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Karsten Meyer

Publications and source records attributed to Karsten Meyer.

25 records · Page 2Linked to original sources
PubMed2003

Perfusion harmonic imaging in acute middle cerebral artery infarction.

Initial reports indicate that cerebral perfusion deficits in acute ischemic stroke might be detectable by means of transcranial harmonic imaging after an ultrasound contrast agent (UCA) bolus injection. Twenty-four patients with acute middle cerebral artery (MCA) infarction were investigated twice with perfusion harmonic imaging (PHI) after Levovist (Schering, Berlin, Germany) bolus injection no longer than 12 h after symptom onset. The findings were compared with those of cranial computed tomography (CCT). All 24 patients suffered from acute ischemic stroke of the MCA territory (median National Institutes of Health Stroke Scale score: 15 points). Corresponding to the area of infarction in follow-up CCT, a marked contrast deficit was visualized in 19 of 24 patients by initial PHI, which had a sensitivity and specificity of 86.4% and 96.2%, respectively, for predicting the occurrence and localization of a definite infarction in the midthalamic plane. The area of hypoperfusion in the initial PHI investigation correlated with the definite area of infarction in follow-up CCT (r=0.66, p<0.01). When time-intensity curves of both hemispheres were compared, the areas under the curve were significantly less in the symptomatic brain regions (p=0.01). With PHI and UCA bolus injection, it is possible to assess cerebral perfusion deficits that correlate with the definite area of infarction in acute ischemic stroke patients.

Acute Disease↗
PubMed2002

Occurrence of zearalenone-4-beta-D-glucopyranoside in wheat.

An LC-MS method was developed for the analysis of zearalenone-4-beta-D-glucopyranoside and zearalenone in wheat (Triticum aestivum). The limit of determination for zearalenone-4-beta-D-glucopyranoside and zearalenone was 10 microg/kg. The recovery rates were calculated to be 69% and 89% at a concentration of 100 microg/kg for zearalenone-4-beta-D-glucopyranoside and zearalenone, respectively. Twenty-four Bavarian wheat samples from a 1999 harvest were analyzed. Zearalenone was present in 22 of 24 field samples, the levels ranged from 11 to 860 microg/kg. Zearalenone-4-beta-D-glucopyranoside was found in 10 of the zearalenone positive samples (42%) at levels ranging from 17 to 104 microg/kg. The amounts of zearalenone-4-beta-D-glucopyranoside were correlated to those of zearalenone (r2 = 0.86, b = 0.10). After gastrointestinal hydrolyzation, zearalenone-4-beta-glucopyranoside might be implicated in the development of a zearalenone-syndrome. Therefore, more attention should be focused on conjugated mycotoxins in food and feed.

Chromatography, High Pressure Liquid↗
PubMed2002

Impact of ultrasound contrast agents in cerebrovascular diagnostics.

This review gives a summary on current ultrasound contrast agents and their composition. Methods of brain imaging using UCA, like harmonic imaging and acoustic emission, are also described. Besides contrast-enhanced conventional color duplexsonography of the extracranial brain supplying arteries, transcranial contrast investigation of the basal cerebral arteries and visualization of cerebral microcirculation are also discussed in this paper. Another main topic are the interactions between UCA, human tissue and the ultrasound system.

Cerebrovascular Circulation↗
PubMed2002

Harmonic imaging of the brain parenchyma in a dog model following NC100100 (Sonazoid) bolus injection.

BACKGROUND AND PURPOSE: NC100100 (Sonazoid) is a new perfluorocarbon-based ultrasound contrast agent (UCA) that has not been introduced to transcranial harmonic imaging. METHODS: In an animal study on 6 beagle dogs, the authors performed harmonic power Doppler and gray-scale imaging (SONOS 5500, S4 probe) after bolus injection of 2 different doses of Sonazoid. Time intensity curves for brain parenchyma, masticatory muscle, and contralateral skull were generated, and the peak increase from baseline was computed. RESULTS: With harmonic gray-scale imaging, a dose-dependent homogeneous increase in acoustic intensity of the brain parenchyma was observed. Evaluation of the contralateral base of the skull showed a moderate signal decrease. In harmonic power Doppler sonography, signal increase was dose dependent also, but the signal pattern was inhomogeneous, with stronger enhancement in the anterior part of the brain. CONCLUSION: The new UCA Sonazoid is suitable for displaying brain perfusion. As already observed for other UCAs, gray-scale harmonic imaging with Sonazoid leads to a more homogeneous contrast increase in cerebral parenchyma compared to harmonic power Doppler imaging. Sonazoid produces a moderate shadowing effect, with signal attenuation in the underlying deeper regions of interest.

Analysis of Variance↗
PubMedDate not supplied

Transcranial contrast diminution imaging of the human brain: a pilot study in healthy volunteers.

Analysis of contrast diminution kinetics after bubble destruction is a new aspect in harmonic imaging. The purpose of this study was to investigate this approach to human cerebral perfusion. A total of 12 healthy volunteers were investigated transtemporally (Philips SONOS 5500, S4-probe, 1.8 to 3.6 MHz, 10 cm) at two ultrasound (US) contrast agent (UCA) infusion rates (0.5 and 1.0 mL/min of Optison). After achieving a steady-state, a set of 12 US pulses (6.67 Hz, MI 1.6) was applied. Time-intensity plots of three regions-of-interest (ROIs) (thalamus, white matter and cortex) were analyzed, using an exponential curve fit (I((t)) = I(0)e(-betat) + B). A total of 20 of 20 successful investigations showed a signal decrease after pulsed US application. In all cases, it was possible to generate exponential time-intensity curves. Half-life (T(1/2) = ln2/beta) and baseline intensity (B) showed a significant dependence on infusion rate (p = 0.01). At 1.0 mL/min, T(1/2) also depended on investigation depth (p = 0.01). It is possible to assess contrast diminution kinetics in human cerebral microcirculation. This new approach may provide additional information on cerebral perfusion within a short investigation time.

Adult↗