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Nerlich AG, Panzer S, Lehn C, Friederichs J, Peschel OK. Traumatic fractures in an early 19th century museum skeleton suggest the homicide of an old Munich character: the history of "Finessensepperl" (Finesse Joseph). Forensic Sci Med Pathol 2024:10.1007/s12024-024-00811-w. [PMID: 38607512 DOI: 10.1007/s12024-024-00811-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/28/2024] [Indexed: 04/13/2024]
Abstract
The well preserved skeleton of Joseph Huber, a very well-known historical character of the 19th century Munich, also nicknamed "Finessen-Sepperl", is the starting point of the reconstruction of life and death of this historical individual. He was known as a postilion d´amour (love's messenger) of the Royal Bavarian capital with numerous comments and anecdotes and a few biographical sketches that indicate he remained well until the last few years of his life where requests for his duties lessened. The skeleton shows a small-sized male individual with almost complete loss of teeth, but otherwise very well-mineralized bone, having suffered from three episodes of trauma - an old-healed incomplete femoral neck fracture leading to severe osteoarthrosis, a clavicle fracture of the medial third with a few weeks old callus formation, and fresh serial rib fractures along with severe skull trauma with fractures of the os temporale and petrosum, presumably leading to intracranial bleeding and finally death. The type and distribution of these latter two injuries are in agreement with a murderous attack - which was retrospectively reported several years after his death, while the old-healed femoral neck fracture may have caused reduction in Joseph´s walking activities but not reduced requests for his services. Paleopathology not only identifies the terminal decline, but also previous diseases of this Old Bavarian character and thereby completes his story.
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Affiliation(s)
- Andreas G Nerlich
- Department of Forensic Histopathology, Paleopathology and Mummy Research, Institute of Legal Medicine, Ludwig-Maximilians Universität, Nussbaumstr. 26, D-80336, München, Germany.
| | - Stephanie Panzer
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany
- Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medizinische Universität, Salzburg, Austria
| | - Christine Lehn
- Department of Forensic Histopathology, Paleopathology and Mummy Research, Institute of Legal Medicine, Ludwig-Maximilians Universität, Nussbaumstr. 26, D-80336, München, Germany
| | - Jan Friederichs
- Department of Trauma Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany
| | - Oliver K Peschel
- Department of Forensic Histopathology, Paleopathology and Mummy Research, Institute of Legal Medicine, Ludwig-Maximilians Universität, Nussbaumstr. 26, D-80336, München, Germany
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Panzer S, Paladin A, Zesch S, Rosendahl W, Augat P, Thompson RC, Miyamoto MI, Sutherland ML, Allam AH, Wann LS, Sutherland JD, Rowan CJ, Michalik DE, Hergan K, Zink AR. Preservation of the heart in ancient Egyptian mummies: A computed tomography investigation with focus on the myocardium. Clin Anat 2024. [PMID: 38566474 DOI: 10.1002/ca.24151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/02/2024] [Accepted: 02/22/2024] [Indexed: 04/04/2024]
Abstract
The ancient Egyptians considered the heart to be the most important organ. The belief that the heart remained in the body is widespread in the archeological and paleopathological literature. The purpose of this study was to perform an overview of the preserved intrathoracic structures and thoracic and abdominal cavity filling, and to determine the prevalence and computed tomography (CT) characteristics of the myocardium in the preserved hearts of ancient Egyptian mummies. Whole-body CT examinations of 45 ancient Egyptian mummies (23 mummies from the Ägyptisches Museum und Papyrussammlung, Berlin, Germany, and 22 mummies from the Museo Egizio, Turin, Italy) were systematically assessed for preserved intrathoracic soft tissues including various anatomical components of the heart (pericardium, interventricular septum, four chambers, myocardium, valves). Additionally, evidence of evisceration and cavity filling was documented. In cases with identifiable myocardium, quantitative (measurements of thickness and density) and qualitative (description of the structure) assessment of the myocardial tissue was carried out. Heart structure was identified in 28 mummies (62%). In 33 mummies, CT findings demonstrated evisceration, with subsequent cavity filling in all but one case. Preserved myocardium was identified in nine mummies (five male, four female) as a mostly homogeneous, shrunken structure. The posterior wall of the myocardium had a mean maximum thickness of 3.6 mm (range 1.4-6.6 mm) and a mean minimum thickness of 1.0 mm (range 0.5-1.7 mm). The mean Hounsfield units (HU) of the myocardium at the posterior wall was 61 (range, 185-305). There was a strong correlation between the HU of the posterior wall of the myocardium and the mean HU of the muscles at the dorsal humerus (R = 0.77; p = 0.02). In two cases, there were postmortem changes in the myocardium, most probably due to insect infestation. To our knowledge, this is the first study to investigate the myocardium systematically on CT scans of ancient Egyptian mummies. Strong correlations between the densities of the myocardium and skeletal muscle indicated similar postmortem changes of the respective musculature during the mummification process within individual mummies. The distinct postmortem shrinking of the myocardium and the collapse of the left ventriclular cavity in several cases did not allow for paleopathological diagnoses such as myocardial scarring.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany
- Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany and Paracelsus Medical University, Salzburg, Austria
| | - Alice Paladin
- Institute for Mummy Studies, Eurac Research, Bolzano, Italy
| | | | | | - Peter Augat
- Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany and Paracelsus Medical University, Salzburg, Austria
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, Missouri, USA
| | - Michael I Miyamoto
- Division of Cardiology, Mission Heritage Medical Group, Providence Health, Mission Viejo, California, USA
| | - M Linda Sutherland
- Division of Cardiovascular Diseases, MemorialCare Health System, Laguna Hills, California, USA
| | - Adel H Allam
- Department of Cardiology, Al Azhar University, Cairo, Egypt
| | - L Samuel Wann
- Division of Cardiology, University of New Mexico, Albuquerque, New Mexico, USA
| | - James D Sutherland
- Division of Cardiovascular Diseases, MemorialCare Health System, Laguna Hills, California, USA
| | - Chris J Rowan
- Division of Cardiovascular Diseases, University of Nevada, Reno, Reno, Nevada, USA
| | - David E Michalik
- Department of Pediatrics, Irvine School of Medicine, University of California, Orange, California, USA
| | - Klaus Hergan
- Department of Radiology, University Hospital Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria
| | - Albert R Zink
- Institute for Mummy Studies, Eurac Research, Bolzano, Italy
- Department of Biology II, Anthropology, Ludwig-Maximilians University Munich, Munich, Germany
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Panzer S, Zesch S, Rosendahl W, Thompson RC, Zink AR. Postmortem changes in ancient Egyptian child mummies: Possible pitfalls on CT images. Int J Paleopathol 2023; 42:46-54. [PMID: 37544242 DOI: 10.1016/j.ijpp.2023.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 07/22/2023] [Accepted: 07/22/2023] [Indexed: 08/08/2023]
Abstract
OBJECTIVE To identify and interpret computed tomography (CT) findings of postmortem changes in ancient Egyptian child mummies. MATERIALS Whole-body CT examinations of 21 ancient Egyptian child mummies from German (n = 18), Italian (n = 1), and Swiss museums (n = 2). METHODS Conspicuous CT findings from prior evaluations with various research questions that were assessed as postmortem changes were classified, and special cases were illustrated and discussed. RESULTS Postmortem changes were classified into several categories. From these, individuals with evidence of invasion of resin/oil/tar into bone, dried fluid-levels within bone most likely due to natron, probable interaction of natron with soft tissues and bone, as well as insect infestation were demonstrated. CONCLUSIONS One challenge of paleoradiology is to differentiate between intravital and postmortem changes, which can be multifarious. These changes can be obvious, but also subtle, and can mimic diseases. SIGNIFICANCE The provided classification of postmortem changes, as well as the demonstrated cases, may serve as models for further paleoradiological investigations. The dried intraosseous fluid levels in two mummies, most likely due to natron, suggests that these children were immersed in a liquid natron bath, in contrast to the current scientific view that natron for mummification was routinely applied in the solid form. LIMITATIONS CT was used as the only examination method, as sampling of the mummies was not possible. SUGGESTIONS FOR FURTHER RESEARCH The awareness that postmortem changes on CT images of ancient Egyptian mummies might mimic pathology should be raised to reduce or avoid incorrect interpretation.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Prof-Küntscher-Straße 8, D-82418 Murnau, Germany; Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University, Salzburg, Austria, Prof-Küntscher-Straße 8 D-82418 Murnau, Germany.
| | - Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, D-68159 Mannheim, Germany
| | - Wilfried Rosendahl
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, D-68159 Mannheim, Germany
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, 4330 Wornall Road, Kansas City, MO 64111, USA
| | - Albert R Zink
- Institute for Mummy Studies, Eurac Research, Viale Druso 1, I-39100 Bolzano, Italy
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Nerlich AG, Panzer S, Wimmer J, Hamann C, Peschel OK. Adipositas and metabolic bone disorder in a 16th century Upper Austrian infant crypt mummy—An interdisciplinary palaeopathological insight into historical aristocratic life. Front Med (Lausanne) 2022; 9:979670. [DOI: 10.3389/fmed.2022.979670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 09/12/2022] [Indexed: 11/13/2022] Open
Abstract
We describe here the results of a multidisciplinary study on an infant mummy from 16th century Upper Austria buried in the crypt of the family of the Counts of Starhemberg. The macroscopic-anthropological, radiological (whole-body CT scan), histological (skin tissue), and radiocarbon isotope investigations suggested a male infant of 10–18 months' age, most likely dying between 1550 and 1635 CE (probably Reichard Wilhelm, 1625–1626 CE), that presented with evidence of metabolic bone disease with significant bilateral flaring of costochondral joints resembling “rachitic rosary” of the ribs, along with straight long bones and lack of fractures or subperiosteal bleeding residues. Although incompletely developed, the osteopathology points toward rickets, without upper or lower extremities long bone deformation. The differential diagnosis is vitamin C deficiency (scurvy) (also with an incomplete presentation, although overlap between both disorders may be present). As additional pathology, there was significantly enlarged subcutaneous fat tissue (thickness more than 1 cm at the navel and thighs and longitudinal creases of the skin) along with a histologically enlarged subcutaneous fat layer consistent with infantile adipositas as a coincident disorder. Finally, remnants of lung tissue with pleural adhesion of the right lung indicate possibly lethal pneumonia, a disease with an increased prevalence in vitamin D deficient infants. Ultimately, the skull presented with extensive destruction of the bones of the base and dislocation of the bones of the skull squama. These changes, however, are most likely post-mortal pseudopathology, the result of a burial in a flat, narrow coffin because there were no bone fractures or residues of bleeding/tissue reaction that would have occurred whilst the patient was alive.
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Panzer S, Treitl M, Zesch S, Rosendahl W, Helmbold-Doyé J, Thompson RC, Zink AR. Radiological evidence of purulent infections in ancient Egyptian child mummies. Int J Paleopathol 2022; 36:30-35. [PMID: 34974252 DOI: 10.1016/j.ijpp.2021.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 11/26/2021] [Accepted: 12/19/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To identify computed tomography (CT) findings of purulent infections in ancient Egyptian child mummies. MATERIALS Whole-body CT examination of 21 ancient Egyptian child mummies from German (n = 18), Italian (n = 1), and Swiss museums (n = 2). METHODS CT examinations were evaluated for estimation of age at death and sex of the children. CT examinations were systematically assessed for any CT findings of purulent infection. RESULTS The estimated age at death of the children ranged from about one year to the age of 12-14 years (mean 4.8 years). Twelve children were assessed as male, seven as female and in two sex was indeterminate. Three out of 21 child mummies (14.3%) had radiological evidence of purulent infections. In one mummy, a bandage-like structure at the right lower leg was detected that most likely represented a dressing of a skin lesion. CONCLUSIONS This study appears to be the first to describe radiologically visualized structures consistent with dried pus in ancient Egyptian mummies. This study also appears to be the first to physically demonstrate an original ancient Egyptian dressing. SIGNIFICANCE These cases may serve as models for further paleopathological investigation. The evidence of an original dressing contributes to our knowledge of ancient Egyptian medicine. LIMITATIONS CT was used as the only examination method as sampling of the wrapped mummies was not possible. SUGGESTIONS FOR FURTHER RESEARCH Radiological-pathological correlation in mummies in which physical sampling is available may reveal further insights into purulent infections in ancient Egypt.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Prof-Küntscher-Straße 8, D-82418 Murnau, Germany; Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University, Salzburg, Austria, Prof-Küntscher-Straße 8, D-82418 Murnau, Germany.
| | - Marcus Treitl
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Prof-Küntscher-Straße 8, D-82418 Murnau, Germany.
| | - Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, D-68159 Mannheim, Germany.
| | - Wilfried Rosendahl
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, D-68159 Mannheim, Germany.
| | - Jana Helmbold-Doyé
- Ägyptisches Museum und Papyrussammlung, Staatliche Museen zu Berlin, Geschwister-Scholl-Str. 6, D-10117 Berlin, Germany.
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, 4330 Wornall Road, Kansas City, MO 64111, USA.
| | - Albert R Zink
- Institute for Mummy Studies, Eurac Research, Viale Druso 1, I-39100 Bolzano, Italy.
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Panzer S, Augat P, Sprenger M, Zesch S, Rosendahl W, Sutherland ML, Thompson RC, Paladin A, Zink AR. Correlation of atherosclerosis and osteoarthritis in ancient Egypt: A standardized evaluation of 45 whole-body CT examinations. Int J Paleopathol 2021; 33:137-145. [PMID: 33930634 DOI: 10.1016/j.ijpp.2021.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 04/01/2021] [Accepted: 04/04/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To correlate atherosclerosis (Ath) and osteoarthritis (OA) in mummies from ancient Egypt. MATERIALS Whole-body CT examinations of 23 mummies from the Ägyptisches Museum und Papyrussammlung, Berlin, Germany, and 22 mummies from the Museo Egizio, Turin, Italy. METHODS Ath was assessed in five anatomical regions by means of preserved arterial calcifications. OA was assessed using the Kellgren and Lawrence (1957) classification. RESULTS Statistical analysis revealed no correlation between Ath and total OA. A significant association was found for Ath and the upper limb group for OA grade >1 and for Ath and the lower limb group, consisting mainly of the hip and knee, for OA grade >2 OA. CONCLUSIONS The association of Ath and advanced OA of the hip and knee is comparable in prevalence to those reported in recent clinical studies, despite the low life expectancy and the different environment and lifestyle of the ancient Egyptians. SIGNIFICANCE This is the first study to correlate findings of Ath and OA in ancient Egypt statistically. The diseases of Ath and OA are common ailments with enormous and increasing impacts on public health. LIMITATIONS The large number of cardiovascular diseases was indicated only by arterial calcifications that resisted the post-mortem changes of the mummification process. Also, the assessed OA was on radiological OA. SUGGESTIONS FOR FURTHER RESEARCH Genomic studies of ancient Egyptian mummies may reveal genetic risk factors for Ath and OA that could be shared in ancient and modern populations.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Prof-Küntscher-Strasse 8, D-82418 Murnau, Germany; Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University, Salzburg, Austria, Prof-Küntscher-Strasse 8, D-82418 Murnau, Germany.
| | - Peter Augat
- Institute of Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University, Salzburg, Austria, Prof-Küntscher-Strasse 8, D-82418 Murnau, Germany.
| | - Martin Sprenger
- Institute of Social Medicine and Epidemiology, Medical University of Graz, Universitätsplatz 4/3, A-8010 Graz, Austria.
| | - Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen Mannheim, Zeughaus C5, D-68159 Mannheim, Germany.
| | - Wilfried Rosendahl
- German Mummy Project, Reiss-Engelhorn-Museen Mannheim, Zeughaus C5, D-68159 Mannheim, Germany.
| | - M Linda Sutherland
- MemorialCare Health Systems, 18035 Brookhurst St, Fountain Valley, California, USA.
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, 4330 Wornall Road, Kansas City, MO 6411, USA.
| | - Alice Paladin
- Institute for Mummy Studies, Eurac Research, Viale Druso 1, I-39100 Bolzano, Italy.
| | - Albert R Zink
- Institute for Mummy Studies, Eurac Research, Viale Druso 1, I-39100 Bolzano, Italy.
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Nerlich AG, Kirchhoff SM, Panzer S, Lehn C, Bachmeier BE, Bayer B, Anslinger K, Röcker P, Peschel OK. Chronic active non-lethal human-type tuberculosis in a high royal Bavarian officer of Napoleonic times-a mummy study. PLoS One 2021; 16:e0249955. [PMID: 33945536 PMCID: PMC8096010 DOI: 10.1371/journal.pone.0249955] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 03/26/2021] [Indexed: 11/24/2022] Open
Abstract
In paleopathology, morphological and molecular evidence for infection by mycobacteria of the M. tuberculosis complex (MTC) is frequently associated with early death. In the present report, we describe a multidisciplinary study of a well-preserved mummy from Napoleonic times with a long-standing tuberculous infection by M. tuberculosis senso stricto who died at the age of 88 years of focal and non-MTB related bronchopneumonia. The well-preserved natural mummy of the Royal Bavarian General, Count Heinrich LII Reuss-Köstritz (1763–1851 CE), was extensively investigated by macro- and histomorphology, whole body CT scans and organ radiography, various molecular tissue analyses, including stable isotope analysis and molecular genetic tests. We identified signs for a long-standing, but terminally inactive pulmonary tuberculosis, tuberculous destruction of the second lumbar vertebral body, and a large tuberculous abscess in the right (retroperitoneal) psoas region (a cold abscess). This cold abscess harboured an active tuberculous infection as evidenced by histological and molecular tests. Radiological and histological analysis further revealed extensive arteriosclerosis with (non-obliterating) coronary and significant carotid arteriosclerosis, healthy bone tissue without evidence of age-related osteopenia, evidence for diffuse idiopathic skeletal hyperostosis and mild osteoarthrosis of few joints. This suggests excellent living conditions correlating well with his diet indicated by stable isotope results and literary evidence. Despite the clear evidence of a tuberculous cold abscess with bacterioscopic and molecular proof for a persisting MTC infection of a human-type M. tuberculosis strain, we can exclude the chronic MTC infection as cause of death. The detection of MTC in historic individuals should therefore be interpreted with great caution and include further data, such as their nutritional status.
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Affiliation(s)
- Andreas G. Nerlich
- Institute of Pathology, Academic Clinic München-Bogenhausen, Munich, Germany
- * E-mail:
| | - Sonja M. Kirchhoff
- Department of Radiology, Ludwig-Maximilians University (LMU), Munich, Germany
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Murnau, Germany
- Paracelsus Medical University Salzburg, Salzburg, Austria
| | - Christine Lehn
- Institute of Legal Medicine, Ludwig-Maximilians University (LMU), Munich, Germany
| | - Beatrice E. Bachmeier
- Institute of Laboratory Medicine, University Hospital, Ludwig-Maximilians University (LMU), Munich, Germany
| | - Birgit Bayer
- Institute of Legal Medicine, Ludwig-Maximilians University (LMU), Munich, Germany
| | - Katja Anslinger
- Institute of Legal Medicine, Ludwig-Maximilians University (LMU), Munich, Germany
| | - Pascale Röcker
- Institute of Pathology, Academic Clinic München-Bogenhausen, Munich, Germany
| | - Oliver K. Peschel
- Institute of Legal Medicine, Ludwig-Maximilians University (LMU), Munich, Germany
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Nerlich AG, Panzer S, Donell S, Bianucci R. First Evidence of Peripheral Atherosclerosis in the Feet of Egyptian Mummies. Eur J Vasc Endovasc Surg 2020; 61:352-353. [PMID: 33191125 DOI: 10.1016/j.ejvs.2020.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 08/24/2020] [Accepted: 09/21/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Andreas G Nerlich
- Institute of Pathology, Academic Clinic Munich-Bogenhausen, Munich, Germany.
| | | | - Simon Donell
- Norwich Medical School, University of East Anglia, Norwich, UK
| | - Raffaella Bianucci
- Warwick Medical School, Biomedical Sciences, University of Warwick, Coventry, UK
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Dalos D, Dachs T, Gatterer C, Schneider M, Binder T, Bonderman D, Hengstenberg C, Panzer S, Aschauer S. Cardiac remodeling in ambitious endurance-trained amateur athletes older than 50 years. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Data on cardiac remodeling in athletes are conflicting and rarely available in veteran athletes.
Purpose
Therefore, in this study we aimed to define echocardiographic features of healthy endurance athletes older than 50 years.
Methods
We included probands aged >50 years, who have performed endurance sports at 70% of their maximum heart rate for at least 1 hour 3 times per week over the previous 5 years.
Results
Between November 2018 and May 2019, 69 probands were recruited. Median age was 57 years (IQR 52–64) and 26% were female. Groups were formed according to the median training time of 6 hours per week: (A) 45 probands with ≥6 hours (IQR 6–10) and (B) 24 probands with <6 hours (IQR 3.5–5). Age, sex and body mass index were similar. Group A demonstrated slightly smaller right atrial and left atrial (LA) diameters when compared to probands in B (53mm (IQR 49–55) vs. 53mm (IQR 51–58), p=0.045, and 52mm (IQR 49–55) vs. 53mm (IQR 52–58), p=0.039, respectively) and showed preserved diastolic function (p=0.026) with lower E/E' ratio (7 (IQR 6–9) vs. 9 (IQR 7–10), p=0.039). Interventricular septal thickness and relative wall thickness ratio were similar.
Global right and left ventricular (LV) strain were similar, but LA reservoir strain was higher in group A than in B (27% (IQR 22–34) vs. 20% (IQR 15–29), p=0.016).
Conclusion
Endurance training in healthy athletes older than 50 years does not result in relevant chamber dilatation or LV hypertrophy and a weekly training duration of ≥6 hours seems beneficial to preserve diastolic function associated with an increased LA reservoir function.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- D Dalos
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - T Dachs
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - C Gatterer
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - M Schneider
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - T Binder
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - D Bonderman
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - C Hengstenberg
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
| | - S Panzer
- Medical University of Vienna, Blood Group Serology and Transfusion Medicine, Vienna, Austria
| | - S Aschauer
- Medical University of Vienna, Internal Medicine II/ Cardiology, Vienna, Austria
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Esterer B, Hollensteiner M, Schrempf A, Winkler M, Gabauer S, Fürst D, Merwa R, Panzer S, Püschel K, Augat P. Characterization of tissue properties in epidural needle insertion on human specimen and synthetic materials. J Mech Behav Biomed Mater 2020; 110:103946. [PMID: 32957238 DOI: 10.1016/j.jmbbm.2020.103946] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 05/25/2020] [Accepted: 06/21/2020] [Indexed: 10/23/2022]
Abstract
The force experienced while inserting an 18-gauge Tuohy needle into the epidural space or dura is one of only two feedback components perceived by an anaesthesiologist to deduce the needle tip position in a patient's spine. To the best of the authors knowledge, no x-ray validated measurements of these forces are currently available to the public. A needle insertion force recording during an automated insertion of an 18-gauge Tuohy needle into human vertebral segments of four female donors was conducted. During the measurements, x-ray images were recorded simultaneously. The force peaks due to the penetration of the ligamentum supraspinale and ligamentum flavum were measured and compared to the measurements of an artificial patient phantom for a hybrid patient simulator. Based on these force peaks and the slope of the ligamentum interspinale, a mathematical model was developed. The model parameters were used to compare human specimens and artificial patient phantom haptics. The force peaks for the ligamenta supraspinale and flavum were 7.55 ± 3.63 N and 15.18 ± 5.71 N, respectively. No significant differences were found between the patient phantom and the human specimens for the force peaks and four of six physical model parameters. The patient phantom mimics the same resistive force against the insertion of an 18-gauge Tuohy needle. However, there was a highly significant (p < 0.001, effsize = 0.949 and p < 0.001, effsize = 0.896) statistical difference observed in the insertion depth where the force peaks of the ligamenta supraspinale and flavum were detected between the measurements on the human specimens and the patient phantom. Within this work, biomechanical evidence was identified for the needle insertion force into human specimens. The comparison of the measured values of the human vertebral segments and the artificial patient phantom showed promising results.
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Affiliation(s)
- Benjamin Esterer
- Research Group for Surgical Simulators Linz (ReSSL), Upper Austria University of Applied Sciences, Garnisonstr 21, 4020, Linz, Austria; Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University Salzburg, Prof. Küntscher Str 8, 82418, Murnau, Germany.
| | - Marianne Hollensteiner
- Research Group for Surgical Simulators Linz (ReSSL), Upper Austria University of Applied Sciences, Garnisonstr 21, 4020, Linz, Austria; Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University Salzburg, Prof. Küntscher Str 8, 82418, Murnau, Germany
| | - Andreas Schrempf
- Research Group for Surgical Simulators Linz (ReSSL), Upper Austria University of Applied Sciences, Garnisonstr 21, 4020, Linz, Austria
| | - Martin Winkler
- Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University Salzburg, Prof. Küntscher Str 8, 82418, Murnau, Germany
| | - Stefan Gabauer
- Research Group for Surgical Simulators Linz (ReSSL), Upper Austria University of Applied Sciences, Garnisonstr 21, 4020, Linz, Austria
| | - David Fürst
- Institute for Anatomy, Paracelsus Medical University Salzburg, Strubergasse 21, 5020, Salzburg, Austria
| | - Robert Merwa
- Research Group for Surgical Simulators Linz (ReSSL), Upper Austria University of Applied Sciences, Garnisonstr 21, 4020, Linz, Austria
| | - Stephanie Panzer
- Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University Salzburg, Prof. Küntscher Str 8, 82418, Murnau, Germany
| | - Klaus Püschel
- Department of Forensic Medicine, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
| | - Peter Augat
- Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and Paracelsus Medical University Salzburg, Prof. Küntscher Str 8, 82418, Murnau, Germany
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Nerlich AG, Fischer L, Panzer S, Bicker R, Helmberger T, Schoske S. The infant mummy's face-Paleoradiological investigation and comparison between facial reconstruction and mummy portrait of a Roman-period Egyptian child. PLoS One 2020; 15:e0238427. [PMID: 32936816 PMCID: PMC7494087 DOI: 10.1371/journal.pone.0238427] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 08/09/2020] [Indexed: 11/18/2022] Open
Abstract
In Graeco-Roman times in the Lower-Egyptian Fayoum region, a painted portrait was traditionally placed over the face of a deceased individual. These mummy portraits show considerable inter-individual diversity. This suggests that those portraits were created separately for each individual. In the present study, we investigated a completely wrapped young infant mummy with a typical mummy portrait by whole body CT analysis. This was used to obtain physical information on the infant and provided the basis for a virtual face reconstruction in order to compare it to the mummy portrait. We identified the mummy as a 3-4 years old male infant that had been prepared according to the typical ancient Egyptian mummification rites. It most probably suffered from a right-sided pulmonary infection which may also be the cause of death. The reconstructed face showed considerable similarities to the portrait, confirming the portrait's specificity to this individual. However, there are some differences between portrait and face. The portrait seems to show a slightly older individual which may be due to artistic conventions of that period.
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Affiliation(s)
- Andreas G. Nerlich
- Institute of Pathology, Academic Clinic Munich-Bogenhausen, München, Germany
- * E-mail:
| | | | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Murnau, Germany
- Department of Radiology, Paracelsus Medizinische Universität, Salzburg, Austria
| | - Roxane Bicker
- Staatliches Museum Ägyptischer Kunst München, München, Germany
| | - Thomas Helmberger
- Institute of Diagnostic and Interventional Radiology, Academic Clinic Munich-Bogenhausen, München, Germany
| | - Sylvia Schoske
- Staatliches Museum Ägyptischer Kunst München, München, Germany
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Zesch S, Madea B, Pommerening T, Panzer S, Henzler T, Polfer M, Janssen S, Friedrich R, Lindauer S, Rosendahl W. Blunt force trauma: an exceptional example of an ancient Egyptian mummy head. Anthropol Anz 2020; 77:75-82. [PMID: 31939989 DOI: 10.1127/anthranz/2020/1060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 10/11/2019] [Accepted: 10/11/2019] [Indexed: 11/05/2022]
Abstract
In the course of a scientific cooperation between the German Mummy Project at the Reiss-Engelhorn-Museen, Mannheim (Germany) and the Musée National d'Histoire et d'Art Luxembourg (Luxembourg), an ancient Egyptian mummy head was analyzed using a multidisciplinary approach including radiocarbon dating, ultra-high resolution computed tomography, physical anthropology, forensic medicine and Egyptology. Dated to the Roman Period, the mummy head belonged to an upper-class woman between 25 and 35 years of age. Computed tomography revealed a lethal blunt force trauma affecting the dorsal parts of the parietal bones, below the intact overlaying soft tissue. Moreover, ancient medical treatment was evidenced through localized shaving of the hair on the affected area, which indicates that efforts have been made to keep the woman alive. This astonishing example of homicide demonstrates the enormous scientific benefit brought by the multidisciplinary investigation of mummified bodies and body parts, and sheds light on life, death and medical care of a woman from Roman Period Egypt.
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Affiliation(s)
- Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, 68159 Mannheim, Germany
| | - Burkhard Madea
- Institute of Forensic Medicine, University Medical Center Bonn, Stiftsplatz 12, 53111 Bonn, Germany
| | - Tanja Pommerening
- Institute of Ancient Studies, Department of Egyptology, Mainz University, Hegelstr. 59, 55122 Mainz, Germany
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Prof.-Kuentscher-Strasse 8, 82418 Murnau, Germany.,Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Prof.-Kuentscher-Strasse 8, 82418 Murnau, Germany
| | - Thomas Henzler
- Conradia Radiologie München, Augustenstraße 115, 80798 München, Germany
| | - Michel Polfer
- Musée National d'Histoire et d'Art, Marché-aux-Poissons, 2345 Luxembourg, Luxembourg
| | - Sonja Janssen
- Institute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim - Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany
| | - Ronny Friedrich
- Curt-Engelhorn-Centre Archaeometry gGmbH, C4 8, 68159 Mannheim, Germany
| | - Susanne Lindauer
- Curt-Engelhorn-Centre Archaeometry gGmbH, C4 8, 68159 Mannheim, Germany
| | - Wilfried Rosendahl
- German Mummy Project, Reiss-Engelhorn-Museen, Museum Weltkulturen D5, 68159 Mannheim, Germany.,Curt-Engelhorn-Centre Archaeometry gGmbH, C4 8, 68159 Mannheim, Germany
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Erichsen CJ, Heyde CE, Josten C, Gonschorek O, Panzer S, von Rüden C, Spiegl UJ. Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures. BMC Musculoskelet Disord 2020; 21:74. [PMID: 32024494 PMCID: PMC7003397 DOI: 10.1186/s12891-020-3099-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 01/29/2020] [Indexed: 11/23/2022] Open
Abstract
Background The purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2. Methods Eighty-seven patients between 18 and 65 years of age that were treated operatively in either of two trauma centers were included. One treatment strategy includes open posterior stabilization whereas the other uses percutaneous posterior stabilization. Both included additional anterior fusion if necessary. Demographic data, McCormack classification, duration of surgery, hospital stay and further parameters were assessed. Owestry Disability Index (ODI), Visual Analog Scale (VAS) and SF-36 were measured for functional outcome. Bisegmental kyphosis angle, reduction loss and sagittal alignment parameters were assessed for radiological outcome. Follow up was at least 24 months. Results There was no significant difference regarding our primary functional outcome parameter (ODI) between both groups. Regarding radiological outcome kyphosis angle at time of follow up did not show a significant difference. Reduction loss at time of follow up was moderate in both groups with a significantly lower rate in the percutaneously stabilized group. Surgery time was significantly shorter for posterior stabilization and anterior fusion in the percutaneous group. Time of hospital stay was equal for posterior stabilization but shorter for anterior fusion in the open stabilized group. Conclusion Both treatment strategies are safe and effective showing only minor loss of reduction. Clinical relevant differences in functional and radiographic outcome between the two surgical groups could not be demonstrated. Trial registration It was conducted according to ICMJE guidelines and has been retrospectively registered with the German Clinical Trials Registry (identification number: DRKS00015693, 07.11.2018).
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Affiliation(s)
- Christoph J Erichsen
- Department of Trauma Surgery, BG Trauma Center Murnau, Professor-Küntscher Str. 8, 82418 Murnau, Murnau am Staffelsee, Germany.
| | - Christoph-Eckhard Heyde
- Department of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Leipzig, Germany
| | - Christoph Josten
- Department of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Leipzig, Germany
| | - Oliver Gonschorek
- Department of Trauma Surgery, BG Trauma Center Murnau, Professor-Küntscher Str. 8, 82418 Murnau, Murnau am Staffelsee, Germany
| | - Stephanie Panzer
- Department of Radiology, BG Trauma Center Murnau, Murnau am Staffelsee, Germany.,Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria
| | - Christian von Rüden
- Department of Trauma Surgery, BG Trauma Center Murnau, Professor-Küntscher Str. 8, 82418 Murnau, Murnau am Staffelsee, Germany.,Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria
| | - Ulrich J Spiegl
- Department of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Leipzig, Germany
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Panzer S, Pernter P, Heindl LM, Zink AR. Reply. Ophthalmology 2020; 127:e5. [DOI: 10.1016/j.ophtha.2019.08.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Accepted: 08/30/2019] [Indexed: 10/25/2022] Open
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Panzer S, Ketterl S, Bicker R, Schoske S, Nerlich AG. How to CT scan human mummies: Theoretical considerations and examples of use. Int J Paleopathol 2019; 26:122-134. [PMID: 31362163 DOI: 10.1016/j.ijpp.2019.06.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 06/26/2019] [Accepted: 06/27/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE The purpose of this study was to develop and provide recommendations for computed tomography (CT) examinations of human mummies. MATERIALS AND METHODS Based on theoretical considerations and examples, recommendations for use are provided for scanning and image reconstruction parameters. Four examples are presented to illustrate the effect of different CT parameters on image quality. RESULTS The use of appropriate scanning parameters (detector collimation, pitch factor, rotation time) is known to improve image quality; technical considerations favor using lower tube voltage and higher tube current values for the purposes of scanning of human mummies. The use of appropriate image reconstruction parameters (slice thickness, increment, field of view, reconstruction filters) are the basis for individual reconstructions for the purpose of evaluation, documentation, illustration and data storage. CONCLUSIONS Downsizing the field of view to the region of interest as done in the clinical radiological routine represents one major tool to improve image quality. SIGNIFICANCE The provided recommendations should improve CT image quality in mummy studies as well as the handling of image data for reconstructions and storage. LIMITATIONS The recommendations for CT scanning parameters and image reconstructions were written with relatively new generation CT scanners in mind. Only a few examples of use were chosen and image quality assessment was performed subjectively and not by quantitative measurements.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Prof-Küntscher-Strasse 8, D-82418 Murnau, Germany; Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University, Salzburg, Austria, Prof-Küntscher-Strasse 8, D-82418 Murnau, Germany.
| | - Sieglinde Ketterl
- Siemens Healthcare GmbH, Europe, Middle East & Africa, Central Western Europe, Otto-Hahn-Ring 6, D-81739 Munich, Germany.
| | - Roxane Bicker
- State Museum of Egyptian Art, Gabelsbergerstrasse 35, D-80333 Munich, Germany.
| | - Sylvia Schoske
- State Museum of Egyptian Art, Gabelsbergerstrasse 35, D-80333 Munich, Germany.
| | - Andreas G Nerlich
- Institute of Pathology, Academic Clinics München-Bogenhausen and München-Schwabing Englschalkingerstrasse 77, D-81925 Munich, Germany.
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Wagner F, Vach W, Augat P, Varady PA, Panzer S, Keiser S, Eckardt H. Daily subcutaneous Teriparatide injection increased bone mineral density of newly formed bone after tibia distraction osteogenesis, a randomized study. Injury 2019; 50:1478-1482. [PMID: 31227278 DOI: 10.1016/j.injury.2019.06.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Revised: 05/08/2019] [Accepted: 06/02/2019] [Indexed: 02/02/2023]
Abstract
Long bone defects are often treated by bone segment transport with the Ilizarov method requiring months spent with fixator mounted until bony consolidation of the newly formed bone. Shortening of consolidation would allow earlier fixator removal and earlier return to work. In pre-clinical studies parathyroid hormone, increased bone mineral density and mechanical properties of regenerate bone formed during distraction osteogenesis. Clinical studies showed that Teriparatide accelerated fracture healing in patients with osteoporotic fracture of the pelvis, hip, wrist and shoulder. We hypothesized that rhPTH(1-34) (Teriparatide) administered to patients who had undergone distraction osteogenesis, would increase mineralization of the regenerate formed during the consolidation phase. Sixteen patients with tibial defects after infection, underwent bone segment transport and at the time of docking the transport segment, were randomized to 8 weeks treatment with daily subcutaneous 0.20-μg Teriparatide injection followed by 8 weeks with no treatment, or to 8 weeks with no treatment followed by 8 weeks with daily subcutaneous 0.20 μg Teriparatide injection. Bone mineral density (BMD) of the regenerate was measured at the time of docking, 8 weeks after docking and 16 weeks after docking with DEXA. Functional evaluation was performed after one year. The design was a cross-over study. Overall BMD increased 0.14 g/cm2 in 8 weeks without treatment and 0.33 g/cm2 under Teriparatide treatment. After adjustment for a potential phase difference, 8 weeks of Teriparatide treatment led to an additional 0.19 g/cm2 BMD increase (95%-CI:[0.11,0.28], p < 0.001). The ratio of the BMD increase between the two treatments was 0.33/0.14 = 2.43 (CI: [1.21,3.65]). Teriparatide treatment during the consolidation phase of distraction osteogenesis doubled the mineralization rate of the regenerate when compared to no treatment.
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Affiliation(s)
- Frithjof Wagner
- Department of Trauma, BG Unfallklinik Murnau, Murnau, Germany
| | - Werner Vach
- Department of Trauma, Basel University Hospital, Basel, Switzerland
| | - Peter Augat
- Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria
| | - Patrick A Varady
- Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria
| | - Stephanie Panzer
- Department of Radiology, BG Unfallklinik Murnau, Murnau, Germany
| | - Silke Keiser
- Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria
| | - Henrik Eckardt
- Department of Trauma, Basel University Hospital, Basel, Switzerland.
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Panzer S, Grillhösl A, Zesch S, Haubenreisser H, Rosendahl W. Evidence of Pituitary Tumor and Acromegaly in an Ancient Egyptian Mummy Head. ROFO-FORTSCHR RONTG 2019; 191:756-758. [PMID: 30763964 DOI: 10.1055/a-0851-6798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Stephanie Panzer
- Radiology, Trauma-Center Murnau, Germany
- Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Murnau, Germany
| | | | - Stephanie Zesch
- Reiss-Engelhorn-Museen Mannheim, German Mummy Project, Mannheim, Germany
| | - Holger Haubenreisser
- Radiology, Institute of Clinical Radiology and Nuclear Medicine, Mannheim, Germany
| | - Wilfried Rosendahl
- Reiss-Engelhorn-Museen Mannheim, German Mummy Project, Mannheim, Germany
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Wutte C, Klein B, Becker J, Mach O, Panzer S, Strowitzki M, Maier D, Grassner L. Earlier Decompression (< 8 Hours) Results in Better Neurological and Functional Outcome after Traumatic Thoracolumbar Spinal Cord Injury. J Neurotrauma 2019; 36:2020-2027. [DOI: 10.1089/neu.2018.6146] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Affiliation(s)
- Christof Wutte
- Center for Spinal Cord Injuries, Trauma Center Murnau, Murnau, Germany
| | - Barbara Klein
- Institute of Molecular Regenerative Medicine, Paracelsus Medical University, Salzburg, Austria
- Spinal Cord Injury and Tissue Regeneration Center Salzburg, Salzburg, Austria
| | - Johannes Becker
- Center for Spinal Cord Injuries, Trauma Center Murnau, Murnau, Germany
- Institute of Biomechanics, BG Trauma Center Murnau, Germany, and Paracelsus Medical University, Salzburg, Austria
| | - Orpheus Mach
- Center for Spinal Cord Injuries, Trauma Center Murnau, Murnau, Germany
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Murnau, Germany
- Institute of Biomechanics, BG Trauma Center Murnau, Germany, and Paracelsus Medical University, Salzburg, Austria
| | | | - Doris Maier
- Center for Spinal Cord Injuries, Trauma Center Murnau, Murnau, Germany
| | - Lukas Grassner
- Center for Spinal Cord Injuries, Trauma Center Murnau, Murnau, Germany
- Department of Neurosurgery, Trauma Center Murnau, Murnau, Germany
- Institute of Molecular Regenerative Medicine, Paracelsus Medical University, Salzburg, Austria
- Spinal Cord Injury and Tissue Regeneration Center Salzburg, Salzburg, Austria
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Heindl LM, Pernter P, Zink AR, Panzer S. The Eyes of Oetzi: The Tyrolean Iceman Mummy. Ophthalmology 2019; 126:530. [DOI: 10.1016/j.ophtha.2019.01.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 01/08/2019] [Accepted: 01/14/2019] [Indexed: 10/27/2022] Open
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Panzer S, Bohndorf K. Nichtinvasive Diagnostik des Talus bei osteochondralen Läsionen. Arthroskopie 2019. [DOI: 10.1007/s00142-018-0239-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Barrera V, Fliss B, Panzer S, Bolliger SA. Gunshot residue on dark materials: a comparison between infrared photography and the use of an alternative light source. Int J Legal Med 2018; 133:1115-1120. [DOI: 10.1007/s00414-018-1965-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 11/07/2018] [Indexed: 10/27/2022]
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Panzer S, Thompson RC, Hergan K, Zink AR, Piombino-Mascali D. Evidence of aortic dissection and Marfan syndrome in a mummy from the Capuchin Catacombs of Palermo, Sicily. Int J Paleopathol 2018; 22:78-85. [PMID: 29890445 DOI: 10.1016/j.ijpp.2018.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 05/15/2018] [Accepted: 05/19/2018] [Indexed: 06/08/2023]
Abstract
The authors report on the assessment of an anthropogenic mummy of a young man from the Capuchin Catacombs of Palermo, Sicily, tentatively dated from the mid- to late 19th century AD. The mummy was investigated by full-body CT examination. CT images clearly showed aortic dissection classified as Stanford-A. Due to the relation of aortic dissection to inherited connective tissue diseases in young people, such as Marfan syndrome, conspicuous and pathological findings possibly indicating the presence of underlying Marfan syndrome were assessed. Several systemic features were scored that supported the presence of underlying Marfan syndrome in this mummy. These findings were: pectus carinatum and chest asymmetry, dural ectasia, protrusio acetabuli, dolichocephaly, down-slanting palpebral fissures, malar hypoplasia and (probable) reduced elbow extension. Aortic dissection, a cardinal feature of Marfan syndrome, turned out to be the diagnostic key for the paleoradiological diagnosis of this disease. The demonstrated CT findings contribute to the spectrum of cardiovascular diseases and inherited connective tissue disease in the fields of paleopathology and paleoradiology.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Prof.-Küntscher-Straße 8, D-82418 Murnau, Germany; Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University, Salzburg, Prof.-Küntscher-Straße 8, D-82418, Murnau, Germany.
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA.
| | - Klaus Hergan
- Division of Radiology, SALK, Gemeinnützige Salzburger Landeskliniken Betriebsgesellschaft mbH, Paracelsus Medical University, Salzburg, Müllner Hauptstraße 48, A-5020 Salzburg, Austria.
| | - Albert R Zink
- EURAC-Institute for Mummy Studies, Viale Druso 1, I-39100 Bolzano, Italy.
| | - Dario Piombino-Mascali
- Department of Anatomy, Histology and Anthropology, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, M.K. Čiurlionio 21, LT-03101, Vilnius, Lithuania.
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Affiliation(s)
- A Haubenstock
- Department of Medicine I, University of Vienna, Austria
| | - S Panzer
- Department of Medicine I, University of Vienna, Austria
| | - H Vierhapper
- Department of Medicine I, University of Vienna, Austria
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Panzer S, Augat P, Zink AR, Piombino-Mascali D. CT checklist and scoring system for the assessment of soft tissue preservation in human mummies: application to catacomb mummies from Palermo, Sicily. Int J Paleopathol 2018; 20:50-59. [PMID: 29496216 DOI: 10.1016/j.ijpp.2018.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 12/16/2017] [Accepted: 01/14/2018] [Indexed: 06/08/2023]
Abstract
In this study we applied the recently developed "Checklist and Scoring System for the Assessment of Soft Tissue Preservation in Human Mummies" to catacomb mummies from Palermo, Sicily. Data from twenty-three full-body computed tomography (CT) examinations were available. These consisted of seventeen adults and six children dating from the late 18th to the late 19th centuries AD. Seventeen of these mummies were anthropogenically mummified, and six spontaneously. Based on the checklist and scoring system, soft tissue preservation varied between both mummification groups, among mummies with the same type of mummification, and within individual mummies at different anatomical locations. Checkpoints of the main category "A. Soft Tissues of Head and Musculoskeletal System" were clearly more frequent than checkpoints of the main category "B. Organs and Organ Systems". Among the anthropogenic mummies, intra-arterial filling achieved the highest preservation status of organs and organ systems. Despite the small sample size, the statistical evaluation showed significant differences between mummification types, with the highest soft tissue preservation found in anthropogenic mummies. Application of the "Checklist" allowed a standardized assessment and documentation of the soft tissue preservation of these mummies. The "Scoring System" facilitated a comparison among mummification groups and mummies by means of numeric values.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Prof.-Küntscher-Strasse 8, D-82418 Murnau, Germany; Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Prof.-Küntscher-Strasse 8, D-82418 Murnau, Germany.
| | - Peter Augat
- Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Prof.-Küntscher-Strasse 8, D-82418 Murnau, Germany.
| | - Albert R Zink
- EURAC-Institute for Mummies and the Iceman, Viale Druso 1, I-39100 Bolzano, Italy.
| | - Dario Piombino-Mascali
- Department of Anatomy, Histology and Anthropology, Faculty of Medicine, Vilnius University, M.K. Čiurlionio 21, LT-03101, Vilnius, Lithuania.
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Abstract
SummaryThis article provides an overview on current commercially available methods to determine primary haemostasis as a target of drug-mediated anticoagulation. It focuses on whole blood methods only, and references the currently major achievements that have been reported with each method in respect to its clinical use. Advantages and disadvantages of the various methods are presented, based on considerations of platelet physiology, and on feasibility of the procedures.
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Gebhart J, Hofer S, Panzer S, Quehenberger P, Sunder-Plassmann R, Hoermann G, Eigenbauer E, Haslacher H, Kepa S, Kyrle PA, Eichinger S, Knöbl P, Eischer L, Mannhalter C, Ay C, Pabinger I. High proportion of patients with bleeding of unknown cause in persons with a mild-to-moderate bleeding tendency: Results from the Vienna Bleeding Biobank (VIBB). Haemophilia 2018; 24:405-413. [PMID: 29388750 DOI: 10.1111/hae.13422] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2017] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Data on clinical characteristics and the prevalence of underlying coagulopathies in patients with mild-to-moderate bleeding disorders (MBDs) are scarce. AIM We established the Vienna Bleeding Biobank (VIBB) to characterize and thoroughly investigate Austrian patients with MBDs. RESULTS Four hundred eighteen patients (female = 345, 82.5%) were included. A platelet function defect (PFD) was diagnosed in 26 (6.2%) and a possible PFD in 30 (7.2%) patients. Eight patients (1.9%) were diagnosed with von Willebrand disease (VWD) (type 1 n = 6; type 2 n = 2), and 29 patients had low VWF (30-50 IU/dL). Deficiencies in factor VIII, IX, XI or XIII were found in 11 (2.6%), 3 (0.7%), 3 (0.7%) and 1 patient(s), 2 patients had dysfibrinogenaemia, and further 2 had possible PFD and FXI deficiency. Probable causal mutations were detected in 8 of 11 patients with FVIII deficiency, 2 of 3 patients with FIX deficiency and 2 of 8 patients with VWD. Three hundred three patients (72.5%) had normal results in the coagulation assays and were categorized as patients with bleeding of unknown cause (BUC). The bleeding score did not differ between patients with and without established diagnosis. A diagnosis of a bleeding disorder was more frequently made in men than in women (49.3% vs 22.9%). Male sex (OR 3.55, 95% CI: 2.02-6.22; P < .001) and blood group 0 (OR 1.86, 95% CI: 1.17-2.94; P = .008) were independently associated with diagnosis of a bleeding disorder. CONCLUSION The high rate of patients with BUC despite in-depth haemostatic assessment underlines the incompleteness of available routine laboratory tests. Males with MBDs were more likely to be diagnosed with an established bleeding disorder than females.
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Affiliation(s)
- J Gebhart
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - S Hofer
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - S Panzer
- Department of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria
| | - P Quehenberger
- Department of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - R Sunder-Plassmann
- Department of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - G Hoermann
- Department of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - E Eigenbauer
- IT-Systems and Communications, Medical University of Vienna, Vienna, Austria
| | - H Haslacher
- Department of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - S Kepa
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - P A Kyrle
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - S Eichinger
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - P Knöbl
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - L Eischer
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - C Mannhalter
- Department of Laboratory Medicine, Division of Medical and Chemical Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - C Ay
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
| | - I Pabinger
- Department of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria
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Pätzold R, Friederichs J, von Rüden C, Panzer S, Bühren V, Augat P. The pivotal role of the coronal fracture line for a new three-dimensional CT-based fracture classification of bicondylar proximal tibial fractures. Injury 2017; 48:2214-2220. [PMID: 28711171 DOI: 10.1016/j.injury.2017.06.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 06/19/2017] [Accepted: 06/20/2017] [Indexed: 02/02/2023]
Abstract
INTRODUCTION Classical fracture classifications (AO/OTA, Schatzker) are commonly used to characterize bicondylar proximal tibial fractures. However, none of these classifications allows for a treatment algorithm. The aim of our study was to use 3D appearance of these fractures in CT imaging to improve the clinical value of the classification. MATERIALS AND METHODS 3D appearance of 81 CT scans of bicondylar proximal tibial fractures were systematically analyzed and were classified in 3 subtypes, based on the fracture lines orientation. The novel classification was compared for reliability and for clinical relevance with AO and Schatzker classification. RESULTS A total of 159 fracture lines were identified which were most frequently oriented in sagittal (89/159), and in coronal (41/159) direction. Based on the orientation of the major fracture lines three fracture types were defined. A special emphasis was drawn to the coronal fracture line of the medial plateau leading to a surgical treatment algorithm. Interobserver reliability was analyzed for all 81 patients resulting in an excellent reliability of К=0.936 for the 3D classification scheme compared to К=0.720 for the AO/OTA, К=0.785 for the Schatzker classification. Correlations with clinical parameters were only observed for the 3D classification. DISCUSSION The presented classification scheme based on the 3D geometry of bicondylar proximal tibial fractures demonstrates a good reliability of clinical relevance.
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Affiliation(s)
- Robert Pätzold
- Department of Trauma Surgery, Trauma Center Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University, Salzburg, Austria; Institute of Biomechanics, Trauma Center Murnau, Germany.
| | | | - Christian von Rüden
- Department of Trauma Surgery, Trauma Center Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University, Salzburg, Austria; Institute of Biomechanics, Trauma Center Murnau, Germany
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University, Salzburg, Austria; Institute of Biomechanics, Trauma Center Murnau, Germany
| | - Volker Bühren
- Department of Trauma Surgery, Trauma Center Murnau, Germany
| | - Peter Augat
- Institute of Biomechanics, Paracelsus Medical University, Salzburg, Austria; Institute of Biomechanics, Trauma Center Murnau, Germany
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Sterzik V, Hinderberger P, Panzer S, Bohnert M. Visualizing old biological traces on different materials without using chemicals. Int J Legal Med 2017; 132:35-41. [DOI: 10.1007/s00414-017-1678-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Accepted: 08/30/2017] [Indexed: 11/28/2022]
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Panzer S, Pernter P, Piombino-Mascali D, Jankauskas R, Zesch S, Rosendahl W, Hotz G, Zink AR. Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies: Application to the Tyrolean Iceman. ROFO-FORTSCHR RONTG 2017; 189:1152-1160. [PMID: 28834966 DOI: 10.1055/s-0043-116668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Purpose Soft tissues make a skeleton into a mummy and they allow for a diagnosis beyond osteology. Following the approach of structured reporting in clinical radiology, a recently developed checklist was used to evaluate the soft tissue preservation status of the Tyrolean Iceman using computed tomography (CT). The purpose of this study was to apply the "Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies" to the Tyrolean Iceman, and to compare the Iceman's soft tissue preservation score to the scores calculated for other mummies. Materials and Methods A whole-body (CT) (SOMATOM Definition Flash, Siemens, Forchheim, Germany) consisting of five scans, performed in January 2013 in the Department of Radiodiagnostics, Central Hospital, Bolzano, was used (slice thickness 0.6 mm; kilovolt ranging from 80 to 140). For standardized evaluation the "CT Checklist and Scoring System for the Assessment of Soft Tissue Preservation in Human Mummies" was used. Results All checkpoints under category "A. Soft Tissues of Head and Musculoskeletal System" and more than half in category "B. Organs and Organ Systems" were observed. The scoring system accounted for a total score of 153 (out of 200). The comparison of the scores between the Iceman and three mummy collections from Vilnius, Lithuania, and Palermo, Sicily, as well as one Egyptian mummy resulted in overall higher soft tissue preservation scores for the Iceman. Conclusion Application of the checklist allowed for standardized assessment and documentation of the Iceman's soft tissue preservation status. The scoring system allowed for a quantitative comparison between the Iceman and other mummies. The Iceman showed remarkable soft tissue preservation. Key Points · The approach of structured reporting can be transferred to paleoradiology.. · The checklist allowed for standardized soft tissue assessment and documentation.. · The scoring system facilitated a quantitative comparison among mummies.. · Based on CT, the Tyrolean Iceman demonstrated remarkable soft tissue preservation.. Citation Format · Panzer S, Pernter P, Piombino-Mascali D et al. Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies: Application to the Tyrolean Iceman. Fortschr Röntgenstr 2017; 189: 1152 - 1160.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau and Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Murnau, Germany
| | - Patrizia Pernter
- Department of Radiodiagnostics, Central Hospital, Bolzano, Italy
| | - Dario Piombino-Mascali
- Department of Anatomy, Histology and Anthropology, Faculty of Medicine, Vilnius University, Lithuania
| | - Rimantas Jankauskas
- Department of Anatomy, Histology and Anthropology, Faculty of Medicine, Vilnius University, Lithuania
| | - Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen, Mannheim, Germany
| | | | - Gerhard Hotz
- Anthropology, Natural History Museum of Basel, Switzerland
| | - Albert R Zink
- EURAC-Institute for Mummies and the Iceman, Bolzano, Italy
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Gerges M, Gerges C, Publig M, Skoro-Sajer N, Bonderman D, Frey M, Schwarzinger I, Lechner K, Seidl V, Alimohammadi A, Winter M, Humenberger M, Eichelberger B, Panzer S, Lang I. P5367Chronic inflammation after splenectomy is a risk factor for increased thrombotic cardiovascular events. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Gremmel T, Panzer S. Oral antiplatelet therapy: impact for transfusion medicine. Vox Sang 2017; 112:511-517. [DOI: 10.1111/vox.12537] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Revised: 04/15/2017] [Accepted: 04/25/2017] [Indexed: 01/03/2023]
Affiliation(s)
- T. Gremmel
- Department of Internal Medicine II; Medical University of Vienna; Vienna Austria
| | - S. Panzer
- Department of Blood Group Serology and Transfusion Medicine; Medical University of Vienna; Vienna Austria
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Panzer S, Wittig H, Zesch S, Rosendahl W, Blache S, Müller-Gerbl M, Hotz G. Evidence of neurofibromatosis type 1 in a multi-morbid Inca child mummy: A paleoradiological investigation using computed tomography. PLoS One 2017; 12:e0175000. [PMID: 28403237 PMCID: PMC5389647 DOI: 10.1371/journal.pone.0175000] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Accepted: 03/17/2017] [Indexed: 12/18/2022] Open
Abstract
Objective In this study, an Inca bundle was examined using computed tomography (CT). The primary aim was to determine the preservation status of bony and soft tissues, the sex, the age at the time of death, possible indicators for disease or even the cause of death, as well as the kind of mummification. A secondary aim was to obtain a brief overview of the wrapping in order to gain additional information on the cultural background. Materials and methods The bundle belongs to the Museum of Cultures in Basel, Switzerland, and was bought in Munich, Germany, in 1921. Radiocarbon dating of the superficial textile yielded a calibrated age between 1480 and 1650 AD. The mummy was investigated using multi-slice CT with slice thickness of 0.75 mm and 110 kilovolt. For standardized assessment of soft tissue preservation, a recently developed checklist was applied. Results CT revealed the mummy of a seven to nine year old boy with superior preservation of bony and soft tissues allowing detailed assessment. Indicators of neurofibromatosis type 1 (paravertebral and cutaneous neurofibromas, a breast neurofibroma, sphenoid wing dysplasia), Chagas disease (dilatation of the esophagus, stomach, rectum, and large amounts of feces), and lung infection (pleural adherence, calcifications), probably due to tuberculosis, were found. Furthermore, signs of peri-mortem violence (transection of the chest and a defect in the abdominal wall) were detected. CT images revealed a carefully performed wrapping. Conclusion CT examination of the Inca bundle proved to be an important non-destructive examination method. Standardized assessment, especially of the soft tissue structures, allowed for diagnoses of several diseases, indicating a multi-morbid child at the time of death. The careful wrapping pointed to a ceremonial burial. Within the cultural background, the signs of fatal violence were discussed as a possible result of war, murder, accident, or human sacrifice.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Murnau, Germany
- Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Murnau, Germany
- * E-mail:
| | - Holger Wittig
- Institute of Legal Medicine, University of Basel, Basel, Switzerland
| | - Stephanie Zesch
- German Mummy Project, Reiss-Engelhorn-Museen Mannheim, Mannheim, Germany
| | - Wilfried Rosendahl
- German Mummy Project, Reiss-Engelhorn-Museen Mannheim, Mannheim, Germany
| | | | | | - Gerhard Hotz
- Anthropology, Natural History Museum of Basel, Basel, Switzerland
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Gebhart J, Kepa S, Hofer S, Koder S, Kaider A, Wolberg A, Haslacher H, Quehenberger P, Eigenbauer E, Panzer S, Mannhalter C, Pabinger I. P-052: Mild-to-moderate bleeding tendency of unknown cause is common in women and might be caused by increased fibrinolysis. Thromb Res 2017. [DOI: 10.1016/s0049-3848(17)30150-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Zöllner H, Jouni R, Panzer S, Khadour A, Janzen L, Wesche J, Ten Berg M, Schellong S, Heinken A, Greinacher A, Bakchoul T. Platelet activation in the presence of neutral protamine Hagedorn insulin: a new feature of antibodies against protamine/heparin complexes. J Thromb Haemost 2017; 15:176-184. [PMID: 27759896 DOI: 10.1111/jth.13547] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Accepted: 09/18/2016] [Indexed: 01/22/2023]
Abstract
Essentials Protamine (PRT) is used to stabilize insulin in neutral protamine Hagedorn (NPH) insulin. The interaction between NPH-insulin, anti-PRT/heparin antibodies and platelets was investigated. Anti-PRT/heparin antibodies activate platelets in presence of NPH-insulin dependent on heparin. Cross-reactivity seems to have no major effect on the clinical outcome of medical patients. SUMMARY Background Protamine (PRT) is used to stabilize insulin in neutral protamine Hagedorn (NPH) insulin, a commonly used therapeutic agent for diabetes mellitus. Immunization against PRT/heparin complexes is common in diabetic patients. Objectives To investigate the impact of NPH-insulin on the interaction between anti-PRT/heparin antibodies and platelets. Methods The interaction between NPH-insulin and anti-PRT/heparin antibodies was tested using in-house enzyme immunoassays. The ability of anti-PRT/heparin antibodies to activate platelets in the presence of NPH-insulin (and heparin) was investigated using flow cytometry. Results Twenty-one out of 80 sera containing anti-PRT/heparin IgG showed binding to NPH-insulin. Anti-PRT/heparin IgG from immunized patients bound to platelets in the presence of NPH-insulin, but not in the presence of native insulin. Anti-PRT/heparin antibodies induced P-selectin expression in the presence of NPH-insulin in a heparin-dependent way (median mean fluorescence intensity in the presence of NPH-insulin: 55, 95% confidence interval [CI] 18.7-100.5 vs. NPH-insulin and heparin: 204, 95% CI 106.5-372.8). The clinical relevance of platelet-activating anti-PRT/heparin antibodies was assessed by investigating a multicenter study cohort of 332 acutely ill medical patients who received heparin. None of the 21 patients with anti-PRT/heparin IgG developed thrombocytopenia or thromboembolic complications. Conclusions Anti-PRT/heparin antibodies activate platelets in the presence of NPH-insulin in a heparin-dependent way. However, results from our preliminary study indicate no major impact of these antibodies on the clinical outcome in medical patients receiving heparin, particularly on thromboembolic complications.
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Affiliation(s)
- H Zöllner
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
| | - R Jouni
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
- Center for Clinical Transfusion Medicine, Universitätsklinikum Tübingen, Tübingen, Germany
| | - S Panzer
- Department for Blood Group Serology and Transfusion Medicine, Medical University Vienna, Vienna, Austria
| | - A Khadour
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
| | - L Janzen
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
| | - J Wesche
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
| | - M Ten Berg
- Department of Clinical Chemistry and Hematology, University of Utrecht, Utrecht, the Netherlands
| | - S Schellong
- Medical Clinic II, Municipal Hospital of Dresden, Dresden, Germany
| | | | - A Greinacher
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
| | - T Bakchoul
- Institute for Immunology and Transfusion Medicine, Universitätsmedizin Greifswald, Greifswald
- Center for Clinical Transfusion Medicine, Universitätsklinikum Tübingen, Tübingen, Germany
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Grassner L, Wutte C, Klein B, Mach O, Riesner S, Panzer S, Vogel M, Bühren V, Strowitzki M, Vastmans J, Maier D. Early Decompression (< 8 h) after Traumatic Cervical Spinal Cord Injury Improves Functional Outcome as Assessed by Spinal Cord Independence Measure after One Year. J Neurotrauma 2016; 33:1658-66. [DOI: 10.1089/neu.2015.4325] [Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Lukas Grassner
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
- Department of Neurosurgery, Trauma Center Murnau, Germany
- Institute of Molecular Regenerative Medicine, Paracelsus Medical University, Austria
- Spinal Cord Injury and Tissue Regeneration Center Salzburg, Paracelsus Medical University Salzburg, Austria
| | - Christof Wutte
- Department of Neurosurgery, Trauma Center Murnau, Germany
| | - Barbara Klein
- Institute of Molecular Regenerative Medicine, Paracelsus Medical University, Austria
- Spinal Cord Injury and Tissue Regeneration Center Salzburg, Paracelsus Medical University Salzburg, Austria
| | - Orpheus Mach
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
| | - Silvie Riesner
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Germany
- Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Murnau, Germany
| | - Matthias Vogel
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
| | - Volker Bühren
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
| | | | - Jan Vastmans
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
| | - Doris Maier
- Center for Spinal Cord Injuries, Trauma Center Murnau, Germany
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Zesch S, Panzer S, Rosendahl W, Nance JW, Schönberg SO, Henzler T. From first to latest imaging technology: Revisiting the first mummy investigated with X-ray in 1896 by using dual-source computed tomography. Eur J Radiol Open 2016; 3:172-81. [PMID: 27504475 PMCID: PMC4968187 DOI: 10.1016/j.ejro.2016.07.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Accepted: 07/02/2016] [Indexed: 12/18/2022] Open
Abstract
Purpose The aim of this study was to systematically reinvestigate the first human mummy that was ever analyzed with X-ray imaging in 1896, using dual-source computed tomography (DSCT) in order to compare the earliest and latest imaging technologies, to estimate preservation, age at death, sex, anatomical variants, paleopathological findings, mummification, embalming and wrapping of the child mummy from ancient Egypt. Radiocarbon dating was used to determine the mummy’s age and to specify the child’s living period in the Egyptian chronology. Material and methods The ancient Egyptian child mummy is kept in the Senckenberg Museum of Natural History in Frankfurt am Main, Germany. An accelerator mass spectrometer (MICADAS) was used for radiocarbon dating. DSCT was performed using a 2 × 64 slice dual-source CT system (Siemens Healthineers, Forchheim, Germany). A thorough visual examination of the mummy, a systematic radiological evaluation of the DICOM datasets, and established methods in physical anthropology were applied to assess the bio-anthropological data and the post mortem treatment of the body. Results Radiocarbon dating yielded a calibrated age between 378 and 235 cal BC (95.4% confidence interval), corresponding with the beginning of the Ptolemaic period. The mummy was a male who was four to five years old at the time of death. Remnants of the brain and inner organs were preserved by the embalmers, which is regularly observed in ancient Egyptian child mummies. Skin tissue, inner organs, tendons and/or musculature, cartilage, nerves and vasculature could be identified on the DSCT dataset. The dental health of the child was excellent. Anatomical variants and pathological defects included a congenital Pectus excavatum deformity, hepatomegaly, Harris lines, and longitudinal clefts in the ventral cortices of both femora. Conclusion Our results highlight the enormous progress achieved form earliest to latest imaging technology for advanced mummy research using the first human mummy investigated with X-ray. With the application of DSCT, detailed knowledge regarding age at death, sex, diseases, death, and mummification of a child from Ptolemaic Egypt are revealed while considering the temporary rites of body treatment and burial for children.
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Affiliation(s)
- Stephanie Zesch
- Reiss-Engelhorn-Museen, Museum Weltkulturen D5, 68159 Mannheim, Germany
- Corresponding author.
| | - Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Prof.-Kuentscher-Strasse 8, 82418 Murnau, Germany
- Institute of Biomechanics, Trauma Center Murnau and Paracelsus Medical University Salzburg, Prof.-Kuentscher-Strasse 8, 82418 Murnau, Germany
| | | | - John W. Nance
- Department of Radiology, Massachusetts General Hospital, Harvard University, Boston, MA, USA
| | - Stefan O. Schönberg
- Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim—Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany
| | - Thomas Henzler
- Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim—Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany
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Schallmoser K, Rosin C, Vormittag R, Brunner M, Dunkler D, Pabinger I, Panzer S. Specificities of Platelet Autoantibodies and Platelet Activation in Lupus Anticoagulant Patients: A Relation to their History of Thromboembolic Disease. Lupus 2016; 15:507-14. [PMID: 16942003 DOI: 10.1191/0961203306lu2341oa] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Lupus anticoagulants (LA) prolong in vitro phospholipid-dependent coagulation tests, but are associated with thromboembolic disease (TE). However, a subgroup of individuals with LA has no TE, and it is therefore desirable to distinguish those at risk for TE from those without. Whether platelets have a primary role in the development of TE is not clear yet. We determined platelet autoantibodies to identify a specific platelet target which is associated with platelet activation in 97 patients with a long history of detectable LA, 65 patients with TE (LA/TE+), and 32 individuals without TE (LA/TE+). Thrombocytopenia was more common in the LA/TE- than in the LA/TE+ group ( P < 0.05). Both groups had platelet antibodies, but the frequency of antibodies was lower in LA/TE+ than LA/TE- patients ( P < 0.01), who had higher antibody titres against glycoprotein IIb/IIIa and glycoprotein Ib/IX ( P < 0.05). Also, their platelets were more activated, as determined by PAC-1 binding ( P < 0.01). These differences were also noted if patients with arterial thrombosis were evaluated separately. These findings in LA/TE- individuals were similar to those in patients with chronic autoimmune thrombocytopenia. However, there was no autoantibody target identifiable to distinguish between LA/TE- from LA-TE+ individuals. We therefore conclude that the presence of platelet antibodies, even if associated with platelet activation, is not sufficient to dispose LA patients to thromboembolic disease.
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Affiliation(s)
- K Schallmoser
- Clinic for Blood Group Serology, Medical University of Vienna, Austria
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Panzer S, Zesch S, Pommerening T, Henzler T, Rosendahl W. Trauma, Tod und Totenbehandlung – ein altägyptischer Mumienkopf aus dem Nationalmuseum für Geschichte und Kunst Luxemburg. ROFO-FORTSCHR RONTG 2016; 188:957-9. [DOI: 10.1055/s-0042-108062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Riedl J, Kaider A, Marosi C, Prager G, Eichelberger B, Koder S, Panzer S, Pabinger I, Ay C. PO-63 - Exhausted platelets in cancer patients with high risk of venous thromboembolism and poor prognosis. Thromb Res 2016; 140 Suppl 1:S199-200. [PMID: 27161749 DOI: 10.1016/s0049-3848(16)30196-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Platelets play a crucial role in cancer development, progression and metastatic spread of malignancy. In vitro data show that cancer cells have the ability to activate platelets, and clinical studies found increased levels of platelet activation markers in cancer patients. Moreover, platelets are thought to be involved in the development of venous thromboembolism (VTE) in cancer patients, a frequent complication of malignant disease associated with high morbidity and mortality. AIM In this study, we aimed to examine the activation status of platelets in cancer patients and investigate the association with risk of future venous thromboembolism (VTE) and mortality. MATERIALS AND METHODS In a prospective observational cohort study of cancer patients we measured pre-chemotherapy platelet P-selectin and glycoprotein (GP) IIb/IIIa expression and monocyte-platelet aggregates (MPA) in vivo and in response to ex vivo stimulation of the platelet activation receptors protease-activated receptor (PAR) -1, -4, and GPVI by whole blood flow cytometry. Primary and secondary endpoints of the study were occurrence of objectively confirmed VTE and death during 2-year follow-up, respectively. RESULTS Out of 62 patients (median age [interquartile range, IQR]: 63 [54-70] years, 48% female) with cancers of the pancreas (n=19), lung (n=18), brain (n=14), colon (n=8) and stomach (n=3), 9 (14.5%) developed VTE and 32 (51.6%) died. P-selectin, activated GPIIb/IIIa expression and MPA formation did not significantly differ between tumor sites (Kruskal Wallis test). Reduced platelet responsiveness to PAR-1 and GPVI stimulation was associated with a higher risk of VTE (hazard ratio [HR] per decile increase in %P-selectin positive platelets: 0.73 [95% confidence interval: 0.56-0.92, p=0.007] and 0.77 [0.59-0.98, p=0.034], respectively; Table 1). Further, lower platelet P-selectin and activated GPIIb/IIIa expression in vivo and in response to PAR-1, -4 and GPVI stimulation, but not MPA formation, were associated with a higher risk of death (Table 1). CONCLUSIONS Cancer patients with a poor prognosis had degranulated platelets, presumably as a consequence of previous activation. Our data suggest that platelets' continuous activation and thus exhaustion is involved in cancer-associated VTE and cancer mortality.
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Affiliation(s)
- J Riedl
- Clinical Division of Haematology and Haemostaseology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
| | - A Kaider
- Center for Medical Statistics, Informatics and Intelligent Systems
| | - C Marosi
- Clinical Division of Oncology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
| | - G Prager
- Clinical Division of Oncology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
| | - B Eichelberger
- Department of Blood Group Serology and Transfusion Medicine
| | - S Koder
- Clinical Division of Haematology and Haemostaseology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
| | - S Panzer
- Department of Blood Group Serology and Transfusion Medicine
| | - I Pabinger
- Clinical Division of Haematology and Haemostaseology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
| | - C Ay
- Clinical Division of Haematology and Haemostaseology, Department of Medicine I; Comprehensive Cancer Center Vienna; all Medical University of Vienna, Austria
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Piombino-Mascali D, Jankauskas R, Tamošiūnas A, Valančius R, Gill-Frerking H, Spigelman M, Panzer S. Evidence of probable tuberculosis in Lithuanian mummies. HOMO 2015; 66:420-31. [DOI: 10.1016/j.jchb.2015.01.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Accepted: 01/06/2015] [Indexed: 10/23/2022]
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Leitner GC, List J, Horvath M, Eichelberger B, Panzer S, Jilma-Stohlawetz P. Additive solutions differentially affect metabolic and functional parameters of platelet concentrates. Vox Sang 2015; 110:20-6. [DOI: 10.1111/vox.12317] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Revised: 06/14/2015] [Accepted: 06/25/2015] [Indexed: 11/28/2022]
Affiliation(s)
- G. C. Leitner
- Department of Blood Group Serology and Transfusion Medicine; Medical University; Vienna Austria
| | - J. List
- Department of Hematology; Hanuschkrankenhaus; Vienna Austria
| | - M. Horvath
- Department of Blood Group Serology and Transfusion Medicine; Medical University; Vienna Austria
| | - B. Eichelberger
- Department of Blood Group Serology and Transfusion Medicine; Medical University; Vienna Austria
| | - S. Panzer
- Department of Blood Group Serology and Transfusion Medicine; Medical University; Vienna Austria
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Panzer S, Mc Coy MR, Hitzl W, Piombino-Mascali D, Jankauskas R, Zink AR, Augat P. Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies. PLoS One 2015; 10:e0133364. [PMID: 26244862 PMCID: PMC4526695 DOI: 10.1371/journal.pone.0133364] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Accepted: 06/25/2015] [Indexed: 12/12/2022] Open
Abstract
The purpose of this study was to develop a checklist for standardized assessment of soft tissue preservation in human mummies based on whole-body computed tomography examinations, and to add a scoring system to facilitate quantitative comparison of mummies. Computed tomography examinations of 23 mummies from the Capuchin Catacombs of Palermo, Sicily (17 adults, 6 children; 17 anthropogenically and 6 naturally mummified) and 7 mummies from the crypt of the Dominican Church of the Holy Spirit of Vilnius, Lithuania (5 adults, 2 children; all naturally mummified) were used to develop the checklist following previously published guidelines. The scoring system was developed by assigning equal scores for checkpoints with equivalent quality. The checklist was evaluated by intra- and inter-observer reliability. The finalized checklist was applied to compare the groups of anthropogenically and naturally mummified bodies. The finalized checklist contains 97 checkpoints and was divided into two main categories, “A. Soft Tissues of Head and Musculoskeletal System” and “B. Organs and Organ Systems”, each including various subcategories. The complete checklist had an intra-observer reliability of 98% and an inter-observer reliability of 93%. Statistical comparison revealed significantly higher values in anthropogenically compared to naturally mummified bodies for the total score and for three subcategories. In conclusion, the developed checklist allows for a standardized assessment and documentation of soft tissue preservation in whole-body computed tomography examinations of human mummies. The scoring system facilitates a quantitative comparison of the soft tissue preservation status between single mummies or mummy collections.
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Affiliation(s)
- Stephanie Panzer
- Department of Radiology, Trauma Center Murnau, Murnau, Germany
- Institute of Biomechanics, Trauma Center Murnau, Murnau, Germany, and Paracelsus Medical University, Salzburg, Austria
- * E-mail:
| | - Mark R. Mc Coy
- Division of Neuroradiology, SALK, Gemeinnützige Salzburger Landeskliniken Betriebsgesellschaft mbH, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria
| | - Wolfgang Hitzl
- Biostatistics, Research office, Paracelsus Medical University, Salzburg, Austria
| | - Dario Piombino-Mascali
- Department of Anatomy, Histology and Anthropology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Rimantas Jankauskas
- Department of Anatomy, Histology and Anthropology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Albert R. Zink
- EURAC-Institute for Mummies and the Iceman, Bolzano, Italy
| | - Peter Augat
- Institute of Biomechanics, Trauma Center Murnau, Murnau, Germany, and Paracelsus Medical University, Salzburg, Austria
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Piombino-Mascali D, Jankauskas R, Zink AR, Sergio Todesco M, Aufderheide AC, Panzer S. Paleoradiology of the Savoca Mummies, Sicily, Italy (18th-19th Centuries AD). Anat Rec (Hoboken) 2015; 298:988-1000. [DOI: 10.1002/ar.23132] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 01/30/2015] [Indexed: 11/11/2022]
Affiliation(s)
- Dario Piombino-Mascali
- Department of Anatomy, Histology and Anthropology; Vilnius University; Vilnius Lithuania
| | - Rimantas Jankauskas
- Department of Anatomy, Histology and Anthropology; Vilnius University; Vilnius Lithuania
| | | | | | | | - Stephanie Panzer
- Department of Radiology; Trauma Center Murnau; Murnau Germany
- Biomechanics Laboratory; Paracelsus Medical University; Salzburg Austria
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Heinzl MW, Schönbacher M, Dauber EM, Panzer S, Mayr WR, Körmöczi GF. Detection of granulocyte-reactive antibodies: a comparison of different methods. Vox Sang 2014; 108:287-93. [PMID: 25556963 DOI: 10.1111/vox.12227] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2014] [Revised: 10/15/2014] [Accepted: 11/03/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES Granulocyte-reactive antibodies can cause autoimmune and neonatal immune neutropenias as well as transfusion-related acute lung injury. The classical antibody-detection methods granulocyte aggregation test (GAT), granulocyte immunofluorescence test (GIFT) and monoclonal antibody-specific immobilization of granulocyte antigens (MAIGA) are time-consuming and technically challenging. In recent years, flow cytometric white blood cell immunofluorescence test (Flow-WIFT) and the microbeads assay LabScreen® Multi have emerged and are still subject of evaluation. These serological tests were compared on a screening and specification level. MATERIALS AND METHODS For screening, the combination of GAT/GIFT was compared to Flow-WIFT testing 333 samples. Positive samples were further analysed with MAIGA and LabScreen® Multi. RESULTS Granulocyte aggregation test/GIFT detected 77 positive samples, Flow-WIFT found 108 granulocyte-reactive samples. Six Samples were only positive in GAT/GIFT, and 37 samples were only positive in Flow-WIFT (κ = 0.682). Antibody specification with MAIGA and the microbeads assay confirmed granulocyte-reactivity in 83 cases with 70 matching results (κ = 0.742). However, out of six detected human neutrophil antigen (HNA) reactivities only two specificities matched in both assays. CONCLUSION Flow-WIFT may be a valuable addition to GIFT for granulocyte-reactive antibody screening. MAIGA remains the most reliable laboratory method for antibody specification.
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Affiliation(s)
- M W Heinzl
- Department of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria
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Jilma-Stohlawetz P, Mannhalter C, Kaider A, Waidacher T, Jilma B, Panzer S. The association of the Thr715Pro P-selectin genotype with levels of P-selectin in platelet concentrates. Vox Sang 2014; 107:368-74. [DOI: 10.1111/vox.12175] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Revised: 05/08/2014] [Accepted: 05/16/2014] [Indexed: 11/27/2022]
Affiliation(s)
- P. Jilma-Stohlawetz
- Department of Blood Group Serology and Transfusion Medicine; Medical University of Vienna; Vienna Austria
| | - C. Mannhalter
- Department of Laboratory Medicine; Medical University of Vienna; Vienna Austria
| | - A. Kaider
- Section for Clinical Biometrics; Center for Medical Statistics, Informatics and Intelligent Systems; Medical University of Vienna; Vienna Austria
| | - T. Waidacher
- Department of Blood Group Serology and Transfusion Medicine; Medical University of Vienna; Vienna Austria
| | - B. Jilma
- Department of Clinical Pharmacology; Medical University of Vienna; Vienna Austria
| | - S. Panzer
- Department of Blood Group Serology and Transfusion Medicine; Medical University of Vienna; Vienna Austria
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49
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Piombino‐Mascali D, Jankauskas R, Tamošiūnas A, Valančius R, Thompson RC, Panzer S. Atherosclerosis in mummified human remains from Vilnius, Lithuania (18th–19th centuries AD): A computed tomographic investigation. Am J Hum Biol 2014; 26:676-81. [DOI: 10.1002/ajhb.22578] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Revised: 06/04/2014] [Accepted: 06/07/2014] [Indexed: 01/06/2023] Open
Affiliation(s)
| | | | | | | | | | - Stephanie Panzer
- Trauma Center Murnau, Murnau am Staffelsee Germany
- Paracelsus Medical UniversitySalzburg Austria
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Rabbow C, Panzer S, Müller-Buschbaum H. Röntgenstrukturanalyse von zwei Verbindungen des Kupfertyps BaMLn2O5 (M = Zn, Ln = Sm, Tm) und von BaSmAIZn3O7 / X-Ray Analysis of Two Compounds of the Copper Type BaMLn2O5 (M=Zn, Ln=Sm, Tm) and of BaSmAlZn3O7. Zeitschrift für Naturforschung B 2014. [DOI: 10.1515/znb-1997-0417] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Kupfertyps BaMLn2O5 (M=Zn, Ln=Sm, Tm) und von BaSmAIZn3O7 X-Ray Analysis of Two Compounds of the Copper Type BaMLn2O5 (M=Zn, Ln=Sm, Tm) and of BaSmAlZn3O7 The barium zinc lanthanoide oxides BaZnSm2O5 (I) and BaZnTm2O5 (II) crystallize in the BaCuLn2O3 copper type with orthorhombic symmetry, space group D16
2h,Pnma, (I)
a = 12.575(2), b = 5.804(1), c = 7.198(1) Å and (II):
a = 12.258(2), b = 5.684(1), c = 7.010(2) Å, Z = 4. Zinc shows square pyramidal oxygen coordina tion, but the strong elongation of the CuO5 pyramid in the copper type is missing. BaSmAlZn3O7 crystallizes in the space group C4
6V-P63mc, a = 6.346(1), c = 10.237(3) Å, Z = 2. The metal coordination of oxygen and the shifts of the ratio Al : Zn at the sites (6c) and (2a) depending on the size of the lanthanoid ions are discussed.
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Affiliation(s)
- Ch. Rabbow
- Institut für Anorganische Chemie der Christian-Albrechts-Universität, Olshausenstraße 40, D-24098 Kiel
| | - S. Panzer
- Institut für Anorganische Chemie der Christian-Albrechts-Universität, Olshausenstraße 40, D-24098 Kiel
| | - Hk. Müller-Buschbaum
- Institut für Anorganische Chemie der Christian-Albrechts-Universität, Olshausenstraße 40, D-24098 Kiel
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