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Biomedical subjects

R Lucht

Publications and source records attributed to R Lucht.

15 recordsLinked to original sources
PubMed2006

An outbreak of Cryptosporidium hominis infection at an Illinois recreational waterpark.

Cryptosporidium has become increasingly recognized as a pathogen responsible for outbreaks of diarrhoeal illness in both immunocompetent and immunocompromised persons. In August 2001, an Illinois hospital reported a cryptosporidiosis cluster potentially linked to a local waterpark. There were 358 case-patients identified. We conducted community-based and waterpark-based case-control studies to examine potential sources of the outbreak. We collected stool specimens from ill persons and pool water samples for microscopy and molecular analysis. Laboratory-confirmed case-patients (n=77) were more likely to have attended the waterpark [odds ratio (OR) 16.0, 95% confidence interval (CI) 3.8-66.8], had pool water in the mouth (OR 6.0, 95% CI 1.3-26.8), and swallowed pool water (OR 4.5, 95% CI 1.5-13.3) than age-matched controls. Cryptosporidium was found in stool specimens and pool water samples. The chlorine resistance of oocysts, frequent swimming exposures, high bather densities, heavy usage by diaper-aged children, and increased recognition and reporting of outbreaks are likely to have contributed to the increasing trend in number of swimming pool-associated outbreaks of cryptosporidiosis. Recommendations for disease prevention include alteration of pool design to separate toddler pool filtration systems from other pools. Implementation of education programmes could reduce the risk of faecal contamination and disease transmission.

Adolescent↗
PubMed2005

Gain-swept superradiance applied to the stand-off detection of trace impurities in the atmosphere.

We show that gain-swept superradiance can be used to detect low (parts per million) concentrations of various gases at distances on the order of kilometers, which is done by using pulse timing to create small regions of gain at positions that sweep toward a detector. The technique is far more sensitive than previous methods such as light detection and ranging or differential absorption light detection and ranging.

Journal Article↗
PubMed2001

X-ray reflectivity study of smectic wetting and prewetting at the free surface of isotropic liquid crystals.

We study the structures of free-surface-wetting layers above the isotropic to smectic-A transition of three liquid-crystal compounds that show different kinds of growth of the wetting film as the bulk transition is approached: layer-by-layer, continuous, and continuous with prewetting. The smectic-A surface phase of the layer-by-layer compound consists of well-defined layers and possesses a sharp boundary to the isotropic bulk phase, whereas in the two continuous compounds sinusoidal density oscillations with a continuously decaying amplitude are found. In the continuous case with prewetting, the wetting film below the prewetting transition does not show an essential difference to the continuous case without prewetting.

Journal Article↗
PubMed2001

Comparison of pharmacokinetic MRI and [18F] fluorodeoxyglucose PET in the diagnosis of breast cancer: initial experience.

It was the aim of this methodology-oriented clinical pilot study to compare the potential of dynamic MRI and 2-[18F]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET) for the detection and characterization of breast cancer. Fourteen women with suspicious breast lesions were examined. The MRI data were acquired with a turbo fast low-angle shot sequence and analyzed using a pharmacokinetic model. Emission data were detected in the sensitive 3D modus, iteratively reconstructed, and superimposed onto corresponding transmission images. In the 14 patients, 13 breast masses with a suspicious contrast enhancement and FDG uptake were detected. For these lesions, no statistically significant correlation between evaluated MR and PET parameters was found. Of the 9 histologically confirmed carcinomas, 8 were correctly characterized with MRI and PET. Two inflammatory lesions were concordantly classified as cancer. Moreover, dynamic MRI yielded another false-positive finding. In 6 patients, PET detected occult lymph node and/or distant metastases. Although both functional imaging techniques provide independent tissue information, the results concerning the diagnosis of primary breast lesions were almost identical. An advantage of PET, however, is its ability to localize lymph node involvement and distant metastases as an integral part of the examination.

Adult↗
PubMed2001

Quantification of [(18)F]FDG uptake in the normal liver using dynamic PET: impact and modeling of the dual hepatic blood supply.

UNLABELLED: For quantification of hepatic [(18)F]FDG uptake, the dual blood supply to the liver must be considered. In contrast to the arterial input, however, the portal venous blood supply to the liver cannot be monitored directly by PET because of the inaccessibility of the portal vein on PET scans. In this study, we investigated whether the dual hepatic input can be predicted from the measurable arterial input. Moreover, we assessed the effect of different input models on the rate constants of the standard 3-compartment model describing regional uptake of FDG. METHODS: Dynamic FDG PET scanning was performed on 5 foxhounds. Activity concentrations in blood from the aorta and the portal vein were measured simultaneously using external circuits. After image reconstruction, time--activity courses were determined from the aorta and the liver. The venous input was approximated by convolving the arterial input with a notional system function describing the dispersion of the arterial input on its way through the gastrointestinal tract. On the basis of these data, 5 different hepatic input models, which pertain to a single-input as well as a dual-input scenario, were statistically compared with regard to the adequacy of the model fits to liver data and to differences in the estimated rate constants. RESULTS: Portal venous input to the liver could be approximated by convolving the arterial input function with a system function. From this function, a mean transit time of 25 s was computed for FDG to pass through the gastrointestinal tract. According to the statistical analysis, dual-input models were superior to their single-input counterparts. However, differences in the rate constants estimated for the 5 input models were in the same order as interindividual variations within the different model groups. For the dephosphorylation rate constant, a consistent value of 0.05 +/- 0.01 min(-1) was found. CONCLUSION: Dual-input models proved to be superior to single-input models with respect to the adequacy of FDG model fits to normal liver data. However, the hepatic blood supply may be approximated by the arterial input function as well, especially for the evaluation of liver lesions mainly fed by the hepatic artery.

Algorithms↗
PubMed2000

Surface plasmon resonance study of the spreading of a liquid-crystal smectic- a droplet on a gold substrate.

We report a study of the spreading of liquid-crystal smectic- A droplets which completely wet a gold substrate. After the initial spreading of a molecular precursor layer, the droplets develop a complex terraced structure consisting of several monolayers and one bilayer spreading at different rates. During the late stage of spreading the droplet height decreases via a series of layer-by-layer shrinkages until a final state is reached which consists of a single dense monolayer.

Journal Article↗
PubMed2000

Elastic matching of dynamic MR mammographic images.

Dynamic magnetic resonance imaging (MRI) carried out with paramagnetic contrast media has been proven to increase sensitivity and specificity in the detection of breast cancer. Due to movements of the patients and changes in the shape of the breasts during the measurement period, a coregistration (matching) of the acquired data volumes is necessary to obtain higher accuracy for the localization of lesions. In this study, an algorithm for the elastic matching of dynamic MRI volume data is presented. The approach includes automatic feature extraction along with the analysis of corresponding features between the data sets. The matching is actually slice-oriented, even though information on displacement vectors in adjacent slices is taken into account. An extension of the procedure to fully three-dimensionally (3D) matching is straight forward. Up until now, the approach has been applied to 20 dynamic MRI studies. The matching time for two image data sets with 256 x 256 x 15 voxels each was about 4 min using a PC (Pentium Pro, 200MHz).

Algorithms↗
PubMed2000

[Dynamic MR mammography. Multidimensional visualization of contrast medium enhancement in virtual reality].

BACKGROUND: The purpose of this study was the development of a method for fast and efficient analysis of dynamic MR images of the female breast. The image data sets were acquired with a saturation-recovery turbo-FLASH sequence which enables the detection of the kinetics of the contrast agent concentration in the whole breast with a high temporal and spatial resolution. In addition, a morphologic 3D-FLASH data set was acquired. METHODS: The dynamic image datasets were analyzed by a pharmacokinetic model which enables the representation of the relevant functional tissue information by two parameters. In order to display simultaneously morphologic and functional tissue information, we developed a multidimensional visualization system, which enables a practical and intuitive human-computer interface in virtual reality. DISCUSSIONS: The developed system allows the fast and efficient analysis of dynamic MR data sets. An important clinical application is the localization and definition of multiple lesions of the female breast.

Adult↗
PubMed2000

Wetting behavior above the liquid-crystal-isotropic transition in a homologous series

An ellipsometric study of the wetting behavior at the free surface above the isotropic to nematic or isotropic to smectic-A transition of nine homologous compounds with even alkyl chain lengths n in the range from four to twenty carbon atoms is presented. All compounds show a pretransitional increase of the nematic or smectic surface coverage as the bulk isotropic to liquid-crystal transition is approached from above. The behavior of the nematic compounds (n=4 to 10) can be interpreted, within the framework of a Landau model, as complete wetting. In short nematic homologs the divergence of the nematic coverage is strongly reduced by a decrease of the nematic susceptibility of the isotropic phase. The elastic coefficient L of the Landau model shows a pronounced increase with increasing n, resulting in the occurrence of a discontinuous prewetting transition in the shortest smectic homolog (n=12) that is still describable by the nematic Landau model. In the longer smectic homologs (n=14 to 20), layering steps appear in the pretransitional increase of the coverage. The results indicate probable partial wetting for the longest homolog, whereas for the other smectic compounds the distinction between complete and partial wetting is difficult on the basis of ellipsometry.

Journal Article↗
PubMed2000

Comparison of rigid and elastic matching of dynamic magnetic resonance mammographic images by mutual information.

The present study aims at (i) the evaluation of the performance of a rigid and of an elastic matching algorithm for the coregistration of dynamic magnetic resonance (MR) images visualizing the female breast, and (ii) the evaluation of the mutual information (MI) as a matching criterion. To this end, ten patient data sets were analyzed. The comparison was performed with respect to the achieved increase in the MI and by visual inspection of the dynamic image series in a continuous film sequence ((cine mode). In most cases, the achieved increase in MI by elastic image registration is much higher than that achieved by rigid registration. Only for three of the ten data sets could the MI be increased by rigid image registration to a similar or even larger degree than by elastic image registration. Taking into account the results of the visual inspection of the rigid and elastic matched data sets, however, the elastic match leads to equal or better results for all data sets. Therefore, elastic matching is the gold standard for the registration of dynamic MR mammographic images of the female breast. The comparison of the increase in MI and the visual inspection further shows that the visual impression agrees in most cases with the result of the calculation of the MI. Therefore, the MI proves to be a suitable matching criterion for the type of data sets studied.

Algorithms↗
PubMed2000

[Diagnostic evaluation of the breast using PET: optimization of data acquisition and postprocessing].

PURPOSE: Development and evaluation of an optimized protocol for PET examinations of the female breast with 2-F-18-fluoro-2-deoxyglucose (F-18-FDG). METHODS: All PET measurements were performed with a whole-body PET system (ECAT EXACT HR+). In order to examine the women with the breasts freely pendant, a special extension for the patient table made of carbon layer composite was designed. After data acquisition in the 3D modus, emission data were sorted into 2D sinograms using the Fourier rebinning algorithm and reconstructed by means of an ultra-fast iterative 2D algorithm (HOSP). The reconstructed emission scans were superimposed onto the corresponding transmission images. The protocol presented was evaluated in examinations on 6 women with breast lesions after the administration of 150-220 MBq F-18-FDG. From two adjacent bed positions, emission and transmission data were acquired over periods of 20 min and 10 min, respectively. For comparison, dynamic magnetic resonance (MR) image series were acquired with a whole-body MR system (MAGNETOM SP 4000) using a double-breast coil. RESULTS AND CONCLUSION: Using the designed extension of the patient table, it was possible to examine corpulent women despite the limited patient port of the PET system in the prone position with the breasts freely pendant. Alongside a reduction in motion artifacts, this positioning also offers the possibility of making a direct comparison between PET and MR images. Despite the fact that the amount of F-18-FDG applied to the patient was markedly reduced, the combination of 3D data acquisition and iterative image reconstruction resulted in excellent quality of the emission scans. By super-positioning of iteratively reconstructed emission and transmission scans, anatomical localization of breast lesions visualized on the emission scans could be improved. The postprocessing of the PET data described was completed in 60 min, this meaning that the presented concept can readily be employed in clinical practice.

Algorithms↗
PubMed1996

Texture analysis of differently reconstructed PET images.

The insufficient number of projections and the statistics of radioactive decay are supposed to lead to different textures in the images reconstructed by the diverse algorithms used in positron emission tomography (PET). In our study, four reconstruction methods were examined, including the filtered backprojection and three algebraic approaches. Grey-level morphological operators were used to extract the texture. To quantify the observations, we used the texture parameters directionality, fractal dimension, and lacunarity. By increasing the number of iteration steps, each of the algebraic reconstruction methods evolve the texture from coarse to fine granularities, but surprisingly, during the iteration process all methods follow a quite similar 'trail' of possible textures within the active zone. The texture of the termination points of the movement have been compared with the result that the 'hils' and 'valleys' of the activity distribution are located in the same positions. The texture derived from the filtered backprojection is included in the set of textures produced by the algebraic methods. Artefacts are restricted to zones without activity. We found that the texture is independent of the number of counts when more than ten counts are registered in each pixel within the examined region of interest. A high reliability in the reconstructed images is given. All methods allow texture based tissue classification.

Algorithms↗
PubMedDate not supplied

Objectives to direct the training of emergency medicine residents on off-service rotations: orthopedics.

In this third article in a continuing series on objectives for emergency medicine training, orthopedic objectives are presented. Orthopedic complaints are common in emergency medicine. Direction in mastering evaluative, cognitive, and procedural skills are provided utilizing behaviorally based objectives and references. These objectives provide a structure for systematically learning the content of orthopedics through enlightened patient care, questioning of attending physicians and supervisors, and directed reading.

Curriculum↗