45 research outputs found

    Personalisierte Therapiekonzepte in der spinalen Neurochirurgie

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    Validation of the Source Localization Method SODIX for Coherent Sound Sources

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    A new validation of the source localization method SODIX for coherent sound sources is presented. The DLR fan noise prediction tool PropNoise is used to model the tonal noise of a low-speed fan stage that is generated by the interaction of the rotor wakes with the stator vanes. The simulated data is used to evaluate the capabilities of the source localization method SODIX to determine the coherent sound radiation from the intake and the nozzle exit. The analysis technique includes a parameterization of the source directivities using cubic B-splines. A parametric study on the number of base elements is carried out for the simulated tones with different radiation patterns. The results show that SODIX is able to accurately reproduce the coherent sound radiation of the simulated tones from the intake and the nozzle exit. The results also indicate that a number of base elements from 20 to 100 is a reasonable choice for a large frequency range

    SODIX for fully and partially coherent sound sources

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    The source localisation method SODIX is capable of determining the amplitudes and the directivity of sound sources based on measurements with a microphone array. The source model of the method has recently been extended with fully coherent sound sources which improves the application of SODIX to tonal noise. This paper presents a further extension of the SODIX source model with partially coherent sources in order to overcome residual effects that cannot be correctly modelled with a fully coherent source model, e.g. due to propagation effects that decorrelate the sound field radiated by a sound source for different receiver positions. The extension relies on a parameterisation of the source directivities and a compressed-sensing based algorithm in combination with an eigenvalue decomposition of the measured cross-spectral matrix to determine the unknown source directivities. The extended localization method with the partially coherent source model is validated using simulated sound sources that have different source directivities and mutual coherence. The results show that only the new source model with partially coherent sound sources is able to resolve the simulated source directivities accurately, when the sources are partially coherent or both coherent and incoherent sources are present

    Source localization and far-field extrapolation for wind tunnel measurements of jet installation noise

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    Experimental data from the AWB aeroacoustic wind tunnel of DLR in Braunschweig measured with linear microphone arrays is analyzed using the SODIX method. The data from the European project DJINN for isolated and installed jets is processed in order to achieve a far-field projection of the source directivity based on the near field data using the capability of SODIX to reconstruct a set of equivalent sources with directive radiation on the engine axis that matches the data measured in the near field

    Detection of impending perfusion deficits by intraoperative computed tomography (iCT) in aneurysm surgery of the anterior circulation

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    BACKGROUND The aim of our study was to evaluate the additional benefit of intraoperative computed tomography (iCT), intraoperative computed tomography angiography (iCTA), and intraoperative computed tomography perfusion (iCTP) in the intraoperative detection of impending ischemia to established methods (indocyanine green videoangiography (ICGVA), microDoppler, intraoperative neuromonitoring (IONM)) for initiating timely therapeutic measures. METHODS Patients with primary aneurysms of the anterior circulation between October 2016 and December 2019 were included. Data of iCT modalities compared to other techniques (ICGVA, microDoppler, IONM) was recorded with emphasis on resulting operative conclusions leading to inspection of clip position, repositioning, or immediate initiation of conservative treatment strategies. Additional variables analyzed included patient demographics, aneurysm-specific characteristics, and clinical outcome. RESULTS Of 194 consecutive patients, 93 patients with 100 aneurysms received iCT imaging. While IONM and ICGVA were normal, an altered vessel patency in iCTA was detected in 5 (5.4%) and a mismatch in iCTP in 7 patients (7.5%). Repositioning was considered appropriate in 2 patients (2.2%), where immediate improvement in iCTP could be documented. In a further 5 cases (5.4%), intensified conservative therapy was immediately initiated treating the reduced CBP as clip repositioning was not considered causal. In terms of clinical outcome at last FU, mRS0 was achieved in 85 (91.4%) and mRS1-2 in 7 (7.5%) and remained mRS4 in one patient with SAH (1.1%). CONCLUSIONS Especially iCTP can reveal signs of impending ischemia in selected cases and enable the surgeon to promptly initiate therapeutic measures such as clip repositioning or intraoperative onset of maximum conservative treatment, while established tools might fail to detect those intraoperative pathologic changes

    Extent, pattern, and prognostic value of MGMT promotor methylation: does it differ between glioblastoma and IDH-wildtype/TERT-mutated astrocytoma?

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    INTRODUCTION The cIMPACT-NOW update 6 first introduced glioblastoma diagnosis based on the combination of IDH-wildtype (IDHwt) status and TERT promotor mutation (pTERTmut). In glioblastoma as defined by histopathology according to the WHO 2016 classification, MGMT promotor status is associated with outcome. Whether this is also true in glioblastoma defined by molecular markers is yet unclear. METHODS We searched the institutional database for patients with: (1) glioblastoma defined by histopathology; and (2) IDHwt astrocytoma with pTERTmut. MGMT promotor methylation was analysed using methylation-specific PCR and Sanger sequencing of CpG sites within the MGMT promotor region. RESULTS We identified 224 patients with glioblastoma diagnosed based on histopathology, and 54 patients with IDHwt astrocytoma with pTERTmut (19 astrocytomas WHO grade II and 38 astrocytomas WHO grade III). There was no difference in the number of MGMT methylated tumors between the two cohorts as determined per PCR, and also neither the number nor the pattern of methylated CpG sites differed as determined per Sanger sequencing. Progression-free (PFS) and overall survival (OS) was similar between the two cohorts when treated with radio- or chemotherapy. In both cohorts, higher numbers of methylated CpG sites were associated with favourable outcome. CONCLUSIONS Extent and pattern of methylated CpG sites are similar in glioblastoma and IDHwt astrocytoma with pTERTmut. In both tumor entities, higher numbers of methylated CpG sites appear associated with more favourable outcome. Evaluation in larger prospective cohorts is warranted

    Extent and prognostic value of MGMT promotor methylation in glioma WHO grade II

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    MGMT promotor methylation is associated with favourable outcome in high-grade glioma. In glioma WHO grade II, it is unclear whether the extent of MGMT promotor methylation and its prognostic role is independent from other molecular markers. We performed a retrospective analysis of 155 patients with glioma WHO grade II. First, all 155 patients were assigned to three molecular groups according to the 2016 WHO classification system: (1) oligodendroglioma, IDH-mutant and 1p19q co-deleted (n=81);(2) astrocytoma, IDH-mutant and 1p19q non-codeleted (n=54);(3) astrocytoma, IDH-wildtype (n=20). MGMT promotor methylation was quantified using Sanger sequencing of the CpG sites 74-98 within the MGMT promotor region. Highest numbers of methylated CpG sites were found for oligodendroglioma, IDH-mutant and 1p19q co-deleted. When 1p19q co-deletion was absent, numbers of methylated CpG sites were higher in the presence of IDH-mutation. Accordingly, lowest numbers were seen in the IDH-wildtype subpopulation. In the entire cohort, larger numbers of methylated CpG sites were associated with favourable outcome. When analysed separately for the three WHO subgroups, a similar association was only retained in astrocytoma, IDH-wildtype. Collectively, extent of MGMT promotor methylation was strongly associated with other molecular markers and added prognostic information in astrocytoma, IDH-wildtype. Evaluation in prospective cohorts is warranted
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