Publications by authors named "Kinoshita D"

Objective: To identify factors associated with earlier independence in "real-life walking" during hospitalization in subacute stroke patients.

Design: Retrospective cohort study.

Subjects/patients: Two hundred and six hemiplegic patients.

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Background: Higher levels of high-sensitivity C-reactive protein (hsCRP) are associated with increased risk of cardiovascular events in patients with coronary artery disease (CAD).

Aims: To elucidate the characteristics of coronary plaques in patients with CAD with high hsCRP levels.

Methods: A total of 793 consecutive patients with stable CAD who underwent optical coherence tomography (OCT) of the culprit vessel during percutaneous coronary intervention were included.

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Background: Coronary artery calcium score (CACS) is widely used for risk stratification. However, in patients with established coronary artery disease, its clinical implication and relationship with plaque vulnerability are unclear. We sought to correlate the CACS and plaque vulnerability assessed by optical coherence tomography.

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Article Synopsis
  • The study aimed to evaluate if ADC measurements at term equivalent age can help assess significant abnormalities seen in MRI scans of low birth weight infants.* -
  • Researchers analyzed MRI data of 101 low birth weight infants, comparing ADC values in various brain regions between those with and without major abnormalities, finding no overall difference in ADC values.* -
  • Although ADC measurements were not useful for the general low birth weight group, extremely low birth weight infants with major abnormalities exhibited higher ADC values in the cerebellum, suggesting potential maturation issues.*
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  • This study investigated the differences in total plaque burden between patients experiencing plaque rupture versus plaque erosion during acute coronary syndromes, employing coronary computed tomography angiography (CTA) and optical coherence tomography for analysis.
  • A total of 232 patients were examined, revealing that those with plaque rupture showed significantly greater total plaque, non-calcified plaque, low-density non-calcified plaque, and calcified plaque burdens compared to those with plaque erosion.
  • The findings suggest that plaque rupture is associated with more severe coronary artery disease, indicating a potential need for varied clinical management strategies for patients based on the type of plaque pathology present.
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Background: The relationship between plaque burden and microscopic characterization of plaque features as it pertains to clinical presentation has not been fully investigated. The aim of this study was to compare the relationship between plaque burden and plaque vulnerability in patients with acute coronary syndromes (ACS) versus chronic coronary syndrome (CCS).

Methods: Patients who underwent both coronary computed tomography angiography (CTA) and optical coherence tomography (OCT) before coronary intervention were enrolled.

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Background: Coronary artery calcification is an integral part of atherosclerosis. It has been suggested that early coronary artery calcification is associated with active inflammation, and advanced calcification forms as inflammation subsides. Inflammation is also an important factor in plaque vulnerability.

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Background: The impact of different stroke types on specific activities of daily living (ADL) is unclear.

Objective: To investigate how differences between intracerebral hemorrhage (ICH) and cerebral infarction (CI) affect improvement of ADL in patients with stroke within a hospital by focusing on the sub-items of the Functional Independence Measure (FIM).

Methods: Patients with first-stroke hemiplegia (n = 212) were divided into two groups: ICH (86 patients) and CI (126 patients).

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Article Synopsis
  • * Researchers analyzed 573 patients using computed tomography angiography and optical coherence tomography, finding that LIMA had significantly lower levels of perivascular inflammation than native coronary arteries.
  • * The findings suggest that the lower inflammation levels around LIMA may contribute to its resistance to atherosclerosis, indicating a potential protective factor against heart disease.
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Background: It was recently reported that thin-cap fibroatheroma (TCFA) detected by optical coherence tomography was an independent predictor of future cardiac events in patients with diabetes. However, the clinical usefulness of this finding is limited by the invasive nature of optical coherence tomography. Computed tomography angiography (CTA) characteristics of TCFA have not been systematically studied.

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Background: Positive remodeling is an integral part of the vascular adaptation process during the development of atherosclerosis, which can be detected by coronary computed tomography angiography (CTA).

Methods: A total of 426 patients who underwent both coronary CTA and optical coherence tomography (OCT) were included. Four machine learning (ML) models, gradient boosting machine (GBM), random forest (RF), deep learning (DL), and support vector machine (SVM), were employed to detect specific plaque features.

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Layered plaque, a signature of previous plaque destabilization and healing, is a known predictor for rapid plaque progression; however, the mechanism of which is unknown. The aim of the current study was to compare the level of vascular inflammation and plaque vulnerability in layered plaques to investigate possible mechanisms of rapid plaque progression. This is a retrospective, observational, single-center cohort study.

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It is important to monitor cerebral perfusion in infants because hypo- and hyperperfusion can contribute to neurological injury. This study aimed to clarify the relationship between trans-systolic time (TST) and critical closing pressure (CrCP) or estimated cerebral perfusion pressure (CPPe) in neonates. Moreover, we aimed to determine the TST values in preterm and term infants with stable cerebral perfusion to clarify normative reference data.

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Background: It is not known whether there is a sex difference in the association between perivascular inflammation and plaque vulnerability. The aim of this study was to investigate the sex-specific association between perivascular inflammation and plaque vulnerability.

Methods: Patients who underwent coronary computed tomography angiography and optical coherence tomography were enrolled.

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Biomarkers are widely used for the diagnosis and monitoring of cardiovascular disease. However, markers for coronary high-risk plaques have not been identified. The aim of this study was to identify proteins specific to coronary high-risk plaques.

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Background And Aims: The association between the body mass index (BMI) and the characteristics of coronary plaque in younger type 2 diabetes (T2D) patients with coronary artery disease (CAD) remains to be elucidated.

Methods And Results: A total of 138 consecutive younger (<65 years) T2D patients with CAD, who underwent optical coherence tomography imaging of the culprit lesion were included. The patients were classified into either the higher BMI group (n = 68) or the lower BMI group (n = 70) according to the median of BMI (25.

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Background: Recently, it was reported that noncalcified plaque (NCP) volume was an independent predictor for cardiac events. Pericoronary adipose tissue (PCAT) attenuation is a marker of vascular inflammation and has been associated with increased cardiac mortality. The aim of this study was to evaluate the relationships between NCP volume, plaque vulnerability, and PCAT attenuation.

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Background: Protruding aortic plaque is known to be associated with an increased risk for future cardiac and cerebrovascular events. However, the relationship between protruding aortic plaque and coronary plaque characteristics has not been systematically investigated.

Methods And Results: A total of 615 patients who underwent computed tomography angiography, and preintervention optical coherence tomography imaging were included.

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Patients with acute coronary syndromes caused by plaque erosion might be managed conservatively without stenting. Currently, the diagnosis of plaque erosion requires an invasive imaging procedure. We sought to develop a deep learning (DL) model that enables an accurate diagnosis of plaque erosion using coronary computed tomography angiography (CTA).

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Article Synopsis
  • Young patients with diabetes have a significantly higher prevalence of vulnerable plaque characteristics linked to acute coronary syndrome compared to those without diabetes.
  • The study analyzed 1,394 patients and found that diabetes was associated with more lipid-rich plaques and other harmful features, which remained high across different age groups.
  • While patients without diabetes showed increased plaque rupture and lipid-rich plaques as they aged, those with diabetes exhibited these risks early on, indicating a need for early intervention.
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  • - The study aimed to assess the apparent diffusion coefficient (ADC) in various brain structures of newborns during their first two weeks of life and its correlation with outcomes for hypoxic-ischemic encephalopathy (HIE).
  • - Researchers analyzed data from 56 term neonates, measuring ADC values in 11 different brain regions and evaluating their neurodevelopmental outcomes by age 2, categorizing them into normal, mild disability, and severe disability.
  • - Key findings indicated that the ADC values in the thalamus during the first week are significant predictors of neurological outcomes, while values in the centrum semiovale in the second week can also forecast developmental results.
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Background: Coronary artery disease reporting and data system (CAD-RADS) predicts future cardiovascular events in patients with coronary artery disease (CAD). However, information on vascular inflammation and vulnerability remains scarce.

Methods: Patients who underwent coronary computed tomography angiography (CTA) and optical coherence tomography (OCT) prior to coronary intervention were enrolled.

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Werner syndrome (WS) is a hereditary premature aging disorder characterized by visceral fat accumulation and subcutaneous lipoatrophy, resulting in severe insulin resistance. However, its underlying mechanism remains unclear. In this study, we show that senescence-associated inflammation and suppressed adipogenesis play a role in subcutaneous adipose tissue reduction and dysfunction in WS.

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Background: Although patients with high-risk plaque (HRP) on coronary computed tomography angiography (CTA) are reportedly at increased risk for future cardiovascular events, individual HRP features have not been systematically validated against high-resolution intravascular imaging.

Objectives: The aim of this study was to correlate HRP features on CTA with plaque characteristics on optical coherence tomography (OCT).

Methods: Patients who underwent both CTA and OCT before coronary intervention were enrolled.

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High triglyceride (TG) levels have been recognized as a risk factor for cardiovascular events in patients with coronary artery disease (CAD). This study aimed to clarify the association between TG levels and characteristics of non-culprit coronary plaques in patients with CAD. A total of 531 consecutive patients with stable CAD who underwent percutaneous coronary intervention for culprit lesions and optical coherence tomography (OCT) assessment of non-culprit plaques in the culprit vessel were included in this study.

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