Publications by authors named "Yagi R"

Background: Cerebral autoregulation is a robust regulatory mechanism that stabilizes cerebral blood flow in response to reduced blood pressure, thereby preventing cerebral ischaemia. Scientists have long believed that cerebral autoregulation also stabilizes cerebral blood flow against increases in intracranial pressure, which is another component that determines cerebral perfusion pressure. However, this idea was inconsistent with the complex pathogenesis of normal pressure hydrocephalus, which includes components of chronic cerebral ischaemia due to mild increases in intracranial pressure.

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Background: C5 palsy is a frequent complication following cervical spine surgery, particularly after posterior approaches. Although several risk factors have been proposed, the incidence of C5 palsy after anterior cervical discectomy and fusion (ACDF) remains less well understood. This study aims to elucidate the risk factors and neurological recovery associated with C5 palsy following ACDF.

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Impaired hepatic and renal function influence Alzheimer's disease (AD) progression; however, whether AD progression affects these important organ functions remains unclear. Here, we investigated the impact of AD progression, characterized by brain amyloid-beta (Aβ) accumulation, on liver and kidney function of App (APP-KI) mice using quantitative proteomics. SWATH-based quantitative proteomics revealed changes in mitochondrial, drug metabolism, and pharmacokinetic-related proteins in mouse liver and kidneys during the early (2-month-old) and intermediate (5-month-old) stages of Aβ accumulation.

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Article Synopsis
  • - The study investigates the effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors on cardiovascular outcomes specifically in patients with type 2 diabetes and low-to-normal body mass index (BMI), addressing a gap in previous research.
  • - Researchers analyzed data from over 30 million citizens in Japan, comparing outcomes between SGLT2 inhibitors and dipeptidyl peptidase (DPP) 4 inhibitors across various BMI categories while tracking a range of cardiovascular events.
  • - Results showed that while SGLT2 inhibitors generally reduced the risk of major cardiovascular outcomes for the overall population, they did not demonstrate the same protective effect in patients with low-to-normal BMI.
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A non-aneurysmal subarachnoid hemorrhage (SAH) due to an aplastic or twig-like middle cerebral artery (Ap/T-MCA) is extremely rare. We describe a case of a non-aneurysmal SAH due to an Ap/T-MCA. A 38-year-old female patient experienced a sudden severe headache and was admitted to our hospital.

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Cystitis cystica is a relatively common chronic reactive inflammatory disease caused by chronic irritation of the bladder mucosa. It is broadly considered one of the classifications of proliferative cystitis. The predilection site is the bladder trigone area, which may present with symptoms such as frequent urination, hematuria, and lower abdominal discomfort; however, it rarely causes bladder outlet obstruction.

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To evaluate the nutritional modes of orchids associated with 'rhizoctonia' fungi, analyses of hydrogen (δH), carbon (δC), and nitrogen (δN) stable isotope ratios are usually adopted. However, previous studies have not fully accounted for exchangeable hydrogens, which could affect these evaluations. Here, we performed standard δC, δN, and δH analyses on bulk samples.

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Importance: The resting electrocardiogram (ECG) is commonly performed for cardiovascular disease (CVD) screening purposes in Japan. However, evidence is limited regarding the prognostic significance of ECG in clinical practice settings.

Objective: To investigate the association between ECG abnormalities and CVD outcomes in a working-age population.

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Article Synopsis
  • Metastatic spinal tumors are becoming more common as cancer treatments improve, emphasizing the necessity for better therapies.
  • Boron neutron capture therapy (BNCT) shows potential by targeting tumors and sparing healthy tissue, making it a promising treatment option.
  • In a study on mice with lung adenocarcinoma, BNCT significantly improved survival rates and preserved neurological function compared to untreated and neutron-only groups, while showing no adverse effects.
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Objective: The double origin of the posterior inferior cerebellar artery (DOPICA) is a rare variant of PICA. Vertebral artery dissecting aneurysm (VADA) with DOPICA is an extremely rare occurrence. Herein, we report a case of VADA located between DOPICA that was successfully treated with endovascular internal trapping.

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The azygos anterior cerebral artery (ACA) is a rare anatomical anomaly. Clipping surgery has been conducted in approximately 30 reported cases because it is frequently associated with aneurysms. However, few cases in which coil embolization was performed have been reported.

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Airway complications that occur after anterior cervical spine surgery pose a life-threatening risk, which encompasses complications including prolonged intubation, unplanned reintubation, and/or necessity of tracheostomy. The present study aimed to identify the surgical risks associated with postoperative airway complications in neurosurgical training institutes. A retrospective, multicenter, observational review of data from 365 patients, who underwent anterior cervical spine surgery between 2018 and 2022, at three such institutes was carried out.

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Anthracyclines can cause cancer therapy-related cardiac dysfunction (CTRCD) that adversely affects prognosis. Despite guideline recommendations, only half of the patients undergo surveillance echocardiograms. An AI model detecting reduced left ventricular ejection fraction from 12-lead electrocardiograms (ECG) (AI-EF model) suggests ECG features reflect left ventricular pathophysiology.

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Preoperative simulation images creates an accurate visualization of a surgical field. The anatomical relationship of the cranial nerves, arteries, brainstem, and related bony protrusions is important in skull base surgery. However, an operator's intention is unclear for a less experienced neurosurgeon.

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Article Synopsis
  • Preoperative embolization for meningiomas is debated regarding its benefits for reducing surgical blood loss and time, with mixed reports on its effectiveness, especially for larger tumors.
  • A study compared outcomes in patients who underwent craniotomy for meningiomas with and without preoperative embolization, analyzing factors like tumor size and intraoperative bleeding from data collected between January 2015 and April 2022.
  • Results showed that embolization significantly reduced blood loss for larger tumors (≥40 mm), and while complications were low, hypertensive patients without embolization experienced more bleeding during surgery.
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Lung cancer frequently metastasizes to the bones. An in vivo model is urgently required to identify potential therapeutic targets for the prevention and treatment of lung cancer with bone metastasis. We established a lung adenocarcinoma cell subline (H322L-BO4) that specifically showed metastasis to the leg bones and adrenal glands.

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Aim: To report mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with cross-flow through the communicating artery ("with" group), and to compare it with ICA or middle cerebral artery occlusion without cross-flow ("without" group).

Material And Methods: This study included 10 and 57 cases of the "with" and "without" groups, respectively. Cases analyzed by rapid processing of perfusion and diffusion (RAPID) since October 2020 were included.

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Background: In the cervical nerve sheath tumor (NST) surgery with dumbbell extension of Eden type 2 or 3, selection of anterior, posterior, or combined approach remains controversial.

Objectives: This technical note aimed to propose possible advantages of the posterior unilateral approach (PUA). Methods: Six patients who underwent the surgical treatment of cervical NSTs with dumbbell extension of Eden type 2 or 3 were included.

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We report the case of a 70-year-old woman with metastatic brain tumors who underwent surgical removal of the tumor and radiation necrosis. The patient had a history of colon cancer and had undergone surgical removal of a left occipital tumor. Histopathological evaluation revealed a metastatic brain tumor.

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Malignant glioma is a highly invasive tumor, and elucidating the glioma invasion mechanism is essential for developing novel therapies. We aimed to highlight actin alpha 2, smooth muscle (ACTA2) as potential biomarkers of brain invasion and distant recurrence in malignant gliomas. Using the human malignant glioma cell line, U251MG, we generated ACTA2 knockdown (KD) cells treated with small interfering RNA, and the cell motility and proliferation of the ACTA2 KD group were analyzed.

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Objective: This study aimed to report the outcome of an endovascular treatment with a pipeline embolization device (PED) at a single center. We also examined the predictive factors for an incomplete occlusion after the PED placement.

Methods: The subjects were 94 patients with 109 aneurysms who underwent the PED placement at our single center from June 2015 to September 2022.

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The 14th Japan Bioanalysis Forum Symposium was held at Tower Hall Funabori, Japan from 1-3 March 2023. The conference theme, 'Bringing Together - the Expertise of Bioanalysis', aimed to enable people from various fields to gather, learn and collaborate together for the common goal of delivering medicines to patients faster. Approximately 360 participants from various fields, including pharmaceutical industries, contractors, academia and regulatory authorities, gathered at an in-person symposium which had an online participation option, for the first time in 4 years.

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Objective: This study aimed to clarify the differences in the perioperative data of patients with extramedullary and intramedullary tumors and estimate the impact of surgery on medical costs.

Methods: This single-center retrospective study included consecutive patients who underwent spinal tumor resection between September 2020 and December 2022. The perioperative medical information and medical costs for individual patients were obtained from their medical records.

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Article Synopsis
  • - Glioblastoma typically recurs in the brain, with rare cases of extracranial metastases; lymph node involvement is often discovered through symptoms or lymphadenopathy.
  • - The case study presented involves a patient with asymptomatic lymph node metastasis and rising C-reactive protein levels, leading to a diagnosis 9 months later when fever developed without prior signs of infection.
  • - The findings suggest that C-reactive protein levels might be a useful indicator for detecting lymph node metastasis in glioblastoma patients, warranting further investigation.
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Article Synopsis
  • Atrial septal defect (ASD) is often underdiagnosed due to subtle symptoms, but a new screening approach using convolutional neural networks (CNN) can enhance early detection through analysis of electrocardiography (ECG) data.
  • The study analyzed 671,201 ECGs from patients at three hospitals to train a CNN model, achieving a strong area under the receiver operating characteristic curve (AUROC) of 0.85-0.90 for ASD detection.
  • The proposed screening method significantly improved sensitivity from 80.6% to 93.7%, demonstrating its effectiveness across various patient subgroups while maintaining specific criteria.
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