Publications by authors named "Young-Joon Lee"

There are no reports comparing diet recovery between patients who underwent distal gastrectomy (DG) and those who underwent total gastrectomy (TG). The aim of the present study was to compare dietary habits and nutritional status after curative treatment with DG and TG in patients with gastric cancer. We retrospectively collected clinical data from 263 consecutive patients who underwent gastrectomy for gastric cancer without recurrence at a single-center between January 2016 and December 2022.

View Article and Find Full Text PDF
Article Synopsis
  • - A retrospective study of 162 patients analyzed the effectiveness of two types of MRI imaging (DLR T2WI and TSE T2WI) in assessing prostate cancer following biopsy, excluding cases where the cancer was only found in the peripheral zone.
  • - DLR T2WI significantly reduced scan time by 69% compared to TSE T2WI while maintaining high intermethod agreement for classifications of cancer severity (PI-RADS) and extraprostatic extension (EPE) as measured by various coefficients.
  • - Both imaging methods showed similar performance in detecting clinically significant prostate cancer (csPCa) with no significant differences in diagnostic accuracy, suggesting DLR T2WI is a time-efficient, reliable alternative for evaluating lesions
View Article and Find Full Text PDF

Background: Systemic sclerosis (SSc) is an autoimmune disease characterized by vasculopathy, abnormal inflammation, and fibrosis of the skin and internal organs, notably the skin and lungs, significantly impairing quality of life. There is currently no cure for SSc, and its etiology remains largely unknown, presenting a primary barrier to effective treatment. We investigated the role of interleukin-21 (IL-21) in the pathogenesis of SSc.

View Article and Find Full Text PDF

Objectives: To compare prostate monoparametric MRI (monoMRI), which uses only diffusion-weighted imaging (DWI), with biparametric (bpMRI) and multiparametric MRI (mpMRI) in detecting clinically significant cancer (CSC) and to evaluate the effect of the combination of monoMRI results and prostate-specific antigen (PSA) level.

Methods: In this study, 193 patients (average age 70.5 years; average PSA 7.

View Article and Find Full Text PDF
Article Synopsis
  • - Sentinel node navigation (SNN) is effective for stomach-preserving surgery in early gastric cancer but has technical challenges in practice.
  • - A study analyzed data from the SENORITA trial, evaluating the effectiveness of regional lymphadenectomy without SNN on 237 patients, focusing on lymph node metastasis in relation to tumor location.
  • - Results indicated that while SNN showed higher sensitivity and negative predictive values for detecting metastasis compared to regional lymphadenectomy, completely omitting SNN in surgery was deemed insufficient and not recommended.
View Article and Find Full Text PDF

This study investigates the role of SMARCD3 in gastric cancer by comparing its expression in signet ring cell (SRC) and well-differentiated (WD) groups within gastric cancer cell lines and tissues. We observed elevated SMARCD3 levels in the SRC group compared to the WD group. Functional analysis was conducted through both SMARCD3 knock-in and knock-out methods.

View Article and Find Full Text PDF
Article Synopsis
  • The SENORITA trial aimed to evaluate the quality of life (QoL) and nutritional outcomes of patients undergoing two types of surgeries: laparoscopic sentinel node navigation surgery (LSNNS) and laparoscopic standard gastrectomy (LSG).
  • The objective was to compare long-term QoL and nutritional outcomes between patients who had stomach-preserving surgery and those who underwent standard gastrectomy, as well as to identify factors affecting QoL in the stomach-preserving group.
  • The analysis included 194 patients who underwent stomach-preserving surgery and 257 who had standard gastrectomy, with findings indicating that the stomach-preserving group experienced better QoL scores three months post-surgery.
View Article and Find Full Text PDF

Purpose: To identify the clinical and genetic variables associated with rim enhancement of pancreatic ductal adenocarcinoma (PDAC) and to develop a dynamic contrast-enhanced (DCE) MRI-based radiomics model for predicting the genetic status from next-generation sequencing (NGS).

Materials And Methods: Patients with PDAC, who underwent pretreatment pancreatic DCE-MRI between November 2019 and July 2021, were eligible in this prospective study. Two radiologists evaluated presence of rim enhancement in PDAC, a known radiological prognostic indicator, on DCE MRI.

View Article and Find Full Text PDF

Background: The deep learning (DL)-based reconstruction algorithm reduces noise in magnetic resonance imaging (MRI), thereby enabling faster MRI acquisition.

Purpose: To compare the image quality and diagnostic performance of conventional turbo spin-echo (TSE) T2-weighted (T2W) imaging with DL-accelerated sagittal T2W imaging in the female pelvic cavity.

Methods: This study evaluated 149 consecutive female pelvic MRI examinations, including conventional T2W imaging with TSE (acquisition time = 2:59) and DL-accelerated T2W imaging with breath hold (DL-BH) (1:05 [0:14 × 3 breath-holds]) in the sagittal plane.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the genetic profiles of poorly cohesive carcinoma (PCC) and well-differentiated tubular adenocarcinoma (WD) in gastric cancer, focusing on the role of the HIV-1 Tat Interactive Protein 2 (HTATIP2).
  • Using next-generation sequencing and immunohistochemistry on gastric cancer tissue and cell lines, researchers found that HTATIP2 and other genes showed reduced expression in PCC compared to WD.
  • The analysis revealed that higher levels of HTATIP2 were linked to better patient outcomes, including early-stage cancer and lower lymph node metastasis, suggesting it could serve as a promising prognostic marker and treatment target for gastric cancer.
View Article and Find Full Text PDF
Article Synopsis
  • This study compared laparoscopic standard gastrectomy (LSG) and laparoscopic sentinel node navigation surgery (LSNNS) for early gastric cancer (EGC) to assess their long-term oncologic outcomes over 5 years.
  • The SENORITA trial did not demonstrate that LSNNS was non-inferior to LSG; while 5-year disease-free survival (DFS) was similar between the two groups, LSNNS had a higher occurrence of gastric cancer-related events.
  • The conclusion suggests that despite no significant differences in 5-year DFS, overall survival (OS), and disease-specific survival (DSS) between LSG and LSNNS, LSNNS may offer benefits in postoperative quality of life and
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the impact of Body Mass Index (BMI) on the survival outcomes of breast cancer patients, specifically focusing on distant metastasis-free survival (MFS).
  • A total of 504 patients with stage I-III breast cancer were analyzed, categorizing them into underweight, normal weight, and overweight groups based on their preoperative BMI.
  • Results indicate that overweight and underweight patients, particularly those with estrogen receptor-positive tumors, had worse survival outcomes compared to normal-weight patients, highlighting the importance of considering BMI when evaluating breast cancer prognosis.
View Article and Find Full Text PDF
Article Synopsis
  • - This study investigates Petersen's hernia, which can occur after specific types of stomach surgeries, and compares two methods for preventing bowel obstruction caused by this hernia: the conventional defect closure method and the newer mesenteric fixation method.
  • - Conducted as a randomized controlled trial in Korea, the research includes patients with diagnosed gastric cancer who have undergone certain types of surgical anastomosis and aims to determine the effectiveness of each method in preventing bowel obstruction over a three-year period.
  • - Results from this trial are expected to provide valuable insights on the efficacy and safety of the mesenteric fixation method, potentially establishing it as a superior technique for closing Petersen's defects.
View Article and Find Full Text PDF

This research aimed to assess the relationship between contrast-enhanced (CE) magnetic resonance fingerprinting (MRF) values and dynamic contrast-enhanced (DCE) MRI parameters including (K, K, V, and iAUC). To evaluate the correlation between the MRF-derived values (T1 and T2 values, CE T1 and T2 values, T1 and T2 change) and DCE-MRI parameters and the differences in the parameters between prostate cancer and noncancer lesions in 68 patients, two radiologists independently drew regions-of-interest (ROIs) at the focal prostate lesions. Prostate cancer was identified in 75% (51/68) of patients.

View Article and Find Full Text PDF

Purpose: This study aimed to investigate the potential role of copine-1 (CPNE1), a calcium-dependent membrane-binding protein encoded by the gene, in colorectal cancer (CRC). Despite previous research on the involvement of copine family members in various solid tumors, the specific role of CPNE1 in CRC remains poorly understood.

Methods: We conducted clinicopathological analysis and functional studies to explore the impact of CPNE1 in human CRC.

View Article and Find Full Text PDF

Radiofrequency ablation (RFA) has been widely used to manage hepatocellular carcinomas (HCCs) equal to or smaller than 3 cm. No-touch RFA has gained attention and has recently been implemented in local ablation therapy for HCCs, despite its technical complexity, as it provides improved local tumor control compared to conventional tumor-puncturing RFA. This article presents the practice guidelines for performing no-touch RFA for HCCs, which have been endorsed by the Korean Society of Image-Guided Tumor Ablation (KSITA).

View Article and Find Full Text PDF

Objectives: To systematically determine the diagnostic performance of each MRI feature of the PI-RADS for predicting extraprostatic extension (EPE) in prostate cancer.

Methods: A literature search in the MEDLINE and EMBASE databases was conducted to identify original studies reporting the accuracy of each feature on MRI for the dichotomous diagnosis of EPE. The meta-analytic pooled diagnostic odds ratio (DOR), sensitivity, specificity, and their 95% confidence intervals (CIs) were obtained using a bivariate random-effects model.

View Article and Find Full Text PDF

Background: Many previous studies evaluated a combination of transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) for treating early hepatocellular carcinoma (HCC); however, studies evaluating combination therapy for beyond-the-Milan criteria HCC are scarce.

Methods: A total of 120 patients with beyond-the-Milan criteria HCC who have viable tumour after first TACE will be enrolled in this multi-institutional, parallel, pragmatic, randomized controlled trial. Patients with metastasis, vascular invasion, or a sum of tumour diameter > 8 cm will be excluded.

View Article and Find Full Text PDF
Article Synopsis
  • Patients undergoing proximal gastrectomy with double-tract reconstruction (PG-DTR) show a similar low incidence of reflux esophagitis when compared to those who undergo total gastrectomy (TG), raising questions about the benefits of PG over TG for treating upper early gastric cancer.
  • The study aimed to compare the effects of laparoscopic PG-DTR versus laparoscopic total gastrectomy on hemoglobin levels and vitamin B12 supplementation in patients with clinically early gastric cancer confined to the upper stomach.
  • Conducted as a multicenter randomized clinical trial with 138 patients, the main outcomes focused on hemoglobin level changes and vitamin B12 needs over two years, while also assessing patient quality of life and other secondary health measures.
View Article and Find Full Text PDF

Purpose: To compare the diagnostic performance of high-resolution 3D T2-weighted imaging (T2WI) with compressed sensing (CS) sampling perfection with application-optimized contrasts using different flip angle evolution (SPACE) to that of conventional T2WI with turbo spin echo (TSE) in prostate MRI.

Materials And Methods: This study evaluated 179 patients (mean age 69.1 ± 9.

View Article and Find Full Text PDF

Purpose: The aim of this study was to evaluate the accuracy of prostate volume estimates calculated from the ellipsoid formula using the anteroposterior (AP) diameter measured on axial and sagittal images obtained through ultrasonography (US) and magnetic resonance imaging (MRI).

Methods: This retrospective study included 456 patients with transrectal US and MRI from two university hospitals. Two radiologists independently measured the prostate gland diameters on US and MRI: AP diameters on axial and sagittal images, transverse, and longitudinal diameters on midsagittal images.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate how well prostate-specific antigen (PSA) and MRI can predict prostate cancer in patients with PSA levels of 20 ng/mL or less.
  • A total of 881 patients suspected of having prostate cancer underwent PSA tests and pre-biopsy MRIs, using their biopsy results or 2-year clinical follow-up data to confirm diagnoses.
  • The findings showed that while adding MRI to PSA improved specificity and positive predictive value for diagnosing cancer, it resulted in lower sensitivity, but still effectively reduced the need for unnecessary biopsies.
View Article and Find Full Text PDF

TNM stage still serves as the best prognostic marker in gastric cancer (GC). The next step is to find prognostic biomarkers that detect subgroups with different prognoses in the same TNM stage. In this study, the expression levels of epidermal growth factor receptor (EGFR) and cyclin D1 were assessed in 96 tissue samples, including non-tumorous tissue, adenoma, and carcinoma.

View Article and Find Full Text PDF

Purpose: Laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DTR) is a function-preserving procedure performed for treating upper early gastric cancer (EGC). However, few studies have compared the outcomes of LPG-DTR with those of laparoscopic total gastrectomy (LTG). This study aimed at comparing the short-term outcomes of LPG-DTR between LTG and upper EGC.

View Article and Find Full Text PDF