Germany – Partner for Medical Technology German Cutting-Edge Research: Keeping Eyes on Diseases Imaging Techniques in Medicine A picture is worth a thousand words – this is true for medicine also. Diagnostic imaging and radiologic techniques are essential for diagnosis and treatment of numerous diseases, especially in oncology. A lot of German research networks are working intensely on tracking tumors or centers of inflammation in the human body, as well as on visualizing malfunctioning metabolic processes. Special medical equipment for breathing-independent irradiaton of lung cancer is using 3D recording techniques like time-of-flight or other 3D methods for surface measurement, which have been used primarily for computer games or automotive engineering so far. In preclinical cancer and inflammatory research, new therapeutic approaches can be tested in vivo much more efficiently and animal-friendly by deploying molecular markers or nanoscale contrast agents. These improvements are made possible by the scientific and technological know-how of German scientists, who have made medical technology in Germany an internationally renowned driver of innovation. Between 5 and 20 percent, depending on topic area, of worldwide scientific publications on medical technology originate from Germany. As for exports, the German medical technology sector, with a world market share of 14.6 percent, ranks second behind that of the USA. These outstanding results are supported by the Federal Ministry of Education and Research (BMBF) with its topical campaign “Germany – Partner for Medical Technology”, in order to highlight the attractiveness of Germany and its research environment in important target countries. The BMBF fosters eight selected research networks, including universities, institutes, hospitals, and private companies, which are active in the field of research and transform promising research results into successful medical technology. Page 1 of 4 Germany – Partner for Medical Technology Imaging Techniques as the Engine of Medical Technology Several participants of the campaign „Germany – Partner for Medical Technology“ focus on imaging techniques. Especially in cancer research and treatment, image recordings of afflicted organs are indispensable for visualizing the position and size of tumors. Surgical intervenion, minimally invasive procedures or radiation therapy are only possible if they can be planned precisely and if the carcinoma can be localized exactly. Single recordings are not sufficient for that purpose. A multitude of images have to be compounded, edited and analyzed. Molecular biology, nanotechnology, computer-aided vision, information technology, and surgical robotics enable completely new techniques for visualizing, reconstruction, and navigation. Gaming technology in Medical Devices The cluster 3-D Imaging in Medicine around the Central Institute for Medical Technology (ZiMT) at the Friedrich Alexander University of Erlangen (FAU) is developing procedures for combining a large number of separate medical pictures into a high-resolution 3D view and for motion compensation in imaging techniques. The Bavarian scientists integrate different 3D recording techniques like time-of-flight or structured light, which have been used primarily for interaction in computer games or automotive engineering so far, for compensating motions in diagnosis and therapy. This technique enables breathing-independent radiation therapy (respiratory gating) of lung cancer, because breathing movements can be considered while focusing on the tumor. Prof. Joachim Hornegger developed with Dr Hoeller and other colleagues from the Central Institute for Medical Technology techniques for processing pre-surgery as well as intrasurgery image data. CT images of the beating heart, for example, can be combined to a three-dimensional perspective, in order to view the heart from any perspective. With the so-called time-of-flight 3-D endoscopy the computer-scientists create real-time threedimensional images for minimally invasive procedures, which improve the orientation of the surgeon and compensate movements of the heart or the lung. Also the use of inertial sensor technology for artificial horizontal stabilization allows spatial vision during surgeries under constant endoscopic view. Page 2 of 4 Germany – Partner for Medical Technology Molecular Marker The Molecular Imaging Network (MOIN) in the north of Germany also focuses on very small particles in imaging techniques. The research network, which combines the imaging competence of diverse universities, university hospitals and companies with biological expertise, develops new diagnostic and therapeutic procedures for detecting and treating oncological and inflammatory processes. Molecular markers detect degenerated tissue within the body by docking to abnormal cells, thus uncovering them. In MOIN’s preclinical research center “molecular imaging” is being used in small animal imaging. With molecular markers, new therapeutic approaches and pharmaceuticals can be tested in-vivo a lot more efficiently and animal-friendly. Together with molecular invitro diagnostics, the molecular in-vivo imaging opens up new perspectives in research and development, diagnostics and therapy. By using in-vivo imaging, causes of disease can be differentiated more precisely, pharmaceuticals can be chosen more exactly, and the course of treatment can be tracked closely. Further, surgeries or radiations can be planned accurately with the help of 3D images of tumor cells that have been visualized by molecular markers. Degenerated tissue can be removed or irradiated completely while preserving healthy tissue. Also the scientists of the research network BioNanoMedTech have nanoparticles hunt for diseases and carry out research in the field of nanoscale structures for diagnostics, imaging techniques and new therapies. Similar to molecular markers, nanocolloids can be used for medical imaging, in order to track the focus of disease. Recording and analyzing nanoscale cell anatomy as well as miniaturized systems for in-vitro diagnostics can help diagnosting diseases as well. Using atomic force microscopy, the surface of cells can be examined by touching or “feeling” their texture. These ultrasmall traces at the cell surface can detect telltale signs of specific cell behaviors, changes or stress reactions. By exact quantification of these structural elements with computer vision, the efficacy or side effects of new drug candidates or agents can be measured, with the cells acting as a biosensor of sorts. Nanotechnology can be used in therapy also, by encapsulating minuscule amounts of pharmaceuticals or by coating implants with nanoparticles, in order to enhance their biocompatibility. Page 3 of 4 Germany – Partner for Medical Technology Whether biomedical markers, nano- or gaming technology – thanks to state-of-the-art technologies, excellent scientists, and a long scientific tradition, German medical technology is among the world leaders and progresses unremittingly in the fight against malignant diseases. Contact: German Aerospace Center Project Management Agency European and International Cooperation Corinna Stefani Bonn, Germany Phone: +49 228 3821-1372 corinna.stefani@dlr.de www.internationales-buero.de Page 4 of 4 FLAD&FLAD COMMUNICATION GMBH Christine Beringer, MAS Heroldsberg, Germany Phone. +49 9126 275-235 christine.beringer@flad.de www.flad.de