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  1. Article ; Online: Rodent Brain Tumor Models for Studies Focusing on Boron Neutron Capture Therapy.

    Barth, Rolf F / Carpenter, David E

    Cancer biotherapy & radiopharmaceuticals

    2022  Volume 38, Issue 3, Page(s) 148–151

    Abstract: Rodent brain tumor models have been very useful in advancing the treatment of glioblastomas. This review focuses on the four most widely used rodent brain tumor models: the C6, 9L, and F98 rat gliomas, and the GL261 murine glioma. All of these have been ... ...

    Abstract Rodent brain tumor models have been very useful in advancing the treatment of glioblastomas. This review focuses on the four most widely used rodent brain tumor models: the C6, 9L, and F98 rat gliomas, and the GL261 murine glioma. All of these have been used in studies relating to boron neutron capture therapy. The most important of these studies were those using the 9L gliosarcoma, which led to the clinical use of boronophenylalanine, and the F98 glioma, which has been used for the preclinical evaluation of new boron delivery agents and methods of optimizing their delivery.
    MeSH term(s) Rats ; Mice ; Animals ; Rats, Inbred F344 ; Rodentia ; Boron Neutron Capture Therapy/methods ; Boron Compounds/therapeutic use ; Brain Neoplasms/pathology ; Glioma/radiotherapy ; Glioma/drug therapy
    Chemical Substances Boron Compounds
    Language English
    Publishing date 2022-09-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1315649-4
    ISSN 1557-8852 ; 1084-9785
    ISSN (online) 1557-8852
    ISSN 1084-9785
    DOI 10.1089/cbr.2022.0041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The illness and death of King George VI of England: the pathologists' reassessment.

    Barth, Rolf F / Buja, L Maximillian

    Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology

    2021  Volume 53, Page(s) 107340

    Abstract: The illness and death of King George VI has received renewed attention based on the events portrayed in the Netflix blockbuster series, The Crown. The King, a heavy smoker, underwent a left total pneumonectomy in September 1951 for what euphemistically ... ...

    Abstract The illness and death of King George VI has received renewed attention based on the events portrayed in the Netflix blockbuster series, The Crown. The King, a heavy smoker, underwent a left total pneumonectomy in September 1951 for what euphemistically was called "structural abnormalities" of his left lung, but what in reality was a carcinoma. His physicians withheld this diagnosis from him, the public, and the medical profession. The continuation of hemoptysis following surgery suggested that his cancer had spread to his right lung. Although he made a slow and uneventful recovery from his surgery, King George VI died suddenly and unexpectedly in his sleep on February 6, 1952, at the age of 56. Since the King had a history of peripheral vascular disease, it was assumed that the cause of death was a "coronary thrombosis." In this report, we explore the cardiovascular and oncologic findings relating to his illness and death and consider an alternative explanation for his demise, namely, that he may have died of complications from a carcinoma that had originated in his left lung and spread to his right lung, as evidenced by continued hemoptysis. We suggest that this possibly could have led to his sudden death due to either a pulmonary embolus or a massive intra-thoracic hemorrhage rather than a "coronary thrombosis."
    MeSH term(s) Cause of Death ; England ; Famous Persons ; Humans ; Male ; Pathologists
    Language English
    Publishing date 2021-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1134600-0
    ISSN 1879-1336 ; 1054-8807
    ISSN (online) 1879-1336
    ISSN 1054-8807
    DOI 10.1016/j.carpath.2021.107340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Accuracy of Nonstandardized MELD/PELD Score Exceptions in the Pediatric Liver Allocation System.

    Ahn, Daniel J / Zeng, Sharon / Pelzer, Kenley M / Barth, Rolf N / Gallo, Amy / Parker, William F

    Transplantation

    2023  Volume 107, Issue 10, Page(s) e247–e256

    Abstract: Background: In the United States, over half of pediatric candidates receive exceptions and status upgrades that increase their allocation model of end-stage liver disease/pediatric end-stage liver disease (MELD/PELD) score above their laboratory MELD/ ... ...

    Abstract Background: In the United States, over half of pediatric candidates receive exceptions and status upgrades that increase their allocation model of end-stage liver disease/pediatric end-stage liver disease (MELD/PELD) score above their laboratory MELD/PELD score. We determined whether these "nonstandardized" MELD/PELD exceptions accurately depict true pretransplant mortality risk.
    Methods: Using data from the Scientific Registry of Transplant Recipients, we identified pediatric candidates (<18 y of age) with chronic liver failure added to the waitlist between June 2016 and September 2021 and estimated all-cause pretransplant mortality with mixed-effects Cox proportional hazards models that treated allocation MELD/PELD and exception status as time-dependent covariates. We also estimated concordance statistics comparing the performance of laboratory MELD/PELD with allocation MELD/PELD. We then compared the proportion of candidates with exceptions before and after the establishment of the National Liver Review Board.
    Results: Out of 2026 pediatric candidates listed during our study period, 403 (19.9%) received an exception within a week of listing and 1182 (58.3%) received an exception before delisting. Candidates prioritized by their laboratory MELD/PELD scores had an almost 9 times greater risk of pretransplant mortality compared with candidates who received the same allocation score from an exception (hazard ratio 8.69; 95% confidence interval, 4.71-16.03; P < 0.001). The laboratory MELD/PELD score without exceptions was more accurate than the allocation MELD/PELD score with exceptions (Harrell's c-index 0.843 versus 0.763). The proportion of patients with an active exception at the time of transplant decreased significantly after the National Liver Review Board was implemented (67.4% versus 43.4%, P < 0.001).
    Conclusions: Nonstandardized exceptions undermine the rank ordering of pediatric candidates with chronic liver failure.
    MeSH term(s) Child ; Humans ; United States/epidemiology ; End Stage Liver Disease/diagnosis ; End Stage Liver Disease/surgery ; Liver Transplantation ; Severity of Illness Index ; Waiting Lists ; Registries
    Language English
    Publishing date 2023-07-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000004720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Boron neutron capture therapy at the crossroads - Where do we go from here?

    Barth, Rolf F / Grecula, John C

    Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine

    2019  Volume 160, Page(s) 109029

    Abstract: As elegant as is the concept upon which Boron Neutron Capture Therapy (BNCT) is based, unfortunately it has not gained widespread acceptance by the physicians who are treating cancer patients on a daily basis. The question is why? Very simply put, the ... ...

    Abstract As elegant as is the concept upon which Boron Neutron Capture Therapy (BNCT) is based, unfortunately it has not gained widespread acceptance by the physicians who are treating cancer patients on a daily basis. The question is why? Very simply put, the clinical results obtained in treating patients with high grade gliomas and recurrent tumors of the head and neck region have not been convincing enough to produce more interest in BNCT as a cancer treatment modality. There are a variety of reasons for this, one of the most important of which has been its dependency on nuclear reactors as neutron sources. With the advent of accelerator based neutron sources (ABNS), this hopefully will be addressed. If the results obtained from ongoing and soon to be initiated clinical trials can at least demonstrate equivalency to those obtained with nuclear reactors, this should address the first problem. The second problem relates to boron delivery agents, and despite the considerable efforts of chemists and biologists over the past 50 years, there are only two drugs that currently are being used clinically, sodium borocaptate (BSH) and boronophenylalanine (BPA). It is widely recognized that these two drugs are less than ideal. Perhaps new and more effective boron delivery agents will finally appear on the scene, but barring that, we will address the question of what can be done now to make BNCT a more effective cancer treatment modality.
    MeSH term(s) Animals ; Boron Neutron Capture Therapy/methods ; Brain Neoplasms/radiotherapy ; Clinical Trials as Topic ; Head and Neck Neoplasms/radiotherapy ; Humans
    Language English
    Publishing date 2019-12-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1142596-9
    ISSN 1872-9800 ; 0883-2889 ; 0969-8043
    ISSN (online) 1872-9800
    ISSN 0883-2889 ; 0969-8043
    DOI 10.1016/j.apradiso.2019.109029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The spectrum of pathological findings in coronavirus disease (COVID-19) and the pathogenesis of SARS-CoV-2.

    Barth, Rolf F / Buja, L Maximillian / Parwani, Anil V

    Diagnostic pathology

    2020  Volume 15, Issue 1, Page(s) 85

    MeSH term(s) Autopsy ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/pathology ; Coronavirus Infections/physiopathology ; Humans ; Pandemics ; Pneumonia, Viral/pathology ; Pneumonia, Viral/physiopathology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-14
    Publishing country England
    Document type Editorial
    ZDB-ID 2210518-9
    ISSN 1746-1596 ; 1746-1596
    ISSN (online) 1746-1596
    ISSN 1746-1596
    DOI 10.1186/s13000-020-00999-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: From the laboratory to the clinic: How translational studies in animals have lead to clinical advances in boron neutron capture therapy.

    Barth, Rolf F

    Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine

    2015  Volume 106, Page(s) 22–28

    Abstract: In this report five examples have been selected to illustrate how studies in experimental animals have lead directly to clinical implementation. These include (1) the use of BSH as a boron delivery agent for BNCT of patients with brain tumors, and more ... ...

    Abstract In this report five examples have been selected to illustrate how studies in experimental animals have lead directly to clinical implementation. These include (1) the use of BSH as a boron delivery agent for BNCT of patients with brain tumors, and more specifically gliomas; (2) the use of BPA as a delivery agent for BNCT for patients with melanomas and (3) its subsequent use for BNCT of patients with gliomas; (4) optimization of the delivery of BPA in patients with gliomas; and finally (5) the combination of BSH and BPA with BNCT alone or together with X-irradiation to treat patients with gliomas.
    MeSH term(s) Animals ; Boron Compounds/administration & dosage ; Boron Neutron Capture Therapy ; Brain Neoplasms/radiotherapy ; Melanoma/radiotherapy ; Phenylalanine/administration & dosage ; Phenylalanine/analogs & derivatives ; Translational Medical Research
    Chemical Substances Boron Compounds ; Phenylalanine (47E5O17Y3R) ; 4-boronophenylalanine (UID84303EL)
    Language English
    Publishing date 2015-12
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1142596-9
    ISSN 1872-9800 ; 0883-2889 ; 0969-8043
    ISSN (online) 1872-9800
    ISSN 0883-2889 ; 0969-8043
    DOI 10.1016/j.apradiso.2015.06.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Call to Action: The Need for Autopsies to Determine the Full Extent of Organ Involvement Associated With COVID-19.

    Barth, Rolf F / Xu, Xinyang / Buja, L Maximilian

    Chest

    2020  Volume 158, Issue 1, Page(s) 43–44

    MeSH term(s) Autopsy/methods ; Betacoronavirus/isolation & purification ; COVID-19 ; Cause of Death ; Coronavirus Infections/mortality ; Coronavirus Infections/pathology ; Coronavirus Infections/virology ; Humans ; Lung/pathology ; Multiple Organ Failure/etiology ; Multiple Organ Failure/pathology ; Needs Assessment ; Organs at Risk/pathology ; Pandemics ; Pneumonia, Viral/mortality ; Pneumonia, Viral/pathology ; Pneumonia, Viral/virology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-10
    Publishing country United States
    Document type Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2020.03.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: A Comparison of the Clinical, Viral, Pathologic, and Immunologic Features of Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS), and Coronavirus 2019 (COVID-19) Diseases.

    Barth, Rolf F / Buja, L Maximillian / Barth, Alison L / Carpenter, David E / Parwani, Anil V

    Archives of pathology & laboratory medicine

    2021  Volume 145, Issue 10, Page(s) 1194–1211

    Abstract: Context.—: The purpose of this review was to compare 3 coronavirus diseases, including severe acute respiratory syndrome, Middle East respiratory syndrome, and COVID-19 caused by SARS-CoV, MERS-CoV, and SARS-CoV-2 viruses, respectively.: Objective.—: ...

    Abstract Context.—: The purpose of this review was to compare 3 coronavirus diseases, including severe acute respiratory syndrome, Middle East respiratory syndrome, and COVID-19 caused by SARS-CoV, MERS-CoV, and SARS-CoV-2 viruses, respectively.
    Objective.—: To cover the following topics: clinical considerations, viral characteristics, pathology, immune response, pathogenesis, and the prognosis associated with each coronavirus disease in humans.
    Data sources.—: Clinically, flu-like symptoms are usual at the time of presentation for all 3 diseases, but these vary from asymptomatic to severe multisystem involvement. The pathology associated with symptomatic severe acute respiratory syndrome and COVID-19 has been well described, the most prominent of which is diffuse alveolar damage. The immune response to each of these viruses is highly complex and includes both humoral and cellular components that can have a significant impact on prognosis. In severe cases of COVID-19, a dysregulated innate host immune system can initiate a hyperinflammatory syndrome dominated by endothelial dysfunction that can lead to a hypercoagulable state with microthrombi, resulting in a systemic microvascular and macrovascular disease.
    Conclusions.—: The severe acute respiratory syndrome and Middle East respiratory syndrome epidemics have been limited, involving approximately 8000 and 2500 individuals, respectively. In contrast, COVID-19 has resulted in a worldwide pandemic with more than 177 million cases and 3.9 million deaths as of June 15, 2021, and fatality rates ranging from less than 0.1% to approximately 10% depending upon the country. Ending on a positive note, the development of a number of vaccines, at least 6 of which now are in clinical use, should mitigate and eventually control the devastating COVID-19 pandemic.
    MeSH term(s) Betacoronavirus/immunology ; Betacoronavirus/physiology ; COVID-19/epidemiology ; COVID-19/immunology ; COVID-19/virology ; Coronavirus Infections/epidemiology ; Coronavirus Infections/immunology ; Coronavirus Infections/virology ; Humans ; Immune System/immunology ; Pandemics/prevention & control ; Prognosis ; SARS Virus/immunology ; SARS Virus/physiology ; SARS-CoV-2/immunology ; SARS-CoV-2/physiology ; Severe Acute Respiratory Syndrome/epidemiology ; Severe Acute Respiratory Syndrome/immunology ; Severe Acute Respiratory Syndrome/virology
    Language English
    Publishing date 2021-07-07
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 194119-7
    ISSN 1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
    ISSN (online) 1543-2165
    ISSN 0363-0153 ; 0096-8528 ; 0003-9985
    DOI 10.5858/arpa.2020-0820-SA
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Rat and Mouse Brain Tumor Models for Experimental Neuro-Oncology Research.

    Sahu, Upasana / Barth, Rolf F / Otani, Yoshihiro / McCormack, Ryan / Kaur, Balveen

    Journal of neuropathology and experimental neurology

    2022  Volume 81, Issue 5, Page(s) 312–329

    Abstract: Rodent brain tumor models have been useful for developing effective therapies for glioblastomas (GBMs). In this review, we first discuss the 3 most commonly used rat brain tumor models, the C6, 9L, and F98 gliomas, which are all induced by repeated ... ...

    Abstract Rodent brain tumor models have been useful for developing effective therapies for glioblastomas (GBMs). In this review, we first discuss the 3 most commonly used rat brain tumor models, the C6, 9L, and F98 gliomas, which are all induced by repeated injections of nitrosourea to adult rats. The C6 glioma arose in an outbred Wistar rat and its potential to evoke an alloimmune response is a serious limitation. The 9L gliosarcoma arose in a Fischer rat and is strongly immunogenic, which must be taken into consideration when using it for therapy studies. The F98 glioma may be the best of the 3 but it does not fully recapitulate human GBMs because it is weakly immunogenic. Next, we discuss a number of mouse models. The first are human patient-derived xenograft gliomas in immunodeficient mice. These have failed to reproduce the tumor-host interactions and microenvironment of human GBMs. Genetically engineered mouse models recapitulate the molecular alterations of GBMs in an immunocompetent environment and "humanized" mouse models repopulate with human immune cells. While the latter are rarely isogenic, expensive to produce, and challenging to use, they represent an important advance. The advantages and limitations of each of these brain tumor models are discussed. This information will assist investigators in selecting the most appropriate model for the specific focus of their research.
    MeSH term(s) Animals ; Brain Neoplasms/pathology ; Cell Line, Tumor ; Disease Models, Animal ; Glioblastoma ; Glioma/pathology ; Gliosarcoma ; Humans ; Mice ; Rats ; Rats, Wistar ; Tumor Microenvironment
    Language English
    Publishing date 2022-04-21
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 3088-0
    ISSN 1554-6578 ; 0022-3069
    ISSN (online) 1554-6578
    ISSN 0022-3069
    DOI 10.1093/jnen/nlac021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The spectrum of pathological findings in coronavirus disease (COVID-19) and the pathogenesis of SARS-CoV-2

    Rolf F. Barth / L. Maximillian Buja / Anil V. Parwani

    Diagnostic Pathology, Vol 15, Iss 1, Pp 1-

    2020  Volume 4

    Keywords Pathology ; RB1-214 ; covid19
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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