Publications by authors named "Shintaro Ichikawa"

Purpose: To evaluate the efficacy of radiomic analysis applied to pretreatment gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced MRI (Gd-EOB-DTPA-MRI) for predicting the response to transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma.

Methods: Data and images from 40 consecutive patients (28 men, 12 women) who underwent pretreatment Gd-EOB-DTPA-MRI and a total of 52 TACE procedures for 75 non-treated hepatocellular carcinomas were retrospectively analyzed. Two radiologists manually outlined lesions on pretreatment arterial- and hepatobiliary-phase hepatic images to extract radiomic features.

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Purpose: To compare the lesion detectability of hypovascular liver metastases between 70-keV and 40-keV images from dual energy-computed tomography (CT) reconstructed with deep-learning image reconstruction (DLIR).

Methods: This multi-institutional, retrospective study included adult patients both pre- and post-treatment for gastrointestinal adenocarcinoma. All patients underwent contrast-enhanced CT with reconstruction at 40-keV and 70-keV.

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We examined the effect of rust due to freshwater on the provenance determination of iron artifacts, which is typically conducted based on elemental concentrations determined using nondestructive X-ray fluorescence (XRF) spectrometry. This was achieved by comparing a rusted iron sickle collected from farmland in Fukuoka, Japan before and after rust removal. The data were collected at 30 positions on the surface of the sample using nondestructive XRF spectrometry before and after rust removal.

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Objectives: This study aimed to compare 3-min delayed phase images with 5-min delayed phase images for quantifying hepatic extracellular volume fraction (ECV) using dual-energy CT.

Methods: Between January 2020 and July 2022, 80 consecutive patients with chronic liver disease (45 men and 35 women, mean age: 69.3 ± 10.

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Advancements in computed tomography (CT) technology, particularly the emergence of dual-energy CT (DE-CT) and photon-counting detector CT (PCD-CT), can improve detection, characterization, and treatment monitoring of focal liver lesions. DE-CT, through its ability to differentiate tissues with similar densities and produce diverse datasets, has enhanced lesion visibility and diagnostic precision. PCD-CT further advances imaging with superior spatial resolution and material decomposition capabilities, offering potential for complex diagnostic scenarios.

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Background: Immune-related pneumonitis (irP) is a severe immune-related adverse event that can occur after treatment with immune checkpoint inhibitors (ICIs); accurate monitoring and early diagnosis are crucial. Serum Krebs von den Lungen-6 (KL-6) and surfactant protein-D (SP-D) are used to diagnose and monitor the disease activity of various types of interstitial lung disease. This study evaluated the usefulness of KL-6 and SP-D for diagnosing irP in cancer patients receiving ICIs.

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Background And Objective: The association between interstitial lung abnormalities (ILA) and various conditions and diseases, including drug-related pneumonitis (DRP), has been reported. However, the association of the presence of ILA with developing DRP in patients undergoing cytotoxic agent-based chemotherapy, one of the standard treatments for malignancies, remains unclear. This warrants urgent investigation.

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Introduction: Leg length is an important consideration in total hip arthroplasty (THA) as leg length discrepancies (LLD) after THA cause poor outcomes and medical litigation. This study aimed to investigate the accuracy of computed tomography (CT)-based navigation with augmented reality (AR) technology for measuring intra-operative leg length change using anteroposterior radiography (two-dimensional, 2D) and CT (three-dimensional, 3D).

Materials And Methods: This study included 71 patients (75 hips) who underwent primary cementless THA in the supine position between June 2022 and November 2023 using the HoloNavi One.

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Plants use CO, water, and light energy to generate carbohydrates through photosynthesis. During daytime, these carbohydrates are polymerized, leading to the accumulation of starch granules in chloroplasts. The catabolites produced by the degradation of these chloroplast starch granules are used for physiological responses and plant growth.

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Article Synopsis
  • Immune-related pneumonitis (irP) is a significant side effect of immune checkpoint inhibitors, often relapsing after corticosteroid treatment, which complicates cancer therapy.* -
  • A study analyzed 56 patients with irP and found that 39.3% experienced relapses post-prednisolone therapy; significant risk factors included a radiographic pattern of organizing pneumonia and an onset of irP more than 100 days after starting treatment.* -
  • Identifying these risk factors is crucial for better managing irP in patients undergoing treatment, as it could lead to improved outcomes.*
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  • The study aimed to evaluate the effectiveness of deep learning reconstruction (DLR) on the quality of computed tomography hepatic arteriography (CTHA) images taken during transcatheter arterial chemoembolization (TACE).
  • Twenty-seven patients were analyzed using three different reconstruction algorithms: hybrid-iterative reconstruction (hybrid-IR), DLR with mild strength (DLR-M), and DLR with strong strength (DLR-S).
  • Results showed that DLR-S provided significantly better image quality, with higher signal-to-noise ratios and superior sharpness for vascular structures and tumors compared to the other algorithms, although feeder artery detection rates were similar across all methods.
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Obtaining an imaging diagnosis of various hepatobiliary and pancreatic disorders caused by certain drugs can often be challenging. Familiarity with these conditions may improve diagnostic accuracy and patient management. This review aimed to describe the imaging findings of drug-associated hepatobiliary and pancreatic disorders and identify suggestions for obtaining a correct diagnosis.

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Background And Objective: The lung immune prognostic index (LIPI), a simple index calculated from the blood lactate dehydrogenase level and derived neutrophil-to-lymphocyte ratio, is thought to be associated with host immune status. However, the utility of LIPI in patients with idiopathic interstitial pneumonias (IIPs) is unknown.

Methods: In this multicentre, retrospective, observational study, an association between LIPI and the survival of patients with IIPs was evaluated.

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Chloroplast starch granules (cpSGs) store energy harvested through photosynthesis in plants, and cpSG dynamics have important roles in plant energy metabolism and stress responses. To date, cpSGs have been visualized using several methods, such as iodine staining; however, no method can be used to specifically visualize cpSGs in living cells from various plant species. Here, we report a simple method to visualize cpSGs in living plant cells in various species by staining with fluorescein, a commonly used fluorescent dye.

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Aim: To determine risk factors associated with hepatocellular carcinoma (HCC) development following direct-acting antiviral (DAA) therapy.

Methods: We enrolled patients with chronic hepatitis C who underwent direct-acting antiviral therapy and achieved sustained virologic response at 12 weeks between 2012 and 2018. Subsequently, patients were followed up.

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Article Synopsis
  • A phase II study evaluated the effectiveness of oral prednisolone in treating immune-related pneumonitis (irP) in cancer patients after immune checkpoint inhibitors, focusing on the control rate over 6 and 12 weeks.
  • Of 57 enrolled patients, 56 completed the analysis; 91.1% had pneumonitis control at 6 weeks, but this dropped to 57.1% by 12 weeks, with some patients experiencing relapse.
  • Adverse effects were noted in 17.9% of patients, predominantly hyperglycemia, but no treatment-related deaths occurred during the study.
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Purpose: To assess inter-observer agreement and accuracy of LI-RADS v2018 for differentiating tumor in vein (TIV) from bland thrombus on gadoxetic acid-enhanced magnetic resonance imaging (Gx-MRI). Secondarily, to determine whether a multi-feature model improves accuracy compared to LI-RADS.

Methods: We retrospectively identified consecutive patients at risk for hepatocellular carcinoma with venous occlusion(s) reported on Gx-MRI.

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Since its introduction in the worldwide medical market, gadoxetic acid has attracted considerable interest. The year 2023 marks the 15th anniversary of the introduction of gadoxetic acid in Japan. Gadoxetic acid-enhanced magnetic resonance imaging (GA-MRI) is the predominantly performed contrast MRI examination for the liver.

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Background: Acute exacerbation of idiopathic interstitial pneumonias (AE-IIPs) induces permanent pulmonary dysfunction and is potentially lethal. The unpredictable occurrence of AE-IIPs remains an important clinical issue in the management of IIPs.

Methods: In this multicentre, retrospective, observational study, a predictive score for AE-IIPs was designed using clinical factors based on multivariate Fine-Gray analysis in patients with IIPs.

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MRI is widely used in clinical practice for detecting liver diseases. Since the introduction of gadoxetic acid, MRI has become the most effective modality for the detection and characterization of focal liver lesions. According to previous meta-analyses, the area under the receiver operating characteristic curve (AUROC) was 0.

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Article Synopsis
  • Tc-pyrophosphate myocardial scintigraphy (Tc-PYP) can help diagnose transthyretin cardiac amyloidosis (ATTR-CA), but false positives can arise from tracer buildup in the blood.
  • A study analyzed 164 patients using Tc-PYP imaging and found that the heart-to-mediastinum (H/M) ratio effectively distinguishes ATTR-CA from non-ATTR-CA cases.
  • The H/M ratio greater than 1.41 demonstrated excellent diagnostic accuracy with 100% sensitivity, suggesting it could serve as a reliable new indicator for ATTR-CA diagnosis.
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Unlabelled: Chloroplasts are organelles composed of sub-organellar compartments-stroma, thylakoids, and starch granules-and are surrounded by outer and inner envelope membranes (OEM and IEM, respectively). The chloroplast OEM and IEM play key roles not only as a barrier separating the chloroplast components from the cytosol but also in the interchange of numerous metabolites and proteins between the chloroplast interior and the cytosol. Fluorescent protein markers for the chloroplast OEM have been widely used to visualize the outermost border of chloroplasts.

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Purpose: To evaluate the feasibility of folded image training strategy (FITS) and the quality of images reconstructed using the improved model-based deep learning (iMoDL) network trained with FITS (FITS-iMoDL) for abdominal MR imaging.

Methods: This retrospective study included abdominal 3D T1-weighted images of 122 patients. In the experimental analyses, peak SNR (PSNR) and structure similarity index (SSIM) of images reconstructed with FITS-iMoDL were compared with those with the following reconstruction methods: conventional model-based deep learning (conv-MoDL), MoDL trained with FITS (FITS-MoDL), total variation regularized compressed sensing (CS), and parallel imaging (CG-SENSE).

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