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Iskalni niz: "avtor" (Igor Serša) .

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1.
Dynamic contrast-enhanced MRI of malignant pleural mesothelioma : a comparative study of pharmacokinetic models and correlation with mRECIST criteria
Martina Vivoda Tomšič, Sotirios Bisdas, Viljem Kovač, Igor Serša, Katarina Šurlan Popović, 2019

Povzetek: BACKGROUND: Malignant pleural mesothelioma (MPM) is a rare and aggressive thoracic malignancy that is difficult to cure. Dynamic contrast-enhanced (DCE) MRI is a functional imaging technique used to analyze tumor microvascular properties and to monitor therapy response. Purpose of this study was to compare two tracer kinetic models, the extended Tofts (ET) and the adiabatic approximation tissue homogeneity model (AATH) for analysis of DCE-MRI and examine the value of the DCE parameters to predict response to chemotherapy in patients with MPM. METHOD: This prospective, longitudinal, single tertiary radiology center study was conducted between October 2013 and July 2015. Patient underwent DCE-MRI studies at three time points: prior to therapy, during and after cisplatin-based chemotherapy. The images were analyzed using ET and AATH models. In short-term follow-up, the patients were classified as having disease control or progressive disease according to modified response evaluation criteria in solid tumors (mRECIST) criteria. Receiver operating characteristic curve analysis was used to examine specificity and sensitivity of DCE parameters for predicting response to therapy. Comparison tests were used to analyze whether derived parameters are interchangeable between the two models. RESULTS: Nineteen patients form the study population. The results indicate that the derived parameters are not interchangeable between the models. Significant correlation with response to therapy was found for AATH-calculated median pre-treatment efflux rate (kep) showing sensitivity of 83% and specificity of 100% (AUC 0.9). ET-calculated maximal pre-treatment kep showed 100% sensitivity and specificity for predicting treatment response during the early phase of the therapy and reached a favorable trend to significant prognostic value post-therapy. CONCLUSION: Both models show potential in predicting response to therapy in MPM. High pre-treatment kep values suggest MPM disease control post-chemotherapy.
Ključne besede: biomarker, magnetic resonance imaging, mesothelioma, perfusion, response evaluation criteria in solid tumors, prognosis
DiRROS - Objavljeno: 23.09.2020; Ogledov: 748; Prenosov: 454
.pdf Celotno besedilo (3,44 MB)

2.
Uporaba magnetno resonančnega slikanja za raziskave anatomije in vlažnosti lesa
Maks Merela, Igor Serša, Urška Mikac, Primož Oven, 2006

Povzetek: Preverjena je bila uporaba jedrske magnetne resonance (Nmr) za raziskave anatomije in vlažnosti lesa. Na tri metre visoki živi bukvi (Fagus sylvatica L.) smo uporabili 3d spin-echo mr-mikroskopsko tehniko slikanja s prostorsko resolucijo 100 mm in opazovali strukturo odrezane vejice ter spremljali dinamični odziv drevesa na mehansko poškodbo. Za potrditev struktur, vidnih na slikah, smo uporabili svetlobno mikroskopijo. Svetlobna mikroskopija je razkrila anatomsko zgradbo in triletno starost vejice bukve. Slike so jasno razkrile stržen, radialno orientirane večredne ksilemske trakove, traheje ranega lesa, vključno z mejo med ranim in kasnim lesom, kot tudi kambijevo cono s tekočim ksilemskim in floemskim prirastkom. Preučevali smo koncentracijo vode v vejici in globino dehidracije, ki je nastala v 22-tih urah po poškodbi in je segala v globino približno 5 mm od poškodbe. Hitra izguba vlažnosti odseva začetni pasivni odziv prizadetega tkiva. S pomočjo 3d mikroskopije in računalniškega programa Imagej nam je uspelo izdelati prostorski model vode v lesu, ki prikazuje tkiva v vejici z značilno višjo vlažnostjo.
Ključne besede: MR-mikroskopija, bukev, Fagus sylvatica, živi les, anatomija lesa, vlažnost, porazdelitev vode, mehanska poškodba
DiRROS - Objavljeno: 17.11.2020; Ogledov: 708; Prenosov: 249
.pdf Celotno besedilo (1,77 MB)

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