Das Bauwerk als Informationscontainer in den frühen Phasen der Bauaufnahme - Ausgangspunkt für die Projektentwicklung und Entwurfsformulierung

Die digitale Unterstützung der Planungsprozesse ist ein aktueller Forschungs- und Arbeitsschwerpunkt der Professur Informatik in der Architektur (InfAR) und der Juniorprofessur Architekturinformatik der Fakultät Architektur an der Bauhaus-Universität Weimar. Verankert in dem DFG Sonderforschungsbereich 524 >Werkzeuge und Konstruktionen für die Revitalisierung von Bauwerken< entstehen Konzepte und Prototypen für eine fachlich orientierte Planungsunterstützung. In dem Beitrag wird ein Konzept und prototypische Realisierung für die durchgängige Unterstützung des gesamten Bauaufnahmeprozesses für Altbausubstanz vorgestellt und diskutiert. Der Fokus liegt auf der frühe Phase in der Bauaufnahme als ein Baustein in einer gesamtheitlichen IT-gestützen Planungsumgebung eingegangen. Durch gezielte Aufnahme planungsrelevanter Parameter und Auswertung hinsichtlich Wirtschaftlichkeit und Wiederverwendbarkeit bzw. der Variantenüberprüfung von Nutungskonzepten, werden gerade in dieser Phase wesentliche Entscheidungen für eine kostengünstige Planung getroffen werden. In der Veröffentlichung wird der Fokus auf folgende Punkte gesetzt: - Strukturierung und Aufnahme der Informationen während der Erstbegehung - Skizzenhafte Abbildung als Basis für die Formulierung erster Entwurfsintensionen/ Variantenuntersuchungen - Navigations- und Informationsumgebung - gezielte Auswertungsmöglichkeiten (bspw. Wirtschaftlichkeitsberechnung, Wiederverwendung von Bauteilen, Kalkulation von Abrissmengen

Neue Techniken in der Bestandserfassung

Die digitale Unterstützung der Planungsprozesse ist ein aktueller Forschungs- und Arbeitsschwerpunkt der Professur Informatik in der Architektur (InfAR) und der Juniorprofessur Architekturinformatik der Fakultät Architektur an der Bauhaus-Universität Weimar. Verankert in dem DFG Sonderforschungsbereich 524 >Werkzeuge und Konstruktionen für die Revitalisierung von Bauwerken< entstehen Konzepte und Prototypen für eine fachlich orientierte Planungsunterstützung. Als ein Teilaspekt wird in diesem Beitrag gezeigt, wie das Handaufmaß unter Einsatz modernen taktiler Erfassungsmethoden eine ganz neue Bedeutung für die Datenerfassung gewinnen kann. Das Potenzial der verschiedenen Verfahren zur Koordinatenbestimmung mit taktilen Werkzeugen wird evaluiert. Daraus wird eine Strategie entwickelt, die für die unterschiedlichen Notwendigkeiten im Planungsfortschritt den optimierten Einsatz der taktilen Erfassung in Kombination mit klassischen Erfassungsmethoden aufzeigt. Die Realisierbarkeit eines derartigen Konzeptes wird durch Fallstudien und mögliche Ablaufszenarien für einzelne Verfahren nachgewiesen. Durch die Integration taktiler Messverfahren in die Bestandserfassung kann erreicht werden, dass - relevante (Geometrie-) Informationen in ein umfassendes Bauwerksmodell integriert werden können, - die Bauaufnahme wieder im direkten Kontakt zum Bauaufnahmeobjekt erfolgen kann und - die Verfahren so einfach und leicht von allen Beteiligten eingesetzt werden können, um die Bauaufnahme und die Planung wieder miteinander zu verzahnen

Rom, Italien. Die Villa von Sette Bassi. Die Arbeiten der Jahre 2017 und 2018

The Villa of Sette Bassi is one of the largest suburban complexes in the south of the ancient Roman capital. The site was located between Miles V and VI at the Via Latina. The area measures 3 ha and contains three main buildings (Fig. 1 A-C), two baths, a big architectural garden, the so-called Hippodrome (Fig. 1 D), a temple-structure (Fig. 1 E), a cistern (Fig. 1 H) and a pars rustica. Based on numerous brick stamps their construction time is dated in the period of Antoninus Pius. The owner of the complex is not known but the toponym could either trace back to a prefect or a consul named Septimius Bassus. The site is also known for his famous marble interior which was removing for new carvings since the Renaissance. In 2017 U. Wulf-Rheidt started the project for the systematic building-research

Outcome of patients with heart failure after transcatheter aortic valve implantation

Aims: Patients with aortic stenosis (AS) may have concomitant heart failure (HF) that determines prognosis despite successful transcatheter aortic valve implantation (TAVI). We compared outcomes of TAVI patients with low stroke volume index (SVI) ≤35 ml/m2 body surface area in different HF classes. Methods and results: Patients treated by transfemoral TAVI at our center (n = 1822) were classified as 1) ‘HF with preserved ejection fraction (EF)’ (HFpEF, EF ≥50%), 2) ‘HF with mid-range EF’ (HFmrEF, EF 40–49%), or 3) ‘HF with reduced EF’ (HFrEF, EF 35 ml/m2 served as controls. The prevalence of cardiovascular disease and symptoms increased stepwise from controls (n = 968) to patients with HFpEF (n = 591), HFmrEF (n = 97), and HFrEF (n = 166). Mortality tended to be highest in HFrEF patients 30 days post-procedure, and it became significant after one year: 10.2% (controls), 13.5% (HFpEF), 13.4% (HFmrEF), and 23.5% (HFrEF). However, symptomatic improvement in survivors of all groups was achieved in the majority of patients without differences among groups. Conclusions: Patients with AS and HF benefit from TAVI with respect to symptom alleviation. TAVI in patients with HFpEF and HFmrEF led to an identical, favorable post-procedural prognosis that was significantly better than that of patients with HFrEF, which remains a high-risk population

Long-Term Survival in Patients with or without Implantable Cardioverter Defibrillator after Transcatheter Aortic Valve Implantation

Patients with symptomatic aortic stenosis (AS) can have concomitant systolic heart failure (HF) that persists even after correction of afterload by transcatheter aortic valve implantation (TAVI). These patients qualify as potential candidates for prophylactic therapy with an implantable cardioverter defibrillator (ICD). We compared survival between patients with or without an ICD after successful TAVI. This retrospective study analyzed Kaplan-Meier survival data during a follow-up period of three years in two populations: (a) patients with a left ventricular ejection fraction (LVEF) ≤ 35% before TAVI (overall population); (b) patients with additionally documented LVEF ≤ 35% 3 months after TAVI (persistent LV dysfunction subpopulation). In the overall population, 53 patients with and 193 patients without an ICD had similar baseline characteristics and procedural success rates, and HF medication at discharge was comparable. Three-year mortality rates were 26.4% for patients with an ICD and 24.4% for patients without an ICD (p = 0.758). Cardiovascular death rates were similar between groups (p = 0.914), and deaths were most often attributed to worsening of HF. Survival rates in patients with persistent LV dysfunction with an ICD (n = 24) or without an ICD (n = 59) were similar between groups (p = 0.872), with cardiovascular deaths mostly qualified as worsening HF and none as sudden cardiac death. Patients of the overall study population with biventricular pacing devices showed only a tendency to have better outcomes (p = 0.298). ICD therapy in elderly patients with AS and LV dysfunction undergoing TAVI did not demonstrate a survival benefit during a 3-year follow-up period

Outcome of patients with heart failure after transcatheter aortic valve implantation.

AIMS:Patients with aortic stenosis (AS) may have concomitant heart failure (HF) that determines prognosis despite successful transcatheter aortic valve implantation (TAVI). We compared outcomes of TAVI patients with low stroke volume index (SVI) ≤35 ml/m2 body surface area in different HF classes. METHODS AND RESULTS:Patients treated by transfemoral TAVI at our center (n = 1822) were classified as 1) 'HF with preserved ejection fraction (EF)' (HFpEF, EF ≥50%), 2) 'HF with mid-range EF' (HFmrEF, EF 40-49%), or 3) 'HF with reduced EF' (HFrEF, EF 35 ml/m2 served as controls. The prevalence of cardiovascular disease and symptoms increased stepwise from controls (n = 968) to patients with HFpEF (n = 591), HFmrEF (n = 97), and HFrEF (n = 166). Mortality tended to be highest in HFrEF patients 30 days post-procedure, and it became significant after one year: 10.2% (controls), 13.5% (HFpEF), 13.4% (HFmrEF), and 23.5% (HFrEF). However, symptomatic improvement in survivors of all groups was achieved in the majority of patients without differences among groups. CONCLUSIONS:Patients with AS and HF benefit from TAVI with respect to symptom alleviation. TAVI in patients with HFpEF and HFmrEF led to an identical, favorable post-procedural prognosis that was significantly better than that of patients with HFrEF, which remains a high-risk population

Right Ventricular Strain by Magnetic Resonance Feature Tracking Is Largely Afterload-Dependent and Does Not Reflect Contractility: Validation by Combined Volumetry and Invasive Pressure Tracings

Cardiac magnetic resonance (CMR) is currently the gold standard for evaluating right ventricular (RV) function, which is critical in patients with pulmonary hypertension. CMR feature-tracking (FT) strain analysis has emerged as a technique to detect subtle changes. However, the dependence of RV strain on load is still a matter of debate. The aim of this study was to measure the afterload dependence of RV strain and to correlate it with surrogate markers of contractility in a cohort of patients with chronic thromboembolic pulmonary hypertension (CTEPH) under two different loading conditions before and after pulmonary endarterectomy (PEA). Between 2009 and 2022, 496 patients with 601 CMR examinations were retrospectively identified from our CTEPH cohort, and the results of 194 examinations with right heart catheterization within 24 h were available. The CMR FT strain (longitudinal (GLS) and circumferential (GCS)) was computed on steady-state free precession (SSFP) cine CMR sequences. The effective pulmonary arterial elastance (Ea) and RV chamber elastance (Ees) were approximated by dividing mean pulmonary arterial pressure by the indexed stroke volume or end-systolic volume, respectively. GLS and GCS correlated significantly with Ea and Ees/Ea in the overall cohort and individually before and after PEA. There was no general correlation with Ees; however, under high afterload, before PEA, Ees correlated significantly. The results show that RV GLS and GCS are highly afterload-dependent and reflect ventriculoarterial coupling. Ees was significantly correlated with strain only under high loading conditions, which probably reflects contractile adaptation to pulsatile load rather than contractility in general

Regional extracellular volume within late gadolinium enhancement-positive myocardium to differentiate cardiac sarcoidosis from myocarditis of other etiology: a cardiovascular magnetic resonance study

Abstract Background Cardiovascular magnetic resonance (CMR) plays a pivotal role in diagnosing myocardial inflammation. In addition to late gadolinium enhancement (LGE), native T1 and T2 mapping as well as extracellular volume (ECV) are essential tools for tissue characterization. However, the differentiation of cardiac sarcoidosis (CS) from myocarditis of other etiology can be challenging. Positron-emission tomography-computed tomography (PET-CT) regularly shows the highest Fluordesoxyglucose (FDG) uptake in LGE positive regions. It was therefore the aim of this study to investigate, whether native T1, T2, and ECV measurements within LGE regions can improve the differentiation of CS and myocarditis compared with using global native T1, T2, and ECV values alone. Methods PET/CT confirmed CS patients and myocarditis patients (both acute and chronic) from a prospective registry were compared with respect to regional native T1, T2, and ECV. Acute and chronic myocarditis were defined based on the 2013 European Society of Cardiology position paper on myocarditis. All parametric measures and ECV were acquired in standard fashion on three short-axis slices according to the ConSept study for global values and within PET-CT positive regions of LGE. Results Between 2017 and 2020, 33 patients with CS and 73 chronic and 35 acute myocarditis patients were identified. The mean ECV (± SD) in LGE regions of CS patients was higher than in myocarditis patients (CS vs. acute and chronic, respectively: 0.65 ± 0.12 vs. 0.45 ± 0.13 and 0.47 ± 0.1; p < 0.001). Acute and chronic myocarditis patients had higher global native T1 values (1157 ± 54 ms vs. 1196 ± 63 ms vs. 1215 ± 74 ms; p = 0.001). There was no difference in global T2 and ECV values between CS and acute or chronic myocarditis patients. Conclusion This is the first study to show that the calculation of regional ECV within LGE-positive regions may help to differentiate CS from myocarditis. Further studies are warranted to corroborate these findings