Publications by authors named "T. Akai"

This study investigated the effectiveness of augmenting datasets for super-resolution processing of brain Magnetic Resonance Images (MRI) T1-weighted images (T1WIs) using deep learning. By incorporating images with different contrasts from the same subject, this study sought to improve network performance and assess its impact on image quality metrics, such as peak signal-to-noise ratio (PSNR) and structural similarity (SSIM). This retrospective study included 240 patients who underwent brain MRI.

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Purpose: To assess and compare the efficacy of three treatment modalities for central retinal artery occlusion (CRAO): conservative therapy, hyperbaric oxygen therapy (HBOT), and endovascular retinal surgery (ERS).

Patients And Methods: We retrospectively analyzed the cases of CRAO patients treated at the Toyama University Hospital. Their age range was 44-87 years; a balanced gender distribution was observed.

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Background: Ovarian cancer remains a formidable challenge in oncology, necessitating innovative therapeutic approaches. Claudin-6 (CLDN6), a member of the tight junction molecule CLDN family, exhibits negligible expression in healthy tissues but displays aberrant upregulation in various malignancies, including ovarian cancer. Although several therapeutic modalities targeting CLDN6 are currently under investigation, there is still a need for more potent therapeutic options.

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In this work, we calculated physical quantities, including the magnetocrystalline anisotropy constant () and magnetization (), for disordered (Ce,La)(Co,Fe)systems. Based on the results, we propose CeCoFeas the optimum composition for high-performance permanent magnets. The calculations employed the full-potential Korringa-Kohn-Rostoker Green's function method, and dealt with the compositional disorder of the systems within the coherent potential approximation.

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Automation and quality control (QC) are critical in manufacturing safe and effective cell and gene therapy products. However, current QC methods, reliant on molecular staining, pose difficulty in in-line testing and can increase manufacturing costs. Here we demonstrate the potential of using label-free ghost cytometry (LF-GC), a machine learning-driven, multidimensional, high-content, and high-throughput flow cytometry approach, in various stages of the cell therapy manufacturing processes.

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Article Synopsis
  • - The study examined how changes in the prognostic nutritional index (PNI) before and after surgery impact outcomes in patients with colorectal cancer, focusing on those with stage II/III disease.
  • - Results showed that patients with a decrease in PNI post-surgery had significantly higher rates of recurrence and mortality, indicating worse overall and recurrence-free survival compared to those whose PNI did not decrease.
  • - The findings suggest that monitoring perioperative PNI changes could serve as an effective way to predict a patient's prognosis and risk of cancer recurrence following surgery.
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Background: Pituitary lymphomas (PLs) are very rare, accounting for <0.1% of all intracranial tumors. Of which, PL that is associated with PL is even rarer.

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This study aimed to evaluate the impact of shear stress on surgery-related sacral pressure injury (PI) after laparoscopic colorectal surgery performed in the lithotomy position. We included 37 patients who underwent this procedure between November 2021 and October 2022. The primary outcome was average horizontal shear stress caused by the rotation of the operating table during the operation, and the secondary outcome was interface pressure over time.

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Aim: To evaluate whether deep learning reconstruction (DLR) can accelerate the acquisition of magnetic resonance imaging (MRI) sequences of the knee for clinical use.

Materials And Methods: Using a 1.5-T MRI scanner, sagittal fat-suppressed T2-weighted imaging (fs-T2WI), coronal proton density-weighted imaging (PDWI), and coronal T1-weighted imaging (T1WI) were performed.

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Background: Cancer-associated fibroblasts (CAFs) in the tumor microenvironment (TME) play a critical role in tumor immunosuppression. However, targeted depletion of CAFs is difficult due to their diverse cells of origin and the resulting lack of specific surface markers. Near-infrared photoimmunotherapy (NIR-PIT) is a novel cancer treatment that leads to rapid cell membrane damage.

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Highly polar and charged molecules, such as oligonucleotides, face significant barriers in crossing the cell membrane to access the cytoplasm. To address this problem, we developed a light-triggered twistable tetraphenylethene (TPE) derivative, TPE-C-N, to facilitate the intracellular delivery of charged molecules through an endocytosis-independent pathway. The central double bond of TPE in TPE-C-N is planar in the ground state but becomes twisted in the excited state.

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A number of RORγ inhibitors have been reported over the past decade. There were also several examples advancing to human clinical trials, however, none of them has reached the market yet, suggesting that there could be common obstacles for their future development. As was expected from the general homology of nuclear receptor ligands, insufficient selectivity as well as poor physicochemical properties were identified as potential risks for a RORγ program.

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Background: Today we experience "Super-aged society", and a drastic increase in the number of older people needing assistance is an urgent matter for everyone from medical and socio-economical standpoints. Locomotive organ dysfunction due to musculoskeletal disorders is one of the main problems in these patients. Although the concepts of frailty and sarcopenia have been proposed for functional decline, pain remains the main and non-negligible complaint in these of such disorders.

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Establishing a technological platform for creating clinical compounds inhibiting intracellular protein-protein interactions (PPIs) can open the door to many valuable drugs. Although small molecules and antibodies are mainstream modalities, they are not suitable for a target protein that lacks a deep cavity for a small molecule to bind or a protein found in intracellular space out of an antibody's reach. One possible approach to access these targets is to utilize so-called middle-size cyclic peptides (defined here as those with a molecular weight of 1000-2000 g/mol).

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Although time-stretch spectroscopy is an emerging ultrafast spectroscopic technique, the applications in industrial fields have been limited due to the low output power caused by undesirable nonlinear effects occurred in a long optical fiber used for pulse chirping. Here, we developed a high-power time-stretch near infrared (NIR) spectrometer utilizing arrayed waveguide gratings (AWGs). The combination of AWGs and short optical fibers allowed large amounts of chromatic dispersion to be applied to broadband supercontinuum pulses without the power limitation imposed by employing the long optical fiber.

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Background: One of the most significant challenges in patients with medulloblastoma is reducing the dose of craniospinal irradiation (CSI) to minimize neurological sequelae in survivors. Molecular characterization of patients receiving lower than standard dose of CSI therapy is important to facilitate further reduction of treatment burden.

Methods: We conducted DNA methylation analysis using an Illumina Methylation EPIC array to investigate molecular prognostic markers in 38 patients with medulloblastoma who were registered in the Japan Pediatric Molecular Neuro-Oncology Group and treated with reduced-dose CSI.

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The cell walls of pathogenic and acidophilic bacteria, such as Mycobacterium tuberculosis and Mycobacterium leprae, contain lipoarabinomannan and arabinogalactan. These components are composed of D-arabinose, the enantiomer of the typical L-arabinose found in plants. The unique glycan structures of mycobacteria contribute to their ability to evade mammalian immune responses.

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The pharmacokinetics of pharmaceutical drugs can be improved by replacing C-H bonds with the more stable C-D bonds at the α-position to heteroatoms, which is a typical metabolic site for cytochrome P450 enzymes. However, the application of deuterated synthons is limited. Herein, we established a novel concept for preparing deuterated reagents for the successful synthesis of complex drug skeletons with deuterium atoms at the α-position to heteroatoms.

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Article Synopsis
  • The PD-1/PD-L1 pathway significantly contributes to tumor immunosuppression, while cancer-associated fibroblasts (CAFs) also promote tumor growth.
  • An analysis of 140 esophageal cancer cases revealed a correlation between PD-L1 expression and CAF markers, indicating that higher PD-L1 levels in CAFs are linked to poorer patient survival.
  • Experimental studies showed that targeting PD-L1 can lead to increased cancer cell death and enhance immune responses, suggesting that PD-L1-expressing CAFs are potential therapeutic targets to improve cancer treatment outcomes.
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  • - This study compares the effectiveness of 1.5 T versus 3 T magnetic resonance angiography (MRA) in detecting cerebral aneurysms using a specialized deep learning detection software called EIRL aneurysm®.
  • - Researchers analyzed MRA scans from 90 patients and found that while both 1.5 T and 3 T MRA had high sensitivity for detecting aneurysms, the 3 T MRA resulted in significantly more false positives.
  • - The most common reasons for false positives were related to vessel origins, flow-related artifacts, and atherosclerosis; the findings aim to assist less experienced physicians in accurately diagnosing aneurysms with the EIRL_an software.
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Ischemia-reperfusion (I/R) injury is a key player in the pathogeneses of pressure ulcer formation. Our previous work demonstrated that inducing the transcription factor SOX2 promotes cutaneous wound healing through EGFR signaling pathway enhancement. However, its protective effect on cutaneous I/R injury was not well-characterized.

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Oxidative stress is a major risk factor for calcium oxalate nephrolithiasis. Reports suggest that oxidative stress response is induced in animals and humans with kidney stones. Keap1, Nrf2, and HO-1 are known as oxidative stress mediators.

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Synthetic DNA nanopores are attracting attention as alternatives to conventional biological nanopores in nanopore sensors because of the high designability of their pore structures and functionability. However, the efficient insertion of DNA nanopores into a planar bilayer lipid membrane (pBLM) remains challenging. Although hydrophobic modifications such as the use of cholesterol are required to insert DNA nanopores into pBLMs, these modifications also induce negative effects, including the undesired aggregation of DNA structures.

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Deep learning has been recognized as a paradigm-shifting tool in radiology. Deep learning reconstruction (DLR) has recently emerged as a technology used in the image reconstruction process of MRI, which is an essential procedure in generating MR images. Denoising, which is the first DLR application to be realized in commercial MRI scanners, improves signal-to-noise ratio.

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Background: Whether immunotherapy improves the efficacy or worsens adverse events of subsequent chemotherapy remains unclear. We performed a Phase 2 study to evaluate the efficacy and safety of nanoparticle albumin-bound paclitaxel (nab-paclitaxel) as a treatment for advanced non-small cell lung cancer (NSCLC) after treatment with programmed cell death 1 or programmed death ligand 1 [PD-(L)1] inhibitor failure.

Methods: Nab-paclitaxel (100 mg/m ) was administered on Days 1, 8, and 15 of a 28-day cycle to patients with advanced NSCLC within 12 weeks after the failure of PD-(L)1 inhibitor treatment.

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