Publications by authors named "Izumi Nishidate"

In the past decade, signature clinical neuropathology of blast-induced traumatic brain injury has been under intense debate, but interface astroglial scarring (IAS) seems to be convincing. In this study, we examined whether IAS could be replicated in the rat brain exposed to a laser-induced shock wave(s) (LISW[s]), a tool that can produce a pure shock wave (primary mechanism) without dynamic pressure (tertiary mechanism). Under certain conditions, we observed astroglial scarring in the subpial glial plate (SGP), gray-white matter junctions (GM-WM), ventricular wall (VW), and regions surrounding cortical blood vessels, accurately reproducing clinical IAS.

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Significance: Burn injuries represent a global public health problem that kills an estimated 180,000 people annually. Non-fatal burns result in prolonged hospitalization, disfigurement, and disability. The most common, convenient, and widely used method for assessing burn depth is physical or visual examination, but the accuracy of this method is reportedly poor (60% to 75%).

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Significance: Evaluation of biological chromophore levels is useful for detection of various skin diseases, including cancer, monitoring of health status and tissue metabolism, and assessment of clinical and physiological vascular functions. Clinically, it is useful to assess multiple different chromophores with a single technique or instrument.

Aim: To investigate the possibility of estimating the concentration of four chromophores, bilirubin, oxygenated hemoglobin, deoxygenated hemoglobin, and melanin from diffuse reflectance spectra in the visible region.

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Introduction: To demonstrate the feasibility of our previously proposed Diffuse reflectance spectral imaging (DRSI) method for in vivo monitoring of oxygenated hemoglobin, deoxygenated hemoglobin, methemoglobin, tissue oxygen saturation, and methemoglobin saturation in a rat scald burn wound model and assess whether the method could be used for differentiating the burn depth groups in rats based on the hemoglobin parameters.

Methodology: Superficial dermal burns (SDBs), deep dermal burns (DDBs), and deep burns (DBs) were induced in rat dorsal skin using a Walker-Mason method. An approach based on multiple regression analysis for spectral diffuse reflectance images aided by Monte Carlo simulations for light transport was used to quantify the hemoglobin parameters.

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While numerous studies have suggested the involvement of cerebrovascular dysfunction in the pathobiology of blast-induced traumatic brain injury (bTBI), its exact mechanisms and how they affect the outcome of bTBI are not fully understood. Our previous study showed the occurrence of cortical spreading depolarization (CSD) and subsequent long-lasting oligemia/hypoxemia in the rat brain exposed to a laser-induced shock wave (LISW). We hypothesized that this hemodynamic abnormality is associated with shock wave-induced generation of nitric oxide (NO).

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We propose a method to perform simultaneous measurements of percutaneous arterial oxygen saturation ( ), tissue oxygen saturation ( ), pulse rate (), and respiratory rate () in real-time, using a digital red-green-blue (RGB) camera. Concentrations of oxygenated hemoglobin ( ), deoxygenated hemoglobin ( ), total hemoglobin ( ), and were estimated from videos of the human face using a method based on a tissue-like light transport model of the skin. The photoplethysmogram (PPG) signals are extracted from the temporal fluctuations in , , and using a finite impulse response (FIR) filter (low and high cut-off frequencies of 0.

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Accurate burn depth assessment is crucial to determine treatment plans for burn patients. We have previously proposed a method for performing burn depth assessments based on photoacoustic (PA) imaging, and we have demonstrated the validity of this method, which allows the successful detection of PA signals originating from the blood under the bloodless burned tissue, using rat burn models. Based on these findings, we started a clinical study in which we faced two technical issues: (1) When the burn depth was shallow, PA signals due to skin contamination and/or melanin in the epidermis (surface signals) could not be distinguished from PA signals originating from the blood in the dermis; (2) the size of the system was too large.

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Article Synopsis
  • Blast-induced traumatic brain injury (bTBI) can result from direct exposure to blast waves on the head as well as from shock waves affecting the torso, but the real-time effects of torso exposure on the brain remain poorly understood.
  • In this study, rat groups were exposed to laser-induced shock waves targeting the brain, lungs, or both, allowing researchers to isolate the impact of shock waves on brain health without other external factors.
  • Results showed that exposure to shock waves on the brain led to significant brain injury, but interestingly, even lung exposure alone resulted in serious brain issues; combined exposure caused the most severe effects, indicating distinct mechanisms behind motor dysfunction depending on the exposure location.
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Significance: Pseudomonas(P.) aeruginosa, a common cause of infection in burns, acquires antibiotic resistance easily and forms biofilms efficiently. Thus, it is difficult to control P.

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Highly accurate spectrometry requires spectral noise reduction. In this paper, we propose a phase unsynchronized wave synthesizing (PuwS) method that provides different optical path lengths for different wave elements obtained from the division of a wavefront and synthesizes the respective wave elements to have the same propagation direction. PuwS achieves spectral noise reduction and contributes to temporal coherence control.

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To improve frequency resolution, assignments of sub-bins within the bin interval of the conventional discrete Fourier transform are proposed by decreasing the number of sampled data. The simulated and experimental results of the basic sub-bin spectrum characteristics are presented. Using a signal oscillator, digital oscilloscope, and PC, the sub-bin line spectrum between two conventional bins is measured, and nine line spectra of sub-bins corresponding to the simulated results are measured.

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Article Synopsis
  • Nonalcoholic steatohepatitis (NASH) is a serious liver disease that can progress to severe complications, making accurate diagnosis crucial, particularly in distinguishing it from nonalcoholic fatty liver disease.
  • This study focused on using diffuse reflectance spectroscopy, a non-invasive technique, to assess liver conditions in STAM mice at various developmental stages of liver disease.
  • The findings revealed strong correlations between specific reflectance readings and liver conditions, indicating that this spectroscopy method could be an effective tool for diagnosing NASH and assessing its severity.
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Background And Objectives: Control of burn wound infection is difficult due to the increase in drug-resistant bacteria and deteriorated immune responses. In this study, we examined the usefulness of methylene blue (MB)-mediated antimicrobial photodynamic therapy (aPDT) with illumination by a light-emitting diode (LED) array for controlling invasive infections from the wound to inside the body for rats with an extended deep burn infected with Pseudomonas aeruginosa.

Study Design/materials And Methods: An MB solution with the addition of ethanol, ethylene-diamine-tetra-acetic acid disodium salt, and dimethyl sulfoxide was used as a photosensitizer (PS).

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Facial blood flow, which typically exhibits distinctive oscillation at a frequency of around 0.1 Hz, has been extensively studied. Although this oscillation may include important information about blood flow regulation, its origin remains unknown.

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Significance: Untreated methemoglobinemia may cause severe hypoxemia and even death when methemoglobin levels in the blood stream exceed 70%. Although CO-oximetry can be used to monitor the response to treatment for methemoglobinemia, it is costly and requires an invasive procedure for collecting blood samples from patients. A pulse CO-oximeter with a contact probe can be used to continuously and non-invasively measure the percentage of methemoglobin, as well as the percutaneous oxygen saturation.

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Cyanosis is a pathological condition that is characterized by a bluish discoloration of the skin or mucous membranes. It may result from a number of medical conditions, including disorders of the respiratory system and central nervous system, cardiovascular diseases, peripheral vascular diseases, deep vein thrombosis, and regional ischemia. Cyanosis can also be elicited from methemoglobin.

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We demonstrate phase imaging that reduces the common phase noise in full-field optical coherence microscopy using a short multimode fiber (SMMF) probe. Using a cover glass, phase images of the SMMF and sample surfaces were measured simultaneously. Subtracting the phase of the SMMF surface as a reference, the phase drifts in the sample region are reduced.

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Antimicrobial photodynamic treatment (aPDT) for infection with drug-resistant bacteria has received much attention. For P. aeruginosa, however, efficient formation of biofilms and the nature of Gram-negative bacteria often limit the efficacy of aPDT.

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Peripheral hemodynamics, measured via the blood volume pulse and vasomotion, provide a valuable way of monitoring physiological state. Camera imaging-based systems can be used to measure these peripheral signals without contact with the body, at distances of multiple meters. While researchers have paid attention to non-contact imaging photoplethysmography, the study of peripheral hemodynamics and the effect of autonomic nervous system activity on these signals has received less attention.

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We propose a simple and affordable imaging technique to evaluate transcutaneously multiple physiological parameters by using a digital red-green-blue camera. In this method, the -values were converted into tristimulus values in the CIE (Commission Internationale de l'Eclairage) XYZ color space, which is compatible with the common color spaces. Monte Carlo simulation for light transport in biological tissue was then performed to specify the relationship among the -values and the concentrations of oxygenated hemoglobin, deoxygenated hemoglobin, bilirubin, and melanin.

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Obstetric management to prevent hypoxic ischemic encephalopathy (HIE) during labor is important to reduce the cerebral palsy incidence in neonates. A novel approach to monitor or predict fetal brain damage during labor is required. Diffuse reflectance spectroscopy is a noninvasive method routinely used to assess the intrinsic characteristics of tissues.

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Article Synopsis
  • Blast-induced traumatic brain injury is a growing issue in neurotraumatology, but understanding its mechanisms is limited due to a lack of data on brain responses during shock wave exposure.
  • Researchers used a laser-induced shock wave on rats to study changes in the brain's vasculature and oxygen levels through multispectral imaging.
  • Findings showed that after exposure, blood flow and oxygen levels dropped, followed by a brief period of increased blood flow but a sustained state of low oxygen, indicating a potential link between these conditions and brain damage from shock waves.*
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Optical coherence tomography is one of the standard imaging modalities at present, widely used in the medical and biological fields to obtain three-dimensional (3D) images with high spatial resolution. However, the depth up to which the 3D images can be directly obtained is limited to within 3 mm. Therefore, the suitability of many kinds of catheters and needles has been considered for minimally invasive imaging.

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We investigate a multispectral imaging method to evaluate spatiotemporal changes in both cutaneous hemoglobin concentration and light scattering parameter in mouse skin through diffuse reflectance spectroscopy using the reflectance images acquired at isosbestic wavelengths of hemoglobin (420, 450, 500, and 585 nm). In the proposed approach, Monte Carlo simulation-based empirical formulas are introduced to extract the scattering power b representing the wavelength dependence of light scattering spectrum of skin tissue, as well as the total hemoglobin concentration Cth in dermal vasculatures. The use of isosbestic wavelengths of hemoglobin enables the values of Cth and b to be estimated independently of the oxygenation of hemoglobin.

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This protocol describes how to make agarose-based tissue-mimicking phantoms and demonstrates how to determine their optical properties using a conventional optical system with an integrating sphere. Measuring systems for the acquisition of the diffuse reflectance and total transmittance spectra are constructed with a broadband white light source, a light guide, an achromatic lens, an integrating sphere, a sample holder, an optical fiber probe, and a multi-channel spectrometer. An acrylic mold consisting of two rectangular acrylic pieces and a U-shaped acrylic piece is constructed to create an epidermal phantom and a dermal phantom with whole blood.

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