Publications by authors named "Yashima S"

: Extracellular volume (ECV) analysis using computed tomography is recognized as a potential method for diagnostic application. It is currently the only noninvasive method for quantitatively evaluating myocardial fibrosis in dialysis patients for whom gadolinium contrast agents are contraindicated. In this study, we assessed the utility of ECV measurement via CT in the left ventricular (LV) myocardium (LVM) to predict major adverse cardiac events (MACEs) in dialysis patients.

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Objective: Cardiac computed tomography (CT) helps screen coronary artery stenosis in cases with dilated cardiomyopathy (DCM). Extracellular volume fraction (ECV) analysis has recently been eligible for CT.

Method: We evaluated the impact of ECV on the CT to predict the prognosis in DCM patients with heart failure with reduced ejection fraction (HFrEF).

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  • * It analyzes 220 patients, revealing that a greater change in mitral valve annulus area after surgery is linked to a higher risk of FMS, with 6.4% of patients developing this condition.
  • * The research identifies a 56.2% threshold in the change ratio of mitral valve annulus area as a key predictor for FMS, suggesting preoperative measurements can help optimize surgical outcomes.
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Objective Although magnetic resonance imaging (MRI) is the gold standard for evaluating abnormal myocardial fibrosis and extracellular volume (ECV) of the left ventricular myocardium (LVM), a similar evaluation has recently become possible using computed tomography (CT). In this study, we investigated the diagnostic accuracy of a new 256-row multidetector CT with a low tube-voltage single energy scan and deep-learning-image reconstruction (DLIR) in detecting abnormal late enhancement (LE) in LVM. Methods We evaluated the diagnostic performance of CT for detecting LE in LVM and compared the results with those of MRI as a reference.

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Background: Extracellular volume fraction (ECV) on magnetic resonance imaging can predict prognosis after aortic valve replacement in patients with aortic stenosis (AS). However, the usefulness of ECV on computed tomography (CT) for patients who have undergone transcatheter aortic valve replacement (TAVR) is unclear, so we investigated whether ECV analysis on CT is associated with clinical outcomes in TAVR candidates.

Methods and results: We analyzed 127 patients with severe AS who underwent preoperative CT for TAVR.

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  • The Japanese Association of Family Physicians Trainees, part of the Japan Primary Care Association, supports residents by providing knowledge, networking opportunities, and international perspectives for their careers since 2017.
  • The publication of a letter seeking support may prevent crucial information from reaching residents who truly need it, especially young physicians not affiliated with JPCA.
  • It's important to clarify the current challenges faced by Japanese residents and encourage collaboration among different organizations to better support them.
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Japanese people experienced the Hiroshima and Nagasaki atomic bombings, the Japan Nuclear Fuel Conversion Co. criticality accident, it was found that many human resources are needed to respond to residents' concerns about disaster exposure in the event of a radiation disaster. Medical radiologic technologists learn about radiation from the time of their training, and are engaged in routine radiographic work, examination explanations, medical exposure counseling, and radiation protection of staff.

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Recently, myocardial extracellular volume (ECV) analysis has been measurable on computed tomography (CT) using new software. We evaluated the use of cardiac CT to estimate the myocardial ECV of left ventricular (LV) myocardium (LVM) to predict reverse remodeling (RR) in cases of atrial fibrillation (AF) after catheter ablation (CA). Four hundred and seven patients underwent CA for AF in our institution from April 2014 to Feb 2021.

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Human diarrhea-causing strains of are referred to as diarrheagenic (DEC). DEC can be divided into five main categories based on distinct epidemiological and clinical features, specific virulence determinants, and association with certain serotypes. In the present study, a simple and rapid one-step single reaction multiplex PCR (mPCR) assay was developed for the simultaneous identification and differentiation of five currently established pathotypes causing gastrointestinal diseases.

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We treated a female patient known to have a double-chambered right ventricle (DCRV) who presented with symptoms of an acute myocardial infarction (AMI). Emergent coronary artery catheterization revealed acute right coronary artery (RCA) occlusion and proximal left anterior descending (LAD) stenosis. We performed percutaneous coronary intervention (PCI) for the RCA occlusion.

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Article Synopsis
  • Cardiac computed tomography (CT) is effective for screening coronary artery stenosis, and a new software allows for extracellular volume fraction (ECV) analysis to assess patient prognosis, especially in dilated cardiomyopathy (DCM).
  • In a study of 70 DCM patients, the average ECV of the left ventricular myocardium was found to be 33.96%, with 30% experiencing major adverse cardiac events (MACE).
  • Higher ECV values, endo-systolic volume, and significant valvular disease rates were linked to increased MACE risk, with ECV ≥ 32.26% identified as a strong predictor of MACE outcomes.
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Objective High-quality images can be obtained with 320-slice computed tomography (CT) with model-based iterative reconstruction (MBIR). We therefore investigated the diagnostic accuracy of 320-slice CT with MBIR for detecting significant coronary artery stenosis. Methods This was a retrospective study of 160 patients who underwent coronary CT and invasive coronary angiography (ICA).

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The Great East Japan Earthquake and Tsunami that occurred in March 2011 not only resulted in the loss of many human lives due to earthquakes and tsunamis, but also led to the occurrence of nuclear accidents involving the widespread diffuse release of radioactive materials at the Fukushima Daiichi Nuclear Power Plant (FDNPP). The nuclear accident created great apprehension among residents of the Fukushima Prefecture, where the FDNPP is located, and residents of Northeastern Japan outside of Fukushima, such as the south region of the Miyagi Prefecture, which is adjacent to the northern part of Fukushima Prefecture. The Miyagi Prefecture is located approximately 50 to 120 km from the FDNPP.

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We treated a man with co-incident Marfan-like connective tissue disease with morphologic left ventricular non-compaction (LVNC). He underwent valve-sparing aortic root replacement because of aortic root dilation at 43 years old. Pathological findings of the aorta revealed cystic medio-necrosis, consistent with Marfan syndrome.

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  • * The study used goldfish scales to investigate how melatonin affects bone metabolism in microgravity, finding that melatonin can suppress osteoclast (bone-resorbing cells) activity.
  • * Melatonin increased the expression of Calcitonin (which inhibits osteoclasts) and decreased the factors that promote osteoclast formation, suggesting its potential as a drug to prevent bone loss in astronauts during space missions.
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To combat organ shortage in transplantation medicine, a novel strategy has been proposed to generate human organs from exogenous pluripotent stem cells utilizing the developmental mechanisms of pig embryos/foetuses. Genetically modified pigs missing specific organs are key elements in this strategy. In this study, we demonstrate the feasibility of using a genome-editing approach to generate anephrogenic foetuses in a genetically engineered pig model.

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