Publications by authors named "D-Y Choi"

Purpose: To investigate the impact of the distance from the most-anterior surface of the optic to the principal object plane (POP) and from the foremost haptic to the principal object plane (H-POP) on the intraocular lens (IOL) power calculation.

Setting: A tertiary hospital.

Design: Optical simulation and retrospective cross-sectional study.

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Immunohistochemistry (IHC) is the common companion diagnostics in targeted therapies. However, quantifying protein expressions in IHC images present a significant challenge, due to variability in manual scoring and inherent subjective interpretation. Deep learning (DL) offers a promising approach to address these issues, though current models require extensive training for each cancer and IHC type, limiting the practical application.

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  • Patients undergoing complex high-risk PCI are still at high risk for adverse events despite standard dual antiplatelet therapy (DAPT).
  • The TAILORED-CHIP trial aims to compare a tailored antiplatelet strategy with an early escalation and late de-escalation approach against conventional DAPT.
  • The study's primary focus is on the net clinical outcome, measuring serious events like death, heart attack, stroke, and significant bleeding within 12 months after the procedure.
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Rotavirus considerably threatens global health, particularly for children <5 years. Current, licensed oral attenuated vaccine formulations have limitations including insufficient efficacy in children in low- and middle-income countries, warranting urgent development of novel vaccines with improved efficacy and safety profiles. Herein, we present a novel approach utilizing an encapsulin (ENC) nanoparticle (NP)-based non-replicating rotavirus vaccine.

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  • Precise implantation depth is crucial for the success of transcatheter aortic valve replacement (TAVR), but the effects of incorrect depths on the ACURATE NEO2 prosthesis hadn't been previously studied.
  • A study of 1,839 patients evaluated outcomes based on three implantation depth categories: high (<3 mm), optimal (3-7 mm), and low (>7 mm), finding no significant differences in technical success or paravalvular regurgitation rates.
  • While higher implantation showed better hemodynamics, it also had a higher risk of embolization; low implantation led to more pacemaker needs, suggesting it's better to avoid high placements to minimize risks.
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  • Researchers conducted a trial comparing edoxaban monotherapy with dual antithrombotic therapy in patients with atrial fibrillation and stable coronary artery disease to assess risks of stroke and other serious outcomes.
  • The study involved 1,040 patients, with results showing fewer primary-outcome events in those on edoxaban alone (6.8% vs. 16.2% for dual therapy), indicating it may be safer.
  • Although the incidence of major bleeding was higher in the dual therapy group (14.2% vs. 4.7%), the major ischemic events were similar for both treatment groups.
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Background: Mixed reality (MR) is helpful in hand training for patients with stroke, allowing them to fully submerge in a virtual space while interacting with real objects. The recognition of individual finger movements is required for MR rehabilitation. This study aimed to assess the effectiveness of updated MR-board 2, adding finger training for patients with stroke.

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Immunotherapy is likely the most remarkable advancement in lung cancer treatment during the past decade. Although immunotherapy provides substantial benefits, their therapeutic responses differ from those of conventional chemotherapy and targeted therapy, and some patients present unique immunotherapy response patterns that cannot be judged under the current measurement standards. Therefore, the response monitoring of immunotherapy can be challenging, such as the differentiation between real response and pseudo-response.

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Ectopic varices are rare but potentially life-threatening conditions usually resulting from a combination of global portal hypertension and local occlusive components. As imaging, innovative devices, and interventional radiologic techniques evolve and are more widely adopted, interventional radiology is becoming essential in the management of ectopic varices. The interventional radiologist starts by diagnosing the underlying causes of portal hypertension and evaluating the afferent and efferent veins of ectopic varices with CT.

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The Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOT-2) is the most common motor assessment in Korea. The BOT-2-Short Form (SF) is preferred over the complete form (CF) in settings with limited time. The present study aimed to assess the validity of the BOT-2 SF in Korean school-age children.

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The aim of our study was to assess the performance of content-based image retrieval (CBIR) for similar chest computed tomography (CT) in obstructive lung disease. This retrospective study included patients with obstructive lung disease who underwent volumetric chest CT scans. The CBIR database included 600 chest CT scans from 541 patients.

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  • Novel oral anticoagulants (NOACs) are recommended for stroke prevention in patients with acute ischemic stroke (AIS) and atrial fibrillation (AF), but their real-world effectiveness is unclear.
  • This study analyzed data from nearly 13,000 patients over eight years to examine trends in clinical outcomes related to AIS and AF, particularly looking at how NOAC prescriptions influenced these trends.
  • Results showed that NOAC prescriptions rose significantly from 0% to 75.6%, correlating with a decrease in 1-year incidences of major adverse outcomes from 28.3% to 21.7%, suggesting NOACs may play a key role in improving patient outcomes.
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  • The study investigates the impact of minimal stent area on long-term outcomes after using drug-eluting stents in patients with left main (LM) disease treated with a specific "crush" technique.
  • Researchers identified critical cutoff values for minimal stent area that could predict the likelihood of major adverse cardiac events over five years: 11.8 mm for distal LM, 8.3 mm for the LAD ostium, and 5.7 mm for the LCX ostium.
  • Findings reveal that underexpansion of stents in the LAD and LCX significantly increases the risk of adverse events, indicating the importance of proper stent deployment in improving patient outcomes.
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Background: Preoperative cardiovascular risk stratification before noncardiac surgery is a common clinical challenge. Coronary artery calcium scores from ECG-gated chest computed tomography (CT) imaging are associated with perioperative events. At the time of preoperative evaluation, many patients will not have had ECG-gated CT imaging, but will have had nongated chest CT studies performed for a variety of noncardiac indications.

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  • Tumor-infiltrating lymphocytes (TILs) are important for understanding breast cancer, but variability in pathologists' evaluations has made them less reliable as a biomarker.
  • A deep learning (DL)-based TIL analyzer was developed and showed promising results, achieving a correlation coefficient of 0.755 when compared to pathologists' scores.
  • The use of the DL tool improved agreement among pathologists and revealed a significant link between high sTIL scores and better responses to neoadjuvant chemotherapy in specific breast cancer patients.
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Background: Intravascular imaging-guided percutaneous coronary intervention (PCI) with intravascular ultrasound (IVUS) or optical coherence tomography (OCT) showed superior clinical outcomes compared with angiography-guided PCI. However, the comparative effectiveness of OCT-guided and IVUS-guided PCI regarding clinical outcomes is unknown.

Methods: In this prospective, multicenter, open-label, pragmatic trial, we randomly assigned 2008 patients with significant coronary artery lesions undergoing PCI in a 1:1 ratio to undergo either an OCT-guided or IVUS-guided PCI.

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Osteoarthritis is a chronic inflammatory disease, and, due to the lack of fundamental treatment, the main objective is to alleviate pain and prevent cartilage damage. Nakai and Nakai are herbal plants known for their excellent anti-inflammatory properties. The objective of this study is to confirm the potential of a mixture extract of Nakai and Nakai as a functional raw material for improving osteoarthritis through anti-inflammatory effects in macrophages and MIA-induced arthritis experimental animals.

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Synthetic sRNAs allow knockdown of target genes at translational level, but have been restricted to a limited number of bacteria. Here, we report the development of a broad-host-range synthetic sRNA (BHR-sRNA) platform employing the RoxS scaffold and the Hfq chaperone from Bacillus subtilis. BHR-sRNA is tested in 16 bacterial species including commensal, probiotic, pathogenic, and industrial bacteria, with >50% of target gene knockdown achieved in 12 bacterial species.

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  • CRISPR-Cas13 technology is being used to target specific regions of the SARS-CoV-2 virus's genome to help combat its spread and variants.
  • Researchers developed Cas13b molecules that focus on the ORF1b region, particularly targeting a pseudoknot site, which effectively shuts down the virus's ability to replicate.
  • In experiments with mice, using these treatments significantly lowered viral levels, indicating that targeting the pseudoknot may be a promising approach for treating COVID-19 and other RNA viruses.
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  • The study investigates the role of TXNIP (thioredoxin-interacting protein) in the transition of vascular smooth muscle cells (VSMCs) to osteochondrogenic cells, a process that contributes to calcification in atherosclerosis.
  • By using mouse models and analyzing single-cell RNA sequencing, the researchers found that TXNIP is downregulated in calcified atherosclerotic lesions, correlating with increased VSMC osteochondrogenic activity.
  • Suppressing TXNIP in cultured VSMCs promotes osteodifferentiation and influences pathways related to bone and cartilage formation, suggesting TXNIP plays a significant regulatory role in vascular calcification.
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Background: Data regarding prognosis and management after nuisance bleeding (NB) is limited. The purpose was to examine the prognostic significance of NB in patients receiving potent dual antiplatelet treatment (DAPT) after acute myocardial infarction and the impact of de-escalation of DAPT on clinical outcomes thereafter.

Methods: From the TALOS-AMI trial (Ticagrelor Versus Clopidogrel in Stabilized Patients With Acute Myocardial Infarction)' 2583 patients were used to investigate the clinical impact of NB (defined as Bleeding Academic Research Consortium [BARC] 1 bleeding) during 1-month treatment with ticagrelor-based DAPT after acute myocardial infarction.

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Despite the importance of tumor-infiltrating lymphocytes (TIL) and PD-L1 expression to the immune checkpoint inhibitor (ICI) response, a comprehensive assessment of these biomarkers has not yet been conducted in neuroendocrine neoplasm (NEN). We collected 218 NENs from multiple organs, including 190 low/intermediate-grade NENs and 28 high-grade NENs. TIL distribution was derived from Lunit SCOPE IO, an artificial intelligence (AI)-powered hematoxylin and eosin (H&E) analyzer, as developed from 17,849 whole slide images.

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Background: We aimed to evaluate covert brain infarction (CBI), frequently encountered during the diagnostic work-up of acute ischemic stroke, as a risk factor for stroke recurrence in patients with atrial fibrillation (AF).

Methods: For this prospective cohort study, from patients with acute ischemic stroke hospitalized at 14 centers between 2017 and 2019, we enrolled AF patients without history of stroke or transient ischemic attack and divided them into the CBI (+) and CBI (-) groups. The 2 groups were compared regarding the 1-year cumulative incidence of recurrent ischemic stroke and all-cause mortality using the Fine and Gray subdistribution hazard model with nonstroke death as a competing risk and the Cox frailty model, respectively.

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Background: There are limited data from randomized trials to guide a specific follow-up surveillance approach after myocardial revascularization. Whether a follow-up strategy that includes routine functional testing improves clinical outcomes among high-risk patients who have undergone percutaneous coronary intervention (PCI) is uncertain.

Methods: We randomly assigned 1706 patients with high-risk anatomical or clinical characteristics who had undergone PCI to a follow-up strategy of routine functional testing (nuclear stress testing, exercise electrocardiography, or stress echocardiography) at 1 year after PCI or to standard care alone.

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  • - The study aimed to explore how vessel parameters can help identify individuals at risk of developing normal tension glaucoma (NTG) among suspects who have normal intraocular pressure but suspicious optic disc characteristics.
  • - Researchers monitored 307 NTG suspects over approximately five years, finding that 73 (23.8%) progressed to NTG, with those who converted showing significantly lower measures of microvasculature dropout and laminar vessel density.
  • - The findings indicate that baseline microvasculature dropout and lower laminar deep vessel density are strong predictors of conversion to NTG, suggesting that these vessel parameters are important in assessing risk for this condition.
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