULTS: Only one gadolinium-enhanced MR angiography study was not of diagnostic quality, as a result of failure of the power injector. All main branches were of diagnostic quality in 38 (97.4%) of the remaining 39 gadolinium-enhanced MR angiography studies. Seventeen (89.5%) of 19 accessory renal arteries were depicted with gadolinium-enhanced MR angiography. The overall sensitivity for significant stenoses was 92.9%. The overall specificity was 83.4%, and the overall accuracy was 85.9%. Interobserver variability of gadolinium-enhanced MR angiography exceeded that of digital subtraction angiography. CONCLUSION: Time-resolved three-dimensional gadolinium-enhanced MR angiography is a useful noninvasive method of screening suspected renal artery stenosis because of its easy application, short examination time, and high sensitivity despite of its higher interobserver variability.

Adult↗
PubMed2000

MRI detection of olfactory bulb and tract.

Thirty healthy volunteers underwent MRI with 3D MP-RAGE, 3D CISS and 2D turbo spin echo sequences to compare the detectability of olfactory fibers, bulb, tract, and sulcus. The overall detectability was slightly better using MP-RAGE compared with CISS. Both 3D sequences were superior to 2D turbo spin echo. We therefore recommend including the MP-RAGE sequence in an MR imaging protocol of the olfactory nerve.

Adolescent↗
PubMed2000

Comparison of a T2* w. 3D CISS and a T2 w. 3D turbo spin echo sequence for the anatomical study of facial and vestibulocochlear nerves.

Thirty healthy volunteers were examined with a T2* w. 3D CISS and a T2 w. 3D turbo spin echo (TSE) sequence in order to compare the facial and vestibulocochlear nerve detectability in the cerebellopontine angle and the internal auditory canal. CISS was significantly better than 3D TSE for nerve detectability in the cerebellopontine angle and equally as good as 3D TSE in the internal auditory canal. We would therefore recommend the inclusion of CISS in an MR imaging protocol of the facial and vestibulocochlear nerves.

Adolescent↗
PubMed1999

Simultaneous apocrine and merocrine secretion in the rat coagulating gland.

The coagulating gland of the rat synthesizes two prevalent secretory proteins (transglutaminase and 115 K) that are discharched in a different manner, one being secreted in an apocrine fashion (transglutaminase) and the other one in a merocrine way (115 K). Differences in the intra- cellular pathway and the release of either protein were studied using immunofluorescence on semithin sections, immunoelectron microscopy of preembedding-processed chopper sections and postembedding-processed ultrathin sections of rat coagulating gland. Immunohistochemical staining using an anti-transglutaminase antibody resulted in dense labeling of the cytoplasm of secretory cells and their apical blebs, whereas the cisternae of the rough endoplasmic reticulum and the Golgi apparatus were completely unlabeled. When, on the contrary, the anti-115 K antiserum was used, dense labeling of the cisternae of the rough endoplasmic reticulum, the Golgi apparatus, and the secretory granules was seen. Intraluminal secretion was also labeled, but the secretory blebs remained unlabeled. Our findings show that, in the coagulating gland of the male rat, the two secretory proteins studied are processed in parallel, but at completely different intracellular pathways. They are released via different extrusion mechanisms. Transglutaminase is synthesized outside the endoplasmic reticulum, reaches the apical cell pole by free flow in the cytoplasm, and is released via apocrine blebs, the membranes of which appear to be derived from the apical plasma membrane. The protein 115 K, on the other hand, follows the classic route, being synthesized within the cisternae of rough endoplasmic reticulum, subsequently glycosylated in the Golgi apparatus, and released in a merocrine fashion. The mutual exclusion of the two secretory pathways and the regulation of the alternative release mechanism are still unresolved issues.

Animals↗
PubMed1999

Serum albumin as a potential carrier for the apocrine secretion of proteins in the rat coagulating gland.

A protein of 66k was purified to homogeneity from the total secretion of rat coagulating gland. Its close structural relationship to serum albumin was demonstrated by N-terminal amino acid sequence analysis, proteolytic fingerprinting and Western blotting studies using polyclonal antibodies raised against the 66k protein and rat serum albumin. Immunofluorescence staining showed that the 66k protein was localised in the cytoplasm of coagulating gland epithelial cells from which it is released via apocrine blebs. Performing immunoelectron microscopy, the 66k protein was by no means detectable in the endoplasmic reticulum and the Golgi apparatus. Reverse transcription-PCR, Northern blotting studies and in situ hybridisation experiments demonstrated that mRNA of albumin is not expressed by coagulating gland epithelial cells. Therefore, intravascular albumin should be transferred into the epithelial cells of the rat coagulating gland followed by secretion via aposomes. Furthermore, overlay blots proved that the 66k protein binds to the apocrine proteins carbonic anhydrase II and secretory transglutaminase and vice versa. In contrast, no binding was evident to the merocrine 115k protein and to cytoplasmic resident proteins e.g. lactate dehydrogenase. These findings point to the assumption that serum albumin taken up from extracellular sources could function as a selective carrier for cytoplasmic proteins destined for apocrine secretion.

Animals↗
PubMed1999

The value of T2(*)-weighted MR images for the diagnosis of acoustic neuromas.

UNLABELLED: The aim of this study was to evaluate high resolution T2(*)-weighted MRI--in our case a 3D CISS sequence--for the diagnosis of acoustic neuromas. Especially to be clarified was if high-resolution T2-weighted sequences can substitute T1-weighted contrast-enhanced sequences, and in which circumstances they can give important additional information when compared with contrast-enhanced T1-weighted sequences. METHODS AND PATIENTS: The MR examinations were performed using a 1.5-Tesla unit with a circularly polarized head coil. All 20 patients (11 females, nine males, aged from 12 to 80 years) with acoustic neuromas underwent preoperative MRI with T2*-weighted 3D CISS (slice thickness, 0.7 mm; acquisition time, 8 min) and pre- and postcontrast T1-weighted 3D MP-RAGE (slice thickness, 0.9 mm; acquisition time, 8 min) sequences. The detectability of acoustic neuromas was evaluated following the consensus of three radiologists using a 3D work station (parameters: tumor presence, extent, nerve attribution). RESULTS: All tumors were detected by both contrast-enhanced 3D MP-RAGE and 3D CISS and the diameters of the lesions were equally well measured. 3D CISS was the best sequence for the attribution of a lesion to a certain nerve. Labyrinthine involvement could be better detected using 3D CISS than contrast-enhanced 3D MP-RAGE. CONCLUSION: High-resolution T2(*)-weighted MRI is a very sensitive method for tumor screening which can also detect even small meatal and labyrinthine neuromas. In the case of abnormal findings (other pathology or variations, e.g. vascular loops); however, contrast-enhanced T1-weighted MRI is necessary in order to confirm the presence of a tumor with typical enhancement.

Adult↗
PubMed1999

Apocrine secretion--fact or artifact?

In this review, the history of apocrine secretion and the essential categories are briefly mentioned and fused into a more generally applicable terminology. Using the coagulating gland of the male rat as a model, the mechanisms of apocrine secretion, the participation of the cytoskeleton in the formation of the apocrine blebs ("aposomes") and the structure of the secretory proteins, as well as the hormonal regulation of their biosynthesis are described. Apocrine secreted proteins share the following peculiarities: (i) Their biosynthesis and post-translational modification (including an unusual form of glycosylation) take place in the cytoplasm. (ii) Intracellular transport proceeds without participation of the endomembrane system, the Golgi apparatus and secretion granules. (iii) Blood serum derived transsudated albumin entering the secretory cells functions as a carrier of the apocrine-released proteins. Some common molecular features are specific for the apocrine-synthesized proteins studied so far by our group: (a) Their primary sequence is synthesized without a signal peptide. (b) Their N-terminus is blocked by acetylation. (c) The substituting glycanes are neither O- nor N-linked. (d) At least one of the apocrine-synthesized proteins (secretory transglutaminase) contains a glycerol-phosphoinositol (GPI-) anchor. There are a number of still open questions in apocrine secretion, pertaining to (I) the intracellular transport and targeting of the proteins, (II) the coordination of simultaneously occurring apocrine and merocrine secretion in several of the apocrine glands, (III) the biosynthesis of the apical membrane proteins surrounding the aposomes and (IV) the repair mechanisms of the apical cell pole following the release of the aposomes. In conclusion, apocrine release is not an artifact but rather an alternative extrusion mechanism of soluble and membrane-associated proteins, usually linked with sex- or reproductive-related glands, such as the prostate, the mammary glands, apocrine sweat glands or epididymis.

Animals↗
PubMed1999

[Ischemic complications in aortic dissection--percutaneous treatment with balloon fenestration and stent implantation].

PURPOSE: To describe principles and results of percutaneous treatment of ischemic complications of aortic dissection. MATERIALS AND METHODS: In five cases (four patients) aortic dissection was clinically complicated by renal (n = 4), iliofemoral (n = 2) or mesenterial ischemia (n = 1). After evaluation by means of computed tomography, angiography, and manometry, treatment consisted of balloon fenestration of the intimal flap, stent placement or both. RESULTS: Eleven of 25 vascular beds were classified as ischemic. Treatment consisted of 11 balloon fenestration procedures in 3 patients, in one case supported by stent placement across the dissection membrane. Stents were placed in five renal arteries, one stent was placed in the true lumen of the aorta. One iliac artery was treated with balloon dilatation. One renal artery dissection became symptomatic after balloon fenestration and was treated successfully by stent placement. In all cases ischemia was resolved by endovascular treatment. All patients had persistent relief of symptoms. Mean follow-up time is 5.8 months. CONCLUSION: Ischemic complications of aortic dissection can be effectively and safely treated with stent placement and balloon fenestration.

Adult↗
PubMed1998

Localization of fibroblast growth factor 2 (FGF-2) protein and the receptors FGFR 1-4 in normal human seminiferous epithelium.

Fibroblast growth factor 2 (FGF-2), which occurs in various isoforms both species and tissue specifically, regulates cell proliferation and differentiation via a dual receptor system consisting of heparan sulphate proteoglycans and receptor tyrosine kinases (FGFRs). This study demonstrates for the first time the distribution pattern of FGF-2 and the receptors FGFR 1-4 in the normal seminiferous epithelium of adult men. In western blot analyses, the polyclonal antibody, anti-FGF-2, shows two immunoreactive bands at 18 and 24 kDa. On paraffin sections, positive immunoreaction occurs within the cytoplasm of spermatogonia. The distribution pattern of the polyclonal anti-FGFR 1-4 antibodies is as follows: anti-FGFR-1 (one 68-kDa band) stains nuclei and cytoplasm of spermatogonia; anti-FGFR-3 (five bands at 68, 78, 105, 125 and 145 kDa) stains the nuclei of all germ cells except those of elongated spermatids; and anti-FGFR-4 (one 48-kDa band) stains the cytoplasm of primary pachytene spermatocytes. We were unable to demonstrate FGFR-2 immunoreactivity either in western blot analysis or on paraffin sections. This distribution pattern suggests that FGF-2 in spermatogonia is involved in the autocrine and paracrine regulation of the proliferation and differentiation of spermatogonia and spermatocytes via the receptors FGFR-1, FGFR-3 and FGFR-4.

Adult↗
PubMed1998

Hormonal regulation and germ cell-specific expression of heat shock protein 60 (hsp60) in the testis of macaque monkeys (Macaca mulatta and M. fascicularis).

Decrease of heat shock protein 60 (hsp60), a mitochondrial chaperonin, in germ cells of men has been shown to be associated with low spermatogenic efficiency. In the present study, we have investigated the hormonal regulation of hsp60 in a pre-clinical primate animal model. Hsp60 production in the testes of the intact cynomolgus monkey (Macaca fascicularis) and animals that had been treated with the GnRH antagonist Cetrorelix for 25 days was studied by immunohistochemistry. In addition, testes of untreated adult rhesus monkeys (Macaca mulatta) and immature animals either exposed to human chorionic gonadotrophin (hCG), human follicle stimulating hormone (FSH) or hCG and FSH in combination, as well as vehicle-treated controls were analysed. In adult monkeys, specific hsp60 staining was observed in Leydig cells, spermatogonia and early primary spermatocytes. The labelling in Sertoli cells was not stage dependent. The hsp60 staining pattern was unaffected by gonadotrophin releasing hormone (GnRH) antagonist treatment. Western blot analysis confirmed the presence of a single band of 60 kDa in testicular homogenates of the cynomolgus monkey. In the testis of immature rhesus monkeys, hsp60 immunoreactivity was visible in gonocytes, spermatogonia and in Sertoli cells, whereas interstitial cells were negative. In the experimental study, hCG alone or in combination with FSH caused a substantial and marked upregulation of the chaperonin in Leydig cells. Human FSH alone did not affect hsp60 expression. We conclude that hCG is an important regulator of Leydig cell hsp60 expression during development, whereas FSH in immature animals and GnRH in adult monkeys is of less importance.

Animals↗
PubMed1998

Mitochondrial malic enzyme: purification from bovine brain, generation of an antiserum, and immunocytochemical localization in neurons of rat brain.

To elucidate the cellular location of mitochondrial malic enzyme in brain, immunocytochemical studies were performed. For this purpose, mitochondrial malic enzyme was purified to apparent homogeneity from bovine brain and used for the immunization of rabbits. Subjecting the antiserum to affinity purification on immobilized antigen as an absorbent yielded a purified immunoreactive antibody preparation, which was characterized by probing cytosolic and mitochondrial fractions of bovine and rat brain in western blotting. As neither cross-reactivity with cytosolic malic enzyme nor immunoreactivity against other proteins could be observed, the antibody preparation was found suitable for immunocytochemistry. By using sections of perfusion-fixed rat brain, considerable resolution was achieved at the light-microscopic level. Distinct and specific staining of neurons was observed; in contrast, no staining of astrocytes and possibly unspecific staining within the nuclei of oligodendrocytes were obtained. From these data, it is concluded that mitochondrial malic enzyme is located in neurons; however, in astrocytes, the enzyme appears to be either lacking or present at a much lower level. A protective role against oxidative stress in neurons is proposed for mitochondrial malic enzyme.

Animals↗
PubMed1998

Dedicated head-neck coil in MR angiography of the supra-aortic arteries from the aortic arch to the circle of Willis.

PURPOSE: To evaluate the usefulness of a dedicated head-neck coil in preoperative imaging of the supra-aortic arteries. MATERIAL AND METHODS: Forty consecutive patients with suspected carotid artery stenosis underwent MR angiography (MRA). Using a dedicated head-neck coil, we made a complete evaluation of the supra-aortic arteries and graded the internal carotid artery (ICA) stenoses. MRA was performed at 1.5 T with: coronal 3D FISP from the aortic arch to the circle of Willis; transverse 2D FLASH and 3D TONE of the carotid bifurcation; transverse 3D TONE of the carotid siphon and the circle of Willis; and transverse 3D FISP of the aortic arch. I.a. digital subtraction angiography (DSA) was used as the reference. ICA stenoses of 70% and more at DSA (NASCET methodology) were regarded as severe. RESULTS: Severe ICA stenoses were detected with high sensitivity and specificity: 93% and 92% respectively for coronal 3D FISP; 90% and 85% respectively for transverse 2D FLASH; and 97% and 94% respectively for transverse 3D TONE. The carotid siphon and the intracranial ICA were best depicted by 3D TONE. None of the applied sequences gave a satisfactory visualization of the aortic arch or of the origins of the vertebral arteries. CONCLUSION: With the head-neck coil, the supra-aortic arteries (including the intracranial vessels) were visualized without the need to reposition the patient, but depiction of the aortic arch was not acceptable. The quantification of ICA stenoses was reliable.

Aged↗
PubMed1998

Amorphous silicon, flat-panel, x-ray detector versus screen-film radiography: effect of dose reduction on the detectability of cortical bone defects and fractures.

RATIONALE AND OBJECTIVES: The purpose of this phantom study was to assess the diagnostic performance of a self-scanning, solid-state amorphous silicon (a-Si) detector in skeletal radiography using different exposure parameters. METHODS: A flat-panel detector (15 cm x 15 cm), based on a-Si technology with 143 microm x 143 microm pixel size, 1k x 1k matrix, and 12 bit digital output was used. State-of-the-art screen-film radiography (SFR; speed 400, detector dose 2.5 microGy) was compared with a-Si images taken at doses that were equivalent to a speed of 400, 800, 1,250, and 1,600, respectively. A total of 232 segments of long tubular deer-bones (femur, tibia, humerus, radius) had 110 artificial fractures and 112 cortical defects simulating osteolytic lesions. Receiver operating characteristic analysis was performed for 9,280 observations made by four independent observers. Two-tailed Student's paired t test was used for statistical analysis (95% confidence level). RESULTS: Receiver operating characteristic analysis yielded equivalent results of the a-Si and SFR system. Even at the lowest dose there were no statistically significant differences between both imaging modalities with respect to the detectability of fractures and cortical defects. CONCLUSIONS: The results of this study indicate that a-Si detector technology holds promise in terms of dose reduction in skeletal radiography without loss of diagnostic accuracy.

Animals↗
PubMed1998

Detection of simulated chest lesions with normal and reduced radiation dose: comparison of conventional screen-film radiography and a flat-panel x-ray detector based on amorphous silicon.

RATIONALE AND OBJECTIVES: The authors compared a solid-state amorphous silicon (a-Si) detector and screen-film radiography (SFR) with regard to the detection of simulated pulmonary lesions. Evaluation of the impact of a dose reduction of 50% with this digital flat-panel detector was of special interest. METHODS: A self-scanning flat-panel detector, based on a-Si technology with 143 x 143 microm pixel size, 1 k x 1 k matrix and 12-bit digital output was used. An asymmetric state-of-the-art screen-film system was compared with a-Si images taken at the same dose as SFR-images and at a dose reduced by 50%. An anthropomorphic chest phantom was superimposed by templates containing nodules, linear structures, reticular, and micronodular opacities in a random distribution. Receiver operating characteristic analysis was performed for 23,040 observations made by four independent observers. Student's t test (95% confidence-level) was used for statistical analysis. RESULTS: Receiver operating characteristic analysis showed that a-Si images taken at the same dose as SFR-images were significantly superior to SFR with respect to the detectability of lines (P = 0.01) and micronodular opacities (P < 0.01). For the other objects and the a-Si images taken at a reduced dose, it yielded no statistically significant differences between both imaging modalities. CONCLUSIONS: The results of this phantom study indicate that a-Si detector technology holds promise in terms of dose reduction in chest radiography without loss of diagnostic accuracy compared with SFR.

Humans↗
PubMed1998

Cytoplasmic carbonic anhydrase II of rat coagulating gland is secreted via the apocrine export mode.

Two different pathways for protein secretion are described for epithelial cells of rat coagulating gland and dorsal prostate: the classical merocrine and the alternative apocrine release mode. Apocrine-secreted proteins are synthesized on cytoplasmic polyribosomes and are subsequently exported in protrusions on the apical cell surface (aposomes). In this article we report the identification and purification to homogeneity of a 29-kD protein from the secretion of rat coagulating gland. N-terminal amino acid sequence analyses revealed 100% identity to rat brain carbonic anhydrase II (CAH II). In addition, the 29-kD protein showed CAH enzyme activity. On Western blot analysis, a polyclonal anti-CAH II antibody raised in rabbit reacted specifically with the rat and human but not bovine CAH II isoforms. Immunohistochemical studies on rat coagulating gland showed strong labeling for CAH II protein in aposomes. Immunoelectron microscopy confined CAH II protein to the cytoplasm and aposomes, whereas no staining was visible in the compartments of the classical merocrine route, the endoplasmic reticulum and Golgi apparatus. The resident cytoplasmic protein lactate dehydrogenase, however, was not found in the secretion. Taken together, the morphological and biochemical data clearly indicate that cytoplasmic CAH II from rat coagulating gland is specifically selected and then secreted via the apocrine pathway.

Amino Acid Sequence↗