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  1. Book: MR angiography with the first blood pool agent

    Meaney, James F. M.

    (European radiology ; 17, Suppl. 2)

    2007  

    Title variant MR angiography with the first blood-pool agent
    Author's details guest ed.: James F. M. Meaney
    Series title European radiology ; 17, Suppl. 2
    Collection
    Language English
    Size B44 S. : zahlr. Ill., graph. Darst.
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT015337063
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: A tricompartmental model of lung oxygenation disruption to explain pulmonary and systemic pathology in severe COVID-19.

    McGonagle, Dennis / Bridgewood, Charlie / Meaney, James F M

    The Lancet. Respiratory medicine

    2021  Volume 9, Issue 6, Page(s) 665–672

    Abstract: The emergent 21st century betacoronaviruses, including SARS-CoV-2, lead to clinicopathological manifestations with unusual features, such as early-onset chest pain, pulmonary infarction, and pulmonary and systemic thromboembolism that is pathologically ... ...

    Abstract The emergent 21st century betacoronaviruses, including SARS-CoV-2, lead to clinicopathological manifestations with unusual features, such as early-onset chest pain, pulmonary infarction, and pulmonary and systemic thromboembolism that is pathologically linked to extensive capillary, arteriolar, and venular thrombosis. Early ground glass opacities detected by CT, which are reminiscent of lung infarcts associated with pulmonary embolism, point to a novel vascular pathology in COVID-19. Under physiological conditions, normal parenchymal oxygenation is maintained by three sources: the alveolus itself and dual oxygen supply from the pulmonary and bronchial artery circulations. We propose a model in which these three components are disrupted in COVID-19 pneumonia, with severe viral alveolitis and concomitant immunothrombotic obstruction of the pulmonary and bronchiolar circulation. Tricompartmental disruption might have two main consequences: systemic clot embolisation from pulmonary vein territory immunothrombosis, and alveolar-capillary barrier disruption with systemic access of thrombogenic viral material. Our model encompasses the known pathological and clinical features of severe COVID-19, and has implications for understanding patient responses to immunomodulatory therapies, which might exert an anti-inflammatory effect within the vascular compartments.
    MeSH term(s) COVID-19/complications ; COVID-19/immunology ; COVID-19/physiopathology ; Humans ; Lung/immunology ; Lung/physiopathology ; Models, Biological ; Oxygen Consumption ; Pulmonary Circulation ; Pulmonary Embolism/virology ; SARS-CoV-2/pathogenicity
    Language English
    Publishing date 2021-05-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(21)00213-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Time to move away from an oxygen-centric model of pulmonary infarction? - Authors' reply.

    McGonagle, Dennis / Bridgewood, Charlie / Meaney, James F M

    The Lancet. Respiratory medicine

    2021  Volume 9, Issue 9, Page(s) e92

    MeSH term(s) Humans ; Oxygen ; Pulmonary Infarction
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2021-08-02
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(21)00329-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Perspective: The Case for Acute Large Vessel Ischemic Stroke in COVID-19 Originating Within Thrombosed Pulmonary Venules.

    Meaney, James F M / O'Donnell, James S / Bridgewood, Charles / Harbison, Joseph / McGonagle, Dennis

    Stroke

    2022  Volume 53, Issue 7, Page(s) 2411–2419

    Abstract: The main burden of SARS-CoV-2 falls on the lungs but neurological manifestations, the most disabling of which are strokes and which correlate with disease severity, are common. We proffer a novel mechanism for acute COVID-19 stroke whereby pulmonary vein ...

    Abstract The main burden of SARS-CoV-2 falls on the lungs but neurological manifestations, the most disabling of which are strokes and which correlate with disease severity, are common. We proffer a novel mechanism for acute COVID-19 stroke whereby pulmonary vein clots developing within the characteristic pulmonary intravascular thrombotic lesions can embolize to the brain. Appreciation of this mechanism requires an understanding of the tricompartmental model of lung parenchyma oxygenation (the alveolus, the bronchial artery, and the pulmonary artery), all of which are compromised in COVID-19. Of these 3 sources, the bronchial artery plays a crucial role in COVID-19 stroke because the unique collaterals from bronchial artery to pulmonary vein which exist under normal physiological conditions (and which maintain venous patency when the pulmonary artery is blocked by embolus) are occluded, thus leading to venular thrombosis in the presence of hypercoagulability. Dislodgement of clots from this source translocates the pathology to the brain and is a disease mechanism, formerly rare, which may account for many cases of large vessel occlusion stroke in COVID-19. This mechanism extends the concept of cardioembolic stroke from endocardium retrogradely into the pulmonary circulation with which the left cardiac chambers lie in direct continuity, and which is an accepted stroke mechanism under other circumstances such as lung lobectomy, where surgical ligation of the pulmonary vein creates a blind sac from which thrombi can embolize. The proposed model is supported by postmortem studies which have demonstrated venular thrombosis and by case reports of pulmonary vein thrombosis in COVID-19. This concept provides a more plausible cause for COVID-19 associated large vessel occlusion stroke than other putative mechanisms, such as cerebral endotheliitis, cytokine storm, and hypercoagulopathy, although it is acknowledged that the latter mechanism contributes to the genesis of pulmonary vein clots. Recognizing that extrapulmonary manifestations including stroke arise within thrombosed pulmonary veins is key to understanding of neurological manifestations of SARS-CoV-2 infection.
    MeSH term(s) COVID-19/complications ; Humans ; Ischemic Stroke ; Lung/diagnostic imaging ; SARS-CoV-2 ; Stroke/etiology ; Thrombosis/complications ; Venules
    Language English
    Publishing date 2022-05-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STROKEAHA.121.038056
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book ; Online: Magnetic Resonance Angiography

    Schneider, Günther / Ho, Vincent B. / Meaney, James F. M. / Prince, Martin R.

    Techniques, Indications and Practical Applications

    2005  

    Author's details edited by Günther Schneider, Martin R. Prince, James F. M. Meaney, Vincent B. Ho
    Keywords Angiography ; Cardiology ; Radiology, Medical
    Language English
    Publisher Springer-Verlag Italia
    Publishing place Milano
    Document type Book ; Online
    HBZ-ID TT050387891
    ISBN 978-88-470-0266-1 ; 978-88-470-0352-1 ; 88-470-0266-4 ; 88-470-0352-0
    DOI 10.1007/b138651
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  6. Article ; Online: COVID-19: angiotensin II in development of lung immunothrombosis and vasculitis mimics - Author's reply.

    McGonagle, Dennis / Bridgewood, Charlie / Ramanan, Athimalaipet V / Meaney, James F M / Watad, Abdulla

    The Lancet. Rheumatology

    2021  Volume 3, Issue 5, Page(s) e326

    Language English
    Publishing date 2021-03-17
    Publishing country England
    Document type Journal Article
    ISSN 2665-9913
    ISSN (online) 2665-9913
    DOI 10.1016/S2665-9913(21)00065-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: COVID-19 vasculitis and novel vasculitis mimics.

    McGonagle, Dennis / Bridgewood, Charlie / Ramanan, Athimalaipet V / Meaney, James F M / Watad, Abdulla

    The Lancet. Rheumatology

    2021  Volume 3, Issue 3, Page(s) e224–e233

    Abstract: COVID-19 has been occasionally linked to histologically confirmed cutaneous vasculitis and a Kawasaki-like vasculitis, with these entities generally having minimal or no lung involvement and a good prognosis. Unlike these vasculitis types, patients with ... ...

    Abstract COVID-19 has been occasionally linked to histologically confirmed cutaneous vasculitis and a Kawasaki-like vasculitis, with these entities generally having minimal or no lung involvement and a good prognosis. Unlike these vasculitis types, patients with severe COVID-19 pneumonia can develop cutaneous vasculitis-like lesions and systemic arterial and venous thromboemboli, including cryptogenic strokes and other vasculopathy features. Proposed underlying mechanisms for these severe manifestations have encompassed immune dysregulation, including an anti-phospholipid syndrome-like state, complement activation, viral dissemination with direct systemic endothelial infection, viral RNAaemia with immunothrombosis, clotting pathway activation mediated by hypoxaemia, and immobility. In this Viewpoint, we highlight how imaging and post-mortem findings from patients with COVID-19 indicate a novel thrombosis in the pulmonary venous territory distal to the alveolar capillary bed, a territory that normally acts as a clot filtration system, which might represent an unappreciated nidus for systemic microembolism. Additionally, we suggest that this mechanism represents a novel vasculitis mimic related to COVID-19 that might lead to cryptogenic strokes across multivessel territories, acute kidney injury with haematuria, a skin vasculitis mimic, intestinal ischaemia, and other organ ischaemic manifestations. This finding is supported by pathological reports of extensive pulmonary venular thrombosis and peripheral organ thrombosis with pauci-immune cellular infiltrates. Therefore, severe COVID-19 pneumonia with extensive pulmonary intravascular coagulopathy might help to explain the numerous systemic complications of COVID-19, in which the demonstration of direct organ infection has not adequately explained the pathology.
    Language English
    Publishing date 2021-01-07
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2665-9913
    ISSN (online) 2665-9913
    DOI 10.1016/S2665-9913(20)30420-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Author Correction: Blood-brain barrier disruption and sustained systemic inflammation in individuals with long COVID-associated cognitive impairment.

    Greene, Chris / Connolly, Ruairi / Brennan, Declan / Laffan, Aoife / O'Keeffe, Eoin / Zaporojan, Lilia / O'Callaghan, Jeffrey / Thomson, Bennett / Connolly, Emma / Argue, Ruth / Meaney, James F M / Martin-Loeches, Ignacio / Long, Aideen / Cheallaigh, Cliona Ni / Conlon, Niall / Doherty, Colin P / Campbell, Matthew

    Nature neuroscience

    2024  

    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1420596-8
    ISSN 1546-1726 ; 1097-6256
    ISSN (online) 1546-1726
    ISSN 1097-6256
    DOI 10.1038/s41593-024-01644-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Blood-brain barrier disruption and sustained systemic inflammation in individuals with long COVID-associated cognitive impairment.

    Greene, Chris / Connolly, Ruairi / Brennan, Declan / Laffan, Aoife / O'Keeffe, Eoin / Zaporojan, Lilia / O'Callaghan, Jeffrey / Thomson, Bennett / Connolly, Emma / Argue, Ruth / Meaney, James F M / Martin-Loeches, Ignacio / Long, Aideen / Cheallaigh, Cliona Ni / Conlon, Niall / Doherty, Colin P / Campbell, Matthew

    Nature neuroscience

    2024  Volume 27, Issue 3, Page(s) 421–432

    Abstract: Vascular disruption has been implicated in coronavirus disease 2019 (COVID-19) pathogenesis and may predispose to the neurological sequelae associated with long COVID, yet it is unclear how blood-brain barrier (BBB) function is affected in these ... ...

    Abstract Vascular disruption has been implicated in coronavirus disease 2019 (COVID-19) pathogenesis and may predispose to the neurological sequelae associated with long COVID, yet it is unclear how blood-brain barrier (BBB) function is affected in these conditions. Here we show that BBB disruption is evident during acute infection and in patients with long COVID with cognitive impairment, commonly referred to as brain fog. Using dynamic contrast-enhanced magnetic resonance imaging, we show BBB disruption in patients with long COVID-associated brain fog. Transcriptomic analysis of peripheral blood mononuclear cells revealed dysregulation of the coagulation system and a dampened adaptive immune response in individuals with brain fog. Accordingly, peripheral blood mononuclear cells showed increased adhesion to human brain endothelial cells in vitro, while exposure of brain endothelial cells to serum from patients with long COVID induced expression of inflammatory markers. Together, our data suggest that sustained systemic inflammation and persistent localized BBB dysfunction is a key feature of long COVID-associated brain fog.
    MeSH term(s) Humans ; Blood-Brain Barrier/metabolism ; Post-Acute COVID-19 Syndrome ; Endothelial Cells/metabolism ; Leukocytes, Mononuclear ; COVID-19/complications ; Cognitive Dysfunction/pathology ; Inflammation/pathology ; Mental Fatigue/metabolism ; Mental Fatigue/pathology
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1420596-8
    ISSN 1546-1726 ; 1097-6256
    ISSN (online) 1546-1726
    ISSN 1097-6256
    DOI 10.1038/s41593-024-01576-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Radiogenomics: Contemporary Applications in the Management of Rectal Cancer.

    O'Sullivan, Niall J / Temperley, Hugo C / Horan, Michelle T / Corr, Alison / Mehigan, Brian J / Larkin, John O / McCormick, Paul H / Kavanagh, Dara O / Meaney, James F M / Kelly, Michael E

    Cancers

    2023  Volume 15, Issue 24

    Abstract: Radiogenomics, a sub-domain of radiomics, refers to the prediction of underlying tumour biology using non-invasive imaging markers. This novel technology intends to reduce the high costs, workload and invasiveness associated with traditional genetic ... ...

    Abstract Radiogenomics, a sub-domain of radiomics, refers to the prediction of underlying tumour biology using non-invasive imaging markers. This novel technology intends to reduce the high costs, workload and invasiveness associated with traditional genetic testing via the development of 'imaging biomarkers' that have the potential to serve as an alternative 'liquid-biopsy' in the determination of tumour biological characteristics. Radiogenomics also harnesses the potential to unlock aspects of tumour biology which are not possible to assess by conventional biopsy-based methods, such as full tumour burden, intra-/inter-lesion heterogeneity and the possibility of providing the information of tumour biology longitudinally. Several studies have shown the feasibility of developing a radiogenomic-based signature to predict treatment outcomes and tumour characteristics; however, many lack prospective, external validation. We performed a systematic review of the current literature surrounding the use of radiogenomics in rectal cancer to predict underlying tumour biology.
    Language English
    Publishing date 2023-12-12
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15245816
    Database MEDical Literature Analysis and Retrieval System OnLINE

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