90 results match your criteria: "Kagawa University Graduate School of Medicine[Affiliation]"

Objective: The aim of the present study was to investigate the expression of erythroblast transformation specific-1 related gene (ERG) in patients with glioblastoma (GB) before and after bevacizumab (Bev) therapy as a predictive and prognostic biomarker.

Methods: The present study used 58 GB tissues from 29 patients in 3 settings. Sixteen tumors were removed after neoadjuvant Bev administration (neoBev) and 13 represented newly diagnosed GB without previous Bev treatment (naïve Bev).

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  • - The study aimed to evaluate the growth and development of embryonic and fetal hearts using detailed ultrasound scans before 12 weeks of pregnancy.
  • - Researchers conducted transvaginal scans of 131 normal fetuses between 8 and 11 weeks, successfully measuring various cardiac parameters in 105 of them.
  • - The findings resulted in the creation of nomograms for key heart measurements, showing that certain parameters increased significantly with gestational age, while others remained consistent, enhancing our understanding of early cardiac development.
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  • * Methods: An analysis of 395 transvaginal scans conducted over a year revealed 9 cases of abnormal intra-amniotic structures, compared against 87 cases of low-lying placentas and 299 controls with normal outcomes.
  • * Results: The incidence of abnormal intra-amniotic structures was 2.28%. These cases were associated with higher rates of complications during delivery, emphasizing the importance of mid-second-trimester screening to improve perinatal health.
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  • This study evaluated the effectiveness and safety of durvalumab plus tremelimumab (Dur + Tre) for patients with unresectable hepatocellular carcinoma (uHCC) using a retrospective analysis of 37 patients from 2023 to 2024.
  • The first-line group showed a disease control rate of 80.9%, significantly surpassing the later-line group's 50%, while immune-related adverse events were reported in 24.3% of patients, mostly mild to moderate.
  • Overall, first-line Dur + Tre therapy proved more beneficial, with a high transition rate of 94.7% to second-line treatment following disease progression, indicating its potential as a preferred initial treatment option.
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  • The study aimed to evaluate the embryonic genital tubercle using transvaginal 3D ultrasound in the early weeks of gestation (8-10+6 weeks).
  • Researchers conducted 102 ultrasound scans and measured the genital tubercle angle (GTA) and length (GTL), assessing the agreement between different observers.
  • The findings showed no significant differences in GTA or GTL between male and female embryos during this period, but GTL increased steadily with gestation, indicating its growth in early pregnancy.
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  • The study investigates how esophageal varices change in patients with cirrhosis after achieving sustained virological response (SVR) using direct-acting antivirals (DAAs).
  • 243 patients were examined before and after DAA treatment, revealing that 14.8% experienced worsened varices post-SVR and 11.9% showed improvement.
  • The ALBI score at SVR12 was identified as a significant predictor for both worsening varices and the development of new varices, with specific cut-off values highlighting the risk.
  • Despite achieving SVR, patients with high ALBI scores remain at risk for negative changes in their esophageal varices.
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Aim: An association between hepatitis B core-related antigen (HBcrAg) kinetics and hepatocarcinogenesis during nucleoside (t)id analog (NA) treatment has recently been reported. HBcrAg kinetics and factors associated with HBcrAg response during tenofovir alafenamide (TAF) administration remain unclear. In this multicenter retrospective study, we aimed to clarify the efficacy and safety of TAF in treatment-naïve patients with chronic hepatitis B, focusing on the reduction in HBcrAg levels.

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Glioblastoma multiforme (GBM) acquires resistance to bevacizumab (Bev) treatment. Bev affects angiogenic factors other than vascular endothelial growth factor (VEGF), which are poorly understood. We investigated changes in angiogenic factors under and after Bev therapy, including angiopoietin-1 (ANGPT1), angiopoietin-2 (ANGPT2), placental growth factor (PLGF), fibroblast growth factor 2, and ephrin A2 (EphA2).

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Purpose: This multi-institutional phase I/II study was conducted to confirm the safety and explore the clinical utility of preoperative Bevacizumab (Bev) for newly diagnosed glioblastoma (GB).

Methods: Patients were enrolled based on magnetic resonance imaging (MRI) findings typically suggestive of GB. Preoperative Bev and temozolomide (TMZ) were administered at doses of 10 mg/kg on day 0 and 150 mg/m on days 1-5, respectively.

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This retrospective multicenter study analyzed 244 patients with unresectable hepatocellular carcinoma treated with lenvatinib (LEN) and atezolizumab + bevacizumab (Atezo + Bev) to examine the characteristics, treatment courses, and prognoses. The cases of patients who could achieve HCC downstaging from Barcelona Clinic Liver Cancer (BCLC) stage B or C to A or zero indicated the need for conversion therapy. The patients' prognoses with and without conversion therapy were compared.

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Objective: To investigate whether maintenance treatment could be safely and effectively performed with olaparib, olaparib plus bevacizumab and niraparib in platinum-sensitive advanced ovarian cancer at multiple institutions in Japan.

Methods: We investigated progression-free survival and adverse events in 117 patients with platinum-sensitive advanced ovarian cancer treated with maintenance therapy.

Results: The median progression-free survival of 117 patients was 20.

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  • The study aimed to illustrate shunt flow in small ventricular septal defects (VSDs) using advanced imaging techniques like HDlive Flow and STIC.
  • Four cases of small isolated VSDs were analyzed using color Doppler and the mentioned imaging methods.
  • The findings suggest that HDlive Flow with STIC and HDlive Silhouette offers better visualization of shunt flow compared to traditional color Doppler methods, enhancing real-time spatial recognition.
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Background/aim: To determine if maintenance treatment can be performed effectively and safely in patients with platinum-sensitive relapsed ovarian cancer.

Patients And Methods: We carried out a multi-center study to investigate progression-free survival (PFS) and adverse events (AEs) in 229 patients receiving maintenance treatment for platinum-sensitive relapsed ovarian cancer.

Results: The median PFS in the 229 patients with maintenance treatment was 14.

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  • This study examined the use of transvaginal color Doppler and HDlive imaging to assess umbilical cord cysts (UCCs) in early pregnancy, specifically before 11 weeks of gestation.
  • Out of 135 scans performed, 17 UCCs were identified, with their characteristics, locations, and blood flow analyzed.
  • The findings suggest that UCCs are relatively common, usually resolve on their own by 15 weeks, and are associated with positive neonatal outcomes, indicating they are typically benign.
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Embryonic and fetal tiny pericardial fluid collections at less than 12 weeks of gestation.

J Perinat Med

November 2023

Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Okayama, Japan.

Objectives: To describe embryonic and fetal tiny pericardial fluid collections (PFCs) using transvaginal sonography and HDlive Silhouette at less than 12 weeks of gestation.

Methods: During an 8-month period from November 2021 to June 2022, one-hundred and thirty transvaginal scans were performed for first-trimester dating, and eleven tiny PFCs of the embryo or fetus were identified at 8+4 - 11+3 weeks of gestation (three at 8, six at 9, and two at 11 weeks). HDlive Silhouette features of PFC were evaluated.

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Fetal brain activity and the free energy principle.

J Perinat Med

September 2023

Department of Gynecology, Miyake Ofuku Clinic, Okayama, Japan.

Objectives: To study whether the free energy principle can explain fetal brain activity and the existence of fetal consciousness via a chaotic dimension derived using artificial intelligence.

Methods: In this observational study, we used a four-dimensional ultrasound technique obtained to collect images of fetal faces from pregnancies at 27-37 weeks of gestation, between February and December 2021. We developed an artificial intelligence classifier that recognizes fetal facial expressions, which are thought to relate to fetal brain activity.

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Objectives: To describe prevalence, outcome, color Doppler, and HDlive Flow (Silhouette) with spatiotemporal image correlation (STIC) features of isolated tortuous ductus arteriosus in Japanese fetuses at 28-31 + 6 weeks of gestation.

Methods: During a 37-month period, 3,150 fetal screenings were performed at 28-31 + 6 weeks of gestation. Isolated tortuous ductus arteriosus was evaluated using color Doppler and HDlive Flow (Silhouette) with STIC.

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Risk factors for portopulmonary hypertension in patients with cirrhosis: a prospective, multicenter study.

Hepatol Int

February 2023

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nippon Medical School, 1-1-5Bunkyo-Ku, SendagiTokyo, 113-8603, Japan.

Article Synopsis
  • Tricuspid regurgitation pressure gradient (TRPG) measurement via echocardiography is critical for diagnosing portopulmonary hypertension (PoPH) in cirrhotic patients, and this study focuses on identifying factors linked to high TRPG levels.
  • Among 486 patients analyzed, 10.5% had TRPG values of 35 mmHg or higher, with factors such as being female, experiencing shortness of breath, and higher levels of brain natriuretic peptide (BNP) being significant indicators.
  • A scoring model was developed to predict high TRPG risk, demonstrating good accuracy and could help select patients who would benefit from further echocardiography investigations.
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Objective: To examine whether artificial intelligence can achieve discoveries regarding fetal brain activity.

Methods: In this observational study, the authors collected images of fetal faces using a four-dimensional ultrasound technique obtained from singleton pregnancies of outpatients in routine practice at 27 to 37 weeks of gestation between February 1 and December 31, 2021. The authors developed an artificial intelligence classifier to recognize seven facial expressions of fetuses, then applied it to video files of fetal facial images to generate the probabilities, as confidence scores, of each expression category.

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Aim: Cabozantinib (CAB), a multiple kinase inhibitor, has been approved for use in patients with previously treated unresectable hepatocellular carcinoma (uHCC). However, real-world clinical data are lacking, particularly clinical data regarding dose modifications of CAB. We analyzed the clinical outcomes of CAB in uHCC and compared treatment outcomes between the full- and reduced-dose groups.

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