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  1. Article ; Online: Assessment of skeletal muscle using deep learning on low-dose CT images.

    Matsushita, Yumi / Yokoyama, Tetsuji / Noguchi, Tomoyuki / Nakagawa, Toru

    Global health & medicine

    2023  Volume 5, Issue 5, Page(s) 278–284

    Abstract: The visceral fat area obtained by computed tomography (CT) at the navel level is clinically used as an indicator of visceral fat obesity in Japan. Analysis of skeletal muscle mass using CT images at the navel level may potentially support concurrent ... ...

    Abstract The visceral fat area obtained by computed tomography (CT) at the navel level is clinically used as an indicator of visceral fat obesity in Japan. Analysis of skeletal muscle mass using CT images at the navel level may potentially support concurrent assessment of sarcopenia and sarcopenic obesity. The purpose of this study was to assess the performance of deep learning models (DLMs) for skeletal muscle mass measurement using low-dose abdominal CT. The primary dataset used in this study included 11,494 low-dose abdominal CT images at navel level acquired in 7,370 subjects for metabolic syndrome screening. The publicly available Cancer Imaging Archive (TCIA) dataset, including 5,801 abdominal CT images, was used as a complementary dataset. For abdominal CT image segmentation, we used the SegU-net DLM with different filter size and hierarchical depth. The segmentation accuracy was assessed by measuring the dice similarity coefficient (DSC), cross-sectional area (CSA) error, and Bland-Altman plots. The proposed DLM achieved a DSC of 0.992 ± 0.012, a CSA error of 0.41 ± 1.89%, and a Bland-Altman percent difference of -0.1 ± 3.8%. The proposed DLM was able to automatically segment skeletal muscle mass measurements from low-dose abdominal CT with high accuracy.
    Language English
    Publishing date 2023-10-30
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 3140544-7
    ISSN 2434-9194 ; 2434-9194 ; 2434-9186
    ISSN (online) 2434-9194
    ISSN 2434-9194 ; 2434-9186
    DOI 10.35772/ghm.2023.01050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Technical Perspective for Understanding Quantitative Arterial Spin-Labeling MR Imaging Using Continuous ASL.

    Noguchi, Tomoyuki

    Polish journal of radiology

    2016  Volume 81, Page(s) 317–321

    Abstract: The current paper describes visually the system of CBF measurement by continuous ASL using schematic illustration. I also discussed the effects of the parameters used in continuous ASL to CBF values as measured with ASL-MRI. ...

    Abstract The current paper describes visually the system of CBF measurement by continuous ASL using schematic illustration. I also discussed the effects of the parameters used in continuous ASL to CBF values as measured with ASL-MRI.
    Language English
    Publishing date 2016-07-07
    Publishing country Poland
    Document type Journal Article ; Review
    ZDB-ID 2675143-4
    ISSN 1899-0967 ; 1733-134X
    ISSN (online) 1899-0967
    ISSN 1733-134X
    DOI 10.12659/PJR.896795
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Current status and challenges of percutaneous vertebroplasty (PVP).

    Noguchi, Tomoyuki / Yamashita, Koji / Kamei, Ryotaro / Maehara, Junki

    Japanese journal of radiology

    2022  Volume 41, Issue 1, Page(s) 1–13

    Abstract: A narrative review regarding percutaneous vertebroplasty (PVP) for osteoporotic vertebral fracture (OVF) is provided herein, addressing the epidemic of OVF in Japan, the latest response to the criticism of PVP for OVFs, the indications and potential ... ...

    Abstract A narrative review regarding percutaneous vertebroplasty (PVP) for osteoporotic vertebral fracture (OVF) is provided herein, addressing the epidemic of OVF in Japan, the latest response to the criticism of PVP for OVFs, the indications and potential risks of PVP for OVFs, and a future perspective for PVP. Each year in Japan, approximately 32,000 patients aged 55 years or older suffer from chronic low back pain for several months to several years due to a compression fracture. PVP is one of the surgical treatments for an OVF, and it is less invasive compared to the traditional open surgery. PVP is suitable for OVF patients who have difficulty walking as assessed by the modified Yokoyama's activities of daily living (ADL) scoring system, and for patients with Kummell's disease diagnosed by CT and MRI examinations. Serious adverse events related to PVP occur in 1.1-3.3% of the cases, but direct deaths from PVP are extremely rare at less than 1%. Recent studies demonstrated that OVF patients treated with PVP are less likely to die after the treatment than non-surgically treated patients, which conflicts with the Cochran reviews' conclusion not supporting PVP for OVFs. Novel robotic systems and procedure-support devices are being developed, providing a next step toward fully automated PVP procedures.
    MeSH term(s) Humans ; Vertebroplasty/adverse effects ; Activities of Daily Living ; Spine ; Osteoporotic Fractures/diagnostic imaging ; Osteoporotic Fractures/surgery ; Osteoporotic Fractures/etiology ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery ; Treatment Outcome
    Language English
    Publishing date 2022-08-09
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 2488907-6
    ISSN 1867-108X ; 1867-1071
    ISSN (online) 1867-108X
    ISSN 1867-1071
    DOI 10.1007/s11604-022-01322-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Validity of the γ-Ray Evaluation with iodoamphetamine for Cerebral Blood Flow Assessment (REICA) method for quantification of cerebral blood flow including acetazolamide challenge test.

    Miyazaki, Yoshiaki / Kameyama, Masashi / Nakamizo, Akira / Noguchi, Tomoyuki / Tabata, Nobuyuki

    Annals of nuclear medicine

    2022  Volume 36, Issue 3, Page(s) 279–284

    Abstract: Objective: The γ-Ray Evaluation with iodoamphetamine for Cerebral Blood Flow Assessment (REICA) is a new method for quantifying cerebral blood flow (CBF) using single-photon emission computed tomography (SPECT) and [: Methods: The REICA and Graph- ... ...

    Abstract Objective: The γ-Ray Evaluation with iodoamphetamine for Cerebral Blood Flow Assessment (REICA) is a new method for quantifying cerebral blood flow (CBF) using single-photon emission computed tomography (SPECT) and [
    Methods: The REICA and Graph-Plot (GP) methods were used to calculate mean CBF (mCBF) for 92 acquisitions (rest: 57, stress: 35) and cerebrovascular reactivity (CVR) in 33 patients. To obtain stress data, 15 mg/kg of acetazolamide was injected intravenously 10 min before the administration of
    Results: For mCBF, the correlation coefficients (r) were 0.792 for the REICA method and 0.636 for the GP method. For CVR, r values were 0.660 for the REICA method and 0.578 for the GP method. In both acquisitions, the REICA method had a stronger correlation with the ARG method than the GP method. For mCBF, there was a significant difference in the correlation coefficient between the two correlation coefficients (p < 0.01).
    Conclusions: The REICA method was more accurate than the GP method in quantifying CBF and closer to the ARG method. The REICA method, which is a noninvasive method of cerebral blood flow quantification using
    MeSH term(s) Acetazolamide ; Brain/blood supply ; Cerebrovascular Circulation/physiology ; Humans ; Iofetamine ; Radiopharmaceuticals ; Tomography, Emission-Computed, Single-Photon/methods
    Chemical Substances Radiopharmaceuticals ; Iofetamine (C2A5X08042) ; Acetazolamide (O3FX965V0I)
    Language English
    Publishing date 2022-01-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1146984-5
    ISSN 1864-6433 ; 0914-7187
    ISSN (online) 1864-6433
    ISSN 0914-7187
    DOI 10.1007/s12149-021-01700-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Unilateral agenesis of internal carotid artery with interparaclinoid and contralateral carotid-anterior cerebral artery anastomoses diagnosed by magnetic resonance angiography: a case report.

    Yamashita, Koji / Yasaka, Masahiro / Uchino, Akira / Noguchi, Tomoyuki

    Surgical and radiologic anatomy : SRA

    2021  Volume 44, Issue 2, Page(s) 289–292

    Abstract: Purpose: Unilateral agenesis of the internal carotid artery (ICA) is a rare anatomical variant. We identified a case of unilateral ICA agenesis with interparaclinoid and contralateral carotid-ACA anastomoses.: Methods: A 65-year-old female with a ... ...

    Abstract Purpose: Unilateral agenesis of the internal carotid artery (ICA) is a rare anatomical variant. We identified a case of unilateral ICA agenesis with interparaclinoid and contralateral carotid-ACA anastomoses.
    Methods: A 65-year-old female with a long history of depressive episodes underwent MR imaging including MR angiography at National Hospital Organization Kyushu Medical Center. MR imaging was performed using a 3.0-T MR scanner to rule out vascular Parkinsonism, although drug-induced Parkinsonism was suspected from her medical history.
    Results: The proximal left ICA was not visible on MR angiography, and an anterior communicating artery (ACoA) aneurysm was identified. The left middle cerebral artery was supplied from the right ICA via an interparaclinoid anastomosis. This interparaclinoid anastomosis showed no communication with the basilar, posterior communicating, or posterior cerebral arteries. A communicating artery connecting the interparaclinoid anastomosis and anterior cerebral artery (ACA) branched off from the presumed transition point between the interparaclinoid anastomosis and left ICA. Both right and left ophthalmic arteries (OAs) originated from the clinoid segment of the ICA. The communicating artery connecting the interparaclinoid anastomosis and ACA arose proximal to the left OA, and the communicating artery was identified as the carotid-ACA anastomosis.
    Conclusion: Neuroradiologists, physicians, and neurosurgeons need to be aware of this extremely unusual anatomical variant to determine appropriate treatment strategies in cases of aneurysmal growth or anterior cranial base surgery.
    MeSH term(s) Adult ; Aged ; Anterior Cerebral Artery/diagnostic imaging ; Carotid Artery, Internal/diagnostic imaging ; Cerebral Angiography ; Child ; Female ; Humans ; Magnetic Resonance Angiography ; Ophthalmic Artery
    Language English
    Publishing date 2021-09-27
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 632839-8
    ISSN 1279-8517 ; 0930-312X ; 0930-1038
    ISSN (online) 1279-8517
    ISSN 0930-312X ; 0930-1038
    DOI 10.1007/s00276-021-02844-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A fundamental study assessing the generalized fitting method in conjunction with every possible coalition of N-combinations (G-EPOC) using the appendicitis detection task of computed tomography.

    Noguchi, Tomoyuki / Matsushita, Yumi / Kawata, Yusuke / Shida, Yoshitaka / Machitori, Akihiro

    Polish journal of radiology

    2021  Volume 86, Page(s) e532–e541

    Abstract: Purpose: Increased use of deep learning (DL) in medical imaging diagnoses has led to more frequent use of 10-fold cross-validation (10-CV) for the evaluation of the performance of DL. To eliminate some of the (10-fold) repetitive processing in 10-CV, we ...

    Abstract Purpose: Increased use of deep learning (DL) in medical imaging diagnoses has led to more frequent use of 10-fold cross-validation (10-CV) for the evaluation of the performance of DL. To eliminate some of the (10-fold) repetitive processing in 10-CV, we proposed a "generalized fitting method in conjunction with every possible coalition of N-combinations (G-EPOC)", to estimate the range of the mean accuracy of 10-CV using less than 10 results of 10-CV.
    Material and methods: G-EPOC was executed as follows. We first provided (2N-1) coalition subsets using a specified N, which was 9 or less, out of 10 result datasets of 10-CV. We then obtained the estimation range of the accuracy by applying those subsets to the distribution fitting twice using a combination of normal, binominal, or Poisson distributions. Using datasets of 10-CVs acquired from the practical detection task of the appendicitis on CT by DL, we scored the estimation success rates if the range provided by G-EPOC included the true accuracy.
    Results: G-EPOC successfully estimated the range of the mean accuracy by 10-CV at over 95% rates for datasets with N assigned as 2 to 9.
    Conclusions: G-EPOC will help lessen the consumption of time and computer resources in the development of computerbased diagnoses in medical imaging and could become an option for the selection of a reasonable K value in K-CV.
    Language English
    Publishing date 2021-09-13
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2675143-4
    ISSN 1899-0967 ; 1733-134X
    ISSN (online) 1899-0967
    ISSN 1733-134X
    DOI 10.5114/pjr.2021.110309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Unusual imaging characteristics of cystic meningioma in cerebellopontine angle.

    Adachi, Saki / Yamashita, Koji / Nakamizo, Akira / Amano, Toshiyuki / Momosaki, Seiya / Noguchi, Tomoyuki

    The neuroradiology journal

    2022  Volume 35, Issue 6, Page(s) 777–779

    Abstract: We report a case of cystic meningioma at the left cerebellopontine angle (CPA). Magnetic resonance imaging demonstrated both solid and cystic components in the tumor. The cystic component appeared slightly hyperintense compared to cerebrospinal fluid on ... ...

    Abstract We report a case of cystic meningioma at the left cerebellopontine angle (CPA). Magnetic resonance imaging demonstrated both solid and cystic components in the tumor. The cystic component appeared slightly hyperintense compared to cerebrospinal fluid on fluid-attenuated inversion recovery (FLAIR) imaging. A hypointense tubular structure was identified in the cystic component on 3D driven equilibrium sequencing. These imaging findings are unusual for cystic meningioma. However, awareness of these unusual imaging features is important to determine appropriate treatment strategies although cystic meningioma at the CPA is extremely rare.
    MeSH term(s) Humans ; Meningioma/diagnostic imaging ; Meningioma/surgery ; Meningioma/pathology ; Cerebellopontine Angle/diagnostic imaging ; Cerebellopontine Angle/pathology ; Magnetic Resonance Imaging/methods ; Meningeal Neoplasms/diagnostic imaging ; Meningeal Neoplasms/surgery ; Meningeal Neoplasms/pathology ; Cerebellar Neoplasms/diagnostic imaging ; Cerebellar Neoplasms/surgery ; Cerebellar Neoplasms/pathology
    Language English
    Publishing date 2022-05-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2257770-1
    ISSN 2385-1996 ; 1971-4009 ; 1120-9976
    ISSN (online) 2385-1996
    ISSN 1971-4009 ; 1120-9976
    DOI 10.1177/19714009221096831
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Accuracy of vertebral puncture in percutaneous vertebroplasty.

    Noguchi, Tomoyuki / Yamashita, Koji / Shida, Yoshitaka / Okafuji, Takashi / Kamei, Ryotaro / Maehara, Junki / Tajima, Tsuyoshi

    Japanese journal of radiology

    2021  Volume 40, Issue 4, Page(s) 419–429

    Abstract: Purpose: To clarify the accuracy of vertebral puncture of the vertebral tertile area needling (VETERAN) method puncturing the pedicle superimposed on one-third of the width between the lateral vertebral line to the contralateral medial lamina line ... ...

    Abstract Purpose: To clarify the accuracy of vertebral puncture of the vertebral tertile area needling (VETERAN) method puncturing the pedicle superimposed on one-third of the width between the lateral vertebral line to the contralateral medial lamina line compared with Cathelin-needle-assisted puncture (CAP) method puncturing using the Cathelin needle as a guide in percutaneous vertebroplasty.
    Materials and methods: 449 punctures by CAP method and 125 punctures by VETERAN method were enrolled. We compared the puncture accuracy of both methods. We estimated a vertebral estimated tilting ratio (VET-ratio) defined as ratio of the distance between the lateral vertebral line and the contralateral medial laminal line to the distance between the vertebral lateral line and the puncture point measured by computed tomography. We also estimated the procedural items and clinical outcomes.
    Results: VETERAN method with 100% of punctures within safe zone (cortical breaches within 2 mm) had significantly higher accuracy than CAP method with 97.8% (p < 0.01) for the 2 mm incremental evaluation. No cases with a VET-ratio of 36% or less had cortical breaches. VETERAN method had shorter operative time per puncture (p < 0.01) and exposure time per puncture (p < 0.05).
    Conclusion: VETERAN method reduced the occurrence of the inaccurate puncture, operative times, and exposure times. A VET-ratio with 36% or less is associated with a safe puncture using VETERAN method.
    MeSH term(s) Fractures, Compression/surgery ; Humans ; Osteoporotic Fractures/surgery ; Punctures/methods ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery ; Vertebroplasty/methods
    Language English
    Publishing date 2021-11-05
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2488907-6
    ISSN 1867-108X ; 1867-1071
    ISSN (online) 1867-108X
    ISSN 1867-1071
    DOI 10.1007/s11604-021-01216-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Preoperative Prediction of Intracranial Meningioma Grade Using Conventional CT and MRI.

    Amano, Toshiyuki / Nakamizo, Akira / Murata, Hideki / Miyamatsu, Yuichiro / Mugita, Fumihito / Yamashita, Koji / Noguchi, Tomoyuki / Nagata, Shinji

    Cureus

    2022  Volume 14, Issue 1, Page(s) e21610

    Abstract: Objective Preoperative diagnosis of tumor grade can assist in treatment-related decision-making for patients with intracranial meningioma. This study aimed to distinguish between high-grade and low-grade meningiomas using conventional CT and MRI. ... ...

    Abstract Objective Preoperative diagnosis of tumor grade can assist in treatment-related decision-making for patients with intracranial meningioma. This study aimed to distinguish between high-grade and low-grade meningiomas using conventional CT and MRI. Methodology We retrospectively analyzed 173 consecutive patients with intracranial meningioma (149 low-grade and 24 high-grade tumors) who were treated surgically at the National Hospital Organization Kyushu Medical Center from 2008 to 2020. Clinical and radiological features, including tumor doubling time (Td) and relative growth rate (RGR), were compared between low-grade and high-grade meningiomas. Results Multivariate logistic regression analysis showed that symptomatic tumor (p=0.001), non-skull base location (p=0.006), irregular tumor shape (p=0.043), tumor heterogeneity (p=0.025), and peritumoral brain edema (p=0.003) were independent predictors of high-grade meningioma. In 53 patients who underwent surgery because of tumor progression, progression to symptoms (p=0.027), intratumoral heterogeneity (p<0.001), peritumoral brain edema (p=0.001), larger tumor volume (p=0.005), shorter Td (p<0.001), and higher RGR (P<0.001) were significantly associated with high-grade meningioma. Receiver operating characteristics (ROC) curve analysis showed that the optimal Td and annual RGR cut-off values to distinguish high-grade from low-grade meningioma were 460.5 days and 73.2%, respectively (100% sensitivity and 78.6% specificity). Conclusion Based on our findings, conventional CT and MRI are useful methods to predict meningioma grades before surgery. High-grade lesions are associated with non-skull base location, irregular tumor shape, intratumoral heterogeneity, and peritumoral brain edema. High-grade meningioma should be suspected in tumors that exhibit Td <460.5 days or annual RGR >73.2% or those that develop intratumoral heterogeneity or surrounding brain edema on surveillance imaging.
    Language English
    Publishing date 2022-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.21610
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The usefulness of vertebral needle targeting simulation training system using ray-summation imaging: experimental study.

    Uchiyama, Fumiya / Noguchi, Tomoyuki / Kamei, Shunsuke / Yamashita, Koji / Shida, Yoshitaka / Okafuji, Takashi / Kamei, Ryotaro / Tajima, Tsuyoshi

    Japanese journal of radiology

    2022  Volume 40, Issue 10, Page(s) 1096–1103

    Abstract: Purpose: Using the multi-detector computed tomography and related three-dimensional imaging technology, we developed a vertebral needle targeting simulation training system named spinal needling intervention practice using ray-summation imaging (SNIPURS) ...

    Abstract Purpose: Using the multi-detector computed tomography and related three-dimensional imaging technology, we developed a vertebral needle targeting simulation training system named spinal needling intervention practice using ray-summation imaging (SNIPURS). Herein, we assessed the utility of SNIPURS by evaluating changes in the learning curves of SNIPURS trainees.
    Methods: Twenty-one examinees were enrolled: seven experienced operators (expert group), seven trainees with coaching (coaching group), and seven trainees without coaching (non-coaching group). They performed six tests of vertebral needle targeting simulation on the workstation-generated spinal ray-summation images of six patients with vertebral fractures. In each test, they determined the bilateral trans-pedicular puncture points and angles on two thoracic and two lumbar vertebrae on ray-summation imaging (i.e., 8 simulations per test). The coaching group received coaching by a trainer after Tests 1 and 4, while the others did not. Scores were given based on the trans-pedicular pathway (1 point) or not (0 point). Eight virtual needles were evaluated in each of Tests 1-6.
    Results: Among the three groups, the expert group had the highest average scores on Tests 1-4 (expert: 3.86, 6.57, 7.43, and 7.57; coaching: 1.86, 6.14, 6, and 6.29; and non-coaching: 1.14, 4.14, 4.71, and 4.86). The coaching group's scores caught up with the expert groups' average scores on Tests 5 and 6, whereas those of the non-coaching group did not (expert and coaching: 7.86 and 8.00, non-coaching: 5.86 and 7.14). All examinees in the expert and coaching groups achieved a perfect score on the final Test 6, whereas three of the seven non-coaching trainees did not.
    Conclusion: SNIPURS might be suitable for vertebral needle targeting training. The coaching provided during SNIPURS training helped the trainees to acquire the spinal puncture techniques in PVP.
    MeSH term(s) Humans ; Imaging, Three-Dimensional ; Lumbar Vertebrae/diagnostic imaging ; Punctures ; Simulation Training ; Spinal Fractures/diagnostic imaging
    Language English
    Publishing date 2022-06-10
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2488907-6
    ISSN 1867-108X ; 1867-1071
    ISSN (online) 1867-108X
    ISSN 1867-1071
    DOI 10.1007/s11604-022-01291-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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