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Biomedical subjects

Shintaro Mori

Publications and source records attributed to Shintaro Mori.

6 recordsLinked to original sources

Microscopic bilateral decompression through unilateral laminotomy for lumbar canal stenosis in patients undergoing hemodialysis.

OBJECT: Microscopic bilateral decompression through a unilateral laminotomy (MBDUL) is a minimally invasive technique used to treat lumbar canal stenosis (LCS). In the present study, MBDUL was performed to treat LCS in eight patients undergoing hemodialysis. METHODS: Surgical outcomes were evaluated using the Japanese Orthopaedic Association (JOA) scale (highest possible score 29). The JOA scale was administered preoperatively, at 1 month and 3 months postoperatively, and at the final follow-up examination. One patient refused to undergo the postoperative assessment after the 1-month examination; the mean follow-up duration of the remaining seven patients was 24 months (range 18-31 months). The mean age at the time of surgery was 62 years (range 48-76 years), and the mean duration of hemodialysis therapy was 21.4 years (range 3-28 years). All patients could walk within 2 days of surgery. The mean angle of the straight leg-raising (SLR) test was 53.8 degrees preoperatively, and this increased to 69.4 degrees postoperatively. Six patients felt enhancement of sciatica or leg pain when performing the SLR test preoperatively, a finding that was absent postoperatively at least until the final follow-up examination. The mean preoperative JOA score was 11.6 (range 4-22), and the score markedly improved to 19.8 (range 15-23) at 1 month and 20.6 (range 16-25) at 3 months. The mean JOA score decreased to 17.1 (range 12-25) at the final follow-up examination, but this decrease was attributed to other physical disorders. CONCLUSIONS: The authors conclude that MBDUL is a safe and effective surgical treatment for patients undergoing hemodialysis who are suffering from LCS.

Aged↗

T2-weighted MRI for the assessment of joint effusion: comparative study of conventional spin-echo and fast spin-echo sequences.

OBJECTIVE: This study aimed to evaluate the usefulness of suitable conventional spin-echo (CSE) and fast spin-echo (FSE) T2-weighted imaging parameters for the assessment of joint effusion in a phantom study and in a comparative study of CSE and FSE using clinical cases. STUDY DESIGN: In the phantom study, the signal ratios of water and oil signal fields were determined and studied comparatively. The shape and size of signals were evaluated separately. In the study of joint effusion images, 318 joints were evaluated. CSE T2-weighted imaging and FSE T2-weighted imaging were carried out, and a comparative assessment was performed. RESULTS: In both CSE and FSE imaging, the ratios of mean MRI signal values showed divergence as TR/TE values increased. The evaluation of joint effusion with FSE TR/TE 8000/120 msec was significantly better than that in all other groups (P <.01). CONCLUSION: The use of FSE requires investigation of TR/TE values. When a 0.5 T static field strength MRI apparatus is employed, TR/TE 8000/120 msec is recommended.

Adolescent↗

MR study of lateral retropharyngeal lymph nodes at different ages.

OBJECTIVE: The purpose of this study was to investigate the age-related morphologic changes of the lateral retropharyngeal lymph nodes using MR imaging. STUDY DESIGN: The maximal axial diameter of the nodes was measured on the MR image in 120 healthy subjects (younger group 6-19 years (n = 40), middle group 20-38 years (n = 48), older group 42-74 years (n = 32)). Between-group differences in the diameter of the nodes were analyzed. RESULTS: Mean values of the maximal axial diameter of the nodes were 9.0 +/- 1.6 mm, 6.6 +/- 1.7 mm, and 5.3 +/- 1.6 mm, corresponding to younger group, middle group, and older group, respectively ( P <.01). CONCLUSION: The information obtained in the current study is useful for the differential diagnosis of normal and abnormal lateral retropharyngeal lymph nodes according to age.

Adolescent↗

Magnetic resonance imaging of normal and osteomyelitis in the mandible: assessment of short inversion time inversion recovery sequence.

OBJECTIVE: We sought to determine the suitable magnetic resonance imaging conditions for the short inversion time inversion recovery (STIR) sequence through the use of phantoms; to describe the signal characteristics of normal structures in the mandible; and to evaluate the usefulness of STIR images in enabling the identification of mandibular osteomyelitis on conventional T1- and T2-weighted spin-echo images. STUDY DESIGN: Suitable mandibular STIR imaging conditions were determined by varying inversion time and repetition time in each sequence. STIR magnetic resonance images of 162 healthy subjects and STIR and T1- and T2-weighted spin-echo images of 21 subjects with mandibular osteomyelitis were evaluated. RESULTS: In STIR imaging, the signal of oil was suppressed at an inversion time equaling 100 milliseconds and a repetition time equaling 1500 to 3000 milliseconds. In healthy subjects, the mandibular marrow was revealed to have high signal intensities (100%) and cortical bone had no signal intensities (100%) on STIR images. In surrounding soft tissue in these healthy subjects, the submandibular glands were shown to have high signal intensities (100%); the parotid glands had intermediate to high signal intensities (100%); the sublingual glands had high (88.9%) and intermediate to high (11.1%) signal intensities; lymph nodes had high signal intensities (100%); and the masseter muscles had intermediate signal intensities (100%) on STIR images. The lesions in bone marrow had low (75%) and low to intermediate (25%) signal intensities on T1-weighted images and high (54%), intermediate to high (29%), and intermediate (17%) signal intensities on T2-weighted images. On STIR images, the signal intensities resulted in high (75%), intermediate to high (21%), and intermediate (4%) signal intensities. CONCLUSIONS: STIR imaging is highly effective for the evaluation of bone marrow and surrounding soft tissue in terms of the detection of osteomyelitis in the mandible and the identification of inflammation spreading to soft tissue.

Adult↗

Sequential activation of Notch family receptors during mouse spermatogenesis.

The expression pattern of Notch family receptors during mouse spermatogenesis was examined by immunohistochemistry. The entire cytoplasm of spermatogonia, spermatocytes and spermatids showed staining with antibodies against extracellular domains of Notch1, 2 and 4. In contrast, the nuclei of spermatogonia showed staining with an antibody against the intracellular domain of Notch3, and the nuclei of spermatocytes and spermatids showed staining with antibodies against the intracellular domains of Notch1 and 4. During regeneration of spermatogonia in busulfan-treated mice, the nuclei of all proliferating cells showed staining for the intracellular domain of Notch3. Western blot analysis showed that the molecular weights of the intracellular domains of Notch1 and 3 localizing in the nuclear fraction were smaller than those in the cytoplasmic fraction. This was consistent with the theory that the intracellular domain of Notch was cleaved in the cytoplasm and translocated to the nucleus. These results suggest that different Notch signals are sequentially activated during mouse spermatogenesis and control the proliferation and differentiation of spermatogenic stem cells.

Alkylating Agents↗

A reaction-diffusion model for interference in meiotic crossing over.

One crossover point between a pair of homologous chromosomes in meiosis appears to interfere with occurrence of another in the neighborhood. It has been revealed that Drosophila and Neurospora, in spite of their large difference in the frequency of crossover points, show very similar plots of coincidence-a measure of the interference-against the genetic distance of the interval, defined as one-half the average number of crossover points within the interval. We here propose a simple reaction-diffusion model, where a "randomly walking" precursor becomes immobilized and matures into a crossover point. The interference is caused by pair-annihilation of the random walkers due to their collision and by annihilation of a random walker due to its collision with an immobilized point. This model has two parameters-the initial density of the random walkers and the rate of its processing into a crossover point. We show numerically that, as the former increases and/or the latter decreases, plotted curves of the coincidence vs. the genetic distance converge on a unique curve. Thus, our model explains the similarity between Drosophila and Neurospora without parameter values adjusted finely, although it is not a "genetic model" but is a "physical model," specifying explicitly what happens physically.

Crossing Over, Genetic↗