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1.
HNO ; 68(3): 171-176, 2020 Mar.
Article in German | MEDLINE | ID: mdl-31440774

ABSTRACT

Understanding speech strongly depends on sensory processes (bottom-up); however, especially in acoustically difficult situations, cognitive processes (top-down), such as attention and working memory also play a role. In older people both hearing and certain cognitive abilities typically decrease. This has consequences for everyday communication. In clinical practice it is relevant to improve the audibility of speech through appropriate rehabilitative measures and at the same time to reduce the cognitive burden during understanding speech. In this context, future audiometric methods will have to consider "listening effort" as an expression of cognitive load in addition to the improvement of speech intelligibility.


Subject(s)
Comprehension , Speech Perception , Cognition , Hearing , Humans , Speech Intelligibility
2.
HNO ; 65(3): 189-194, 2017 Mar.
Article in German | MEDLINE | ID: mdl-27680543

ABSTRACT

Examination of cognitive functions in the framework of speech perception has recently gained increasing scientific and clinical interest. Especially against the background of age-related hearing impairment and cognitive decline potential new perspectives in terms of better individualisation of auditory diagnosis and rehabilitation might arise. This review addresses the relationships of speech audiometry, speech perception and cognitive functions. It presents models of speech perception, discusses associations of neuropsychological with audiometric outcomes and shows recent efforts to consider cognitive functions with speech audiometry.


Subject(s)
Audiometry, Speech/methods , Audiometry, Speech/standards , Cognition Disorders/diagnosis , Hearing Disorders/diagnosis , Psychometrics/methods , Psychometrics/standards , Cognition Disorders/complications , Germany , Hearing Disorders/complications , Humans , Internationality , Reproducibility of Results , Sensitivity and Specificity , Signal-To-Noise Ratio , Translating
3.
HNO ; 65(Suppl 1): 1-4, 2017 Jan.
Article in English | MEDLINE | ID: mdl-27695891

ABSTRACT

Examination of cognitive functions in the framework of speech perception has recently gained increasing scientific and clinical interest. Especially against the background of age-related hearing impairment and cognitive decline, potential new perspectives in terms of a better individualization of auditory diagnosis and rehabilitation might arise. This review addresses the relationships between speech audiometry, speech perception, and cognitive functions. It presents models of speech perception, discusses associations of neuropsychological and audiometric outcomes, and shows examples of recent efforts undertaken in Germany to consider cognitive functions with speech audiometry.


Subject(s)
Audiometry/methods , Cognition/physiology , Correction of Hearing Impairment/methods , Hearing Disorders/physiopathology , Speech Perception/physiology , Speech Production Measurement/methods , Humans , Models, Neurological
4.
HNO ; 65(Suppl 2): 109-115, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28224173

ABSTRACT

BACKGROUND: In communication situations with multiple speakers, speech recognition is adversely affected by energetic masking (EM) and informational masking (IM). IM characterizes masking effects caused by irrelevant information from competing speakers. This work investigates an approach to assess IM based on the Oldenburg Sentence Test (OLSA). Furthermore, the influence of interaural time differences (ITD) and aging effects on IM are considered. MATERIALS AND METHODS: IM was measured by superimposing two sentences from the OLSA. The beginning of the target sentence was indicated by the keyword "Stefan". To segregate between target and masker sentences, ITDs from 50 to 400 µs were included. The participants were asked to selectively attend to the target sentence and repeat the spoken words. Potential factors associated with speech recognition results were assessed by an auditory measure of temporal fine structure and a neuropsychological profile. The study comprised 16 normal-hearing listeners between 18 and 77 years of age. RESULTS: Despite the clinically normal hearing participants, the analysis showed a significant relationship between speech recognition outcome and pure tone thresholds. All participants benefited from small ITDs between the target and masker sentence with regard to the unmasking of IM. The magnitude of unmasking could not be explained by any of the factors assessed in this study. Error analysis and the comparison with the literature reveal that the OLSA could be a useful tool to assess IM. Also in line with the current literature is the relationship between speech recognition outcome and pure tone thresholds, as well as the strong effect of ITDs on the release from IM. CONCLUSION: Speech audiometric assessment of IM is of high relevance with regard to everyday communication situations. Due to its structure, the OLSA seems to be a useful tool for determining IM.


Subject(s)
Aging , Audiometry, Speech/methods , Perceptual Masking , Adolescent , Adult , Aged , Auditory Threshold , Dominance, Cerebral , Female , Humans , Male , Middle Aged , Neuropsychological Tests , Reference Values , Speech Reception Threshold Test , Young Adult
5.
HNO ; 65(3): 228-236, 2017 Mar.
Article in German | MEDLINE | ID: mdl-28054098

ABSTRACT

BACKGROUND: In communication situations with multiple speakers, speech recognition is adversely affected by energetic masking (EM) and informational masking (IM). IM characterizes masking effects caused by irrelevant information from competing speakers. This work investigates an approach to assess IM based on the Oldenburg Sentence Test (OLSa). Furthermore, the influence of interaural time differences (ITD) and aging effects on IM are considered. MATERIALS AND METHODS: IM was measured by superimposing two sentences from the OLSa. The beginning of the target sentence was indicated by the keyword "Stefan". To segregate between target and masker sentences, ITDs from 50 to 400 µs were included. The participants were asked to selectively attend to the target sentence and repeat back the spoken words. Potential factors associated with speech recognition results were assessed by an auditory measure of temporal fine structure and a neuropsychological profile. 16 normal-hearing listeners between 18 and 77 years of age participated in the study. RESULTS: Despite the clinically normal-hearing participants, the analysis showed a significant relationship between speech recognition outcome and pure-tone thresholds. All participants benefited from small ITDs between the target and masker sentence with regard to the unmasking of IM. The magnitude of unmasking could not be explained by any of the factors assessed in this study. Error analysis and the comparison to the literature reveal that the OLSa could be a useful tool to assess IM. Also in line with the current literature is the relationship between speech recognition outcome and pure-tone thresholds, as well as the strong effect of ITDs on the release from IM. CONCLUSION: Speech audiometric assessment of IM is of high relevance with regard to everyday communication situations. Due to its structure, the OLSa seems to be a useful tool for determining IM.


Subject(s)
Audiometry, Pure-Tone/methods , Audiometry, Pure-Tone/standards , Audiometry, Speech/methods , Audiometry, Speech/standards , Perceptual Masking/physiology , Speech Perception/physiology , Adolescent , Adult , Aged , Female , Germany , Humans , Male , Middle Aged , Reproducibility of Results , Sensitivity and Specificity , Signal-To-Noise Ratio , Translating , Young Adult
6.
Eur Arch Otorhinolaryngol ; 272(3): 563-71, 2015 Mar.
Article in English | MEDLINE | ID: mdl-24381023

ABSTRACT

A dehiscence of the superior semicircular canal is said to be responsible for a number of specific and unspecific ear symptoms and possible a conductive hearing loss of up to 40 dB. As in vivo a dehiscence would not be opened against air, but is naturally patched with dura and the brain, it was our aim to investigate the effects of an superior semicircular canal dehiscence on the air conduction hearing in fresh human temporal bones with different boundary conditions. At ten fresh human temporal bones, we investigated the transmission of sound energy through the middle and inner ear using a round window microphone and laser Doppler vibrometer for perilymph motions inside the dehiscence. After baseline measurements, the superior semicircular canal was opened. We investigated the change of the transfer function when the canal is opened against air (pressure equivalent water column), against a water column and when it is patched with a layer of dura. Opening the superior semicircular canal resulted in a loss of sound transmission of maximal 10-15 dB only in frequencies below 1 kHz. When covering the dehiscence with a water column, the conductive hearing component was reduced to 6-8 dB. Placing a dura patch on top of the dehiscence resulted in a normalization of the transfer function. If our experiments are consistent with the conditions in vivo, then superior semicircular canal dehiscence does not lead to an extensive and clinically considerable conductive air conduction component.


Subject(s)
Hearing Loss, Conductive/physiopathology , Semicircular Canals/physiopathology , Acoustics , Ear, Middle/physiopathology , Hearing Tests/methods , Humans , Sound , Temporal Bone , Vibration
7.
Rev Sci Instrum ; 95(1)2024 Jan 01.
Article in English | MEDLINE | ID: mdl-38214589

ABSTRACT

On present-day magnetic-confinement fusion experiments, the performance of multi-channel bolometer diagnostics has typically evolved over time through experience with earlier versions of the diagnostic and experimental results obtained. For future large-scale fusion experiments and reactors, it is necessary to be able to predict the performance as a function of design decisions and constraints. A methodology has been developed to predict the accuracy with which the volume-integrated total radiated power can be estimated from the measurements by a resistive bolometer diagnostic, considering, in particular, its line-of-sight geometry, étendues of individual lines of sight, bolometer-sensor characteristics, and the expected noise level that can be obtained with its electronics and signal chain. The methodology depends on a number of assumptions in order to arrive at analytical expressions but does not restrict the final implementation of data-processing of the diagnostic measurements. The methodology allows us to predict the performance in terms of accuracy, total-radiated power level, and frequency or time resolution and to optimize bolometer-sensor characteristics for a set of performance requirements. This is illustrated for the bolometer diagnostic that is being designed for the ITER experiment. The reasonableness, consequences, and limitations of the assumptions are discussed in detail.

8.
Rev Sci Instrum ; 95(7)2024 Jul 01.
Article in English | MEDLINE | ID: mdl-39082890

ABSTRACT

Ambient pressure may influence the thermal path between the absorber and heat sink of resistive bolometers and thus impact the calibration parameters. This effect is investigated for metal resistive bolometer sensors as used in bolometer diagnostics on fusion experiments. Measurements in the test facility IBOVAC indicate that pressure has no effect up to 10-3 mbar. However, a significant change in the cooling time constant is observed for pressures above 10-2 mbar, a reduction up to a factor of three at 1 mbar. The measurements performed in N2 and He atmospheres and simulations in H2 indicate no difference between the results from different gas species up to 10-3 mbar and less than 10 % up to 0.1 mbar. A model based on the thermal conductivity of the surrounding gas combined with the geometry of the sensor holder successfully demonstrates that the additional cooling path through the gas, which may vary between the measurement and reference absorbers, can explain the measurement results. Applying the model to the geometry of a sensor holder designed for port-mounted bolometer cameras in ITER led to design modifications that should help reduce the impact of high environmental pressures on the bolometer measurements. Similarly, it can be assumed that applying the model to the geometries and sensors of operating bolometer diagnostics can help correct the measurements and improve the understanding of plasma radiation in the case of high pressures at the location of bolometer sensors.

9.
Rev Sci Instrum ; 95(7)2024 Jul 01.
Article in English | MEDLINE | ID: mdl-39058269

ABSTRACT

Hot cathode ionization gauges will measure the neutral gas pressure in the vacuum vessel of ITER. Overall, 52 gauge heads based on the concept of the ASDEX pressure gauge but using novel ZrC emitters are located in the divertor, in equatorial ports and in pumping ducts. The initial lifetime tests of the novel gauge design have raised the concern that the pyrolytic graphite used to indirectly heat the ceramic ZrC emitter erodes too fast during operation. This effect might limit the lifetime of the gauges below the limits acceptable according to the inherent availability (ignoring operational delays) requirement of 99.8% for the diagnostic system over the lifetime of ITER. Long term operation tests have been performed using 0.1 mm thick W, Ir, and Mo foils as an interlayer between the pyrolytic graphite and the ZrC within a constant atmosphere of 20 Pa H2. The longest lifetime of 860 h has been achieved with the Ir foil. Subsequent vibration tests applying accelerations on a shaker with magnitudes typical for seismic and ITER disruption loads demonstrated that the emitter can survive such demanding loads even after far-progressed erosion of the pyrolytic graphite. Additional ON/OFF cycle tests demonstrated that the gauge is still fully operational. In combination with a revision and consolidation of the operational plan and the reliability, accessibility, maintainability, and inspectability (RAMI) analysis, ITER's inherent availability requirement for the diagnostic system could be demonstrated successfully.

10.
HNO ; 61(1): 38-45, 2013 Jan.
Article in German | MEDLINE | ID: mdl-23272323

ABSTRACT

BACKGROUND: In terms of sound acceptance and tinnitus-masking efficacy, tinnitus sound therapy appears to be more effective using dynamic natural sounds than static noise signals. The aim of this study was to systematically determine the effects of physical dynamics parameters on tinnitus masking and sound acceptance. MATERIALS AND METHODS: Based on a dynamic model, noise signals with different dynamic properties were synthesized and used to investigate minimal masking levels (MMLs) and spontaneous sound acceptance in six tinnitus patients. RESULTS: High signal dynamics resulted in high MMLs and low sound acceptance. In some instances, low signal dynamics gave rise to slightly lower MMLs than white noise. Despite unfavourable MMLs, natural dynamic sounds were better accepted than synthesized sounds with comparable dynamics. CONCLUSIONS: The higher spontaneous acceptance of natural sounds as compared to white noise appears not to be due solely to physical sound properties, but rather to result primarily from psychological factors. It may be possible to improve sound acceptance in tinnitus sound therapy by using signals with low amounts of dynamics and implementing the use of natural sounds.


Subject(s)
Acoustic Stimulation/instrumentation , Acoustic Stimulation/methods , Patient Acceptance of Health Care/psychology , Sound Spectrography , Tinnitus/psychology , Tinnitus/therapy , Adult , Female , Humans , Male , Middle Aged , Patient Satisfaction , Perceptual Masking
11.
HNO ; 59(7): 689-95, 2011 Jul.
Article in German | MEDLINE | ID: mdl-21509624

ABSTRACT

BACKGROUND: Elderly persons frequently complain about problems with speech understanding especially in complex acoustic situations. Besides hearing impairment the decline of cognitive functions might explain these problems. METHODS: In 12 normal hearing young subjects and 14 elderly listeners with extraordinarily good hearing speech perception was measured in a broad range of different acoustic situations. Cognitive functioning was evaluated with different neuropsychological tests. RESULTS: Despite comparable pure tone thresholds the elderly listeners revealed worse speech discrimination than the young subjects in almost all test situations. Largest differences were found in situations with fluctuating maskers and competing talkers. Most of the speech perception results revealed significant correlations with the outcome from a neuropsychological test addressing declarative verbal memory. CONCLUSIONS: In complex listening situations elderly persons reveal worse speech understanding than younger subjects. Differences in speech perception can partly be attributed to cognitive abilities. In particular, working memory seems to be an important factor.


Subject(s)
Cognition Disorders/diagnosis , Cognition Disorders/physiopathology , Cognition , Hearing Disorders/diagnosis , Hearing Disorders/physiopathology , Speech Perception , Adolescent , Adult , Aged , Cognition Disorders/complications , Female , Hearing Disorders/complications , Humans , Male , Middle Aged , Young Adult
12.
HNO ; 57(7): 678-84, 2009 Jul.
Article in German | MEDLINE | ID: mdl-19517081

ABSTRACT

BACKGROUND: The Functioning After Pediatric Cochlear Implantation (FAPCI) instrument was recently developed to determine the communicative performance of 2-5-year-old prelingually deafened, cochlear-implanted children. Because of its high reliability and validity, as well as possible additional information compared with existing questionnaires, the 23-item parent-proxy questionnaire was translated from U.S. English to German prior to validation. MATERIAL AND METHODS: Initially, the German inventory was qualitatively developed by experts in audiology and speech pathology in collaboration with a professional American translator. Based on a sample of parents' responses, the outcome was quantitatively validated using psychometric methods (Cronbach's alpha, principal components analysis). Finally, the nomological validity was verified by correlating the overall FAPCI value with an external criterion (i.e., hearing age). RESULTS: For almost all age groups, Cronbach's alpha exceeded the minimum value of the original study (0.86). Principal components analysis revealed a two-factor solution (speech perception/production). The fitting of a nonparametric regression line to the data points showed that the total FAPCI score was positively associated with the time of implant use. CONCLUSION: The results show concordance between the German and the English versions of the FAPCI. The two instruments agree in reliability as well as in validity. The suitability of the German version in the clinical and therapeutic routine needs to be confirmed in further investigations.


Subject(s)
Cochlear Implants , Deafness/diagnosis , Deafness/rehabilitation , Hearing Tests/methods , Recovery of Function , Surveys and Questionnaires , Child, Preschool , Humans , Male , Reproducibility of Results , Sensitivity and Specificity , Treatment Outcome
13.
HNO ; 57(7): 671-7, 2009 Jul.
Article in German | MEDLINE | ID: mdl-19517083

ABSTRACT

BACKGROUND: Informational masking (IM) refers to the problem of understanding target speech in the simultaneous presence of a masking speech signal. The adverse effects are attributable to the additional information provided by the competing talker. Cochlear implant (CI) recipients are not able to understand speech satisfactorily in situations such as these. The aim of the present study is to examine the extent to which CI recipients are able to use differences between the speakers with respect to level (target-to-masker ratio, TMR) and fundamental frequency (f0) in order to improve speech intelligibility. SUBJECTS AND METHODS: Target (TS) and masker sentences (MS) were selected from the Oldenburg Sentence Test (OlSa) and were modified and superimposed. The TS were explicitly labelled using a keyword. The MS were changed with respect to TMR and f0. The TS intelligibility of different modifications was measured in six post-lingually deafened CI recipients and six normal listeners (NL). RESULTS: The NL revealed speech understanding close to 100% even for small differences in f0 of 40 Hz or level differences of 5 dB. In CI recipients, a significant change in intelligibility could only be demonstrated with increased TMR, but not with differences in f0. CONCLUSIONS: In CI recipients, IM cannot be reduced by means of differences in f0 between the competing talkers, but only by level differences. This might be explained by the restricted spectral resolution and the insufficient transmission of f0 in CIs. Adverse effects in NL can predominantly be attributed to IM, while additional masking effects take place in CI recipients.


Subject(s)
Cochlear Implants , Deafness/diagnosis , Deafness/rehabilitation , Hearing Tests/methods , Perceptual Masking , Adult , Female , Humans , Male , Middle Aged , Treatment Outcome
14.
HNO ; 56(3): 340-8, 2008 Mar.
Article in German | MEDLINE | ID: mdl-17579822

ABSTRACT

BACKGROUND: Prosody reflects rhythmic and melodic aspects in speech and is one of the quality measures that shows--apart from pure speech understanding--a rising interest in the assessment of technical hearing aids, especially of cochlear implants. At present, there is no adequate test battery for the German speaking population. The test battery presented in this study aims to fill this gap. METHODS: The test battery consists of four different modules addressing different prosodic cues, namely duration, question vs statement, sentence stress, and speaker gender. One part of the test battery aims at reflecting everyday situations and was realized with six different speakers representing various pitch frequencies and speak rates. Another goal of the tests is to detect very small differences in prosody perception. Therefore, natural utterances were artificially modified by changing the underlying acoustic parameters (e.g. duration, fundamental frequency). Measurements were performed with 12 normal listeners in order to investigate the properties of the tests. RESULTS: As expected, the normal listeners revealed discrimination rates of close to 100% in that part of the test battery using natural utterances. For the part with the modified stimuli, all four modules revealed very steep discrimination functions indicating that the normal listeners were able to use very small changes in the acoustic parameters as cues for prosody perception. Moreover, the slope of the discrimination function revealed very low variability. CONCLUSIONS: Together with preliminary data from cochlear implant recipients who clearly showed different psychometric functions, the test battery seems suitable for a comprehensive evaluation of prosody perception. This facilitates future examinations of speech processing beyond the pure understanding of speech.


Subject(s)
Cochlear Implants , Deafness/diagnosis , Deafness/rehabilitation , Outcome Assessment, Health Care/methods , Speech Discrimination Tests/methods , Speech Disorders/diagnosis , Speech Disorders/rehabilitation , Acoustic Stimulation/methods , Adult , Deafness/complications , Female , Humans , Male , Reproducibility of Results , Sensitivity and Specificity , Speech Disorders/etiology , Treatment Outcome
15.
Rev Sci Instrum ; 89(10): 10E109, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30399684

ABSTRACT

The ITER bolometer diagnostic is planned to have 550 lines of sight (LOS) distributed all over the vessel. 240 channels are provided by cameras mounted in two upper ports and in one equatorial port. This paper describes the current status of the system level design of the port cameras and the solutions proposed on how to implement all required camera components while meeting a multitude of competing requirements. Sensor holders, support structures, and different apertures depending on the camera type (pinhole or collimator), cable connectors, ceramic track plates, and many mineral insulated cables have to be integrated within a restricted space envelope to guarantee functionality. The design of the internal electrical interfaces and the external mechanical mountings will be described as well. Using the example of an upper port camera with 60 LOS, the assembly of the camera components is explained and two currently discussed architecture options for the remote handling maintenance scheme in the hot cell are compared.

16.
HNO ; 55(4): 264-70, 2007 Apr.
Article in German | MEDLINE | ID: mdl-17004071

ABSTRACT

BACKGROUND AND OBJECTIVE: Prosody has a myriad of linguistic functions and involves specific aspects of speech, such as stress, intonation and pauses. The underlying acoustic quantities (amplitude envelope, pitch frequency, and temporal structure) can be processed and transmitted by cochlear implants (CI) only to a limited extent. At present, no adequate tests are available in the German-speaking world for evaluation of the perception of prosodic elements. Different experiments have been conducted to address several prosodic cues, and the results are to be used as a basis for appropriate tests. METHODS: Various prosodic materials were used for the experiments. Discrimination was measured for minimal pairs differing in frequency and/or duration, accents in words and phrases, questions versus statements and phrasing. Measurements were performed in ten normal-hearing subjects and five with cochlear implants. RESULTS AND CONCLUSIONS: In all test modules, the subjects with normal hearing proved to have high discrimination rates of 96-100%. The test of word stresses was problematic because the results were influenced by different confounders. The other measurements did prove to be basically suitable for use in the subjects with implants. Early results revealed that the subjects with CI had few problems with prosodic cues based on the temporal structure, the outcome being similar to that of the subjects with normal hearing in these tests. In contrast, the performance of subjects with CI in perceiving prosodic cues based on amplitude variations and, especially, on alterations in pitch frequency was worse, even though some of them achieved very good results in these tests too. These preliminary tests can form the basis for development of a German-language prosody test battery with a limited number of subtests addressing different prosodic cues.


Subject(s)
Acoustic Stimulation/methods , Cochlear Implants , Hearing Loss/diagnosis , Hearing Loss/therapy , Pitch Perception , Speech Discrimination Tests/methods , Speech Perception , Adult , Female , Humans , Male , Music , Reproducibility of Results , Sensitivity and Specificity , Treatment Outcome
17.
Biochim Biophys Acta ; 771(1): 103-6, 1984 Mar 28.
Article in English | MEDLINE | ID: mdl-6422985

ABSTRACT

A new precursor of a lipophilic photolabel, 2-[8-14C]naphthyl 2-diazo-3,3,3-trifluoropropionate (NADIT) has been synthesized. The suitability of the reagent for labeling the hydrophobic core of membranes is demonstrated by studying its reactivity in chromatophores of Rhodospirillum rubrum G-9+. The label binds preferentially to the phospholipids and intrinsic membrane proteins. In isolated reaction centers treated with NADIT the hydrophobic subunits M and L are more labeled than the H subunit. The high reactivity, dark stability and ease of synthesis favors this very lipophilic reagent to identify the intrinsic hydrophobic sections of membrane proteins.


Subject(s)
Affinity Labels/chemical synthesis , Diazonium Compounds/chemical synthesis , Membrane Proteins/analysis , Bacterial Chromatophores/analysis , Mass Spectrometry , Membrane Lipids/analysis , Phospholipids/analysis , Photochemistry , Rhodospirillum rubrum/analysis
18.
Phys Rev Lett ; 84(14): 3097-100, 2000 Apr 03.
Article in English | MEDLINE | ID: mdl-11019021

ABSTRACT

Internal transport barriers have been demonstrated to exist also under conditions with T(e) approximately T(i) approximately 10 keV and predominant electron heating of the tokamak core region. Central electron cyclotron heating was added to neutral beam injection-heated ASDEX Upgrade discharges with a preexisting internal transport barrier, established through programmed current ramping leading to shear reversal. Compared to a reference internal transport barrier discharge without electron cyclotron resonance heating, the electron heat conductivity in the barrier region was found not to increase, in spite of a fivefold increase in electron heat flux, and also angular momentum and ion energy transport did not deteriorate.

19.
Histol Histopathol ; 14(3): 845-60, 1999 07.
Article in English | MEDLINE | ID: mdl-10425555

ABSTRACT

This review gives information about localization and types of MFH in man and animals such as mouse, rat, cat, dog, opossum, cattle, horse and birds [e.g. mallard (a wild duck)]. Furthermore, this paper reports about cell culture dealing with MFH. The aim of this publication is to show that MFH originates from a primitive mesenchymal stem cell, fibroblastoid cell and fibroblasts. Histiocytes are, according to the literature in a small amount constituents of MFH and are reactive cells or without any meaning. In our own studies using rats [strain: Chbb: THOM (SPF)] the characteristic storiform or cartwheel pattern of tumour cells were evident. The cells were elongated, rich in endoplasmic reticulum and possessed no or very few lysosomes. The cells were predominantly fibroblasts and fibroblastoid cells. These cells were intermingled with giant cells. In other species mentioned above, the MFH showed very similar histological features. Our own results and findings obtained from the literature support our concept that the MFH represents a primitive phenotype or pleomorphic sarcoma which may differentiate in one or more directions. Histiocytes are not a neoplastic component.


Subject(s)
Histiocytoma, Benign Fibrous , Animals , Diagnosis, Differential , Histiocytoma, Benign Fibrous/classification , Histiocytoma, Benign Fibrous/diagnosis , Histiocytoma, Benign Fibrous/etiology , Histiocytoma, Benign Fibrous/pathology , Humans
20.
Pathol Res Pract ; 164(3): 259-69, 1979 Jan.
Article in English | MEDLINE | ID: mdl-461233

ABSTRACT

In histological examination of gastrectomy specimens from patients with duodenal ulcer, gastric ulcer, and early and advanced cancer, both chronic atrophic gastritis and intestinal metaplasia were identified in 54% of the cases with duodenal ulcer. At 90 to 100%, respectively, these mucosal changes were approximately twice as frequent with gastric ulcer and early and advanced gastric cancer. Mild dysplasia occurred in 54% of the cases with duodenal ulcer; occurred somewhat more frequently with gastric ulcer, in 75% of the cases; and in almost all cases with early and advanced gastric cancer, at 90% and 100%, respectively. Whereas 27% of the cases with duodenal ulcer, 62% with gastric ulcer, and 90% and 95% of the respective cases with early and advanced gastric cancer showed moderate dysplasia, only severe dysplasia in early gastric cancer (40%) and advanced gastric (81%) was clearly more frequent in comparison to duodenal ulcer (9%) and gastric ulcer (12%). In the cases with duodenal ulcer chronic atrophic gastritis and intestinal metaplasia were limited mostly to the antrum; with gastric ulcer and cancerous stomach disorders, they also occurred in other stomach sections. Mild and moderate dysplasia conformed to the same distribution pattern. Severe dysplasia, which was only detected in two ulcer cases, was not only substantially more frequent in cases with early and advanced gastric cancer, but also showed a clear topographic relationship to cancer localization in the stomach.


Subject(s)
Duodenal Ulcer/pathology , Gastritis/pathology , Stomach Neoplasms/pathology , Stomach Ulcer/pathology , Aged , Atrophy/pathology , Humans , Metaplasia/pathology , Middle Aged , Precancerous Conditions/pathology
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