Additively manufactured, solid object structures for adjustable image contrast in Magnetic Resonance Imaging.

The choice of materials challenges the development of Magnetic Resonance Imaging (MRI) phantoms and, to date, is mainly limited to water-filled compartments or gel-based components. Recently, solid materials have been introduced through additive manufacturing (AM) to mimic complex geometrical structures. Nonetheless, no such manufactured solid materials are available with controllable MRI contrast to mimic organ substructures or lesion heterogeneities. Here, we present a novel AM design that allows MRI contrast manipulation by varying the partial volume contribution to a ROI/voxel of MRI-visible material within an imaging object. Two sets of 11 cubes and three replicates of a spherical tumour model were designed and printed using AM. Most samples presented varying MRI-contrast in standard MRI sequences, based mainly on spin density and partial volume signal variation. A smooth and continuous MRI-contrast gradient could be generated in a single-compartment tumour model. This concept supports the development of more complex MRI phantoms that mimic the appearance of heterogeneous tumour tissues.

Transverse Relaxation Anisotropy of the Achilles and Patellar Tendon Studied by MR Microscopy.

BACKGROUND: T2 * anisotropy affects the clinical assessment of tendons (magic-angle artifact) and may be a source of T2 *-misinterpretation. PURPOSE: To analyze T2 *-anisotropy and T2 *-decay of Achilles and patellar tendons in vitro at microscopic resolution using a variable-echo-time (vTE) sequence. STUDY TYPE: Prospective. SPECIMEN: Four human Achilles and four patellar tendons. FIELD STRENGTH/SEQUENCE: A 7 T MR-microscopy; 3D-vTE spoiled-gradient-echo-sequence (T2 *-mapping). ASSESSMENT: All tendons were measured at 0° and 55° relative to B0 . Additional angles were measured for one Achilles and one patellar tendon for a total of 11 angles ranging from 0° to 90°. T2 *-decay was analyzed with mono- and bi-exponential signal fitting. Mono-exponential T2 *-values (T2 *m ), short and long T2 *-components (T2 *s , T2 *l ), and the fraction of the short component Fs of the bi-exponential T2 *-fit were calculated. T2 *-decay characteristics were compared with morphological MRI and histologic findings based on a region-of-interest analysis. STATISTICAL TESTS: Akaike information criterion (AICC ), F-test, and paired t-test. A P value smaller than the α-level of 0.05 was considered statistically significant. RESULTS: T2 *m -values between fiber-to-field angles of 0° and 55° were increased on average from T2 *m (0°) = 1.92 msec to T2 *m (55°) = 29.86 msec (15.5-fold) in the Achilles and T2 *m (0°) = 1.46 msec to T2 *m (55°) = 23.33 msec (16.0-fold) in the patellar tendons. The changes in T2 *m -values were statistically significant. For the whole tendon, according to F-test and AICC , a bi-exponential model was preferred for angles close to 0°, while the mono-exponential model tended to be preferred at angles close to 55°. CONCLUSION: MR-microscopy provides a deeper insight into the relationship between T2 *-decay (mono- vs. bi-exponential model) and tendon heterogeneity. Changes in fiber-to-field angle result in significant changes in T2 *-values. Thus, we conclude that awareness of T2 *-anisotropy should be noted in quantitative T2 *-mapping of tendons to avoid T2 *-misinterpretation such as a false positive detection of degeneration due to large fiber-to-field angles. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 2.

Microbiological Surveillance of Biogas Plants: Targeting Acetogenic Community.

Acetogens play a very important role in anaerobic digestion and are essential in ensuring process stability. Despite this, targeted studies of the acetogenic community in biogas processes remain limited. Some efforts have been made to identify and understand this community, but the lack of a reliable molecular analysis strategy makes the detection of acetogenic bacteria tedious. Recent studies suggest that screening of bacterial genetic material for formyltetrahydrofolate synthetase (FTHFS), a key marker enzyme in the Wood-Ljungdahl pathway, can give a strong indication of the presence of putative acetogens in biogas environments. In this study, we applied an acetogen-targeted analyses strategy developed previously by our research group for microbiological surveillance of commercial biogas plants. The surveillance comprised high-throughput sequencing of FTHFS gene amplicons and unsupervised data analysis with the AcetoScan pipeline. The results showed differences in the acetogenic community structure related to feed substrate and operating parameters. They also indicated that our surveillance method can be helpful in the detection of community changes before observed changes in physico-chemical profiles, and that frequent high-throughput surveillance can assist in management towards stable process operation, thus improving the economic viability of biogas plants. To our knowledge, this is the first study to apply a high-throughput microbiological surveillance approach to visualise the potential acetogenic population in commercial biogas digesters.

Clinical radiotherapy application of N-vinylpyrrolidone-containing 3D polymer gel dosimeters with remote external MR-reading.

PURPOSE: Advanced 3D dosimetry is required for verifications of complex dose distributions in modern radiotherapy. Two 3D polymer gel dosimeters, coupled with magnetic resonance (MR) imaging (3 T MRI) readout and data processing with polyGeVero® software, were tested for the verification of calculated 3D dose distributions by a treatment planning system (TPS) and ArcCHECK®-3DVH®, related to eradication of a lung tumour. METHODS: N-vinylpyrrolidone-containing 3D polymer gel dosimeters were used: VIC (containing ascorbic acid and copper sulfate pentahydrate) and VIC-T (containing tetrakis(hydroxymethyl)phosphonium chloride). Three remote centers were involved in the dosimeters preparation and irradiation (Poland), and MRI (Austria). Cross beam calibration of the dosimeters and verification of a 3D dose distribution calculated with an Eclipse External Beam TPS and ArcCHECK®-3DVH® were performed. The 3D-to-3D comparisons of the VIC and VIC-T with TPS and ArcCHECK®-3DVH® along with ArcCHECK®-3DVH® versus TPS dose matrixes were performed with the aid of the polyGeVero® by analyzing dose profiles, isodoses lines, gamma index, gamma angle, dose difference, and related histograms. RESULTS: The measured MR-relaxation rate (R2 = 1/T2) for the dosimeters relates to the dose, as follows: R2 = 0.0928 ± 0.0008 [Gy-1 s-1] × D [Gy] + 2.985 ± 0.012 [s-1] (VIC) and 0.1839 ± 0.0044 [Gy-1 s-1] × D [Gy] + 2.519 ± 0.053 [s-1] (VIC-T). The 3D-to-3D comparisons revealed a good agreement between the measured and calculated 3D dose distributions. CONCLUSIONS: VIC and VIC-T with 3T MRI readout and polyGeVero® showed potential for verifications of calculated irradiation plans. The results obtained suggest the implementation of the irradiation plan for eradication of the lung tumour.

Basic Properties of a New Polymer Gel for 3D-Dosimetry at High Dose-Rates Typical for FFF Irradiation Based on Dithiothreitol and Methacrylic Acid (MAGADIT): Sensitivity, Range, Reproducibility, Accuracy, Dose Rate Effect and Impact of Oxygen Scavenger.

The photon induced radical-initiated polymerization in polymer gels can be used for high-resolution tissue equivalent dosimeters in quality control of radiation therapy. The dose (D) distribution in radiation therapy can be measured as a change of the physical measurement parameter T2 using T2-weighted magnetic resonance imaging. The detection by T2 is relying on the local change of the molecular mobility due to local polymerization initiated by radicals generated by the ionizing radiation. The dosimetric signals R2 = 1/T2 of many of the current polymer gels are dose-rate dependent, which reduces the reliability of the gel for clinical use. A novel gel dosimeter, based on methacrylic acid, gelatin and the newly added dithiothreitol (MAGADIT) as an oxygen-scavenger was analyzed for basic properties, such as sensitivity, reproducibility, accuracy and dose-rate dependence. Dithiothreitol features no toxic classification with a difference to THPC and offers a stronger negative redox-potential than ascorbic acid. Polymer gels with three different concentration levels of dithiothreitol were irradiated with a preclinical research X-ray unit and MR-scanned (T2) for quantitative dosimetry after calibration. The polymer gel with the lowest concentration of the oxygen scavenger was about factor 3 more sensitive to dose as compared to the gel with the highest concentration. The dose sensitivity (α = ∆R2/∆D) of MAGADIT gels was significantly dependent on the applied dose rate D ˙ (≈48% reduction between D ˙ = 0.6 Gy/min and D ˙ = 4 Gy/min). However, this undesirable dose-rate effect reduced between 4-8 Gy/min (≈23%) and almost disappeared in the high dose-rate range (8 ≤   D ˙ ≤   12 Gy/min) used in flattening-filter-free (FFF) irradiations. The dose response varied for different samples within one manufacturing batch within 3%-6% (reproducibility). The accuracy ranged between 3.5% and 7.9%. The impact of the dose rate on the spatial integrity is demonstrated in the example of a linear accelerator (LINAC) small sized 5 × 10 mm2 10 MV photon field. For MAGADIT the maximum shift in the flanks in this field is limited to about 0.8 mm at a FFF dose rate of 15 Gy/min. Dose rate sensitive polymer gels likely perform better at high dose rates; MAGADIT exhibits a slightly improved performance compared to the reference normoxic polymer gel methacrylic and ascorbic acid in gelatin initiated by copper (MAGIC) using ascorbic acid.

The Influence of Magnetic Fields (0.05 T ≤ B ≤ 7 T) on the Response of Personal Thermoluminescent Dosimeters to Ionizing Radiation.

We investigated the main question of whether thermoluminescent dosimeters indicate the correct dose when exposed to magnetic fields from low stray fields up to high magnetic resonance imaging fields inside human magnetic resonance imaging scanners (0.05 T ≤ B ≤ 7 T) during and after irradiation. Medical personnel working in radiology, oncology, or nuclear medicine are regularly monitored with thermoluminescent dosimeters. They might also enter the magnetic field of a magnetic resonance imaging scanner while supervising patients as well as during positron emission tomography-magnetic resonance imaging and magnetic resonance imaging-linac integrated imaging systems and will therefore be exposed to the magnetic fields of magnetic resonance imaging scanners and low stray fields of several millitesla outside of the magnetic resonance imaging scanner, not only before and after, but also during irradiation. Panasonic thermoluminescent dosimetry badges and ring dosimeters for personal monitoring were exposed to magnetic fields originating from a 7 T and a 3 T magnetic resonance imaging scanner as well as neodymium permanent magnets. Four different sealed Cs sources were used in two sets of experiments: (1) magnetically induced fading: irradiated thermoluminescent dosimeters (D ≈ 100 mSv) were exposed to a strong magnetic field (B = 7 T) of a human high-field magnetic resonance imaging scanner after irradiation; no magnetically induced fading (magnetoluminescence) for LiBO:Cu or CaSO:Tm was observed; (2) magnetically induced attenuation: thermoluminescent dosimeters were placed during irradiation in a magnetic field for about 60 h; a significantly reduced dose response was observed for LiBO:Cu-interestingly not at maximum B ≈ 7 T but at B ≈ 0.2 T. This experimental observation is possibly relevant especially for medical and technical personnel in nuclear medicine before and during a magnetic resonance imaging scanning procedure. Follow-up studies need to be made to clarify the kinetics of this effect.

Orientation dependence and decay characteristics of T2 * relaxation in the human meniscus studied with 7 Tesla MR microscopy and compared to histology.

PURPOSE: To evaluate: (1) the feasibility of MR microscopy T2 * mapping by performing a zonal analysis of spatially matched T2 * maps and histological images using microscopic in-plane pixel resolution; (2) the orientational dependence of T2 * relaxation of the meniscus; and (3) the T2 * decay characteristics of the meniscus by statistically evaluating the quality of mono- and biexponential model. METHODS: Ultrahigh resolution T2 * mapping was performed with ultrashort echo time using a 7 Tesla MR microscopy system. Measurement of one meniscus was performed at three orientations to the main magnetic field (0, 55, and 90°). Histological assessment was performed with picrosirius red staining and polarized light microscopy. Quality of mono- and biexponential model fitting was tested using Akaike Information Criteria and F-test. RESULTS: (1) The outer laminar layer, connective tissue fibers from the joint capsule, and the highly organized tendon-like structures were identified using ultra-highly resolved MRI. (2) Highly organized structures of the meniscus showed considerable changes in T2 * values with orientation. (3) No significant biexponential decay was found on a voxel-by-voxel-based evaluation. On a region-of-interest-averaged basis, significant biexponential decay was found for the tendon-like region in a fiber-to-field angle of 0°. CONCLUSION: The MR microscopy approach used in this study allows the identification of meniscus substructures and to quantify T2 * with a voxel resolution approximately 100 times higher than previously reported. T2 * decay showed a strong fiber-to-field angle dependence reflecting the anisotropic properties of the meniscal collagen fibers. No clear biexponential decay behavior was found for the meniscus substructures.

The impact of the oxygen scavenger on the dose-rate dependence and dose sensitivity of MAGIC type polymer gels.

Recent developments in radiation therapy aimed at more precise dose delivery along with higher dose gradients (dose painting) and more efficient dose delivery with higher dose rates e.g. flattening filter free (FFF) irradiation. Magnetic-resonance-imaging based polymer gel dosimetry offers 3D information for precise dose delivery techniques. Many of the proposed polymer gels have been reported to exhibit a dose response, measured as relaxation rate ΔR2(D), which is dose rate dependent. A lack of or a reduced dose-rate sensitivity is very important for dosimetric accuracy, especially with regard to the increasing clinical use of FFF irradiation protocols with LINACs at high dose rates. Some commonly used polymer gels are based on Methacrylic-Acid-Gel-Initiated-by-Copper (MAGIC). Here, we report on the dose sensitivity (ΔR2/ΔD) of MAGIC-type gels with different oxygen scavenger concentration for their specific dependence on the applied dose rate in order to improve the dosimetric performance, especially for high dose rates. A preclinical x-ray machine ('Yxlon', E = 200 kV) was used for irradiation to cover a range of dose rates from low [Formula: see text] min = 0.6 Gy min-1 to high [Formula: see text] max = 18 Gy min-1. The dose response was evaluated using R2-imaging of the gel on a human high-field (7T) MR-scanner. The results indicate that all of the investigated dose rates had an impact on the dose response in polymer gel dosimeters, being strongest in the high dose region and less effective for low dose levels. The absolute dose rate dependence [Formula: see text] of the dose response in MAGIC-type gel is significantly reduced using higher concentrations of oxygen scavenger at the expense of reduced dose sensitivity. For quantitative dose evaluations the relative dose rate dependence of a polymer gel, normalized to its sensitivity is important. Based on this normalized sensitivity the dose rate sensitivity was reduced distinctly using an increased oxygen scavenger concentration with reference to standard MAGIC-type gel formulation at high dose rate levels. The proposed gel composition with high oxygen scavenger concentration exhibits a larger linear active dose response and might be used especially in FFF-radiation applications and preclinical dosimetry at high dose rates. We propose in general to use high dose rates for calibration and evaluation as the change in relative dose sensitivity is reduced at higher dose rates in all of the investigated gel types.

Pathophysiological rat model of vascular dementia: magnetic resonance spectroscopy, microimaging and behavioral study.

Chronic cerebral hypoperfusion and aging can be related to vascular dementia manifested by the decline in cognitive abilities and memory impairment. The identification of specific biomarkers of vascular disorder in early stages is important for the development of neuroprotective agents. In the present study, a three-vessel occlusion (3-VO) rat model of vascular dementia in the middle-aged rat brain was used to investigate the effect of global cerebral hypoperfusion. A multimodal study was performed using magnetic resonance spectroscopy, MR-microimaging, histology and behavioral tests. Our measurements showed a signal alteration in T2-weighted MR images, the elevation of T2 relaxation times and histologically proven neural cell death in the hippocampal area, as well as mild changes in concentration of proton and phosphorus metabolites. These changes were accompanied by mild behavioral alterations in the open field and slightly decreased habituation. The analysis of the effects of vascular pathology on cognitive functions and neurodegeneration can contribute to the development of new treatment strategies for early stages of neurodegeneration.

Biogas production from N-methylmorpholine-N-oxide (NMMO) pretreated forest residues.

Lignocellulosic biomass represents a great potential for biogas production. However, a suitable pretreatment is needed to improve their digestibility. This study investigates the effects of an organic solvent, N-Methylmorpholine-N-oxide (NMMO) at temperatures of 120 and 90 °C, NMMO concentrations of 75 and 85% and treatment times of 3 and 15 h on the methane yield. The long-term effects of the treatment were determined by a semicontinuous experiment. The best results were obtained using 75% NMMO at 120 °C for 15 h, resulting in 141% increase in the methane production. These conditions led to a decrease by 9% and an increase by 8% in the lignin and in the carbohydrate content, respectively. During the continuous digestion experiments, a specific biogas production rate of 92 NmL/gVS/day was achieved while the corresponding rate from the untreated sample was 53 NmL/gVS/day. The operation conditions were set at 4.4 gVS/L/day organic loading rate (OLR) and hydraulic retention time (HRT) of 20 days in both cases. NMMO pretreatment has substantially improved the digestibility of forest residues. The present study shows the possibilities of this pretreatment method; however, an economic and technical assessment of its industrial use needs to be performed in the future.

Cyanobacteria as a source of hydrogen for methane formation.

In a study during the 1970s co-variation of nitrogenase activity and methane formation associated with Sphagnum riparium was observed. This was suggested as evidence for a possible mechanism of hydrogen transfer from cyanobacteria to methanogens. We show experimentally that such a pathway is feasible. In a series of laboratory experiments, using a hydrogenase deficient strain of the heterocystous cyanobacterium Nostoc punctiforme and the hydrogenotrophic methanogen Methanospirillum hungateii in co-cultures, increasing light intensities resulted in elevated nitrogenase activity and methane production. The increase in methane production can be directly deduced from the nitrogenase activity of the N. punctiforme based on hydrogen balance calculations. These experimental results clearly suggest the possible existence of a novel photosynthetically regulated pathway for methane formation.

Terahertz time-domain spectroscopy for monitoring the curing of dental composites.

We apply terahertz (THz) time-domain spectroscopy for monitoring the curing process of three different light-curing dental composites. Exact knowledge of the sample thickness is required for a precise determination of the THz dielectric parameters, as the materials exhibit shrinkage when they are cured. We find very small but significant changes of the THz refractive index and absorption coefficient during stepwise light exposure. The changes in the refractive index are correlated with changes in the density of the materials. Furthermore, the refractive index and the sample thickness are found to give the most reliable result for monitoring the curing process of the dental composites.

Two-year follow-up of an interdisciplinary cognitive-behavioral intervention program for obese adults.

Intervention programs for treating adiposity which focus on dietary change and physical exercise often do not lead to the desired long-term reduction in weight. This article reports on the effectiveness of M.O.B.I.L.I.S., a standardized theory-driven intervention program. Participants are taught cognitive-behavioral strategies of goal setting, action planning, barrier management, and self-monitoring. Persons with obesity (N=316) responded to a public advertisement to participate in the intervention program (IG) or comparison group (CG; quasi-experimental design). Assessments were conducted at four time points, with the last assessment being conducted two years after baseline. At the 24-month follow-up, the IG showed weight loss of 5.57%, whereas the CG lost 1.12% of their weight (t1-t4, p < .01). The results yielded significant interaction terms (group x time), indicating that the intervention had a substantial effect on food choice and level of physical exercise (p < .01). The IG showed significantly enhanced self-efficacy, stronger goal intentions, and more detailed implementation intentions than the CG at follow-ups. The intervention program has the potential to evoke enduring changes in the cognitions we hypothesized to be responsible for inducing obese adults to begin and continue regular exercise and healthy eating behavior, resulting in substantial weight loss.

Effects of spontaneous breathing during airway pressure release ventilation on cerebral and spinal cord perfusion in experimental acute lung injury.

BACKGROUND: Systemic-blood flow, cerebral-blood flow, and spinal cord blood flow can be affected by mechanical ventilation. We investigated the effect of spontaneous breathing on cerebral and spinal blood flow during airway pressure release ventilation (APRV) with and without spontaneous breathing. METHODS: Twelve pigs with oleic-acid-induced lung injury were ventilated with APRV with or without spontaneous breathing in random order. Without spontaneous breathing, either the upper airway pressure limit of mechanical ventilation or the ventilator rate was increased to maintain pH and PaCO2 constant. Systemic hemodynamic parameters were determined by the double indicator dilution method, cerebral and spinal cord blood flow was measured with colored microspheres. STATISTICS: ANOVA+Newmann-Keuls-test. RESULTS: As compared with APRV without spontaneous breathing and high tidal volume (V(T)) spontaneous breathing during APRV showed higher systemic blood flow and perfusion of the basal ganglia, frontal lobe, hippocampus, brain stem, temporal lobe, thalamus (all P<0.001), cerebellum, spinal cord (all P<0.01), and the central cortical region (P<0.05). During APRV without spontaneous breathing and low V(T) blood flow was lower in the basal ganglia, frontal lobe, hippocampus (all P<0.01), and temporal lobe (P<0.05) whereas perfusion of the thalamus, central cortical region, brain stem, cerebellum, and spinal cord were not different compared with APRV with spontaneous breathing. CONCLUSIONS: In parallel with higher systemic blood flow regional cerebral and spinal cord blood flow were also higher when spontaneous breathing was maintained during APRV. The higher regional blood flow by maintaining spontaneous breathing was more pronounced when compared with full ventilatory support using high V(T).

Effects of magnetic resonance image interpolation on the results of texture-based pattern classification: a phantom study.

OBJECTIVES: To (1) determine whether magnetic resonance (MR) image interpolation at the pixel or k-space level can improve the results of texture-based pattern classification, and (2) compare the effects of image interpolation on texture features of different categories, with regard to their ability to distinguish between different patterns. MATERIALS AND METHODS: We obtained T2-weighted, multislice multiecho MR images of 2 sets of each 3 polystyrene spheres and agar gel (PSAG) phantoms with different nodular patterns (sphere diameter: PSAG-1, 0.8-1.25 mm; PSAG-2, 1.25-2.0 mm; PSAG-3, 2.0-3.15 mm), using a 3.0 Tesla scanner equipped with a dedicated microimaging gradient insert. Image datasets, which consisted of 20 consecutive axial slices each, were obtained with a constant field of view (30 x 30 mm(2)), but with variations of matrix size (MTX): 16 x 16; 32 x 32; 64 x 64; 128 x 128; and 256 x 256. Original images were interpolated to higher matrix sizes (up to 256 x 256) by means of linear and cubic B-spline (pixel level) as well as zero-fill (k-space level) interpolation. For both original and interpolated image datasets, texture features derived from the co-occurrence (COC) and run-length matrix (RUN), absolute gradient (GRA), autoregressive model, and wavelet transform (WAV) were calculated independently. Based on the 3 best texture features of each category, as determined by calculation of Fisher coefficients using images from the first set of PSAG phantoms (training dataset), k-means clustering was performed to separate PSAG-1, PSAG-2, and PSAG-3 images belonging to the second set of phantoms (test dataset). This was done independently for all original and interpolated image datasets. Rates of misclassified data vectors were used as primary outcome measures. RESULTS: For images based on a very low original resolution (MTX = 16 x 16), misclassification rates remained high, despite the use of interpolation. For higher resolution images (MTX = 32 x 32 and 64 x 64), interpolation enhanced the ability of texture features, in all categories except WAV, to discriminate between the 3 phantoms. This positive effect was particularly pronounced for COC and RUN features, and to a lesser degree, also GRA features. No consistent improvements, and even some negative effects, were observed for WAV features, after interpolation. Although there was no clear superiority of any single interpolation techniques at very low resolution (MTX = 16 x 16), zero-fill interpolation outperformed the two pixel interpolation techniques, for images based on higher original resolutions (MTX = 32 x 32 and 64 x 64). We observed the most considerable improvements after interpolation by a factor of 2 or 4. CONCLUSIONS: MR image interpolation has the potential to improve the results of pattern classification, based on COC, RUN, and GRA features. Unless spatial resolution is very poor, zero-filling is the interpolation technique of choice, with a recommended maximum interpolation factor of 4.

The spatial resolution in dosimetry with normoxic polymer-gels investigated with the dose modulation transfer approach.

The verification of dose distributions with high dose gradients as appearing in brachytherapy or stereotactic radiotherapy for example, calls for dosimetric methods with sufficiently high spatial resolution. Polymer gels in combination with a MR or optical scanner as a readout device have the potential of performing the verification of a three-dimensional dose distribution within a single measurement. The purpose of this work is to investigate the spatial resolution achievable in MR-based polymer gel dosimetry. The authors show that dosimetry on a very small spatial scale (voxel size: 94 x 94 x 1000 microm3) can be performed with normoxic polymer gels using parameter selective T2 imaging. In order to prove the spatial resolution obtained we are relying on the dose-modulation transfer function (DMTF) concept based on very fine dose modulations at half periods of 200 microm. Very fine periodic dose modulations of a 60Co photon field were achieved by means of an absorption grid made of tungsten-carbide, specifically designed for quality control. The dose modulation in the polymer gel is compared with that of film dosimetry in one plane via the DMTF concept for general access to the spatial resolution of a dose imaging system. Additionally Monte Carlo simulations were performed and used for the calculation of the DMTF of both, the polymer gel and film dosimetry. The results obtained by film dosimetry agree well with those of Monte Carlo simulations, whereas polymer gel dosimetry overestimates the amplitude value of the fine dose modulations. The authors discuss possible reasons. The in-plane resolution achieved in this work competes with the spatial resolution of standard clinical film-scanner systems.

Spontaneous breathing during airway pressure release ventilation in experimental lung injury: effects on hepatic blood flow.

OBJECTIVE: Positive pressure ventilation can affect systemic haemodynamics and regional blood flow distribution with negative effects on hepatic blood flow. We hypothesized that spontaneous breathing (SB) with airway pressure release ventilation (APRV) provides better systemic and hepatic blood flow than APRV without SB. DESIGN: Animal study with a randomized cross-over design. SETTING: Animal laboratory of Bonn University Hospital. SUBJECTS: Twelve pigs with oleic-acid-induced lung injury. INTERVENTIONS: APRV with or without SB in random order. Without SB, either the upper airway pressure limit or the ventilator rate was increased to maintain constant pH and PaCO2. MEASUREMENTS AND RESULTS: Systemic haemodynamics were determined by double-indicator dilution, organ blood flow by coloured microspheres. Systemic blood flow was best during APRV with SB. During APRV with SB blood flow (ml g(-1) min(-1)) was 0.91+/-0.26 (hepatic arterial), 0.29+/-0.05 (stomach), 0.64+/-0.08 (duodenum), 0.62+/-0.10 (jejunum), 0.53+/-0.07 (ileum), 0.53+/-0.07 (colon), 0.46+/-0.09 (pancreas) and 3.59+/-0.55 (spleen). During APRV without SB applying high P(aw) it decreased to 0.13+/-0.01 (stomach), 0.37+/-0.03 (duodenum), 0.29+/-0.03 (jejunum), 0.31+/-0.05 (ileum), 0.32+/-0.03 (colon) and 0.23+/-0.04 (pancreas) p<0.01, respectively. During APRV without SB applying same Paw limits it decreased to 0.18+/-0.03 (stomach, p<0.01), 0.47+/-0.06 (duodenum, p<0.05), 0.38+/-0.05 (jejunum, p<0.01), 0.36+/-0.03 (ileum, p<0.05), 0.39+/-0.05 (colon, p<0.05), and 0.27+/-0.04 (pancreas, p<0.01). Arterial liver blood flow did not change significantly when SB was abolished (0.55+/-0.11 and 0.63+/-0.11, respectively). CONCLUSIONS: Maintaining SB during APRV was associated with better systemic and pre-portal organ blood flow. Improvement in hepatic arterial blood flow was not significant.

Exercise based lifestyle intervention in obese adults: results of the intervention study m.o.B.I.L.I.s.

INTRODUCTION: Obesity is one of the greatest public health challenges of the 21st century. A combination of diet and exercise interventions have been shown to deliver stable weight reduction. M.O.B.I.L.I.S. is an interdisciplinary lifestyle modification program, aimed at lasting modification of exercise levels and diet with a view to an energy balanced lifestyle and healthy living skills. METHODS: Lifestyle changes are to be achieved via a 12-month exercise based intervention. This standardized training program is to be followed up at predetermined time intervals in a planned sample size of 4000 to 5000 obese adults (BMI 30 to 40 kg/m(2)). As target variables body weight, body mass index, and waist circumference were defined. RESULTS: One year results are now available for 32 groups and 454 obese participants. The results clearly demonstrate that lifestyle changes in obese individuals are possible and lead to an average weight reduction of 6.4 kg at 12 months. DISCUSSION: M.O.B.I.L.I.S. constitutes an effective, economic, and non-pharmacological therapy option for obese adults.

Basic investigations on the performance of a normoxic polymer gel with tetrakis-hydroxy-methyl-phosphonium chloride as an oxygen scavenger: reproducibility, accuracy, stability, and dose rate dependence.

Magnetic resonance (MR)-based polymer gel dosimetry using normoxic polymer gels, represents a new dosimetric method specially suited for high-resolution three-dimensional dosimetric problems. The aim of this study was to investigate the dose response with regard to stability, accuracy, reproducibility, and the dose rate dependence. Tetrakis-hydroxy-methyl-phosphonium chloride (THPC) is used as an oxygen scavenger, and methacrylic acid as a monomer. Accuracy, reproducibility, and dose resolution were determined for MR protocols at low spatial resolution (typical for clinical scanners), medium, and microimaging-resolution protocols at three different dose levels. The dose-response stability and preirradiation-induced variations in R2, related to the time interval between preparation and irradiation of the polymer gel, were investigated. Also postirradiation stability of the polymer gel was considered. These experiments were performed using a 60Co beam (E = 1.2 MV) in a water phantom. Moreover, we investigated the dose rate dependence in the low, medium, and saturation dose region of the normoxic polymer gel using a linear accelerator at photon energy of 25 MV. MR scanning was performed on a 3 T whole body scanner (MEDSPEC 30/80, BRUKER BIOSPIN, Ettlingen, Germany) using several coils and different gradient systems adapted to the acquired spatial resolution investigated. For T2-parameter selective imaging and determination of the relaxation rate R2 = 1/T2, a multiple spin echo sequence with 20 equidistant echoes was used. With regard to preirradiation induced variations R2 increases significantly with the increasing time interval between the polymer gel preparation and irradiation. Only a slight increase in R2 can be observed for varying the postirradiation-time solely. The dose reproducibility at voxel volumes of about 1.4 x 1.4 x 2 mm3 is better than 2%. The accuracy strongly depends on the calibration curve. THPC represents a very effective oxygen scavenger in methacrylic acid and gelatin. Polymer gels containing THPC offer high sensitivity to dose but their dose response also strongly depends on dose rate in the medium and high dose region.

High-resolution 3 T MR microscopy imaging of arterial walls.

PURPOSE: To achieve a high spatial resolution in MR imaging that allows for clear visualization of anatomy and even histology and documentation of plaque morphology in in vitro samples from patients with advanced atherosclerosis. A further objective of our study was to evaluate whether T2-weighted high-resolution MR imaging can provide accurate classification of atherosclerotic plaque according to a modified American Heart Association classification. METHODS: T2-weighted images of arteries were obtained in 13 in vitro specimens using a 3 T MR unit (Medspec 300 Avance/Bruker, Ettlingen, Germany) combined with a dedicated MR microscopy system. Measurement parameters were: T2-weighted sequences with TR 3.5 sec, TE 15-120 msec; field of view (FOV) 1.4 x 1.4; NEX 8; matrix 192; and slice thickness 600 microm. MR measurements were compared with corresponding histologic sections. RESULTS: We achieved excellent spatial and contrast resolution in all specimens. We found high agreement between MR images and histology with regard to the morphology and extent of intimal proliferations in all but 2 specimens. We could differentiate fibrous caps and calcifications from lipid plaque components based on differences in signal intensity in order to differentiate hard and soft atheromatous plaques. Hard plaques with predominantly intimal calcifications were found in 7 specimens, and soft plaques with a cholesterol/lipid content in 5 cases. In all specimens, hemorrhage or thrombus formation, and fibrotic and hyalinized tissue could be detected on both MR imaging and histopathology. CONCLUSION: High-resolution, high-field MR imaging of arterial walls demonstrates the morphologic features, volume, and extent of intimal proliferations with high spatial and contrast resolution in in vitro specimens and can differentiate hard and soft plaques.