647 results match your criteria: "Yamaguchi University Hospital[Affiliation]"

Introduction: This study investigated the feasibility of single breath-hold (BH) diffusion-weighted MR imaging (DWI) using deep learning reconstruction (DLR) compared to navigator triggered (NT) DWI in patients with malignant liver tumors.

Methods: This study included 91 patients who underwent both BH-DWI and NT-DWI with 3T MR system. Abdominal MR images were subjectively analyzed to compare visualization of liver edges, presence of ghosting artifacts, conspicuity of malignant liver tumors, and overall image quality.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examines the need for larger diagnostic catheters (like the JL5) for left coronary angiography (CAG) in patients with a dilated ascending aorta, focusing on aortic parameters that impact this decision.
  • - Researchers compared two patient groups based on the catheter used (JL4 vs. JL5) and found that those needing the JL5 had longer procedures, more contrast used, and significant differences in aortic measurements.
  • - Results indicated that a maximum ascending aorta area greater than 1111.2 mm is a key predictor for using the JL5 catheter, suggesting that starting with a larger catheter may improve procedures for patients with an ascending aorta diameter over 38 mm.
View Article and Find Full Text PDF

Trans-resveratrol (Res) has been reported to possess many biological activities, including neuroprotective effects, owing to its anti-inflammatory and antioxidant properties. However, Res has very low water solubility, which limits its therapeutic application. In this work, we formulated water-soluble micellar formulations incorporating Res using polyethylene glycol monostearate (stPEG).

View Article and Find Full Text PDF

Background: Restenosis after carotid artery stenting (CAS) is associated with the risk of developing ischemic stroke. We aimed to evaluate the inhibitory effect of cilostazol addition on in-stent restenosis (ISR) in patients treated with CAS.

Methods: In a randomized, open-label, blind-end point trial, patients with symptomatic and asymptomatic carotid artery stenosis and scheduled for CAS were randomly assigned to adding cilostazol (50 or 100 mg, twice per day) on other antiplatelets from 3 days before CAS or not adding cilostazol.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examined the role of programmed cell death-ligand 1 (PD-L1) expression and epidermal growth factor receptor (EGFR) mutations as biomarkers for lung adenocarcinoma, analyzing data from 847 patients across 21 centers in Japan from 2015 to 2018.
  • - Results showed that while PD-L1 expression was linked to shorter recurrence-free survival (RFS) in both EGFR-mutant and wild-type patients, it had no effect on overall survival (OS) in EGFR-mutant patients.
  • - The findings suggest that PD-L1 expression is a poor predictor of OS for EGFR-mutant patients and does not influence the effectiveness of post-relapse treatment with EGFR-
View Article and Find Full Text PDF

Postmortem temporal chest CT and its pathological correlation in piglets.

J Med Invest

October 2024

Department of Radiology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan.

Post-mortem computed tomography (PMCT) is a useful tool to investigate the cause of death. To appropriately use PMCT for cause-of-death analysis, it is necessary to know natural courses after death such as hypostasis in the lungs. We aimed to investigate the natural time-course change of postmortem chest CT findings and its pathological correlation in piglets.

View Article and Find Full Text PDF

Fibroblast growth factor receptors (FGFRs) are a highly conserved family of transmembrane receptor tyrosine kinases with multiple roles in the regulation of key cellular processes. Specific FGFR mutations have been observed in several types of cancers, including gastric carcinoma and cholangiocarcinoma. Dose escalation data of 24 Japanese patients with solid tumors treated with Tasurgratinib (previously known as E7090), a potent, selective FGFR1-3 inhibitor, was reported in a phase I, first-in-human, single-center study.

View Article and Find Full Text PDF

Introduction: Patients with hepatitis virus-related hepatocellular carcinoma (viral HCC) are decreasing as hepatitis control improves, but those with non-viral-related HCC (non-viral HCC) are increasing in Japan. No established surveillance system exists for patients with non-viral HCC, so they are often diagnosed at an advanced stage. To address this, we performed this study.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the connection between left atrial volume index (LAVI) changes after catheter ablation (CA) for persistent atrial fibrillation (AF) and the risk of long-term major adverse clinical events (MACE).
  • Data from 150 patients were analyzed, finding that those with both high pre-CA and post-CA LAVI values experienced significantly more MACE.
  • The findings suggest that evaluating both pre- and post-procedural LAVI can help predict patients' risk for long-term complications following CA.
View Article and Find Full Text PDF

Background: In Japan, the authorized period (2-4 h) between oral administration of 5-aminolevulinic acid hydrochloride (5-ALA) and transurethral resection for non-muscle invasive bladder cancer (NMIBC) may restrict photodynamic diagnosis (PDD) usage. Therefore, this prospective, single-arm, phase III study aimed to evaluate the diagnostic accuracy and safety of PDD at an extended administration period (4-8 h).

Methods: From January 2022 to May 2023, 161 patients with NMIBC were enrolled from eight hospitals.

View Article and Find Full Text PDF

Factors associated with non-intervention of antifibrotic agents in IPF patients.

Respir Investig

November 2024

Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.

Background: The efficacy of antifibrotic agents in idiopathic pulmonary fibrosis (IPF) has been demonstrated and early introduction is recommended, especially in patients with preserved performance status (PS). We aimed to determine the proportion of untreated IPF cases using real-world data and to assess the factors associated with non-intervention.

Methods: A prospective observational study using questionnaires was performed on 518 patients with interstitial lung disease (ILD) and their attending physicians who visited a clinic, general hospital, or tertiary respiratory center between December 2019 and October 2020.

View Article and Find Full Text PDF
Article Synopsis
  • Interprofessional education (IPE) can improve pharmacy students' understanding of teamwork in healthcare by teaching them the roles of other medical professions during clinical practice.
  • In a study with 68 pharmacy students, those who participated in IPE showed greater improvements in specific behavioral objectives and social skills compared to those who did not.
  • The findings indicate that implementing IPE in clinical training can enhance students' preparedness for effective collaboration in multidisciplinary healthcare teams.
View Article and Find Full Text PDF
Article Synopsis
  • Durvalumab plus tremelimumab (Durva/Treme) is the first-line immunotherapy option for patients with unresectable hepatocellular carcinoma (HCC), with a reported objective response (OR) rate of 15.5%.
  • The study involved 110 patients and aimed to identify whether changes in tumor markers, specifically alpha-fetoprotein (AFP) and des-gamma-carboxy prothrombin (DCP), could serve as predictive biomarkers for treatment response, using data collected both before and four weeks after treatment.
  • It was found that higher baseline AFP levels (≥ 400 ng/mL) significantly correlated with better OR rates, and a ≥10% reduction in AFP or DCP
View Article and Find Full Text PDF

Introduction: As the incidence of gastric cancer (GC) is increasing in East Asia including Japan, a simple blood test for early GC is needed as an alternative to upper gastrointestinal (UGI) endoscopy. We performed this study to address this issue.

Methods: We collected serum samples from 319 participants comprising 225 healthy subjects without GC (control group) and 94 patients with early GC (early GC group).

View Article and Find Full Text PDF
Article Synopsis
  • The article aims to provide evidence-based recommendations for diagnosing abnormal uterine bleeding.
  • A systematic literature search in PubMed was conducted to gather relevant data, leading to the formulation of background, clinical, and future research questions by an expert panel.
  • The study resulted in the creation of a diagnostic flowchart and nine tailored recommendations for effectively identifying the underlying causes of abnormal uterine bleeding, specifically adapted for the Japanese context.
View Article and Find Full Text PDF

Immune checkpoint inhibitor (ICI)-induced adverse events due to excessive immune stimulation are problematic in immunotherapy. The activation of viral infection triggered by ICI-induced dysregulated immunity has been proposed; however, this association remains inconsistent. This study investigated the association between ICI administration and cytomegalovirus (CMV) infections, a pathogen linked to immune abnormalities and reactivation, using the Food and Drug Administration Adverse Event Reporting System.

View Article and Find Full Text PDF
Article Synopsis
  • * Initial treatment with cyclophosphamide and prednisolone failed and resulted in serious infections, prompting a shift to cord blood transplantation (CBT) after preconditioning.
  • * Post-transplantation, testing showed the disappearance of the STAT3 Y640F variant, indicating that CBT is a promising treatment for refractory T-LGLL and that this genetic marker can help monitor disease activity.
View Article and Find Full Text PDF

A 64-year-old woman presented with agranulocytosis, anemia, and bacteremia, leading to a diagnosis of T-cell large granular lymphocytic leukemia (T-LGLL). A molecular analysis identified a signal transducer and activator of transcription 3 (STAT3) Y640F variant. Initial treatment with cyclophosphamide and prednisolone did not improve her condition, but serious infections were observed.

View Article and Find Full Text PDF
Article Synopsis
  • The fecal immunochemical test (FIT) is commonly used for colorectal cancer screening but lacks sensitivity for advanced colorectal adenoma detection.
  • A study combined FIT with fecal DNA testing of methylated somatostatin (SST) to enhance diagnostic accuracy for advanced colorectal adenoma.
  • The new FAMS (FIT, age, methylated SST) index demonstrated significantly improved sensitivity (56.4%) compared to FIT alone (29.1%), suggesting it could be a more effective screening tool.
View Article and Find Full Text PDF

Background: Evidence on the efficacy of mamushi antivenom serum is limited.

Objective: To investigate the effectiveness of mamushi () antivenom serum.

Methods: The Observational Research Of the Clinical course after mamusHI bite (OROCHI) study was a prospective multicenter study conducted at 24 hospitals in Japan.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to examine the safety and effectiveness of neoadjuvant-modified FOLFIRINOX (mFOLFIRINOX) for elderly patients (over 75 years) with pancreatic cancer compared to younger patients (under 75 years).
  • Researchers analyzed data from 62 patients and found that while elderly patients experienced more nausea and elevated liver enzymes, overall severe adverse events were similar between both age groups.
  • The outcomes such as surgical resection rates and postoperative complications were not significantly different, suggesting that neoadjuvant mFOLFIRINOX is a viable treatment option for elderly pancreatic cancer patients.
View Article and Find Full Text PDF

A case of asymptomatic infection of Ascaris suum identified by PCR-restriction fragment length polymorphism and DNA sequence analysis.

Diagn Microbiol Infect Dis

September 2024

Division of Laboratory, Yamaguchi University Hospital, Ube 755-8505, Japan; Department of Oncology and Laboratory Medicine, Yamaguchi University Graduate School of Medicine, Ube 755-8505, Japan.

Human ascariasis is a soil-transmitted helminthiasis and remains a neglected tropical disease. Ascaris suum has the potential to cause cross-infections between humans and pigs. In this study, we present a rare case of a patient with asymptomatic infection by Ascaris suum.

View Article and Find Full Text PDF
Article Synopsis
  • Durvalumab plus tremelimumab (Dur/Tre) is approved for first-line treatment of unresectable hepatocellular carcinoma (u-HCC), but its real-world effectiveness is not well understood.
  • A study involving 120 patients found an objective response rate (ORR) of 15.8%, a disease control rate (DCR) of 53.3%, and a median progression-free survival (PFS) of 3.9 months, alongside a high rate of adverse events (AEs).
  • Although there was no significant difference in response and survival rates between those treated as first-line versus later-line, first-line therapy showed better disease control; careful management is needed for older patients or those with
View Article and Find Full Text PDF