TY - GEN A1 - Risch, Lucie A1 - Stoll, Josefine A1 - Schomöller, Anne A1 - Engel, Tilman A1 - Mayer, Frank A1 - Cassel, Michael T1 - Intraindividual Doppler Flow Response to Exercise Differs Between Symptomatic and Asymptomatic Achilles Tendons T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Objective: This study investigated intraindividual differences of intratendinous blood flow (IBF) in response to running exercise in participants with Achilles tendinopathy. Design: This is a cross-sectional study. Setting: The study was conducted at the University Outpatient Clinic. Participants: Sonographic detectable intratendinous blood flow was examined in symptomatic and contralateral asymptomatic Achilles tendons of 19 participants (42 ± 13 years, 178 ± 10 cm, 76 ± 12 kg, VISA-A 75 ± 16) with clinically diagnosed unilateral Achilles tendinopathy and sonographic evident tendinosis. Intervention: IBF was assessed using Doppler ultrasound “Advanced Dynamic Flow” before (Upre) and 5, 30, 60, and 120 min (U5–U120) after a standardized submaximal constant load run. Main Outcome Measure: IBF was quantified by counting the number (n) of vessels in each tendon. Results: At Upre, IBF was higher in symptomatic compared with asymptomatic tendons [mean 6.3 (95% CI: 2.8–9.9) and 1.7 (0.4–2.9), p < 0.01]. Overall, 63% of symptomatic and 47% of asymptomatic Achilles tendons responded to exercise, whereas 16 and 11% showed persisting IBF and 21 and 42% remained avascular throughout the investigation. At U5, IBF increased in both symptomatic and asymptomatic tendons [difference to baseline: 2.4 (0.3–4.5) and 0.9 (0.5–1.4), p = 0.05]. At U30 to U120, IBF was still increased in symptomatic but not in asymptomatic tendons [mean difference to baseline: 1.9 (0.8–2.9) and 0.1 (-0.9 to 1.2), p < 0.01]. Conclusion: Irrespective of pathology, 47–63% of Achilles tendons responded to exercise with an immediate acute physiological IBF increase by an average of one to two vessels (“responders”). A higher amount of baseline IBF (approximately five vessels) and a prolonged exercise-induced IBF response found in symptomatic ATs indicate a pain-associated altered intratendinous “neovascularization.” T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 746 KW - achilles tendinopathy KW - tendinosis KW - neovascularization KW - ultrasound KW - advanced dynamic flow KW - sonography Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-542865 SN - 1866-8364 SP - 1 EP - 8 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Risch, Lucie A1 - Stoll, Josefine A1 - Schomöller, Anne A1 - Engel, Tilman A1 - Mayer, Frank A1 - Cassel, Michael T1 - Intraindividual Doppler Flow Response to Exercise Differs Between Symptomatic and Asymptomatic Achilles Tendons JF - Frontiers in physiology N2 - Objective: This study investigated intraindividual differences of intratendinous blood flow (IBF) in response to running exercise in participants with Achilles tendinopathy. Design: This is a cross-sectional study. Setting: The study was conducted at the University Outpatient Clinic. Participants: Sonographic detectable intratendinous blood flow was examined in symptomatic and contralateral asymptomatic Achilles tendons of 19 participants (42 ± 13 years, 178 ± 10 cm, 76 ± 12 kg, VISA-A 75 ± 16) with clinically diagnosed unilateral Achilles tendinopathy and sonographic evident tendinosis. Intervention: IBF was assessed using Doppler ultrasound “Advanced Dynamic Flow” before (Upre) and 5, 30, 60, and 120 min (U5–U120) after a standardized submaximal constant load run. Main Outcome Measure: IBF was quantified by counting the number (n) of vessels in each tendon. Results: At Upre, IBF was higher in symptomatic compared with asymptomatic tendons [mean 6.3 (95% CI: 2.8–9.9) and 1.7 (0.4–2.9), p < 0.01]. Overall, 63% of symptomatic and 47% of asymptomatic Achilles tendons responded to exercise, whereas 16 and 11% showed persisting IBF and 21 and 42% remained avascular throughout the investigation. At U5, IBF increased in both symptomatic and asymptomatic tendons [difference to baseline: 2.4 (0.3–4.5) and 0.9 (0.5–1.4), p = 0.05]. At U30 to U120, IBF was still increased in symptomatic but not in asymptomatic tendons [mean difference to baseline: 1.9 (0.8–2.9) and 0.1 (-0.9 to 1.2), p < 0.01]. Conclusion: Irrespective of pathology, 47–63% of Achilles tendons responded to exercise with an immediate acute physiological IBF increase by an average of one to two vessels (“responders”). A higher amount of baseline IBF (approximately five vessels) and a prolonged exercise-induced IBF response found in symptomatic ATs indicate a pain-associated altered intratendinous “neovascularization.” KW - achilles tendinopathy KW - tendinosis KW - neovascularization KW - ultrasound KW - advanced dynamic flow KW - sonography Y1 - 2021 U6 - https://doi.org/10.3389/fphys.2021.617497 SN - 1664-042X VL - 12 SP - 1 EP - 8 PB - Frontiers Research Foundation CY - Lausanne, Schweiz ER - TY - THES A1 - Wolf, Julia T1 - Schadenserkennung in Beton durch Überwachung mit eingebetteten Ultraschallprüfköpfen T1 - Monitoring with embedded ultrasound sensors to detect damage in concrete N2 - Die zerstörungsfreien Prüfungen von Bauwerken mit Hilfe von Ultraschallmessverfahren haben in den letzten Jahren an Bedeutung gewonnen. Durch Ultraschallmessungen können die Geometrien von Bauteilen bestimmt sowie von außen nicht sichtbare Fehler wie Delaminationen und Kiesnester erkannt werden. Mit neuartigen, in das Betonbauteil eingebetteten Ultraschallprüfköpfen sollen nun Bauwerke dauerhaft auf Veränderungen überprüft werden. Dazu werden Ultraschallsignale direkt im Inneren eines Bauteils erzeugt, was die Möglichkeiten der herkömmlichen Methoden der Bauwerksüberwachung wesentlich erweitert. Ein Ultraschallverfahren könnte mit eingebetteten Prüfköpfen ein Betonbauteil kontinuierlich integral überwachen und damit auch stetig fortschreitende Gefügeänderungen, wie beispielsweise Mikrorisse, registrieren. Sicherheitsrelevante Bauteile, die nach dem Einbau für Messungen unzugänglich oder mittels Ultraschall, beispielsweise durch zusätzliche Beschichtungen der Oberfläche, nicht prüfbar sind, lassen sich mit eingebetteten Prüfköpfen überwachen. An bereits vorhandenen Bauwerken können die Ultraschallprüfköpfe mithilfe von Bohrlöchern und speziellem Verpressmörtel auch nachträglich in das Bauteil integriert werden. Für Fertigbauteile bieten sich eingebettete Prüfköpfe zur Herstellungskontrolle sowie zur Überwachung der Baudurchführung als Werkzeug der Qualitätssicherung an. Auch die schnelle Schadensanalyse eines Bauwerks nach Naturkatastrophen, wie beispielsweise einem Erdbeben oder einer Flut, ist denkbar. Durch die gute Ankopplung ermöglichen diese neuartigen Prüfköpfe den Einsatz von empfindlichen Auswertungsmethoden, wie die Kreuzkorrelation, die Coda-Wellen-Interferometrie oder die Amplitudenauswertung, für die Signalanalyse. Bei regelmäßigen Messungen können somit sich anbahnende Schäden eines Bauwerks frühzeitig erkannt werden. Da die Schädigung eines Bauwerks keine direkt messbare Größe darstellt, erfordert eine eindeutige Schadenserkennung in der Regel die Messung mehrerer physikalischer Größen die geeignet verknüpft werden. Physikalische Größen können sein: Ultraschalllaufzeit, Amplitude des Ultraschallsignals und Umgebungstemperatur. Dazu müssen Korrelationen zwischen dem Zustand des Bauwerks, den Umgebungsbedingungen und den Parametern des gemessenen Ultraschallsignals untersucht werden. In dieser Arbeit werden die neuartigen Prüfköpfe vorgestellt. Es wird beschrieben, dass sie sich, sowohl in bereits errichtete Betonbauwerke als auch in der Konstruktion befindliche, einbauen lassen. Experimentell wird gezeigt, dass die Prüfköpfe in mehreren Ebenen eingebettet sein können da ihre Abstrahlcharakteristik im Beton nahezu ungerichtet ist. Die Mittenfrequenz von rund 62 kHz ermöglicht Abstände, je nach Betonart und SRV, von mindestens 3 m zwischen Prüfköpfen die als Sender und Empfänger arbeiten. Die Empfindlichkeit der eingebetteten Prüfköpfe gegenüber Veränderungen im Beton wird an Hand von zwei Laborexperimenten gezeigt, einem Drei-Punkt-Biegeversuch und einem Versuch zur Erzeugung von Frost-Tau-Wechsel Schäden. Die Ergebnisse werden mit anderen zerstörungsfreien Prüfverfahren verglichen. Es zeigt sich, dass die Prüfköpfe durch die Anwendung empfindlicher Auswertemethoden, auftretende Risse im Beton detektieren, bevor diese eine Gefahr für das Bauwerk darstellen. Abschließend werden Beispiele von Installation der neuartigen Ultraschallprüfköpfe in realen Bauteilen, zwei Brücken und einem Fundament, gezeigt und basierend auf dort gewonnenen ersten Erfahrungen ein Konzept für die Umsetzung einer Langzeitüberwachung aufgestellt. N2 - The non-destructive testing of concrete structures with the ultrasound method has become increasingly important in recent years. With the ultrasound technique the geometry of concrete elements can be determined and defects can be detected which are not visible on the surface, such as delaminations and honeycombs. New ultrasound sensors were developed to monitor changes in concrete structures continuously and permanently. Those ultrasound sensors will be embedded into the concrete to transmit and receive ultrasound waves within the structure. This allows a new interpretation of the condition of a structure. The use of the embedded sensors expands the options of the traditional monitoring methods. The ultrasonic technique could monitor a voluminous part of a concrete structure continuously and integral with just a few strategically placed embedded ultrasound sensors and thus register small changes in the concretes texture. Vital parts of concrete structures which are inaccessible for the ultrasonic method after construction can be monitored with embedded sensors. Inaccessibility could be caused by a surface layered with a medium reflecting or absorbing the ultrasonic wave or by to much steel obstruct"-ing the waves path. The sensors can be embedded into existing structures using boreholes and grouting mortar or installed during construction and can thus serve as a tool for quality control. The quick damage evaluation of a construction after a natural disaster such as an earthquake or a flood, is conceivable as well. As the contact between the embedded sensors and the surrounding concrete is assumed as constant over a long time, highly sensitive signal evaluation tools, such as the cross correlation between signals, the Coda Wave Interferometry and the amplitude evaluation, can be used. Therefore, with regular measurements, damage in a construction can be detected at an early stage. But, the damage of a structure can not be measured directly. A distinct damage detection needs a quantity of measured parameters, such as time of flight and amplitude of the ultrasonic wave as well as temperature, which need to be linked to each other. To achieve this, correlations between the state of the concrete construction and those parameters of the measured ultrasonic signal must be investigated. In this work the newly developed ultrasound sensors are introduced. Their installation into a concrete structure is described. The sensors sensitivity to small changes in the concrete is investigated and compared to other Non Destructive Testing (NDT) methods. The highly sensitive signal evaluation tools proof to be particularly advantageous when using embedded sensors. Installations of embedded ultrasound sensors for long time monitoring of real constructions are presented. Based on the gained experience with those installations a concept is presented for the set up of a long time monitoring system. KW - Ultraschall KW - Beton KW - Überwachung KW - Prüfköpfe KW - Temperatur KW - Frost-Tau-Wechsel KW - Schaden KW - Riss KW - ultrasound KW - concrete KW - monitoring KW - sensors KW - temperature KW - Freeze-Thaw-Cycles KW - damage KW - crack Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-397363 ER - TY - JOUR A1 - Risch, Lucie A1 - Wochatz, Monique A1 - Messerschmidt, Janin A1 - Engel, Tilman A1 - Mayer, Frank A1 - Cassel, Michael T1 - Reliability of evaluating achilles tendon vascularization assessed with doppler ultrasound advanced dynamic flow JF - Journal of ultrasound in medicine N2 - The reliability of quantifying intratendinous vascularization by high-sensitivity Doppler ultrasound advanced dynamic flow has not been examined yet. Therefore, this study aimed to investigate the intraobserver and interobserver reliability of evaluating Achilles tendon vascularization by advanced dynamic flow using established scoring systems. Methods-Three investigators evaluated vascularization in 67 recordings in a test-retest design, applying the Ohberg score, a modified Ohberg score, and a counting score. Intraobserver and interobserver agreement for the Ohberg score and modified Ohberg score was analyzed by the Cohen kappa and Fleiss kappa coefficients (absolute), Kendall tau b coefficient, and Kendall coefficient of concordance (W; relative). The reliability of the counting score was analyzed by intraclass correlation coefficients (ICC) 2.1 and 3.1, the standard error of measurement (SEM), and Bland-Altman analysis (bias and limits of agreement [LoA]). Results-Intraobserver and interobserver agreement (absolute/relative) ranged from 0.61 to 0.87/0.87 to 0.95 and 0.11 to 0.66/0.76 to 0.89 for the Ohberg score and from 0.81 to 0.87/0.92 to 0.95 and 0.64 to 0.80/0.88 to 0.93 for the modified Ohberg score, respectively. The counting score revealed an intraobserver ICC of 0.94 to 0.97 (SEM, 1.0-1.5; bias, -1; and LoA, 3-4 vessels). The interobserver ICC for the counting score ranged from 0.91 to 0.98 (SEM, 1.0-1.9; bias, 0; and LoA, 3-5 vessels). Conclusions-The modified Ohberg score and counting score showed excellent reliability and seem convenient for research and clinical practice. The Ohberg score revealed decent intraobserver but unexpected low interobserver reliability and therefore cannot be recommended. KW - advanced dynamic flow KW - intratendinous blood flow KW - musculoskeletal KW - reliability KW - ultrasound Y1 - 2017 U6 - https://doi.org/10.1002/jum.14414 SN - 0278-4297 SN - 1550-9613 VL - 37 IS - 3 SP - 737 EP - 744 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Vukicevic, Radovan A1 - Neffe, Axel T. A1 - Luetzow, Karola A1 - Pierce, Benjamin F. A1 - Lendlein, Andreas T1 - Conditional Ultrasound Sensitivity of Poly[(N-isopropylacrylamide)-co-(vinyl imidazole)] Microgels for Controlled Lipase Release JF - Macromolecular rapid communications N2 - Triggering the release of cargo from a polymer network by ultrasonication as an external, non-invasive stimulus can be an interesting concept for on-demand release. Here, it is shown that, in pH-and thermosensitive microgels, the ultrasound sensitivity of the polymer network depends on the external conditions. Crosslinked poly[(N-isopropylacrylamide)-co-(vinyl imidazole)] microgels showed a volume phase transition temperature (VPTT) of 25-50 degrees C, which increases with decreasing pH. Above the VPTT the polymer chains are collapsed, while below VPTT they are extended. Only in the case of maximum observed swelling, where the polymer chains are expanded, the microgels are mechanically fragmented through ultrasonication. In contrast, when the polymer chains are partially collapsed it is not possible to manipulate the microgels by ultrasound. Additionally, the ultrasound-induced on-demand release of wheat germ lipase from the microgels could be demonstrated successfully. The principle of conditional ultrasound sensitivity is likely to be general and can be used for selection of matrix-cargo combinations. KW - ultrasound KW - polymers KW - microgels KW - lipase release KW - controlled release KW - thermoresponsive polymers KW - biomaterials Y1 - 2015 U6 - https://doi.org/10.1002/marc.201500311 SN - 1022-1336 SN - 1521-3927 VL - 36 IS - 21 SP - 1891 EP - 1896 PB - Wiley-VCH CY - Weinheim ER - TY - JOUR A1 - Cassel, Michael A1 - Müller, Steffen A1 - Carlsohn, Anja A1 - Baur, Heiner A1 - Jerusel, N. A1 - Mayer, Frank T1 - Intra- and interrater variability of sonographic investigations of patella and achilles tendons JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Clinical examinations of tendon disorders routinely include ultrasound examinations, despite the fact that availability of data concerning validity criteria of these measurements are limited. The present study therefore aims to evaluate the reliability of measurements of Achilles- and Patella tendon diameter and in the detection of structural adaptations. Materials and Methods: In 14 healthy, recreationally active subjects both asymptomatic Achilles (AT) and patella tendons (PT) were measured twice by two examiners in a test-retest design. Besides the detection of anteroposterior (a.p.-) and mediolateral (m.l.-) diameters, areas of hypoechogenicity and neovascularisation were registered. Data were analysed descriptively with calculation of test-retest variability (TRV), intraclass-correlation coefficient (ICC) and Bland and Altman's plots with bias and 95% limits of agreement (LOA). Results: Intra- and interrater differences of AT- and PT-a.p.-diameter varied from 0.2 - 1.2 mm, those of AT- and PT-m.l-diameter from 0.7-5.1 mm. Areas of hypoechogenicity were visible in 24% of the tendons, while 15% showed neovascularisations. Intrarater AT-a.p.-diameters showed sparse deviations (TRV 4.5-7.4%; ICC 0.60-0.84; bias -0.05-0.07 mm; LOA-0.6-0.5 to -1.1 - 1.0 mm), while interrater AT- and PT-m.l.-diameters were highly variable (TRV 13.7-19.7%; ICC 0.11-0.20; bias -1.4-4.3 mm; LOA-5.5-2.7 to -10.5 - 1.9 mm). Conclusion: Our results suggest that the measurement of AT- and PT-a.p.-diameters is a reliable parameter. In contrast, reproducibility of AT- and PT-m.l.-diameters is questionable. The study corroborates the presence of hypoechogenicity and neovascularisation in asymptomatic tendons. KW - ultrasound KW - Achilles tendon KW - Patella tendon KW - intra- and inter-rater variability KW - tendon diameter Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1281839 SN - 0932-0555 VL - 26 IS - 1 SP - 21 EP - 26 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Li, Jian A1 - Wang, Zi-Neng A1 - Schlemm, Ludwig A1 - Pfab, Thiemo A1 - Xiao, Xiao-Min A1 - Chen, You-Peng A1 - Hocher, Berthold T1 - Low birth weight and elevated head-to-abdominal circumference ratio are associated with elevated fetal glycated serum protein concentrations JF - Journal of hypertension N2 - Objective To analyze the association between low birth weight, head-to-abdominal circumference ratio, and insulin resistance in early life. Method and results Glycated serum proteins (GSPs) were quantified at delivery in 612 Chinese mother/child pairs serving as a surrogate of maternal and fetal glycemia. Differential ultrasound examination of the fetal's body (head circumference, biparietal diameter, pectoral diameter, abdominal circumference, and femur length) was done in average 1 week prior to delivery. Multivariable regression analysis considering gestational age at delivery, the child's sex, maternal BMI, maternal age at delivery, maternal body weight, and pregnancyinduced hypertension revealed that fetal GSP was inversely associated with birth weight (R(2) = 0.416; P < 0.001). Fetal GSP was furthermore positively associated with the head-to-abdominal circumference ratio, whereas the maternal GSP was negatively correlated with the offspring's head-to-abdominal circumference ratio (R(2) = 0.285; P = 0.010 and R(2) = 0.261; P = 0.020, respectively). The increased head-to-abdominal circumference ratio in newborns with higher fetal GSP is mainly due to a reduced abdominal circumference rather than reduced growth of the brain. Conclusion The disproportional intrauterine growth is in line with the concept of so-called brain sparing, a mechanism maintaining the intrauterine growth of the brain at the expense of trunk growth. Our data suggest that the low birth weight phenotype, linked to cardiovascular diseases like hypertension in later life, might be a phenotype of disproportional intrauterine growth retardation and early life insulin resistance. KW - disproportional intrauterine growth retardation KW - insulin resistance KW - low birth weight KW - ultrasound Y1 - 2011 U6 - https://doi.org/10.1097/HJH.0b013e328349a2e6 SN - 0263-6352 VL - 29 IS - 9 SP - 1712 EP - 1718 PB - Lippincott Williams & Wilkins CY - Philadelphia ER -