Publications by authors named "Yuki H"

Article Synopsis
  • The study investigates the role of the FcGR-IgG bond in macrophage phagocytosis and its potential for selective antigen discrimination, especially in mixed particle environments.
  • Experimentation revealed that while an IgG-coated surface aids in the initial phagocytic process, non-coated particles can still be ingested if they are associated with opsonized ones.
  • The findings suggest that while the zipper mechanism is important for starting phagocytosis, once it begins, it allows for unintended targets to be engulfed, which could have implications for both immune response research and medical applications.
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  • This study investigated the differences in total plaque burden between patients experiencing plaque rupture versus plaque erosion during acute coronary syndromes, employing coronary computed tomography angiography (CTA) and optical coherence tomography for analysis.
  • A total of 232 patients were examined, revealing that those with plaque rupture showed significantly greater total plaque, non-calcified plaque, low-density non-calcified plaque, and calcified plaque burdens compared to those with plaque erosion.
  • The findings suggest that plaque rupture is associated with more severe coronary artery disease, indicating a potential need for varied clinical management strategies for patients based on the type of plaque pathology present.
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Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of lymphoma, accounting for 30% of non-Hodgkin lymphomas. Although comprehensive analysis of genetic abnormalities has led to the classification of lymphomas, the exact mechanism of lymphomagenesis remains elusive. The Ets family transcription factor, PU.

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Background: Coronary artery calcification is an integral part of atherosclerosis. It has been suggested that early coronary artery calcification is associated with active inflammation, and advanced calcification forms as inflammation subsides. Inflammation is also an important factor in plaque vulnerability.

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Background: Recent advances in imaging methods increased the incidental detection of small renal angiomyolipoma (AML). However, guidelines for managing small AML are lacking, and decisions about imaging frequency and timing of intervention are made on an individual basis. This study aims to investigate the clinical behavior of small sporadic AML and propose an optimal follow-up strategy.

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  • * Researchers analyzed 573 patients using computed tomography angiography and optical coherence tomography, finding that LIMA had significantly lower levels of perivascular inflammation than native coronary arteries.
  • * The findings suggest that the lower inflammation levels around LIMA may contribute to its resistance to atherosclerosis, indicating a potential protective factor against heart disease.
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Background: It was recently reported that thin-cap fibroatheroma (TCFA) detected by optical coherence tomography was an independent predictor of future cardiac events in patients with diabetes. However, the clinical usefulness of this finding is limited by the invasive nature of optical coherence tomography. Computed tomography angiography (CTA) characteristics of TCFA have not been systematically studied.

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Background: Positive remodeling is an integral part of the vascular adaptation process during the development of atherosclerosis, which can be detected by coronary computed tomography angiography (CTA).

Methods: A total of 426 patients who underwent both coronary CTA and optical coherence tomography (OCT) were included. Four machine learning (ML) models, gradient boosting machine (GBM), random forest (RF), deep learning (DL), and support vector machine (SVM), were employed to detect specific plaque features.

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Layered plaque, a signature of previous plaque destabilization and healing, is a known predictor for rapid plaque progression; however, the mechanism of which is unknown. The aim of the current study was to compare the level of vascular inflammation and plaque vulnerability in layered plaques to investigate possible mechanisms of rapid plaque progression. This is a retrospective, observational, single-center cohort study.

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Objective: Assisted reproductive technology (ART), especially frozen-thawed embryo transfer (FET) in a hormone replacement cycle (HRC), is a risk factor for placenta accreta spectrum (PAS). This study aimed to clarify the risk factors for PAS related to the maternal background and ART techniques in pregnancies achieved after FET in an HRC.

Study Design: We performed a case-control study in two tertiary perinatal centres in Japan.

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We report 2 cases of portal vein stent placement for malignant portal stenosis due to recurrence of pancreatic cancer with symptoms of portal hypertension. Case 1: The patient was a 68-year-old female. Five years ago, a mass was found around the aorta on a computerized tomography(CT)scan taken after a residual pancreatectomy for pancreatic cancer.

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Background: It is not known whether there is a sex difference in the association between perivascular inflammation and plaque vulnerability. The aim of this study was to investigate the sex-specific association between perivascular inflammation and plaque vulnerability.

Methods: Patients who underwent coronary computed tomography angiography and optical coherence tomography were enrolled.

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Article Synopsis
  • A 57-year-old man diagnosed with advanced esophageal cancer underwent preoperative chemotherapy involving docetaxel, cisplatin, and 5-fluorouracil, but his condition worsened, leading to a classification change to T4b.
  • After switching to definitive chemoradiotherapy, he showed a significant improvement, with no signs of tracheal invasion on scans.
  • The patient later had successful surgery resulting in curative resection, and he remained disease-free for five years without needing additional treatment.
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Biomarkers are widely used for the diagnosis and monitoring of cardiovascular disease. However, markers for coronary high-risk plaques have not been identified. The aim of this study was to identify proteins specific to coronary high-risk plaques.

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Background: Recently, it was reported that noncalcified plaque (NCP) volume was an independent predictor for cardiac events. Pericoronary adipose tissue (PCAT) attenuation is a marker of vascular inflammation and has been associated with increased cardiac mortality. The aim of this study was to evaluate the relationships between NCP volume, plaque vulnerability, and PCAT attenuation.

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Background: Protruding aortic plaque is known to be associated with an increased risk for future cardiac and cerebrovascular events. However, the relationship between protruding aortic plaque and coronary plaque characteristics has not been systematically investigated.

Methods And Results: A total of 615 patients who underwent computed tomography angiography, and preintervention optical coherence tomography imaging were included.

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Patients with acute coronary syndromes caused by plaque erosion might be managed conservatively without stenting. Currently, the diagnosis of plaque erosion requires an invasive imaging procedure. We sought to develop a deep learning (DL) model that enables an accurate diagnosis of plaque erosion using coronary computed tomography angiography (CTA).

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Article Synopsis
  • Young patients with diabetes have a significantly higher prevalence of vulnerable plaque characteristics linked to acute coronary syndrome compared to those without diabetes.
  • The study analyzed 1,394 patients and found that diabetes was associated with more lipid-rich plaques and other harmful features, which remained high across different age groups.
  • While patients without diabetes showed increased plaque rupture and lipid-rich plaques as they aged, those with diabetes exhibited these risks early on, indicating a need for early intervention.
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Background: Coronary artery disease reporting and data system (CAD-RADS) predicts future cardiovascular events in patients with coronary artery disease (CAD). However, information on vascular inflammation and vulnerability remains scarce.

Methods: Patients who underwent coronary computed tomography angiography (CTA) and optical coherence tomography (OCT) prior to coronary intervention were enrolled.

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Scimitar syndrome is a subtype of partial anomalous pulmonary venous connection, a rare congenital disorder associated with hypoplasia of the right lung. In addition to the difficulty of isolated lung ventilation, resection of the left lung is associated with the risk of developing right heart failure due to increased right-to-left shunts. We report a case of a left lung metastasis of a patient with scimitar syndrome.

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  • Outcomes after heart attacks in women are still not great, and understanding the connection between risk factors and artery plaque types is limited.
  • A study of 382 women with acute coronary syndrome showed that younger women (<60 years) mostly had plaque erosion, while older women had different plaque characteristics.
  • Risk factors like smoking, diabetes, and high cholesterol affect plaque development, indicating that addressing these issues early, especially in young women, could help prevent worsening heart disease as they age.
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Background: Although patients with high-risk plaque (HRP) on coronary computed tomography angiography (CTA) are reportedly at increased risk for future cardiovascular events, individual HRP features have not been systematically validated against high-resolution intravascular imaging.

Objectives: The aim of this study was to correlate HRP features on CTA with plaque characteristics on optical coherence tomography (OCT).

Methods: Patients who underwent both CTA and OCT before coronary intervention were enrolled.

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Article Synopsis
  • * Out of 88 patients analyzed, about 50% required AVR, and those who underwent the procedure had significantly better outcomes compared to those treated medically, with lower rates of death and heart failure hospitalizations.
  • * The findings suggest that AVR is beneficial for patients with moderate MAVD, as it is linked to improved survival and reduced hospitalization rates over a median follow-up period.
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Late relapse (LR) of testicular cancer is often associated with chemoresistance, and thus the first choice of therapy is surgery if complete resection is possible. In some LR cases (including our patient, a 31-year-old Japanese man), elevation of alpha-fetoprotein (AFP) may precede the radiologic detection of LR. Approximately 500 days after the start of our patient's AFP elevation, 18F-fluordeoxyglucose positron emission tomography (FDG-PET) revealed strong FDG uptake in an equivocally enlarged external iliac lymph node.

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Background: Layered plaque, a signature of previous plaque disruption, is a known predictor of rapid plaque progression. Layered plaque can be identified in vivo by optical coherence tomography. Studies have reported differences in plaque burden between women and men, but sex differences in the pattern of layered plaque are unknown.

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