Publications by authors named "Kobata T"

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  • Dynamic conformal arc therapy (DCAT) and volumetric modulated arc therapy (VMAT) both provide similar quality for treating brain metastases, but this study focused on how MLC errors during treatment affect dose distribution.
  • Researchers created reference plans and simulated MLC errors using a head phantom, analyzing how these errors influenced dose delivery to the targets and surrounding brain tissue.
  • The findings revealed that while MLC errors affected both techniques' dose distribution similarly, the DCAT technique showed greater resilience, with less variation in target doses compared to VMAT.
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  • A smart insole wearable sensor was developed to assess the effects of different types of insoles on gait and foot comfort for patients with flatfoot.
  • Thirty-three participants with flatfoot tested three insole types: a control, a flat cushioning insole, and an arch support insole, measuring gait parameters and foot comfort during walking.
  • Results showed that arch support insoles improved foot comfort and altered gait parameters, particularly highlighting foot lift height as important for comfort while walking.
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Objectives: Physiological myocardial F-fluorodeoxyglucose (F-FDG) uptake in oncologic positron emission tomography (PET)/computed tomography (CT) is commonly observed with multiple variations under clinical fasting conditions. The purpose of the present study was to evaluate physiological myocardial F-FDG uptake pattern by comparing with the results in cardiac sarcoidosis.

Methods: A total of 174 examinations in 174 patients without cardiac disease and 27 examinations in 17 patients with cardiac sarcoidosis were performed.

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  • - The T2K experiment reports enhanced measurements of neutrino oscillation parameters through new proton-on-target (POT) neutrino data, significantly improving analysis methods with a major focus on the near detector's new selection procedures.
  • - This analysis is the first to utilize data from the NA61/SHINE experiment, helping to refine the neutrino flux model and enhance the neutrino interaction model by incorporating new nuclear effects.
  • - Both frequentist and Bayesian approaches indicate a preference for normal mass ordering and a nearly maximal CP-violating phase, with notable exclusions and constraints on certain parameters aligning with past T2K studies.
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Favorable short-term results of transfibular total ankle arthroplasty have been reported in several studies; however, the factors affecting these results have not been elucidated. This study aimed to determine whether preoperative depression affects the outcome of transfibular total ankle arthroplasty and whether depression changes with surgery. Scores from the Japanese Society of Surgery of the Foot Ankle/Hindfoot scale (JSSF scale), Self-Administered Foot Evaluation Questionnaire (SAFE-Q), Hospital Anxiety and Depression Scale (HADS), and Timed Up & Go test (TUG) were collected preoperatively, at 6 months, and at 1 year postoperatively from 20 patients.

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The high-density measurement (HDm) mode of the ArcCHECK device can achieve a twofold resolution enhancement compared to the standard measurement (Sm) mode. The aim of this study was to evaluate the effect of HDm on the gamma passing rate (GPR) for the patient-specific quality assurance (PSQA) in head and neck cancer. We retrospectively evaluated 30 patients who underwent volumetric modulated arc therapy (VMAT) for head and neck cancer.

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  • The study aimed to evaluate the Revised Venous Clinical Severity Score (rVCSS) in patients treated for varicose veins due to saphenous vein reflux, using either endovenous thermal ablation (ETA) alone or combined with ambulatory phlebectomy (AP).
  • A total of 123 legs were treated among 123 participants (44 men and 79 women), with rVCSS measured at five different time points, including preoperative and multiple postoperative days.
  • Results indicated that rVCSS improved significantly over time, with certain factors like high body mass index negatively impacting improvement, while conditions like hypertension positively influenced rVCSS outcomes.
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Purpose: The purposes of this study were to compare regional cerebral blood flow (rCBF) images acquired by the pulsed arterial spin labeling with two-dimensional acquisition (PASL-2D) and the pseudo-continuous-ASL with three-dimensional spiral acquisition (pCASL-3D spiral), and to clarify the characteristics of rCBF values in both ASL methods.

Methods: PASL-2D and pCASL-3D spiral were performed in five healthy volunteers with no history of brain disease using 3T scanners from two venders in the same center. 3D T-weighted images and rCBF images were acquired by both ASL methods for a total of 3 sessions: twice at the initial visit (1st and 2nd), and 1 hour and 1 week later.

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While endovenous thermal ablation (ETA) become first choice of treatment for varicose veins, overuse of ETA for the inappropriate indication is growing problem. ETA is performed not only on varicose cases without symptom but also non diseased cases with segmental reflux of saphenous veins or no reflux. Indications of ETA was demonstrated in "the Clinical Practice Guidelines for ETA for Varicose Veins 2019" by Japanese Society of Phlebology.

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  • - The study investigates how rotational errors (REs) of the pelvis affect the accuracy of dose delivery in radiotherapy for prostate cancer, focusing on both the pelvic lymph nodes (PLNs) and the small bowel.
  • - Researchers analyzed data from 10 patients and found a strong correlation between the position of fiducial markers (FMs) and pelvic REs, particularly in pitch direction, but no significant differences between delivered and planned doses for PLNs or the small bowel.
  • - The findings suggest that during radiotherapy treatment, the impact of pelvic REs on the actual doses received by both the PLNs and small bowel is minimal, indicating effective treatment delivery.
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Purpose: The administration accuracy of the automated infusion device for the positron emission radiopharmaceutical affects to calculation of the standardized uptake value (SUV) in F-fluorodeoxyglucose (F-FDG) PET examination. The purpose of this study was to investigate the administration error in the clinical use of an automated infusion device for quantitative management in PET examination.

Methods: We assumed clinical use of the automated infusion device and investigated two types of administration errors.

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We assessed the role of 18F-FDG PET/CT texture indices for the differentiation of squamous cell carcinoma (SCC) and non-Hodgkin's lymphoma (NHL) in the oropharynx. 18F-FDG PET/CT data for 27 patients with SCC and 25 patients with NHL in the oropharynx were investigated. The maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), total lesion glycolysis (TLG), and six texture indices (homogeneity, entropy, short-run emphasis, long-run emphasis, low gray-level zone emphasis [LGZE], and high graylevel zone emphasis [HGZE]) were derived from PET images.

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Background: The amount of signal decreases when the acquisition duration is shortened. However, it is not clear how this affects the quantitative values. This study aims to clarify the effect of acquisition time shortening in brain tumor PET/CT using C-methionine on the quantitative values.

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CD4 CD25 Foxp3 regulatory T cells (Tregs) are highly sensitive to IL-2, one of the many cytokines produced during immune responses, for their development, survival and functions. Although the effects of IL-2 administration on Tregs in vivo are well characterized, the effects on Tregs elicited by IL-2 produced during an immune response have not been elucidated. Hence, in this study, Treg behaviour during IL-2-producing immune responses was explored using in vivo and in vitro murine systems.

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In radiological examinations of patients, we often take stacked images and three-dimensional (3D) images of human bone radiological images such as X-ray images and CT images. In general, learning of bone structure using specialized anatomy books is currently performed at medical radiological technologist education facilities. In the anatomy education of the medical school, in order to understand the structure of human and the individual bone shapes in detail, a real human bone specimen is used to gain knowledge of skeleton, bone shape, bone name and bone function.

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Purpose: Diagnostic positron emission tomography and computed tomography (PET/CT) images can be fused to the planning CT images by a deformable image registration (DIR). The aim of this study was to evaluate the standardized uptake value (SUV) and target delineation on deformed PET images.

Methods: We used a cylindrical phantom and removable inserts of four spheres (16-38 mm in diameter) and three ellipsoids with a volume equal to the 38-mm-diameter sphere (S38) in each.

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We evaluated the effectiveness of distortion correction using a nonrigid image registration method in diffusion-weighted imaging, comparing it with readout-segmented echo planar imaging (RS-EPI). Unlike the RS-EPI, the effectiveness of the distortion correction of the nonrigid registration method depended on the slice level, being most accurate at the level of the basal ganglia, lateral ventricle, and centrum semiovale.

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Heparin is a widely used anti-coagulant that enhances anti-thrombin (AT) activity. However, heparin also suppresses immune and inflammatory responses in various rodent models and clinical trials, respectively. The mechanism by which heparin suppresses immune responses is unclear.

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  • Intestinal IgA production is influenced by microbes and food, with Peyer's patches being a key site for its induction, though the exact mechanisms are not fully understood.
  • Research shows that IgA secretion can be stimulated from IgD B cells using a combination of retinoic acid and low doses of TGF-β1 along with other cytokines, indicating a complex interplay among these signals.
  • Blocking IL-21 and IL-5 receptor signaling in vivo can lower IgA production in Peyer's patches, suggesting these cytokines have cooperative roles in promoting IgA surface expression on B cells.
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We experienced a resected case of metastatic lung tumor with a right displaced segmental bronchus (B1+3). The patient was an 82-year-old woman who had a history of surgery for transverse colon cancer. A chest computed tomography (CT) scan revealed a nodular shadow with an irregular margin( 3.

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Genome-wide association studies (GWASs) in European and East Asian populations have identified more than 40 disease-susceptibility genes in primary biliary cholangitis (PBC). The aim of this study is to computationally identify disease pathways, upstream regulators, and therapeutic targets in PBC through integrated GWAS and messenger RNA (mRNA) microarray analysis. Disease pathways and upstream regulators were analyzed with ingenuity pathway analysis in data set 1 for GWASs (1,920 patients with PBC and 1,770 controls), which included 261 annotated genes derived from 6,760 single-nucleotide polymorphisms ( < 0.

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Background And Purpose: Most patients become physically inactive after vertebral compression fracture and thus need help for early mobilization. This study sought to investigate the effect of early rehabilitation on activities of daily living in patients following acute vertebral compression fracture.

Methods: We conducted this retrospective cohort study with a hospital-based database created by the Japan Medical Data Center and comprising data from a Diagnosis Procedure Combination survey from more than 100 acute care hospitals across Japan.

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Aim: The detailed risk factors of deep vein thrombosis (DVT) remain unknown, and no efficient tool to assess the risk of the development of DVT among older adults has been established. This study aimed to clarify the risk factors, including the level of daily life independence, and develop an assessment score for DVT in older patients.

Methods: We recruited 252 patients aged ≧65 years with suspected deep vein thrombosis.

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Purpose: There are few reports focusing on the radioactivity concentration in the normal brain region for the phantom experiment. We investigated the radioactivity concentration of normal brain regions for the phantom experiment of brain tumor PET imaging.

Methods: A total of 30 patients (age: 53±19 years old, body weight: 58±11 kg) underwent the brain tumor PET examinations using F-fluorothymidine (F-FLT), F-fluoromisonidazole (F-FMISO) and C-methionine (C-MET) during April 1, 2017-October 1, 2017.

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We report a rare case of lung adenocarcinoma combined with minute pulmonary meningothelial-like nodule (MPMN) in a young adult. A 39-year-old woman was referred to our department for abnormal shadow of the right lower lobe. Chest computed tomography (CT) showed a mass shadow, 11 mm in size, in right S6.

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