81 results on '"Inokawa H"'
Search Results
2. Automated continuous quantitative measurement of proximal airways on dynamic ventilation CT: initial experience using an ex vivo porcine lung phantom
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Yamashiro T, Tsubakimoto M, Nagatani Y, Moriya H, Sakuma K, Tsukagoshi S, Inokawa H, Kimoto T, Teramoto R, and Murayama S
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Diseases of the respiratory system ,RC705-779 - Abstract
Tsuneo Yamashiro,1 Maho Tsubakimoto,1 Yukihiro Nagatani,2 Hiroshi Moriya,3 Kotaro Sakuma,3 Shinsuke Tsukagoshi,4 Hiroyasu Inokawa,5 Tatsuya Kimoto,5 Ryuichi Teramoto,6 Sadayuki Murayama1 1Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Nishihara, Okinawa; 2Department of Radiology, Shiga University of Medical Science, Otsu; 3Department of Radiology, Ohara General Hospital, Fukushima; 4CT Systems Division, 5Center for Medical Research and Development, Toshiba Medical Systems Corporation, Otawara; 6Corporate Manufacturing Engineering Center, Toshiba Corporation, Yokohama, Japan Background: The purpose of this study was to evaluate the feasibility of continuous quantitative measurement of the proximal airways, using dynamic ventilation computed tomography (CT) and our research software. Methods: A porcine lung that was removed during meat processing was ventilated inside a chest phantom by a negative pressure cylinder (eight times per minute). This chest phantom with imitated respiratory movement was scanned by a 320-row area-detector CT scanner for approximately 9 seconds as dynamic ventilatory scanning. Obtained volume data were reconstructed every 0.35 seconds (total 8.4 seconds with 24 frames) as three-dimensional images and stored in our research software. The software automatically traced a designated airway point in all frames and measured the cross-sectional luminal area and wall area percent (WA%). The cross-sectional luminal area and WA% of the trachea and right main bronchus (RMB) were measured for this study. Two radiologists evaluated the traceability of all measurable airway points of the trachea and RMB using a three-point scale. Results: It was judged that the software satisfactorily traced airway points throughout the dynamic ventilation CT (mean score, 2.64 at the trachea and 2.84 at the RMB). From the maximum inspiratory frame to the maximum expiratory frame, the cross-sectional luminal area of the trachea decreased 17.7% and that of the RMB 29.0%, whereas the WA% of the trachea increased 6.6% and that of the RMB 11.1%. Conclusion: It is feasible to measure airway dimensions automatically at designated points on dynamic ventilation CT using research software. This technique can be applied to various airway and obstructive diseases. Keywords: computed tomography, dynamic ventilation CT, airway, luminal area, wall area percent, COPD
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- 2015
3. A gate-defined silicon quantum dot molecule
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Liu, H. W., Fujisawa, T., Inokawa, H., Ono, Y., Fujiwara, A., and Hirayama, Y.
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Condensed Matter - Mesoscale and Nanoscale Physics - Abstract
We report electron transport measurements of a silicon double dot formed in multi-gated metal-oxide-semiconductor structures with a 15-nm-thick silicon-on-insulator layer. Tunable tunnel coupling enables us to observe an excitation spectrum in weakly coupled dots and an energy level anticrossing in strongly coupled ones. Such a quantum dot molecule with both charge and energy quantization provides the essential prerequisite for future implementation of silicon-based quantum computations., Comment: 11pages,3figures
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- 2008
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4. Pauli-Spin-Blockade Transport through a Silicon Double Quantum Dot
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Liu, H. W., Fujisawa, T., Ono, Y., Inokawa, H., Fujiwara, A., Takashina, K., and Hirayama, Y.
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Condensed Matter - Mesoscale and Nanoscale Physics - Abstract
We present measurements of resonant tunneling through discrete energy levels of a silicon double quantum dot formed in a thin silicon-on-insulator layer. In the absence of piezoelectric phonon coupling, spontaneous phonon emission with deformation-potential coupling accounts for inelastic tunneling through the ground states of the two dots. Such transport measurements enable us to observe a Pauli spin blockade due to effective two-electron spin-triplet correlations, evident in a distinct bias-polarity dependence of resonant tunneling through the ground states. The blockade is lifted by the excited-state resonance by virtue of efficient phonon emission between the ground states. Our experiment demonstrates considerable potential for investigating silicon-based spin dynamics and spin-based quantum information processing., Comment: 10 pages,3 figures
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- 2007
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5. Influences of series resistance and epitaxial doping densities on the terahertz performance of gallium nitride avalanche transit time source: A high-power 1.0 THz radiator
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Khan, S, primary, Acharyya, A, additional, Biswas, A, additional, Sarkar, B, additional, Inokawa, H, additional, and Dhar, R S, additional
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- 2020
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6. Microstructural characterization of silicon carbide reinforced dissimilar grade aluminium explosive clads
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Saravanan, S., primary, Inokawa, H., additional, Tomoshige, R., additional, and Raghukandan, K., additional
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- 2020
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7. P2.06-17 The Results of Tri-Modality Treatment with Extrapleural Pneumonectomy, Radiation, and Chemotherapy for Malignant Pleural Mesothelioma
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Okabe, K., primary, Inokawa, H., additional, Hayashi, M., additional, Okita, R., additional, and Furukawa, M., additional
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- 2019
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8. Formaldehyde production via partial oxidation of methanol over oxides of Cr, Mo and W supported on ceria-zirconia
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Inokawa, H, primary, Zaman, S F, additional, Driss, H, additional, Daous, M, additional, Al-Zahrani, A, additional, Miyaoka, H, additional, Ichikawa, T, additional, Kojima, Y, additional, and Petrov, L A, additional
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- 2018
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9. P2.06-27 Extrapleural Pneumonectomy, Radiation Therapy, and Chemotherapy for Epithelioid Malignant Pleural Mesothelioma
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Okabe, K., primary, Inokawa, H., additional, Hayashi, M., additional, Okita, R., additional, Furukawa, M., additional, and Yamamoto, M., additional
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- 2018
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10. Correction to "A compact analytical model for asymmetric single-electron tunneling transistors"
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Inokawa, H., primary and Takahasi, Y., additional
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- 2003
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11. A compact analytical model for asymmetric single-electron tunneling transistors
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Inokawa, H., primary and Takahashi, Y., additional
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- 2003
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12. A multiple-valued logic and memory with combined single-electron and metal-oxide-semiconductor transistors
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Inokawa, H., primary, Fujiwara, A., additional, and Takahashi, Y., additional
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- 2003
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13. Nitrogen in-situ doped poly buffer LOCOS: simple and scalable isolation technology for deep-submicron silicon devices
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Kobayashi, T., primary, Nakayama, S., additional, Miyake, M., additional, Okazaki, Y., additional, and Inokawa, H., additional
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- 1996
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14. Evaluation of a copper metallization process and the electrical characteristics of copper-interconnected quarter-micron CMOS
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Awaya, N., primary, Inokawa, H., additional, Yamamoto, E., additional, Okazaki, Y., additional, Miyake, M., additional, Arita, Y., additional, and Kobayashi, T., additional
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- 1996
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15. Sub-1/4-μm dual-gate CMOS technology using in-situ doped polysilicon for nMOS and pMOS gates
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Okazaki, Y., primary, Kobayashi, T., additional, Inokawa, H., additional, Nakayama, S., additional, Miyake, M., additional, Morimoto, T., additional, and Yamamoto, Y., additional
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- 1995
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16. Layered double hydroxide supported cobalt nanocluster: size control and the effect in catalytic hydrogen generation
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Mahpudz Aishah, Lim Siu Ling, Inokawa Hitoshi, Kusakabe Katsuki, and Tomoshige Ryuichi
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Environmental sciences ,GE1-350 - Abstract
Synthesizing metal nanoclusters with diameters smaller than 5nm is challenging, but desirable because of the high ratio of surface area to interior atom. However, in this report it was achieved by utilizing magnesium-aluminium layered double hydroxide (Mg/Al-LDH) as a host for cobalt citrate anion precursor, which was later reduced into cobalt nanoclusters (Co-NC). Size of the Co-NC was controlled by changing the concentration of cobalt-citrate (Co-citrate) precursor during anion exchange. XRD and FTIR showed that Co-citrate precursor was successfully intercalated on the LDH while nitrogen adsorption/desorption isotherms confirmed that mesopores in the sample were formed after chemical reduction. Furthermore, TEM/STEM observations confirmed the formation of Co-NC. It was also verified that reducing the concentration of Co-citrate from 4mM to 0.5mM resulted in a reduction in the size of Co-NC from 4.4 to 1.3 nm. However, catalytic hydrogen generation from sodium borohydride (NaBH4) hydrolysis experiment indicated that catalytic activity decreased as the size of Co-NC decreases. This is mainly attributed to the limitation in mass transport within the interlamellar space of the smaller cluster LDH compared to the bigger one. Overall, Co-NC-LDH is a promising catalyst for NaBH4 hydrolysis. However, an optimum Co-NC size is critical for enhanced catalytic activity.
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- 2021
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17. Sub-1/4-/spl mu/m dual-gate CMOS technology using in-situ doped polysilicon for nMOS and pMOS gates.
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Okazaki, Y., Kobayashi, T., Inokawa, H., Nakayama, S., Miyake, M., Morimoto, T., and Yamamoto, Y.
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- 1995
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18. Characterizing soluble immune checkpoint molecules and TGF-β 1,2,3 in pleural effusion of malignant pleural mesothelioma.
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Okita R, Senoo T, Mimura-Kimura Y, Mimura Y, Murakami T, Ikeda E, Okada M, Inokawa H, and Aoe K
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- Humans, Male, Female, Aged, Middle Aged, Retrospective Studies, Transforming Growth Factor beta3 metabolism, Biomarkers, Tumor metabolism, CTLA-4 Antigen metabolism, Immune Checkpoint Inhibitors therapeutic use, B7-H1 Antigen metabolism, Prognosis, Pleural Neoplasms metabolism, Pleural Neoplasms pathology, Aged, 80 and over, Programmed Cell Death 1 Receptor metabolism, Adult, Mesothelioma, Malignant metabolism, Mesothelioma, Malignant pathology, Mesothelioma, Malignant drug therapy, Pleural Effusion, Malignant metabolism, Pleural Effusion, Malignant pathology, Pleural Effusion, Malignant immunology, Transforming Growth Factor beta1 metabolism, Transforming Growth Factor beta2 metabolism, Immune Checkpoint Proteins metabolism, Immune Checkpoint Proteins genetics
- Abstract
The clinical impact of soluble molecules in pleural effusion (PE) is unclear in patients with malignant pleural mesothelioma (MPM). In this single-center, retrospective, observational study, we assessed soluble forms of cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), programmed cell death protein 1 (PD-1), and PD-1 ligand 1 (PD-L1) using enzyme-linked immunosorbent assays; three TGF-β isoforms were measured via multiplex assay in PE of patients with fibrinous pleuritis (FP) or MPM, to assess relationships between the levels of six molecules, clinicopathological characteristics, and efficacy of immune checkpoint inhibitors. Soluble forms of CTLA-4, PD-L1, PD-1, TGF-β
1 , TGF-β2 , and TGF-β3 were variably produced in PE of FP (n = 34) and MPM (n = 79); we found significant relationships between the six molecules and clinicopathological features. Although none of the three soluble immune checkpoint molecules showed diagnostic or prognostic effects in patients with MPM, TGF-β2 level in PE is a useful differential diagnostic marker between FP and MPM. Both TGF-β1 and TGF-β3 levels are promising prognostic markers for MPM. Moreover, we found that higher baseline levels of PD-1 soluble forms predicted the response to anti-PD1 monotherapy. Our findings identify novel diagnostic, prognostic, and predictive biomarkers for anti-PD1 therapy in patients with MPM., (© 2024. The Author(s).)- Published
- 2024
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19. Edge-Terminated AlGaN/GaN/AlGaN Multi-Quantum Well Impact Avalanche Transit Time Sources for Terahertz Wave Generation.
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Ghosh M, Deb SB, Acharyya A, Biswas A, Inokawa H, Satoh H, Banerjee A, Seteikin AY, and Samusev IG
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In our pursuit of high-power terahertz (THz) wave generation, we propose innovative edge-terminated single-drift region (SDR) multi-quantum well (MQW) impact avalanche transit time (IMPATT) structures based on the Al
x Ga1- x N/GaN/Alx Ga1- x N material system, with a fixed aluminum mole fraction of x = 0.3. Two distinct MQW diode configurations, namely p+ -n junction-based and Schottky barrier diode structures, were investigated for their THz potential. To enhance reverse breakdown characteristics, we propose employing mesa etching and nitrogen ion implantation for edge termination, mitigating issues related to premature and soft breakdown. The THz performance is comprehensively evaluated through steady-state and high-frequency characterizations using a self-consistent quantum drift-diffusion (SCQDD) model. Our proposed Al0.3 Ga0.7 N/GaN/Al0.3 Ga0.7 N MQW diodes, as well as GaN-based single-drift region (SDR) and 3C-SiC/Si/3C-SiC MQW-based double-drift region (DDR) IMPATT diodes, are simulated. The Schottky barrier in the proposed diodes significantly reduces device series resistance, enhancing peak continuous wave power output to approximately 300 mW and DC to THz conversion efficiency to nearly 13% at 1.0 THz. Noise performance analysis reveals that MQW structures within the avalanche zone mitigate noise and improve overall performance. Benchmarking against state-of-the-art THz sources establishes the superiority of our proposed THz sources, highlighting their potential for advancing THz technology and its applications.- Published
- 2024
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20. Inter-individual variations in circadian misalignment-induced NAFLD pathophysiology in mice.
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Koike N, Umemura Y, Inokawa H, Tokuda I, Tsuchiya Y, Sasawaki Y, Umemura A, Masuzawa N, Yabumoto K, Seya T, Sugimoto A, Yoo SH, Chen Z, and Yagita K
- Abstract
Pathological consequences of circadian misalignment, such as shift work, show considerable individual differences, but the lack of mechanistic understanding hinders precision prevention to prevent and mitigate disease symptoms. Here, we employed an integrative approach involving physiological, transcriptional, and histological phenotypes to examine inter-individual differences in pre-symptomatic pathological progression, preceding irreversible disease onset, in wild-type mice exposed to chronic jet-lag (CJL). We observed that CJL markedly increased the prevalence of hepatic steatosis with pronounced inter-individual differences. Stratification of individual mice based on CJL-induced hepatic transcriptomic signature, validated by histopathological analysis, pinpoints dysregulation of lipid metabolism. Moreover, the period and power of intrinsic behavioral rhythms were found to significantly correlate with CJL-induced gene signatures. Together, our results suggest circadian rhythm robustness of the animals contributes to inter-individual variations in pathogenesis of circadian misalignment-induced diseases and raise the possibility that these physiological indicators may be available for predictive hallmarks of circadian rhythm disorders., Competing Interests: The authors declare no competing interests., (© 2024 The Authors.)
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- 2024
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21. NOTCH1 and CREBBP co-mutations negatively affect the benefit of adjuvant therapy in completely resected EGFR-mutated NSCLC: translational research of phase III IMPACT study.
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Ikeda S, Tsuboi M, Sakai K, Misumi T, Akamatsu H, Shoda H, Sakakura N, Nakamura A, Ohde Y, Hayashi H, Okishio K, Okada M, Yoshino I, Okami J, Takahashi K, Ikeda N, Tanahashi M, Tambo Y, Saito H, Toyooka S, Inokawa H, Chen-Yoshikawa T, Yokoyama T, Okamoto T, Yanagitani N, Oki M, Takahama M, Sawa K, Tada H, Nakagawa K, Mitsudomi T, and Nishio K
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- Humans, Gefitinib, Cyclic AMP Response Element-Binding Protein, Translational Research, Biomedical, ErbB Receptors genetics, Cisplatin, Vinorelbine therapeutic use, Mutation genetics, Protein Kinase Inhibitors adverse effects, Receptor, Notch1 genetics, CREB-Binding Protein genetics, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung surgery, Lung Neoplasms drug therapy, Lung Neoplasms genetics, Lung Neoplasms surgery
- Abstract
The phase III IMPACT study (UMIN000044738) compared adjuvant gefitinib with cisplatin plus vinorelbine (cis/vin) in completely resected epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC). Although the primary endpoint of disease-free survival (DFS) was not met, we searched for molecular predictors of adjuvant gefitinib efficacy. Of 234 patients enrolled in the IMPACT study, 202 patients were analyzed for 409 cancer-related gene mutations and tumor mutation burden using resected lung cancer specimens. Frequent somatic mutations included tumor protein p53 (TP53; 58.4%), CUB and Sushi multiple domains 3 (CSMD3; 11.8%), and NOTCH1 (9.9%). Multivariate analysis showed that NOTCH1 co-mutation was a significant poor prognostic factor for overall survival (OS) in the gefitinib group and cAMP response element binding protein (CREBBP) co-mutation for DFS and OS in the cis/vin group. In patients with NOTCH1 co-mutations, gefitinib group had a shorter OS than cis/vin group (Hazard ratio 5.49, 95% CI 1.07-28.00), with a significant interaction (P for interaction = 0.039). In patients with CREBBP co-mutations, the gefitinib group had a longer DFS than the cis/vin group, with a significant interaction (P for interaction = 0.058). In completely resected EGFR-mutated NSCLC, NOTCH1 and CREBBP mutations might predict poor outcome in patients treated with gefitinib and cis/vin, respectively., (© 2023 The Authors. Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.)
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- 2024
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22. A case of primary lung adenocarcinoma mimicking metastatic papillary thyroid carcinoma.
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Tanaka A, Okita R, Morishige T, Okada M, Inokawa H, Hirazawa K, Kameyama K, Ikeda A, and Ikeda E
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- Female, Humans, Middle Aged, Thyroid Cancer, Papillary diagnosis, Lung pathology, Thyroid Neoplasms diagnosis, Thyroid Neoplasms surgery, Thyroid Neoplasms genetics, Carcinoma, Papillary diagnosis, Carcinoma, Papillary surgery, Carcinoma, Papillary genetics, Adenocarcinoma of Lung diagnosis, Lung Neoplasms diagnosis
- Abstract
A 61-year-old woman, who had a history of total thyroidectomy for follicular variant of papillary thyroid carcinoma (PTC), visited our hospital for assessment of an enlarging nodule which appeared in the lung with multiple metastatic lesions of PTC which had been stable for 17 years. Wedge resection of the lung was performed. Miliary nodules were confirmed to be metastatic PTCs based on their morphological as well as immunohistochemical findings. As for the main nodule, its morphological features suggested a diagnosis of metastatic PTC, while its immunohistochemical findings were identical with primary lung adenocarcinoma. Further genetic analysis provided no definitive information for the diagnosis of the main nodule. The present case shows the need of comprehensive analyses for differentiation between primary lung adenocarcinoma and metastatic PTCs., (© 2023 The Authors. Thoracic Cancer published by John Wiley & Sons Australia, Ltd.)
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- 2024
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23. On-Chip Modification of Titanium Electrothermal Characteristics by Joule Heating: Application to Terahertz Microbolometer.
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Elamaran D, Akiba K, Satoh H, Banerjee A, Hiromoto N, and Inokawa H
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This study demonstrates the conversion of metallic titanium (Ti) to titanium oxide just by conducting electrical current through Ti thin film in vacuum and increasing the temperature by Joule heating. This led to the improvement of electrical and thermal properties of a microbolometer. A microbolometer with an integrated Ti thermistor and heater width of 2.7 µm and a length of 50 µm was fabricated for the current study. Constant-voltage stresses were applied to the thermistor wire to observe the effect of the Joule heating on its properties. Thermistor resistance ~14 times the initial resistance was observed owing to the heating. A negative large temperature coefficient of resistance (TCR) of -0.32%/K was also observed owing to the treatment, leading to an improved responsivity of ~4.5 times from devices with untreated Ti thermistors. However, this does not improve the noise equivalent power (NEP), due to the increased flicker noise. Microstructural analyses with transmission electron microscopy (TEM), transmission electron diffraction (TED) and energy dispersive X-ray (EDX) confirm the formation of a titanium oxide (TiO
x ) semiconducting phase on the Ti phase (~85% purity) deposited initially, further to the heating. Formation of TiOx during annealing could minimize the narrow width effect, which we reported previously in thin metal wires, leading to enhancement of responsivity.- Published
- 2024
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24. Intraoperative chylous leak diagnosis by preoperative oral administration of ice cream: a case report.
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Kawamoto N, Okita R, Okada M, Hayashi M, and Inokawa H
- Abstract
Background: Chylothorax is an intractable postoperative complication of thoracic surgery. Preventing postoperative chylothorax following initial surgery is important. Most cases of chylothorax are caused by injury to the thoracic duct or its branches. However, rare cases might result from injury to the lymphatic vessels in the chest wall. Preoperative oral administration of dairy products is widely recognized as a useful method for identifying the sites of chylous leaks during surgery for chylothoraces. Herein, we report a surgical case of a middle mediastinal tumor, wherein a chylous leak in the chest wall was intraoperatively detected due to scheduled preoperative oral administration of dairy products before the initial surgery, resulting in prevented postoperative chylothorax., Case Description: A 68-year-old male patient underwent computed tomography, revealing a cystic lesion in the middle mediastinum that was suspected to be a thoracic duct cyst or intrathoracic lymphangioma. A cup of ice cream was orally ingested 1 hour before entering the operating room to intraoperatively detect chylous leakage in case of injury to the lymphatic vessels, including the thoracic duct. The mediastinal tumor was removed via thoracoscopic surgery and histologically diagnosed as a schwannoma with cystic degeneration. Intraoperatively, chylous leakage was observed due to injury to a lymphatic vessel in the chest wall, which was repaired by clipping. The postoperative course was uneventful., Conclusions: Preoperative oral administration of dairy products was verified to be a useful method not only at the time of re-operation for postoperative chylothoraces but also at the time of initial surgery in cases where chylothorax is of high concern. Although relatively infrequent, chylothorax due to lymphatic vessel injury in the chest wall should be kept in mind., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://acr.amegroups.com/article/view/10.21037/acr-23-126/coif). The authors have no conflicts of interest to declare., (2024 AME Case Reports. All rights reserved.)
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- 2023
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25. Randomized phase II study of daily versus alternate-day administrations of S-1 for the elderly patients with completely resected pathological stage IA (tumor diameter > 2 cm)-IIIA of non-small cell lung cancer: Setouchi Lung Cancer Group Study 1201.
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Yamamoto H, Soh J, Okumura N, Suzuki H, Nakata M, Fujiwara T, Gemba K, Sano I, Fujinaga T, Kataoka M, Terazaki Y, Fujimoto N, Kataoka K, Kosaka S, Yamashita M, Inokawa H, Inoue M, Nakamura H, Yamashita Y, Hotta K, Yoshioka H, Morita S, Matsuo K, Sakamoto J, Date H, and Toyooka S
- Subjects
- Humans, Aged, Tegafur adverse effects, Neoplasm Staging, Chemotherapy, Adjuvant, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung surgery, Lung Neoplasms drug therapy, Lung Neoplasms surgery
- Abstract
Background: It is shown that the postoperative adjuvant chemotherapy for non-small cell lung cancer (NSCLC) was associated with survival benefit in an elderly population. We aimed to analyze the feasibility and efficacy of alternate-day S-1, an oral fluoropyrimidine, for adjuvant chemotherapy in elderly patients with completely resected pathological stage IA (tumor diameter > 2 cm) to IIIA (UICC TNM Classification of Malignant Tumours, 7th edition) NSCLC., Methods: Elderly patients were randomly assigned to receive adjuvant chemotherapy for one year consisting of either alternate-day oral administration of S-1 (80 mg/m2/day) for 4 days a week (Arm A) or a daily oral administration of S-1 (80 mg/m2/day) for 14 consecutive days followed by 7-day rest (Arm B). The primary endpoint was feasibility (treatment completion rate), which was defined as the proportion of patients who completed the allocated intervention for 6 months with a relative dose intensity (RDI) of 70% or more., Results: We enrolled 101 patients in which 97 patients received S-1 treatment. The treatment completion rate at 6 months was 69.4% in Arm A and 64.6% in Arm B (p = 0.67). Treatment completion rate in Arm B tended to be lower compared to Arm A, as the treatment period becomes longer (at 9 and 12 months). RDI of S-1 at 12 months and completion of S-1 administration without dose reduction or postponement at 12 months was significantly better in Arm A than in Arm B (p = 0.026 and p < 0.001, respectively). Among adverse events, anorexia, skin symptoms and lacrimation of any grade were significantly more frequent in Arm B compared with Arm A (p = 0.0036, 0.023 and 0.031, respectively). The 5-year recurrence-free survival rates were 56.9% and 65.7% for Arm A and B, respectively (p = 0.22). The 5-year overall survival rates were 68.6% and 82.0% for Arm A and B, respectively (p = 0.11)., Conclusion: Although several adverse effects were less frequent in Arm A, both alternate-day and daily oral administrations of S-1 were demonstrated to be feasible in elderly patients with completely resected NSCLC., Trial Registration: Unique ID issued by UMIN: UMIN000007819 (Date of registration: Apr 25, 2012) https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009128. Trial ID issued by jRCT: jRCTs061180089 (Date of registration: Mar 22, 2019, for a shift toward a "specified clinical trial" based on Clinical Trials Act in Japan) https://jrct.niph.go.jp/en-latest-detail/jRCTs061180089., Competing Interests: HY1 received honoraria from Taiho Pharmaceutical outside the work. JS1 received honoraria from Johnson and Johnson and Intuitive outside the work. HN received grants from Taiho Pharmaceutical outside the work. KH received honoraria from Pfizer, AstraZeneca, Chugai Pharmaceutical, Eli Lilly, Takeda Pharmaceutical, MSD, BMS, Ono Pharmaceutical, Taiho Pharmaceutical and Boehringer-Ingelheim outside the work, and grants from MSD, AstraZeneca, Chugai Pharmaceutical, Eli Lilly, BMS and Abbvie outside the work. HY2 received consulting fees from Delta-Fly Pharma and honoraria for lectures from AstraZeneca, Boehringer-Ingelheim, Chugai Pharmaceutical, Eli Lilly, Taiho Pharmaceutical, Ono Pharmaceutical, MSD, Novartis, BMS, Pfizer, Daiichi-Sankyo, Kyowa Kirin, Takeda Pharmaceutical, Nippon Kayaku and Otsuka Pharmaceutical outside the work. SM received honoraria for lectures from Taiho Pharmaceutical outside the work. HD received grants from Taiho Pharmaceutical outside the work. ST received grants from Chugai Pharmaceutical, Taiho Pharmaceutical, Eli Lilly, PFDeNA, MSD, AstraZeneca and a non-profit organization West Japan Oncology Group (WJOG) (supported by AstraZeneca for the operating expense of the clinical trial) outside the work. All other authors declared no conflicts of interest regarding this study. This does not alter our adherence to PLOS ONE policies on sharing data and materials., (Copyright: © 2023 Yamamoto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2023
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26. Effects of tumor-infiltrating CD8+ T cells, PD1/PD-L1 axis, and expression patterns of HLA class I on the prognosis of patients with malignant pleural mesothelioma who underwent extra-pleural pneumonectomy.
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Okita R, Mimura-Kimura Y, Kawamoto N, Yamamoto N, Umeda M, Okada M, Inokawa H, Mimura Y, Murakami T, Nakata M, and Okabe K
- Subjects
- Humans, B7-H1 Antigen metabolism, Pneumonectomy, Ligands, Lymphocytes, Tumor-Infiltrating, Prognosis, CD8-Positive T-Lymphocytes, Histocompatibility Antigens Class I, Mesothelioma, Malignant pathology
- Abstract
Programmed cell death protein-1 (PD1), PD1 ligand 1 (PD-L1), and human leukocyte antigen (HLA) class I molecule play pivotal roles in T cell-induced anti-tumor immunity; however, the clinical impact of these parameters in resected malignant pleural mesothelioma (MPM) cases is unknown. We immunohistochemically evaluated the tumor infiltrated lymphocytes (TILs), PD1/PD-L1 axis, and expression of HLA class I in resected specimens from 58 patients with MPM who underwent extra-pleural pneumonectomy (EPP). Higher infiltration of CD3-TIL, CD8-TIL, and PD1-TIL, loss of HLA class I, and overexpression of PD-L1 by tumor cells (PD-L1 TC) or immune cells (PD-L1 IC) were observed in 34 (58.6%), 27 (46.6%), 41 (70.7%), 45 (77.6%), 29 (50.0%), and 33 (56.4%) of 58 cases, respectively. Interestingly, the CD3-TIL score positively correlated with PD-L1 TC and PD1-TIL scores. HLA class I expression level was inversely correlated with the expression levels of PD-L1 TC and PD-L1 IC. Multivariate analysis showed that age, histology, and node metastasis were independent prognostic factors for 5-year overall survival (OS) and loss of HLA class I coincided with a positive prognosis (p = 0.011). The concomitant lack of infiltrating CD8+ T cells with no loss of HLA class I predicted worse 5-year OS (p = 0.007). Moreover, cluster classifications among multiple immunoparameters showed that categories among CD3/PD-L1 TC/HLA class I (p = 0.043), CD8/PD1/HLA class I (p = 0.032), CD8/PD-L1 TC/HLA class I (p = 0.011), and PD1/PD-L1 TC/HLA class I (p = 0.032) predicted 5-year OS in EPP cases for MPM. These immunoparameters could guide surgical indications for patients with MPM., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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- 2023
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27. Preoperative neutrophil-to-lymphocyte ratio correlates with PD-L1 expression in immune cells of patients with malignant pleural mesothelioma and predicts prognosis.
- Author
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Okita R, Kawamoto N, Okada M, Inokawa H, Yamamoto N, Murakami T, and Ikeda E
- Subjects
- Humans, Neutrophils pathology, B7-H1 Antigen, Prognosis, Lymphocytes, Retrospective Studies, Tumor Microenvironment, Mesothelioma, Malignant pathology
- Abstract
We assessed the prognostic value of five complex inflammatory and nutritional parameters, namely neutrophil-to-lymphocyte ratio (NLR), prognostic nutritional index (PNI), C-reactive protein-to-NLR ratio (C/NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR) using data from patients with malignant pleural mesothelioma (MPM) undergoing extrapleural pneumonectomy (EPP). Moreover, the correlation between these five parameters and programmed cell death protein 1 ligand-1 (PD-L1) expression in the tumor microenvironment was evaluated. This study included consecutive MPM patients who underwent EPP. The histological subtype of the eligible patients (n = 61) correlated with all five parameters. Moreover, the PD-L1 expression scores for immune cells correlated with NLR and PLR, and the PD-L1 expression scores for both tumor cells and immune cells were inversely correlated with both PNI and LMR. Univariate analysis elucidated that NLR, PNI, and C/NLR were predictors of 5-year overall survival (OS), and multivariate analysis revealed that NLR was an independent predictor of 5-year OS, suggesting that NLR is a preoperative, prognostic factor for patients with MPM who are scheduled for EPP. To the best of our knowledge, this is the first study to evaluate the prognostic potentials of NLR, PNI, C/NLR, PLR, and LMR simultaneously in patients with MPM who underwent EPP., (© 2023. The Author(s).)
- Published
- 2023
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28. Surgical outcome of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy.
- Author
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Okazaki M, Suzawa K, Shien K, Yamamoto H, Araki K, Watanabe M, Okada M, Maki Y, Ueno T, Otani S, Sugimoto R, Nishikawa H, Okita R, Hayama M, Tao H, Fujiwara T, Inokawa H, Hirami Y, Sano Y, Yamashita M, Kawamata O, Matsuura M, and Toyooka S
- Subjects
- Humans, Retrospective Studies, Pneumonectomy adverse effects, Postoperative Complications etiology, Treatment Outcome, Neoplasm Staging, Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
- Abstract
Objectives: Ipsilateral reoperation after pulmonary lobectomy is often challenging because of adhesions from the previous operation. We retrospectively examined the surgical outcome and prognosis of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy using a multicentre database., Methods: We evaluated the perioperative outcomes and overall survival of 51 patients who underwent pulmonary lobectomy followed by ipsilateral anatomical resection for lung cancer between January 2012 and December 2018. In addition, patients with stage I non-small-cell lung cancer (NSCLC) were compared with 3411 patients with stage I lung cancer who underwent pulmonary resection without a prior ipsilateral lobectomy., Results: Ipsilateral anatomical resections included 10 completion pneumonectomies, 19 pulmonary lobectomies and 22 pulmonary segmentectomies. Operative time was 312.2 ± 134.5 min, and intraoperative bleeding was 522.2 ± 797.5 ml. Intraoperative and postoperative complications occurred in 9 and 15 patients, respectively. However, the 5-year overall survival rate after anatomical resection followed by ipsilateral lobectomy was 83.5%. Furthermore, in patients with c-stage I NSCLC, anatomical resection followed by ipsilateral lobectomy was not associated with worse survival than anatomical resection without prior ipsilateral lobectomy., Conclusions: Anatomical resection following ipsilateral lobectomy is associated with a high frequency of intraoperative and postoperative complications. However, the 5-year overall survival in patients with c-stage I NSCLC who underwent ipsilateral anatomical resection after pulmonary lobectomy is comparable to that in patients who underwent anatomical resection without prior pulmonary lobectomy., (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.)
- Published
- 2023
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29. Refractive Index Measurement Using SOI Photodiode with SP Antenna toward SOI CMOS-Compatible Integrated Optical Biosensor.
- Author
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Satoh H, Isogai K, Iwata S, Aso T, Hayashi R, Takeuchi S, and Inokawa H
- Subjects
- Refractometry, Surface Plasmon Resonance, Silicon Dioxide, Silicon chemistry, Biosensing Techniques
- Abstract
This paper proposes a new optical biosensor composed of a silicon-on-insulator (SOI) p-n junction photodiode (PD) with a surface plasmon (SP) antenna. When the phase-matching condition between two lateral wavelengths of the diffracted light from the SP antenna and the waveguiding mode in the SOI PD is satisfied, we observe sharp peaks in the spectroscopic light sensitivity. Since the peak wavelength depends on the RI change around the SP antenna corresponding to the phase-matching condition, the SOI PDs with an SP antenna can be applied to the optical biosensor. The RI detection limit is evaluated in the measurements with bulk solutions, and 1.11 × 10
-5 RIU (refractive index unit) can be obtained, which is comparable to that of a surface plasmon resonance (SPR) sensor, which is well known as a representative optical biosensor. In addition, the response for intermolecular bonds is estimated by the electromagnetic simulations using the finite-difference time-domain (FDTD) method to clarify its ability to detect biomolecular interactions. The results of this paper will provide new ground for high-throughput label-free biosensing, since a large number of SOI PDs with an SP antenna can be easily integrated on a single chip via an SOI complementary metal-oxide-semiconductor (CMOS) fabrication process.- Published
- 2023
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30. Responsivity and NEP Improvement of Terahertz Microbolometer by High-Impedance Antenna.
- Author
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Aji AP, Satoh H, Apriono C, Rahardjo ET, and Inokawa H
- Subjects
- Electric Impedance, Terahertz Radiation
- Abstract
The antenna-coupled microbolometer with suspended titanium heater and thermistor was attractive as a terahertz (THz) detector due to its structural simplicity and low noise levels. In this study, we attempted to improve the responsivity and noise-equivalent power (NEP) of the THz detector by using high-resistance heater stacked on the meander thermistor. A wide range of heater resistances were prepared by changing the heater width and thickness. It was revealed that the electrical responsivity and NEP could be improved by increasing the heater's resistance. To make the best use of this improvement, a high-impedance folded dipole antenna was introduced, and the optical performance at 1 THz was found to be better than that of the conventional halfwave dipole antenna combined with a low-resistance heater. Both the electrical and optical measurement results indicated that the increase in heater resistance could reduce the thermal conductance in the detector, thus improved the responsivity and NEP even if the thermistor resistance was kept the same.
- Published
- 2022
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31. Clinicopathological feature of a resected large mixed squamous cell and glandular papilloma: A case report.
- Author
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Kawamoto N, Okita R, Hayashi M, Osoreda H, Inokawa H, and Murakami T
- Abstract
Introduction and Importance: Solitary endotracheal papilloma is a rare benign lung tumor. It is classified into the following three histological subtypes: squamous cell papilloma (SP), glandular papilloma (GP), and mixed squamous cell and glandular papilloma (MSGP). MSGP is the rarest among them. Herein, we describe a case of a large MSGP., Case Presentation: A 59-year-old woman underwent computed tomography for the examination of cough, and an 8.2-cm-sized lung mass was noted in the left lingual segment. Bronchoscopy revealed that the left B
5 lumen was completely occluded by a tumor. Transbronchial lung biopsy suggested GP; thereafter, a left upper lobectomy was performed. Macroscopic findings showed that the dilated B5 lumen was filled with cauliflower-like tumors. Histopathological findings showed that the majority of the tumors had pseudostratified columnar epithelium, while some had stratified squamous epithelium. The patient was diagnosed with MSGP. Although koilocytosis-like changes, such as perinuclear halo and nuclear deformation, were observed in some portions of the squamous epithelium, immunohistochemical staining was negative for human papillomavirus (HPV)., Clinical Discussion: HPV infection is reportedly associated with SP but not with GP and MSGP. Therefore, MSGP is considered to be caused by squamous metaplasia of a part of GP; this hypothesis is consistent with the present case. However, only one case of MSGP with HPV infection was recently reported, and the etiology and histological features of MSGP remain unclear., Conclusion: There are few reported cases of MSGP, and further case reports are needed to clarify its pathogenesis., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)- Published
- 2022
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32. Rapid development and rupture of a pneumatocele caused by pulmonary dissection in the early postoperative period of lung resection: a case report.
- Author
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Okita R, Okada M, Kawamoto N, Inokawa H, Osoreda H, and Murakami T
- Abstract
Air leakage after lung resection is a common complication usually caused by direct injury to the lung parenchyma. Herein we illustrate a case of pneumatocele that developed rapidly in the right middle lobe and ruptured 16 days after right upper lobectomy. A 73-year-old man with chronic obstructive pulmonary disease underwent thoracoscopic right upper lobectomy and partial thymectomy for primary lung cancer and thymic nodules, respectively. Although a small amount of air leakage was observed after the operation, air leakage completely improved on postoperative day (POD) 2, and the chest drain tube was removed on POD 3. The patient's condition was complicated with eosinophilic pneumonia. Steroid therapy was started on POD 13. Dyspnea suddenly developed immediately after defecation on POD 16. Computed tomography (CT) scan showed a large pneumatocele in the right middle lobe, which was not found by CT scan on POD 11. He underwent reoperation on POD 20, and a large thick-walled pneumatocele in the right middle lobe was directly sewn. Histopathologically, the wall of bulla consisted of thickened visceral pleura and thin lung parenchyma, suggesting that this pneumatocele was induced by dissection of subpleural lung parenchyma., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/acr-21-37). The authors have no conflicts of interest to declare., (2022 AME Case Reports. All rights reserved.)
- Published
- 2022
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33. Predictive value of EGFR mutation in non-small-cell lung cancer patients treated with platinum doublet postoperative chemotherapy.
- Author
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Takahashi T, Sakai K, Kenmotsu H, Yoh K, Daga H, Ohira T, Ueno T, Aoki T, Hayashi H, Yamazaki K, Hosomi Y, Chen-Yoshikawa TF, Okumura N, Takiguchi Y, Sekine A, Haruki T, Yamamoto H, Sato Y, Akamatsu H, Seto T, Saeki S, Sugio K, Nishio M, Inokawa H, Yamamoto N, Nishio K, and Tsuboi M
- Subjects
- Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung surgery, Chemotherapy, Adjuvant, Cisplatin therapeutic use, ErbB Receptors genetics, Female, High-Throughput Nucleotide Sequencing, Humans, Lung Neoplasms genetics, Lung Neoplasms surgery, Male, Pemetrexed therapeutic use, Precision Medicine, Prognosis, Sequence Analysis, DNA, Survival Analysis, Treatment Outcome, Vinorelbine therapeutic use, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Carcinoma, Non-Small-Cell Lung drug therapy, Lung Neoplasms drug therapy, Mutation
- Abstract
The mutation status of tumor tissue DNA (n = 389) of resected stage II-III non-squamous non-small-cell lung cancer (Ns-NSCLC) was analyzed using targeted deep sequencing as an exploratory biomarker study (JIPANG-TR) for the JIPANG study, a randomized phase III study of pemetrexed/cisplatin (Pem/Cis) vs vinorelbine/cisplatin (Vnr/Cis). The TP53 mutation, common EGFR mutations (exon 19 deletion and L858R), and KRAS mutations were frequently detected. The frequency of the EGFR mutation was significant among female patients. Patients with an EGFR mutation-positive status had a significantly shorter recurrence-free survival (RFS) time (24 mo vs not reached) (HR, 1.64; 95% CI, 1.22-2.21; P = .0011 for EGFR mutation status). Multivariable analysis identified both the pathological stage and EGFR mutation status as independent prognostic factors for RFS (HR, 1.78; 95% CI, 1.30-2.44; P = .0003 for disease stage; and HR, 1.57; 95% CI, 1.15-2.16; P = .0050 for EGFR mutation status). This study demonstrated that the EGFR mutation has either a poor prognostic or predictive impact on a poor response to postoperative chemotherapy with platinum doublet chemotherapy for stage II-III Ns-NSCLC patients. This result supports a role for mandatory molecular diagnosis of early-stage Ns-NSCLC for precision oncology and signifies the importance of adjuvant for the 3rd generation tyrosine kinase inhibitor rather than platinum-based chemotherapy. This study is registered with the UMIN Clinical Trial Registry (UMIN 000012237)., (© 2021 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.)
- Published
- 2022
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34. Cobalt nanoparticle supported on layered double hydroxide: Effect of nanoparticle size on catalytic hydrogen production by NaBH 4 hydrolysis.
- Author
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Mahpudz A, Lim SL, Inokawa H, Kusakabe K, and Tomoshige R
- Subjects
- Hydrogen, Hydrolysis, Hydroxides, Spectroscopy, Fourier Transform Infrared, Cobalt, Nanoparticles
- Abstract
Catalytic hydrolysis of sodium borohydride (NaBH
4 ) is a promising method to provide clean hydrogen (H2 ) energy for portable devices. Therefore, designing a non-noble metal catalyst that performs well in this hydrolysis is essential. Cobalt-nanoparticles (Co-NPs) supported on magnesium-aluminium layered double hydroxide (LDH) with various mean diameter were synthesized by changing concentration of cobalt-citrate anion (Co-citrate) precursor used for ion exchange with the LDH host. Then the Co-citrate intercalated LDHs were reduced with NaBH4 to form Co-NPs. Evidence of successful intercalation was shown by X-ray diffraction (XRD) and Fourier-Transform Infrared spectroscopy (FT-IR). Transmission Electron Microscope (TEM) and Scanning TEM (STEM) observations revealed that Co-NPs were in metallic state and their mean diameter increased with the concentration of Co-citrate solution. Nitrogen physisorption isotherms showed that the surface structure of LDHs transformed from non-porous to mesoporous after chemical reduction, which indicated that the Co-NPs were formed in the interlayer of LDHs. Catalytic hydrolysis of NaBH4 at 25 °C clarified that the catalyst synthesized from 6 mM Co-citrate solution showed the highest H2 generation rate of 4520 ± 251 mL min-1 ·gCo -1 . Although the catalyst was able to achieve almost the same conversion when the catalyst was repeatedly tested five times under the same condition, the catalytic activity decreased gradually. Overall, it could be revealed that Co-NPs supported on LDHs have a huge potential to be used for H-1 . Although the catalyst was able to achieve almost the same conversion when the catalyst was repeatedly tested five times under the same condition, the catalytic activity decreased gradually. Overall, it could be revealed that Co-NPs supported on LDHs have a huge potential to be used for H2 energy production., (Copyright © 2021 Elsevier Ltd. All rights reserved.)- Published
- 2021
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35. Fibrin glue-induced eosinophilic pleural effusion after pulmonary resection: A case report.
- Author
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Kawamoto N, Okita R, Okada M, Ito K, Hirazawa K, and Inokawa H
- Abstract
Introduction and Importance: Prolonged air leakage after pulmonary resection is a common complication, and fibrin glue is used as a sealant to reduce this. Fibrin glue-induced adverse events are generally rare. Herein, we describe a rare case of fibrin glue-induced eosinophilic pleural effusion (EPE)., Case Presentation: A 77-year-old man underwent partial pulmonary resection for right lower lobe lung cancer, and the pulmonary staple stump was subsequently covered with fibrin glue. Antibacterial drugs were administered for the treatment of postoperative pneumonia. However, re-elevation of the inflammatory cell number was observed, and computed tomography revealed an increase in right pleural effusion. Although thoracoscopy was performed based on a possibility of empyema, no empyema was observed. The eosinophil count in the pleural effusion was 11%; thus, the patient was diagnosed with EPE, which was resolved after thoracic drainage, without corticosteroid administration. Fibrin glue was identified as the causative agent, using a drug-induced lymphocyte stimulation test., Clinical Discussion: EPE is defined as an eosinophil count of ≥10% in the pleural effusion. If pleural effusion on the surgical side, with fever or an elevated inflammatory cell number, is observed in the early postoperative period after pulmonary resection, empyema should be considered foremost. In this case, the administration of antibacterial drugs was ineffective, and the patient was eventually diagnosed with EPE., Conclusion: EPE should be considered as a rare fibrin glue-induced adverse event after pulmonary resection. It is recommended that the leukocyte fraction be examined, if pleural effusion is collected for postoperative pleural effusion., (Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2021
- Full Text
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36. Suspected fibrin glue-induced acute eosinophilic pneumonia after pulmonary resection: A case report.
- Author
-
Kawamoto N, Okita R, Hayashi M, Okada M, Ito K, Ikeda E, and Inokawa H
- Subjects
- Aged, Glucocorticoids administration & dosage, Humans, Male, Pneumonia drug therapy, Postoperative Complications drug therapy, Prednisolone administration & dosage, Pulmonary Eosinophilia drug therapy, Fibrin Tissue Adhesive adverse effects, Lung Neoplasms surgery, Pneumonectomy methods, Pneumonia chemically induced, Postoperative Complications chemically induced, Pulmonary Eosinophilia chemically induced
- Abstract
Air leakage is a common complication after pulmonary resection, and fibrin glue is used as a sealant to reduce postoperative air leakage. It is generally recognized that fibrin glue-induced adverse events are rare. Herein, we report a rare case of suspected fibrin glue-induced acute eosinophilic pneumonia (AEP). A 72-year-old man underwent right lower lobectomy and mediastinal lymph node dissection for right lower lung cancer. Fibrin glue was sprayed to cover the interlobar surface of the right upper and middle lobes. On postoperative day 10, computed tomography (CT) revealed ground-glass shadows around the interlobar surface of the remaining lobes of the right lung. Although antibacterial drugs were administered for suspected bacterial pneumonia, fever spike, shortness of breath, and exacerbation of ground-glass shadows were observed. Peripheral blood and bronchoalveolar lavage fluid showed increased eosinophil count, supporting the diagnosis of AEP. Pneumonia resolved after prednisolone administration. At one-year follow-up, CT showed no AEP recurrence. Drug-induced pneumonia usually develops in the bilateral lung and rarely in the hemilateral lung. In this case, pneumonia was localized around the site covered with fibrin glue, suggesting fibrin glue-induced AEP. Thus, the use of fibrin glue should be carefully considered during pulmonary resection., (© 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
- Published
- 2021
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37. Tunable graphene nanopatch antenna design for on-chip integrated terahertz detector arrays with potential application in cancer imaging.
- Author
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Samanta D, Karthikeyan MP, Banerjee A, and Inokawa H
- Subjects
- Diagnostic Imaging, Graphite, Neoplasms diagnostic imaging
- Abstract
Aim: Further to our reports on chip-integrable uncooled terahertz microbolometer arrays, compatible with medium-scale semiconductor device fabrication processes, the possibility of the development of chip-integrable medical device is proposed here. Methods: The concept of graphene-based nanopatch antennas with design optimization by the finite element method (FEM) is explored. The high-frequency structure simulator (HFSS) utilized fine FEM solver for analyzing empirical mode decomposition preprocessing and for modeling and simulating graphene antennas. Results: Graphene nanopatch antennas exhibited tunable features with varying patch dimensions and dependence on substrate material permittivity. Conclusion: This work implements reconfigurable graphene nanopatch antenna compatible with terahertz microbolometer arrays. This design concept further develops on-chip medical devices for possible screening of cancer cell with terahertz image processing.
- Published
- 2021
- Full Text
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38. Tegafur-uracil-induced pericardial effusion during adjuvant chemotherapy for resected lung adenocarcinoma: A case report.
- Author
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Kawamoto N, Okita R, Hayashi M, Okada M, and Inokawa H
- Subjects
- Adenocarcinoma of Lung drug therapy, Adenocarcinoma of Lung pathology, Humans, Lung Neoplasms drug therapy, Lung Neoplasms pathology, Male, Middle Aged, Tegafur pharmacology, Uracil pharmacology, Adenocarcinoma of Lung complications, Chemotherapy, Adjuvant methods, Lung Neoplasms complications, Pericardial Effusion drug therapy, Tegafur adverse effects, Uracil adverse effects
- Abstract
In Japan, oral administration of tegafur-uracil is recommended as postoperative adjuvant chemotherapy for patients diagnosed with primary lung adenocarcinomas of >2 cm size and staged as IA, IB, and IIA. Reports on chemotherapy-induced pericardial effusion are rare. Herein, we report a rare case of tegafur-uracil-induced pericardial effusion during postoperative adjuvant chemotherapy for primary lung cancer. A 60-year-old man underwent left lower lobectomy and mediastinal lymph node dissection for left lower lung adenocarcinoma. Lung cancer was staged as IB, and tegafur-uracil was administered as postoperative adjuvant chemotherapy from 1 month after the surgery. A computed tomography (CT) scan revealed a pericardial effusion 5 months after the surgery. A malignant pericardial effusion was suspected, and tegafur-uracil was discontinued. Pericardiocentesis could not be performed owing to a small amount of pericardial effusion. An
18 F-fluorodeoxyglucose (FDG) positron emission tomography/CT scan revealed no abnormal FDG uptake. During a short follow-up period after discontinuation of tegafur-uracil, a CT scan revealed a decrease in pericardial effusion, suggesting that the pericardial effusion was induced by tegafur-uracil. Follow-up of pericardial effusion is required while administering tegafur-uracil. In cases of pericardial effusion without symptoms and no suspicious metastatic lesions in other organs, we should be concerned about tegafur-uracil-induced pericardial effusion., (© 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)- Published
- 2021
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39. Intraoperative bronchial blood flow evaluation using indocyanine green fluorescence for bronchoplasty: A case report.
- Author
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Kawamoto N, Okita R, Hayashi M, Suetake R, Murakami T, and Inokawa H
- Abstract
Introduction and Importance: Blood flow evaluation of bronchial arteries using indocyanine green fluorescence (ICG-FL) is rarely reported during pulmonary resection. We present the case of a patient with bronchiectasis and a history of bronchial artery embolization (BAE) for hemoptysis. Bronchial artery blood flow was evaluated using ICG-FL during lobectomy with bronchoplasty., Case Presentation: A 63-year-old woman presented with right middle lobe bronchiectasis (due to nontuberculous mycobacteriosis) and repeated hemoptysis, which had previously been corrected each time with hemostasis by BAE. Bronchoscopy revealed a swollen blood vessel proximal to the right middle lobe bronchus that was suspected of being the origin of bleeding. Right middle lobectomy with bronchoplasty was performed to prevent hemoptysis. ICG-FL was used to detect the patency of the right bronchial arteries, and the arteries surrounding the right middle lobe bronchus were ligated. The proximal side of the right middle lobe bronchus was cut in a deep wedge shape, and the bronchus was anastomosed. ICG-FL revealed that the blood supply was maintained at the bronchial anastomosis. No bronchial anastomotic leakage was observed after the surgery., Clinical Discussion: The key to successful bronchoplasty is the maintenance of blood flow. Bronchial artery blood flow theoretically decreases after BAE. In this case, ICG-FL was able to detect bronchial artery patency before cutting the bronchus as well as the maintenance of blood flow at the bronchial anastomosis after bronchoplasty., Conclusion: Intraoperative blood flow evaluation of the bronchus using ICG-FL may reduce the risk of bronchial anastomotic leakage caused by ischemia after bronchoplasty., (Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2021
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40. Treatment strategy for primary lung cancer in a lung highly compressed by giant emphysematous bullae: A case report.
- Author
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Kawamoto N, Hayashi M, Okita R, Okada M, Inokawa H, Kobayashi T, Maeda T, and Ikeda E
- Subjects
- Humans, Lung Neoplasms, Male, Middle Aged, Blister complications, Blister physiopathology
- Abstract
Lung cancer sometimes develops on the wall of a giant emphysematous bulla (GEB). Herein, we describe a rare case in which lung cancer developed in lung tissue compressed by GEBs. A 62-year-old man underwent a computed tomography (CT) scan that revealed two right GEBs. A tumor was suspected in the highly compressed right upper lobe. Since the right bronchus was significantly shifted toward the mediastinum, it was difficult to perform a bronchoscopy. We inserted thoracic drains into the GEBs, and a subsequent CT scan revealed re-expansion of the remaining right lung and a 3.3 cm tumor in the right upper lobe. The shift of the right bronchus was improved, and bronchoscopy was performed. The tumor was diagnosed as non-small cell lung cancer (NSCLC). Additionally, the GEBs were found to have originated from the right lower lobe. We performed a right upper lobectomy, mediastinal lymph node dissection, and bullectomy of the GEBs via video-assisted thoracoscopic surgery. In preoperative evaluation of a GEB, assessing re-expansion and lung lesions of the remaining lung is important, and intracavity drainage of a GEB may be useful. KEY POINTS: Significant findings of the study Cancer that develops in lung tissue highly compressed by a giant emphysematous bulla is difficult to diagnose. In the preoperative evaluation of a giant emphysematous bulla, assessing re-expansion and lung lesions of the remaining lung is important. What this study adds After performing intracavity drainage of a giant emphysematous bulla, the remaining lung re-expands, and the bronchial shift improves; subsequently, bronchoscopy makes it possible to diagnose lung cancer in the remaining lung., (© 2020 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
41. Contralateral pulmonary resection using selective bronchial blockade in postpneumonectomy patients.
- Author
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Kawamoto N, Furukawa M, Okita R, Okada M, Hayashi M, Inokawa H, Okabe K, and Kawata K
- Subjects
- Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Lung Neoplasms surgery, Pneumonectomy methods
- Abstract
Background: Pulmonary resection is occasionally performed in postpneumonectomy patients with contralateral lung lesions, such as metachronous or metastatic lung cancer. Careful intraoperative respiratory management is essential in such patients. This study evaluated the respiratory management of postpneumonectomy patients who underwent contralateral pulmonary resection with selective bronchial blockade of the lobe or segment to be resected., Methods: We retrospectively analyzed the surgical findings and safety of surgery in six patients who underwent contralateral pulmonary resection with selective bronchial blockade after pneumonectomy for non-small cell lung cancer (NSCLC)., Results: The percutaneous oxygen saturation did not decrease in any of the patients during bronchial blockade under high oxygen concentration. The median blockade time was 57.5 minutes. The operative field was tolerable secured under conditions of partial lung collapse, and partial pulmonary resection was performed as planned. Postoperatively, one patient developed acute respiratory distress syndrome due to acute exacerbation of interstitial pneumonia; however, no patients died within one month postoperatively. Two patients underwent pulmonary resection in order to obtain adequate tissue specimens to evaluate the biomarkers of multiple lung metastases. On histopathology, one patient tested positive for anaplastic lymphoma kinase (ALK) and was subsequently administered an ALK inhibitor, which prolonged survival., Conclusions: In all patients, intraoperative respiratory condition under partial lung collapse remained stable, and all partial pulmonary resections were safely performed. However, surgical indications should be carefully reviewed preoperatively in patients with interstitial pneumonia., Key Points: SIGNIFICANT FINDINGS OF THE STUDY: Contralateral partial pulmonary resection was performed using selective bronchial blockade in postpneumonectomy patients. Percutaneous oxygen saturation did not decrease during the bronchial blockade under high oxygen concentration, and the operative field was tolerable secured under conditions of partial lung collapse., What This Study Adds: Oxygen concentration can be set to the minimum level, sufficient to maintain oxygenation, during contralateral partial pulmonary resection with selective bronchial blockade., (© 2020 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
- Published
- 2020
- Full Text
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42. Penetrating pulmonary injury due to a thrown rusty nail while using a lawn mower: a case report.
- Author
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Kawamoto N, Okita R, Furukawa M, Inokawa H, Hayashi M, Okada M, and Okabe K
- Abstract
Accidents while using lawn mowers are often reported, but chest injuries are rare. We report a case of a penetrating pulmonary injury due to a rusty nail thrown by a lawn mower. A 63-year-old man injured his left precordium by a thrown object while using a lawn mower; he thereafter visited a nearby hospital. A computed tomography image showed a left-sided pneumothorax and a penetrating pulmonary injury of the left upper lobe due to a foreign body. Pneumothorax was treated with thoracic drainage and resolved. He was transferred to our hospital on the second day after the injury, and video-assisted thoracoscopic surgery was performed to remove the foreign body. Surgical findings showed a penetrating wound in the left upper lobe and leakage of pus from its margin. The foreign body was a rusty nail. The penetrating wound was treated by partial pulmonary resection to control the infection. Histopathological findings revealed the formation of a lung abscess. Penetrating pulmonary injuries do not require surgical treatment for most patients. However, residual foreign bodies can cause lung abscesses. The removal of foreign bodies depends on the type of injury as well as the type and location of the foreign body. Theoretically, the foreign body should be removed and the penetrating pulmonary injury should be treated, if possible, to control infection., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/acr-20-87). The authors have no conflicts of interest to declare., (2020 AME Case Reports. All rights reserved.)
- Published
- 2020
- Full Text
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43. Angle-Sensitive Detector Based on Silicon-On-Insulator Photodiode Stacked with Surface Plasmon Antenna.
- Author
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Nagarajan A, Hara S, Satoh H, Panchanathan AP, and Inokawa H
- Abstract
We present a pixel-level angle sensitive detector composed of silicon-on-insulator (SOI) photodiode (PD) stacked with a gold surface plasmon (SP) antenna to affect the direction of the incoming light. The surface plasmons are excited in the grating-type SP antenna and enhance the diffraction efficiency of the grating. The diffracted light is coupled strongly with the propagation light in the SOI waveguide when the phase matching condition is satisfied. The phase matching takes place at a specific angle of light incidence, and the discrimination of the light based on the incident angle is achieved. As spatial patterns in the polar coordinate of the elevation-azimuth angles ( θ , ϕ ) of the incident light, we present the phase matching condition theoretically, the absorption efficiency in the SOI by simulation, and also the quantum efficiency of the SOI PD experimentally for different SP antennas of one-dimensional (1D) line-and-space (L/S) and two-dimensional (2D) hole array gratings under various polarization angles. 1D grating offers a polarization sensitive angle detection and 2D grating exhibits angle detection in two orthogonal directions, enabling a polarization independent angle sensitivity. A good agreement among the theory, simulation, and experiment are attained. The proposed device features relatively high quantum efficiency as an angle-sensitive pixel (ASP) and gives wider opportunities in applications such as three-dimensional (3D) imaging, depth-of-field extension, and lensless imaging.
- Published
- 2020
- Full Text
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44. Right upper lobectomy in lung cancer with double aortic arch: A case report.
- Author
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Kawamoto N, Okita R, Inokawa H, Hayashi M, Furukawa M, Okada M, and Okabe K
- Subjects
- Aged, Aorta, Thoracic pathology, Humans, Lung Neoplasms pathology, Male, Aorta, Thoracic abnormalities, Lung Neoplasms surgery, Pneumonectomy methods
- Abstract
Double aortic arch (DAA) is a rare congenital anomaly of the heart and aorta in which a vascular ring that surrounds the trachea and esophagus is formed. In most patients, respiratory distress and dysphagia develop in childhood, and asymptomatic adult patients are rarely known. Herein, we describe a patient with lung cancer and DAA. A 66-year-old man who had DAA underwent video-assisted thoracoscopic right upper lobectomy and mediastinal lymph node dissection for primary lung cancer. Lymph node dissection of the right upper mediastinum revealed that the right recurrent laryngeal nerve branched from the right vagus nerve just beneath the right aortic arch. Additionally, the right aortic arch narrowed the space surrounding the trachea, superior vena cava, and arch of the azygos vein, impeding the stapling of the truncus anterior artery and right upper lobe pulmonary vein with the video-assisted thoracoscopic approach. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: In double aortic arch, the recurrent laryngeal nerve branches from the vagus nerve just beneath the ipsilateral aortic arch. The right aortic arch narrows the space surrounding the trachea, superior vena cava, and arch of the azygos vein. WHAT THIS STUDY ADDS: The anatomy of a double aortic arch impedes mediastinal lymph node dissection on the ventral side of the trachea. Handling autosuture devices for stapling pulmonary arteries and veins is also difficult., (© 2020 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
- Published
- 2020
- Full Text
- View/download PDF
45. Performance Comparison of SOI-Based Temperature Sensors for Room-Temperature Terahertz Antenna-Coupled Bolometers: MOSFET, PN Junction Diode and Resistor.
- Author
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Elamaran D, Suzuki Y, Satoh H, Banerjee A, Hiromoto N, and Inokawa H
- Abstract
Assuming that the 0.6-μm silicon-on-insulator (SOI) complementary metal-oxide-semiconductor (CMOS) technology, different Si-based temperature sensors such as metal-oxide-semiconductor field-effect transistor (MOSFET) (n-channel and p-channel), pn-junction diode (with p-body doping and without doping), and resistors (n
+ or p+ single crystalline Si and n+ polycrystalline Si) were designed and characterized for its possible use in 1-THz antenna-coupled bolometers. The use of a half-wave dipole antenna connected to the heater end was assumed, which limited the integrated temperature sensor/heater area to be 15 × 15 µm. Our main focus was to evaluate the performances of the temperature sensor/heater part, and the optical coupling between the incident light and heater via an antenna was not included in the evaluation. The electrothermal feedback (ETF) effect due to the bias current was considered in the performance estimation. A comparative analysis of various SOI bolometers revealed the largest responsivity ( Rv ) of 5.16 kV/W for the n-channel MOSFET bolometer although the negative ETF in MOSFET reduced the Rv . The noise measurement of the n-channel MOSFET showed the NEP of 245 pW/Hz1/2 , which was more than one order of magnitude smaller than that of the n+ polycrystalline Si resistive bolometer (6.59 nW/Hz1/2 ). The present result suggests that the n-channel MOSFET can be a promising detector for THz applications.- Published
- 2020
- Full Text
- View/download PDF
46. Topographic distinction in long-term value signals between presumed dopamine neurons and presumed striatal projection neurons in behaving monkeys.
- Author
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Enomoto K, Matsumoto N, Inokawa H, Kimura M, and Yamada H
- Subjects
- Animals, Caudate Nucleus physiology, Choice Behavior physiology, Corpus Striatum anatomy & histology, Dopaminergic Neurons ultrastructure, Female, Macaca fuscata anatomy & histology, Macaca fuscata physiology, Male, Neural Pathways anatomy & histology, Neural Pathways physiology, Prefrontal Cortex physiology, Putamen physiology, Reward, Corpus Striatum physiology, Dopaminergic Neurons physiology
- Abstract
Nigrostriatal dopamine (DA) projections are anatomically organized along the dorsolateral-ventromedial axis, conveying long-term value signals to the striatum for shaping actions toward multiple future rewards. The present study examines whether the topographic organization of long-term value signals are observed upon activity of presumed DA neurons and presumed striatal projection neurons (phasically active neurons, PANs), as predicted based on anatomical literature. Our results indicate that DA neurons in the dorsolateral midbrain encode long-term value signals on a short timescale, while ventromedial midbrain DA neurons encode such signals on a relatively longer timescale. Activity of the PANs in the dorsal striatum is more heterogeneous for encoding long-term values, although significant differences in long-term value signals were observed between the caudate nucleus and putamen. These findings suggest that topographic DA signals for long-term values are not simply transferred to striatal neurons, possibly due to the contribution of other projections to the striatum.
- Published
- 2020
- Full Text
- View/download PDF
47. Rapid development and rupture of a pulmonary cyst in the early postoperative period after pulmonary resection: A case report.
- Author
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Kawamoto N, Okita R, Hayashi M, Furukawa M, Inokawa H, and Okabe K
- Subjects
- Cysts etiology, Humans, Lung Diseases pathology, Male, Middle Aged, Postoperative Complications etiology, Prognosis, Cysts pathology, Lung Diseases surgery, Pneumonectomy adverse effects, Postoperative Complications pathology
- Abstract
Air leakage is a common complication after pulmonary resection, which is usually caused by direct lung damage during surgery. Herein, we describe a case in which a pulmonary cyst developed rapidly in the right lower lobe and ruptured 10 days after right upper lobectomy. A 49-year-old man, who was a heavy smoker, underwent thoracoscopic right upper lobectomy for primary lung cancer. No air leakage was observed postoperatively, and the chest drain tube was removed on postoperative day 1. Although his postoperative course was uneventful for more than a week, extensive subcutaneous emphysema developed unexpectedly on postoperative day 10. Computed tomography (CT) scan revealed a large pulmonary cyst in the right lower lobe that was not present before the right upper lobectomy. Surgery was performed on postoperative day 13, and it revealed a large thick-walled pulmonary cyst in the right lower lobe. The cyst was filled with blood clots, and air leaks were observed inside it, suggesting that the dissection of the pulmonary parenchyma caused its development. The cyst wall was sutured together with the pulmonary parenchyma, and no air leakage was subsequently observed. KEY POINTS: Significant findings of the study In patients with fragile pulmonary tissue, the pulmonary parenchyma may become dissociated after pulmonary resection and induce rapid development of a pulmonary cyst. Risk factors for pulmonary cyst development include upper lobectomy and emphysema. Pulmonary cysts are often formed in the lower lobe. What this study adds In patients with pulmonary emphysema post-upper lobectomy, the fragility of the pulmonary parenchyma and hyperinflation of the remaining lung may cause dissection of the pulmonary parenchyma, resulting in massive air leakage., (© 2020 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
- Published
- 2020
- Full Text
- View/download PDF
48. Chronic circadian misalignment accelerates immune senescence and abbreviates lifespan in mice.
- Author
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Inokawa H, Umemura Y, Shimba A, Kawakami E, Koike N, Tsuchiya Y, Ohashi M, Minami Y, Cui G, Asahi T, Ono R, Sasawaki Y, Konishi E, Yoo SH, Chen Z, Teramukai S, Ikuta K, and Yagita K
- Subjects
- Animals, B-Lymphocytes immunology, B-Lymphocytes pathology, Cellular Senescence genetics, Circadian Rhythm genetics, Disease Models, Animal, Humans, Hyaluronan Receptors genetics, Hyaluronan Receptors immunology, Inflammation immunology, Inflammation physiopathology, Jet Lag Syndrome physiopathology, Longevity genetics, Mice, Programmed Cell Death 1 Receptor genetics, Programmed Cell Death 1 Receptor immunology, Sequence Analysis, RNA, T-Lymphocytes immunology, T-Lymphocytes pathology, Cellular Senescence immunology, Circadian Rhythm immunology, Jet Lag Syndrome immunology, Longevity immunology
- Abstract
Modern society characterized by a 24/7 lifestyle leads to misalignment between environmental cycles and endogenous circadian rhythms. Persisting circadian misalignment leads to deleterious effects on health and healthspan. However, the underlying mechanism remains not fully understood. Here, we subjected adult, wild-type mice to distinct chronic jet-lag paradigms, which showed that long-term circadian misalignment induced significant early mortality. Non-biased RNA sequencing analysis using liver and kidney showed marked activation of gene regulatory pathways associated with the immune system and immune disease in both organs. In accordance, we observed enhanced steatohepatitis with infiltration of inflammatory cells. The investigation of senescence-associated immune cell subsets from the spleens and mesenteric lymph nodes revealed an increase in PD-1
+ CD44high CD4 T cells as well as CD95+ GL7+ germinal center B cells, indicating that the long-term circadian misalignment exacerbates immune senescence and consequent chronic inflammation. Our results underscore immune homeostasis as a pivotal interventional target against clock-related disorders.- Published
- 2020
- Full Text
- View/download PDF
49. Multilocular thymic cyst in a patient with preclinical rheumatoid arthritis: A case report.
- Author
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Kawamoto N, Okita R, Inokawa H, Murakami T, and Okabe K
- Abstract
Introduction: Multilocular thymic cyst (MTC) is a rare condition of an acquired multilocular cystic lesion caused by inflammation and often associated with autoimmune diseases or malignant tumors. We present a patient with MTC and asymptomatic rheumatoid arthritis (RA), which is termed preclinical RA., Presentation of Case: A 60-year-old man underwent a computed tomography scan, which revealed an 8.5 cm multilocular cystic lesion in the anterior mediastinum. The tumor had a lower intensity on T1-weighted imaging and a higher intensity on T2-weighted imaging. The imaging did not only suggest an MTC, but also the possibility of a thymoma with cystic degeneration, or lymphoma. We performed an extended thymectomy via median sternotomy. The lesion was diagnosed as MTC based on histopathological findings. Laboratory tests were performed for the purpose of screening for autoimmune diseases. He was diagnosed with preclinical RA, since the anti-cyclic citrullinated peptide antibody (ACPA) was positive., Discussion: Specificity of ACPA is recorded in over 90% of patients with RA; ACPA is positive in about 40% of patients with preclinical RA. As patients with preclinical RA are more likely to develop RA, careful follow-up is required. Early diagnosis and treatment of RA can prevent destruction of joints, thereby preventing irreversible disability., Conclusion: In patients with MTC, evaluating the cause of the inflammation, such as autoimmune diseases, is essential. Further studies are required to investigate the relationship between MTC and preclinical RA., (Published by Elsevier Ltd.)
- Published
- 2020
- Full Text
- View/download PDF
50. Incremental Growth Lines in Mouse Molar Dentin Represent 8-hr Ultradian Rhythm.
- Author
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Ono R, Koike N, Inokawa H, Tsuchiya Y, Umemura Y, Yamamoto T, Kanamura N, and Yagita K
- Abstract
Rhythmic incremental growth lines occur in dental hard tissues of vertebrates, and dentinogenesis in rodent incisors is suggested to be controlled by the 24-hr circadian clock. Rodent incisors continue to grow throughout the animal's life; however, similar to human teeth, rodent molars stop growing after crown formation. This similarity suggests that the mouse molar is an excellent model to understand the molecular mechanisms underlying growth of human teeth. However, not much is known about the rhythmic dentinogenesis in mouse molars. Here, we investigated the incremental growth lines in mouse molar dentin using tetracycline as the growth marker. The incremental growth lines were observed to be generated at approximately 8-hr intervals in wild-type mice housed under 12:12 hr light-dark conditions. Moreover, the 8-hr rhythmic increments persisted in the wild-type and Bmal1
-/- mice housed in constant darkness, where Bmal1-/- mice become behaviorally arrhythmic. These results revealed that the dentinogenesis in mouse molars underlie the ultradian rhythms with around 8-hr periodicity. Further, the circadian clock does not seem to be involved in this process, providing new insight into the mechanisms involved in the tooth growth., Competing Interests: VThe authors declare that there are no conflicts of interest., (2019 The Japan Society of Histochemistry and Cytochemistry.)- Published
- 2019
- Full Text
- View/download PDF
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