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Nguyen N, Yamada A, Naka S, Tani T. Zero-ischemic and sutureless partial nephrectomy by using microwave surgical device: Initial results in canine models. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)01220-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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2
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Salmivuori M, Grönroos M, Tani T, Pölönen I, Räsänen J, Annala L, Snellman E, Neittaanmäki N. Hexyl aminolevulinate, 5-aminolevulinic acid nanoemulsion and methyl aminolevulinate in photodynamic therapy of non-aggressive basal cell carcinomas: A non-sponsored, randomized, prospective and double-blinded trial. J Eur Acad Dermatol Venereol 2020; 34:2781-2788. [PMID: 32196772 DOI: 10.1111/jdv.16357] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 02/28/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND In the photodynamic therapy (PDT) of non-aggressive basal cell carcinomas (BCCs), 5-aminolevulinic acid nanoemulsion (BF-200ALA) has shown non-inferior efficacy when compared with methyl aminolevulinate (MAL), a widely used photosensitizer. Hexyl aminolevulinate (HAL) is an interesting alternative photosensitizer. To our knowledge, this is the first study using HAL-PDT in the treatment of BCCs. OBJECTIVES To compare the histological clearance, tolerability (pain and post-treatment reaction) and cosmetic outcome of MAL, BF-200 ALA and low-concentration HAL in the PDT of non-aggressive BCCs. METHODS Ninety-eight histologically verified non-aggressive BCCs met the inclusion criteria, and 54 patients with 95 lesions completed the study. The lesions were randomized to receive LED-PDT in two repeated treatments with MAL, BF-200 ALA or HAL. Efficacy was assessed both clinically and confirmed histologically at three months by blinded observers. Furthermore, cosmetic outcome, pain, post-treatment reactions fluorescence and photobleaching were evaluated. RESULTS According to intention-to-treat analyses, the histologically confirmed lesion clearance was 93.8% (95% confidence interval [CI] = 79.9-98.3) for MAL, 90.9% (95% CI = 76.4-96.9) for BF-200 ALA and 87.9% (95% CI = 72.7-95.2) for HAL, with no differences between the arms (P = 0.84). There were no differences between the arms as regards pain, post-treatment reactions or cosmetic outcome. CONCLUSIONS Photodynamic therapy with low-concentration HAL and BF-200 ALA has a similar efficacy, tolerability and cosmetic outcome compared to MAL. HAL is an interesting new option in dermatological PDT, since good efficacy is achieved with a low concentration.
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Affiliation(s)
- M Salmivuori
- Department of Dermatology and Allergology, Päijät-Häme Social and Health Care Group, Lahti, Finland.,Department of Dermatology, Faculty of Medicine and Health Technology, Tampere University Hospital and Tampere University, Tampere, Finland.,Department of Dermatology and Allergology, Helsinki University Hospital, Helsinki, Finland
| | - M Grönroos
- Department of Dermatology and Allergology, Päijät-Häme Social and Health Care Group, Lahti, Finland.,Department of Dermatology, Faculty of Medicine and Health Technology, Tampere University Hospital and Tampere University, Tampere, Finland
| | - T Tani
- Department of Dermatology and Allergology, Päijät-Häme Social and Health Care Group, Lahti, Finland.,HUSLAB Laboratory Services, Helsinki University Hospital, Hospital District of Helsinki and Uusimaa, Helsinki, Finland
| | - I Pölönen
- Faculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland
| | - J Räsänen
- Department of Dermatology and Allergology, Päijät-Häme Social and Health Care Group, Lahti, Finland.,Department of Dermatology, Faculty of Medicine and Health Technology, Tampere University Hospital and Tampere University, Tampere, Finland
| | - L Annala
- Faculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland
| | - E Snellman
- Department of Dermatology, Faculty of Medicine and Health Technology, Tampere University Hospital and Tampere University, Tampere, Finland.,Department of Dermatology, Satasairaala, Pori, Finland
| | - N Neittaanmäki
- Departments of Pathology and Dermatology, Institutes of Biomedicine and Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Salmivuori M, Grönroos M, Tani T, Pölönen I, Räsänen J, Annala L, Snellman E, Neittaanmäki N. 115 Hexylaminolevulinate and Aminolevulinic acid Nanoemulsion have Similar Tolerability, Initial Efficacy and Cosmetic Outcome as Methylaminolevulinate in Photodynamic Therapy of Basal Cell Carcinoma in a Prospective Randomized Double-blinded Trial. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Tani T, Fukui T, Sunata K, Funatsu Y, Koh H. P3.01-98 The Onset and Clinical Course of Transverse Myelopathy with Lung Cancer. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Azumi Y, Tani T, Ishibashi K, Konda T, Sumida T, Sasaki Y, Ota M, Kim K, Kitai T, Yamane T, Kobori A, Ehara N, Kinoshita M, Kaji S, Furukawa Y. 1470Impact of left atrial enlargement on very long-term outcomes in patients with hypertrophic cardiomyopathy. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.1470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Y Azumi
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - T Tani
- Kobe City College of Nursing, kobe, Japan
| | - K Ishibashi
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - T Konda
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - T Sumida
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - Y Sasaki
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - M Ota
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - K Kim
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - T Kitai
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - T Yamane
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - A Kobori
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - N Ehara
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - M Kinoshita
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - S Kaji
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
| | - Y Furukawa
- Kobe City Medical Center General Hospital, Cardiovascular Medicine, Kobe, Japan
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Nakayama Y, Shinohara M, Tani T, Kawaguchi T, Furuta T, Izawa T, Kaise H, Miyazaki W, Nakano Y. The Plasmin Heavy Chain - Urokinase Conjugate: A Specific Thrombolytic Agent. Thromb Haemost 2018. [DOI: 10.1055/s-0038-1661684] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
SummaryLow molecular weight urokinase (LMW-UK) was coupled to the heavy chain of plasmin to make it able to bind to fibrin. The purified conjugate (PHC-UK conjugate), which consisted of equimolar concentrations of each starting material had a molecular weight of 93,600, bound tightly to fibrin-monomer-Sepharose and was not washed off with 1 M NaCl, but was eluted specifically with s-amino caproic acid. The conjugate showed higher fibrinolytic activity than HMW-UK. A control conjugate prepared by coupling human serum albumin to LMW-UK (HSA-UK conjugate) showed the same fibrinolytic activity as HMW-UK. The half-lives of these two conjugates in rabbits were about 3 times that of HMW-UK. In an experimental pulmonary embolism model in rabbits, the PHC-UK conjugate showed about 10 times higher thrombolytic activity than HMW-UK, while the HSA-UK conjugate showed similar thrombolytic activity as HMW-UK, and moreover caused severe systemic fibrinogen breakdown. Thus the significant increase in thrombolytic activity after injection of PHC-UK conjugate into rabbits may be due to its newly acquired fibrin binding activity, and not to increase in its half-life. It is concluded that the PHC-UK conjugate may be useful in treatment of thrombosis.
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Affiliation(s)
- Y Nakayama
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - M Shinohara
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - T Tani
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - T Kawaguchi
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - T Furuta
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - T Izawa
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - H Kaise
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - W Miyazaki
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
| | - Y Nakano
- Tokushima Research Institute, Otsuka Pharmaceutical Co. Ltd., Tokushima, Japan
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Wada R, Takaki H, Matsuda T, Tani T, Taki K, Saito H. Transcatheter embolization for the management of traumatic coronary venous injury. Diagn Interv Imaging 2018; 99:585-587. [PMID: 29716846 DOI: 10.1016/j.diii.2018.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Revised: 04/08/2018] [Accepted: 04/09/2018] [Indexed: 11/24/2022]
Affiliation(s)
- R Wada
- Department of Radiology, Sapporo Higashi Tokushukai hospital, Hokkaido, Japan.
| | - H Takaki
- Department of Radiology, Hyogo College of medicine, Hyogo, Japan
| | - T Matsuda
- Department of Emergency and Acute Care medicine, Sapporo Higashi Tokushukai hospital, Hokkaido, Japan
| | - T Tani
- Division of Cardiology, Sapporo Higashi Tokushukai hospital, Hokkaido, Japan
| | - K Taki
- Department of Emergency and Acute Care medicine, Sapporo Higashi Tokushukai hospital, Hokkaido, Japan
| | - H Saito
- Department of Radiology, Sapporo Higashi Tokushukai hospital, Hokkaido, Japan
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Kawaguchi M, Tani T, Hombu R, Ieda N, Nakagawa H. Development and cellular application of visible-light-controllable HNO releasers based on caged Piloty's acid. Chem Commun (Camb) 2018; 54:10371-10374. [DOI: 10.1039/c8cc04954h] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Novel visible-light-controllable HNO releasers was developed based on a caged form of Piloty's acid, and applied for cellular systems.
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Affiliation(s)
| | - Takuma Tani
- Graduate School of Pharmaceutical Sciences
- Nagoya City University
- Nagoya
- Japan
| | - Ryoma Hombu
- Graduate School of Pharmaceutical Sciences
- Nagoya City University
- Nagoya
- Japan
| | - Naoya Ieda
- Graduate School of Pharmaceutical Sciences
- Nagoya City University
- Nagoya
- Japan
| | - Hidehiko Nakagawa
- Graduate School of Pharmaceutical Sciences
- Nagoya City University
- Nagoya
- Japan
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Hasegawa A, Kuroha Y, Tani T, Takahashi T, Matsubara N, Koike R. Association between sleep disturbances in Parkinson’s disease and clinical course: A questionnaire-based study. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Shinohara K, Sato M, Kawashima H, Tsuzuki K, Suzuki S, Urata K, Isei N, Tani T, Kikuchi K, Shibata T, Kimura H, Miura Y, Kusama Y, Yamamoto M. Ripple Reduction with Ferritic Insert in JFT-2M. Fusion Science and Technology 2017. [DOI: 10.13182/fst06-a1094] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- K. Shinohara
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - M. Sato
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - H. Kawashima
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - K. Tsuzuki
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - S. Suzuki
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - K. Urata
- Mitsubishi Heavy Industries, Ltd., Kobe Shipyard and Machinery Works, 1-1-1 Wadasaki, Hyogo-ku Kobe, Hyogo 652-8585, Japan
| | - N. Isei
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - T. Tani
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - K. Kikuchi
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - T. Shibata
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - H. Kimura
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - Y. Miura
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - Y. Kusama
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
| | - M. Yamamoto
- Japan Atomic Energy Research Institute, Naka Fusion Research Establishment, Naka, Ibaraki 311-0193, Japan
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Tani T. Electronic and Molecular Structures of Dyes VI: Estimation of Redox Potentials and Excitation Energies of Cyanine Dyes by Means of HMO Calculation with Regard to Steric Effects. ACTA ACUST UNITED AC 2016. [DOI: 10.1080/00223638.1971.11737604] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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13
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Tani T, Tasaka T, Murofushi M, Hosoi K, Hirano A. Silver clusters of photographic interest Part 5: formation of R centres and P centres by reduction sensitization and light absorption of silver bromide grains. The Imaging Science Journal 2016. [DOI: 10.1080/13682199.1999.11736447] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ikeuchi M, Izumi M, Aso K, Sugimura N, Kato T, Tani T. Effects of intra‐articular hyaluronic acid injection on immunohistochemical characterization of joint afferents in a rat model of knee osteoarthritis. Eur J Pain 2015; 19:334-40. [DOI: 10.1002/ejp.551] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2014] [Indexed: 12/11/2022]
Affiliation(s)
- M. Ikeuchi
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
| | - M. Izumi
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
| | - K. Aso
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
| | - N. Sugimura
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
| | - T. Kato
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
| | - T. Tani
- Department of Orthopaedic Surgery Kochi Medical School Kochi University Nankoku Japan
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Takamura H, Nakanuma S, Hayashi H, Tajima H, Kakinoki K, Kitahara M, Sakai S, Makino I, Nakagawara H, Miyashita T, Okamoto K, Nakamura K, Oyama K, Inokuchi M, Ninomiya I, Kitagawa H, Fushida S, Fujimura T, Onishi I, Kayahara M, Tani T, Arai K, Yamashita T, Yamashita T, Kitamura H, Ikeda H, Kaneko S, Nakanuma Y, Matsui O, Ohta T. Severe Veno-occlusive Disease/Sinusoidal Obstruction Syndrome After Deceased-donor and Living-donor Liver Transplantation. Transplant Proc 2014; 46:3523-35. [DOI: 10.1016/j.transproceed.2014.09.110] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2014] [Accepted: 09/17/2014] [Indexed: 12/13/2022]
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Sugimura N, Ikeuchi M, Izumi M, Kawano T, Aso K, Kato T, Ushida T, Yokoyama M, Tani T. Repeated intra-articular injections of acidic saline produce long-lasting joint pain and widespread hyperalgesia. Eur J Pain 2014; 19:629-38. [PMID: 25158678 DOI: 10.1002/ejp.584] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2014] [Indexed: 11/08/2022]
Abstract
BACKGROUND Synovial fluid in inflamed joint shows a drop in pH, which activates proton-gated ion channels in nociceptors. No studies have ever tried to develop and characterize acid-induced joint pain. METHODS Rats were injected intra-articularly with pH 4.0 acidic saline twice, 5 days apart. Pain-related behaviour tests including weight-bearing asymmetry, paw withdrawal threshold and knee compression threshold were conducted. To clarify the roles of proton-gated ion channels, rats were injected intra-articularly with selective antagonists for ASIC1a, ASIC3 and TRPV1 on day 5 (before the second injection) or on day 14. Underlying peripheral and central pain mechanisms were evaluated using joint histology, interleukin-1β concentrations in the synovium, single-fibre recording of the knee afferent and expression of phosphorylated cyclic adenosine monophosphate-responsive element-binding protein (p-CREB) in the spinal dorsal horn. RESULTS Repeated injections of acidic saline induced weight-bearing asymmetry, decrease in paw withdrawal threshold and knee compression threshold bilaterally, which lasted until day 28. Early administration of ASIC3 antagonist reduced the bilateral and long-lasting hyperalgesia. Neither articular degeneration nor synovial inflammation was observed. C-fibre of the knee afferent was activated by acidic saline, which was attenuated by pre-injection of ASIC3 antagonist. p-CREB expression was transiently up-regulated bilaterally on day 6, but not on day 14. CONCLUSION We developed and characterized a model of acid-induced long-lasting bilateral joint pain. Peripheral ASIC3 and spinal p-CREB played important roles for the development of hyperalgesia. This animal model gives insights into the mechanisms of joint pain, which is helpful in developing better pain treatments.
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Affiliation(s)
- N Sugimura
- Department of Orthopaedic Surgery, Kochi Medical School, Kochi University, Nankoku, Japan
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Hayashi H, Takamura H, Higashi Y, Shoji M, Nakanuma SI, Tajima H, Kitagawa H, Fushida S, Kosaka K, Kitahara M, Kakinoki K, Tani T, Kaneko S, Ohta T. Relationship between midgut malrotation and anatomy of the hepatoduodenal ligament: a rare anatomical variation in a deceased donor. Transplant Proc 2014; 46:1087-9. [PMID: 24815135 DOI: 10.1016/j.transproceed.2013.09.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2013] [Accepted: 09/20/2013] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Anatomical variations around the hepatoduodenal ligament greatly influence surgical procedures and the difficulty of operations. Here, we report the case of a deceased donor with midgut malrotation (MgM) and anatomical variation. We also present an anatomical comparison between MgM and normal cases. CASE REPORT The donor, a male in his 60s, was diagnosed with MgM based on preoperative computed tomography. Intraoperatively, the liver graft was harvested from the proper hepatic artery (PHA), but its length was too short for reconstruction. Therefore, the hepatic artery was reconstructed at both the left and right hepatic arteries. METHODS The length of the proper hepatic artery (l-PHA) and main trunk of the portal vein (l-PV) was compared between MgM and control groups (n = 9) using computed tomography. The ratio of PHA (r-PHA) and PV (r-PV), which was calculated as the l-PHA or l-PV divided by the patient's height, was also compared. RESULTS The r-PV was 1.3% in the MgM group and 1.6% in the control group (P = .09). The r-PHA was 0.23% in the MgM group and 0.92% in the control group (P < .01). Thus, the PHA was significantly shorter in the MgM group. Additionally, anatomical variations of the hepatic artery were confirmed in four cases. CONCLUSION Preoperative radiological evaluation is not always adequate for identifying anatomical abnormalities in deceased donors. MgM is a rare but important anomaly because of the possibility of associated anatomical variations of the hepatic artery.
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Affiliation(s)
- H Hayashi
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
| | - H Takamura
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - Y Higashi
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - M Shoji
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - S-I Nakanuma
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - H Tajima
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - H Kitagawa
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - S Fushida
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - K Kosaka
- Division of Cardiovascular Medicine, Department of Radiology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - M Kitahara
- Division of Environmental Science, Department of Gastroenterology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - K Kakinoki
- Division of Environmental Science, Department of Gastroenterology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - T Tani
- Department of Surgery, Public Central Hospital of Matto Ishikawa, Hakusan, Japan
| | - S Kaneko
- Division of Environmental Science, Department of Gastroenterology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
| | - T Ohta
- Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
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Shimizu T, Sonoda H, Murata S, Takebayashi K, Ohta H, Miyake T, Mekata E, Shiomi H, Naka S, Tani T. Hyperthermic intraperitoneal chemotherapy using a combination of mitomycin C,5-fluorouracil, and oxaliplatin in patients at high risk of colorectal peritoneal metastasis: A Phase I clinical study. Eur J Surg Oncol 2013; 40:521-528. [PMID: 24388411 DOI: 10.1016/j.ejso.2013.12.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2013] [Revised: 11/15/2013] [Accepted: 12/05/2013] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION The drugs and protocols used for hyperthermic intraperitoneal chemotherapy (HIPEC) vary among institutions. Here we show the efficacy of the 3-drug combination of mitomycin C (MMC), 5-fluorouracil (5FU), and oxaliplatin (OHP) in an in vitro simulation of HIPEC and the safety of HIPEC with these drugs during a Phase I study of patients at high risk of developing colorectal peritoneal metastasis. METHODS To simulate HIPEC, we used HCT116 and WiDr cells to assess the growth inhibitory efficacy of MMC 2 μg/mL, 5FU 200 μg/mL, and OHP 40 μg/mL as single drugs or their combination after an exposure time of 30 min at 37 or 42 °C. In addition, nine patients underwent surgical resection of tumors and HIPEC with MMC, 5FU, and an escalating dose of OHP (90/110/130 mg/m²). Dose-limiting toxicity was monitored. RESULTS In the simulation, the 3-drug combination showed marked tumor-suppressive effects compared with those from ten times higher dose of OHP 400 μg/mL, with significant augmentation under hyperthermic conditions. No dose-limiting toxicity occurred in the clinical study. Dose escalation was completed at the final level of OHP. CONCLUSIONS The MMC-5FU-OHP combination showed marked growth inhibition against colorectal cancer cells under hyperthermic conditions in vitro. In the phase I study, the recommended dose of OHP was determined as 130 mg/m² when used with MMC and 5FU; HIPEC using MMC-5FU-OHP appears to be safe and feasible for patients at high risk of colorectal peritoneal metastasis.
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Affiliation(s)
- T Shimizu
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan.
| | - H Sonoda
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - S Murata
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - K Takebayashi
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - H Ohta
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - T Miyake
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - E Mekata
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - H Shiomi
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - S Naka
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
| | - T Tani
- Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowacho, Otsu, Shiga 520-2192, Japan
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Nakane S, Yoshioka M, Oda N, Tani T, Chida K, Suzuki M, Funakawa I, Inukai A, Hasegawa K, Kuroda K, Mizoguchi K, Shioya K, Sonoda Y, Matsuo H. Camptocormia in Parkinson's disease: A multicenter study in Japan. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ehara N, Furukawa Y, Kaji S, Kinoshita M, Kobori A, Tani T, Kitai T, Kim K, Morimoto T, Kimura T. Effect of preoperative diabetic treatment on long-term cardiovascular outcomes in diabetic patients undergoing coronary revascularization therapy. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p4253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Aso K, Ikeuchi M, Izumi M, Sugimura N, Kato T, Ushida T, Tani T. Nociceptive phenotype of dorsal root ganglia neurons innervating the subchondral bone in rat knee joints. Eur J Pain 2013; 18:174-81. [DOI: 10.1002/j.1532-2149.2013.00360.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2013] [Indexed: 11/10/2022]
Affiliation(s)
- K. Aso
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
| | - M. Ikeuchi
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
| | - M. Izumi
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
| | - N. Sugimura
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
| | - T. Kato
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
| | - T. Ushida
- Multidisciplinary Pain Center; Aichi Medical School; Japan
| | - T. Tani
- Department of Orthopedic Surgery, Kochi Medical School; Kochi University; Nankoku Japan
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Abe H, Mori T, Kawai Y, Itoi N, Tomida K, Cho H, Kubota Y, Umeda T, Tani T. Abstract P1-15-11: The Kampo medicine Goshajinkigan prevents docetaxel-related peripheral neuropathy in breast cancer patients. Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p1-15-11] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Although taxanes have become a key chemotherapeutic drug in breast cancer treatment. Taxanes inhibit the growth of cancer cells by disrupting the functioning of their microtubules; however, the microtubules of nerve cells are also affected by this process, which can cause neurological disorders. The Kampo medicine Goshajinkigan (GJG) is a traditional Japanese medicine that is used for the treatment of several neurological symptoms including pain and numbness, GJG is comprised of 10 herbs, each of which contains numerous active ingredients. Recently, GJG has been reported to prevent anticancer drug-induced peripheral neuropathy in colorectal cancer. We performed the present prospective randomized study to confirm the effects of GJG and mecobalamin (B12) against docetaxel (DOC)-associated peripheral neurotoxicity in breast cancer patients.
Patients and method: Between May 2007 and April 2011, 60 breast cancer patients were treated with DOC. Thirty-three patients (GJG group) received oral administration of 7.5 g/day GJG and 27 patients (B12 group) received oral administration of 1500 μg/day B12. The patients were treated with TC (75mg/m2 docetaxel and 600 mg/m2 cyclophosphamide) every 3 weeks for 4 cycles, docetaxel alone (100mg/m2) every 3 weeks for 4 cycles, and XT (900mg/m2 capecitabine administered orally twice a day on days 1–14 plus 60 mg/m2 docetaxel) every 3 weeks for 6 cycles. Peripheral neuropathy was evaluated during every course according to DEB-NTC (Neurotoxicity Criteria of Debiopharm), Common Terminology Criteria for Adverse Events (NCI-CTC) ver.3.0, and a visual analogue scale (VAS).
Results: The median age of the GJG group was 58 years old (35 to 70 years old), the B12 group was 55 years old (33 to 69 years old), and they were all females. For the regimens, in the GJG group, TC, DOC only, and XT were administered in 19 cases, 13 cases and 1 case, respectively. In the B12 group, they were 15 cases, 11 cases and 12 cases, respectively. The cumulative dose of DOC was 338.5 mg/m2 in the GJG group, and 340 mg/m2 in the B12 group. Peripheral neuropathy occurred significantly less frequently in the GJG group (39.3%) than the B12 group (88.9%) (p < 0.01). In the GJG group, grade 1 DEB-NTC was observed in 2 cases, grade 2 in 5 cases and grade 3 in 5 cases. Grade 1 NCI-CTC was observed in 7 cases, grade 2 in 6 cases. In the B12 group, grades 1, 2 and 3 DEB-NTC were observed in one case, 12 cases and 12 cases, respectively; and grades 1, 2 and 3 NCI-CTC were observed in 11 cases, 12 cases and one case. The mean VAS scores for numbness after chemotherapy were 2.7 in the GJG group and 4.9 in the B12 group (p < 0.01). The incidence of grade 2/3 peripheral neuropathy was lower in the GJG group than the B12 group. Peripheral neuropathy was significantly controlled in the GJG group.
Conclusion: The present study is the first prospective control study to prove the efficacy of GJG against docetaxel-induced peripheral neuropathy in breast cancer patients. Our findings suggest that DOC-associated peripheral neurotoxicity can be suppressed by the administration of GJG. It will be necessary to confirm the usefulness of GJG in larger prospective studies.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P1-15-11.
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Affiliation(s)
- H Abe
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T Mori
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y Kawai
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - N Itoi
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - K Tomida
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - H Cho
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y Kubota
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T Umeda
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T Tani
- Shiga University of Medical Science Hospital, Otsu, Shiga, Japan; Shiga University of Medical Science, Otsu, Shiga, Japan
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Tani T, Shimizu T, Obata T, Tabata T, Eguchi Y, Shoji H, Akabori H, Sonoda H, Endo Y. O-15 DIRECT-HEMOPERFUSION WITH POLYMYXIN-B IMMOBILIZED FIBER REDUCES PLASMA ENDOTOXIN AND INFLAMMATORY MEDIATORS IN SEPTIC PATIENTS. Transfus Apher Sci 2012. [DOI: 10.1016/s1473-0502(12)70016-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Shimizu T, Tani T, Obata T, Tabata T, Eguchi Y, Shoji H, Akabori H, Sonoda H, Endo Y. P-48 ALTERATION IN PLASMA ENDOTOXIN LEVEL DURING A LONGER DURATION OF DIRECT HEMOPERFUSION WITH A POLYMYXIN B-IMMOBILIZED FIBER COLUMN IN A PATIENT WITH SEPTIC SHOCK. Transfus Apher Sci 2012. [DOI: 10.1016/s1473-0502(12)70084-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Nakajima N, Ikeuchi M, Izumi M, Kuriyama M, Nakajima H, Tani T. Successful treatment of wound breakdown caused by pyoderma gangrenosum after total knee arthroplasty. Knee 2011; 18:453-5. [PMID: 20643552 DOI: 10.1016/j.knee.2010.06.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2010] [Revised: 06/18/2010] [Accepted: 06/22/2010] [Indexed: 02/02/2023]
Abstract
Pyoderma gangrenosum is a rare ulcerative disorder of the skin of unknown etiology. We present a case of pyoderma gangrenosum that occurred following total knee arthroplasty, which was initially misdiagnosed as severe wound infection. Repeated debridement procedures resulted in a large soft tissue defect around the anterior knee joint. The patient was treated successfully with a latissimus dorsi musculocutaneous flap under immunosuppressive therapy. Pyoderma gangrenosum is often misdiagnosed as an infected wound, but the treatment for theses differential diagnoses is completely different. When a lesion is refractory to thorough treatment for infection, a diagnosis of pyoderma gangrenosum should be considered.
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Affiliation(s)
- N Nakajima
- Department of Orthopaedic Surgery, Kochi Medical School, Kochi University, 185-1 Oko-cho Kohasu, Nankoku 783-8505, Japan
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Mukai T, Kamitani S, Shimizu T, Fujino M, Tsutamoto Y, Endo Y, Hanasawa K, Tani T. Development of a Novel, Nearly Insoluble Antiadhesive Membrane. Eur Surg Res 2011; 47:248-53. [DOI: 10.1159/000333093] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2011] [Accepted: 08/15/2011] [Indexed: 11/19/2022]
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Kitai T, Honda S, Okada Y, Tani T, Kim K, Kaji S, Ehara N, Kinoshita M, Kobori A, Yamamuro A, Kita T, Furukawa Y. Clinical outcomes in non-surgically managed patients with very severe versus severe aortic stenosis. Heart 2011; 97:2029-32. [DOI: 10.1136/heartjnl-2011-300137] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ohta M, Kitano S, Kasama K, Kawamura I, Inamine S, Wakabayashi G, Tani T, Kuwano H, Doki Y, Atomi Y, Kitajima M. Results of a national survey on laparoscopic bariatric surgery in Japan, 2000-2009. Asian J Endosc Surg 2011; 4:138-42. [PMID: 22776278 DOI: 10.1111/j.1758-5910.2011.00085.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
INTRODUCTION In Japan, laparoscopic bariatric surgery has not been popular until recently because morbidly obese patients were infrequently encountered previous and Japanese health insurance does not cover this type of surgery. In 2010, the Japan Research Society for Endoscopic and Laparoscopic Treatments of Obesity undertook the first nationwide survey on laparoscopic bariatric surgery to evaluate its current status and outcomes. METHODS A mail survey was sent to the society's 64 member institutions, which included almost all institutions in Japan actively performing laparoscopic gastrointestinal surgery. RESULTS From 2000 to 2009, 340 laparoscopic bariatric procedures, in total, were performed in nine of the 64 institutions (14%). The most popular procedure was laparoscopic Roux-en-Y gastric bypass (LRYGB, n=147), second was laparoscopic sleeve gastrectomy (LSG, n=102), and third was laparoscopic adjustable gastric banding (LAGB, n=55). However, the number of LRYGB procedures has decreased while the number of LSG procedures has rapidly increased. Total morbidity rates were 12.2% for LRYGB, 10.9% for LAGB, and 7.8% for LSG. Percent excess weight loss was 78% at 5 years after LRYGB, 52% at 4 years after LAGB, and 68% at 2 years after LSG. Although the bariatric procedures frequently resolved or improved obesity-related comorbidities, LRYGB appears to be superior to LAGB, as was previously reported. CONCLUSION The first nationwide survey of laparoscopic bariatric surgery in Japan clearly showed the current status and outcomes of this group of procedures. The Japanese results appear to be comparable to similarly undertaken surveys in Europe and the USA.
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Affiliation(s)
- M Ohta
- Department of Surgery I, Oita University Faculty of Medicine, Oita, Japan.
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Fujisawa R, Kimura J, Taniguchi S, Ichikawa H, Hara M, Shimizu H, Iida H, Yamada T, Tani T. Effect of volitional relaxation and motor imagery on F wave and MEP: Do these tasks affect excitability of the spinal or cortical motor neurons? Clin Neurophysiol 2011; 122:1405-10. [DOI: 10.1016/j.clinph.2010.12.041] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2010] [Revised: 11/22/2010] [Accepted: 12/07/2010] [Indexed: 10/18/2022]
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Kawai Y, Abe H, Mori T, Cho H, Kubota Y, Umeda T, Kurumi Y, Tani T. New fluorescence imaging method for sentinel lymph node biopsy in patients with early breast cancer. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e11578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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32
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Abe H, Kawai Y, Mori T, Cho H, Kubota Y, Umeda T, Kurumi Y, Tani T. Comparison of T-FEC therapy for HER2-negative breast cancer with TC6 cycle therapy. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e11513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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33
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Takeshita M, Tani T, Harada S, Hayashi H, Itoh H, Tajima H, Ohnishi I, Takamura H, Fushida S, Kayahara M. Role of transcription factors in small intestinal ischemia-reperfusion injury and tolerance induced by ischemic preconditioning. Transplant Proc 2011; 42:3406-13. [PMID: 21094787 DOI: 10.1016/j.transproceed.2010.06.038] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 05/11/2010] [Accepted: 06/10/2010] [Indexed: 12/21/2022]
Abstract
BACKGROUND Small intestinal ischemia-reperfusion (I/R) injury, a clinically important condition, induces severe organ damage. Ischemic preconditioning (IPC) produces tolerance to long-term I/R by inducing a short-term I/R. Herein, we have examined the reduction in the extent of injury by IPC. METHODS Small intestinal I/R injury was induced in rats by clamping the superior mesenteric artery (SMA) for 30 minutes followed by reperfusion for various 30 minutes. The IPC + I/R group underwent a short-term I/R (IPC) prior to long-term I/R. Nuclear factor-κB (NF-κB) activity was analyzed by an electrophoretic mobility shift assay and cytokine mRNA levels, by reverse transcription-polymerase chain reaction. Apoptosis-related genes were analyzed by Western blotting and immunohistochemistry, and apoptotic cells, by TUNEL staining. RESULTS The animals were subjected to 30 minutes of ischemia followed by 30 minutes of reperfusion. NF-κB activity increased in the I/R group and decreased in the IPC + I/R group. The IPC + I/R group showed decreased cytokine in mRNA levels. Expression of the proapoptotic gene caspase-3 was increased in the I/R and decreased in the IPC + I/R group. Expression of the antiapoptotic gene Bcl-xL was increased in the IPC + I/R group. The number of apoptotic cells was increased in the I/R and decreased in the IPC + I/R group. CONCLUSION Small intestinal I/R injury was reduced by IPC produced by clamping the SMA; thus, IPC may have potential clinical applications in the future.
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Affiliation(s)
- M Takeshita
- Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, Ishikawa, Japan
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Taniguchi S, Kumon M, Nakajima N, Tadokoro N, Takemasa R, Ikeuchi M, Tani T. P31-7 F-wave measurements detect beneficial effects of high-intensity repetitive stimulation of the tibial nerve on neurogenic claudication in LSS. Clin Neurophysiol 2010. [DOI: 10.1016/s1388-2457(10)61174-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Tadokoro N, Ikemoto T, Ushida T, Taniguchi S, Ikeuchi M, Tani T. P32-11 Waveform changes of descending spinal cord evoked potentials in cervical myelopathy with a single site of cord compression. Clin Neurophysiol 2010. [DOI: 10.1016/s1388-2457(10)61205-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ushida T, Shimo K, Ikemoto T, Ueno T, Murata Y, Taniguchi S, Tani T. S46-6 Neuroimaging for pain. Clin Neurophysiol 2010. [DOI: 10.1016/s1388-2457(10)60279-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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37
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Tani T, Shorgi H. 8 Extracorporeal blood endotoxin removal therapy for the treatment of severe sepsis and septic shock. Transfus Apher Sci 2010. [DOI: 10.1016/s1473-0502(10)70007-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Abe H, Umeda T, Mori T, Tanaka M, Kawai Y, Cho H, Kubota Y, Kurumi Y, Tani T. Indocyanine green fluorescence imaging system for sentinel lymph node biopsy in early breast cancer patients. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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39
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Izumi M, Ikeuchi M, Mitani T, Taniguchi S, Tani T. Prevention of Venous Stasis in the Lower Limb by Transcutaneous Electrical Nerve Stimulation. Eur J Vasc Endovasc Surg 2010; 39:642-5. [DOI: 10.1016/j.ejvs.2009.11.035] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2009] [Accepted: 11/22/2009] [Indexed: 10/20/2022]
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40
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Kitai T, Kaji S, Yamamuro A, Tani T, Tamita K, Kinoshita M, Ehara N, Kobori A, Nasu M, Okada Y, Furukawa Y. Clinical Outcomes of Medical Therapy and Timely Operation in Initially Diagnosed Type A Aortic Intramural Hematoma: A 20-Year Experience. Circulation 2009; 120:S292-8. [DOI: 10.1161/circulationaha.108.843615] [Citation(s) in RCA: 110] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Murata S, Naito H, Yamamoto H, Mekata E, Shimizu T, Shiomi H, Naka S, Abe H, Kurumi Y, Tani T. Phase II trial of adjuvant hyperthermic intraperitoneal chemotherapy with three drugs for the prophylactic treatment of carcinomatosis after resection of advanced gastric cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e15588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e15588 Background: This prospective study was performed to assess the efficacy and safety of hyperthermic intraperitoneal chemotherapy (HIPEC) with three drugs in patients with curative resection of T3 or T4 advanced gastric cancer. Methods: Patients with curative resection of clinically T3 or T4 advanced gastric cancer were required to be under 75 years of age and to have adequate organ function. After the curative resection of gastric cancer with D2 lymph node dissection and the reconstruction of the alimentary tract, HIPEC was carried out for 30 minutes with 50mg of CDDP, 10mg of MMC, and 1000mg of 5-FU in 5 L saline maintained at 42–43°C. Patients were given an adjuvant S-1 treatment after surgery. Primary endpoint of this study was overall survival. Results: A total of 29 patients were eligible. Pathologically, 8 patients had sub-serosal invasion (pT2(ss)), 18 patients had serosal invasion (pT3), and 3 patients had adjacent organ invasion (pT4). These patients included pT2(ss)pN0 (n=2), pT2(ss)pN1 (n=6), pT3pN0 (n=4), pT3pN1 (n=9), pT3pN2 (n=5), pT4pN0 (n=1), and pT4pN1 (n=2). Median follow-up period was 44 months (10–72 months). Overall 5- year survival rate in all eligible patients was 89.5%. Overall 5-year survival rate in patients with pT2(ss), pT3, or pT4 was 100%, 82.4%, or 100%, respectively. Three patients with pT3 had recurrence of pleural dissemination (n=1), lymph node metastases (n=1), or pulmonary metastases and peritoneal dissemination (n=1). A total of 7 patients had postoperative complications such as continuous pancreatic juice secretion (13.8%), abdominal abscess (10.3%), leakage of the anastomosis (3.4%), and pulmonary insufficiency (10.3%). Conclusions: The present study suggests that HIPEC with three drugs after curative resection of advanced gastric primary cancer is associated with improved overall survival with an acceptable morbidity. No significant financial relationships to disclose.
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Affiliation(s)
- S. Murata
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - H. Naito
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - H. Yamamoto
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - E. Mekata
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - T. Shimizu
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - H. Shiomi
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - S. Naka
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - H. Abe
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - Y. Kurumi
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
| | - T. Tani
- Shiga University of Medical Science, Otsu, Japan; Shiga University of Medical Science, Otsu, Japan
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Abe H, Umeda T, Kawai Y, Tanaka M, Shimizu T, Chou H, Kubota Y, Mekata E, Kurumi Y, Tani T. Feasibility and toxicity of docetaxel before or after fluorouracil, epirubicin, and cyclophosphamide as adjuvant chemotherapy for early-stage breast cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
604 Background: As adjuvant chemotherapy for breast cancer, the addition of docetaxel to regimens containing anthracyline has been shown to be effective. However, tolerance and safety associated with the administration order of the two drugs have not been evaluated. Methods: Breast cancer patients with node-positive or high-risk patients with node-negative were eligible. The treatment completion rate and toxicity were evaluated in 2 arms who underwent a total of 6 courses of the following regimens: Arm A: 3 courses of fluorouracil 500 mg/m2, epirubicin 100 mg/m2 and cyclophosphamide 500 mg/m2 (FEC100: q3w) followed by 3 courses of docetaxel (DOC100: 100 mg/m2, q3w); and Arm B: 3 courses of DOC100 (q3w) followed by 3 courses of FEC100 (q3w). Results: June 2006 to April 2008, 42 patients were registered. To the present, analysis has been completed in 21 patients in arm A and 21 in arm B. The mean age of patients was 49.1 years and 53.8 years, respectively. In arm A, the stage of cancer was 1 in 4 patients, 2a in 10, and 2b in 7, in arm B, the stage of cancer was 1 in 3 patients, 2a in 9, and 2b in 9. The adjuvant chemotherapy completion rate was 100 % for arm A and 95.2 % for arm B. The relative dose intensity (RDI) was 94.2 % for FEC100 and 97.8 % for DOC100 in arm A, and 98.9 % for DOC100 and 95.2 % for FEC100 in arm B. In arm A, grade 3 or higher hematological toxicity was observed in 9 patients, and febrile neutropenia developed in 3 patients with FEC100. In arm B, grade 3 or higher hematological toxicity was observed in 7 patients, but febrile neutropenia was not noted in any patients. Grade 3 or higher non-hematological toxicity was observed with FEC100 in 2 patients each in the two arms. Grade 1 or 2 edema developed in 11 patients with DOC100 in the two arms. Conclusions: In both arm A and B, adverse events associated with FEC100 were frequently observed but spontaneously recovered, or adequate management was possible by supportive therapy. Adverse events associated with DOC100 were mild. The regimens in both arms A and B were safe regarding adjuvant chemotherapy for early stage breast cancer. However, DOC100 followed by FEC100 may be more tolerable and effective. No significant financial relationships to disclose.
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Affiliation(s)
- H. Abe
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T. Umeda
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y. Kawai
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - M. Tanaka
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T. Shimizu
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - H. Chou
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y. Kubota
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - E. Mekata
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y. Kurumi
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T. Tani
- Shiga University of Medical Science, Otsu, Shiga, Japan
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Tani T, Sakimura K, Tsujita M, Nakada T, Tanaka M, Nishizawa M, Tanaka K. Identification of binding sites for anti-aquaporin 4 antibodies in patients with neuromyelitis optica. J Neuroimmunol 2009; 211:110-3. [PMID: 19410301 DOI: 10.1016/j.jneuroim.2009.04.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2008] [Revised: 03/04/2009] [Accepted: 04/01/2009] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Anti-aquaporin 4 antibodies (AQP4-Ab) are specifically detected in patients with neuromyelitis optica. To investigate the role of AQP4-Ab, we examined the antibody binding epitope using human and mouse mutant AQP4. METHODS We constructed human and mouse amino acid substitution AQP4 mutants and compared the reactivity with wild-form of human, mouse and rat AQP4. RESULTS The decreased intensity of AQP4-Ab staining with mouse AQP4 was recovered to that of human AQP4 with the mouse mutant A228E for 9 of the 10 sera. CONCLUSIONS The third extracellular loop of AQP4 is considered to be the major epitope for AQP4-Ab in NMO.
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Affiliation(s)
- T Tani
- Department of Neurology, Brain Research Institute, Niigata University, Japan
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Shimizu T, Hanasawa K, Sato K, Umeki M, Koga N, Naganuma T, Sato S, Shimonishi T, Ikeda T, Matsuno N, Ono S, Saitoh H, Satoh K, Otani Y, Endo Y, Eguchi Y, Tani T. The Clinical Significance of Serum Procalcitonin Levels following Direct Hemoperfusion with Polymyxin B-Immobilized Fiber Column in Septic Patients with Colorectal Perforation. Eur Surg Res 2008; 42:109-17. [DOI: 10.1159/000187169] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2008] [Accepted: 09/17/2008] [Indexed: 11/19/2022]
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Ishida C, Nakamura T, Ikemizu S, Tani T, Yamagata Y. Purification and crystallization of a C-terminal domain of a human single-pass transmembrane protein. Acta Crystallogr A 2008. [DOI: 10.1107/s0108767308092192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Taniguchi S, Kimura J, Yamada T, Ichikawa H, Hara M, Fujisawa R, Shimizu H, Tani T. Effect of motion imagery to counter rest-induced suppression of F-wave as a measure of anterior horn cell excitability. Clin Neurophysiol 2008; 119:1346-52. [PMID: 18396453 DOI: 10.1016/j.clinph.2007.11.179] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2007] [Revised: 11/11/2007] [Accepted: 11/23/2007] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To test if motor imagery prevents the rest-induced suppression of anterior horn cell excitability. METHODS Ten healthy subjects underwent two separate experiments, each consisting of stimulating the median nerve 100 times and recording F-waves from abductor pollicis brevis (APB) in three consecutive sessions: (1) after muscle exercise to standardize the baseline, (2) after immobilization of APB for 3h and (3) after muscle exercise to check recovery. We instructed the subject to volitionally relax APB in experiment 1 (relaxation task), and to periodically simulate thumb abduction without actual movement in experiment 2 (imagery task). RESULTS F-wave persistence and amplitude declined after relaxation task and recovered quickly after exercise, but changed little with imagery task. F-wave latencies showed no change when analyzed individually. The frequency distribution of collective F-waves recorded from all subjects remained the same after relaxation task, but showed a shift toward longer latencies after imagery task. CONCLUSIONS Mental imagery without overt motor output suffices to counter the effect of sustained volitional muscle relaxation, which would, otherwise, cause a reversible reduction in anterior horn cell excitability. SIGNIFICANCE This finding documents the importance of central drive for spinal excitability, which affects F-wave studies of a paretic muscle.
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Affiliation(s)
- S Taniguchi
- Department of Orthopaedic Surgery, Kochi Medical School, Kohasu Oko-cho, Nankoku-shi, Kochi 783-8505, Japan.
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Ikemoto T, Ushida T, Yamasaki F, Yokoyama T, Tani T, Sato T. The clinical use of bionic barorelflex arterial pressure control system by utilizing servo-controlled thoracic spinal cord electrical stimulation. Clin Neurophysiol 2007. [DOI: 10.1016/j.clinph.2007.06.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ushida T, Ikemoto T, Taniguchi S, Tani T, Tanaka S, Morio K, Zinchuk O, Ueda W. Activation of distinct brain areas caused by virtual visual stimulation in allodynia patients. Clin Neurophysiol 2007. [DOI: 10.1016/j.clinph.2007.06.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abe H, Shimizu T, Naka S, Shiomi H, Demura K, Murakami K, Kurumi Y, Morikawa S, Tani T. Open-configuration magnetic resonance (MR) guided microwave thermocoagulation treatment for breast tumors: Preliminary report of hepatic metastases and resected breast tumors. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.11095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
11095 Background: Minimally invasive therapies such as radiofrequency ablation, focused ultrasound surgery, and cryotherapy for early stage primary breast cancers may be appropriate in carefully selected patients. In this study, open-configuration magnetic resonance (MR)-guided microwave thermocoagulation treatment was used for breast tumors, and the efficacy of this treatment was assessed. Methods: We used MR-guided microwave thermocoagulation treatment on eight patients with metastatic liver tumors from breast cancer. A 0.5 T open-configuration MR system and a microwave coagulator were used. Near-real-time MR images and real-time temperature images were collected and displayed on the monitor. Secondly, it was examined whether the description of breast tumors was possible with open- configuration MR device, and simulated a tumor puncture while imaging a real-time MR image. The resected breast tumor was punctured while confirming the tumor with open-configuration MR system, and microwave thermocoagulation was enforced. Tumor tissue viability after microwave thermocoagulation was assessed by hematoxylin and eosin and NADH vital staining. Results: The visibility of the tumor by MR imaging was not disturbed throughout the procedure. In 8 patients, 11 hepatic metastases were treated by MR-guided microwave thermocoagulation treatment successfully without any major adverse event. Five of the 8 patients are alive with new metastatic foci with a mean observation period of 25.9 months (range 1 - 43 months). It was able to be confirmed that viability of the tumor had disappeared by the microwave thermocoagulation in resected breast tumors. Conclusions: This technique is feasible and safe to treatment of breast tumor with real-time observation. Open-configuration MR-guided microwave thermocoagulation therapy appears to be a feasible method with advantages to add to the growing list for nonsurgical ablation therapy of early stage primary breast cancer and should be investigated in further comparative studies. No significant financial relationships to disclose.
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Affiliation(s)
- H. Abe
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T. Shimizu
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - S. Naka
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - H. Shiomi
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - K. Demura
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - K. Murakami
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - Y. Kurumi
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - S. Morikawa
- Shiga University of Medical Science, Otsu, Shiga, Japan
| | - T. Tani
- Shiga University of Medical Science, Otsu, Shiga, Japan
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Tanaka K, Tani T, Tanaka M, Saida T, Idezuka J, Yamazaki M, Tsujita M, Nakada T, Sakimura K, Nishizawa M. Anti-aquaporin 4 antibody in selected Japanese multiple sclerosis patients with long spinal cord lesions. Mult Scler 2007; 13:850-5. [PMID: 17468440 DOI: 10.1177/1352458507076976] [Citation(s) in RCA: 90] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Multiple sclerosis (MS) in Asian populations is often characterized by the selective involvement of the optic nerve (ON) and spinal cord (SP) (OSMS) in contrast to classic MS (CMS), where frequent lesions are observed in the cerebrum, cerebellum or brainstem. In Western countries, inflammatory demyelinating disease preferentially involving the ON and SP is called neuromyelitis optica (NMO). Recently, Lennon et al. discovered that NMO-IgG, shown to bind to aquaporin 4 (AQP4), could be a specific marker of NMO and also of Japanese OSMS whose clinical features were identical to NMO having long spinal cord lesions extending over three vertebral segments (LCL). To examine this antibody in larger populations of Japanese OSMS patients in order to know its epidemiological and clinical spectra, we established an immunohistochemical detection system for the anti-AQP4 antibody (AQP4-Ab) using the AQP4-transfected human embryonic kidney cell line (HEK-293) and confirmed AQP4-Ab positivity together with the immunohistochemical staining pattern of NMO-IgG in approximately 60% of Japanese OSMS patients with LCL. Patients with OSMS without LCL and those with CMS were negative for this antibody. Our results accorded with those of Lennon et al. suggest that Japanese OSMS with LCL may have an underlying pathogenesis in common with NMO.
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Affiliation(s)
- K Tanaka
- Department of Neurology, Brain Research Institute, Niigata University, Niigata Japan.
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