Publications by authors named "Hajime Kageyama"

This study investigated the effectiveness of augmenting datasets for super-resolution processing of brain Magnetic Resonance Images (MRI) T1-weighted images (T1WIs) using deep learning. By incorporating images with different contrasts from the same subject, this study sought to improve network performance and assess its impact on image quality metrics, such as peak signal-to-noise ratio (PSNR) and structural similarity (SSIM). This retrospective study included 240 patients who underwent brain MRI.

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Angiosarcoma (AS) is a malignant vascular neoplasm comprising neoplastic endothelial cells accounting for 1%-4% of soft tissue sarcomas. While lymphedema-associated and post-irradiation ASs are almost always driven by a high-level amplification of MYC (8q24), sporadic ASs, including those of breast parenchymal origin, typically lack MYC amplification. Here, we report a case of sporadic breast MYC-amplified AS in a 19-year-old female with no history of lymphedema or irradiation, who was referred to our hospital for an enlarging right breast mass.

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  • Myxoid liposarcoma (MLPS) is a rare type of cancer that usually develops in soft tissues in middle-aged individuals, characterized by specific cell types and a unique genetic signature involving the FUS/EWSR1::DDIT3 fusion gene.
  • This case study presents an atypical intra-articular MLPS in a young woman, where traditional DDIT3 break-apart FISH testing was negative, but EWSR1::DDIT3 was positive, indicating complex genetic rearrangements.
  • It emphasizes the effectiveness of using nanopore sequencing for diagnosing sarcomas, demonstrating its potential as a rapid and cost-efficient diagnostic tool in medical settings.
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An aneurysmal bone cyst (ABC) is a benign bone neoplasm that typically occurs during the first and second decades of life. ABC usually presents as a rapidly growing intramedullary expansile mass with multiple blood-filled cysts in the metaphysis of the long tubular bones. Here, we report a case of a periosteal solid ABC that was initially diagnosed as a high-grade surface osteosarcoma.

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The aim of this study was to investigate the effect of iterative motion correction (IMC) on reducing artifacts in brain magnetic resonance imaging (MRI) with deep learning reconstruction (DLR). The study included 10 volunteers (between September 2023 and December 2023) and 30 patients (between June 2022 and July 2022) for quantitative and qualitative analyses, respectively. Volunteers were instructed to remain still during the first MRI with fluid-attenuated inversion recovery sequence (FLAIR) and to move during the second scan.

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  • Dermatofibroma (DF) is a benign tumor typically found on the limbs and trunk of young adults, characterized by a specific arrangement of fibroblast-like cells and various secondary elements, which can lead to misdiagnosis as other tumors like sarcomas.
  • A notable case was documented involving a 26-year-old woman whose DF was initially misdiagnosed as angiosarcoma after a biopsy showed atypical spindle cells; imaging indicated tumor and lymph node involvement.
  • The report underscores the need for careful evaluation of DF’s clinical and histological features to prevent misdiagnosis, and suggests that nanopore DNA sequencing may provide valuable diagnostic insights.
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EWSR1::NFATC2 sarcoma, a rare round cell sarcoma constituting the majority of EWSR1::non-ETS sarcomas, has recently been defined in the latest WHO classification. To date, the cytological findings of EWSR1::NFATC2 sarcoma remain undocumented. We present the case of a 25-year-old man with a history of polyostotic fibrous dysplasia in the right leg, referred to our hospital with left thigh pain.

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Background/aim: Risk classification for recurrence in stage III colorectal cancer (CRC) is not as well established as it is for stage II. This study aimed to identify high-risk factors for stage III colorectal cancer and to investigate their clinical significance.

Patients And Methods: We retrospectively analyzed data from 120 patients with stage III CRC who had undergone curative colectomy at our institution between 2014 and 2020.

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Objectives: Since the first report by Hallpike and Yamakawa in 1938, many more patients with Meniere's disease (MD) with endolymphatic hydrops (EHs) have been described. Mental/physical stress and a subsequent increase in the release of the anti-diuretic hormone (ADH) supposedly triggers MD. In the present study, to assess the relationship between stress and EHs, we conducted a series of stress-related questionnaires as well as a 3D endolymphatic space (ELS) analysis in patients with unilateral MD.

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  • Voxel-based specific region analysis systems for Alzheimer's disease (VSRAD) use MRI to assess hippocampal atrophy, but motion artifacts can distort results during image acquisition.
  • This study explores the effectiveness of the Pix2Pix deep learning network for correcting these motion artifacts by generating motion-corrected images from distorted input data.
  • The results indicate that Pix2Pix improved both the quantitative and qualitative quality of the images when compared to traditional methods like U-Net, confirming its usefulness for VSRAD analysis.
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  • - Recent studies on diffuse large B-cell lymphoma (DLBCL) suggest a new genetic classification, but complexity has hindered its clinical application.
  • - This research analyzed 144 genes in 177 Japanese DLBCL patients and created a simpler classification algorithm based on 18 key genes, achieving results consistent with established methods.
  • - The findings indicate significant differences in prognosis among subtypes, especially highlighting poorer outcomes for the NOTCH2 group, and introduce new genetic characteristics specific to Japanese patients with DLBCL.
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  • Follicular lymphoma (FL) is marked by genetic changes, primarily the BCL2/IGH translocation, and can transform into more aggressive forms like diffuse large B-cell lymphoma or, less commonly, plasmablastic lymphoma (PBL).
  • In a unique case, a patient experienced transformation to PBL with a MYC gene rearrangement just 12 months after being diagnosed with FL, ultimately leading to chemotherapy resistance and death four months later.
  • Advanced genetic analysis revealed that both the original FL tumor and the PBL transformation exhibited genetic heterogeneity, suggesting that the complexity of these genetic changes played a significant role in the disease's progression and poor patient outcomes.
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In this study, we retrospectively compared the prognostic value of the 2016 WHO classification with the former classification in 387 patients with glioma treated at our institution. According to the new classification, diagnoses included oligodendroglioma with isocitrate dehydrogenase (IDH) mutation and 1p/19q co-deletion (5.4%), anaplastic oligodendroglioma with IDH mutation and 1p/19q co-deletion (3.

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Glioblastoma multiforme (GBM) is a highly invasive and chemoradioresistant brain malignancy. Temozolomide (TMZ), a DNA-alkylating agent, is effective against GBM and has become the standard first-line drug. However, the mechanism by which TMZ regulates the progression of GBM remains elusive.

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Background: Anaplastic lymphoma kinase (ALK) fusion gene-positive lung cancer accounts for 4-5% of non-small cell lung carcinoma. A clinical trial of the specific inhibitor of ALK fusion-type tyrosine kinase is currently under way.

Methods: ALK fusion gene products were analyzed immunohistochemically with the materials obtained by surgery or by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

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  • - Neoplastic meningitis (NM) is a serious complication in lung cancer that requires early diagnosis, and detecting EGFR mutations in cerebrospinal fluid (CSF) may help in both diagnosis and treatment.
  • - In a study with 29 patients suspected of NM, 45% had EGFR mutations in their CSF, with some having mutations despite negative cytology results.
  • - The findings indicate that EGFR mutations in CSF may not always correlate with those in primary or metastatic tumor sites, highlighting the complexity of diagnosing NM.
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Purpose: Anaplastic lymphoma kinase (ALK) fusion genes represent novel oncogenes for non-small cell lung cancers (NSCLC). Several ALK inhibitors have been developed, and are now being evaluated in ALK-positive NSCLC. The feasibility of detecting ALK fusion genes in samples obtained by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was determined.

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Polyhomeotic homolog 3 (PHC 3) is a member of the human polycomb complex and has been regarded as a candidate tumor suppressor of osteosarcoma. In the present paper, we performed a mutation survey and PHC3 expression analysis by quantitative real-time PCR using 10 osteosarcoma cell lines and 42 primary osteosarcoma samples. Relative PHC3 expression values of clinical samples were analyzed with clinical outcomes, and it was suggested that lower PHC3-expressing patients had significantly worse overall survival.

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Although it has been shown that the gastric tumor suppressor RUNX3 has a growth inhibitory activity, the precise molecular mechanisms behind RUNX3-mediated tumor suppression remained unclear. In this study, we found that RUNX3 is closely involved in DNA damage-dependent phosphorylation of tumor suppressor p53 at Ser-15 and acts as a co-activator for p53. The small interference RNA-mediated knockdown of RUNX3 inhibited adriamycin (ADR)-dependent apoptosis in p53-proficient cells but not in p53-deficient cells in association with a significant reduction of p53-target gene expression as well as phosphorylation of p53 at Ser-15.

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  • - Topors is a zinc-finger protein that binds to topoisomerase I, p53, and AAV-2 proteins, and is located on chromosome 9p21, which is linked to tumor suppressor genes in small cell lung cancer.
  • - Research shows that the mouse version of topors has a similar amino acid sequence to the human version and plays a role in stabilizing p53, enhancing its activity on key promoters, and increasing p21 mRNA levels.
  • - Overexpressing topors leads to cell growth suppression through cell cycle arrest or apoptosis, and its expression is increased when cells are exposed to DNA-damaging agents, indicating its potential role as a tumor suppressor by mediating p
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  • - Neuroblastoma (NBL) presents differently in children under and over 1 year old, with younger patients often experiencing tumor regression while older patients face aggressive growth and higher mortality.
  • - A study was conducted to analyze gene expression profiles in NBL by creating cDNA libraries from primary tumors classified as favorable (F) or unfavorable (UF), leading to the identification of over 4,200 sequenced cDNAs, with a significant percentage being genes of unknown functions.
  • - The research revealed that 278 genes were highly expressed in the F subset, mainly linked to neural development and differentiation, while only 27 genes had higher expression in the UF subset, which may influence neuronal growth, highlighting key differences in gene expression
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  • The study utilized two-color fluorescence in situ hybridization to analyze chromosome numbers and genetic events in 177 neuroblastoma tumors, identifying them as either Dis1 or Tris1 groups based on chromosome 1 alterations.
  • Dis1 tumors exhibited a higher frequency of genetic events such as 17q gain, 1p deletion, and MYCN amplification compared to Tris1 tumors, suggesting Tris1 tumors have a resistance to these genetic changes.
  • The research indicates that the ploidy state of neuroblastomas influences their behavior and progression, with both groups potentially involving similar tumor-suppressor genes or oncogenes, regardless of risk level.
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To narrow down the putative tumor-suppressor gene locus and to assess the predictability of clinical courses by genomic alterations, we analyzed 46 oligodendroglial tumors for loss of heterozygosity (LOH) in the distal region of the short arm of chromosome 1. LOH at 1p was found in 43 tumors (93.5%), including all 28 oligodendrogliomas, all eight oligo-astrocytomas, six of eight anaplastic oligodendrogliomas, and in one of two anaplastic oligo-astrocytomas.

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  • The gene p73 closely resembles p53, a vital tumor suppressor that prevents cancer by stopping cell growth and promoting cell death.
  • HMGB1, a protein that helps with DNA binding and repair, interacts with p73 variants, enhancing their ability to bind to specific DNA sequences.
  • HMGB1 and HMGB2 can either inhibit or stimulate p73 and p53 activity depending on the cell type and gene being activated, suggesting they play a complex role in regulating transcription for these tumor suppressor genes.
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