Publications by authors named "D-Y Kim"

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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  • Genetic vascular disorders, particularly multisystemic smooth muscle dysfunction syndrome (MSMDS), result from mutations in the alpha actin isotype 2 gene and can lead to severe health issues such as stroke and early childhood death.
  • The research focused on correcting the common R179H mutation using a specially engineered CRISPR-Cas9 enzyme designed for high accuracy, decreasing unintended edits during the gene correction process.
  • By utilizing a murine model that mimics human MSMDS symptoms, the study demonstrated that delivering the customized editing tool significantly improved survival and health outcomes in affected mice, indicating potential for lasting treatments in humans.
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Rationale And Objectives: To propose an automatic virtual contrast-enhanced chest computed tomography (CT) synthesis using dual-energy CT and a Residual U-Net with an attention module to detect clinically significant hilar lymphadenopathy.

Materials And Methods: We conducted a retrospective analysis of 2082 patients who underwent dual-energy chest CT scans. Our approach utilized a Residual U-Net combined with a Convolutional Block Attention Module (CBAM) to transform non-contrast CT images into virtual contrast-enhanced CT images.

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  • Prostate cancer (PC) is becoming more common in Asian countries, but there is limited data on its treatment and outcomes in this population.
  • The United in Fight against prOstate cancer (UFO) registry was established to observe and document the characteristics and treatment experiences of PC patients across eight Asian regions from 2015 to 2020.
  • Findings from the registry revealed varying patient demographics, with many presenting with advanced disease and poor quality-of-life scores, suggesting a significant need for better access to modern treatments in Asia to enhance patient outcomes.
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The rising prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) and its more severe form, metabolic dysfunction-associated steatohepatitis (MASH), is closely linked with a heightened risk of hepatocellular carcinoma (HCC), the fourth leading cause of cancer-related deaths worldwide. Despite the elevated risk of HCC in patients with MASLD, the existing surveillance guidelines are inadequate, particularly for those without cirrhosis. This review evaluates current HCC surveillance practices in patients with MASLD and their shortcomings.

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Background: Hypertrophic cardiomyopathy (HCM) is a heterogeneous condition that can lead to atrial fibrillation, heart failure, and sudden cardiac death in many individuals but mild clinical impact in others. The mechanisms underlying this phenotypic heterogeneity are not well defined. The aim of this study was to use plasma proteomic profiling to help illuminate biomarkers that reflect or inform the heterogeneity observed in HCM.

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Metal oxide semiconductors are highly promising due to their excellent photocatalytic performance in the photodegradation of industrial waste containing refractory chemical compounds. A hybrid structure with other semiconductors provides improved photocatalytic performance. In this work, porous and two-dimensional (2D) hexaniobate-bismuth vanadate (Nb-BiVO) Z-scheme hybrid photocatalysts are synthesized by chemical solution growth (CSG) of BiVO over electrophoretically deposited Nb thin films.

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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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Background: Human herpesvirus 6B (HHV-6B) frequently reactivates following allogeneic stem cell transplant (alloHCT). Consensus guidelines note that haploidentical alloHCT may represent a high-risk population for which there is little evidence; this warrants further investigation.

Methods: In this single-center retrospective study, we evaluated 188 consecutive adult patients receiving haploidentical alloHCT between 11/2014 and 11/2020 and compared outcomes between patients with HHV-6B reactivation receiving targeted antiviral therapy and those who were clinically observed.

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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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Heart failure is a leading cause of morbidity and mortality. Elevated intracardiac pressures and myocyte stretch in heart failure trigger the release of counter-regulatory natriuretic peptides, which act through their receptor (NPR1) to affect vasodilation, diuresis and natriuresis, lowering venous pressures and relieving venous congestion. Recombinant natriuretic peptide infusions were developed to treat heart failure but have been limited by a short duration of effect.

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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: In recent developments, full endoscopic and unilateral biportal endoscopic (UBE) spine surgery have emerged to aid the transforaminal lumbar interbody fusion (TLIF) procedure. Yet, both approaches present a challenge due to limited space for cage insertion, potentially leading to complications such as cage subsidence or nonfusion in long-term assessments. Utilizing double cages may mitigate these concerns.

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  • FGFR genomic alterations are found in 5-10% of human cancers, and erdafitinib has shown promise in treating various advanced solid tumors but its effectiveness in Asian patients was unclear.
  • A phase IIa study was conducted to assess the efficacy of erdafitinib in Asian patients with FGFR-altered advanced cholangiocarcinoma, non-small cell lung cancer (NSCLC), and esophageal cancer by evaluating various response rates and survival metrics.
  • Results indicated a 40.9% objective response rate in cholangiocarcinoma patients, while NSCLC did not show any objective responses; however, all patients experienced adverse effects, highlighting the need for further safety assessment.
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Advancements in artificial intelligence (AI) for point-of-care ultrasound (POCUS) have ushered in new possibilities for medical diagnostics in low-resource settings. This review explores the current landscape of AI applications in POCUS across these environments, analyzing studies sourced from three databases-SCOPUS, PUBMED, and Google Scholars. Initially, 1196 records were identified, of which 1167 articles were excluded after a two-stage screening, leaving 29 unique studies for review.

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Objectives: [F]Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) is a non-invasive imaging modality used in the differential diagnosis of splenic lesions, although ideal parameters and thresholds remain unclear. The present study evaluated the ability of [F]FDG PET/CT, including its visual and quantitative parameters, to differentiate between benign and malignant splenic lesions.

Methods: Patients who underwent [F]FDG PET/CT following the detection of splenic lesions on contrast-enhanced CT were retrospectively analysed.

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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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Recently, functional or preservative surgery has been preferred for nail unit melanoma; however, complete resection of the nail unit, particularly the matrix, is challenging because of its complex structure. This study aims to measure the distance of important nail structures through ultrasonography. Herein, 14 patients without nail deformity were included.

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  • The COVID-19 pandemic disrupted access to surveillance and treatments for hepatocellular carcinoma (HCC), leading to underdiagnosis and variable treatment outcomes in the U.S.
  • A study analyzing HCC incidence and mortality from 2001 to 2020 found a 12.2% decrease in the age-adjusted incidence rate in 2020 compared to 2019, especially among Black and Hispanic individuals.
  • Despite the decrease in diagnosed cases, short-term overall survival and mortality rates for HCC remained stable during this period, highlighting a need for further research on long-term effects.
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Background And Objectives: Exome sequencing (ES) demonstrates a 20-50 percent diagnostic yield for patients with a suspected monogenic neurologic disease. Despite the proven efficacy in achieving a diagnosis for such patients, multiple barriers for obtaining exome sequencing remain. This study set out to assess the efficacy of ES in patients with primary neurologic phenotypes who were appropriate candidates for testing but had been unable to pursue clinical testing.

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