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  1. Article ; Online: Automated Classification of Urinary Cells

    Atsushi Teramoto / Ayano Michiba / Yuka Kiriyama / Eiko Sakurai / Ryoichi Shiroki / Tetsuya Tsukamoto

    Applied Sciences, Vol 13, Iss 1763, p

    Using Convolutional Neural Network Pre-trained on Lung Cells

    2023  Volume 1763

    Abstract: Urine cytology, which is based on the examination of cellular images obtained from urine, is widely used for the diagnosis of bladder cancer. However, the diagnosis is sometimes difficult in highly heterogeneous carcinomas exhibiting weak cellular atypia. ...

    Abstract Urine cytology, which is based on the examination of cellular images obtained from urine, is widely used for the diagnosis of bladder cancer. However, the diagnosis is sometimes difficult in highly heterogeneous carcinomas exhibiting weak cellular atypia. In this study, we propose a new deep learning method that utilizes image information from another organ for the automated classification of urinary cells. We first extracted 3137 images from 291 lung cytology specimens obtained from lung biopsies and trained a classification process for benign and malignant cells using VGG-16, a convolutional neural network (CNN). Subsequently, 1380 images were extracted from 123 urine cytology specimens and used to fine-tune the CNN that was pre-trained with lung cells. To confirm the effectiveness of the proposed method, we introduced three different CNN training methods and compared their classification performances. The evaluation results showed that the classification accuracy of the fine-tuned CNN based on the proposed method was 98.8% regarding sensitivity and 98.2% for specificity of malignant cells, which were higher than those of the CNN trained with only lung cells or only urinary cells. The evaluation results showed that urinary cells could be automatically classified with a high accuracy rate. These results suggest the possibility of building a versatile deep-learning model using cells from different organs.
    Keywords urinary cell ; classification ; deep learning ; convolutional neural network ; Technology ; T ; Engineering (General). Civil engineering (General) ; TA1-2040 ; Biology (General) ; QH301-705.5 ; Physics ; QC1-999 ; Chemistry ; QD1-999
    Subject code 006
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: γH2AX, a DNA Double-Strand Break Marker, Correlates with PD-L1 Expression in Smoking-Related Lung Adenocarcinoma

    Eiko Sakurai / Hisato Ishizawa / Yuka Kiriyama / Ayano Michiba / Yasushi Hoshikawa / Tetsuya Tsukamoto

    International Journal of Molecular Sciences, Vol 23, Iss 6679, p

    2022  Volume 6679

    Abstract: In recent years, the choice of immune checkpoint inhibitors (ICIs) as a treatment based on high expression of programmed death-ligand 1 (PD-L1) in lung cancers has been increasing in prevalence. The high expression of PD-L1 could be a predictor of ICI ... ...

    Abstract In recent years, the choice of immune checkpoint inhibitors (ICIs) as a treatment based on high expression of programmed death-ligand 1 (PD-L1) in lung cancers has been increasing in prevalence. The high expression of PD-L1 could be a predictor of ICI efficacy as well as high tumor mutation burden (TMB), which is determined using next-generation sequencing (NGS). However, a great deal of effort is required to perform NGS to determine TMB. The present study focused on γH2AX, a double-strand DNA break marker, and the suspected positive relation between TMB and γH2AX was investigated. We assessed the possibility of γH2AX being an alternative marker of TMB or PD-L1. One hundred formalin-fixed, paraffin-embedded specimens of lung cancer were examined. All of the patients in the study received thoracic surgery, having been diagnosed with lung adenocarcinoma or squamous cell carcinoma. The expressions of γH2AX and PD-L1 (clone: SP142) were evaluated immunohistochemically. Other immunohistochemical indicators, p53 and Ki-67, were also used to estimate the relationships of γH2AX. Positive relationships between γH2AX and PD-L1 were proven, especially in lung adenocarcinoma. Tobacco consumption was associated with higher expression of γH2AX, PD-L1, Ki-67, and p53. In conclusion, the immunoexpression of γH2AX could be a predictor for the adaptation of ICIs as well of as PD-L1 and TMB.
    Keywords lung cancer ; adenocarcinoma ; squamous cell carcinoma ; immune checkpoint inhibitors ; programmed death-ligand 1 ; DNA damage response ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
    Subject code 610
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: A Case of Extramedullary Plasmacytoma of the Biliary Tract with a Poor Prognosis

    Eiko Sakurai / Kazunori Nakaoka / Seiji Yamada / Naoe Goto / Akihiro Tomita / Yoshiki Hirooka / Tetsuya Tsukamoto

    Reports, Vol 6, Iss 1, p

    2022  Volume 1

    Abstract: Extramedullary plasmacytoma (EMP) is a rare disease consisting of the presence of monoclonal plasma cells in tissues other than the bone. Most EMPs are located in the head and neck region. We present an extremely rare case of an EMP originating from the ... ...

    Abstract Extramedullary plasmacytoma (EMP) is a rare disease consisting of the presence of monoclonal plasma cells in tissues other than the bone. Most EMPs are located in the head and neck region. We present an extremely rare case of an EMP originating from the biliary tract in a 76-year-old male. This is the fifth report of a primary EMP arising from the biliary tract. He was diagnosed with jaundice, and he was referred for an additional examination. Abdominal ultrasonography revealed a tumor in the gallbladder and bile ducts, and a bile duct biopsy was performed via endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). The pathological and immunohistochemical examination revealed that the tumor was a plasmacytoma originating in the biliary tract. Although endoscopic biliary drainage was performed, the bile duct infection was not well controlled due to obstructive jaundice caused by the tumor. Furthermore, the bleeding from the tumor during chemotherapy was uncontrolled. Pancreaticoduodenectomy and cholecystectomy were performed to control the infection and bleeding. Although chemotherapy was continued after surgery, the tumor of the intrahepatic bile duct enlarged. He died seven months after the diagnosis because of the treatment-resistant tumor.
    Keywords plasmacytoma ; solitary plasmacytoma ; extraosseous plasmacytoma ; extramedullary plasmacytoma ; bile duct ; gall bladder ; Medicine (General) ; R5-920 ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: A case of chronic gastric anisakiasis coexisting with early gastric cancer

    Eiko Sakurai / Masaaki Okubo / Yutaka Tsutsumi / Tomoyuki Shibata / Tomomitsu Tahara / Yuka Kiriyama / Ayano Michiba / Naoki Ohmiya / Tetsuya Tsukamoto

    Fujita Medical Journal, Vol 9, Iss 2, Pp 163-

    2023  Volume 169

    Abstract: Background: Anisakiasis is a parasitic disease caused by the consumption of raw or undercooked fish that is infected with Anisakis third-stage larvae. In countries, such as Japan, Italy, and Spain, where people have a custom of eating raw or marinated ... ...

    Abstract Background: Anisakiasis is a parasitic disease caused by the consumption of raw or undercooked fish that is infected with Anisakis third-stage larvae. In countries, such as Japan, Italy, and Spain, where people have a custom of eating raw or marinated fish, anisakiasis is a common infection. Although anisakiasis has been reported in the gastrointestinal tract in several countries, reports of anisakiasis accompanied by cancer are rare. Case presentation: We present the rare case of a 40-year-old male patient with anisakiasis coexisting with mucosal gastric cancer. Submucosal gastric cancer was suspected on gastric endoscopy and endoscopic ultrasonography. After laparoscopic distal gastrectomy, granulomatous inflammation with Anisakis larvae in the submucosa was pathologically revealed beneath mucosal tubular adenocarcinoma. Histological and immunohistochemical investigation showed cancer cells as intestinal absorptive-type cells that did not produce mucin. Conclusion: Anisakis larvae could have invaded the cancer cells selectively because of the lack of mucin in the cancerous epithelium. Anisakiasis coexisting with cancer is considered reasonable rather than coincidental. In cancer with anisakiasis, preoperative diagnosis may be difficult because anisakiasis leads to morphological changes in the cancer.
    Keywords nematode ; anisakiasis ; stomach ; gastric cancer ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Fujita Medical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Mutual stain conversion between Giemsa and Papanicolaou in cytological images using cycle generative adversarial network

    Atsushi Teramoto / Ayumi Yamada / Tetsuya Tsukamoto / Yuka Kiriyama / Eiko Sakurai / Kazuya Shiogama / Ayano Michiba / Kazuyoshi Imaizumi / Kuniaki Saito / Hiroshi Fujita

    Heliyon, Vol 7, Iss 2, Pp e06331- (2021)

    2021  

    Abstract: Objective: Papanicolaou and Giemsa stains used in cytology have different characteristics and complementary roles. In this study, we focused on cycle-consistent generative adversarial network (CycleGAN), which is an image translation technique using deep ...

    Abstract Objective: Papanicolaou and Giemsa stains used in cytology have different characteristics and complementary roles. In this study, we focused on cycle-consistent generative adversarial network (CycleGAN), which is an image translation technique using deep learning, and we conducted mutual stain conversion between Giemsa and Papanicolaou in cytological images using CycleGAN. Methods: A total of 191 Giemsa-stained images and 209 Papanicolaou-stained images were collected from 63 patients with lung cancer. From those images, 67 images from nine cases were used for testing and the remaining images were used for training. For data augmentation, the number of training images was increased by rotation and inversion, and the images were pipelined to CycleGAN to train the mutual conversion process involving Giemsa- and Papanicolaou-stained images. Three pathologists and three cytotechnologists performed visual evaluations of the authenticity of cell nuclei, cytoplasm, and cell layouts of the test images translated using CycleGAN. Results: As a result of converting Giemsa-stained images into Papanicolaou-stained images, the background red blood cell patterns present in Giemsa-stained images disappeared, and cell patterns that reproduced the shape and staining of the cell nuclei and cytoplasm peculiar to Papanicolaou staining were obtained. Regarding the reverse-translated results, nuclei became larger, and red blood cells that were not evident in Papanicolaou-stained images appeared. After visual evaluation, although actual images exhibited better results than converted images, the results were promising for various applications. Discussion: The stain translation technique investigated in this paper can complement specimens under conditions where only single stained specimens are available; it also has potential applications in the massive training of artificial intelligence systems for cell classification, and can also be used for training cytotechnologist and pathologists.
    Keywords Giemsa stain ; Papanicolaou stain ; Translation ; Cycle-consistent generative adversarial network ; Deep learning ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 571
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Weakly supervised learning for classification of lung cytological images using attention-based multiple instance learning

    Atsushi Teramoto / Yuka Kiriyama / Tetsuya Tsukamoto / Eiko Sakurai / Ayano Michiba / Kazuyoshi Imaizumi / Kuniaki Saito / Hiroshi Fujita

    Scientific Reports, Vol 11, Iss 1, Pp 1-

    2021  Volume 9

    Abstract: Abstract In cytological examination, suspicious cells are evaluated regarding malignancy and cancer type. To assist this, we previously proposed an automated method based on supervised learning that classifies cells in lung cytological images as benign ... ...

    Abstract Abstract In cytological examination, suspicious cells are evaluated regarding malignancy and cancer type. To assist this, we previously proposed an automated method based on supervised learning that classifies cells in lung cytological images as benign or malignant. However, it is often difficult to label all cells. In this study, we developed a weakly supervised method for the classification of benign and malignant lung cells in cytological images using attention-based deep multiple instance learning (AD MIL). Images of lung cytological specimens were divided into small patch images and stored in bags. Each bag was then labeled as benign or malignant, and classification was conducted using AD MIL. The distribution of attention weights was also calculated as a color map to confirm the presence of malignant cells in the image. AD MIL using the AlexNet-like convolutional neural network model showed the best classification performance, with an accuracy of 0.916, which was better than that of supervised learning. In addition, an attention map of the entire image based on the attention weight allowed AD MIL to focus on most malignant cells. Our weakly supervised method automatically classifies cytological images with acceptable accuracy based on supervised learning without complex annotations.
    Keywords Medicine ; R ; Science ; Q
    Subject code 006
    Language English
    Publishing date 2021-10-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Lung Pathology of Mutually Exclusive Co-infection with SARS-CoV-2 and Streptococcus pneumoniae

    Tetsuya Tsukamoto / Noriko Nakajima / Aki Sakurai / Masayuki Nakajima / Eiko Sakurai / Yuko Sato / Kenta Takahashi / Takayuki Kanno / Michiko Kataoka / Harutaka Katano / Mitsunaga Iwata / Yohei Doi / Tadaki Suzuki

    Emerging Infectious Diseases, Vol 27, Iss 3, Pp 919-

    2021  Volume 923

    Abstract: Postmortem lung pathology of a patient in Japan with severe acute respiratory syndrome coronavirus 2 infection showed diffuse alveolar damage as well as bronchopneumonia caused by Streptococcus pneumoniae infection. The distribution of each pathogen and ... ...

    Abstract Postmortem lung pathology of a patient in Japan with severe acute respiratory syndrome coronavirus 2 infection showed diffuse alveolar damage as well as bronchopneumonia caused by Streptococcus pneumoniae infection. The distribution of each pathogen and the accompanying histopathology suggested the infections progressed in a mutually exclusive manner within the lung, resulting in fatal respiratory failure.
    Keywords coronavirus disease ; COVID-19 ; autopsy ; severe acute respiratory syndrome coronavirus 2 ; SARS-CoV-2 ; Streptococcus pneumoniae ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Centers for Disease Control and Prevention
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Flavin-Containing Monooxygenase (FMO) Protein Expression and Its Activity in Rat Brain Microvascular Endothelial Cells

    Yasuhumi Shinmyouzu / Yukari Mori / Yukari Ueda / Eiichi Sakurai / Eiko Sakurai

    Pharmacology & Pharmacy, Vol 04, Iss 01, Pp 1-

    2013  Volume 6

    Abstract: The aim of this study was to examine whether flavin-containing monooxygenase (FMO) protein was expressed in cultured rat brain microvascular endothelial cells (BMECs), which constitute the blood-brain barrier (BBB), and whether N -oxide from the tertiary ...

    Abstract The aim of this study was to examine whether flavin-containing monooxygenase (FMO) protein was expressed in cultured rat brain microvascular endothelial cells (BMECs), which constitute the blood-brain barrier (BBB), and whether N -oxide from the tertiary amine, d -chlorpheniramine, was formed by FMO in rat BMECs. BMECs were isolated and cultured from the brains of three-week-old male Wistar rats. The expression of FMO1, FMO2 and FMO5 proteins was confirmed in rat BMECs by western blotting analysis using polyclonal anti-FMO antibodies, but FMO3 and FMO4 proteins were not found in the rat BBB. Moreover, N -oxide of d -chlorpheniramine was formed in rat BMECs. The intrinsic clearance value for N -oxidation at pH 8.4 was higher than that at pH 7.4. Inhibition of N -oxide formation by methimazole was found to be the best model of competitive inhibition yielding an apparent K i value of 0.53 μ mol/L, suggesting that N -oxidation was catalyzed by FMOs in rat BMECs. Although FMO activity in rat BMECs was lower than that in SD rat normal hepatocytes (rtNHeps), we suggest that rat BMECs enzymes can convert substrates of exogenous origin for detoxification, indicating that BMECs are an important barrier for metabolic products besides hepatic cells.
    Keywords Rat Microvascular Endothelial Cells ; Flavin-Containing Monooxygenase (FMO) ; FMO Protein Expression ; FMO Activity ; BBB ; Therapeutics. Pharmacology ; RM1-950 ; Medicine ; R ; DOAJ:Therapeutics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 571
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Scientific Research Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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