Passive Ballistic Microbunching of Nonultrarelativistic Electron Bunches Using Electromagnetic Wakefields in Dielectric-Lined Waveguides.

Temporally modulated electron beams have a wide array of applications ranging from the generation of coherently enhanced electromagnetic radiation to the resonant excitation of electromagnetic wakefields in advanced-accelerator concepts. Likewise producing low-energy ultrashort microbunches could be useful for ultrafast electron diffraction and new accelerator-based light-source concepts. In this Letter we propose and experimentally demonstrate a passive microbunching technique capable of forming a picosecond bunch train at ∼6 MeV. The method relies on the excitation of electromagnetic wakefields as the beam propagates through a dielectric-lined waveguide. Owing to the nonultrarelativistic nature of the beam, the induced energy modulation eventually converts into a density modulation as the beam travels in a following free-space drift. The modulated beam is further accelerated to ∼20 MeV while preserving the imparted density modulation.

[Part-body hyperthermia with a radiofrequency multiantenna applicator under online control in a 1.5 T MR-tomograph]. / Teilkörperhyperthermie mit einem Radiofrequenz-Multiantennen-Applikator unter online Kontrolle in einem 1.5 T MR-Tomographen.

Objective of this study is the integration of a multiantenna applicator for part-body hyperthermia (BSD 2000/3D) in a 1.5 T MR-tomograph (Siemens Magnetom Symphony) in order to perform noninvasive MR monitoring in real time to increase safety and effectiveness of heat treatments. The positioning unit is mechanically coupled to the MR gantry from the back side and the body coil is utilised for imaging. For that purpose, the hyperthermia antenna system (100 MHz, 1.500 W) and the MR receiver (63.9 MHs) have to be decoupled in terms of high frequency (filter) and electromagnetically (emc). The processing of MR data sets is performed in a hyperthermia planning system. A simultaneous operation of radiofrequency hyperthermia and MR system is possible at clinically relevant power levels. MR imaging is used for tumor-diagnostics (standard spin echo sequences), for hyperthermia planning (T1-weighted gradient echo sequences in equal- and opposed-phase techniques), and for temperature measurements according to the proton resonance frequency method (PRF method, phase evaluation registration using a gradient echo sequence with long echo time). In 33 patients with advanced pelvic and abdominal tumors we performed 150 heat sessions under MR monitoring. For 70% of these patients a visualisation of temperature sensitive data during treatment was possible. The evaluated difference images represent a superposition of real temperature -increase and a (temperature-induced) perfusion elevation. The -hybrid approach renders development of part body hyperthermia possible as an MR-controlled intervention in radiology.

[Feather--data acquisition in gynaecology and obstetrics]. / Feather - Datenerfassung in der Gynäkologie und Geburtshilfe.

Nowadays many types of medical documentation are based on computer facilities. Unfortunately, this involves the considerable disadvantage that almost every single department and specialty has its own software programs, with the physician having to learn a whole range of different programs. In addition, data sometimes have to be entered twice - since although open interfaces are often available, the elaborate programming required to transfer data from outside programs makes the financial costs too high. Since 1995 the University's of Frankfurt am Main Department of Gynecology and Obstetrics has therefore developed a consistent program of its own under Windows NT for in-patient facilities, as well as for some outpatient services. The program does not aim to achieve everything that is technically possible, but focuses primarily on user requirements. In addition to the general requirements for medical documentation in gynecology and obstetrics, the program can also handle perinatal inquiries and gynecological quality control (QSmed [Qualitätssicherung in der Medizin] of the BQS [Bundesgeschäftsstelle Qualitätssicherung]).

Topology, scaling relations and Leonardo's rule in root systems from African tree species.

Aspects of root architecture, including topology, link length, diameter and scaling relations, were analyzed in excavated coarse root systems of three field-grown fruit tree species (Strychnos cocculoides Bak., Strychnos spinosa Lam. and Vangueria infausta Burch) and the fruit-bearing shrub Grewia flava DC. We investigated the root systems using semi-automatic digitizing and computer-based 3-D reconstruction techniques. Topological analysis was carried out to investigate branching patterns as basic determinants of root architecture. New topological indices were developed and revealed significant differences among the species. The different architectural strategies can be explained in terms of cost-benefit relations and efficiency in soil resource exploration and exploitation. In addition, some well-known hypotheses about geometry and scaling, most of them previously unverified by empirical observations on root systems, were tested. For practical applications, the main emphasis is on the relationship between proximal root diameter, an easily determined parameter, and several parameters describing the size of the whole root system. We also tested the "pipe stem" theory, essentially dating back to Leonardo da Vinci, which underlies many models and which we found conformed to our measurement data with reasonable accuracy. A physiological consequence of the "constant cross-sectional area rule" may be a certain homogeneity of hydraulic architecture throughout root systems.

On the heating of linear conductive structures as guide wires and catheters in interventional MRI.

The interest in performing vascular interventions under magnetic resonance (MR) guidance has initiated the evaluation of the potential hazard of long conductive wires and catheters. The objective of this work is to present a simple analytical approach to address this concern and to demonstrate the agreement with experimental results. The first hypothesis is that a long conductive structure couples with the electric field of the radio frequency (RF) transmit coil. The second hypothesis is that this coupling induces high voltages near the wire ends. These voltages can cause tissue heating due to induced currents. The experimental results show an increase in coupling when moving a guide wire toward the wall of an RF transmit coil, documented with a temperature increase of a saline solution in close proximity to the tip of the guide wire. The coupling of the wire not only presents a potential hazard to the patient, but also interferes with the visualization of the wire. A safe alternative would be the use of nonconducting guide wires. J. Magn. Reson. Imaging 2001;13:105-114.

Safety of MRI-guided endovascular guidewire applications.

Magnetic radiofrequency (RF) fields applied during magnetic resonance imaging (MRI) may induce heating in devices made from conductive materials. The present paper reports on theoretical and experimental studies on the RF heating resonance phenomenon of an endovascular guidewire. A nitinol-based guidewire was inserted into a vessel phantom and imaged at 1.5 and 0.2 T with continuous temperature monitoring at the guidewire tip. The heating effects due to different experimental settings were examined. A model is developed for the resonant current and the associated electric field produced by the guidewire acting as an antenna. Temperature increases of up to 17 degrees C were measured while imaging the guidewire at an off-center position in the 1.5 T MR system. Power absorption produced by the resonating wire decreased as the repetition time was increased. No temperature rise was measured at 0.2 T. Considering the potential utility of low-field, open MR systems for MRI-guided endovascular interventions, it is important to be aware of the safety of such applications.

An integrated head-holder/coil for intraoperative MRI in open neurosurgery.

With the invention of "open" magnetic resonance imaging (MRI) systems, access to the patient is possible during the imaging procedure. An important application of these systems is intraoperative MRI to control the extent of resection during tumor surgery. Up to now flexible surface coils wrapped around, or placed at each side of the head, were used for imaging. These flexible coils have several disadvantages such as unreliability, interindividual problems, difficult handling, poor hygienic properties, and often unsatisfactory or inhomogeneous image quality. To solve most of these problems, an MR-compatible head-holder in combination with an integrated surface coil for use in a 0.2 T C-shaped magnet was developed. Forty-eight patients with known cranial tumors underwent MRI intraoperatively. In 32 patients (67%), residual tumor was found, and additional surgical resection was performed. The integrated head-holder/coil is a safe and practical tool for intraoperative MRI, providing efficient and reliable resection control during neurosurgical procedures.

[Mammography with light--possibilities and limits]. / Mammographie mit Licht--Möglichkeiten und Grenzen.

Translucence of tissue in the spectral range 650-1000 nm suggests the use of light for medical diagnosis. Measuring light absorption at wavelengths of 760, 840, 930 and 975 nm yields information on the amounts of deoxygenated and oxygenated hemoglobin as well as of fat and water. However, because of the strong scatter the propagation of light in tissue is diffuse. For this reason details in thick tissue slices cannot be imaged sharply. It is expected that tumors will differ from surrounding tissue in their scatter and absorption properties. Recent experimental progress has led to an improved contrast of details differing in their scattering properties, and also to images with better spatial resolution. This is rendered possible either by illuminating the object to be investigated with short light pulses and analyzing the time course of the emerging light or by applying intensity modulation and measuring the phase difference between the entering and the emerging light. In this way the mean pathlength of light propagation can be determined. Attention is now returning to mammography with light after the early trials on diaphanography were not successful. Clinical tests with improved instruments are in progress.

Stomatogenesis in the ditransversal ciliate Homalozoon vermiculare (Ciliophora, Rhabdophora).

H. vermiculare possesses about 10 somatic kineties on the right lateral side, 3 somatic kineties on the left lateral side and a single circumoral kinety. The somatic kineties are composed of monokinetids exc\~ept for the anterior ends of the brush kineties which are composed of dikinetids. The circumoral kinety consists of paired kinetosomes one of which is nonciliated and associated with a microtubular lamella and a nematodesma. Stomatogenesis commences when the anteriormost somatic kinetosomes in the opisthe are transformed into the nonciliated kinetosomes of the future oral dikinetid. They lose the somatic infraciliary fibers and the ciliary shaft and each gives rise to a nematodesma and a microtubular ribbon. Adjacent to each of the transformed somatic kinetosomes, a new kinetosome is assembled, thus producing an oral dikinetid anlage. The new anterior kinetosome bears a cilium and becomes the ciliferous kinetosome of the oral wreath of cilia. In protargol stained specimens, proliferation of kinetosomes can first be observed in the left lateral kineties but, eventually, each of the somatic kineties produces one kinetofragment. Thus, H. vermiculare has a holotelokinetal type of stomatogenesis. The cirumoral kinety arises from a counter-clockwise rotation (as viewed from outside the cell) of all 15 dikinetid kinetofragments and subsequent "head to tail" fusion of the fragments after cell division has been completed. The oral apparatus of the proter seems to be largely conserved during division. Some aspects of the evolution of the oral apparatus and the origin of the oral microtubular ribbons are discussed.

Multichannel biomagnetic system for study of electrical activity in the brain and heart.

The authors designed a multichannel system for noninvasive measurement of the extremely weak magnetic fields generated by the brain and the heart. It uses a flat array of 37 superconducting magnetic field-sensing coils connected to sophisticated superconducting quantum interference devices. To prevent interference from external electromagnetic fields, the system is operated inside a shielded room. Complete sets of coherent data, even from spontaneous events, can be recorded. System performance was evaluated with phantom measurements and evoked-response studies. A spatial resolution of a few millimeters and a temporal resolution of a millisecond were obtained. First results in patients with partial epilepsy and investigations of the cardiac conductive pathway indicate that biomagnetism is now ready for a systematic clinical evaluation. Interpretation of measurements was facilitated by highlighting biomagnetically localized electrical activity in three-dimensional digital magnetic resonance images.

In vivo magnetic resonance imaging and spectroscopy of humans with a 4 T whole-body magnet.

A research-type 4 T whole-body magnet, built by Siemens AG, Erlangen, FRG, was used to investigate magnetic resonance at high field strengths. Designs for head and body coils operating at 170 MHz are described. Proton images of the human head and body are degraded by dielectric resonances and penetration effects. The nature of the dielectric resonances was demonstrated in phantoms containing distilled and saline doped water. Radiation damping at 170 MHz generates secondary echoes after a spin echo sequence. This effect was observed in phantoms and with reduced amplitude in the human head. Hydrogen spectra of the human head were selected utilizing stimulated and spin echoes. The latter technique allows the volume size to be reduced to 1 cm3. Examples of brain tumors that have been routinely investigated with volumes of 8 cm3 are given. Natural abundance carbon and phosphorus spectra of muscle and liver demonstrate the expected increase in spectral resolution and signal to noise ratio. Carbon spectra from the liver show the glycogen signal. Fluorine spectroscopy was used to study the time course of the absorption and emptying of a fluorinated antibiotic from the human stomach.

[Recanalization and dilatation in chronic occlusion of the renal artery: 2 case reports]. / Rekanalizace a dilatace chronického uzáveru ledvinné tepny: 2 prípady.

The authors describe their experience in two cases of mechanic desobliteration and subsequent percutaneous transluminal angioplasty in a chronically occluded renal artery. It has become obvious that although this surgery has been so far performed only rarely it is technically viable and may exert a favourable therapeutic effect on hypertension of renovascular etiology as well as angioplasty of stenosing lesion of kidney arteries. The paper also discusses a possibility of influencing renal function by this method. The authors arrive at the conclusion that recanalization of a chronic occlusion of renal artery extends the presently relatively stabilized indications for percutaneous transluminal angioplasty in this localization.

Multiple-spin-echo imaging with a 2D Fourier method.

In 2D Fourier imaging the normal Carr-Purcell multiple-echo sequence generally leads to center line and mirror artifacts caused by imperfect rotations by the rf pulses. We describe a method to avoid these distortions using a phase alternating-phase shift (PHAPS) sequence which also allows multiple-slice and multiple-echo imaging at the same time. Measuring phantoms with calibrated T2 values, we have shown that the PHAPS imaging sequence leads to an accuracy of quantitative T2 determinations of better than 10%. Contrast-enhanced images are presented which we calculated from multiple-echo images and extrapolated to arbitrary echotimes, including negative ones. We believe that these improvements in T2 imaging will result in a significant reduction of patient investigation time in magnetic resonance imaging.

A new pulse sequence for determining T1 and T2 simultaneously.

Determination of the relaxation times T1 and T2 which are important for tissue characterization generally requires the use of different pulse sequences in magnetic resonance imaging. In this study, a new pulse sequence which facilitates simultaneous determination of the T1 and T2 times is presented. Determination takes place in this case pixel by pixel from the measured images. The measuring time corresponds in this case approximately to that of a normal spin-echo sequence with long repetition time and two data acquisitions. The functional dependence of the accuracy of the T1 and T2 determination upon external errors, e.g., angle of rotation errors, is discussed. The tissue contrast behavior of the individual echoes is shown and its dependence on pulse parameters is explained.

Magnetic resonance imaging of aneurysms and thrombi.

This is a report of the first systematic investigation of the qualitative and quantitative diagnosis of aneurysms in the regions of the left ventricle and thoracic and abdominal aorta plus proof of intracavitary thrombi in the heart and the aorta, as well as aneurysms in the superior and inferior vena cava. For diagnosis of the heart, ECG gating is an absolute necessity, but for the analysis of abdominal aortic aneurysms it only leads to a considerable improvement of the spatial resolution. For differential diagnosis of the blood flow and intracavitary clots in the heart and the aorta, use of a second or even multiple echoes is needed. Also, digital subtraction between the first and second echoes (magnetic resonance digital subtraction) can assist in assessing flow. When dissecting aortic aneurysm is suspected and in cases when risk of perforation of ventricular and aortic aneurysms is present. MR offers particular advantages, since it is noninvasive and few scans can provide all the information that is required.

Equilibrium radionuclide right ventriculography at rest and during exercise in patients with pulmonary hypertension.

Using the method of equilibrium radionuclide ventriculography (RNV), the right ventricular ejection fraction (RVEF) at rest and at a standard workload of 250 kpm per min was determined in 25 control subjects and in 30 patients with pulmonary hypertension (8 patients with chronic obstructive bronchopulmonary disease, 12 with recurrent pulmonary embolism and 10 with pure mitral stenosis). In the same week as RNV, pulmonary artery pressure was registered in patients with pulmonary hypertension at rest and at standard workload. RVEF was significantly higher (45 +/- 5%) in normal subjects than in patients with pulmonary hypertension (33 +/- 5%) and during exercise increased, whereas in patients with pulmonary hypertension it did not markedly change or decreased. The RVEF correlated at rest (r = -0.6293, p less than 0.001) and during exercise (r = 0.6980, p less than 0.05) with the degree of pulmonary hypertension at rest and during exercise. The results show a good correlation between the RVEF and the degree of pulmonary hypertension in patients with pulmonary hypertension at rest and during exercise.

[ECG-triggered NMR-tomography of the heart. Pathological findings]. / EKG-getriggerte NMR-Tomographie des Herzens. Pathologische Befunde.

Initial systematic examinations of the heart by ECG-triggered NMR are reported. Twenty-three abnormal findings were observed amongst 46 patients examined. Special indications are the search for cardiac aneurysms, intracardiac thrombi and changes from pressure and volume stress.