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  1. Article

    Open Access

    Short post-injection seizure duration is associated with reduced power of ictal brain perfusion SPECT to lateralize the seizure onset zone

    The aim of this study was to assess the impact of the post-injection electrical seizure duration on the identification of the seizure onset zone (SOZ) in ictal brain perfusion SPECT in presurgical evaluation o...

    Amir Karimzadeh, Kian Baradaran-Salimi, Berthold Voges in EJNMMI Research (2024)

  2. Article

    Open Access

    Removing outliers from the normative database improves regional atrophy detection in single-subject voxel-based morphometry

    Single-subject voxel-based morphometry (VBM) compares an individual T1-weighted MRI to a sample of normal MRI in a normative database (NDB) to detect regional atrophy. Outliers in the NDB might result in reduc...

    Vivian Schultz, Dennis M. Hedderich, Benita Schmitz-Koep, David Schinz in Neuroradiology (2024)

  3. Article

    Open Access

    Automated identification of uncertain cases in deep learning-based classification of dopamine transporter SPECT to improve clinical utility and acceptance

    Deep convolutional neural networks (CNN) are promising for automatic classification of dopamine transporter (DAT)-SPECT images. Reporting the certainty of CNN-based decisions is highly desired to flag cases th...

    Thomas Budenkotte, Ivayla Apostolova in European Journal of Nuclear Medicine and M… (2024)

  4. Article

    Open Access

    Prostate-specific membrane antigen radioguided surgery with negative histopathology: an in-depth analysis

    To identify reasons for negative histopathology of specimens from prostate-specific membrane antigen (PSMA) radioguided surgery (PSMA-RGS) in recurrent prostate cancer (PCa) after prostatectomy.

    Daniel Koehler, Samuel Trappe, Farzad Shenas in European Journal of Nuclear Medicine and M… (2024)

  5. Article

    Open Access

    Combination of tumor asphericity and an extracellular matrix-related prognostic gene signature in non-small cell lung cancer patients

    One important aim of precision oncology is a personalized treatment of patients. This can be achieved by various biomarkers, especially imaging parameters and gene expression signatures are commonly used. So f...

    Sebastian Zschaeck, Bertram Klinger, Jörg van den Hoff, Paulina Cegla in Scientific Reports (2023)

  6. Article

    Open Access

    No impact of attenuation and scatter correction on the interpretation of dopamine transporter SPECT in patients with clinically uncertain parkinsonian syndrome

    The benefit from attenuation and scatter correction (ASC) of dopamine transporter (DAT)-SPECT for the detection of nigrostriatal degeneration in clinical routine is still a matter of debate. The current study ...

    Tassilo Schiebler, Ivayla Apostolova in European Journal of Nuclear Medicine and M… (2023)

  7. Article

    Open Access

    Stereotactical normalization with multiple templates representative of normal and Parkinson-typical reduction of striatal uptake improves the discriminative power of automatic semi-quantitative analysis in dopamine transporter SPECT

    The specific binding ratio (SBR) of 123I-FP-CIT in the putamen is widely used to support the interpretation of dopamine transporter (DAT) SPECT. Automatic methods for computation of the putamen SBR often include ...

    Ivayla Apostolova, Tassilo Schiebler, Catharina Lange in EJNMMI Physics (2023)

  8. Article

    Open Access

    Evaluation of [68 Ga]Ga-PSMA-I&T PET/CT with additional late scans of the pelvis in prostate-specific antigen recurrence using the PROMISE criteria

    PSMA PET/CT is the recommended imaging test in cases with prostate-specific antigen (PSA) recurrence after primary therapy of prostate cancer (PCa). However, imaging protocols remain a topic of active research...

    Daniel Koehler, Markus Sauer, Amir Karimzadeh, Ivayla Apostolova in EJNMMI Research (2022)

  9. Article

    Open Access

    Multiple-pinhole collimators improve intra- and between-rater agreement and the certainty of the visual interpretation in dopamine transporter SPECT

    Multiple-pinhole (MPH) collimators improve the resolution–sensitivity trade-off compared to parallel-hole collimators. This study evaluated the impact of MPH collimators on intra- and between-rater agreement, ...

    Franziska Mathies, Ivayla Apostolova, Lena Dierck, Janin Jacobi in EJNMMI Research (2022)

  10. Article

    Open Access

    Explainable AI to improve acceptance of convolutional neural networks for automatic classification of dopamine transporter SPECT in the diagnosis of clinically uncertain parkinsonian syndromes

    Deep convolutional neural networks (CNN) provide high accuracy for automatic classification of dopamine transporter (DAT) SPECT images. However, CNN are inherently black-box in nature lacking any kind of expla...

    Mahmood Nazari, Andreas Kluge in European Journal of Nuclear Medicine and M… (2022)

  11. Article

    Open Access

    Data-driven identification of diagnostically useful extrastriatal signal in dopamine transporter SPECT using explainable AI

    This study used explainable artificial intelligence for data-driven identification of extrastriatal brain regions that can contribute to the interpretation of dopamine transporter SPECT with 123I-FP-CIT in parkin...

    Mahmood Nazari, Andreas Kluge, Ivayla Apostolova, Susanne Klutmann in Scientific Reports (2021)

  12. Article

    Open Access

    Impact of age and sex correction on the diagnostic performance of dopamine transporter SPECT

    The specific binding ratio (SBR) of 123I-FP-CIT (FP-CIT) in the putamen decreases with age by about 5% per decade and most likely is about 10% higher in females. However, the clinical utility of age and sex corre...

    Helen Schmitz-Steinkrüger, Catharina Lange in European Journal of Nuclear Medicine and M… (2021)

  13. Article

    Open Access

    Impact of the size of the normal database on the performance of the specific binding ratio in dopamine transporter SPECT

    This study investigated the impact of the size of the normal database on the classification performance of the specific binding ratio (SBR) in dopamine transporter (DAT) SPECT with [123I]FP-CIT in different setti...

    Helen Schmitz-Steinkrüger, Catharina Lange, Ivayla Apostolova in EJNMMI Physics (2020)

  14. No Access

    Article

    Automatic classification of dopamine transporter SPECT: deep convolutional neural networks can be trained to be robust with respect to variable image characteristics

    This study investigated the potential of deep convolutional neural networks (CNN) for automatic classification of FP-CIT SPECT in multi-site or multi-camera settings with variable image characteristics.

    Markus Wenzel, Fausto Milletari in European Journal of Nuclear Medicine and M… (2019)

  15. No Access

    Article

    Non-canonical HIF-1 stabilization contributes to intestinal tumorigenesis

    The hypoxia-inducible transcription factor HIF-1 is appreciated as a promising target for cancer therapy. However, conditional deletion of HIF-1 and HIF-1 target genes in cells of the tumor microenvironment ca...

    Nadine Rohwer, Sandra Jumpertz, Merve Erdem, Antje Egners, Klaudia T. Warzecha in Oncogene (2019)

  16. Article

    Open Access

    Diagnostic performance of the specific uptake size index for semi-quantitative analysis of I-123-FP-CIT SPECT: harmonized multi-center research setting versus typical clinical single-camera setting

    The specific uptake size index (SUSI) of striatal FP-CIT uptake is independent of spatial resolution in the SPECT image, in contrast to the specific binding ratio (SBR). This suggests that the SUSI is particul...

    Ralph Buchert, Catharina Lange, Timo S. Spehl, Ivayla Apostolova in EJNMMI Research (2019)

  17. Article

    Open Access

    Interobserver variability of image-derived arterial blood SUV in whole-body FDG PET

    Today, the standardized uptake value (SUV) is essentially the only means for quantitative evaluation of static [18F-]fluorodeoxyglucose (FDG) positron emission tomography (PET) investigations. However, the SUV ap...

    Frank Hofheinz, Jens Maus, Sebastian Zschaeck, Julian Rogasch in EJNMMI Research (2019)

  18. No Access

    Article

    Impact of plasma glucose level on the pattern of brain FDG uptake and the predictive power of FDG PET in mild cognitive impairment

    Increased blood glucose level (BGL) has been reported to cause alterations of FDG uptake in the brain that mimic Alzheimer’s disease (AD), even within the "acceptable" range ≤ 160 mg/dl. The aim of this study ...

    Ivayla Apostolova, Catharina Lange in European Journal of Nuclear Medicine and M… (2018)

  19. Article

    Open Access

    Monitoring scanner calibration using the image-derived arterial blood SUV in whole-body FDG-PET

    The current de facto standard for quantification of tumor metabolism in oncological whole-body PET is the standardized uptake value (SUV) approach. SUV determination requires accurate scanner calibration. Resi...

    Jens Maus, Frank Hofheinz, Ivayla Apostolova, Michael C. Kreissl in EJNMMI Research (2018)

  20. No Access

    Article

    The asphericity of the metabolic tumour volume in NSCLC: correlation with histopathology and molecular markers

    Asphericity (ASP) is a tumour shape descriptor based on the PET image. It quantitates the deviation from spherical of the shape of the metabolic tumour volume (MTV). In order to identify its biological correla...

    Ivayla Apostolova, Kilian Ego in European Journal of Nuclear Medicine and M… (2016)

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