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1.
Opt Express ; 30(21): 38115-38127, 2022 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-36258393

RESUMO

Holography is a technology that uses light interference and diffraction to record and reproduce three-dimensional (3D) information. Using computers, holographic 3D scenes (electroholography) have been widely studied. Nevertheless, its practical application requires enormous computing power, and current computers have limitations in real-time processing. In this study, we show that holographic reconstruction (HORN)-9, a special-purpose computer for electroholography with the Hilbert transform, can compute a 1, 920 × 1, 080-pixel computer-generated hologram from a point cloud of 65,000 points in 0.030 s (33 fps) on a single card. This performance is 8, 7, and 170 times more efficient than a previously developed HORN-8, a graphics processing unit, and a central processing unit (CPU), respectively. We also demonstrated the real-time processing and display of 400,000 points on multiple HORN-9s, achieving an acceleration of 600 times with four HORN-9 units compared with a single CPU.

2.
Appl Opt ; 59(2): 354-362, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-32225314

RESUMO

We propose a phase retrieval method using axial diffraction patterns under planar and spherical wave illuminations. The proposed method uses a ptychographic iterative engine (PIE) for the phase retrieval algorithm. The proposed approach uses multiple diffraction patterns. Thus, adjusting the alignment of each diffraction pattern is mandatory, and we propose a method to adjust the alignment. In addition, a random selection of the measured diffraction patterns is used to further accelerate the convergence of the PIE-based optimization. To confirm the effectiveness of the proposed method, we compare the conventional and proposed methods using a simulation and optical experiments.

3.
Appl Opt ; 59(26): 8029-8037, 2020 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-32976479

RESUMO

Recently, a calculation method involving sparse point spread functions in the short-time Fourier transform (STFT) domain was proposed. In this paper, a dedicated processor using the STFT algorithm is described, which is implemented on a field-programmable gate array. All the operations in this algorithm are implemented using fixed-point arithmetic. Since this algorithm includes a trigonometric function and an error function, lookup tables (LUTs) are utilized to reduce the calculation costs. We have devised a dedicated circuit architecture that allows parallel operations. In addition, a central processing unit could generate holograms using the STFT-based algorithm with fixed-point arithmetic and LUTs at a higher speed than the generation using floating-point arithmetic.

4.
Esophagus ; 17(3): 264-269, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31776810

RESUMO

BACKGROUND: Anastomotic leakage (AL) is a serious complication after esophagectomy. The retrosternal (RS) route has been selected majorly to reduce reflux and related pneumonia and considering mediastinal recurrences. AL has been developed more in RS than posterior mediastinal (PM) route reconstruction. Therefore, we suspected the sterno-tracheal distance (STD) might be related to AL and started the selection according to the STD from 2009. METHODS: A total of 221 patients who underwent a subtotal esophagectomy with gastric tube reconstruction during January 2004-April 2017 were investigated. The patients were classified into the 'after STD selection' (A; n = 144) group and the 'before STD selection' (B, n = 77) group. The incidences of and the risk factors for AL between the two groups were compared. RESULTS: The incidence of AL was high in the B group (18.2%), and 78.6% of the patients who developed AL were treated with RS route reconstruction. The median STDs of the patients with AL and no AL were 10.3 mm and 14.5 mm, respectively (p = 0.001). These results demonstrated that the STD was a risk factor for AL in the RS route. Based on these results, 13 mm was set as the cutoff value. After STD selection, the median STD increased from 14.0 to 17.3 mm (p = 0.001), and the incidence of AL decreased significantly from 26.2 to 11.1% in the RS route (p = 0.037). CONCLUSION: The STD was the independent risk factor for AL in the RS route. RS route reconstruction should be avoided for the patients with STD < 13 mm.


Assuntos
Fístula Anastomótica/etiologia , Nutrição Enteral/efeitos adversos , Neoplasias Esofágicas/cirurgia , Esofagectomia/efeitos adversos , Esterno/diagnóstico por imagem , Traqueia/diagnóstico por imagem , Idoso , Fístula Anastomótica/epidemiologia , Estudos de Casos e Controles , Nutrição Enteral/métodos , Feminino , Humanos , Incidência , Japão/epidemiologia , Masculino , Mediastino/cirurgia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Cuidados Pré-Operatórios/normas , Procedimentos de Cirurgia Plástica/efeitos adversos , Estudos Retrospectivos , Fatores de Risco , Tomografia Computadorizada por Raios X/métodos
5.
Opt Express ; 27(11): 15662-15678, 2019 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-31163760

RESUMO

Herein, we demonstrate a real-time, three-dimensional (3D) video-reconstruction system using electro-holography in real-world scenes with deep depth. We calculated computer-generated holograms using 3D information obtained through an RGB-D camera. We successfully reconstructed a 3D video (in real time) of a person moving in real-world space and confirmed that the proposed system operates at ~14 frames per second. In addition, we successfully reconstructed a full-color 3D video of the person. Furthermore, we varied the number of persons moving in the real-world space and evaluated the proposed system's performance by varying the distance between the RGB-D camera and the person(s).

6.
Opt Lett ; 44(12): 3038-3041, 2019 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-31199375

RESUMO

This Letter aims to propose a dynamic-range compression and decompression scheme for digital holograms that uses a deep neural network (DNN). The proposed scheme uses simple thresholding to compress the dynamic range of holograms with 8-bit gradation to binary holograms. Although this can decrease the amount of data by one-eighth, the binarization strongly degrades the image quality of the reconstructed images. The proposed scheme uses a DNN to predict the original gradation holograms from the binary holograms, and the error-diffusion algorithm of the binarization process contributes significantly to training the DNN. The performance of the scheme exceeds that of modern compression techniques such as JPEG 2000 and high-efficiency video coding.

7.
Appl Opt ; 58(8): 1900-1906, 2019 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-30874054

RESUMO

This paper proposes a particle volume reconstruction directly from an in-line hologram using a deep neural network (DNN). Digital holographic volume reconstruction conventionally uses multiple diffraction calculations to obtain sectional reconstructed images from an in-line hologram, followed by detection of the lateral and axial positions, and the sizes of particles by using focus metrics. However, the axial resolution is limited by the numerical aperture of the optical system, and the processes are time consuming. The method proposed here can simultaneously detect the lateral and axial positions, and the particle sizes via a DNN. We numerically investigated the performance of the DNN in terms of the errors in the detected positions and sizes. The calculation time is faster than conventional diffracted-based approaches.

8.
Opt Express ; 26(20): 26722-26733, 2018 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-30469753

RESUMO

Electro-holography is a promising display technology that can reconstruct a photorealistic three-dimensional (3D) movie; however, it is yet to be realized practically owing to the need for enormous calculation power. A special-purpose computer for electro-holography, namely HORN, has been studied for over 20 years as a means to solve this problem. The latest version of HORN, HORN-8, was developed using field programmable gate array (FPGA) technology. Initially, a circuit for amplitude-type electro-holography was implemented in HORN-8; however, implementation of phase-type electro-holography has remained an issue. In this paper, the development of new version of HORN-8 and its cluster system, which achieved a real-time reconstruction of a 3D movie with point clouds comprised of 32,000 points for phase-type electro-holography, was reported.

9.
Opt Express ; 26(26): 34259-34265, 2018 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-30650851

RESUMO

We developed a HORN-8 system that generates computer-generated holograms at a high speed. The cluster system employed eight HORN-8 boards and achieved a level of performance that was 1,000 times faster than that of a PC. From a point-cloud model comprising 65,536 (216) points, the proposed cluster system can update a 2-million-pixel (1,920 × 1,080) hologram at 60 frames per second. 65,536 (216) is the internal memory size of the HORN-8 hardware. However, the HORN-8 system can calculate a hologram at a high speed even if the number of point-cloud sources exceeds 65,536 (216). Herein, we spatiotemporally divided a point-cloud model comprising ~400,000 points and succeeded in reproducing the video-holography. We demonstrated the performance of the special-purpose computer for electroholography using HORN-8 hardware that does not require a large internal memory when the calculation speed is high.

10.
Esophagus ; 15(2): 75-82, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29892933

RESUMO

BACKGROUND: Daikenchuto (TJ-100), a traditional Japanese herbal medicine, is widely used in Japan. Its effects on gastrointestinal motility and microcirculation and its anti-inflammatory effect are known. The purpose of this prospective randomized controlled trial was to investigate the effect of TJ-100 after esophagectomy in esophageal cancer patients. METHODS: Forty patients for whom subtotal esophageal resection for esophageal cancer was planned at our institute from March 2011 to August 2013 were enrolled and divided into two groups at the point of determination of the operation schedule after informed consent was obtained: a TJ-100 (15 g/day)-treated group (n = 20) and a control group (n = 20). The primary efficacy end-points were maintenance of the nutrition condition and the recovery of gastrointestinal function. The secondary efficacy end-points were the serum C-reactive protein (CRP) level and adrenomedullin level during the postoperative course, the incidence of postoperative complications, and the length of hospital stay after surgery. RESULTS: We examined 39 patients because one patient in the TJ-100 group was judged as having unresectable cancer after surgery. The mean age of the TJ-100 group patients was significantly older than that of the control group patients.The rate of body weight decrease at postoperative day 21 was significantly suppressed in the TJ-100 group (3.6% vs. the control group: 7.0%, p = 0.014), but the serum albumin level was not significantly different between the groups. The recovery of gastrointestinal function regarding flatus, defecation, and oral intake showed no significant between-group differences, but postoperative bowel symptoms tended to be rare in the TJ-100 group. There was no significant between-group difference in the length of hospital stay after surgery. The serum CRP level at postoperative day 3 was 4.9 mg/dl in the TJ-100 group and 6.9 mg/dl in the control group, showing a tendency of a suppressed serum CRP level in the TJ-100 group (p = 0.126). The rate of increase in adrenomedullin tended to be high postoperatively, but there was no significant difference between the two groups. CONCLUSIONS: TJ-100 treatment after esophageal cancer resection has the effects of prompting the recovery of gastrointestinal motility and minimizing body weight loss, and it might suppress the excess inflammatory reaction related to surgery.


Assuntos
Neoplasias Esofágicas/cirurgia , Trato Gastrointestinal/fisiopatologia , Estado Nutricional/efeitos dos fármacos , Fitoterapia , Extratos Vegetais/farmacologia , Recuperação de Função Fisiológica/efeitos dos fármacos , Adrenomedulina/sangue , Idoso , Proteína C-Reativa/metabolismo , Defecação/efeitos dos fármacos , Ingestão de Alimentos/efeitos dos fármacos , Esofagectomia/efeitos adversos , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Panax , Extratos Vegetais/uso terapêutico , Complicações Pós-Operatórias/etiologia , Estudos Prospectivos , Albumina Sérica/metabolismo , Redução de Peso/efeitos dos fármacos , Zanthoxylum , Zingiberaceae
11.
Ann Surg Oncol ; 24(3): 832-840, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26577115

RESUMO

BACKGROUND: Chemokines and their receptors are known to play important roles in the tumorigenesis of many malignancies. The chemokine CXCL12 and its receptors CXCR4 and CXCR7 were suggested to be involved in cancer invasion and metastasis. The aim of this retrospective study was to evaluate the prognostic impact of the expressions of CXCL12, CXCR4 and CXCR7 in patients with esophageal squamous cell carcinoma (ESCC). METHODS: We used immunohistochemistry (IHC) and reverse transcriptase-polymerase chain reaction (RT-PCR) to evaluate the expressions of CXCL12, CXCR4, and CXCR7 in ESCC patients' tumor biopsy specimens obtained during preoperative endoscopy or surgery. These results were compared with the patients' clinicopathological parameters and survival. RESULTS: IHC was conducted for 172 patients. High expression of CXCR4 in the cytoplasm and nuclei and that of CXCR7 were associated with poor cause-specific survival (CSS) (P= .002 and .010, respectively). The specimens from 52 of the 172 patients were examined by RT-PCR and quantitative real-time PCR. The expression levels of messenger RNA (mRNA) of CXCR4 and CXCR7 were significantly increased in the tumors compared with normal esophageal mucosae (P < .0001). The expression level of mRNA of CXCR4 was associated with poor recurrence-free survival and CSS (P = .012 and .038, respectively). CONCLUSIONS: CXCR4 expression is associated with poor prognosis in patients with ESCC.


Assuntos
Carcinoma de Células Escamosas/metabolismo , Quimiocina CXCL12/metabolismo , Neoplasias Esofágicas/metabolismo , RNA Mensageiro/metabolismo , Receptores CXCR4/metabolismo , Receptores CXCR/metabolismo , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma de Células Escamosas/genética , Carcinoma de Células Escamosas/terapia , Quimiocina CXCL12/genética , Intervalo Livre de Doença , Neoplasias Esofágicas/genética , Neoplasias Esofágicas/terapia , Esofagectomia , Feminino , Expressão Gênica , Humanos , Masculino , Pessoa de Meia-Idade , Receptores CXCR/genética , Receptores CXCR4/genética , Estudos Retrospectivos , Taxa de Sobrevida
12.
Ergonomics ; 57(8): 1213-21, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24798188

RESUMO

The purpose of this study was to investigate the physiological and subjective responses of the European, Japanese (JPN) and US firefighters' helmet, gloves and boots for international standardisation. Three experimental conditions were evaluated (clothing mass: 9.4, 8.2 and 10.1 kg for the three conditions, respectively) at the air temperature of 32°C and 60% relative humidity. The results showed that there was no significant difference among the three conditions in oxygen consumption, heart rate, total sweat rate, rectal temperature and mean skin temperature, whereas peripheral temperatures and subjective perceptions were lower in the JPN condition than in the other conditions (P < 0.05). These results indicate that a 0.5-kg reduction in helmet mass and a 1.1-kg reduction in boot mass during exercise resulted in a significant decrease in head and leg temperatures and subjective perceptions, while a 1.9-kg reduction in total clothing mass had insignificant influences on the metabolic burden and overall body temperature.


Assuntos
Regulação da Temperatura Corporal , Bombeiros/psicologia , Luvas Protetoras , Dispositivos de Proteção da Cabeça , Sapatos , Adulto , Desenho de Equipamento , Europa (Continente) , Teste de Esforço , Luvas Protetoras/normas , Dispositivos de Proteção da Cabeça/normas , Frequência Cardíaca , Humanos , Umidade , Japão , Masculino , Consumo de Oxigênio , Percepção , Sapatos/normas , Temperatura Cutânea , Sudorese , Temperatura , Estados Unidos
13.
Ann Surg Oncol ; 20(1): 209-17, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22847125

RESUMO

BACKGROUND: Aldehyde dehydrogenase 1 (ALDH1) and CD44 act as important biomarkers in several solid tumors. However, few studies have examined the relationships between ALDH1 expression and the prognosis and clinical characteristics of esophageal squamous cell carcinoma (ESCC). METHODS: This study was a retrospective case-control study and included 152 patients with ESCC. A total of 56 patients underwent surgery (OP group), 40 patients received neoadjuvant chemotherapy involving weekly docetaxel plus 5-fluorouracil and low-dose cisplatin (DFP therapy) prior to undergoing surgery (NAC group), and 56 patients received initial systemic DFP therapy (CT group). The ALDH1 and CD44 immunohistochemical expression levels of each tumor were evaluated and compared with the prognosis and clinical characteristics of the ESCC patients. RESULTS: In the OP and NAC groups, multivariate analysis found that ALDH1 was independently associated with postoperative recurrence and prognosis (OP group, P=0.004 and 0.016, respectively; NAC group, P=0.026 and 0.014, respectively). In addition, CD44 was found to be associated with postoperative recurrence in the OP group and prognosis in the NAC group (P=0.024 and 0.047, respectively). Among the ALDH1-negative clinical stage II/III patients, the OP and NAC groups displayed better prognoses than the CT group (P<0.001). However, among the ALDH1-positive clinical stage II/III patients, the OP and NAC groups displayed poorer prognoses than the CT group (P=0.049). CONCLUSIONS: ALDH1 was found to be a predictor of postoperative recurrence and prognosis in ESCC, and CD44 might be a predictor of recurrence and prognosis. ALDH1 expression might affect the treatment strategy for ESCC.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Biomarcadores Tumorais/metabolismo , Carcinoma de Células Escamosas/metabolismo , Neoplasias Esofágicas/metabolismo , Receptores de Hialuronatos/metabolismo , Isoenzimas/metabolismo , Recidiva Local de Neoplasia/metabolismo , Retinal Desidrogenase/metabolismo , Idoso , Família Aldeído Desidrogenase 1 , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/terapia , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Cisplatino/administração & dosagem , Intervalo Livre de Doença , Docetaxel , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/terapia , Esofagectomia , Feminino , Fluoruracila/administração & dosagem , Humanos , Estimativa de Kaplan-Meier , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Terapia Neoadjuvante , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Taxoides/administração & dosagem
14.
Gan To Kagaku Ryoho ; 40(5): 643-6, 2013 May.
Artigo em Japonês | MEDLINE | ID: mdl-23863591

RESUMO

The patient was a 64-year-old man, diagnosed as cStage IVa esophageal cancer invading the aorta with lymph node metastasis. He received combination chemotherapy with docetaxel/cisplatin/5-FU(DFP therapy). After one course, CT and endoscopic examination showed remarkable reduction of the primary lesion and lymph node metastasis. We performed subtotal esophagectomy and gastric tube reconstruction by the retroposterior mediastinum route. The pathological specimen evidenced fibrosis and infiltration of inflammatory cells on almost all layers, but showed no viable malignant cells in the middle thoracic esophagus. Therefore, the pathological effect was judged as Grade 3(pCR). This case suggested that DFP combination chemotherapy may prove to be a useful treatment for advanced esophageal cancer with invasion to other organs.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Aorta/patologia , Neoplasias Esofágicas/tratamento farmacológico , Cisplatino/administração & dosagem , Terapia Combinada , Docetaxel , Neoplasias Esofágicas/irrigação sanguínea , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Fluoruracila/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Estadiamento de Neoplasias , Taxoides/administração & dosagem
15.
J Chromatogr A ; 1688: 463703, 2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36528903

RESUMO

Model-based design and optimization methods facilitate industrial applications of chromatographic separations. The uncertainty of the model parameters must be quantified to ensure robust design and control. In this study, we propose an approach using the sequential Monte Carlo (SMC) method based on the Bayesian principle to estimate the uncertainty of the parameters. The linear driving force model for separation of phenol and p-cresol was considered as an example. By comparing different injection tests, we confirmed the necessity of pulse injection and breakthrough experiments to estimate parameters with sufficient accuracy and precision. We also found that modeling observation errors carefully is critical to obtain reasonable estimation.


Assuntos
Fenol , Teorema de Bayes , Método de Monte Carlo
16.
Ann Surg Oncol ; 19(3): 757-65, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21947696

RESUMO

BACKGROUND: The human epidermal growth factor receptor (HER) family, Ki-67 and p53 are important biomarkers for several malignancies. However, few studies have examined the role of these in prognosis and therapeutic sensitivity of esophageal squamous cell carcinoma (ESCC). The efficacy of triple-drug combination therapy with docetaxel, fluorouracil and cisplatin has recently been expected for ESCC. METHODS: Subjects comprised 142 patients with ESCC who underwent operation (OP group, n = 54), neoadjuvant chemotherapy with docetaxel, fluorouracil, and cisplatin (DFP therapy) followed by operation (NAC group, n = 37) or initial systemic DFP therapy (CT group, n = 51) between January 2004 and December 2010. Immunohistochemical expressions of epidermal growth factor receptor (EGFR), HER2, HER3, Ki-67, and p53 were evaluated and compared with prognosis and sensitivity to DFP therapy. RESULTS: Positive correlations existed between EGFR, HER2, and HER3 expressions. In the OP group, EGFR was independently associated with postoperative recurrence in multivariate analysis (P = .036). In the NAC group, EGFR correlated with pathological response to DFP therapy (P = .004). In the CT group, EGFR, HER2, and HER3 correlated with clinical response to DFP therapy and EGFR was independently associated with favorable prognosis in multivariate analysis (P = .022). CONCLUSION: EGFR represents a predictor of postoperative recurrence and sensitivity to triple-drug combination therapy including a taxane. EGFR-positive patients may show improved prognosis with taxane combination chemotherapy and molecular targeted therapy for HER family members.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma de Células Escamosas/tratamento farmacológico , Receptores ErbB/metabolismo , Neoplasias Esofágicas/tratamento farmacológico , Terapia Neoadjuvante , Idoso , Biomarcadores Tumorais/metabolismo , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/mortalidade , Carcinoma de Células Escamosas/cirurgia , Cisplatino/administração & dosagem , Intervalo Livre de Doença , Docetaxel , Neoplasias Esofágicas/metabolismo , Neoplasias Esofágicas/mortalidade , Neoplasias Esofágicas/cirurgia , Esofagectomia , Feminino , Fluoruracila/administração & dosagem , Humanos , Imuno-Histoquímica , Antígeno Ki-67/metabolismo , Masculino , Pessoa de Meia-Idade , Prognóstico , Receptor ErbB-2/metabolismo , Receptor ErbB-3/metabolismo , Taxa de Sobrevida , Taxoides/administração & dosagem , Proteína Supressora de Tumor p53/metabolismo
17.
Ann Surg Oncol ; 19(2): 486-93, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21792510

RESUMO

BACKGROUND: The sentinel lymph node (SLN) concept has been gaining attention for gastrointestinal neoplasms but remains controversial for esophageal cancer. This study evaluated the feasibility of SLN identification using intraoperative indocyanine green (ICG) fluorescence imaging (IGFI) navigated by preoperative computed tomographic lymphography (CTLG) to treat superficial esophageal cancer. METHODS: Subjects comprised 20 patients clinically diagnosed with superficial esophageal cancer. Five minutes after endoscopic submucosal injection of iopamidol around the primary lesion using a four-quadrant injection pattern with a 23-gauge endoscopic injection sclerotherapy needle, three-dimensional multidetector computed tomography was performed to identify SLNs and lymphatic routes. ICG solution was injected intraoperatively around the tumor. Fluorescence imaging was obtained by infrared ray electronic endoscopy. Thoracoscope-assisted standard radical esophagectomy with lymphadenectomy was performed to confirm fluorescent lymph nodes detected by CTLG. RESULTS: Lymphatic vessels and SLNs were identified preoperatively using CTLG in all cases. Intraoperative detection rates were 100% using CTLG and 95% using IGFI. Lymph node metastases were found in four cases, including one false-negative case with SLNs occupied by bulky metastatic tumor that were not enhanced with both methods. The other 19 cases, including three cases of metastatic lymph nodes, were accurately identified by both procedures. CONCLUSIONS: Preoperative CTLG visualized the correct number and site of SLNs in surrounding anatomy during routine computed tomography to evaluate distant metastases. Referring to CTLG, SLNs were identified using IGFI, resulting in successful SLN navigation and saving time and cost. This method appears clinically applicable as a less-invasive method for treating superficial esophageal cancer.


Assuntos
Corantes , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Esofagectomia , Verde de Indocianina , Linfografia , Biópsia de Linfonodo Sentinela , Idoso , Estudos de Viabilidade , Fluorescência , Seguimentos , Humanos , Excisão de Linfonodo , Linfonodos/patologia , Linfonodos/cirurgia , Metástase Linfática , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Taxa de Sobrevida , Tomografia Computadorizada por Raios X
18.
Gan To Kagaku Ryoho ; 38(8): 1321-4, 2011 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-21829072

RESUMO

A male patient in his 50s was found to have lower thoracic advanced esophageal squamous cell carcinoma by upper gastrointestinal endoscopy with the chief complaint of dysphagia in July 2006. CT revealed supraclavicular lymph node metastasis, and he was diagnosed as clinical stage IVa. He underwent two courses of combination chemotherapy with docetaxel, 5-FU and cisplatin(DFP therapy: docetaxel at 25mg/m / / 2 on day 1, 5-FU at 370 mg/m2 on days 1-5, and cisplatin at 7 mg/m2 on days 1-5 were repeated weekly for 4 weeks). The primary tumor disappeared and the lymph node was reduced as observed by upper gastrointestinal endoscopy and CT. After 2 courses of DFP therapy, PET-CT revealed that the primary tumor and lymph node had no new accumulation. Because he refused both operation and chemoradiotherapy, the patient underwent oral chemotherapy. In January 2010, PET-CT and upper gastrointestinal endoscopy revealed that the primary tumor relapsed. DFP therapy was performed and was effective once again. He has survived for over 4 years and 4 months without operation.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Cisplatino/uso terapêutico , Neoplasias Esofágicas/tratamento farmacológico , Fluoruracila/uso terapêutico , Taxoides/uso terapêutico , Cisplatino/administração & dosagem , Docetaxel , Neoplasias Esofágicas/patologia , Fluoruracila/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Taxoides/administração & dosagem , Tomografia Computadorizada por Raios X
19.
Gen Thorac Cardiovasc Surg ; 69(3): 525-533, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33449265

RESUMO

BACKGROUND: The prognosis of patients with esophageal squamous cell carcinoma (ESCC) has been improved by multidisciplinary therapy with chemoradiotherapy and surgery, but it remains poor. Advanced stage, malignant potential, and chemo-resistance contribute to the poor prognosis. Here, we attempted to identify predictive factors of the response to chemotherapy and the prognosis of ESCC patients. PATIENTS AND METHODS: We examined 51 ESCC patients who were treated with chemotherapy followed by radical surgery, and 23 patients who were treated with chemotherapy alone. We conducted quantitative reverse transcription-polymerase chain reaction gene expression analysis using RNA extracted from 74 tumor tissue samples collected before chemotherapy and 67 tumor tissue samples collected after chemotherapy, focusing on PIK3CA, AKT-1, mTOR, 4E-BP1, p70S6K, PD-L1, and PD-L2. RESULTS: The proportions of patients with high expressions of AKT-1 and PD-L1 before chemotherapy were significantly higher among the non-responders than among the responders (p = 0.034, p = 0.020, respectively). Multivariate analyses revealed that high PD-L1 expression before chemotherapy was associated with poor response to chemotherapy (odds ratio 2.998; 95% CI 1.043-8.619; p = 0.042) and high p70S6K expression before chemotherapy was a poor prognostic factor (hazard ratio 2.518; 95% CI 1.058-5.988; p = 0.037). In addition, the patients with high expression of PD-L1 and PD-L2 in the tumors after chemotherapy had significantly worse survival than those with low expression of these genes (p = 0.012, p = 0.007, respectively). CONCLUSION: These results demonstrated that PD-L1 and p70S6K in the primary ESCC tissues were related to a poor response to chemotherapy and poor prognosis, respectively.


Assuntos
Neoplasias Esofágicas , Carcinoma de Células Escamosas do Esôfago , Biomarcadores Tumorais/genética , Quimiorradioterapia , Neoplasias Esofágicas/tratamento farmacológico , Neoplasias Esofágicas/genética , Carcinoma de Células Escamosas do Esôfago/genética , Humanos , Prognóstico
20.
Kyobu Geka ; 63(10): 915-8, 2010 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-20845705

RESUMO

A 69-year-old man and a 53-year-old man with lung cancer of left upper lobe underwent pulmonary resection. A preoperative chest computed tomography (CT) scan showed the left superior and inferior pulmonary veins forming a common trunk. In the former case, the common trunk was misidentified as the superior pulmonary vein. The latter was recognized preoperatively by using 3-dimensional CT, and successfully performed left superior segmentectomy. This variation type is surgically important because of a potential risk of intraoperative bleeding and damage to pulmonary circulation during pulmonary resection.


Assuntos
Neoplasias Pulmonares/cirurgia , Veias Pulmonares/anormalidades , Idoso , Anormalidades Cardiovasculares/diagnóstico , Humanos , Neoplasias Pulmonares/complicações , Masculino , Pessoa de Meia-Idade , Pneumonectomia , Veias Pulmonares/diagnóstico por imagem , Tomografia Computadorizada por Raios X
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