Publications by authors named "Jin-Wook Choi"

Background: This study aimed to evaluate real-world data on the differences in outcomes between antiplatelet (AP) and anticoagulation (AC) therapies for intracranial arterial dissection (IAD).

Methods: This study included patients with symptomatic unruptured IAD between 2010 and 2021 that were treated with anti-thrombotics. Patients were dichotomized to AC and AP based on a treatment policy analysis.

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  • The study investigates the relationship between white matter hyperintensities (WMH) on brain MRIs and cognitive decline, focusing on how these factors may differ between sexes.
  • Researchers analyzed 713 participants aged 49-89, assessing the effects of modifiable risk factors for WMH and examining their impact on long-term dementia outcomes.
  • Findings suggest that age and type 2 diabetes significantly influence WMH volume, with stronger correlations identified in females, and that WMH burden is linked to worse dementia outcomes over time specifically in females.
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Haplotype-level allelic characterization facilitates research on the functional, evolutionary and breeding-related features of extremely large and complex plant genomes. We report a 21.7-Gb chromosome-level haplotype-resolved assembly in Pinus densiflora.

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Microsatellite instability (MSI), a phenomenon caused by deoxyribonucleic acid (DNA) mismatch repair system deficiencies, is an important biomarker in cancer research and clinical diagnostics. MSI detection often involves next-generation sequencing data, with many studies focusing on DNA. Here, we introduce a novel approach by measuring microsatellite lengths directly from ribonucleic acid sequencing (RNA-seq) data and comparing its distribution to detect MSI.

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  • * The research analyzed MRI and amyloid PET scans from 454 participants, finding that a combined model showed improved accuracy in classifying cognitive impairment, particularly in those with Alzheimer's disease.
  • * Results indicate that white matter inter-subject variability (WM-ISV) is linked to both cognitive decline and specific blood biomarkers, supporting the idea that white matter analysis could enhance clinical decision-making regarding cognitive health.
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  • The study investigates sex-specific risk factors for white matter hyperintensities (WMH), linked to cerebral small vessel disease (CSVD), and their impact on cognitive decline in older adults.
  • Using MRI data from 713 participants (241 males and 472 females), it analyzes how factors like age and type 2 diabetes relate to WMH volume in both sexes.
  • Results indicate that females had a stronger correlation between age and WMH volume, with type 2 diabetes affecting only females, and WMH burden negatively impacted longitudinal dementia outcomes specifically in females.
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Background: Vertebral artery dissections (VADs) may extend from the extracranial to the intracranial vasculature (e+iVAD). We evaluated how the characteristics of e+iVAD differed from those of intracranial VAD (iVAD).

Methods And Results: From 2002 to 2019, among consecutive patients with cervicocephalic dissection, those with iVAD and e+iVAD were included, and their clinical characteristics were compared.

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This study aimed to evaluate the safety and efficacy of intra-arterial (IA) administration of low- dose tirofiban during endovascular therapy in patients with large ischemic core volumes on initial brain CT. Patients were divided into two groups based on the use of IA tirofiban. We identified 87 patients (16 and 71 patients in the tirofiban and no-tirofiban groups, respectively) with acute ischemic stroke due to intracranial artery occlusion who underwent endovascular therapy with a low Alberta Stroke Program Early CT scores (2-5).

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Background: Mechanical thrombectomy is an effective treatment method for large-vessel occlusion stroke (LVOS); however, it has limited efficacy for intracranial atherosclerotic disease (ICAD)-related LVOS. We investigated the use of cerebral blood volume (CBV) maps for identifying ICAD as the underlying cause of LVOS before the initiation of endovascular treatment (EVT).

Methods And Results: We reviewed clinical and imaging data from patients who presented with LVOS and underwent endovascular treatment between January 2011 and May 2021.

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White matter hyperintensity (WMH) lesions on brain MRI images are surrogate markers of cerebral small vessel disease. Longitudinal studies examining the association between diabetes and WMH progression have yielded mixed results. Thus, in this study, we investigated the association between HbA1c, a biomarker for the presence and severity of hyperglycemia, and longitudinal WMH change after adjusting for known risk factors for WMH progression.

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Headache may represent acute phase of intracranial vertebrobasilar artery dissection (iVBAD). We aimed to evaluate its clinical significance in iVBAD. Consecutive acute iVBAD patients were grouped into ruptured iVBAD, unruptured iVBAD with no headache, isolated headache, or concurrent headache with neurological symptoms.

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  • Acute intracranial haemorrhage (AIH) is a critical medical issue requiring swift diagnosis, prompting a study to create an AI algorithm for better detection using brain CT scans.
  • The study utilized a large dataset of CT images and involved multiple levels of reviewers evaluating their accuracy with and without AI support.
  • Results showed that AI assistance notably improved diagnostic accuracy, especially for non-radiologist physicians, indicating the AI's potential to enhance assessments of brain CT scans for AIH.
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Background: The AP2/ERF gene family is a superfamily of transcription factors that are important in the response of plants to abiotic stress and development. However, comprehensive research of the AP2/ERF genes in the Solanaceae family is lacking.

Results: Here, we updated the annotation of AP2/ERF genes in the genomes of eight Solanaceae species, as well as Arabidopsis thaliana and Oryza sativa.

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Background and study aims: Although abdominal ultrasound (USG) or controlled attenuation parameter (CAP) score of transient elastography (TE) is recommended for the diagnosis of fatty liver, issues regarding cost and accessibility still exist. The aim of this study was to evaluate if bioelectrical impedance analysis (BIA) can be used as a reliable screening tool for fatty liver. Patients and methods: A total of 249 patients who underwent all three tests including TE, BIA, and USG were enrolled.

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Purpose: Glymphatic system dysfunction has been reported in animal models of traumatic brain injury (TBI). This study aimed to evaluate the activity of the human glymphatic system using the non-invasive Diffusion Tensor Image-Analysis aLong the Perivascular Space (DTI-ALPS) method in patients with TBI.

Methods: A total of 89 patients with TBI (June 2018 to May 2020) were retrospectively enrolled, and 34 healthy volunteers were included who had no previous medical or neurological disease.

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Background: The purpose of this study was to investigate whether the initial DSA appearance of the occlusion during mechanical thrombectomy (MT) can help distinguish the nature of the underlying lesion and predict radiological and clinical outcomes.

Methods: We retrospectively reviewed cases of patients with acute ischemic stroke who underwent MT for anterior circulation occlusion between March 2017 and February 2020. Underlying intracranial atherosclerotic stenosis (ICAS) was determined based on the presence of fixed stenosis after endovascular treatment.

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Background: The mechanical and physiological properties of the arterial wall might affect the behavior of spontaneous cervicocephalic arterial dissections (CCAD). We aimed to determine the effects of endothelial function and arterial stiffness on the clinical characteristics and outcomes of CCAD using brachial flow-mediated dilation (FMD) and brachial-ankle pulse wave velocity (PWV).

Methods: From a single-center database, we identified patients admitted from April 2011 to December 2021 with a diagnosis of CCAD who underwent both FMD and PWV.

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The gene family is one of the largest transcription factor families and has important roles in plant growth, development, and stress responses. However, genes in the Solanaceae family have not been extensively investigated. Here, we conducted genome-wide re-annotation in nine Solanaceae species and .

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  • A new brain age model based on machine learning was developed to detect amyloid and validate its accuracy using clinical data from 650 participants in South Korea, showing it can estimate brain age with a mean error of about 5.68 years.
  • The study found that an increased brain age correlates with higher amyloid levels and worse cognitive function, indicating its potential as a predictor of cognitive decline.
  • The model replicated earlier findings, successfully distinguishing between different stages of dementia and amyloid status, suggesting it could be useful for monitoring cognitive impairment in older adults.
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  • Cone-beam computed tomography (CBCT) is an innovative and effective imaging technique for evaluating sinonasal conditions, offering benefits like low radiation exposure, affordability, and rapid access for patients.
  • A study comparing CBCT and multi-detector computed tomography (MDCT) found that although CBCT had lower image quality (higher noise and lower signal-to-noise ratio), its diagnostic performance was comparable to MDCT with 1 mm slices and better than MDCT with 3 mm slices.
  • Given its advantages, CBCT is recommended as a first-line imaging option for sinonasal evaluations, especially for follow-up examinations, due to its lower radiation dose and cost-effectiveness.
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  • - The study explored how amyloid deposition and cerebral small vessel disease (CSVD) affect brain structure in older adults with cognitive impairment by analyzing a sample of 245 participants categorized based on their amyloid levels and white matter hyperintensities (WMH) severity.
  • - Researchers used source-based morphometry to identify 13 components in brain networks and compared structural covariance networks (SCN) across different participant groups, focusing on how amyloid and CSVD influence connectivity.
  • - Findings indicated that amyloid and CSVD are linked to decreased connectivity within certain brain networks (like the salience and default mode networks) and altered relationships between multiple networks, highlighting the importance of these factors in assessing brain network disruptions.
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  • - Genome phasing is a new method that creates detailed genetic assemblies by distinguishing between different versions of genes (haplotypes), which traditional methods often ignore, leading to mixed genomic results.
  • - This review examines popular phasing tools like TrioCanu, FALCON-Phase, and ALLHiC and highlights the significant genetic differences revealed by haplotype-resolved assemblies, which can affect plant characteristics such as gene expression and chromosomal arrangements.
  • - The authors also discuss the current limitations of genome phasing techniques and propose future research directions to enhance their effectiveness, making it easier for scientists to study complex plant genomes.
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In ischemic stroke patients undergoing endovascular treatment (EVT), we aimed to test the hypothesis that cerebral microbleeds (CMBs) are associated with clinical outcomes, while estimating the mediating effects of hemorrhagic transformation (HT), small-vessel disease burden (white matter hyperintensities, WMH), and procedural success. From a multicenter EVT registry, patients who underwent pretreatment MR imaging were analyzed. They were trichotomized according to presence of CMBs (none vs.

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  • - The BICWALZS study enrolled 1,013 participants aged around 72.8 years to explore chronic cerebrovascular diseases related to Alzheimer's, with a majority being female (65.0%) from October 2016 to December 2020.
  • - Participants underwent a comprehensive series of assessments, including clinical evaluations, blood tests, neuropsychological tests, MRI, PET scans, and genetic sampling, focusing on cognitive health and dementia types.
  • - Findings highlighted varying cognitive statuses among participants, with specific classification into groups such as mild cognitive impairment and different dementia types, aligning with existing dementia research, emphasizing the study's methodology and baseline results.
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Purpose: Digital Imaging and Communications in Medicine (DICOM), a standard file format for medical imaging data, contains metadata describing each file. However, metadata are often incomplete, and there is no standardized format for recording metadata, leading to inefficiency during the metadata-based data retrieval process. Here, we propose a novel standardization method for DICOM metadata termed the Radiology Common Data Model (R-CDM).

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