165 results on '"Daisuke Takeda"'
Search Results
2. Incidence of antiresorptive agent-related osteonecrosis of the jaw: A multicenter retrospective epidemiological study in Hyogo Prefecture, Japan
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Masanori Nashi, Hiromitsu Kishimoto, Masaki Kobayashi, Akira Tachibana, Motoo Suematsu, Shigeyoshi Fujiwara, Yoshiyuki Ota, Susumu Hashitani, Takeshi Shibatsuji, Tetsuya Nishida, Kazuma Fujimura, Shungo Furudoi, Yoshiki Ishida, Shoichiro Ishii, Tsuyoshi Fujita, Soichi Iwai, Takashi Shigeta, Takeshi Harada, Daisuke Miyai, Daisuke Takeda, Masaya Akashi, Kazuma Noguchi, and Toshihiko Takenobu
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Antiresorptive agent-related osteonecrosis jaw ,Bisphosphonate ,Denosumab ,Switching therapy ,Dentistry ,RK1-715 - Abstract
Background/purpose: The incidence of medication-related osteonecrosis of the jaw is increasing worldwide, mostly due to the use of antiresorptive agents (ARAs) such as bisphosphonate (BP) and denosumab (Dmab). However, the proportion of BP-related osteonecrosis of the jaw (BRONJ) and Dmab-related osteonecrosis of the jaw (DRONJ) among all ARA-related osteonecrosis of the jaw (ARONJ) cases is not clear; this hinders appropriate treatment, recurrence-prevention planning, and avoidance of unnecessary Dmab withdrawal. Moreover, the causative drug administered at each disease stage remains unknown. Therefore, we conducted a retrospective study of patients with ARONJ who visited oral and maxillofacial surgery departments at hospitals in Hyogo Prefecture, Japan, over 3 years to classify and compare patient characteristics with those having BRONJ and DRONJ. We sought to identify the proportion of DRONJ in ARONJ. Materials and methods: After excluding stage 0 patients, 1021 patients were included (471 high-dose; 560 low-dose). ARA treatment for bone metastases of malignant tumors and multiple myeloma was considered high dose, while that for cancer treatment-induced bone loss and osteoporosis was low dose. Results: Low doses of BP and Dmab accounted for >50% patients; the results differed from those in other countries. DRONJ accounted for 58% and 35% of high-dose and low-dose cases, respectively. Stage 3 ARONJ cases comprised 92 (19.5%) low-dose BRONJ, 39 (20.1%) high-dose BRONJ, 24 (30%) low-dose DRONJ, and 68 (24.5%) high-dose DRONJ. Eighty-nine patients who received switch therapy were divided into BRONJ or DRONJ, but there was no difference in the ratio of each stage compared to the non-switch therapy. Conclusion: To the best of our knowledge, this is the first study to clarify the proportion of BRONJ and DRONJ cases, causative drug, and its doses by disease stages. DRONJ accounted for approximately 30% of the ARONJ, approximately 60% of which was due to high doses.
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- 2023
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3. Risk factors for pathological fracture in patients with mandibular osteoradionecrosis
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Hiroaki Ohori, Eiji Iwata, Daisuke Takeda, Junya Kusumoto, Takumi Hasegawa, and Masaya Akashi
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Medicine ,Science - Abstract
Abstract Osteoradionecrosis (ORN) often results in pathological fractures through progression. We aimed to identify the risk factors for pathological fracture in patients with mandibular ORN. Seventy-four patients with mandibular ORN were included in this retrospective study. We investigated various risk factors for pathological fracture in patients with mandibular ORN, including number of mandibular teeth with a poor prognosis each at initial evaluation before radiation therapy (RT) and when fracture occurred, and the proportion of antibiotic administration period in a follow-up duration after RT. The rate of occurrence of pathological fractures in patients with mandibular ORN was 25.7%. The median of duration between RT completion and fracture occurrence was 74.0 months. We found that pathological fracture was significantly associated with a larger number of mandibular teeth with a poor prognosis at initial evaluation before RT (P = 0.024) and when fracture occurred (P = 0.009). Especially, a larger number of mandibular teeth with P4 periodontitis, in other words severe periodontal status, was related to pathological fracture in both timings. The proportion of antibiotic administration period in a follow-up duration was also significant risk factor (P = 0.002). Multivariate analyses showed statistically significant associations between pathological fracture and a larger number of mandibular teeth with a poor prognosis when fracture occurred (hazard ratio 3.669). The patient with a larger number of mandibular teeth with P4 periodontitis may have a risk of not only occurrence of ORN but resulting in pathological fracture by accumulation of infection. Surgeons should consider extraction of those teeth regardless of before/after RT if necessary for infection control.
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- 2023
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4. The Efficacy of Carbon Dioxide Paste in Alleviating Pain in Patients After Neck Dissection: Protocol for a Double-Blinded, Randomized Controlled Trial
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Yoshiaki Tadokoro, Daisuke Takeda, Izumi Saito, Nanae Yatagai, Yasumasa Kakei, Masaya Akashi, and Takumi Hasegawa
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Medicine ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
BackgroundHead and neck cancers that cause severe aesthetic and functional disorders normally metastasize to the cervical lymph nodes. Patients with cervical lymph node metastasis are undergoing neck dissection. Shoulder complaints are common after neck dissection, with patients reporting symptoms such as pain, weakness, shoulder droop, and disability. However, no safe and effective treatment is available for this condition at present. We will conduct a double-blinded, randomized controlled trial to evaluate the efficacy of carbon dioxide (CO2) paste in relieving pain in patients after neck dissection. ObjectiveThis will be the first clinical study to compare the efficacy of CO2 paste with placebo in relieving postoperative pain in patients who underwent neck dissection. MethodsWe will perform this trial at the Kobe University Hospital in Japan. Patients will be randomized 1:1 into the CO2 paste and control groups. Patients in the CO2 paste group will have the CO2 paste applied to the cervical surface skin for 10 minutes once per day for 14 consecutive days. The primary end point of the study is a change in the visual analog scale (VAS) scores of neck pain from baseline on day 1 (preapplication) to the end of drug application (day 15). Secondary end points include changes in the following parameters from baseline on day 1 to the end of drug application (day 15) or the study (day 29): neck pain VAS score (days 1-29), grip strength (days 1-15 and 1-29), VAS scores for subjective symptoms (the feeling of strangulation, numbness, swelling, and warmth in the neck and shoulder region) for days 1-15 and 1-29, whether the VAS score improved more than 30% (days 1-15), the arm abduction test (days 1-15 and 1-29), shoulder range of motion (abduction and flexion) for days 1-15 and 1-29, occurrence of skin disorders, and occurrence of serious side effects. Periodic monitoring will be conducted for participants during the trial. This study was approved by the certified review board of Kobe University. ResultsThe intervention commenced in May 2021 and will continue until March 2024. The collected data will provide information on the efficacy of the CO2 paste treatment. The primary end point will be compared using the Wilcoxon test, with the 1-sided significance level set at 5%. Each evaluation item will be summarized. Secondary efficacy end points will be analyzed to provide additional insights into the primary analysis. Findings based on the treatment effects are expected to be submitted for publication in 2025. ConclusionsThis trial will provide exploratory evidence of the efficacy and safety of CO2 paste in relieving pain in patients after neck dissection. Trial RegistrationJapan Registry of Clinical Trials (jRCT) identifier: jRCTs051210028; https://jrct.niph.go.jp/en-latest-detail/jRCTs051210028 International Registered Report Identifier (IRRID)DERR1-10.2196/50500
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- 2023
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5. Transcutaneous carbon dioxide application suppresses the expression of cancer-associated fibroblasts markers in oral squamous cell carcinoma xenograft mouse model.
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Yoshiaki Tadokoro, Daisuke Takeda, Aki Murakami, Nanae Yatagai, Izumi Saito, Satomi Arimoto, Yasumasa Kakei, Masaya Akashi, and Takumi Hasegawa
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Medicine ,Science - Abstract
Oral squamous cell carcinoma (OSCC) is the most common head and neck cancer. Cancer-associated fibroblasts (CAFs) are the main stromal cells in the tumor microenvironment (TME). As CAFs promote tumor progression and hypoxia in the TME, regulating the conversion of normal fibroblasts (NFs) into CAFs is essential for improving the prognosis of patients with OSCC. We have previously reported the antitumor effects of transcutaneous carbon dioxide (CO2) application in OSCC. However, the effects of reducing hypoxia in the TME remain unclear. In this study, we investigated whether CO2 administration improves the TME by evaluating CAFs marker expression. Human OSCC cells (HSC-3) and normal human dermal fibroblasts (NHDF) were coinjected subcutaneously into the dorsal region of mice. CO2 gas was applied twice a week for 3 weeks. The tumors were harvested six times after transcutaneous CO2 application. The expression of CAFs markers (α-SMA, FAP, PDPN, and TGF-β) were evaluated by using real-time polymerase chain reaction and immunohistochemical staining. The expression of α-SMA, FAP, PDPN, and TGF-β was significantly increased over time after co-injection. In the CO2-treated group, tumor growth was significantly suppressed after treatment initiation. In addition, the mRNA expression of these markers was significantly inhibited. Furthermore, immunohistochemical staining revealed a significant decrease in the protein expression of all CAFs markers in the CO2-treated group. We confirmed that transcutaneous CO2 application suppressed CAFs marker expression and tumor growth in OSCC xenograft mouse model.
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- 2023
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6. Relationship of Mitochondrial-Related Protein Expression with the Differentiation, Metastasis, and Poor Prognosis of Oral Squamous Cell Carcinoma
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Aki Murakami, Daisuke Takeda, Junya Hirota, Izumi Saito, Rika Amano-Iga, Nanae Yatagai, Satomi Arimoto, Yasumasa Kakei, Masaya Akashi, and Takumi Hasegawa
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mitochondrial dysfunction ,mitochondrial tumor-suppressor protein ,mtDNA-repair protein ,oral squamous cell carcinoma ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Mitochondrial dysfunction and respiratory function changes have been consistently associated with the initiation and progression of cancer. The purpose of this study was to retrospectively investigate the expression of mitochondrial tumor-suppressor and DNA-repair proteins in patients with oral squamous cell carcinoma (OSCC) and to evaluate the relationship between their expression and prognosis. We enrolled 197 patients with OSCC who underwent surgical resection between August 2013 and October 2018. Clinical, pathological, and epidemiological data were retrospectively collected from hospital records. The expression of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α), mitochondrial transcription factor A, mitochondrial tumor suppressor gene 1, silent information regulator 3, and 8-hydroxyguanine DNA glycosylase was investigated using immunochemistry. The 3-year disease-specific survival (DSS) rates of patients showing positive expression of all selected proteins were significantly higher than those of patients showing a lack of expression. Multivariate analysis revealed that the expression of PGC-1α (hazard ratio, 4.684) and vascular invasion (hazard ratio, 5.690) can predict the DSS rate (p < 0.001). Low PGC-1α expression and vascular invasion are potential clinically effective predictors of the prognosis of OSCC.
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- 2023
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7. Author Correction: Risk factors for pathological fracture in patients with mandibular osteoradionecrosis
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Hiroaki Ohori, Eiji Iwata, Daisuke Takeda, Junya Kusumoto, Takumi Hasegawa, and Masaya Akashi
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Medicine ,Science - Published
- 2023
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8. The prospective evaluation and risk factors of dysphagia after surgery in patients with oral cancer
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Takumi Hasegawa, Nanae Yatagai, Tatsuya Furukawa, Emi Wakui, Izumi Saito, Daisuke Takeda, Yasumasa Kakei, Akiko Sakakibara, Ken-ichi Nibu, and Masaya Akashi
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Prospective ,Dysphagia ,Quality of life ,Oral carcinoma ,Head and neck ,Surgery ,RD1-811 - Abstract
Abstract Background This prospective study investigated the change of swallowing ability using the Swallowing Ability Scale System (SASS) and swallowing-related quality of life (QOL) by Performance Status Scale for Head and Neck Cancer patients (PSS-H&N). This study also investigated the risk factors for postoperative dysphagia in patients who received reconstructive surgery for oral cancer. Subjects and Methods This study included 64 patients (33 men and 31 women) who underwent radical surgery with neck dissection and reconstructive surgery for oral cancers between July 2014 and February 2018. We evaluated risk factors for poor swallowing ability after treatment, including demographic factors, preoperative factors and perioperative factors, with univariate and multivariate analyses. The change of swallowing ability by the SASS and swallowing-related QOL by PSS-H&N were evaluated prospectively prior to the initiation of surgery within 1 week and at 1 and 3 months after treatment. Results Advanced T stage (T3, 4) (odds ratio (OR) = 79.71), bilateral neck dissection (OR = 20.66) and the resection of unilateral or bilateral suprahyoid muscles (OR = 17.00) were associated with poor swallowing ability after treatment. The scores for time for food intake and Eating in Public were associated with decrease of QOL in the poor group. Conclusions We propose that clinicians consider the risk factors identified in this study and pay close attention to the management of oral cancer patients with reconstructive surgery. Graphical abstract
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- 2021
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9. Actinomycosis of the Lower Lip: Report of a Case
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Manabu Shigeoka, Daisuke Takeda, and Masaya Akashi
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Dentistry ,RK1-715 - Abstract
Actinomycosis is usually a chronic infectious disease caused by Actinomyces species, which are anaerobic Gram-positive bacteria that normally colonize the human oral cavity and digestive and urogenital tracts. Although this lesion often occurs on soft tissue around the mandible, cases localized in the lip are very uncommon. We encountered a patient with actinomycosis in the lower lip. A 76-year-old woman with a 5-mm submucosal nodule of the lower lip was referred to our hospital from a dental clinic. The clinical diagnosis was a benign submucosal tumor. Total excision and histological examination were conducted. No oral antibiotic therapy was prescribed. The histological diagnosis was actinomycosis. The postoperative course was uneventful with no signs of recurrence during the 6 months after surgery.
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- 2022
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10. Neutrophil-lymphocyte ratio associated with poor prognosis in oral cancer: a retrospective study
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Takumi Hasegawa, Tomoya Iga, Daisuke Takeda, Rika Amano, Izumi Saito, Yasumasa Kakei, Junya Kusumoto, Akira Kimoto, Akiko Sakakibara, and Masaya Akashi
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Neutrophil-to-lymphocyte ratio ,Lymphocyte-to-monocyte ratio ,Platelet-to-lymphocyte ratio ,Oral squamous cell carcinoma ,Overall survival ,Disease-specific survival ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Prognostic biomarkers provide essential information about a patient’s overall outcome. However, existing biomarkers are limited in terms of either sample collection, such as requiring tissue specimens, or the process, such as prolonged time for analysis. In view of the need for convenient and non-invasive prognostic biomarkers for oral cancer, we aimed to investigate the prognostic values of neutrophil-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, and platelet-to-lymphocyte ratio in patient survival. We also aimed to explore the associations of these ratios with the clinicopathologic characteristics of Japanese oral squamous cell carcinoma patients. Methods This study was a non-randomized retrospective cohort study in a tertiary referral center. We included 433 patients (246 men, 187 women) who underwent radical surgery for oral cancers between January 2001 and December 2013. We evaluated various risk factors for poor prognosis including neutrophil-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, and platelet-to-lymphocyte ratio with univariate and multivariate analyses. The disease-specific survival and overall survival rates of patients were compared among the factors and biomarkers. Results In multivariable Cox proportional hazards analysis, high neutrophil-to-lymphocyte ratio (hazard ratio 2.87, 95% confidence interval 1.59–5.19, P
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- 2020
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11. Bacterial Colonization of the Condyle in Patients with Advanced Mandibular Osteoradionecrosis: Analysis of Hemimandibulectomy Specimens
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Daisuke Takeda, Kazunobu Hashikawa, Manabu Shigeoka, Maki Kanzawa, Nanae Yatagai, Satomi Arimoto, Junya Kusumoto, Takumi Hasegawa, Hiroto Terashi, and Masaya Akashi
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Dentistry ,RK1-715 - Abstract
Advanced mandibular osteoradionecrosis (ORN) sometimes requires extended resection (e.g., hemimandibulectomy). Bacterial infection contributes to ORN pathogenesis. To control infection and determine the extent of debridement required, an understanding of bacterial spread within sites of mandibular ORN is important. The current study used a histopathological approach to assess bacterial colonization in the mandibular condyle and elucidate possible paths of bacterial spread towards the mandibular condyle. Four hemimandibulectomy specimens were selected. Areas of bone destruction were macroscopically assessed and confirmed using hematoxylin and eosin staining. Bacterial presence within mandibular condyle was confirmed with Gram staining. Bone exposure was observed in the molar area in all specimens. Macroscopic bone destruction was apparent especially near the medial side of the cortical wall. Gram staining revealed bacterial colonization of the mandibular condyle in three of the four specimens. In conclusion, bacteria tended to spread posteriorly and through the medial side of the mandibular cortical wall. In patients with advanced ORN, the potential for bacterial colonization of the mandibular condyle should be considered during treatment.
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- 2021
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12. A Case Report of Tongue Lymphoepithelial Carcinoma with a Histological Diagnostic Dilemma
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Daisuke Takeda, Manabu Shigeoka, Tenyu Sugano, Nanae Yatagai, Takumi Hasegawa, and Masaya Akashi
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tongue cancer ,lymphoepithelial carcinoma ,EBER negative ,histopathological diagnosis ,oral cavity ,Medicine (General) ,R5-920 - Abstract
Most head and neck lymphoepithelial carcinomas (LECs) arise in the nasopharynx and harbor Epstein–Barr virus (EBV). LEC is also a rare subtype of the oral squamous cell carcinoma (SCC). Morphologically, LEC is defined as resembling non-keratinizing nasopharyngeal carcinoma, undifferentiated subtype. The histological features and pathogenesis of oral LEC are not established. We describe a case of tongue LEC with histopathological diagnostic difficulties. A 72-year-old Japanese female presented with a whitish change on her left-side tongue. The diagnosis was atypical epithelium; neoplastic change could not be ruled out by a biopsy. Although the lesion was monitored at our hospital per her request, invasive carcinoma was detected 11 months later. Microscopically, conventional SCC was observed with the characteristic features as LEC confined to the deep part of the lesion. We briefly discuss this unusual histological finding and make a novel proposal for distinguishing oral LEC from LECs in other regions based on these histological findings.
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- 2021
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13. Upregulated Expression of Transient Receptor Potential Cation Channel Subfamily V Receptors in Mucosae of Patients with Oral Squamous Cell Carcinoma and Patients with a History of Alcohol Consumption or Smoking.
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Akiko Sakakibara, Shunsuke Sakakibara, Junya Kusumoto, Daisuke Takeda, Takumi Hasegawa, Masaya Akashi, Tsutomu Minamikawa, Kazunobu Hashikawa, Hiroto Terashi, and Takahide Komori
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Medicine ,Science - Abstract
Transient receptor potential cation channel (subfamily V, members 1-4) (TRPV1-4) are expressed in skin and neurons and activated by external stimuli in normal mucosae of all oral cavity sites. The oral cavity is exposed to various stimuli, including temperature, mechanical stimuli, chemical substances, and changes in pH, and, notably, the risk factors for oncogenic transformation in oral squamous epithelium are the same as the external stimuli received by TRPV1-4 receptors. Hence, we examined the relationship between oral squamous cell carcinoma (SCC) and TRPV1-4 expression.Oral SCC patients (n = 37) who underwent surgical resection were included in this study. We investigated the expression of TRPV1-4 by immunohistochemical staining and quantification of TRPV1-4 mRNA in human oral mucosa. In addition, we compared the TRPV1-4 levels in mucosa from patients with SCC to those in normal oral mucosa.The receptors were expressed in oral mucosa at all sites (tongue, buccal mucosa, gingiva, and oral floor) and the expression was stronger in epithelia from patients with SCC than in normal epithelia. Furthermore, alcohol consumption and tobacco use were strongly associated with the occurrence of oral cancer and were found to have a remarkable influence on TRPV1-4 receptor expression in normal oral mucosa. In particular, patients with a history of alcohol consumption demonstrated significantly higher expression levels.Various external stimuli may influence the behavior of cancer cells. Overexpression of TRPV1-4 is likely to be a factor in enhanced sensitivity to external stimuli. These findings could contribute to the establishment of novel strategies for cancer therapy or prevention.
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- 2017
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14. Dental Rehabilitation for Free Fibula Flap-Reconstructed Mandible with Scar Contracture: A Technical Note
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Masaya Akashi, Kousuke Matsumoto, Daisuke Takeda, Junya Yamashita, Nanae Yatagai, Kazunobu Hashikawa, and Takahide Komori
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vestibuloplasty ,polyglycolic acid sheet ,skin graft ,free fibula flap ,custom titanium bar ,Dentistry ,RK1-715 - Abstract
Dental rehabilitation with osseointegrated implants in reconstructed mandibles is a common procedure, but the technique still requires improvement, especially in its reliability and technical simplification. We herein report dental rehabilitation of a free fibula-reconstructed mandible with scar contracture. A vestibuloplasty technique with application of a polyglycolic acid (PGA) sheet is described. The implants were inserted into a viable fibula flap with severe scar contracture of the overlying epithelium resulting from vascular instability in skin paddle. Only the fibula periosteum was sutured after implant insertion; exposed surfaces were covered with a combination of PGA sheet and fibrin sealant. The area with PGA sheet coverage gradually healed with moderate contracture. The epithelium around the almost implants became immobilized. The implant-supported removable partial denture with custom titanium bar was acceptable. Dental rehabilitation is possible for reconstructed mandibles with severe scar contracture. Application of a PGA sheet may be useful for vestibuloplasty in patients with reconstructed mandibles.
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- 2019
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15. Transcutaneous carbon dioxide induces mitochondrial apoptosis and suppresses metastasis of oral squamous cell carcinoma in vivo.
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Daisuke Takeda, Takumi Hasegawa, Takeshi Ueha, Yusuke Imai, Akiko Sakakibara, Masaya Minoda, Teruya Kawamoto, Tsutomu Minamikawa, Yasuyuki Shibuya, Toshihiro Akisue, Yoshitada Sakai, Masahiro Kurosaka, and Takahide Komori
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Medicine ,Science - Abstract
Squamous cell carcinoma (SCC) is the main histological type of oral cancer. Its growth rate and incidence of metastasis to regional lymph nodes is influenced by various factors, including hypoxic conditions. We have previously reported that transcutaneous CO2 induces mitochondrial apoptosis and decreases lung metastasis by reoxygenating sarcoma cells. However, previous studies have not determined the sequential mechanism by which transcutaneous CO2 suppresses growth of epithelial tumors, including SCCs. Moreover, there is no report that transcutaneous CO2 suppresses lymphogenous metastasis using human cell lines xenografts. In this study, we examined the effects of transcutaneous CO2 on cancer apoptosis and lymphogenous metastasis using human SCC xenografts. Our results showed that transcutaneous CO2 affects expressions of PGC-1α and TFAM and protein levels of cleavage products of caspase-3, caspase-9 and PARP, which relatives mitochondrial apoptosis. They also showed that transcutaneous CO2 significantly inhibits SCC tumor growth and affects expressions of HIF-1α, VEGF, MMP-2 and MMP-9, which play essential roles in tumor angiogenesis, invasion and metastasis. In conclusion, transcutaneous CO2 suppressed tumor growth, increased mitochondrial apoptosis and decreased the number of lymph node metastasis in human SCC by decreasing intra-tumoral hypoxia and suppressing metastatic potential with no observable effect in vivo. Our findings indicate that transcutaneous CO2 could be a novel therapeutic tool for treating human SCC.
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- 2014
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16. Automatic Osteomyelitis Area Estimation in Head CT Using Contrastive Learning.
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Hideaki Hoshino, Kento Morita 0001, Daisuke Takeda, Takumi Hasegawa, and Tetsushi Wakabayashi
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- 2022
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17. Automatic osteomyelitis area estimation in head CT using anomaly detection.
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Hideaki Hoshino, Kento Morita 0001, Daisuke Takeda, Takumi Hasegawa, and Tetsushi Wakabayashi
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- 2021
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18. Automated registration of pre-operative head CT image and pathology images for osteoradionecrosis area estimation.
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Yukinobu Matsuoka, Kento Morita 0001, Daisuke Takeda, Takumi Hasegawa, and Tetsushi Wakabayashi
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- 2021
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19. Risk factors and CT findings associated with treatment outcomes in patients with medication-related osteonecrosis of the jaw: A retrospective study
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Yoshiaki Tadokoro, Takumi Hasegawa, Daisuke Takeda, Aki Murakami, Nanae Yatagai, Satomi Arimoto, Eiji Iwata, Izumi Saito, Junya Kusumoto, and Masaya Akashi
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Medication-related osteonecrosis of the jaw (MRONJ) is a severe adverse effect of antiresorptive and/or antiangiogenic agents. The standard treatment for MRONJ is conservative treatment and a surgical approach; however, its application remains controversial. This study aimed to identify the risk factors for poor prognosis and to help determine appropriate management. We retrospectively investigated factors associated with the prognosis of MRONJ in 119 patients. Relevant clinical data were obtained for all the patients. In computed tomography images, osteosclerosis, osteolysis, cortical perforation (buccal or lingual), periosteal reaction, and sequestration were observed. Univariate and multivariate analyses were used to evaluate the risk factors for poor prognosis. Multivariate analyses showed statistically significant associations between poor prognosis in patients with MRONJ and conservative treatment alone (hazard ratio [HR] 1.89), osteolysis (HR 4.67), and the absence of sequestration (HR 5.33). These results suggest that conservative treatment alone without clear objectives should be avoided, and osteolytic change could be the criteria for surgical intervention. As the boundary between the lesion and vital bone is indistinct, we recommend extensive surgery in cases which sequestration is unpredictable.
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- 2023
20. Success of dental implants in patients with large bone defect and analysis of risk factors for implant failure: a non-randomized retrospective cohort study
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Yasumasa Kakei, Nanae Yatagai, Aki Sasaki, Takumi Hasegawa, Daisuke Takeda, Yujiro Hiraoka, Masaya Akashi, Satomi Arimoto, and Izumi Saito
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Male ,Multivariate analysis ,Dental implant ,Radiography ,medicine.medical_treatment ,Success ,Alveolar Bone Loss ,Failure ,Dentistry ,Oncologic patients ,Risk Factors ,Humans ,Medicine ,Dental Restoration Failure ,General Dentistry ,Survival rate ,Dental alveolus ,Retrospective Studies ,Dental Implants ,business.industry ,Dental Implantation, Endosseous ,Implant failure ,Retrospective cohort study ,Dentomaxillary prosthesis ,Dental Prosthesis Design ,Dental Prosthesis, Implant-Supported ,Implant ,business ,Follow-Up Studies - Abstract
Objectives This study aimed to retrospectively investigate the success and survival rates of dental implants used for dentomaxillary prostheses at our hospital and the risk factors associated with large bone defects. Materials and methods A total of 138 external joint system implants used for dentomaxillary prostheses in 40 patients with large bone defects were included in this study. The alveolar bone at the site of implant insertion was evaluated using panoramic radiography and computed tomography. Various risk factors (demographic characteristics, dental status, and operative factors such as the employment of alveolar bone augmentation, the site, the length, and diameter of implants) for implant failure and complete implant loss were investigated using univariate and multivariate analyses. The associations between the variables and the success and survival rates of dental implants were analyzed using the multivariate Cox proportional hazard models. Results The 10-year overall success and survival rates were 81.3% and 88.4% in this study. Multivariable analysis showed that the male sex (HR 6.22), shorter implants (≤ 8.5 mm) (HR 5.21), and bone augmentation (HR 2.58) were independent predictors of success rate. Bone augmentation (HR 5.14) and narrow implants (≤ 3.3 mm) (HR 3.86) were independent predictors of the survival rate. Conclusion Male sex, shorter or narrow implants, and bone augmentation were independent risk factors for dental implants used in dentomaxillary prostheses in patients with large bone defects. Clinical relevance Clinicians should consider these risk factors and pay close attention to the management of these patients.
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- 2022
21. Effects of an Earthquake with Aftershocks on Human Performance
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Ayako HIROSE, Daisuke TAKEDA, and Kohei NONOSE
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- 2021
22. Incidence of antiresorptive agent-related osteonecrosis of the jaw: A multicenter retrospective epidemiological study in Hyogo Prefecture, Japan
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Masanori Nashi, Hiromitsu Kishimoto, Masaki Kobayashi, Akira Tachibana, Motoo Suematsu, Shigeyoshi Fujiwara, Yoshiyuki Ota, Susumu Hashitani, Takeshi Shibatsuji, Tetsuya Nishida, Kazuma Fujimura, Shungo Furudoi, Yoshiki Ishida, Shoichiro Ishii, Tsuyoshi Fujita, Soichi Iwai, Takashi Shigeta, Takeshi Harada, Daisuke Miyai, Daisuke Takeda, Masaya Akashi, Kazuma Noguchi, and Toshihiko Takenobu
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General Dentistry - Published
- 2022
23. Transcutaneous Carbon Dioxide Decreases Immunosuppressive Factors in Squamous Cell Carcinoma In Vivo
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Yasumasa Kakei, Takumi Hasegawa, Masaya Akashi, Satomi Arimoto, Daisuke Takeda, Izumi Saito, Rika Amano, and Nanae Yatagai
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Male ,0301 basic medicine ,Article Subject ,medicine.medical_treatment ,Mice, Nude ,Administration, Cutaneous ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,0302 clinical medicine ,Nude mouse ,In vivo ,Cell Line, Tumor ,medicine ,Animals ,Humans ,RNA, Messenger ,Immunosuppression Therapy ,Cisplatin ,Mice, Inbred BALB C ,Chemotherapy ,General Immunology and Microbiology ,biology ,business.industry ,Body Weight ,Immunosuppression ,General Medicine ,Oxygenation ,Carbon Dioxide ,Hypoxia (medical) ,biology.organism_classification ,Tumor Burden ,Gene Expression Regulation, Neoplastic ,030104 developmental biology ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Cancer research ,Medicine ,Mouth Neoplasms ,medicine.symptom ,business ,Immunostaining ,Research Article ,medicine.drug - Abstract
Introduction. In recent years, the tumour immunosuppressive mechanism has attracted attention as a cause of tumour chemoresistance. Although chemoresistance and immunosuppression of tumours have been reported to be associated with a hypoxic environment, effective treatments to improve hypoxia in tumours have not yet been established. We have previously applied carbon dioxide (CO2) to squamous cell carcinoma and have shown that improvement in local oxygenation has an antitumour effect. However, the effects of local CO2 administration on tumour immunosuppression, chemoresistance, and combination with chemotherapy are unknown. In this study, we investigated the effects of local CO2 administration on squamous cell carcinoma and the effects of combined use with chemotherapy, focusing on the effects on tumour immunosuppressive factors. Methods. Human oral squamous cell carcinoma (HSC-3) was transplanted subcutaneously into the back of a nude mouse, and CO2 and cisplatin were administered. After administration twice a week for a total of 4 times, tumours were collected and the expression of tumour immunosuppressive factors (PD-L1, PD-L2, and galectin-9) was evaluated using real-time polymerase chain reaction and immunostaining. Results. Compared with the control group, a significant decrease in the mRNA expression of PD-L1 was observed in both, CO2-treated and combination groups. Similarly, the expression of PD-L2 and galectin-9 decreased in the CO2-treated and combination groups. Furthermore, immunostaining also showed a significant decrease in the protein expression of tumour immunosuppressive factors in the CO2-treated and combination groups. Conclusion. It was confirmed that the tumour immunosuppressive factors decreased due to local CO2 administration to the mouse model. CO2 administration has the potential to improve the hypoxic environment in tumours, and combined use with chemotherapy may also improve tumour immunosuppression.
- Published
- 2021
24. Local application of a transcutaneous carbon dioxide paste prevents excessive scarring and promotes muscle regeneration in a bupivacaine-induced rat model of muscle injury
- Author
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Junya Hirota, Takumi Hasegawa, Atsuyuki Inui, Daisuke Takeda, Rika Amano‐Iga, Nanae Yatagai, Izumi Saito, Satomi Arimoto, and Masaya Akashi
- Subjects
hypoxia ,inflammation ,transcutaneous CO2 ,Surgery ,wound healing ,Dermatology ,scar - Abstract
In postoperative patients with head and neck cancer, scar tissue formation may interfere with the healing process, resulting in incomplete functional recovery and a reduced quality of life. Percutaneous application of carbon dioxide (CO2) has been reported to improve hypoxia, stimulate angiogenesis, and promote fracture repair and muscle damage. However, gaseous CO2 cannot be applied to the head and neck regions. Previously, we developed a paste that holds non-gaseous CO2 in a carrier and can be administered transdermally. Here, we investigated whether this paste could prevent excessive scarring and promote muscle regeneration using a bupivacaine-induced rat model of muscle injury. Forty-eight Sprague Dawley rats were randomly assigned to either a control group or a CO2 group. Both groups underwent surgery to induce muscle injury, but the control group received no treatment, whereas the CO2 group received the CO2 paste daily after surgery. Then, samples of the experimental sites were taken on days 3, 7, 14, and 21 post-surgery to examine the following: (1) inflammatory (interleukin [IL]-1β, IL-6), and transforming growth factor (TGF)-β and myogenic (MyoD and myogenin) gene expression by polymerase chain reaction, (2) muscle regeneration with haematoxylin and eosin staining, and (3) MyoD and myogenin protein expression using immunohistochemical staining. Rats in the CO2 group showed higher MyoD and myogenin expression and lower IL-1β, IL-6, and TGF-β expression than the control rats. In addition, treated rats showed evidence of accelerated muscle regeneration. Our study demonstrated that the CO2 paste prevents excessive scarring and accelerates muscle regeneration. This action may be exerted through the induction of an artificial Bohr effect, which leads to the upregulation of MyoD and myogenin, and the downregulation of IL-1β, IL-6, and TGF-β. The paste is inexpensive and non-invasive. Thus, it may be the treatment of choice for patients with muscle damage.
- Published
- 2022
25. Four-dimensional computed tomographic images evaluation of change of condylar movement with and without implant-supported removable prostheses in the fibular mandible: a pilot case series report
- Author
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Junya Yamashita, Kazunobu Hashikawa, Yasumasa Kakei, Daisuke Takeda, Noriyuki Negi, Toshinori Sekitani, Akiko Sakakibara, Akira Kimoto, Takumi Hasegawa, and Masaya Akashi
- Abstract
Purpose: Although it is believed that implant-supported removable prostheses (ISrP) improve the quality of life of patients who undergo mandibular reconstruction, few studies have focused on the effect of ISrP in the fibular mandible on the function of the temporomandibular joint. This pilot case series aimed to determine whether four-dimensional computed tomography (4DCT) images allow for the evaluation of changes in condylar movements with and without ISrP.Methods: Three patients who underwent ISrP following segmental mandibulectomy and free-flap reconstruction were evaluated. The participants were instructed to masticate a cookie during the 4DCT scan. The distance between the most anterior and posterior positions of the condyles on the sagittal view of the 4DCT images during chewing of the cookies was measured and compared with and without ISrP. Ethical approval was granted by the Medical Ethics Committee of Kobe University on 25 May, 2020 (No. B200052).Results: Although 4DCT revealed changes in the distances of condylar protrusion with and without wearing ISrP, there were no obvious differences among the three patients.Conclusion: The 4DCT motion analysis allows for the evaluation of the effect of wearing ISrP on condylar movements during mastication in patients with mandibular reconstruction and may become a useful objective evaluation method for the functional evaluation of ISrP.
- Published
- 2022
26. Experimental Evaluation of an IEEE 802.11n Wireless LAN System Employing Lattice Reduction Aided MIMO Detection.
- Author
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Josep Soler Garrido, Daisuke Takeda, and Yoshimasa Egashira
- Published
- 2010
- Full Text
- View/download PDF
27. Channel Estimation Scheme with Low Complexity Discrete Cosine Transformation in MIMO-OFDM System.
- Author
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Daisuke Takeda, Yasuhiko Tanabe, and Kazumi Sato
- Published
- 2007
- Full Text
- View/download PDF
28. Preamble Structure for MIMO-OFDM Wlan Systems Based on IEEE 802.11A.
- Author
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Tsuguhide Aoki, Yoshimasa Egashira, and Daisuke Takeda
- Published
- 2006
- Full Text
- View/download PDF
29. Factors Associated with Treatment Outcomes and Pathological Features in Patients with Osteoradionecrosis: A Retrospective Study
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Yoshiaki Tadokoro, Takumi Hasegawa, Daisuke Takeda, Aki Murakami, Nanae Yatagai, Eiji Iwata, Izumi Saito, Junya Kusumoto, and Masaya Akashi
- Subjects
Fistula ,Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,extensive resection ,sequestration ,osteoradionecrosis ,radiation dose ,orocutaneous fistula ,Treatment Outcome ,Osteoradionecrosis ,Head and Neck Neoplasms ,Humans ,Mandibular Diseases ,Retrospective Studies - Abstract
A standard treatment for osteoradionecrosis (ORN) has not yet been established because of the diversity. Therefore, identifying the risk factors for a poor prognosis is essential. This study retrospectively investigated the factors associated with the prognosis of ORN in 68 patients. Relevant clinical data of all patients were obtained. Of the patients, 16 who underwent extensive surgery underwent histopathological analysis. The necrotic changes of the anterior and posterior margins in the cortical and cancellous bones were investigated. Multivariate analyses showed statistically significant associations between poor prognosis in patients with ORN and high radiation dose (hazard ratio [HR] 1.15), orocutaneous fistula (HR 2.93), and absence of sequestration (HR 2.49). Histopathological analysis showed a viable anterior margin of the middle portion of the cortical bone for all recovered cases; in contrast, most cases (75%) with a poor prognosis showed necrotic changes. The anterior margin of the cancellous bone was viable and resilient to high irradiation, regardless of the prognosis. These results suggest that patients with orocutaneous fistula should receive early surgical intervention, even if the affected area is limited or asymptomatic. In extensive surgery, a sufficient safety margin of necrotic bone, particularly in the anterior region, is required to improve the prognosis.
- Published
- 2022
30. Psychological evaluation for appearance of swinging robot - via SD and biosignal method approach.
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Hiroshi Hashimoto, Daisuke Takeda, Toshio Matsunaga, Masato Saito, Chiharu Ishii, and Mihoko Niitsuma
- Published
- 2005
- Full Text
- View/download PDF
31. Time to Recurrence Associated With Poor Prognosis in Japanese Oral Squamous Cell Carcinoma Patients
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Akiko Sakakibara, Erina Kobayashi, Takumi Hasegawa, Masaya Akashi, Daisuke Takeda, Izumi Saito, Akira Kimoto, Rika Amano, and Yasumasa Kakei
- Subjects
medicine.medical_specialty ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Salvage surgery ,030223 otorhinolaryngology ,Proportional hazards model ,business.industry ,Hazard ratio ,Cancer ,Retrospective cohort study ,030206 dentistry ,Prognosis ,medicine.disease ,Time to recurrence ,Confidence interval ,stomatognathic diseases ,Disease-specific survival ,Oral squamous cell carcinoma ,Otorhinolaryngology ,Oral and maxillofacial surgery ,T-stage ,Surgery ,Oral Surgery ,business - Abstract
Purpose: Recurrence in oral squamous cell carcinoma (OSCC) is not rare. Due to lack of studies assessing characteristics of recurrent OSCC, including time to recurrence and outcomes, we sought to investigate its characteristics, time to recurrence, and outcomes in Japanese OSCC patients. Methods: This study was a nonrandomized retrospective cohort study in a tertiary referral centre. It included 208 (117 men and 91 women) patients with recurrent oral cancer who underwent major curative surgery in the Department of Oral and Maxillofacial Surgery at Kobe University Hospital between January 1999 and April 2017. The outcomes were disease-specific survival (DSS) and overall survival (OS). Results: In multivariable Cox proportional hazards analysis, the time to recurrence (hazard ratio [HR] 3.55, 95% confidence interval [CI] 1.69–6.63; P = 0.001), extranodal extension (ENE, HR 2.72, 95% CI 1.51–4.89; P = 0.001), and high T stage (HR 2.00, 95% CI 1.01–3.97; P = 0.046) were independent predictors of DSS. The time to recurrence (HR 3.29, 95% CI 1.82–5.96; P
- Published
- 2021
32. Effects of preoperative dental examination and oral hygiene instruction on surgical site infection after hepatectomy: a retrospective study
- Author
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Takumi Hasegawa, Rika Amano, Yasumasa Kakei, Daisuke Takeda, Akira Kimoto, Izumi Saito, Motofumi Tanaka, Takumi Fukumoto, and Masaya Akashi
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Adult ,Male ,medicine.medical_specialty ,Oral management ,Blood transfusion ,Carcinoma, Hepatocellular ,medicine.medical_treatment ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Japan ,Risk Factors ,Preoperative Care ,medicine ,Odds Ratio ,Humans ,Surgical Wound Infection ,Hepatectomy ,030212 general & internal medicine ,Hypoalbuminemia ,Dental Care ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Liver Neoplasms ,Retrospective cohort study ,Perioperative ,Odds ratio ,Middle Aged ,medicine.disease ,Oral Hygiene ,Surgery ,Oncology ,Oral health care ,030220 oncology & carcinogenesis ,Female ,Dentures ,Complication ,business ,Infection - Abstract
Purpose This study retrospectively investigated relationships among risk factors and post-hepatectomy surgical site infection (SSI) and other complications in patients who underwent hepatectomy for hepatocellular carcinoma (HCC). Methods We included 334 patients who underwent hepatectomies for liver cancers between January 2011 and December 2015 in this study. We evaluated risk factors for SSI and other post-hepatectomy complication, including demographic factors, preoperative factors, and preoperative intervention including oral management, perioperative factors, and length of hospital stay, with univariate and multivariate analyses. The oral management intervention included self-care instructions, extraction of infected teeth, removal of dental plaques and calculus (scaling), professional mechanical teeth cleaning, removal of tongue coating, and cleaning of dentures. SSI was defined in accordance with the guideline issued by the Centers for Disease Control and Prevention; it included purulent discharge from any incision or organ space within 30 days postoperatively, with or without microbiological evidence. Complications of grade II or greater, according to the Clavien-Dindo classification, were regarded as postoperative complications. Results We found bacterial infection of ascites (Odds ratio (OR) = 13.72), lack of preoperative oral management intervention (OR = 10.17), and severe liver fibrosis (OR = 2.76) to be associated with SSI and severe liver fibrosis (OR = 2.28), hypoalbuminemia (OR = 2.02), blood transfusion (OR = 1.86), and longer operation time (OR = 1.80) to be associated with postoperative complications. Conclusions Preoperative oral management may reduce the risk of SSI in patients with HCC who undergo hepatectomy.
- Published
- 2021
33. Threshold controlling scheme for adaptive modulation and coding system.
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Daisuke Takeda, Yuk C. Chow, Paul Strauch, and Hiroshi Tsurumi
- Published
- 2004
- Full Text
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34. Feedback parallel interference cancellation system using turbo code.
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Daisuke Takeda, Takashi Wakutsu, and Mutsumu Serizawa
- Published
- 2001
- Full Text
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35. Software Defined Modem for Cognitive Radio with Dynamically Reconfigurable Processor.
- Author
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Ren Sakata, Daisuke Takeda, Noritaka Deguchi, Tatsuma Hirano, and Takashi Yoshikawa
- Published
- 2012
- Full Text
- View/download PDF
36. High-Throughput, Low-Power Software-Defined Radio Using Reconfigurable Processors.
- Author
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Tomoya Suzuki, Hideki Yamada, Toshiyuki Yamagishi, Daisuke Takeda, Koji Horisaki, Tom Vander Aa, Toshio Fujisawa, Liesbet Van der Perre, and Yasuo Unekawa
- Published
- 2011
- Full Text
- View/download PDF
37. Preamble Structure for IEEE 802.11n Wireless LAN System.
- Author
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Tsuguhide Aoki, Yoshimasa Egashira, and Daisuke Takeda
- Published
- 2009
- Full Text
- View/download PDF
38. Adaptive Modulation and Code Channel Elimination for Vector Coding System.
- Author
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Daisuke Takeda and Masao Nakagawa
- Published
- 2009
- Full Text
- View/download PDF
39. Channel Estimation Scheme with Low-Complexity Discrete Cosine Transform in MIMO-OFDM System.
- Author
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Daisuke Takeda and Yasuhiko Tanabe
- Published
- 2009
- Full Text
- View/download PDF
40. Which symptoms negatively affect the oral health-related quality of life in patients with osteonecrosis of the jaw?
- Author
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Daisuke Takeda, Megumi Kishimoto, Masaya Akashi, Takumi Sato, Masahiko Kashin, Junya Kusumoto, and Shungo Furudoi
- Subjects
Male ,medicine.medical_specialty ,Cross-sectional study ,Osteoradionecrosis ,Oral Health ,Oral health ,Affect (psychology) ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Dentistry (miscellaneous) ,Stage (cooking) ,Aged ,Bisphosphonate-associated osteonecrosis of the jaw ,Bone Density Conservation Agents ,business.industry ,030206 dentistry ,medicine.disease ,humanities ,Cross-Sectional Studies ,030220 oncology & carcinogenesis ,Quality of Life ,Surgery ,Bisphosphonate-Associated Osteonecrosis of the Jaw ,Female ,Oral Surgery ,business ,Osteonecrosis of the jaw - Abstract
Objectives One of the treatment goals for osteonecrotic lesions of the jaw, such as medication-related osteonecrosis of the jaw (MRONJ) or osteoradionecrosis (ORN), is restoration of quality of life (QOL). This study aimed to identify symptoms that negatively affect QOL in patients with unhealed MRONJ or ORN. Study Design This cross-sectional study included patients who were previously diagnosed with MRONJ or ORN and who underwent treatment at the Kobe University Hospital between June 2015 and February 2016. Patient QOL was measured by using the Oral Health Impact Profile (OHIP-14). The predictor variable was disease status (stage and healing). The outcome variable was OHIP-14. One-way analysis of variance and Tukey’s test were performed. Results The study included 74 patients (37 men and 37 women; mean age 70 years). Although there was no significant difference between the OHIP-14 scores of unhealed MRONJ and ORN (stages 1–3) and those of healed ones, the “worsened sense of taste” resulted in significant differences among stages in patients with unhealed MRONJ (P = .027) and the “painful mouth aching” in patients with unhealed ORN (P = .041). Conclusions Worsened sense of taste and pain negatively affected QOL in patients with unhealed MRONJ and ORN.
- Published
- 2020
41. Osteoradionecrosis Region Estimation Using Machine Learning
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Kento Morita, Tetsushi Wakabayashi, Takumi Hasegawa, and Daisuke Takeda
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Estimation ,medicine.diagnostic_test ,Osteoradionecrosis ,business.industry ,medicine ,Segmentation ,Computed tomography ,Pattern recognition ,Artificial intelligence ,medicine.disease ,business - Published
- 2020
42. Effect of low-intensity pulsed ultrasound after intraoral vertical ramus osteotomy
- Author
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Takahide Komori, Masaya Akashi, Chizu Tateishi, Satomi Arimoto, Takumi Hasegawa, Shungo Furudoi, and Daisuke Takeda
- Subjects
Orthodontics ,Bone density ,medicine.diagnostic_test ,business.industry ,Osteotomy, Sagittal Split Ramus ,Pulsed Ultrasound ,Vertical ramus osteotomy ,Computed tomography ,Mandible ,030206 dentistry ,Low-intensity pulsed ultrasound ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Ultrasonic Waves ,Bone Density ,030220 oncology & carcinogenesis ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Dentistry (miscellaneous) ,Surgery ,Oral Surgery ,Tomography, X-Ray Computed ,business - Abstract
Objective. The present study investigated the effect of low-intensity pulsed ultrasound (LIPUS) on long-term osseous healing of the cleavage space between bone fragments after intraoral vertical ramus osteotomy (IVRO). Study Design. Patients undergoing IVRO were randomly assigned to the LIPUS group (n = 12) or the control group (n = 9) after surgery. LIPUS treatments were applied daily to the cleavage space between bone fragments for 3 weeks. We observed 3-dimensional quantitative color mapping of the whole mandible created by computed tomography (CT) data at 1 month, 6 months, and 1 year postoperatively. On the basis of CT values, the color grades were classified as D1 to D5 by using the Misch criteria. We then calculated mean CT values and rated each color grade in different selection ranges. Results. The mean CT values of the LIPUS group were significantly higher than those of the control group at 1 month, 6 months and 1 year postoperatively (P
- Published
- 2019
43. Effect of compression on mandibular fracture haematoma-derived cells
- Author
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Satomi Arimoto, Takumi Hasegawa, Eiji Iwata, Daisuke Takeda, and Masaya Akashi
- Subjects
Hematoma ,Otorhinolaryngology ,Osteogenesis ,Mandibular Fractures ,Humans ,Surgery ,Core Binding Factor Alpha 1 Subunit ,Cell Differentiation ,RNA, Messenger ,Oral Surgery ,Alkaline Phosphatase ,Cells, Cultured - Abstract
Mechanical stress induces a variety of biochemical and morphological reactions in bone cell biology. This study aimed to investigate appropriate pressures of osteogenesis on the biological responses of 3-dimensional cultured human mandibular fracture haematoma-derived cells by compressive loading. Six patients with mandibular fractures who underwent open reduction and internal fixation were included in the study. During the operation, fracture haematomas that formed fibrin clots were manually removed before irrigation. First, pressures were applied to human mandibular fracture haematoma-derived cell-seeded collagen sponges. The sponges were subjected to mechanical compression using loading equipment applied at no compression, 0.5, or 1 mm. Compressive loading was applied to the samples prior to compression for 0, 6, 12, or 24 hours. Collagen sponge samples were collected for quantification of mRNA using several parameters including alkaline phosphatase (ALP), osteopontin (OPN), osterix (OSX), runt-related gene 2 (RUNX2), protein level, and immunocytochemistry (anti-sclerostin). Among these the 0.5 mm compression group compared with the control and 1.0 mm compression groups upregulated mRNA expression of OPN and OSX after 24 hours. Additionally, compared with the control group, a significantly higher OSX gene expression was observed in both the 0.5 mm and 1.0 mm groups after 6, 12, and 24 hours of compression (p lt; 0.05). However, no significant differences were observed regarding ALP and RUNX2 expression. These results indicated increased stimulation of osteogenesis of the mandibular fracture-line gap in the 0.5 mm compression group compared with the control and 1.0 mm compression groups.
- Published
- 2021
44. Threshold Controlling Scheme for Adaptive Modulation and Coding System.
- Author
-
Daisuke Takeda, Yuk C. Chow, Paul Strauch, and Hiroshi Tsurumi
- Published
- 2006
- Full Text
- View/download PDF
45. Automated registration of pre-operative head CT image and pathology images for osteoradionecrosis area estimation
- Author
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Daisuke Takeda, Yukinobu Matsuoka, Kento Morita, Tetsushi Wakabayashi, and Takumi Hasegawa
- Subjects
Pathology ,medicine.medical_specialty ,Medical treatment ,Osteoradionecrosis ,business.industry ,medicine.medical_treatment ,Image registration ,medicine.disease ,Surgical planning ,Pre operative ,Resection ,Radiation therapy ,Sørensen–Dice coefficient ,medicine ,business - Abstract
Osteoradionecrosis of the jaw is the most refractory disease, which is caused by medical treatment such as radiotherapy and inhibitors of bone resorption. Recent researchers revealed that early resection of necrotic jawbone allows one to complete the treatment in a short period of time. The resection area in necrotic jawbone is determined by physician’s subjective diagnosis using pre-operative images. It takes a long time for the surgical planning and often differs from the intra-operative findings. This research aims to propose resection area of the jawbone accurately. Therefore, we automatically register pathological images to pre-operative head CT image. In the pre-operative head CT image and resected jawbone CT image registration, we proposed a two-step registration method using three manually acquired keypoints, and obtained normalized cross-correlation of 0.953 in the five subjects. The proposed two-step registration method achieved dice coefficient of 0.700 in the resected jawbone CT image and pathology image registration.
- Published
- 2021
46. Peripheral facial nerve schwannoma at the inferior mandibular margin: a case report
- Author
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Masaya Akashi, Shunsuke Sakakibara, Junya Kusumoto, Takumi Hasegawa, Akiko Sakakibara, and Daisuke Takeda
- Subjects
AcademicSubjects/MED00910 ,Case Report ,mental foramen ,Schwannoma ,Mental foramen ,marginal mandibular branch ,otorhinolaryngologic diseases ,percutaneous enucleation ,Medicine ,peripheral facial nerve ,Head and neck ,schwannoma ,Trigeminal nerve ,medicine.diagnostic_test ,business.industry ,Mandible ,Magnetic resonance imaging ,Anatomy ,medicine.disease ,Facial nerve ,Peripheral ,stomatognathic diseases ,jscrep/090 ,medicine.anatomical_structure ,Surgery ,business - Abstract
Schwannomas commonly occur in the head and neck region as acoustic neuromas. Facial nerve schwannomas are rare and usually occur in the temporal region. A 57-year-old woman presented with a mass at the right mandibular margin. Magnetic resonance imaging revealed a schwannoma located immediately caudal to the mental foramen. We were initially uncertain whether it arose from the trigeminal nerve or the facial nerve. Excision was performed under general anesthesia. The mass was encapsulated and easily detached from the surrounding tissue. The nerve of origin was identified proximal to the tumor. A facial nerve origin was confirmed as the muscles supplied by the marginal mandibular branch of the facial nerve moved on nerve stimulation. Nerve fibers were not found distal to the tumor, possibly because they had been cut during excision. We believe that this is the first report of a schwannoma arising from the peripheral facial nerve.
- Published
- 2021
47. Exploratory clinical trial to evaluate the efficacy and safety of carbon dioxide paste in healthy people
- Author
-
Nanae Yatagai, Takumi Hasegawa, Katsusuke Kyotani, Tomohiro Noda, Rika Amano, Izumi Saito, Satomi Arimoto, Daisuke Takeda, Yasumasa Kakei, and Masaya Akashi
- Subjects
Oxygen ,Cicatrix ,hypoxia ,Humans ,Pain ,blood flow ,transcutaneous CO2 ,clinical trial ,General Medicine ,Carbon Dioxide ,postoperative pain ,Skin - Abstract
Introduction: Scarring and pain are postoperative complications in patients after head and neck cancer treatment; however, there is no effective treatment. These complications are affected by local blood flow disorders, and it is well known that the transcutaneous application of carbon dioxide (CO2) improves local blood flow. Previously, we have shown that the transcutaneous application of carbon dioxide causes absorption of CO2 and increase the oxygen (O2) pressure in the treated tissue; it is expected that the application of CO2 may reduce scarring and pain caused by cancer treatment. We newly introduced the CO2 paste as a new CO2 application method, which does not need to use CO2 gas directly. In this study, we aimed to apply of CO2 paste to healthy people and to investigate its usefulness, safety and feasibility by analysing the increase in blood flow and frequency of adverse events. Methods: We applied carbon dioxide paste to skin over the sternocleidomastoid and gastrocnemius muscles of eight healthy volunteers. The changes in blood flow before and after the CO2 paste application using dynamic MRI, and changes in the vital signs were evaluated. Results: In the neck area and middle layer of the lower leg, the signal intensity (SI) significantly increased 60 seconds after application. In the surface layer of the lower leg, the SI was significantly increased 60 and 300 seconds after paste application. Although mild heat was noted after the paste application, no obvious adverse events occurred. Conclusion: We demonstrated the increase in SI by dynamic MRI at the site of the carbon dioxide paste application, which indicates the paste application is effective in improving the blood flow.
- Published
- 2022
48. Automatic osteomyelitis area estimation in head CT using anomaly detection
- Author
-
Kento Morita, Tetsushi Wakabayashi, Hideaki Hoshino, Takumi Hasegawa, and Daisuke Takeda
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Osteomyelitis ,medicine.medical_treatment ,medicine ,Computed tomography ,Anomaly detection ,Radiology ,medicine.disease ,business ,Osteotomy ,Resection - Abstract
In recent years, osteotomy has been used as a treatment for osteomyelitis of the jaw. However, the extent of osteomyelitis that can be determined from preoperative images is ambiguous, which causes problems such as lengthy surgery. Therefore, it is necessary to estimate the resection area with high accuracy. In this study, we proposed a method that combines deep metric learning and anomaly detection to estimate the area of osteomyelitis before surgery. As a result of experiments, we were able to estimate the presence or absence of osteomyelitis with F value of 0.85.
- Published
- 2021
49. A radiologic evaluation of the incidence and morphology of maxillary sinus septa in Japanese dentate maxillae
- Author
-
Masaya Akashi, Satomi Arimoto, Izumi Saito, Takahide Komori, Takumi Hasegawa, and Daisuke Takeda
- Subjects
Maxillary sinus ,Perforation (oil well) ,Sinus Floor Augmentation ,Sinus lift ,03 medical and health sciences ,0302 clinical medicine ,Japan ,Radiologic Evaluation ,Maxilla ,otorhinolaryngologic diseases ,medicine ,Humans ,030223 otorhinolaryngology ,Sinus (anatomy) ,Retrospective Studies ,Surgical complication ,business.industry ,Incidence ,fungi ,030206 dentistry ,Anatomy ,Maxillary Sinus ,medicine.anatomical_structure ,Otorhinolaryngology ,Oral and maxillofacial surgery ,Surgery ,Oral Surgery ,business - Abstract
Evaluation of the inner aspect of the maxillary sinus is important for the success of a sinus lift procedure. The most common surgical complication is perforation of the Schneiderian membrane, which is thought to occur because of the presence of maxillary sinus septa. Therefore, we retrospectively investigated the incidence and morphology of maxillary sinus septa using multiplanar reformatted computed tomographic (CT) images from dentate Japanese patients. A total of 276 patients and 552 maxillary sinus segments were evaluated. The maxillary sinus septa were divided into four locations: forefront, anterior, middle, and posterior. The heights of the septa were measured at three sites from the deepest point of the sinus floor: lateral, mid-point, and medial. Sinus septa were identified in 191 of 552 (34.6%) maxillary sinus segments obtained from 111 of 276 (40.2%) patients. One unilateral septum was most commonly detected, and the sinus septa were most often located in the middle of the maxillary sinus. The average height of the identified septa was 8.69 ± 4.68 mm (mean ± standard deviation). Multiplanar reformatted CT images can identify maxillary sinus septa in any plane. The height of maxillary sinus septa in the dentate maxillae was higher than detected in previous studies. Appropriate treatment planning using CT images should be considered to prevent surgical complications.
- Published
- 2019
50. An exceptional case of severe oropharyngolaryngeal hematoma after tooth extraction despite bypass therapy using recombinant activated factor Ⅶ in a patient with acquired hemophilia A
- Author
-
Daisuke Takeda, Hideki Komatsubara, and Takahide Komori
- Subjects
medicine.medical_specialty ,Hematoma ,law ,business.industry ,Activated factor VII ,Extraction (chemistry) ,medicine ,Recombinant DNA ,Acquired hemophilia ,medicine.disease ,business ,law.invention ,Surgery - Published
- 2019
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