TY - RPRT A1 - Meyer, Constantin A1 - Job, Hubert A1 - Laner, Peter A1 - Omizzolo, Andrea A1 - Kollmann, Nadia A1 - Clare, Jasmin A1 - Vesely, Philipp A1 - Riedler, Walter A1 - Plassmann, Guido A1 - Coronado, Oriana A1 - Praper Gulič, Sergeja A1 - Gulič, Andrej A1 - Koblar, Simon A1 - Teofili, Corrado A1 - Rohringer, Verena A1 - Schoßleitner, Richard A1 - Ainz, Gerhard T1 - OpenSpaceAlps Planungshandbuch: Perspektiven für eine konsistente Freiraumsicherung im Alpenraum T1 - OpenSpaceAlps Planning Handbook: Perspectives for consistent safeguarding of open spaces in the Alpine region N2 - Im Alpenraum lässt sich nach wie vor die kontinuierliche Inanspruchnahme von Freiräumen für Siedlungsflächen und technische Infrastrukturen und die damit verbundene Bodenversiegelung beobachten. Dies führt in erster Linie zum Verlust von landwirtschaftlichen Flächen. Je nach Ausmaß der Bebauung kommt es auch zu einer verstärkten Landschaftszerschneidung, die zur Isolierung natürlicher Lebensräume und zur Einschränkung des ökologischen Verbundes sowie zu weiteren negativen Folgewirkungen führt. Das OpenSpaceAlps Projekt hat sich dieser Thematik angenommen und, basierend auf kooperativen Verfahren in mehreren Pilotregionen, Handlungsansätze und Strategien für eine nachhaltige Sicherung von Freiräumen entwickelt. Dieses Handbuch stellt eine Handlungs- und Entscheidungshilfe für verschiedene Akteure/Akteurinnen dar, allen voran Planer*innen in öffentlichen Planungsbehörden. Ausgehend von einer Analyse der Herausforderungen und Rahmenbedingungen im Alpenraum, werden in diesem Handbuch zentrale „Prinzipien“ der Freiraumplanung vorgestellt und verglichen. Außerdem werden integrierte Planungsstrategien für verschiedene Raumkategorien diskutiert. KW - Raumordnung KW - Alpen KW - Alpen KW - OpenSpaceAlps KW - Freiraum KW - Raumplanung KW - Transnationale Zusammenarbeit Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-273070 N1 - English version available at: https://doi.org/10.25972/OPUS-27040. Italian version available at: https://doi.org/10.25972/OPUS-27704. N1 - The OpenSpaceAlps project is co-financed by the European Regional Development Fund through the Interreg Alpine Space programme. ER - TY - JOUR A1 - Brumberg, Joachim A1 - Schröter, Nils A1 - Blazhenets, Ganna A1 - Frings, Lars A1 - Volkmann, Jens A1 - Lapa, Constantin A1 - Jost, Wolfgang H. A1 - Isaias, Ioannis U. A1 - Meyer, Philipp T. T1 - Differential diagnosis of parkinsonism: a head-to-head comparison of FDG PET and MIBG scintigraphy JF - NPJ Parkinsons Disease N2 - [\(^{18}\)F]fluorodeoxyglucose (FDG) PET and [\(^{123}\)I]metaiodobenzylguanidine (MIBG) scintigraphy may contribute to the differential diagnosis of neurodegenerative parkinsonism. To identify the superior method, we retrospectively evaluated 54 patients with suspected neurodegenerative parkinsonism, who were referred for FDG PET and MIBG scintigraphy. Two investigators visually assessed FDG PET scans using an ordinal 6-step score for disease-specific patterns of Lewy body diseases (LBD) or atypical parkinsonism (APS) and assigned the latter to the subgroups multiple system atrophy (MSA), progressive supranuclear palsy (PSP), or corticobasal syndrome. Regions-of-interest analysis on anterior planar MIBG images served to calculate the heart-to-mediastinum ratio. Movement disorder specialists blinded to imaging results established clinical follow-up diagnosis by means of guideline-derived case vignettes. Clinical follow-up (1.7 +/- 2.3 years) revealed the following diagnoses: n = 19 LBD (n = 17 Parkinson's disease [PD], n = 1 PD dementia, and n = 1 dementia with Lewy bodies), n = 31 APS (n = 28 MSA, n = 3 PSP), n = 3 non-neurodegenerative parkinsonism; n = 1 patient could not be diagnosed and was excluded. Receiver operating characteristic analyses for discriminating LBD vs. non-LBD revealed a larger area under the curve for FDG PET than for MIBG scintigraphy at statistical trend level for consensus rating (0.82 vs. 0.69, p = 0.06; significant for investigator #1: 0.83 vs. 0.69, p = 0.04). The analysis of PD vs. MSA showed a similar difference (0.82 vs. 0.69, p = 0.11; rater #1: 0.83 vs. 0.69, p = 0.07). Albeit the notable differences in diagnostic performance did not attain statistical significance, the authors consider this finding clinically relevant and suggest that FDG PET, which also allows for subgrouping of APS, should be preferred. KW - clinical diagnosis KW - F-18-FDG PET KW - disease KW - dementia KW - accuracy KW - stimulation KW - guidelines KW - criteria KW - brain KW - risk Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-230675 VL - 6 ER - TY - RPRT A1 - Meyer, Constantin A1 - Job, Hubert A1 - Laner, Peter A1 - Omizzolo, Andrea A1 - Kollmann, Nadia A1 - Clare, Jasmin A1 - Vesely, Philipp A1 - Riedler, Walter A1 - Plassmann, Guido A1 - Coronado, Oriana A1 - Praper Gulič, Sergeja A1 - Gulič, Andrej A1 - Koblar, Simon A1 - Teofili, Corrado A1 - Rohringer, Verena A1 - Schoßleitner, Richard A1 - Ainz, Gerhard T1 - Izhodišča za usklajeno ohranjanje odprtega prostora na območju Alp: Načrtovalski priročnik projekta OpenSpaceAlps N2 - Na območju Alp že dalj časa poteka preobrazba odprtega prostora zaradi gradnje in širjenja naselij ter tehnične infrastrukture. Navedeni procesi povzročajo zlasti izgubo kmetijskih zemljišč, stalno pokritje površine tal z nepropustnimi snovmi in razdrobljenost krajine. Razdrobljenost je odvisna od vrst posegov in stopnje pozidanosti prostora, poglavitna negativna učinka pa sta izolacija naravnih habitatov in slabšanje ekološke povezljivosti. Opisana problematika je bila glavna tema projekta OpenSpaceAlps, v katerem so bili ob sodelovanju z deležniki na več pilotnih območjih razviti pristopi in rešitve, ki omogočajo trajnostno ohranjanje odprtega prostora. Načrtovalski priročnik povzema del rezultatov projekta. Namenjen je različnim deležnikom, zlasti načrtovalcem v javnih službah, kot pripomoček pri izvajanju načrtovalskih nalog in odločanju. V priročniku so predstavljeni analiza izzivov in okvirnih pogojev v Alpah ter opis in primerjava poglavitnih načel načrtovanja odprtega prostora, obravnavane pa so tudi celostne načrtovalske strategije za različne kategorije prostora. KW - Raumordnung KW - Alpen KW - OpenSpaceAlps KW - Alpe KW - Prostorsko načrtovanje KW - Transnacionalno sodelovanje Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-286518 N1 - English version available at: https://doi.org/10.25972/OPUS-27040. German version available at: https://doi.org/10.25972/OPUS-27307. Italian version available at: https://doi.org/10.25972/OPUS-27704 N1 - The OpenSpaceAlps project is co-financed by the European Regional Development Fund through the Interreg Alpine Space programme. ER - TY - RPRT A1 - Meyer, Constantin A1 - Job, Hubert A1 - Laner, Peter A1 - Omizzolo, Andrea A1 - Kollmann, Nadia A1 - Clare, Jasmin A1 - Vesely, Philipp A1 - Riedler, Walter A1 - Plassmann, Guido A1 - Coronado, Oriana A1 - Praper Gulič, Sergeja A1 - Gulič, Andrej A1 - Koblar, Simon A1 - Teofili, Corrado A1 - Rohringer, Verena A1 - Schoßleitner, Richard A1 - Ainz, Gerhard T1 - OpenSpaceAlps Planning Handbook: Perspectives for consistent safeguarding of open spaces in the Alpine region N2 - In the Alpine region, the continuous consumption of open spaces for settlement areas and technical infrastructure and the associated soil sealing can be observed. This leads primarily to the loss of agricultural land. Depending on the extent of development, there is also increased landscape fragmentation, which is associated with the isolation of natural habitats and the restriction of ecological connectivity, as well as other negative consequences. The OpenSpaceAlps project has addressed this issue and, based on cooperative procedures in several pilot regions, has developed approaches and solution strategies for the sustainable safeguarding of open spaces. This handbook supports the activities and decision-making of various stakeholders, first and foremost planners in public planning authorities. Based on an analysis of the challenges and framework conditions in the Alpine region, the handbook presents and compares central "principles" of open space planning. Furthermore, integrated planning strategies for different spatial categories are discussed. KW - Raumordnung KW - spatial planning KW - Alps KW - OpenSpaceAlps KW - open space KW - transnational cooperation KW - Alpen Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-270401 N1 - German version available at: https://doi.org/10.25972/OPUS-27307. Italian version available at: https://doi.org/10.25972/OPUS-27704. Slovenian version available at: https://doi.org/10.25972/OPUS-28651. N1 - The OpenSpaceAlps project is co-financed by the European Regional Development Fund through the Interreg Alpine Space programme. ER - TY - RPRT A1 - Meyer, Constantin A1 - Job, Hubert A1 - Laner, Peter A1 - Omizzolo, Andrea A1 - Kollmann, Nadia A1 - Clare, Jasmin A1 - Vesely, Philipp A1 - Riedler, Walter A1 - Plassmann, Guido A1 - Coronado, Oriana A1 - Praper Gulič, Sergeja A1 - Gulič, Andrej A1 - Koblar, Simon A1 - Teofili, Corrado A1 - Rohringer, Verena A1 - Schoßleitner, Richard A1 - Ainz, Gerhard T1 - OpenSpaceAlps - Manuale di Pianificazione: Prospettive per la salvaguardia coerente degli Spazi Aperti nella regione alpina N2 - Nella regione alpina, si può osservare il continuo consumo di spazi aperti a causa dell’aumento di aree di insediamento e di infrastrutture tecniche e la conseguente impermeabilizzazione del suolo. Questo fenomeno porta principalmente alla perdita di suolo agricolo. A seconda dell'estensione dello sviluppo, si riscontra anche una maggiore frammentazione del paesaggio, che è associata all'isolamento degli habitat naturali e alla perdita della connettività ecologica, così come ad altre conseguenze negative. Il progetto OpenSpaceAlps ha affrontato questo problema e, sulla base di procedure cooperative partecipate attuate in diverse regioni pilota alpine, ha sviluppato approcci e strategie di soluzione per la salvaguardia sostenibile degli spazi aperti. Questo manuale supporta le attività e il processo decisionale di vari stakeholder, in primo luogo i pianificatori delle autorità pubbliche di pianificazione. Sulla base di un'analisi delle sfide e delle condizioni generali nella regione alpina, il manuale presenta e confronta i "principi" centrali della pianificazione degli spazi aperti. Inoltre, vengono discusse strategie di pianificazione integrata per diverse categorie spaziali. KW - Raumordnung KW - Alpen KW - OpenSpaceAlps KW - Alpi KW - pianificazione territoriale KW - spazi aperti KW - collaborazione transnazionale Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-277042 N1 - English version available at: https://doi.org/10.25972/OPUS-27040. German version available at: https://doi.org/10.25972/OPUS-27307. Slovenian version available at: https://doi.org/10.25972/OPUS-28651. N1 - The OpenSpaceAlps project is co-financed by the European Regional Development Fund through the Interreg Alpine Space programme. ER - TY - JOUR A1 - Hartrampf, Philipp E. A1 - Lapa, Constantin A1 - Serfling, Sebastian E. A1 - Buck, Andreas K. A1 - Seitz, Anna Katharina A1 - Meyer, Philipp T. A1 - Ruf, Juri A1 - Michalski, Kerstin T1 - Development of Discordant Hypermetabolic Prostate Cancer Lesions in the Course of [\(^{177}\)Lu]PSMA Radioligand Therapy and Their Possible Influence on Patient Outcome JF - Cancers N2 - Simple Summary Discordant FDG-positive but PSMA-negative (FDG+/PSMA−) metastases constitute a negative prognostic marker of overall survival in patients undergoing PSMA radioligand therapy (RLT). The aim of this analysis was to investigate the prognostic implications of new FDG+/PSMA− lesions, which occur during or after PSMA RLT. In a retrospective bicentric analysis of 32 patients undergoing PSMA RLT and follow-up dual tracer staging with PSMA and FDG PET/CT, FDG+/PSMA− lesions occurred in a limited number of patients. However, the presence of FDG+/PSMA− lesions appears not to have a significant impact on the OS, but further studies are needed to establish the clinical relevance of such lesions. Abstract Introduction: Positron emission tomography/computer tomography (PET/CT) targeting the prostate-specific membrane antigen (PSMA) is crucial for the assessment of adequate PSMA expression in patients with metastatic castration-resistant prostate cancer (mCRPC) prior to PSMA radioligand therapy (PSMA RLT). Moreover, initial dual tracer staging using combined PSMA and [\(^{18}\)F]fluorodeoxyglucose (FDG) PET/CT provides relevant information, since discordant FDG-positive but PSMA-negative (FDG+/PSMA−) lesions constitute a negative prognostic marker of overall survival (OS) after PSMA RLT. However, little is known about the prognostic implications of dual tracer imaging for restaging at follow-up. The aim of this analysis was to investigate the prognostic implications of new FDG+/PSMA− lesions during or after PSMA RLT. Methods: This bicentric analysis included 32 patients with mCRPC who underwent both FDG and PSMA PET/CT imaging after two or four cycles of PSMA RLT. Patients with FDG+/PSMA− lesions prior to PSMA RLT were not considered. The presence of FDG+/PSMA− lesions was assessed with follow-up dual tracer imaging of patients after two or four cycles of PSMA RLT. Patients with at least one new FDG+/PSMA− lesion were compared to patients without any FDG+/PSMA− lesions at the respective time points. A log-rank analysis was used to assess the difference in OS between subgroups. Results: After two cycles of PSMA RLT, four of 32 patients (13%) had FDG+/PSMA− metastases. No significant difference in OS was observed (p = 0.807), as compared to patients without FDG+/PSMA− lesions. Follow-up dual tracer imaging after the 4th cycle of PSMA RLT was available in 18 patients. Of these, four patients presented with FDG+/PSMA− findings (n = 2 already after two cycles). After the fourth cycle of PSMA RLT, no significant difference in OS was observed between patients with and without FDG+/PSMA− lesions (p = 0.442). Conclusion: This study shows that FDG+/PSMA− lesions develop in a limited number of patients undergoing PSMA RLT. Further studies are needed to establish the clinical relevance of such lesions. KW - PSMA KW - FDG KW - PET/CT KW - prostate cancer KW - radioligand therapy Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-245168 SN - 2072-6694 VL - 13 IS - 17 ER - TY - JOUR A1 - Meyer, Constantin A1 - Peters, Jan Christoph A1 - Thiel, Michael A1 - Rathmann, Joachim A1 - Job, Hubert T1 - Monitoring von Freiflächeninanspruchnahme und -versiegelung für eine nachhaltige Raumentwicklung in Bayern JF - Raumforschung und Raumordnung JF - Spatial Research and Planning N2 - Im Freistaat Bayern wird intensiv diskutiert, wie die nach wie vor hohe Freiflächeninanspruchnahme für Siedlungs- und Verkehrszwecke reduziert werden kann. Wissenschaftliche Grundlage für Steuerungsansätze in der Stadt- und Regionalentwicklung sollte ein verbessertes staatliches Flächenmonitoring sein, welches über die amtliche Statistik und deren Hauptindikator "Siedlungs- und Verkehrsfläche" hinaus auch die qualitative Dimension der Flächeninanspruchnahme einbezieht. Dafür stellt dieser Beitrag methodische Erweiterungsansätze für das Flächenmonitoring vor, welche kleinräumige Analysen der Zersiedelung, Freiraumstruktur, Flächenversiegelung und Ökosystemleistungen am Beispiel des Landkreises Rhön-Grabfeld aufzeigen. Diese werden im Kontext der Debatte zu Ursachen und Steuerung der Freiflächeninanspruchnahme sowie zu aktuellen Anforderungen an das Flächenmonitoring diskutiert. Betont wird deren Bedeutung für das Monitoring rechtlicher Vorgaben und politischer Ziele zur nachhaltigen Flächennutzung. N2 - In the federal state of Bavaria, there is currently intensive discussion on how land consumption for settlement and transport purposes can be reduced in the long term. In order to provide a solid scientific basis for steering instruments in urban and regional development, the official land use monitoring should be improved by including also the qualitative and structural dimension of land consumption in addition to existing official statistics and their main indicator ‘settlement and traffic area’. For this purpose, the paper presents methodological extensions, which show small-scale analyses of urban sprawl, open space structure, soil sealing and ecosystem services using the example of the district of Rhön-Grabfeld. These methodological extensions are discussed in the context of the relevant debates on the causes and steering of land consumption as well as on current requirements for land use monitoring, emphasising their importance for the monitoring of legal guidelines and political objectives on sustainable land use. T2 - Monitoring of land consumption and soil sealing as a contribution to sustainable spatial development in Bavaria KW - Bayern KW - Flächenmonitoring KW - Freiraumstruktur KW - Ökosystemleistungen KW - Siedlungs-und Verkehrsfläche KW - Zersiedelung KW - Bavaria KW - Ecosystem services KW - Land use monitoring KW - Open spaces KW - Settlement and traffic area KW - Urban sprawl Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-261622 VL - 79 IS - 2 ER - TY - JOUR A1 - Job, Hubert A1 - Meyer, Constantin A1 - Coronado, Oriana A1 - Koblar, Simon A1 - Laner, Peter A1 - Omizzolo, Andrea A1 - Plassmann, Guido A1 - Riedler, Walter A1 - Vesely, Philipp A1 - Schindelegger, Arthur T1 - Open spaces in the European Alps — GIS-based analysis and implications for spatial planning from a transnational perspective JF - Land N2 - This article presents an open space concept of areas that are kept permanently free from buildings, technical infrastructure, and soil sealing. In the European Alps, space is scarce because of the topography; conflicts often arise between competing land uses such as permanent settlements and commercial activity. However, the presence of open spaces is important for carbon sequestration and the prevention of natural hazards, especially given climate change. A GIS-based analysis was conducted to identify an alpine-wide inventory of large-scale near-natural areas, or simply stated, open spaces. The method used identified the degree of infrastructure development for natural landscape units. Within the Alpine Convention perimeter, near-natural areas (with a degree of infrastructural development of up to 20%) account for a share of 51.5%. Only 14.5% of those areas are highly protected and are mostly located in high altitudes of over 1500 m or 2000 m above sea level. We advocate that the remaining Alpine open spaces must be preserved through the delimitation of more effective protection mechanisms, and green corridors should be safeguarded through spatial planning. To enhance the ecological connectivity of open spaces, there is the need for tailored spatial and sectoral planning strategies to prevent further landscape fragmentation and to coordinate new forms of land use for renewable energy production. KW - Alps KW - conservation KW - connectivity KW - fragmentation KW - GIS-analysis KW - land use KW - open spaces KW - protected areas KW - sectoral planning KW - spatial planning Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-288207 SN - 2073-445X VL - 11 IS - 9 ER - TY - JOUR A1 - Brumberg, Joachim A1 - Blazhenets, Ganna A1 - Schröter, Nils A1 - Frings, Lars A1 - Jost, Wolfgang H. A1 - Lapa, Constantin A1 - Meyer, Philipp T. T1 - Imaging cardiac sympathetic innervation with MIBG: linear conversion of the heart-to-mediastinum ratio between different collimators JF - EJNMMI Physics N2 - Background The heart-to-mediastinum (H/M) ratio is a commonly used parameter to measure cardiac I-123 metaiodobenzylguanidine (MIBG) uptake. Since the H/M ratio is substantially influenced by the collimator type, we investigated whether an empirical linear conversion of H/M ratios between camera systems with low-energy (LE) and medium-energy (ME) collimator is possible. Methods We included 18 patients with parkinsonism who were referred to one of the two participating molecular imaging facilities for the evaluation of cardiac sympathetic innervation by MIBG scintigraphy. Two consecutive planar image datasets were acquired with LE and ME collimators at 4 h after MIBG administration. Linear regression analyses were performed to describe the association between the H/M ratios gained with both collimator settings, and the accuracy of a linear transfer of the H/M ratio between collimators and across centers was assessed using a leave-one-out procedure. Results H/M ratios acquired with LE and ME collimators showed a strong linear relationship both within each imaging facility (R\(^2\) = 0.99, p < 0.001 and R\(^2\) = 0.90, p < 0.001) and across centers (H/M-LE = 0.41 × H/M-ME + 0.63, R\(^2\) = 0.97, p < 0.001). A linear conversion of H/M ratios between collimators and across centers was estimated to be very accurate (mean absolute error 0.05 ± 0.04; mean relative absolute error 3.2 ± 2.6%). Conclusions The present study demonstrates that a simple linear conversion of H/M ratios acquired with different collimators is possible with high accuracy. This should greatly facilitate the exchange of normative data between settings and pooling of data from different institutions. KW - MIBG KW - collimator KW - heart-to-mediastinum ratio KW - linear conversion Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-221675 VL - 6 ER -