Publications by authors named "Woo Chan Park"

Article Synopsis
  • The study examined breast cancer characteristics in postmenopausal patients who had undergone hormone replacement therapy (HRT), using data from 17,355 patients.
  • Patients with a history of HRT (20.7% of the sample) had earlier-stage cancer, lower tumor grades, and better surgical options compared to those who never received HRT.
  • Prognosis was also more favorable for the HRT group, with a 5-year survival rate of 93.9%, largely linked to increased screening, higher BMI, and longer HRT duration.
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Introduction: Triple-negative breast cancer (TNBC) is associated with alterations in the retinoblastoma pathway. As a consequence of retinoblastoma protein (pRB) loss, compensatory upregulation of p16 occurs due to the loss of phosphorylated pRB-mediated negative feedback on p16 expression. The aim of this study is to investigate the clinicopathological and genomic characteristics associated with the diffuse pattern of p16 immunohistochemistry (IHC) in TNBC.

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In this paper, we propose a lightweight U-net architecture neural network model based on Dark Channel Prior (DCP) for efficient haze (fog) removal with a single input. The existing DCP requires high computational complexity in its operation. These computations are challenging to accelerate, and the problem is exacerbated when dealing with high-resolution images (videos), making it very difficult to apply to general-purpose applications.

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Introduction: The partial estrogen-agonist action of tamoxifen on bone receptors has beneficial effects on bone mineral density. However, in premenopausal women, the use of tamoxifen causes systemic estrogen depletion, which has detrimental effects on bone health. We aim to investigate the association between tamoxifen and osteoporosis in the real world using data from a longitudinal nationwide cohort of Korean patients.

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Retinal detachment and other vision-threatening disorders often necessitate vitreous body removal and tamponade injection for retina stabilization. Current clinical tamponades such as silicone oil and expansile gases have drawbacks, including patient discomfort and the need for secondary surgery. We introduce a transparent alginate-phenylboronic acid/polyvinyl alcohol composite hydrogel (TALPPH) as a novel vitreous substitute with tamponading capabilities.

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Purpose: Pegfilgrastim is a widely used long-acting granulocyte colony-stimulating factor (G-CSF) that prevents febrile neutropenia (FN) in patients with breast cancer receiving chemotherapy. This study aimed to evaluate the incidence of chemotherapy-related FN events and other adverse events (AEs) during chemotherapy in Korean patients with breast cancer treated with pegfilgrastim as secondary prophylactic support.

Materials And Methods: This was a multicenter, open-label, prospective, observational study.

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Sound rendering is the process of determining the sound propagation path from an audio source to a listener and generating 3D sound based on it. This task demands complex calculations, including trigonometric functions. This paper presents hardware-based inverse cosine function calculations using the table method and linear approximation.

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Article Synopsis
  • - This study investigates how coronary artery calcium (CAC) scores can predict declines in heart function in patients with HER2-positive early-stage breast cancer receiving trastuzumab treatment.
  • - Out of 347 enrolled patients, those with a CAC score of 1 or higher were significantly more likely to experience a decline in left ventricular ejection fraction (LVEF), a key measurement of heart function.
  • - The results suggest that measuring CAC scores could help identify patients at higher risk for cardiac toxicity, potentially allowing for better management of treatment strategies in breast cancer therapy.
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We propose a multi-threaded algorithm that can improve the performance of geometric acoustic (GA)-based sound propagation algorithms in mobile devices. In general, sound propagation algorithms require high computational cost because they perform based on ray tracing algorithms. For this reason, it is difficult to operate sound propagation algorithms in mobile environments.

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Article Synopsis
  • - The study evaluates trends in treatment for high-risk hormone receptor-positive, HER-2-negative breast cancer patients in Korea from 2000 to 2018, particularly focusing on the shift from adjuvant chemotherapy (CTx) combined with hormonal treatment (HT) to HT alone.
  • - An analysis of data from nearly 41,000 women revealed a significant increase in the use of HT only, from 21% in 2000 to 64.6% in 2018, while overall survival (OS) rates showed no significant difference between the two treatment approaches.
  • - The findings suggest that for selected patients, including those with T2N1 disease, HT alone may be a sufficient and safe treatment option
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Purpose: Although prospective randomized clinical trials have reported that the use of prophylactic tamoxifen in patients at a high risk of breast cancer is associated with an increased risk of cataracts development, such findings are inconsistent. This study aimed to clarify the relationship between adjuvant tamoxifen use and cataracts risk using a nationwide longitudinal population-based registry.

Methods: This retrospective cohort study was conducted using the Korean National Health Insurance claims database over a 15-year period (January 2007-December 2021).

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Glucose utilization by visceral adipose tissue (VAT) reflects inflammatory activity, which also promotes tumor growth and carcinogenesis. The effect of metabolically active VAT on survival outcomes in breast cancer is unknown. We investigated survival outcomes in patients with breast cancer based on the standardized uptake value (SUV) of VAT (SUVmean-VAT) using F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG PET/CT).

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(1) Background: Residual breast cancer after neoadjuvant chemotherapy (NAC) could have a variable image pattern on a follow-up breast magnetic resonance image (MRI). In this study, we compared the clinical outcome of breast cancer patients with different residual tumor patterns (RTP) on a breast MRI after NAC. (2) Methods: A total of 91 patients with breast cancer who received NAC and subsequent curative surgery were selected.

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Purpose: An inverse relationship between cancer and neurodegenerative disease, which presents the possibility of a reduced risk of dementia in cancer patients, has been suggested previously. However, a nationwide longitudinal population-based study of specific types of cancer with due consideration of treatment effects has not been conducted.

Materials And Methods: This nationwide population-based cohort study used data obtained in a 12-year period (January 2007- December 2018) in the Korean National Health Insurance claims database.

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Background: Although previous studies demonstrated no association between depression and tamoxifen in patients with breast cancer, there is still a limited amount of long-term follow-up data. This study aimed to evaluate the relationship between endocrine treatment and the risk of depression.

Methods: This nationwide population-based cohort study used data obtained over a 14-year period (January 2007 to December 2021) from the Korean National Health Insurance claims database.

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Despite being a standard treatment option in breast cancer, immune checkpoint inhibitors (ICIs) are only efficacious for a subset of patients. To gain a better understanding of the antitumor immune response in breast cancer, we examined the heterogeneity of CD8 T cells in tumors, metastatic lymph nodes (mLNs), and peripheral blood from patients with early breast cancer ( = 131). Among tissue-resident memory CD8 T (T) cells, including virus- and tumor-specific CD8 T cells, CD39 expression was observed in a tumor-specific and exhausted subpopulation in both tumors and mLNs.

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Background: Older patients with breast cancer have good prognosis and most die from diseases other than breast cancer. Previous studies suggested that the surgical extent in older patients could be reduced. We aimed to compare survival outcomes in patients aged ≥70 years with clinically node-negative breast cancer, based on whether axillary surgery was performed.

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Purpose: After the publication of the ACOSOG (American College of Surgeons Oncology Group) Z0011 trial, the rate of axillary lymph node dissection has reduced. Thus, the need for intraoperative frozen section biopsy of sentinel lymph nodes (SLNs) has become controversial. We identified patients for whom intraoperative SLN frozen section biopsy could be omitted and found that frozen section biopsy rate can be reduced.

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Article Synopsis
  • The study aimed to assess how breast cancer patients respond to neoadjuvant chemotherapy (NAC) using two specific chemotherapy regimens and monitoring response every two cycles.
  • A total of 177 patients were analyzed, revealing three response patterns: fast-to-slow, slow-to-fast, and constant; with the fast-to-slow group having significantly worse recurrence-free survival.
  • The findings suggest that understanding these response patterns could aid in better prognostic evaluations for patients after undergoing NAC.
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Purpose: Radiation-induced anti-tumor responses occur in the immune system, particularly in peripheral blood mononuclear cells (PBMCs), which are overly sensitive to ionizing radiation. Irradiation of PBMCs is associated with inflammation. We assessed the association between radiotherapy (RT)-induced changes in peripheral blood cells, utilizing the lymphocyte-to-monocyte ratio (LMR), and survival outcome in breast cancer patients who underwent breast-conserving surgery followed by adjuvant RT.

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Purpose: This study was performed to identify the risk of mortality in patients diagnosed with human epidermal growth factor receptor 2 (HER2)-positive ductal carcinoma (DCIS).

Methods: We selected 2,592 patients with HER2-positive DCIS from Korean Breast Cancer Society (KBCS) database between January 1997 and December 2019. Patients who received neoadjuvant chemotherapy were excluded.

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The purpose of this study is to investigate imaging characteristics of young age breast cancer (YABC) focusing on correlation with pathologic factors and association with disease recurrence. From January 2017 to December 2019, patients under 40 years old who were diagnosed as breast cancer were enrolled in this study. Morphologic analysis of tumor and multiple quantitative parameters were obtained from pre-treatment dynamic contrast enhanced breast magnetic resonance imaging (DCE-MRI).

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Article Synopsis
  • Immune checkpoint inhibitors (ICIs) are effective for treating solid cancers, but there's no standard predictive biomarker for their effectiveness.
  • This study compared the prognostic value of three PD-L1 antibodies (SP142, SP263, and 22C3) in breast cancer tissue samples from 316 cases using immunohistochemical (IHC) analysis.
  • The results showed that PD-L1 expression determined by the 22C3 assay is a strong independent marker for recurrence-free and distant metastasis-free survival, unlike the other two antibodies, which showed no prognostic impact.
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The conjunctiva is a thin mucous membrane of the eye. Pterygium, a commonly appearing disease on the ocular surface, requires surgery to excise the conjunctiva to prevent visual deterioration. Recently, transplantation of the amniotic membrane (AM), which is the innermost membrane of the placenta, has been highlighted as an efficient method to cure conjunctiva defects because of its advantages of no side effects compared to mitomycin C treatment and not leaving additional scars on donor site compared to conjunctival autografting.

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Background: There is no proven primary preventive strategy for doxorubicin-induced subclinical cardiotoxicity (DISC), especially among patients without a cardiovascular (CV) risk. We investigated the primary preventive effect on DISC of the concomitant use of angiotensin receptor blockers (ARBs) or beta-blockers (BBs), especially among breast cancer patients without a CV risk.

Methods: A total of 385 patients who were scheduled for doxorubicin chemotherapy were screened.

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