@phdthesis{BreuergebHemberger2015, author = {Breuer [geb. Hemberger], Kathrin R. F.}, title = {Effiziente 3D Magnetresonanzbildgebung schnell abfallender Signale}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-150750}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2015}, abstract = {In der vorliegenden Arbeit wird die Rotated-Cone-UTE-Sequenz (RC-UTE), eine 3D k-Raum-Auslesetechnik mit homogener Verteilung der Abtastdichte, vorgestellt. Diese 3D MR-Messtechnik erm{\"o}glicht die f{\"u}r die Detektion von schnell abfallenden Signalen notwendigen kurzen Echozeiten und weist eine h{\"o}here SNR-Effizienz als konventionelle radiale Pulssequenzen auf. Die Abtastdichte ist dabei in radialer und azimutaler Richtung angepasst. Simulationen und Messungen in vivo zeigen, dass die radiale Anpassung das T2-Blurring reduziert und die SNR-Effizienz erh{\"o}ht. Die Drehung der Trajektorie in azimutale Richtung erm{\"o}glicht die Reduzierung der Unterabtastung bei gleicher Messzeit bzw. eine Reduzierung der Messzeit ohne Aufl{\"o}sungsverlust. Die RC-UTE-Sequenz wurde erfolgreich f{\"u}r die Bildgebung des Signals des kortikalen Knochens und der Lunge in vivo angewendet. Im Vergleich mit der grundlegenden UTE-Sequenz wurden die Vorteile von RC-UTE in allen Anwendungsbeispielen aufgezeigt. Die transversalen Relaxationszeit T2* des kortikalen Knochen bei einer Feldst{\"a}rke von 3.0T und der Lunge bei 1.5T und 3.0T wurde in 3D isotroper Aufl{\"o}sung gemessen. Außerdem wurde die Kombination von RC-UTE-Sequenz mit Methoden der Magnetisierungspr{\"a}paration zur besseren Kontrasterzeugung gezeigt. Dabei wurden die Doppel-Echo-Methode, die Unterdr{\"u}ckung von Komponenten mit langer Relaxationszeit T2 durch Inversionspulse und der Magnetisierungstransfer-Kontrast angewendet. Die Verwendung der RC-UTE-Sequenz f{\"u}r die 3D funktionelle Lungenbildgebung wird ebenfalls vorgestellt. Mit dem Ziel der umfassenden Charakterisierung der Lungenfunktion in 3D wurde die simultane Messung T1-gewichteter Bilder und quantitativer T2*-Karten f{\"u}r verschiedene Atemzust{\"a}nde an sechs Probanden durchgef{\"u}hrt. Mit der hier vorgestellten Methode kann die Lungenfunktion in 3D {\"u}ber T1-Wichtung, quantitative T2*-Messung und Rekonstruktion verschiedener Atemzust{\"a}nde durch Darstellung von Ventilation, Sauerstofftransport und Volumen{\"a}nderung beurteilt werden.}, subject = {Kernspintomografie}, language = {de} } @article{KraftWeickBreueretal.2022, author = {Kraft, Johannes and Weick, Stefan and Breuer, Kathrin and Lutyj, Paul and Bratengeier, Klaus and Exner, Florian and Richter, Anne and Tamihardja, J{\"o}rg and Lisowski, Dominik and Polat, B{\"u}lent and Flentje, Michael}, title = {Treatment plan comparison for irradiation of multiple brain metastases with hippocampal avoidance whole brain radiotherapy and simultaneous integrated boost using the Varian Halcyon and the Elekta Synergy platforms}, series = {Radiation Oncology}, volume = {17}, journal = {Radiation Oncology}, doi = {10.1186/s13014-022-02156-6}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-301221}, year = {2022}, abstract = {No abstract available.}, language = {en} } @article{RadeloffRamosTiradoHaddadetal.2021, author = {Radeloff, Katrin and Ramos Tirado, Mario and Haddad, Daniel and Breuer, Kathrin and M{\"u}ller, Jana and Hochmuth, Sabine and Hackenberg, Stephan and Scherzad, Agmal and Kleinsasser, Norbert and Radeloff, Andreas}, title = {Superparamagnetic iron oxide particles (VSOPs) show genotoxic effects but no functional impact on human adipose tissue-derived stromal cells (ASCs)}, series = {Materials}, volume = {14}, journal = {Materials}, number = {2}, issn = {1996-1944}, doi = {10.3390/ma14020263}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-222970}, year = {2021}, abstract = {Adipose tissue-derived stromal cells (ASCs) represent a capable source for cell-based therapeutic approaches. For monitoring a cell-based application in vivo, magnetic resonance imaging (MRI) of cells labeled with iron oxide particles is a common method. It is the aim of the present study to analyze potential DNA damage, cytotoxicity and impairment of functional properties of human (h)ASCs after labeling with citrate-coated very small superparamagnetic iron oxide particles (VSOPs). Cytotoxic as well as genotoxic effects of the labeling procedure were measured in labeled and unlabeled hASCs using the MTT assay, comet assay and chromosomal aberration test. Trilineage differentiation was performed to evaluate an impairment of the differentiation potential due to the particles. Proliferation as well as migration capability were analyzed after the labeling procedure. Furthermore, the labeling of the hASCs was confirmed by Prussian blue staining, transmission electron microscopy (TEM) and high-resolution MRI. Below the concentration of 0.6 mM, which was used for the procedure, no evidence of genotoxic effects was found. At 0.6 mM, 1 mM as well as 1.5 mM, an increase in the number of chromosomal aberrations was determined. Cytotoxic effects were not observed at any concentration. Proliferation, migration capability and differentiation potential were also not affected by the procedure. Labeling with VSOPs is a useful labeling method for hASCs that does not affect their proliferation, migration and differentiation potential. Despite the absence of cytotoxicity, however, indications of genotoxic effects have been demonstrated.}, language = {en} } @article{RichterWegenerBreueretal.2021, author = {Richter, Anne and Wegener, Sonja and Breuer, Kathrin and Razinskas, Gary and Weick, Stefan and Exner, Florian and Bratengeier, Klaus and Flentje, Michael and Sauer, Otto and Polat, B{\"u}lent}, title = {Comparison of sliding window and field-in-field techniques for tangential whole breast irradiation using the Halcyon and Synergy Agility systems}, series = {Radiation Oncology}, volume = {16}, journal = {Radiation Oncology}, doi = {10.1186/s13014-021-01942-y}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-265704}, year = {2021}, abstract = {Background To implement a tangential treatment technique for whole breast irradiation using the Varian Halcyon and to compare it with Elekta Synergy Agility plans. Methods For 20 patients two comparable treatment plans with respect to dose coverage and normal tissue sparing were generated. Tangential field-in-field treatment plans (Pinnacle/Synergy) were replanned using the sliding window technique (Eclipse/Halcyon). Plan specific QA was performed using the portal Dosimetry and the ArcCHECK phantom. Imaging and treatment dose were evaluated for treatment delivery on both systems using a modified CIRS Phantom. Results The mean number of monitor units for a fraction dose of 2.67 Gy was 515 MUs and 260 MUs for Halcyon and Synergy Agility plans, respectively. The homogeneity index and dose coverage were similar for both treatment units. The plan specific QA showed good agreement between measured and calculated plans. All Halcyon plans passed portal dosimetry QA (3\%/2 mm) with 100\% points passing and ArcCheck QA (3\%/2 mm) with 99.5\%. Measurement of the cumulated treatment and imaging dose with the CIRS phantom resulted in lower dose to the contralateral breast for the Halcyon plans. Conclusions For the Varian Halcyon a plan quality similar to the Elekta Synergy device was achieved. For the Halcyon plans the dose contribution from the treatment fields to the contralateral breast was even lower due to less interleaf transmission of the Halcyon MLC and a lower contribution of scattered dose from the collimator system.}, language = {en} } @article{RichterWechWengetal.2020, author = {Richter, Julian A. J. and Wech, Tobias and Weng, Andreas M. and Stich, Manuel and Weick, Stefan and Breuer, Kathrin and Bley, Thorsten A. and K{\"o}stler, Herbert}, title = {Free-breathing self-gated 4D lung MRI using wave-CAIPI}, series = {Magnetic Resonance in Medicine}, volume = {84}, journal = {Magnetic Resonance in Medicine}, number = {6}, doi = {10.1002/mrm.28383}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-218075}, pages = {3223 -- 3233}, year = {2020}, abstract = {Purpose The aim of this study was to compare the wave-CAIPI (controlled aliasing in parallel imaging) trajectory to the Cartesian sampling for accelerated free-breathing 4D lung MRI. Methods The wave-CAIPI k-space trajectory was implemented in a respiratory self-gated 3D spoiled gradient echo pulse sequence. Trajectory correction applying the gradient system transfer function was used, and images were reconstructed using an iterative conjugate gradient SENSE (CG SENSE) algorithm. Five healthy volunteers and one patient with squamous cell carcinoma in the lung were examined on a clinical 3T scanner, using both sampling schemes. For quantitative comparison of wave-CAIPI and standard Cartesian imaging, the normalized mutual information and the RMS error between retrospectively accelerated acquisitions and their respective references were calculated. The SNR ratios were investigated in a phantom study. Results The obtained normalized mutual information values indicate a lower information loss due to acceleration for the wave-CAIPI approach. Average normalized mutual information values of the wave-CAIPI acquisitions were 10\% higher, compared with Cartesian sampling. Furthermore, the RMS error of the wave-CAIPI technique was lower by 19\% and the SNR was higher by 14\%. Especially for short acquisition times (down to 1 minute), the undersampled Cartesian images showed an increased artifact level, compared with wave-CAIPI. Conclusion The application of the wave-CAIPI technique to 4D lung MRI reduces undersampling artifacts, in comparison to a Cartesian acquisition of the same scan time. The benefit of wave-CAIPI sampling can therefore be traded for shorter examinations, or enhancing image quality of undersampled 4D lung acquisitions, keeping the scan time constant.}, language = {en} } @article{WeickBreuerRichteretal.2020, author = {Weick, Stefan and Breuer, Kathrin and Richter, Anne and Exner, Florian and Str{\"o}hle, Serge-Peer and Lutyj, Paul and Tamihardja, J{\"o}rg and Veldhoen, Simon and Flentje, Michael and Polat, B{\"u}lent}, title = {Non-rigid image registration of 4D-MRI data for improved delineation of moving tumors}, series = {BMC Medical Imaging}, volume = {20}, journal = {BMC Medical Imaging}, doi = {10.1186/s12880-020-00439-6}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-229271}, year = {2020}, abstract = {Background To increase the image quality of end-expiratory and end-inspiratory phases of retrospective respiratory self-gated 4D MRI data sets using non-rigid image registration for improved target delineation of moving tumors. Methods End-expiratory and end-inspiratory phases of volunteer and patient 4D MRI data sets are used as targets for non-rigid image registration of all other phases using two different registration schemes: In the first, all phases are registered directly (dir-Reg) while next neighbors are successively registered until the target is reached in the second (nn-Reg). Resulting data sets are quantitatively compared using diaphragm and tumor sharpness and the coefficient of variation of regions of interest in the lung, liver, and heart. Qualitative assessment of the patient data regarding noise level, tumor delineation, and overall image quality was performed by blinded reading based on a 4 point Likert scale. Results The median coefficient of variation was lower for both registration schemes compared to the target. Median dir-Reg coefficient of variation of all ROIs was 5.6\% lower for expiration and 7.0\% lower for inspiration compared with nn-Reg. Statistical significant differences between the two schemes were found in all comparisons. Median sharpness in inspiration is lower compared to expiration sharpness in all cases. Registered data sets were rated better compared to the targets in all categories. Over all categories, mean expiration scores were 2.92 +/- 0.18 for the target, 3.19 +/- 0.22 for nn-Reg and 3.56 +/- 0.14 for dir-Reg and mean inspiration scores 2.25 +/- 0.12 for the target, 2.72 +/- 215 0.04 for nn-Reg and 3.78 +/- 0.04 for dir-Reg. Conclusions In this work, end-expiratory and inspiratory phases of a 4D MRI data sets are used as targets for non-rigid image registration of all other phases. It is qualitatively and quantitatively shown that image quality of the targets can be significantly enhanced leading to improved target delineation of moving tumors.}, language = {en} }