Johanna M. M. van Breugel

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INTRODUCTION Therapy of choice for symptomatic vascular malformations consists of surgery, sclerotherapy, or embolization. However, these techniques are invasive with possible complications and require hospitalization. We present a novel non-invasive technique, i.e., magnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) ablation, for the(More)
As a part of the development of an integral mathematical model describing the up-flow anaerobic sludge blanket (UASB) reactor, the kinetics of the conversion of organic wastes has to be known. We compared the Monod model with the model proposed by Andrews et al. Together with the assumption that the substrate for the anaerobic bacteria is formed by(More)
In this article a dynamic model of a continuous working UASB reactor is described. It results from the integration of the fluid flow pattern in the reactor, the kinetic behavior of the bacteria (where inhibition and limitation were taken into account), and the mass transport phenomena between different compartments and different phases. The mathematical(More)
OBJECTIVE To prospectively assess the safety and technical feasibility of volumetric magnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) ablation with direct skin cooling (DISC) during treatment of uterine fibroids. METHODS In this proof-of-concept study, eight patients were consecutively selected for clinical MR-HIFU ablation of uterine(More)
By means of stimulus-response experiments an Li(+) tracer, models for the fluid flow in a 30-m(3) UASB reactor, used for the anaerobic treatment of wastewater, were tested. From the model with the best fit it could be derived that both the sludge bed and the sludge blanket can be described as perfectly mixed tank reactors with short-circuiting flows; the(More)
BACKGROUND Previous studies demonstrated both pre-clinically and clinically the feasibility of magnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) ablations in the liver. To overcome the associated problem of respiratory motion of the ablation area, general anesthesia (GA) and mechanical ventilation was used in conjunction with either(More)
INTRODUCTION Intra-arterial therapies (IATs) play an integral role in the management of unresectable hepatocellular carcinoma and liver metastases. The ability to accurately assess tumor response to intra-arterial therapies is crucial for clinical management. Several one- and two-dimensional manual imaging-based response assessment techniques, based both on(More)
The incidence of small renal masses (SRMs) sized  <4 cm has increased over the decades (as co-findings/or due to introduction of cross sectional imaging). Currently, partial nephrectomy (PN) or watchful waiting is advised in these patients. Ultimately, 80-90% of these SRMs require surgical treatment and PN is associated with a 15% complication rate. In this(More)
BACKGROUND Magnetic resonance high-intensity focused ultrasound (MR-HIFU) treatment for uterine fibroids is rapidly gaining popularity as a treatment modality. This procedure is generally uncomfortable, painful, and requires minimal or absence of movement and an MR-HIFU synchronised breathing pattern of the patient. Procedural sedation and analgesia(More)