Publications by authors named "Hiroko Watase"

Background: The Detection of Indicators and Vulnerabilities for Emergency Room Trips (DIVERT) scale, the Community Assessment Risk Screen (CARS), and the Emergency Admission Risk Likelihood Index (EARLI) are scales that assess the risk of emergency department (ED) visits among home health care patients. This study validated these scales and explored factors that could improve their predictive accuracy among Japanese home health care patients.

Methods: This was a single-center retrospective cohort study.

View Article and Find Full Text PDF
Article Synopsis
  • The study analyzed the effectiveness of video laryngoscopes (VL) versus direct laryngoscopes (DL) during intubations performed by emergency department residents.
  • Results showed that VL had a higher first-attempt success rate (77%) compared to DL (64%), which was statistically significant after adjusting for various factors.
  • Additionally, using VL was linked to a lower occurrence of adverse events (both overall and minor), suggesting it may improve patient safety during intubation procedures.
View Article and Find Full Text PDF
Article Synopsis
  • Airway obstruction is a critical emergency condition, and a study analyzed its impact on intubation success and related complications in the emergency department (ED) over a 9-year period.
  • Out of 7,349 patients, 272 (4%) required tracheal intubation for airway obstruction, showing a lower first-pass success rate (63%) compared to non-obstruction cases (74%).
  • The study found that patients with airway obstruction not only had a significantly reduced chance of successful intubation but also a higher risk of experiencing adverse events during the process.
View Article and Find Full Text PDF

Recent studies report that the rate of recurrent stroke is highest in the stages immediately following cerebral infarction and decreases over time in patients with atherosclerotic carotid stenosis. The purpose of this study was to identify temporal differences in early stage carotid plaque components from acute cerebrovascular ischemic events using carotid MRI. Carotid plaque images were obtained on 3 T MRI from 128 patients enrolled in MR-CAS.

View Article and Find Full Text PDF
Article Synopsis
  • Atherosclerosis is influenced by a variety of factors, and this study focused on the differences in carotid plaque vulnerability between sides in patients with bilateral carotid plaques (BCPs) using magnetic resonance vessel wall imaging (MR-VWI).
  • The analysis included 540 patients and revealed that the left carotid artery had larger lumen and wall areas, along with a higher prevalence of lipid-rich necrotic core (LRNC) compared to the right carotid artery.
  • The findings suggest that asymmetries in plaque characteristics, particularly in the left carotid artery, could play a role in the development of ischaemic stroke in the brain.
View Article and Find Full Text PDF

This cohort study examines the association between the number of physician postgraduate years and intubation outcomes among patients undergoing airway management in the emergency department.

View Article and Find Full Text PDF

Study Objectives: Studies have shown that multiple intubation attempts are associated with a higher risk of intubation-related adverse events. However, little is known about the relationship in children in the emergency department (ED).

Methods: This is an analysis of the data from 2 prospective, observational, multicenter registries of emergency airway management.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers analyzed data from over 10,000 patients undergoing tracheal intubation at 13 facilities, developing seven different machine learning models to assess difficult airways and first-pass success rates.
  • * The findings indicate that machine learning models significantly outperform the modified LEMON criteria in predicting difficult airways and show enhanced predictive ability for first-pass success, suggesting these models could lead to better patient outcomes in emergency settings.
View Article and Find Full Text PDF

Background And Purpose: Two-dimensional high-resolution multicontrast magnetic resonance imaging (2D-MC MRI) is currently the most reliable and reproducible noninvasive carotid vessel wall imaging technique. However, the long scan time required for 2D-MC MRI restricts its practical clinical application. Alternatively, 3-dimensional motion-sensitized driven-equilibrium prepared rapid gradient echo (3D-MERGE) vessel wall MRI can provide high isotropic resolution with extensive coverage in two minutes.

View Article and Find Full Text PDF

Background An artificial intelligence vessel segmentation tool, Fully Automated and Robust Analysis Technique for Popliteal Artery Evaluation (FRAPPE), was used to analyze a large databank of popliteal arteries imaged through the OAI (Osteoarthritis Initiative) to study the impact of atherosclerosis risk factors on vessel dimensions and characterize remodeling patterns. Methods and Results Magnetic resonance images from 4668 subjects contributing 9189 popliteal arteries were analyzed using FRAPPE. Age ranged from 45 to 79 years (median, 61), and 58% were women.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to create and assess an automated workflow called LATTE for evaluating atherosclerotic disease in 3D carotid MR images, specifically focusing on lesion assessment.
  • - LATTE uses a convolutional neural network approach to accurately classify arteries as normal or with lesions, employing unsupervised domain adaptation to enhance performance across varying imaging conditions without needing extra annotations.
  • - The results showed that LATTE significantly improved lesion classification accuracy (AUC >0.88 for advanced lesions) when using domain adaptation, indicating its potential effectiveness for consistent carotid atherosclerosis assessment across different clinical setups.
View Article and Find Full Text PDF

Objective: To evaluate the association of CT/CT angiography (CTA) findings and clinical characteristics with subsequent vasospasm in patients with aneurysmal subarachnoid hemorrhage (aSAH).

Methods-: Consecutive presentation CTA head exams in patients with aSAH between January 2005 and June 2015 were retrospectively evaluated for intracranial arterial calcification, undulation and non-calcified stenosis. Additional variables including modified Fisher Scale (mFS), Glasgow Coma Scale (GCS) and neurological exam status were reviewed.

View Article and Find Full Text PDF

Background: While the older population accounts for an increasing proportion of emergency department (ED), little is known about intubation-related adverse events in this high-risk population. We sought to determine whether advanced age is associated with a higher risk of intubation-related adverse events in the ED.

Methods: This is an analysis of data from a prospective, 15-centre, observational study-the second Japanese Emergency Airway Network (JEAN-2) study.

View Article and Find Full Text PDF

Objective: To determine the bilaterally asymmetrical associations between extracranial carotid artery atherosclerosis and ipsilateral middle cerebral artery (MCA) stenosis in symptomatic patients using magnetic resonance vessel wall imaging. Approach and Results: Patients with symptomatic carotid artery atherosclerosis were recruited from the Chinese Atherosclerosis Risk Evaluation, a multicenter study. All subjects underwent intracranial magnetic resonance angiography and extracranial carotid artery magnetic resonance imaging.

View Article and Find Full Text PDF

Background And Purpose: While extracranial carotid artery stenosis is more common among Caucasians and intracranial artery stenosis is more common among Asians, the differences in atherosclerotic plaque characteristics have not yet been extensively examined. We sought to investigate plaque location and characteristics within extracranial carotid and intracranial arteries in symptomatic Caucasians and Chinese using vessel wall MRI.

Methods: Subjects with recent anterior circulation ischaemic stroke were recruited and imaged at two sites in the USA and China using similar protocols.

View Article and Find Full Text PDF

Background And Purpose: To investigate differences in the characteristics of carotid atherosclerotic plaques of symptomatic subjects in northern and southern China using MRI.

Methods: Sixty-three subjects in northern China (mean age: 59.1±8.

View Article and Find Full Text PDF

Purpose: To develop a fully automated vessel wall (VW) analysis workflow (fully automated and robust analysis technique for popliteal artery evaluation, FRAPPE) on the popliteal artery in standardized knee MR images.

Methods: Popliteal artery locations were detected from each MR slice by a deep neural network model and connected into a 3D artery centerline. Vessel wall regions around the centerline were then segmented using another neural network model for segmentation in polar coordinate system.

View Article and Find Full Text PDF

Objective: Carotid bifurcation geometry has been believed to be a risk factor for the initiation of atherosclerosis because of its influence on hemodynamics. However, the relationships between carotid bifurcation geometry and plaque vulnerability are not fully understood. This study aimed to determine the association between carotid bifurcation geometry and plaque vulnerability using magnetic resonance vessel wall imaging.

View Article and Find Full Text PDF

Aim: It remains unclear whether physicians should change intubation approaches after the failed first attempt. We aimed to determine the rescue intervention approaches associated with a higher success rate at the second attempt in the emergency department (ED).

Methods: We analyzed the data from a prospective, multicenter, observational study - the second Japanese Emergency Airway Network Study.

View Article and Find Full Text PDF

Background and Purpose- High-resolution magnetic resonance imaging is capable of characterizing carotid atherosclerotic plaque morphology and composition. Most reported carotid plaque imaging techniques are 2-dimensional (2D) based with limited longitudinal coverage of ≈30 mm, which may be insufficient for complete visualization of extracranial carotid atheroma. A 3D black-blood imaging technique, motion-sensitized driven equilibrium prepared rapid gradient echo technique (3D-MERGE) can provide larger coverage.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare carotid plaque characteristics in patients living at high altitude (Xining) versus those at sea level (Jinan) using magnetic resonance imaging.
  • Results indicated that high altitude patients had larger lumen areas, less plaque burden, and significantly lower calcification percentages compared to their sea-level counterparts.
  • These differences remained significant even after adjusting for clinical factors, suggesting that living at higher altitudes may affect the composition of carotid plaques.
View Article and Find Full Text PDF