Publications by authors named "Yanagawa M"

Objectives: We investigated whether supine chest CT alone suffices for diagnosing ILAs, thereby reducing the need for prone chest CT.

Materials And Methods: Patients who underwent prone chest CT for suspected ILAs from January 2021 to July 2023, with matching supine CT within 1 year, were retrospectively evaluated. Five multinational thoracic radiologists independently rated ILA suspicion and fibrosis scores (1 to 5-point) and ILA extent (1-100%) using supine CT first, then combined supine-prone CT after a 1-month washout.

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Ventricular tachycardia (VT) is a severe arrhythmia commonly treated with implantable cardioverter defibrillators, antiarrhythmic drugs and catheter ablation (CA). Although CA is effective in reducing recurrent VT, its impact on survival remains uncertain, especially in patients with extensive scarring. Stereotactic arrhythmia radioablation (STAR) has emerged as a novel treatment for VT in patients unresponsive to CA, leveraging techniques from stereotactic body radiation therapy used in cancer treatments.

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Purpose: To compare the variability of quantitative values from lung adenocarcinoma CT images independently assessed by 2 radiologists and AI-based software under different display conditions, and to identify predictors of pathological lymph node metastasis (LNM), disease-free survival (DFS), and overall survival (OS).

Methods: Preoperative CT images of 307 patients were displayed under 4 conditions: lung-1, lung-2, mediastinum-1, and mediastinum-2. Two radiologists (R1, R2) measured total diameter (tD) and the longest solid diameter (sD) under each condition.

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The μ-opioid receptor (MOR) is a G-protein-coupled receptor (GPCR) that mediates both analgesic effects and adverse effects of opioid drugs. Despite extensive efforts to develop a signal-biased drug, drugs with sufficiently reduced side effects have not been established, in part owing to lack of comprehensive signal transducer profiles of MOR. In this study, by profiling the activity of signal transducers including G proteins and GPCR kinases (GRKs), we revealed an unprecedented mechanism of selective GRK3 activation by Gβ, leading to β-arrestin recruitment.

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In this narrative review, we review the applications of artificial intelligence (AI) into clinical magnetic resonance imaging (MRI) exams, with a particular focus on Japan's contributions to this field. In the first part of the review, we introduce the various applications of AI in optimizing different aspects of the MRI process, including scan protocols, patient preparation, image acquisition, image reconstruction, and postprocessing techniques. Additionally, we examine AI's growing influence in clinical decision-making, particularly in areas such as segmentation, radiation therapy planning, and reporting assistance.

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Anionic lipid molecules, including phosphatidylinositol-4,5-bisphosphate (PI(4,5)P), are implicated in the regulation of epidermal growth factor receptor (EGFR). However, the role of the spatiotemporal dynamics of PI(4,5)P in the regulation of EGFR activity in living cells is not fully understood, as it is difficult to visualize the local lipid domains around EGFR. Here, we visualized both EGFR and PI(4,5)P nanodomains in the plasma membrane of HeLa cells using super-resolution single-molecule microscopy.

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The integration of deep learning (DL) in breast MRI has revolutionized the field of medical imaging, notably enhancing diagnostic accuracy and efficiency. This review discusses the substantial influence of DL technologies across various facets of breast MRI, including image reconstruction, classification, object detection, segmentation, and prediction of clinical outcomes such as response to neoadjuvant chemotherapy and recurrence of breast cancer. Utilizing sophisticated models such as convolutional neural networks, recurrent neural networks, and generative adversarial networks, DL has improved image quality and precision, enabling more accurate differentiation between benign and malignant lesions and providing deeper insights into disease behavior and treatment responses.

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Article Synopsis
  • - The study aimed to create a CT-based deep learning model for distinguishing low-risk and high-risk thymoma, comparing its performance with that of radiologists.
  • - A total of 159 patients were analyzed using a fine-tuned VGG16 model with various data augmentations, resulting in a DL accuracy of 71.3%.
  • - While the DL model improved diagnostic accuracy for radiologists, the overall performance, gauged by the area under the curve (AUC), showed no significant differences with or without the model.
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  • Interventional oncology uses image-guided therapies like tumor embolization and ablation to treat malignant tumors minimally invasively, and AI is gaining traction in this field.
  • Recent literature shows a spike in studies exploring AI applications for tasks such as automatic segmentation, treatment simulation, and predicting treatment outcomes, with the latter being the most researched area.
  • Although many AI methods are still in the research phase and not widely used in clinical settings, the rapid advancements indicate that AI technologies will likely be integrated into interventional oncology practices soon.
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  • - This review investigates the role of Large Language Models (LLMs) in nuclear medicine, particularly focusing on imaging techniques like PET and SPECT, highlighting recent advancements in both fields.
  • - It discusses current developments in nuclear medicine and how LLMs are being used in related areas like radiology for tasks such as report generation and image interpretation, with the potential to improve medical practices.
  • - Despite the promise of LLMs, challenges like reliability, explainability, and ethical concerns need to be addressed, making further research essential for integrating these technologies into nuclear medicine effectively.
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  • The study aimed to compare the effectiveness of two types of CT scanning technologies: photon-counting detector computed tomography (PCD-CT) and energy-integrating detector computed tomography (EID-CT) in detecting nodules and airways in human lungs.
  • Twenty cadaveric lungs were examined, utilizing various settings for PCD-CT and standard settings for EID-CT, followed by histological evaluation after staining.
  • Results showed that PCD-CT, particularly in the ultra-high-resolution mode, outperformed EID-CT in visualizing both nodules and airways, with significant differences in detection capabilities highlighted in the scores and sizes of detected structures.
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To investigate the effect of heart rate and virtual monoenergetic image (VMI) on coronary stent imaging in dual-source photon-counting detector computed tomography (PCD-CT). A dynamic cardiac phantom was used to vary the heart rate at 50 beats per minute (bpm), 70 bpm, and 90 bpm. Five types of stents (4.

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We examined the association between texture features using three-dimensional (3D) io-dine density histogram on delayed phase of dual-energy CT (DECT) and expression of programmed death-ligand 1 (PD-L1) using immunostaining methods in non-small cell lung cancer. Consecutive 37 patients were scanned by DECT. Unenhanced and enhanced (3 min delay) images were obtained.

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  • MRI is crucial for diagnosing pelvic issues related to organs like the prostate, bladder, and uterus, and uses RADS to standardize the process.
  • AI technologies, including machine learning, are being integrated into pelvic MRI to enhance various steps of diagnosis, especially for prostate imaging.
  • Recent multi-center studies highlight how AI can improve the effectiveness and reliability of pelvic MRI diagnostics by making findings more generalizable across different healthcare settings.
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Periodontitis is a chronic inflammatory disease that causes destruction of the periodontium and eventual tooth loss. The priority in the periodontal treatment is to remove the subgingival biofilm. Chemical removal of biofilms using antimicrobial agents has been applied in clinical practice.

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Article Synopsis
  • * This review examines the environmental challenges associated with AI systems, such as greenhouse gas emissions from data centers and electronic waste, while also proposing solutions like energy-efficient models and renewable energy usage.
  • * It highlights the need for sustainable practices in AI deployment, suggesting policies, collaboration, and eco-friendly approaches, to ensure that AI advancements do not compromise environmental health.
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Background: Coronavirus disease-2019 (COVID-19) pandemic has deeply impacted tuberculosis (TB) services globally. This study aims to assess the COVID-19 pandemic's impact on TB diagnosis and care and explore associated factors in the Western Pacific Region.

Methods: We analysed TB case notifications and treatment outcomes for the Region and 14 selected countries and areas from 2015 to 2022.

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Progressive pulmonary fibrosis (PPF), defined as the worsening of various interstitial lung diseases (ILDs), currently lacks useful biomarkers. To identify novel biomarkers for early detection of patients at risk of PPF, we performed a proteomic analysis of serum extracellular vesicles (EVs). Notably, the identified candidate biomarkers were enriched for lung-derived proteins participating in fibrosis-related pathways.

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  • The study aimed to explore how interstitial lung abnormalities (ILAs) affect mortality in patients with esophageal cancer, focusing on overall survival and causes of death.
  • Conducted from 2011 to 2015, the research evaluated 478 esophageal cancer patients, categorizing their ILAs based on CT scans and analyzing survival rates with various statistical models.
  • Results indicated that patients with ILAs had a significantly shorter overall survival, particularly those with subpleural fibrotic ILAs, and a higher prevalence of death from pneumonia or respiratory failure compared to those without ILAs.
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Background: A population-wide, systematic screening initiative for tuberculosis (TB) was implemented on Daru island in the Western Province of Papua New Guinea, where TB is known to be highly prevalent. The initiative used a mobile van equipped with a digital X-ray device, computer-aided detection (CAD) software to identify TB-related abnormalities on chest radiographs, and GeneXpert machines for follow-on diagnostic testing. We describe the results of the TB screening initiative, evaluate its population-level impact and examine risk factors associated with TB detection.

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Objective: To identify progress and challenges in the national response to tuberculosis (TB) in Solomon Islands through an epidemiological overview of TB in the country.

Methods: A descriptive analysis was conducted using the national TB surveillance data for 2016-2022. Case notifications, testing data, treatment outcomes and screening activities were analysed.

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  • Deep Learning (DL) has advanced diagnostic radiology by improving image analysis, and the introduction of Transformer architecture and Large Language Models (LLMs) has further transformed this area.* -
  • LLMs can streamline the radiology workflow, aiding in tasks like report generation and diagnostics, especially when combined with multimodal technology for enhanced applications.* -
  • However, challenges like information inaccuracies and biases remain, and radiologists need to understand these technologies better to maximize their benefits while ensuring medical safety and ethical standards.*
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Background: Novel biomarkers (BMs) are urgently needed for bronchial asthma (BA) with various phenotypes and endotypes.

Objective: We sought to identify novel BMs reflecting tissue pathology from serum extracellular vesicles (EVs).

Methods: We performed data-independent acquisition of serum EVs from 4 healthy controls, 4 noneosinophilic asthma (NEA) patients, and 4 eosinophilic asthma (EA) patients to identify novel BMs for BA.

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