18 results on '"Vaith P"'
Search Results
2. Ligand control of regioselectivity in palladium-catalyzed heteroannulation reactions of 1,3-Dienes
- Author
-
Dasha Rodina, Jakub Vaith, and Shauna M. Paradine
- Subjects
Science - Abstract
Abstract Olefin carbofunctionalization reactions are indispensable tools for constructing diverse, functionalized scaffolds from simple starting materials. However, achieving precise control over regioselectivity in intermolecular reactions remains a formidable challenge. Here, we demonstrate that using PAd2 n Bu as a ligand enables regioselective heteroannulation of o-bromoanilines with branched 1,3-dienes through ligand control. This approach provides regiodivergent access to 3-substituted indolines, showcasing excellent regioselectivity and reactivity across a range of functionalized substrates. To gain further insights into the origin of selectivity control, we employ a data-driven strategy, developing a linear regression model using calculated parameters for phosphorus ligands. This model identifies four key parameters governing regioselectivity in this transformation, paving the way for future methodology development. Additionally, density functional theory calculations elucidate key selectivity-determining transition structures along the reaction pathway, corroborating our experimental observations and establishing a solid foundation for future advancements in regioselective olefin difunctionalization reactions.
- Published
- 2024
- Full Text
- View/download PDF
3. Electron-Scale Dynamics of the Diffusion Region during Symmetric Magnetic Reconnection in Space
- Author
-
Torbert, R. B., Burch, J. L., Phan, T. D., Hesse, M., Argall, M. R., Shuster, J., Ergun, R. E., Alm, L., Nakamura, R., Genestreti, K., Gershman, D. J., Paterson, W. R., Turner, D. L., Cohen, I., Giles, B. L., Pollock, C. J., Wang, S., Chen, L. -J., Stawarz, Julia, Eastwood, J. P., Hwang, K. - J., Farrugia, C., Dors, I., Vaith, H., Mouikis, C., Ardakani, A., Mauk, B. H., Fuselier, S. A., Russell, C. T., Strangeway, R. J., Moore, T. E., Drake, J. F., Shay, M. A., Khotyaintsev, Yu. V., Lindqvist, P. -A., Baumjohann, W., Wilder, F. D., Ahmadi, N., Dorelli, J. C., Avanov, L. A., Oka, M., Baker, D. N., Fennell, J. F., Blake, J. B., Jaynes, A. N., Contel, O. Le, Petrinec, S. M., Lavraud, B., and Saito, Y.
- Subjects
Physics - Space Physics - Abstract
Magnetic reconnection is an energy conversion process important in many astrophysical contexts including the Earth's magnetosphere, where the process can be investigated in-situ. Here we present the first encounter of a reconnection site by NASA's Magnetospheric Multiscale (MMS) spacecraft in the magnetotail, where reconnection involves symmetric inflow conditions. The unprecedented electron-scale plasma measurements revealed (1) super-Alfvenic electron jets reaching 20,000 km/s, (2) electron meandering motion and acceleration by the electric field, producing multiple crescent-shaped structures, (3) spatial dimensions of the electron diffusion region implying a reconnection rate of 0.1-0.2. The well-structured multiple layers of electron populations indicate that, despite the presence of turbulence near the reconnection site, the key electron dynamics appears to be largely laminar., Comment: 4 pages, 3 figures, and supplementary material
- Published
- 2018
- Full Text
- View/download PDF
4. Role of ATP-sensitive potassium channels on hypoxic pulmonary vasoconstriction in endotoxemia
- Author
-
Maurizio Turzo, Julian Vaith, Felix Lasitschka, Markus A. Weigand, and Cornelius J. Busch
- Subjects
Hypoxic pulmonary constriction ,Endotoxemia ,Lung ,Mouse ,Kir6.1 ,Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Background ATP-regulated potassium channels (KATP) regulate pulmonary vascular tone and are involved in hypoxic pulmonary vasoconstriction (HPV). In patients with inflammation like sepsis or ARDS, HPV is impaired, resulting in a ventilation-perfusion mismatch and hypoxia. Since increase of vascular KATP channel Kir6.1 has been reported in animal models of endotoxemia, we studied the expression and physiological effects of Kir6.1 in murine endotoxemic lungs. We hypothesized that inhibition of overexpressed Kir6.1 increases HPV in endotoxemia. Methods Mice (C57BL/6; n = 55) with (n = 27) and without (n = 28) endotoxemia (35 mg/kg LPS i.p. for 18 h) were analyzed for Kir6.1 gene as well as protein expression and HPV was examined in isolated perfused mouse lungs with and without selective inhibition of Kir6.1 with PNU-37883A. Pulmonary artery pressure (PAP) and pressure-flow curves during normoxic (FiO2 0.21) and hypoxic (FiO2 0.01) ventilation were obtained. HPV was quantified as the increase in perfusion pressure in response to hypoxic ventilation in mmHg of baseline perfusion pressure (ΔPAP) in the presence and absence of PNU-37883A. Results Endotoxemia increases pulmonary Kir6.1 gene (+ 2.8 ± 0.3-fold) and protein expression (+ 2.1 ± 0.3-fold). Hypoxia increases HPV in lungs of control animals, while endotoxemia decreases HPV (∆PAP control: 9.2 ± 0.9 mmHg vs. LPS: 3.0 ± 0.7 mmHg, p
- Published
- 2018
- Full Text
- View/download PDF
5. Role of ATP-sensitive potassium channels on hypoxic pulmonary vasoconstriction in endotoxemia
- Author
-
Turzo, Maurizio, Vaith, Julian, Lasitschka, Felix, Weigand, Markus A., and Busch, Cornelius J.
- Published
- 2018
- Full Text
- View/download PDF
6. The FIELDS Instrument Suite on MMS: Scientific Objectives, Measurements, and Data Products
- Author
-
Torbert, R. B., Russell, C. T., Magnes, W., Ergun, R. E., Lindqvist, P.-A., LeContel, O., Vaith, H., Macri, J., Myers, S., Rau, D., Needell, J., King, B., Granoff, M., Chutter, M., Dors, I., Olsson, G., Khotyaintsev, Y. V., Eriksson, A., Kletzing, C. A., Bounds, S., Anderson, B., Baumjohann, W., Steller, M., Bromund, K., Le, Guan, Nakamura, R., Strangeway, R. J., Leinweber, H. K., Tucker, S., Westfall, J., Fischer, D., Plaschke, F., Porter, J., and Lappalainen, K.
- Published
- 2016
- Full Text
- View/download PDF
7. The Electron Drift Instrument for MMS
- Author
-
Torbert, R. B., Vaith, H., Granoff, M., Widholm, M., Gaidos, J. A., Briggs, B. H., Dors, I. G., Chutter, M. W., Macri, J., Argall, M., Bodet, D., Needell, J., Steller, M. B., Baumjohann, W., Nakamura, R., Plaschke, F., Ottacher, H., Hasiba, J., Hofmann, K., Kletzing, C. A., Bounds, S. R., Dvorsky, R. T., Sigsbee, K., and Kooi, V.
- Published
- 2016
- Full Text
- View/download PDF
8. Erratum to: The Electron Drift Instrument for MMS
- Author
-
Torbert, R. B., Vaith, H., Granoff, M., Widholm, M., Gaidos, J. A., Briggs, B. H., Dors, I. G., Chutter, M. W., Macri, J., Argall, M., Bodet, D., Needell, J., Steller, M. B., Baumjohann, W., Nakamura, R., Plaschke, F., Ottacher, H., Hasiba, J., Hofmann, K., Kletzing, C. A., Bounds, S. R., Dvorsky, R. T., Sigsbee, K., and Kooi, V.
- Published
- 2016
- Full Text
- View/download PDF
9. Pd-Catalyzed Heteroannulation Using N-Arylureas as a Sterically Undemanding Ligand Platform
- Author
-
Vaith, Jakub, Rodina, Dasha, Spaulding, Gregory C., and Paradine, Shauna M.
- Abstract
We report the development of ureas as sterically undemanding pro-ligands for Pd catalysis. N-Arylureas outperform phosphine ligands for the Pd-catalyzed heteroannulation of N-tosyl-o-bromoanilines and 1,3-dienes, engaging diverse coupling partners for the preparation of 2-subsituted indolines, including sterically demanding substrates that have not previously been tolerated. Experimental and computational studies on model Pd-urea and Pd-ureate complexes are consistent with monodentate binding through the nonsubstituted nitrogen, which is uncommon for metal-ureate complexes.
- Published
- 2022
- Full Text
- View/download PDF
10. COMPUTATIONAL SIMULATION MODEL FOR DYE ADSORPTION IN NANO TIO2 FILM FOR THE APPLICATIONS IN DYE SENSITIZED SOLAR CELLS.
- Author
-
Mulaudzi, Tshimangadzo Sophie, Nemangwele, Fhulufhelo, Sankaran, Vaith, Maluta, Nnditshedzeni Eric, and Mphephu, Ndivhuwo
- Abstract
The theoretical and computational studies of dye sensitized solar cells (DSSCs) can contribute to a deeper understanding of these types of solar cells. The DSSCs are the novel design of solar cells which could be used as power producing windows or skylights. They represent a particular promising approach to a direct conversion of sunlight into electrical energy at low cost and with high efficiency. The light adsorption occurs in dye molecules adsorbed on a highly porous structure of TiO
2 film. Despite the progress in the efficiency and stability of these solar cells, there is still a room of research on some of their operational aspects that are still not understood. One process, for which there is limited information, is the time taken to upload the dye on the TiO2 nanoporous film. The processes followed experimentally for dye uptake is by dipping the TiO2 semiconductor electrode into the dye solution for periods of several hours to several days. However, such long dipping times are not economical for industrial production of DSSCs. The factors controlling this process are not yet fully investigated. We propose a simple model based on the Langmuir isotherms to study and understand the diffusion and adsorption of the dye molecules in TiO2 films. Our computational modelling results show that the adsorption of dye into the TiO2 nanotubes film is controlled by the diffusion coefficient, the adsorption-desorption ratio and the initial dye concentration. Our results show that the initial dye concentration plays an important role on the surface coverage. It is also noted that for a higher concentration shorter immersion time is needed for the sufficient surface coverage. Furthermore, it is observed that for the large values of the adsorption-desorption ratio there is a delay in the diffusion of dye molecules on the surface. [ABSTRACT FROM AUTHOR]- Published
- 2019
11. Velocity Rotation Events in the Outer Magnetosphere Near the Magnetopause
- Author
-
Matsui, H., Farrugia, C. J., Goldstein, J., Torbert, R. B., Argall, M. R., Vaith, H., Russell, C. T., Strangeway, R. J., Giles, B. L., Pollock, C. J., Taguchi, S., and Hosokawa, K.
- Abstract
We report velocity rotation events with amplitudes more than a few tens of kilometers per second observed by the Magnetospheric Multiscale mission. The events are detected in the outer magnetosphere near the magnetopause at approximately noon magnetic local time. When we examine one event, velocity and magnetic field variations are correlated. Accelerated electrons >100 eV are present. The azimuthal propagation direction is opposite to that of the background convection, implying that the structure and the background have different sources. The magnetic field variation can be approximately fitted to that of the line current. It is inferred that bundles of magnetic field lines with the same helicity propagate with the Alfvén velocity along the background magnetic field. One possible source is a flux transfer event. In addition, the variation in the solar wind dynamic pressure may also affect the velocity rotation. We have found 18 events during the first 2 years of Magnetospheric Multiscale operations. The derived properties are generally similar to those from the event study. For some events, we have identified a flux transfer event as a possible source. Again, the dynamic pressure variation may be the cause as well. The events reported resemble in some respects crewcuts and midday auroral brightening sequence, as measured by ground‐based optical instruments. Velocity rotation events are measured in the subsolar, outer magnetosphere with amplitudes more than a few tens of kilometers per secondAzimuthal directions of convective motion of structures are often opposite to those of background plasmasSome structures are inferred to be due to flux transfer events, although solar wind dynamic pressure variations may also be a cause
- Published
- 2019
- Full Text
- View/download PDF
12. Electron Dynamics Within the Electron Diffusion Region of Asymmetric Reconnection
- Author
-
Argall, M. R., Paulson, K., Alm, L., Rager, A., Dorelli, J., Shuster, J., Wang, S., Torbert, R. B., Vaith, H., Dors, I., Chutter, M., Farrugia, C., Burch, J., Pollock, C., Giles, B., Gershman, D., Lavraud, B., Russell, C. T., Strangeway, R., Magnes, W., Lindqvist, P.‐A., Khotyaintsev, Yu. V., Ergun, R. E., and Ahmadi, N.
- Abstract
We investigate the agyrotropic nature of electron distribution functions and their substructure to illuminate electron dynamics in a previously reported electron diffusion region (EDR) event. In particular, agyrotropy is examined as a function of energy to reveal detailed finite Larmor radius effects for the first time. It is shown that the previously reported ∼66 eV agyrotropic “crescent” population that has been accelerated as a result of reconnection is evanescent in nature because it mixes with a denser, gyrotopic background. Meanwhile, accelerated agyrotropic populations at 250 and 500 eV are more prominent because the background plasma at those energies is more tenuous. Agyrotropy at 250 and 500 eV is also more persistent than at 66 eV because of finite Larmor radius effects; agyrotropy is observed 2.5 ion inertial lengths from the EDR at 500 eV, but only in close proximity to the EDR at 66 eV. We also observe linearly polarized electrostatic waves leading up to and within the EDR. They have wave normal angles near 90°, and their occurrence and intensity correlate with agyrotropy. Within the EDR, they modulate the flux of 500 eV electrons travelling along the current layer. The net electric field intensifies the reconnection current, resulting in a flow of energy from the fields into the plasma. The process of reconnection involves an explosive transfer of magnetic energy into particle energy. When energetic particles contact modern technology such as satellites, cell phones, or other electronic devices, they can cause random errors and failures. Exactly how particles are energized via reconnection, however, is still unknown. Fortunately, the Magnetospheric Multiscale mission is finally able to detect and analyze reconnection processes. One recent finding is that energized particles take on a crescent‐shaped configuration in the vicinity of reconnection and that this crescent shape is related to the energy conversion process. In our paper, we explain why the crescent shape has not been observed until now and inspect particle motions to determine what impact it has on energy conversion. When reconnection heats the plasma, the crescent shape forms from the cool, tenuous particles. As plasmas from different regions mix, dense, nonheated plasma obscures the crescent shape in our observations. The highest‐energy particle population created by reconnection, though, also contains features of the crescent shape that are more persistent but appear less dramatically in the data. We study agyrotropy and energy dissipation in an EDR event on the ion and electron inertial scalesAgyrotropy is observed 2.5 ion inertial lengths from the Xpoint at energies above the electron crescent populationAmplitude and occurrence of electrostatic, linearly polarized waves near fcecorrelate with increased agyrotropy in and around the EDR
- Published
- 2018
- Full Text
- View/download PDF
13. Electron jet of asymmetric reconnection
- Author
-
Khotyaintsev, Yu. V., Graham, D. B., Norgren, C., Eriksson, E., Li, W., Johlander, A., Vaivads, A., André, M., Pritchett, P. L., Retinò, A., Phan, T. D., Ergun, R. E., Goodrich, K., Lindqvist, P.-A., Marklund, G. T., Le Contel, O., Plaschke, F., Magnes, W., Strangeway, R. J., Russell, C. T., Vaith, H., Argall, M. R., Kletzing, C. A., Nakamura, R., Torbert, R. B., Paterson, W. R., Gershman, D. J., Dorelli, J. C., Avanov, L. A., Lavraud, B., Saito, Y., Giles, B. L., Pollock, C. J., Turner, D. L., Blake, J. D., Fennell, J. F., Jaynes, A., Mauk, B. H., and Burch, J. L.
- Abstract
We present Magnetospheric Multiscale observations of an electron-scale current sheet and electron outflow jet for asymmetric reconnection with guide field at the subsolar magnetopause. The electron jet observed within the reconnection region has an electron Mach number of 0.35 and is associated with electron agyrotropy. The jet is unstable to an electrostatic instability which generates intense waves with E?amplitudes reaching up to 300 mV m-1and potentials up to 20% of the electron thermal energy. We see evidence of interaction between the waves and the electron beam, leading to quick thermalization of the beam and stabilization of the instability. The wave phase speed is comparable to the ion thermal speed, suggesting that the instability is of Buneman type, and therefore introduces electron-ion drag and leads to braking of the electron flow. Our observations demonstrate that electrostatic turbulence plays an important role in the electron-scale physics of asymmetric reconnection. Electron outflow jet of asymmetric magnetic reconnection is observedElectron jet is unstable to Buneman-type instability generating intense electrostatic wavesThe instability leads to thermalization and braking of the electron jet
- Published
- 2016
- Full Text
- View/download PDF
14. Safety and Feasibility of Transcranial Direct Current Stimulation in Pediatric Hemiparesis: Randomized Controlled Preliminary Study
- Author
-
Gillick, Bernadette T., Feyma, Tim, Menk, Jeremiah, Usset, Michelle, Vaith, Amy, Wood, Teddi Jean, Worthington, Rebecca, and Krach, Linda E.
- Published
- 2015
- Full Text
- View/download PDF
15. Results of the Electron Drift Instrument on Cluster
- Author
-
Paschmann, G., Quinn, J. M., Torbert, R. B., McIlwain, C. E., Vaith, H., Haaland, S., Matsui, H., Kletzing, C. A., Baumjohann, W., and Haerendel, G.
- Abstract
The electron drift instrument (EDI) on Cluster pioneered a new method of measuring electric fields, using a beam of electrons to sample the drift velocity over a km‐scale gyro orbit. The technique is especially well suited to measuring weak, sub‐mV/m, convection fields due to its sensitivity (to both components in the plane perpendicular to B) and because it is unaffected by the anomalous local electric fields that are generated by spacecraft‐plasma interactions. Because EDI requires exquisite beam pointing with active tracking of the firing directions, measurements are less regular, or even impossible, in rapidly varying electric and magnetic fields; however, in the many regimes where tracking is successful the resulting measurements are reliably accurate. We review the EDI technique and instrumentation, and present six areas of investigation using Cluster data: (1) Detailed comparisons of EDI data with the electric field and waves double probe measurements show excellent agreement in many cases but identify large discrepancies where strong ion outflow in the polar regions creates local spacecraft wake effects. (2) The wake effect is exploited to infer quantitative ion outflow rates. Detailed convection patterns in the (3) polar cap, (4) lobe, and (5) inner magnetosphere are derived under various driver conditions using statistical analyses of long term measurements during the Cluster mission. (6) EDI's large geometric‐factor detector is used for extremely high time resolution measurements of electrons at a specified energy and pitch angle. Complementarity of electron drift and double‐probe techniques establishedInner magnetosphere, polar cap, and tail‐lobe convection patterns determinedKey contribution to ion outflow velocities made Complementarity of electron drift and double‐probe techniques established Inner magnetosphere, polar cap, and tail‐lobe convection patterns determined Key contribution to ion outflow velocities made
- Published
- 2021
- Full Text
- View/download PDF
16. A Multi‐Instrument Study of a Dipolarization Event in the Inner Magnetosphere
- Author
-
Matsui, H., Torbert, R. B., Spence, H. E., Argall, M. R., Cohen, I. J., Cooper, M. B., Ergun, R. E., Farrugia, C. J., Fennell, J. F., Fuselier, S. A., Gkioulidou, M., Khotyaintsev, Yu. V., Lindqvist, P.‐A., Matsuoka, A., Russell, C. T., Shoji, M., Strangeway, R. J., Turner, D. L., Vaith, H., and Wygant, J. R.
- Abstract
A dipolarization of the background magnetic field was observed during a conjunction of the Magnetospheric Multiscale (MMS) spacecraft and Van Allen Probe B on September 22, 2018. The spacecraft were located in the inner magnetosphere at L∼ 6–7 just before midnight magnetic local time (MLT). The radial separation between MMS and Probe B was ∼1RE. Gradual dipolarization or an increase of the northward component BZof the background field occurred on a timescale of minutes. Exploration of energization and Radiation in Geospace located 0.5 MLT eastward at a similar Lshell also measured a gradual increase. The spatial scale was of the order of 1 RE. On top of that, MMS and Probe B measured BZincreases, and a decrease in one case, on a timescale of seconds, accompanied by large electric fields with amplitudes > several tens of mV/m. Spatial scale lengths were of the order of the ion inertial length and the ion gyroradius. The inertial term in the momentum equation and the Hall term in the generalized Ohm's law were sometimes non‐negligible. These small‐scale variations are discussed in terms of the ballooning/interchange instability and kinetic Alfvén waves among others. It is inferred that physics of multiple scales was involved in the dynamics of this dipolarization event. A dipolarization was observed during a conjunction of Magnetospheric Multiscale and Van Allen Probe B in the inner magnetosphereA BZincrease on a timescale of minutes was overlaid with those on a timescale of secondsThe inertial term and the Hall term sometimes played a role during BZincreases on a timescale of seconds A dipolarization was observed during a conjunction of Magnetospheric Multiscale and Van Allen Probe B in the inner magnetosphere A BZincrease on a timescale of minutes was overlaid with those on a timescale of seconds The inertial term and the Hall term sometimes played a role during BZincreases on a timescale of seconds
- Published
- 2021
- Full Text
- View/download PDF
17. Disease progression in systemic sclerosis-overlap syndrome is significantly different from limited and diffuse cutaneous systemic sclerosis.
- Author
-
Moinzadeh P, Aberer E, Ahmadi-Simab K, Blank N, Distler JH, Fierlbeck G, Genth E, Guenther C, Hein R, Henes J, Herich L, Herrgott I, Koetter I, Kreuter A, Krieg T, Kuhr K, Lorenz HM, Meier F, Melchers I, Mensing H, Mueller-Ladner U, Pfeiffer C, Riemekasten G, Sárdy M, Schmalzing M, Sunderkoetter C, Susok L, Tarner IH, Vaith P, Worm M, Wozel G, Zeidler G, and Hunzelmann N
- Subjects
- Adult, Autoantibodies immunology, Cardiomyopathies etiology, Connective Tissue Diseases complications, Connective Tissue Diseases immunology, Databases, Factual, Disease Progression, Female, Gastrointestinal Diseases etiology, Humans, Hypertension, Pulmonary etiology, Male, Middle Aged, Prospective Studies, Pulmonary Fibrosis etiology, Scleroderma, Diffuse physiopathology, Scleroderma, Limited physiopathology, Scleroderma, Systemic complications, Scleroderma, Systemic immunology, Syndrome, Connective Tissue Diseases physiopathology, Scleroderma, Systemic physiopathology
- Abstract
Background: Systemic sclerosis (SSc)-overlap syndromes are a very heterogeneous and remarkable subgroup of SSc-patients, who present at least two connective tissue diseases (CTD) at the same time, usually with a specific autoantibody status., Objectives: To determine whether patients, classified as overlap syndromes, show a disease course different from patients with limited SSc (lcSSc) or diffuse cutaneous SSc (dcSSc)., Methods: The data of 3240 prospectively included patients, registered in the database of the German Network for Systemic Scleroderma and followed between 2003 and 2013, were analysed., Results: Among 3240 registered patients, 10% were diagnosed as SSc-overlap syndrome. Of these, 82.5% were female. SSc-overlap patients had a mean age of 48±1.2 years and carried significantly more often 'other antibodies' (68.0%; p<0.0001), including anti-U1RNP, -PmScl, -Ro, -La, as well as anti-Jo-1 and -Ku antibodies. These patients developed musculoskeletal involvement earlier and more frequently (62.5%) than patients diagnosed as lcSSc (32.2%) or dcSSc (43.3%) (p<0.0001). The onset of lung fibrosis and heart involvement in SSc-overlap patients was significantly earlier than in patients with lcSSc and occurred later than in patients with dcSSc. Oesophagus, kidney and PH progression was similar to lcSSc patients, whereas dcSSc patients had a significantly earlier onset., Conclusions: These data support the concept that SSc-overlap syndromes should be regarded as a separate SSc subset, distinct from lcSSc and dcSSc, due to a different progression of the disease, different proportional distribution of specific autoantibodies, and of different organ involvement., (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.)
- Published
- 2015
- Full Text
- View/download PDF
18. Giant cell arteritis: diagnostic accuracy of MR imaging of superficial cranial arteries in initial diagnosis-results from a multicenter trial.
- Author
-
Klink T, Geiger J, Both M, Ness T, Heinzelmann S, Reinhard M, Holl-Ulrich K, Duwendag D, Vaith P, and Bley TA
- Subjects
- Aged, Aged, 80 and over, Contrast Media, Female, Giant Cell Arteritis pathology, Humans, Male, Middle Aged, Organometallic Compounds, Prospective Studies, Sensitivity and Specificity, Giant Cell Arteritis diagnosis, Magnetic Resonance Imaging methods, Temporal Arteries pathology
- Abstract
Purpose: To assess the diagnostic accuracy of contrast material-enhanced magnetic resonance (MR) imaging of superficial cranial arteries in the initial diagnosis of giant cell arteritis ( GCA giant cell arteritis )., Materials and Methods: Following institutional review board approval and informed consent, 185 patients suspected of having GCA giant cell arteritis were included in a prospective three-university medical center trial. GCA giant cell arteritis was diagnosed or excluded clinically in all patients (reference standard [final clinical diagnosis]). In 53.0% of patients (98 of 185), temporal artery biopsy ( TAB temporal artery biopsy ) was performed (diagnostic standard [ TAB temporal artery biopsy ]). Two observers independently evaluated contrast-enhanced T1-weighted MR images of superficial cranial arteries by using a four-point scale. Diagnostic accuracy, involvement pattern, and systemic corticosteroid ( sCS systemic corticosteroid ) therapy effects were assessed in comparison with the reference standard (total study cohort) and separately in comparison with the diagnostic standard TAB temporal artery biopsy ( TAB temporal artery biopsy subcohort). Statistical analysis included diagnostic accuracy parameters, interobserver agreement, and receiver operating characteristic analysis., Results: Sensitivity of MR imaging was 78.4% and specificity was 90.4% for the total study cohort, and sensitivity was 88.7% and specificity was 75.0% for the TAB temporal artery biopsy subcohort (first observer). Diagnostic accuracy was comparable for both observers, with good interobserver agreement ( TAB temporal artery biopsy subcohort, κ = 0.718; total study cohort, κ = 0.676). MR imaging scores were significantly higher in patients with GCA giant cell arteritis -positive results than in patients with GCA giant cell arteritis -negative results ( TAB temporal artery biopsy subcohort and total study cohort, P < .001). Diagnostic accuracy of MR imaging was high in patients without and with sCS systemic corticosteroid therapy for 5 days or fewer (area under the curve, ≥0.9) and was decreased in patients receiving sCS systemic corticosteroid therapy for 6-14 days. In 56.5% of patients with TAB temporal artery biopsy -positive results (35 of 62), MR imaging displayed symmetrical and simultaneous inflammation of arterial segments., Conclusion: MR imaging of superficial cranial arteries is accurate in the initial diagnosis of GCA giant cell arteritis . Sensitivity probably decreases after more than 5 days of sCS systemic corticosteroid therapy; thus, imaging should not be delayed. Clinical trial registration no. DRKS00000594 ., (© RSNA, 2014.)
- Published
- 2014
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.