Publications by authors named "Noriyuki Fujima"

Purpose: To evaluate and compare the image quality and lesion conspicuity of prostate T2-weighted imaging (T2WI) using four reconstruction methods: conventional Sensitivity Encoding (SENSE), compressed sensing (CS), model-based deep learning reconstruction (DL), and deep learning super-resolution reconstruction (SR).

Methods: This retrospective study included 49 patients who underwent multiparametric MRI (mpMRI) or biparametric MRI (bpMRI) for suspected prostate cancer. Axial T2WI was acquired using two protocols: conventional SENSE and CS-based acquisition.

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Purpose: To evaluate the effect of model-based deep-learning reconstruction (DLR) compared with that of compressed sensing-sensitivity encoding (CS) on cine cardiac magnetic resonance (CMR).

Methods: Cine CMR images of 10 healthy volunteers were obtained with reduction factors of 2, 4, 6, and 8 and reconstructed using CS and DLR. The visual image quality scores assessed sharpness, image noise, and artifacts.

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Objectives: To develop a convolutional neural network (CNN) model to diagnose thyroid cartilage invasion by laryngeal and hypopharyngeal cancers observed on computed tomography (CT) images and evaluate the model's diagnostic performance.

Methods: We retrospectively analyzed 91 cases of laryngeal or hypopharyngeal cancer treated surgically at our hospital during the period April 2010 through May 2023, and we divided the cases into datasets for training (n = 61) and testing (n = 30). We reviewed the CT images and pathological diagnoses in all cases to determine the invasion positive- or negative-status as a ground truth.

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Negative remodeling, characterized by a decrease in the outer diameter of the terminal (C1) segment of the internal carotid artery and the proximal (M1) segment of the middle cerebral artery, is a hallmark of moyamoya disease. However, the role of the disease-susceptibility gene RNF213 in negative remodeling in moyamoya disease remains unclear. This study investigated the effect of RNF213 p.

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Purpose: To assess the utility of dual-type deep learning (DL)-based image reconstruction with DL-based image denoising and super-resolution processing by comparing images reconstructed with the conventional method in head and neck fat-suppressed (Fs) T2-weighted imaging (T2WI).

Materials And Methods: We retrospectively analyzed the cases of 43 patients who underwent head/neck Fs-T2WI for the assessment of their head and neck lesions. All patients underwent two sets of Fs-T2WI scans with conventional- and DL-based reconstruction.

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The advances in artificial intelligence (AI) technology in recent years have been remarkable, and the field of radiology is at the forefront of applying and implementing these technologies in daily clinical practice. Radiologists must keep up with this trend and continually update their knowledge. This narrative review discusses the application of artificial intelligence in the field of musculoskeletal imaging.

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This study aimed to determine the effect of simulation training using a 3-dimensionally (3D) printed patient-specific vascular model on the advanced vascular catheterization skills of experienced interventional radiologists. Two specific anatomical types of 3D-printed patient-specific models from 2 patients with challenging celiac axis arterial anatomy were constructed. The Global Rating Scale of Endovascular Performance (GRS-EP) was used to evaluate vascular insertion skills.

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Ventricular tachycardia (VT) is a severe arrhythmia commonly treated with implantable cardioverter defibrillators, antiarrhythmic drugs and catheter ablation (CA). Although CA is effective in reducing recurrent VT, its impact on survival remains uncertain, especially in patients with extensive scarring. Stereotactic arrhythmia radioablation (STAR) has emerged as a novel treatment for VT in patients unresponsive to CA, leveraging techniques from stereotactic body radiation therapy used in cancer treatments.

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In this narrative review, we review the applications of artificial intelligence (AI) into clinical magnetic resonance imaging (MRI) exams, with a particular focus on Japan's contributions to this field. In the first part of the review, we introduce the various applications of AI in optimizing different aspects of the MRI process, including scan protocols, patient preparation, image acquisition, image reconstruction, and postprocessing techniques. Additionally, we examine AI's growing influence in clinical decision-making, particularly in areas such as segmentation, radiation therapy planning, and reporting assistance.

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The integration of deep learning (DL) in breast MRI has revolutionized the field of medical imaging, notably enhancing diagnostic accuracy and efficiency. This review discusses the substantial influence of DL technologies across various facets of breast MRI, including image reconstruction, classification, object detection, segmentation, and prediction of clinical outcomes such as response to neoadjuvant chemotherapy and recurrence of breast cancer. Utilizing sophisticated models such as convolutional neural networks, recurrent neural networks, and generative adversarial networks, DL has improved image quality and precision, enabling more accurate differentiation between benign and malignant lesions and providing deeper insights into disease behavior and treatment responses.

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Article Synopsis
  • Interventional oncology uses image-guided therapies like tumor embolization and ablation to treat malignant tumors minimally invasively, and AI is gaining traction in this field.
  • Recent literature shows a spike in studies exploring AI applications for tasks such as automatic segmentation, treatment simulation, and predicting treatment outcomes, with the latter being the most researched area.
  • Although many AI methods are still in the research phase and not widely used in clinical settings, the rapid advancements indicate that AI technologies will likely be integrated into interventional oncology practices soon.
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  • - This review investigates the role of Large Language Models (LLMs) in nuclear medicine, particularly focusing on imaging techniques like PET and SPECT, highlighting recent advancements in both fields.
  • - It discusses current developments in nuclear medicine and how LLMs are being used in related areas like radiology for tasks such as report generation and image interpretation, with the potential to improve medical practices.
  • - Despite the promise of LLMs, challenges like reliability, explainability, and ethical concerns need to be addressed, making further research essential for integrating these technologies into nuclear medicine effectively.
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  • The study aimed to evaluate the quality of deep learning-reconstructed fluid-attenuated inversion recovery (DLR-FLAIR) images from undersampled data and compare them to fully sampled standard FLAIR images.
  • Thirty patients with white matter hyperintensities were examined, with fully sampled images taken and accelerated images created using one-third of that data through deep learning.
  • Results showed that DLR-FLAIR images had significantly less noise and better quality, as rated by neuroradiologists, and closely matched the visibility of hyperintensities found in standard FLAIR images, with 97% rated as nearly identical.
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  • MRI is crucial for diagnosing pelvic issues related to organs like the prostate, bladder, and uterus, and uses RADS to standardize the process.
  • AI technologies, including machine learning, are being integrated into pelvic MRI to enhance various steps of diagnosis, especially for prostate imaging.
  • Recent multi-center studies highlight how AI can improve the effectiveness and reliability of pelvic MRI diagnostics by making findings more generalizable across different healthcare settings.
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  • The study aimed to evaluate the effectiveness of model-based deep learning reconstruction (DL-DWI) in improving prostate diffusion-weighted imaging (DWI) compared to traditional parallel imaging (PI-DWI).
  • Researchers analyzed 32 patients with prostate cancer and found that DL-DWI significantly outperformed PI-DWI in terms of image quality, as shown by both qualitative and quantitative measures.
  • The results indicated that DL-DWI provided better signal-to-noise ratio, contrast-to-noise ratio, and diffusion coefficient values for prostate tissues and lesions; however, the study lacked comparisons with other deep learning methods, highlighting a need for future research.
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  • This study aimed to evaluate how well lenticulostriate arteries (LSAs) can be seen using advanced imaging techniques, specifically comparing deep learning-based reconstruction with traditional methods.
  • It involved five healthy volunteers and analyzed high-resolution images with varying levels of data reduction to assess the visibility and quality of LSAs as recognized by radiologists.
  • Results showed that deep learning reconstruction improved the visibility and quality of LSAs compared to conventional methods, particularly at higher data reduction levels, making it a potentially better option for medical imaging.
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  • Mechanical thrombectomy is effective for acute ischemic stroke but can be challenging in about 10% of cases due to type III aortic arches, which complicate procedures.
  • This study evaluated 203 patients and focused on 23 with type III aortic arches, comparing the effectiveness of two catheter types (Simmons vs. JB-2) during thrombectomy.
  • Results showed that using a Simmons catheter significantly reduced the time from puncture to recanalization, suggesting that proper catheter selection can enhance outcomes for patients with challenging aortic anatomies.
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  • * This review examines the environmental challenges associated with AI systems, such as greenhouse gas emissions from data centers and electronic waste, while also proposing solutions like energy-efficient models and renewable energy usage.
  • * It highlights the need for sustainable practices in AI deployment, suggesting policies, collaboration, and eco-friendly approaches, to ensure that AI advancements do not compromise environmental health.
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Background: Human papillomavirus (HPV) status plays a major role in predicting oropharyngeal squamous cell carcinoma (OPSCC) survival. This study assesses the accuracy of a fully automated 3D convolutional neural network (CNN) in predicting HPV status using CT images.

Methods: Pretreatment CT images from OPSCC patients were used to train a 3D DenseNet-121 model to predict HPV-p16 status.

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Purpose: It is difficult to precisely predict indirect bypass development in the context of combined bypass procedures in moyamoya disease (MMD). We aimed to investigate the predictive value of magnetic resonance angiography (MRA) signal intensity in the peripheral portion of the major cerebral arteries for indirect bypass development in adult patients with MMD.

Methods: We studied 93 hemispheres from 62 adult patients who underwent combined direct and indirect revascularization between 2005 and 2019 and genetic analysis for RNF213 p.

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Purpose: Prolonged scanning of time-resolved 3D phase-contrast MRI (4D flow MRI) limits its routine use in clinical practice. An echo-planar imaging (EPI)-based sequence and compressed sensing can reduce the scan duration. We aimed to determine the impact of EPI for 4D flow MRI on the scan duration, image quality, and quantitative flow metrics.

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Article Synopsis
  • Deep Learning (DL) has advanced diagnostic radiology by improving image analysis, and the introduction of Transformer architecture and Large Language Models (LLMs) has further transformed this area.* -
  • LLMs can streamline the radiology workflow, aiding in tasks like report generation and diagnostics, especially when combined with multimodal technology for enhanced applications.* -
  • However, challenges like information inaccuracies and biases remain, and radiologists need to understand these technologies better to maximize their benefits while ensuring medical safety and ethical standards.*
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  • This study compared the image quality of two types of diffusion-weighted imaging (DWI) techniques: echo planar imaging with compressed sensing-sensitivity encoding (EPICS-DWI) and conventional parallel imaging (PI-DWI) in healthy volunteers.
  • Results showed that EPICS-DWI produced significantly higher signal-to-noise ratios (SNR) and better overall image quality at acceleration factors of 3 and 4 when compared to PI-DWI, although there were no significant differences in apparent diffusion coefficients (ADC) between the two methods.
  • Despite EPICS-DWI showing improved quality, it also displayed a higher degree of image distortion at lower acceleration factors, indicating that optimal parameter settings are crucial for achieving the best imaging results.
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  • The study aimed to compare deep learning (DL)-based image reconstruction with traditional compressed sensing (CS) methods for enhancing fat-suppressed contrast-enhanced 3D T1-weighted images (T1WIs) of the head and neck.
  • Researchers analyzed images from 39 patients and evaluated them qualitatively (image quality, anatomical structure visibility, etc.) and quantitatively (signal-to-noise ratios and contrast-to-noise ratios).
  • Results showed that DL-based reconstruction significantly improved image quality and quantitative metrics, suggesting it is a more effective technique for assessing head and neck conditions than conventional CS methods.
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