Publications by authors named "Yasaka K"

While durable antibody responses from long-lived plasma cell (LLPC) populations are important for protection against pathogens, LLPC may be harmful if they produce antibodies against self-proteins or self-nuclear antigens as occurs in autoimmune diseases such as systemic lupus erythematosus (SLE). Thus, the elimination of autoreactive LLPC may improve the treatment of antibody-driven autoimmune diseases. However, LLPC remain a challenging therapeutic target.

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Objectives: This study aimed to investigate the impact of changing inspiratory depth from end- to mid-inspiratory level on the iodine concentration of lung parenchyma and main pulmonary artery in dual-energy CT pulmonary angiography.

Methods: This retrospective study included patients who underwent dual-energy CT pulmonary angiography from July 2020 to June 2023. Patients were instructed to hold their breath at end- and mid-inspiratory levels before and after January 2022, respectively.

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The aim of this study is to develop a fine-tuned large language model that classifies interventional radiology reports into technique categories and to compare its performance with readers. This retrospective study included 3198 patients (1758 males and 1440 females; age, 62.8 ± 16.

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  • This study developed a large multimodality model (LMM) capable of detecting breast and esophageal cancers using chest contrast-enhanced CT scans.
  • A total of 401 patients' CT images were analyzed in training, validation, and testing phases, with the LMM trained on specific cancer-related text data to identify lesions.
  • The fine-tuned LMM demonstrated high sensitivity and diagnostic performance, achieving AUC values of 0.890 and 0.880 for breast and esophageal cancers, respectively, indicating its effectiveness in cancer imaging.
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Purpose: To investigate the effects of deep learning reconstruction on depicting arteries and providing suitable images for the evaluation of hemorrhages with abdominopelvic contrast-enhanced computed tomography (CT) compared with hybrid iterative reconstruction.

Methods: This retrospective study included 16 patients (mean age: 54.2 ± 22.

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  • Trabectedin is an antineoplastic drug primarily used for treating soft tissue sarcomas and is typically infused through a central venous port (CVP) to avoid serious complications from leakage.
  • A case was reported involving a 57-year-old man with myxoid liposarcoma who developed sterile inflammation along the catheter pathway after multiple cycles of trabectedin, showing signs like skin erythema, swelling, and induration.
  • Following the removal of the CVP due to increased injection resistance, the patient continued to experience residual induration and pigmentation for 4 months, indicating lingering effects of the inflammation.
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  • Early detection of bone metastasis is essential for improving patient prognosis, and this study explores the use of a fine-tuned large language model (LLM) to identify such cases in unstructured Japanese radiology reports.
  • The study involved a substantial number of patients (over 17,000) and categorized their reports into three groups based on the presence and status of bone metastasis, noting a challenge with group imbalance in the data.
  • The results showed that the LLM achieved a high accuracy (0.979) and sensitivity comparable to radiologists in a significantly shorter classification time, indicating its potential as an efficient tool for detecting bone metastasis.
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Purpose This study aimed to investigate the willingness to use and the application interest toward a smoking cessation program flyer among occupational health staff and smokers, utilizing a nudge approach. Methods A control group (typical flyer) and a nudge group (flyer improved according to the Easy, Attractive, Social, Timely (EAST) framework from the control flyer) were established. Occupational health staff and workers with a desire to quit smoking were randomly divided into two groups, and a web survey was conducted.

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This study aimed to compare the image quality and detection performance of pancreatic cystic lesions between computed tomography (CT) images reconstructed by deep learning reconstruction (DLR) and filtered back projection (FBP). This retrospective study included 54 patients (mean age: 67.7 ± 13.

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Purpose: This study aimed to investigate the efficacy of fine-tuned large language models (LLM) in classifying brain MRI reports into pretreatment, posttreatment, and nontumor cases.

Methods: This retrospective study included 759, 284, and 164 brain MRI reports for training, validation, and test dataset. Radiologists stratified the reports into three groups: nontumor (group 1), posttreatment tumor (group 2), and pretreatment tumor (group 3) cases.

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This study aimed to investigate the performance of a fine-tuned large language model (LLM) in extracting patients on pretreatment for lung cancer from picture archiving and communication systems (PACS) and comparing it with that of radiologists. Patients whose radiological reports contained the term lung cancer (3111 for training, 124 for validation, and 288 for test) were included in this retrospective study. Based on clinical indication and diagnosis sections of the radiological report (used as input data), they were classified into four groups (used as reference data): group 0 (no lung cancer), group 1 (pretreatment lung cancer present), group 2 (after treatment for lung cancer), and group 3 (planning radiation therapy).

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The aim of this study was to investigate the effect of iterative motion correction (IMC) on reducing artifacts in brain magnetic resonance imaging (MRI) with deep learning reconstruction (DLR). The study included 10 volunteers (between September 2023 and December 2023) and 30 patients (between June 2022 and July 2022) for quantitative and qualitative analyses, respectively. Volunteers were instructed to remain still during the first MRI with fluid-attenuated inversion recovery sequence (FLAIR) and to move during the second scan.

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Article Synopsis
  • Pancreatitis can be a serious complication resulting from the placement of a self-expandable metal stent (SEMS) for malignant biliary obstruction (MBO), and deep learning hasn't been previously used to predict this risk.
  • A study analyzed CT images of 70 patients who had SEMS placed, developing a convolutional neural network (CNN) to predict pancreatitis, which showed moderate accuracy with an AUC of 0.67.
  • Adding CNN-based predictions enhanced the accuracy of traditional machine learning models, notably improving logistic regression metrics, highlighting the potential of deep learning to better forecast complications in pancreatobiliary procedures.
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Rationale And Objectives: To determine if super-resolution deep learning reconstruction (SR-DLR) improves the depiction of cranial nerves and interobserver agreement when assessing neurovascular conflict in 3D fast asymmetric spin echo (3D FASE) brain MR images, as compared to deep learning reconstruction (DLR).

Materials And Methods: This retrospective study involved reconstructing 3D FASE MR images of the brain for 37 patients using SR-DLR and DLR. Three blinded readers conducted qualitative image analyses, evaluating the degree of neurovascular conflict, structure depiction, sharpness, noise, and diagnostic acceptability.

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  • Changing the window width (WW) in CT images affects noise and contrast, which is crucial for detecting liver tumors (HCCs).
  • This study analyzed the impact of adjusting WW in deep learning reconstructed (DLR) CT images using data from 35 patients who received abdominal CT scans.
  • The findings revealed that an optimal WW of 120 Hounsfield units (HU) improved HCC detection and image quality compared to the conventional WW of 150 HU, showing a significant performance improvement (p < 0.001).
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Purpose: To compare computed tomography (CT) pulmonary angiography and unenhanced CT to determine the effect of rapid iodine contrast agent infusion on tracheal diameter and lung volume.

Material And Methods: This retrospective study included 101 patients who underwent CT pulmonary angiography and unenhanced CT, for which the time interval between them was within 365 days. CT pulmonary angiography was scanned 20 s after starting the contrast agent injection at the end-inspiratory level.

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Purpose Sterile inflammation along the tunneled catheter is a characteristic complication associated with trabectedin infusion via a central venous port (CVP). To date, no studies have evaluated the differences in sterile inflammation incidence according to the CVP system used. This study evaluated the differences in sterile inflammation incidence between two different CVP systems.

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The aim of this study was to investigate whether super-resolution deep learning reconstruction (SR-DLR) is superior to conventional deep learning reconstruction (DLR) with respect to interobserver agreement in the evaluation of neuroforaminal stenosis using 1.5T cervical spine MRI. This retrospective study included 39 patients who underwent 1.

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Purpose: To investigate the effects of mid-inspiratory respiration commands and other factors on transient interruption of contrast (TIC) incidence on CT pulmonary angiography.

Methods: In this retrospective study, 824 patients (mean age, 66.1 ± 15.

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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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Article Synopsis
  • - The study aimed to evaluate if deep learning reconstruction (DLR) improves the quality of high-resolution CT images of the temporal bone compared to hybrid iterative reconstruction (HIR).
  • - 36 patients underwent CT imaging, and two radiologists compared images from DLR, HIR, and filtered back projection (FBP) based on structural depiction, image noise, and overall quality using a scoring system.
  • - Results showed that DLR significantly reduced image noise and improved depiction of key structures and overall quality compared to HIR, indicating DLR is superior for high-resolution temporal bone imaging.
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This study aimed to investigate the effects of intravenous injection of iodine contrast agent on the tracheal diameter and lung volume. In this retrospective study, a total of 221 patients (71.1 ± 12.

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This study aimed to investigate whether deep-learning reconstruction (DLR) improves interobserver agreement in the evaluation of honeycombing for patients with interstitial lung disease (ILD) who underwent high-resolution computed tomography (CT) compared with hybrid iterative reconstruction (HIR). In this retrospective study, 35 consecutive patients suspected of ILD who underwent CT including the chest region were included. High-resolution CT images of the unilateral lung with DLR and HIR were reconstructed for the right and left lungs.

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  • The study aimed to explore how utilizing artificial intelligence to predict motion-probing gradients (MPGs) impacts tractography in diffusion-weighted imaging.
  • It involved 251 participants, including patients with brain tumors or seizures, who underwent MRI with specific imaging techniques, divided into training, validation, and test sets for a convolutional neural network analysis.
  • Results showed that incorporating AI-predicted MPG images improved the accuracy of tractography significantly, indicating that artificial intelligence can enhance diffusion imaging outcomes.
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  • In Japan, doctor cars are specialized emergency medical vehicles staffed by physicians, designed to provide advanced trauma care before patients reach the hospital.
  • A nationwide study analyzed data from over 372,000 trauma patients to assess the impact of doctor cars compared to non-physician-staffed emergency services on survival rates.
  • The results indicate that patients treated by doctor cars have a significantly higher chance of survival in the hospital, suggesting that these units could enhance trauma care strategies in Japan.
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