1,058 results match your criteria: "Advanced Clinical Research[Affiliation]"

At is a promising radiohalogen for targeted α therapy. However, some astatinated compounds undergo deastatination in vivo, leading to unintended astatine accumulation in nontarget tissues. Recently, a group reported that the in vivo stability of an astato group on an alkyl group could be improved by placing specific substituents around the astato group.

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Background: Isocitrate dehydrogenase-mutant astrocytoma without cyclin-dependent kinase inhibitor 2A/B (CDKN2A/B) homozygous deletion typically follows a slow clinical course. However, some cases show early progression on magnetic resonance imaging, and these characteristics remain under-reported. This study aimed to elucidate the characteristics of isocitrate dehydrogenase-mutant astrocytoma showing early progression on magnetic resonance imaging.

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Dysbiosis of gut microbiota in COVID-19 is associated with intestinal DNA phage dynamics of lysogenic and lytic infection.

Microbiol Spectr

January 2025

Division of Infectious Diseases, Advanced Clinical Research Center, the Institute of Medical Science, the University of Tokyo, Tokyo, Japan.

This study compared intestinal DNA phage dynamics and gut microbiota changes observed at the onset of coronavirus disease 2019 (COVID-19). The study participants included 19 healthy individuals and 19 patients with severe acute respiratory syndrome coronavirus 2 infection. Significant differences were observed in the diversity of the intestinal DNA virome after the onset of COVID-19 compared with that in healthy individuals.

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: We aimed to clarify the clinical characteristics of global and regional myocardial perfusion in patients with transthyretin type of cardiac amyloidosis (ATTR) using dual single-photon emission computed tomography (SPECT) with Tc pyrophosphate (PYP) and TL (TL). : Consecutive 178 (mean age 78±12, male 79) patients known or suspect of ATTR who underwent PYP-TL dual SPECT were retrospectively enrolled. Patients were categorized according to the visual grading for planar PYP uptake using Perugini grading, and the patients with grade greater than or equal to 2 were analyzed.

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  • Fabry disease is a genetic disorder resulting from a deficiency in the enzyme α-galactosidase A, and early treatment options can improve outcomes, especially in cardiac cases.
  • A study involving 56 Fabry disease patients and 58 healthy controls found that contractile function, measured by longitudinal strain (LS) using echocardiography, was significantly worse in Fabry patients without left ventricular (LV) hypertrophy.
  • The findings indicate that early contractile dysfunction can be detected in Fabry disease patients even before LV hypertrophy occurs, highlighting the importance of using global LS and other LS metrics in monitoring the disease.
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  • - The study evaluated the effectiveness of positron emission tomography feature tracking (PETFT) for measuring endocardial wall strain and compared it with cardiac magnetic resonance-derived feature tracking (CMRFT) in patients with coronary artery disease.
  • - Involving 83 patients, the results showed that PETFT and CMRFT had significant correlations for both resting and stress conditions, indicating reliability in measuring global longitudinal and circumferential strain.
  • - The research concluded that PETFT is a feasible alternative to CMRFT, suggesting its potential use in clinical practice for assessing heart wall strain.
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Outbreaks of COVID-19 in a tuberculosis treatment sanatorium on the Thailand-Myanmar border: a retrospective cohort analysis.

Wellcome Open Res

November 2023

Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Maesot, 63110, Thailand.

Background: Tuberculosis (TB) is a chronic condition, with overlapping symptoms to those of coronavirus disease 2019 (COVID-19). There has been inconsistent evidence on whether TB is a predisposing factor for developing severe COVID-19. The aim of this report is to explore whether TB influences the severity of COVID-19.

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  • Lymphovascular invasion (LVI) significantly affects the postoperative prognosis in patients with esophageal squamous cell carcinoma (ESCC) who have undergone neoadjuvant chemotherapy (NAC) and surgery, with separate analysis of lymphatic and venous invasion being infrequently studied.
  • A study involving 427 ESCC patients found that those with venous invasion alone had notably worse survival rates and higher recurrence risks, and those with both lymphatic and venous invasion faced the most severe outcomes.
  • The findings suggest that identifying patients with LVI, particularly those with both types of invasion, could lead to better-targeted postoperative treatments to improve their prognosis and manage the risk of distant metastases.
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  • - The study focuses on developing a deep learning model to automatically identify bleeding areas during laparoscopic hepatectomy, which can help improve safety in surgeries by enhancing hemostasis.
  • - Researchers used a dataset of 2203 annotated images from 44 laparoscopic videos, dividing them into training, validation, and test subsets, and employed a convolutional neural network for semantic segmentation.
  • - The evaluation metrics showed the model achieved precision of 0.76, recall of 0.79, and Dice coefficient of 0.77, indicating its potential for real-time alerts and training assessments in surgical practice.
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  • * Researchers reviewed 114 TPE cases but focused on 94 patients, comparing those who had primary suture closure with those who received p-ALT flap reconstruction.
  • * Results indicated that the p-ALT flap group experienced significantly fewer severe pelvic abscesses and EPS-related readmissions compared to the primary closure group, suggesting it is a more effective reconstruction method.
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Identification of cancer driver mutations in liquid-based cytology samples for the screening of endometrial diseases.

BJC Rep

November 2023

Division of Clinical Genome Research, Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo, Tokyo, 108-8639, Japan.

Background: Endometrial cancer (EC) is one of the leading causes of cancer death among women and early detection is crucial for its successful treatment. We previously showed that cytological examination combined with genetic analysis using liquid-based cytology (LBC) samples improved the diagnostic sensitivity of EC.

Methods: Among 218 individuals who underwent endometrial screening by LBC, 208 samples were analysed by cancer-panel sequencing.

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  • The study investigates non-acquired immunodeficiency syndrome-defining malignancies (NADMs) among people living with hemophilia and HIV in Japan, focusing on the period after the approval of direct-acting antivirals for hepatitis C virus (HCV).
  • A nationwide survey was conducted across 395 HIV treatment facilities, collecting data on 328 individuals from 2015 to 2022, which revealed that liver cancer was the most common NADM, accounting for 43% of cases identified.
  • The findings indicate a significantly higher rate of liver cancer and other malignancies in this population, particularly in younger patients, emphasizing the importance of regular cancer screening and preventive strategies for PLWH
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Strong Affinity between Astatine and Silver: An Available Approach to Anchoring At in Nanocarrier for Locoregional Oncotherapy.

Langmuir

November 2024

Key Laboratory of Radiation Physics and Technology of the Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu 610064, P. R. China.

Recently, At-related endoradiotherapy has emerged as an important oncotherapy strategy. Conjugating At with a nanocarrier provides a vital candidate for radionuclide therapy of various malignant tumors. In this study, we proposed utilizing the intrinsically high affinity of heavy halogens and sulfhydryl compounds for metallic silver to achieve highly efficient conjugation between At and Ag-based nanoparticles in a simple way.

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  • Researchers investigated whether SARS-CoV-2 RNA can be found on the skin of COVID-19 patients by analyzing skin surface lipids (SSLs) collected from their faces.
  • Using RT-PCR, they found that 84.6% of samples tested positive within 5 days of symptom onset, while only 30.4% tested positive between 6-10 days.
  • The study also revealed an increase in specific genes related to the immune response in the skin samples, highlighting a new method for detecting the virus and studying its impact on human health non-invasively.
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  • This study focused on creating a deep-learning model to recognize the surgical steps involved in laparoscopic right-sided colectomy (LAP-RC) using annotated video data.
  • A dataset of surgical videos was analyzed, breaking them down into various steps of the procedure, which were then classified for training and testing the model.
  • The model achieved an overall accuracy of 72.1% for eight steps and 82.9% for a simplified version with five steps, showing promise for aiding in the standardization of LAP-RC surgeries.
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Epidemic of multiple Treponema pallidum strains in men who have sex with men in Japan: efficient multi-locus sequence typing scheme and indicator biomarkers.

AIDS Res Ther

October 2024

Department of Infectious Diseases and Applied Immunology, IMSUT Hospital of The Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan.

Article Synopsis
  • This study investigates the molecular epidemiology of syphilis in Japanese men who have sex with men (MSM), focusing on the relationship between bacteremia and disease effects.
  • Researchers analyzed whole blood samples from syphilis-positive MSM predominantly living with HIV in Tokyo between 2019 and 2022 using multi-locus sequence typing for genetic analysis.
  • Findings show the presence of two main strains of Treponema pallidum and a significant correlation between the detection of a specific genetic marker and elevated C-reactive protein levels, suggesting active infection.
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Objectives: Few reports have detailed improvements in the quality of colonoscopies with continuous training post-fellowship completion. We examined the changes in colonoscopy performance among trainees during our advanced endoscopy training program.

Methods: Screening or surveillance colonoscopies performed by 11 trainees who participated in our 3-year advanced endoscopy training program between April 2015 and March 2020 were retrospectively analyzed.

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  • The study explores [At]At-NpG-PSMA, a new alpha therapy targeting PSMA for treating metastatic castration-resistant prostate cancer (mCRPC), addressing issues of stability and deastatination that hindered the use of astatine-211 (At).
  • In mouse models, [At]At-NpG-PSMA showed significant tumor uptake and effective dose-dependent anti-tumor effects, with much lower uptake in non-target organs, indicating precision in targeting cancer cells.
  • The findings suggest that [At]At-NpG-PSMA is a promising treatment option for mCRPC, demonstrating stability, effectiveness, and minimal side effects, warranting further
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Real-world trends in acute viral hepatitis in Japan: A nationwide questionnaire-based survey.

Hepatol Res

October 2024

Division of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

Aim: The actual incidence of acute viral hepatitis in Japan remains unclear. We aimed to investigate trends in the incidence of acute hepatitis B and C infections in Japan.

Methods: A nationwide, multicenter, retrospective questionnaire-based survey was conducted.

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Unlabelled: Ventricular assist device (VAD) infections are frequent causes of hospital readmission. The risk factors and optimal preventive strategies for such, including chronic suppressive antibiotics (CSA), remain uncertain. We performed a single-center, retrospective, observational cohort study assessing continuous flow VAD recipients who underwent implantation between 2008 and 2018 in Japan.

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Background: Robotic-assisted surgery has become increasingly popular worldwide in recent years. This study aimed to compare the surgical outcomes of robotic total gastrectomy (RTG) and laparoscopic total gastrectomy (LTG) to figure out the advantages of RTG.

Methods: The eligible cases in this study were patients who underwent RTG or LTG for gastric adenocarcinoma at our hospital from January 2014 to December 2022.

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Mechanistic Insights into the Effect of Sodium Iodide on Copper-Mediated Iododeboronation.

Chemistry

December 2024

Laboratory of Analytical and Bioinorganic Chemistry, Division of Analytical and Physical Sciences, Kyoto Pharmaceutical University, 5 Nakauchi-cho, Misasagi, Yamashina-ku, Kyoto, 607-8414, Japan.

The copper-catalyzed Chan-Evans-Lam (CEL) coupling reaction advances carbon-heteroatom cross-coupling and has facilitated the development of radiohalogenation methodologies in radiochemistry. This study investigated the mechanisms and side reactions of CEL iodination under conditions relevant to radiosynthesis and typical organic synthesis, focusing on the effects of sodium iodide. The concentrations of copper and iodide, as well as the copper-to-iodide ratio, were identified as significant factors for successful copper-mediated CEL iodination, influencing the reaction mechanisms and side reactions.

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Article Synopsis
  • The study assesses the effects of Japan's 2021 Ordinance revision on radiation safety practices, particularly in hospitals and the role of radiology technologists.
  • A two-phase web-based survey was conducted among hospitals to gather data on radiation worker management and facility resources.
  • Results showed an increase in use of lens-specific dosimeters but only minor improvements in protective eyewear availability and consistent involvement of technologists, with larger hospitals generally following better safety protocols.
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