Dipyridamole stress myocardial perfusion by computed tomography in patients with left bundle branch block

Abstract Background: Functional tests have limited accuracy for identifying myocardial ischemia in patients with left bundle branch block (LBBB). Objective: To assess the diagnostic accuracy of dipyridamole-stress myocardial computed tomography perfusion (CTP) by 320-detector CT in patients with LBBB using invasive quantitative coronary angiography (QCA) (stenosis ≥ 70%) as reference; to investigate the advantage of adding CTP to coronary computed tomography angiography (CTA) and compare the results with those of single photon emission computed tomography (SPECT) myocardial perfusion scintigraphy. Methods: Thirty patients with LBBB who had undergone SPECT for the investigation of coronary artery disease were referred for stress tomography. Independent examiners performed per-patient and per-coronary territory assessments. All patients gave written informed consent to participate in the study that was approved by the institution’s ethics committee. Results: The patients’ mean age was 62 ± 10 years. The mean dose of radiation for the tomography protocol was 9.3 ± 4.6 mSv. With regard to CTP, the per-patient values for sensitivity, specificity, positive and negative predictive values, and accuracy were 86%, 81%, 80%, 87%, and 83%, respectively (p = 0.001). The per-territory values were 63%, 86%, 65%, 84%, and 79%, respectively (p < 0.001). In both analyses, the addition of CTP to CTA achieved higher diagnostic accuracy for detecting myocardial ischemia than SPECT (p < 0.001). Conclusion: The use of the stress tomography protocol is feasible and has good diagnostic accuracy for assessing myocardial ischemia in patients with LBBB.

Numerical investigation of micro and macro mechanical behaviour of granular media via a discrete element approach

Magdeburg, Univ., Fak. für Mathematik, Diss., 2009

Disposable, micro-fluidic biosensor array for online analysis of adherent cells activity combining quartz crystal resonators and impedance measurement techniques

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2011

Vergleich der Effektivität von CT-gesteuerter Brachytherapie gegenüber transarterieller Chemoembolisation bei Patienten mit inoperablem HCC : Interimsanalyse zur entgültigen Fallzahlplanung einer randomisierten Phase-III-Studie

Magdeburg, Univ., Med. Fak., Diss., 2011

Imaging beyond structure : novel noninvasive tools for neuroimaging of stem cell function and differentiation

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2013

In situ Röntgen-CT Untersuchung des mechanischen Verhaltens eines Polymerhartschaumstoffes im Zugversuch

Die Mesostruktur von Werkstoffen wie Faserverbundwerkstoffen und Schaumstoffen beeinflusst deren mechanisches Verhalten wesentlich. Die inneren Strukturen des Werkstoffes müssen in die Analyse des Verformungs- und Versagensverhaltens einbezogen werden. Die Röntgenanalyse, insbesondere die Röntgen-Computertomographie (Röntgen-CT) ermöglicht eine zerstörungsfreie 3-dimensionale (3-d) Visualisierungund Charakterisierung innerer Strukturen. Für die Untersuchung des Einflusses der Mesostruktur eines Polymethacrymlid-Hartschaumstoffes auf das mechanische Verhalten speziell unter zugbelastung sollte eine speziell vom Fraunhofer-Institut für Werkstoffmechanik in Halle entwickelte In-situ-Verformungseinrichtung erprobt werden. Die Anlage wurde speziell für den Zugversuch optimiert. Es folgten mechanische Experimente, die mit den 3d-Bilddaten der Zellstruktur des Schaumstoffes korrelieren. Die ermittelten Bilddaten werden mit Hilfe einer Bildanalysesoftware ausgewertet und Rückschlüsse auf Verformungs- und Versagensverhalten grtroffen.

Modeling of micro- and nanostructures made of films and crystals/fibers arrays

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2013

Micro scale modeling grain boundary damage under creep conditions

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2014

Estudos sobre a alimentação mineral do cafeeiro XXVII. Efeito da adubação N, P e K no teor de macro e micro nutrientes do fruto e na qualidade da bebida do café

O efeito da adubação N, P e K na composição mineral do grão (macro nutrientes, B e Zn) e na qualidade da bebida (prova de xícara) foi estudado. Utilizou-se um ensaio de adubação NPK, 3x3x3 plantado em 1955 em Ribeirão Preto, S. P. As amostras foram colhidas a dedo, despolpadas e degomadas no mesmo dia. Verificou-se que somente a adubação nitrogenada aumentou significativamente o teor de N no grão. Altos niveis de K na adubação diminuíram o teor de B e de Zn no grão. O teor de N no grão foi correlacionado negativamente com a qualidade da bebida. A adubação potássica quando excessiva prejudicou a qualidade da bebida mas de uma maneira não consistente. O aumento da produção causado pela adubação nitrogenada e potássica compensam economicamente o pequeno prejuízo causado na qualidade da bebida, que não chega a ser de 0,5 grau na escala utilizada.

Micro-macro analysis of creep behavior in a multi-pass weld

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2014

Improved cardiac gating and patient monitoring in high field magnetic resonance imaging by means of electrocardiogram signal processing

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2015

Ultra-high resolution imaging of the functional anatomy and plasticity of the human hippocampal-entorhinal circuitry

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2015

Wertigkeit der Endosonographie des Larynx bei der Beurteilung des Larynxkarzinoms im Vergleich zu CT und MRT

Universität Magdeburg, Univ., Dissertation, 2016