Publications by authors named "Tsushima Y"

Purpose: We are developing a three-dimensional X-ray fluorescence computed tomography (3D XFCT) system using non-radioactive-labeled compounds for preclinical studies as a new modality that provides images of biological functions. Improvements in image quality and detection limits are required for the in vivo imaging. The aim of this study was to improve the quality of XFCT images by applying a deep image prior (DIP), which is a type of convolutional neural network, to projection images as a pre-denoising method, and then compare with DIP post-denoising.

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This report presents a case of primary central nervous system vasculitis (PCNSV), emphasizing the need for precise diagnosis and individualized treatment. PCNSV is a rare inflammatory condition confined to the central nervous system (CNS) that affects small- to medium-sized vessels and can cause severe neurological damage if left untreated. A 73-year-old woman with no previous medical history presented with rapidly progressive right-sided hemiparesis and cognitive impairment.

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  • A 52-year-old woman with a history of liver surgery developed gastric varices, which posed a risk of rupture.
  • A specialized procedure called balloon-occluded retrograde transvenous obliteration (BRTO) was attempted using a double-balloon catheter, but initial venography did not visualize the varices.
  • Ultimately, the treatment was successful by injecting a sclerosing agent through the catheter system, effectively embolizing the varices and highlighting the method's effectiveness for complex vascular cases.
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Intracellular ATP is released outside cells by various stimuli and is involved in cytoprotection by activating purinergic receptors. However, it remains unclear whether targeted radionuclide therapy induces extracellular ATP release. Here, we prepared I-labeled trastuzumab (I-trastuzumab) and examined extracellular ATP release and its roles in I-trastuzumab's growth inhibitory effects.

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  • The study investigates the challenges of assessing spatial resolution in MRI, particularly the effects of slice resolution on multi-planar reconstruction (MPR) images, aiming to propose optimal imaging conditions.
  • The researchers used various 3D imaging sequences, employing a method known as the ladder method for objective evaluation of image quality while also performing visual assessments.
  • Results showed that image quality was stable up to 80% slice resolution, suggesting that reducing acquisition time by 20% may be feasible without compromising the resolution in reconstructed cross-sections.
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  • Polycystic ovary syndrome (PCOS) affects about 20% of those of reproductive age and is often linked to obesity, with this study exploring how a ketogenic diet impacts menstrual cycles and fertility in affected individuals.
  • A retrospective analysis of 30 patients at Cleveland Clinic revealed that all participants experienced restored regular menstrual cycles, with a pregnancy rate of 55.6% among those trying to conceive.
  • The findings suggest the ketogenic diet may lead to higher pregnancy rates in women with PCOS compared to previous studies, particularly for those not using metformin.
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Cinema, a modern titan of entertainment, holds power to move people with the artful manipulation of auditory and visual stimuli. Despite this, the mechanisms behind how sensory stimuli elicit emotional responses are unknown. Thus, this study evaluated which brain regions were involved when sensory stimuli evoke auditory- or visual-driven emotions during film viewing.

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This case report delves into a unique occurrence of MRI-induced headaches attributed to an unsuspected intracranial foreign body. A male patient, presenting persistent headaches, experienced exacerbation of pain upon entering the MRI suite, hindering the imaging procedure. A subsequent head CT scan revealed a nail within the cranial cavity, stemming from a previous nail gun injury.

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Stiff knee gait (SKG) occurrence after a stroke is associated with various abnormal muscle activities; however, the interactions among these muscles are unclear. This study aimed to elucidate the muscle synergy characteristics during walking in patients with SKG after a stroke. This cross-sectional study included 20 patients with poststroke SKG (SKG group), 16 patients without poststroke SKG (non-SKG group), and 15 healthy adults (control group).

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  • Glucagon-like peptide-1 receptor agonists (GLP-1RA) may be linked to a higher risk of acute pancreatitis (AP) in some cases.
  • A real-world study found no increased frequency of AP among adults with Type 2 diabetes (T2D) who had a prior history of AP when using GLP-1RAs.
  • The study suggests that GLP-1RAs are potentially safe for T2D patients with previous AP issues, but further research is still needed.
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Nonracemic amisulpride (SEP-4199) is an investigational 85:15 ratio of aramisulpride to esamisulpride and currently in clinical trials for the treatment of bipolar depression. During testing of SEP-4199, a pharmacokinetic/pharmacodynamic (PK/PD) disconnect was discovered that prompted the development of a controlled-release (CR) formulation with improved therapeutic index for QT prolongation. Observations that supported the development of a CR formulation included (i) plasma concentrations of amisulpride enantiomers were cleared within 24-hours, but brain dopamine D2 receptor (D2R) occupancies, although achieving stable levels during this time, required 5 days to return to baseline; (ii) nonracemic amisulpride administered to non-human primates produced significantly greater D2R occupancies during a gradual 6-hour administration compared with a single bolus; (iii) concentration-occupancy curves were left-shifted in humans when nonracemic amisulpride was gradually administered over 3 and 6 hours compared with immediate delivery; (iv) CR solid oral dose formulations of nonracemic amisulpride were able to slow drug dissolution in vitro and reduce peak plasma exposures in vivo in human subjects.

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  • Dialysis patients face a heightened risk of developing renal cell carcinoma (RCC), but distinguishing RCC from benign cysts can be challenging with standard imaging techniques like CT and ultrasound.
  • This study conducted between 2012 and 2016 used FDG-PET/CT to screen for RCC in 150 participants with end-stage renal disease, with evaluations made by three radiologists.
  • The results showed that FDG-PET/CT had a high sensitivity (100%) and negative predictive value (100%), ultimately diagnosing RCC in seven out of twenty patients identified as positive for malignancy.
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  • Anthropogenic gadolinium (Gd), primarily from Gd-based contrast agents used in MRIs, was studied in the Tone River in Japan due to concerns about its toxicity and environmental accumulation.
  • * The research involved collecting water samples from 15 locations in the river and measuring Gd concentrations, revealing significant Gd-anomalies that increased by 7.7 times since 1996.
  • * Strong correlations were found between Gd-anomalies and the number of hospitals and MRI units nearby, highlighting an urgent need for further research on the health risks and removal technologies for anthropogenic gadolinium.
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Purpose: To identify gadolinium-based contrast agents (GBCAs)-related and patient-related risk factors for acute adverse reactions (AARs), and to examine the incidence and severity of repeated AARs.

Methods: This study retrospectively evaluated all intravenous GBCA injections in MRI studies at a single institution from January 2012 to September 2019. First-time AARs in patients without a past history of AARs and risk factors were assessed using multivariable regression models with generalized estimating equations.

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Aims: Progressive pulmonary fibrosis (PPF) is a newly recognised clinical phenotype of interstitial lung diseases in the 2022 interstitial pulmonary fibrosis (IPF) guidelines. This category is based entirely on clinical and radiological factors, and the background histopathology is unknown. Our objective was to investigate the histopathological characteristics of PPF and to examine the correlation between usual interstitial pneumonia (UIP) and prognosis in this new disease type.

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This case report highlights the rare occurrence of Wernicke encephalopathy caused by malnutrition in a depressed patient with atypical imaging findings. A 60-year-old female with depression developed a disturbance of consciousness owing to Wernicke encephalopathy. Magnetic resonance imaging showed abnormal signals in the thalamus and mammillary bodies around the third ventricle, cerebral aqueduct, and fourth ventricle.

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Objectives: Lower gingival squamous cell carcinoma (LGSCC) has the potential to invade the alveolar bone. Traditionally, the diagnosis of LGSCC relied on morphological imaging, but inconsistencies between these assessments and surgical findings have been observed. This study aimed to assess the correlation between LGSCC bone marrow invasion and PET texture features and to enhance diagnostic accuracy by using machine learning.

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Purpose: We previously reported that T2 dark bands and placental bulges observed in magnetic resonance imaging (MRI) can predict adverse maternal outcomes in patients with placenta accreta spectrum (PAS) and placenta previa undergoing prophylactic balloon occlusion of the internal iliac artery. On the other hand, the risk factors associated with the use of prophylactic aortic balloon occlusion (PABO) have not been sufficiently investigated. This retrospective study aimed to identify MRI-based risk factors associated with adverse maternal outcomes in the context of PABO during a cesarean section (CS) for PAS and placenta previa.

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Serotonergic neurons originating from the raphe nuclei have been proposed to regulate corticotropin-releasing factor (CRF) neurons in the paraventricular nucleus of the hypothalamus (PVH). Since glutamate- and γ-aminobutyric acid (GABA)-containing neurons, constituting the hypothalamic local circuits, innervate PVH CRF neurons, we examined whether they mediate the actions of serotonin (5-hydroxytryptamine [5-HT]) on CRF neurons. Spontaneous excitatory postsynaptic currents (sEPSCs) or spontaneous inhibitory postsynaptic currents (sIPSCs) were recorded in PVH CRF neurons, under whole cell patch-clamp, using the CRF-modified yellow fluorescent protein (Venus) ΔNeo mouse.

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Ulcerative colitis (UC) develops as a result of complex interactions between various cell types in the mucosal microenvironment. In this study, we aim to elucidate the pathogenesis of ulcerative colitis at the single-cell level and unveil its clinical significance. Using single-cell RNA sequencing and high-dimensional weighted gene co-expression network analysis, we identify a subpopulation of plasma cells (PCs) with significantly increased infiltration in UC colonic mucosa, characterized by pronounced oxidative stress.

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This study aims to assess the diagnostic value of virtual monochromatic image (VMI) at low keV energy for early detection of small hepatocellular carcinoma (HCC) in hepatic arterial phase compared with low-tube voltage (80 kVp) CT generated from dual-energy CT (DE-CT). A total of 107 patients with 114 hypervascular HCCs (≤2 cm) underwent DE-CT, 140 kVp, blended 120 kVp, and 80 kVp images were generated, as well as 40 and 50 keV. CT numbers of HCCs and the standard deviation as image noise on psoas muscle were measured.

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