Publications by authors named "Kakihana M"

Background: Limited reports exist regarding postoperative recurrent non-small cell lung cancer (NSCLC) without major driver mutations [epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) rearrangements] treated with immune checkpoint inhibitors (ICIs) when programmed cell death ligand 1 (PD-L1) is expressed in a real-world setting. The aim of this study was to evaluate the effect of ICIs for those NSCLC.

Methods: We enrolled 255 patients with postoperative recurrent NSCLC lacking EGFR mutations or ALK rearrangements who underwent lobectomy or more extensive resection between 2012 and 2021.

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  • The study addresses the challenge of distinguishing solid nodules from ground-glass lesions in lung cancer, particularly for tumors smaller than or equal to 2 cm, due to high variability in human assessments.
  • It utilizes artificial intelligence (AI) to analyze and classify these nodules from a dataset of 246 patients, aiming to improve the accuracy of preoperative assessments by correlating AI findings with pathological results.
  • The AI system successfully identified solid nodules with high confidence that were associated with a significant likelihood of malignancy and lymph node metastasis, suggesting that this approach could enhance surgical decision-making for lung cancer patients.
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  • * The case study discusses the removal of a migrated needle that entered the right thoracic cavity after being inserted under the left clavicle.
  • * Despite causing a pneumothorax, no significant complications arose, highlighting the importance of timely imaging and surgery for intrathoracic foreign objects.
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  • * Researchers analyzed cancerous lung tissue and corresponding non-cancerous tissue, along with saliva and plasma samples from lung cancer patients and healthy controls, finding several metabolites that differed significantly between groups.
  • * A specific model using 12 unique salivary metabolites showed promise in distinguishing lung cancer patients from controls, with a notable discriminative ability of one metabolite, N-acetylspermidine, which may enhance non-invasive screening methods for the disease.
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Introduction: Lung squamous cell carcinoma (LUSC) usually shows expansive growth with large tumor nests; few reports on invasive growth patterns (INF) in LUSC have been associated with poor prognosis in gastrointestinal and urothelial cancers. In this study, we examine the association between INF and the prognosis of LUSC.

Materials And Methods: We analyzed INF as a potential prognostic factor in 254 consecutive patients with LUSC who underwent complete surgical resection at our hospital between 2008 and 2017.

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  • This study explores the white-light emission properties of a newly discovered compound, CaYSiON, activated by cerium (Ce), using optical measurements and density functional theory (DFT) calculations.
  • The compound emits a range of colors from purple to white when exposed to ultraviolet (UV) light due to the unique distribution of calcium (Ca) and yttrium (Y) in its structure.
  • This research marks the first instance of a phosphor emitting white light with just Ce activation, highlighting the significance of local structural variations caused by the disorder in the material.
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Background: Pulmonary sequestration is a rare pulmonary malformation, with intralobar pulmonary sequestration being the most common subtype. Lobectomy has generally been performed for its treatment, owing to unclear boundaries of the lesion. However, recent reports have introduced lung resection using intravenous indocyanine green (ICG) as a treatment for pulmonary sequestrations.

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Purpose: Sarcopenia influences postoperative outcomes of patients with non-small cell lung cancer (NSCLC). Imaging tools for evaluating and diagnosing sarcopenia have developed, and a novel method of psoas volume index (PVI) obtained by measuring bilateral psoas major muscle volume has been reported. However, the relationship between sarcopenia based on PVI and clinical outcomes has not been fully investigated for patients with early-stage NSCLC.

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Background: Hallux valgus (HV) is a common foot deformity for which several corrective surgical procedures, with different osteotomy sites, have been reported. The purpose of the present study was to systematically review randomized (RCTs) or controlled (CCTs) clinical trials and perform meta-analysis on outcomes of different osteotomy sites of the first metatarsal.

Methods: An extensive literature search was conducted in PubMed and the Cochrane Library from January 1983 to July 2020.

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Introduction: The size of the solid part of a tumor, as measured using thin-section computed tomography, can help predict disease prognosis in patients with early-stage lung cancer. Although three-dimensional volumetric analysis may be more useful than two-dimensional evaluation, measuring the solid part of some lesions is difficult using this methods. We developed an artificial intelligence-based analysis software that can distinguish the solid and non-solid parts (ground-grass opacity).

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A YBaCoO oxygen storage material has been synthesized by the glycine-complex decomposition method at a low temperature of 800 °C and its crystal structure and reaction kinetics were investigated. This sample showed the highest storage/release speed among all the reported YBaCoO materials.

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Objectives: Indications of limited resection, such as segmentectomy, have recently been reported for patients with solid-predominant lung cancers ≤2 cm. This study aims to identify unfavourable prognostic factors using three-dimensional imaging analysis with artificial intelligence (AI) technology.

Methods: A total of 157 patients who had clinical N0 non-small cell lung cancer with a radiological size ≤2 cm, and a consolidation tumour ratio > 0.

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Barium titanate (BaTiO) nanocubes with a narrow particle size distribution were synthesized using a three-step approach. First, a water-soluble Ti complex was synthesized using a hydrolysis method. Next, the titanium dioxide (TiO) raw material was synthesized via a hydrothermal method using various water-soluble titanium (Ti) complexes.

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Background: In congenital clubfoot, the lower leg is very thin and the calf muscles are hypoplasic. However, there are few studies reporting real muscle volume.

Purpose: The purpose of this study is to assay the muscle volume in congenital clubfoot using 3DCT and to quantify the degree of the hypoplasia.

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Background: Even if lung cancer is detected at an early stage, surgery may be difficult in patients with severe comorbidities, like interstitial pneumonia (IP). Radiation therapy cannot be performed due to the high risk of acute IP exacerbation. Therefore, an effective alternative, such as photodynamic therapy (PDT), is required.

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  • - A new, simple method for creating lithium titanate nanoplates is introduced, using a titanium complex ion precursor instead of complex high-alkali treatments.
  • - The process involves a self-organization reaction between lithium and titanium ions that allows for the formation of layered lithium titanate crystals under low alkaline conditions.
  • - The research shows that this method can produce lithium titanate nanoplates with different shapes and sizes, offering a flexible approach to synthesizing titanate materials.
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The present study explores the oxygen storage capacity of YBaCoO prepared by a glycine-complex decomposition method. We reported for the first time that the YBaCoO sample was successfully synthesized at such a low temperature of 800 °C by this method. The YBCO-800 N sample exhibited a faster oxygen absorption/desorption speed than that of high calcination temperature samples, and the time required for complete oxygen storage/release was 5 and 6 min at 360 °C, respectively.

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Crystal growth of barium titanate (BaTiO) using a wet chemical reaction was investigated at various temperatures. BaTiO nanoparticles were obtained at an energy-efficient temperature of 80 °C. However, BaTiO nanocubes with a preferred size and shape could be synthesized using a solvothermal method at 200 °C via a reaction involving titanium tetraisopropoxide [(CH)CHO]Ti for nucleation and fine titanium oxide (TiO) nanoparticles for crystal growth.

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  • PD-L1 expression is a key biomarker for predicting how effective immunotherapy will be in patients with non-small cell lung cancer (NSCLC), where CD8+ tumor-infiltrating lymphocytes (TILs) contribute significantly to treatment efficacy.
  • The study analyzed the relationship between tumor PD-L1 expression, exosomal PD-L1 in serum, and CD8+ TILs in 120 NSCLC patients to better understand anti-PD-1 therapy responses and related clinical outcomes.
  • Results showed a strong correlation between serum exosomal PD-L1 and tumor PD-L1 levels, indicating that higher exosomal PD-L1 levels could signal worse recurrence-free survival, suggesting that serum exosomal PD-L1 could improve
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Purpose: We aimed to assess the clinical usefulness of the fissureless technique, which avoided dissection of the lung parenchyma over the pulmonary artery, in preventing prolonged air leak after video-assisted thoracic surgery right upper lobectomy (VATS RUL).

Methods: Perioperative outcomes, including the frequency of prolonged air leak after fissureless technique or traditional fissure dissection technique, which dissected the lung parenchyma through the fissure, were compared in patients who underwent VATS RUL (n = 213) between January 2016 and March 2020. We adopted our fissural grade to evaluate the degree of fused fissure ranging from II (light incomplete fissure) to IV (severe incomplete fissure), which covered all fissural grades in 213 patients.

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Objectives: We classified pathological stage I invasive lung adenocarcinomas according to our 3-tier classification, which was based on the proportion of invasive morphological patterns as follows: (1) patients with each predominant subtype, (2) those with a minor histological subtype, even not the predominant subtype and (3) those without each invasive component. We aimed to evaluate the classification's clinical impact in survival, recurrence, malignant grade, and epidermal growth factor receptor (EGFR) mutational status.

Materials And Methods: A total of 1,269 patients with p-stage I lung adenocarcinoma underwent curative surgical resection between January 2008 and December 2017.

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Objectives: We performed a comparative analysis of the performance of video-assisted thoracic surgery (VATS) lobectomy simulation using three-dimensional-printed Biotexture lung models by surgeons classified according to their level of expertise. The aim of this study was to investigate the association between surgeons' experience and time to complete the VATS lobectomy simulation.

Methods: Participants were divided into 3 groups: group A included those who had no experience of actual VATS lobectomy (n = 11), group B included those who had performed 5-10 VATS lobectomies (n = 12) and group C included those who had performed >100 VATS lobectomies (n = 6).

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  • Sonographic features and maximum standardized uptake values (LN-SUVmax) in lymph nodes can help predict lymph node metastasis (LNM) in lung cancer patients.
  • In a study analyzing 147 lymph nodes from 104 patients, size, shape, central structure, and LN-SUVmax were identified as key predictive factors for LNM.
  • The combined approach of using sonography and LN-SUVmax achieved a high sensitivity of 76.9%, specificity of 95.1%, and overall accuracy of 93.2%, making it more effective than using either method alone.
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Background: Reports on the prognosis for 5-year survivors with lung adenocarcinoma after resection are sparse. This study aimed to identify factors associated with overall survival (OS) and cancer-specific survival (CSS) for 5-year survivors with completely resected lung adenocarcinoma, and to determine whether preoperative imaging factors, including the presence of ground-glass opacity (GGO) components, affect late recurrence in long-term survivors.

Methods: Complete resection of lung adenocarcinoma was performed for 1681 patients between January 2000 and December 2013.

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