胃粘膜内癌のリンパ節転移陽性例 : 特に高分化型腺癌例における増殖活性の免疫組織化学的検討

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Conscious Perception as Integrated Information Patterns in Human Electrocorticography

A significant problem in neuroscience concerns the distinction between neural processing that is correlated with conscious percepts from processing that is not. Here, we tested if a hierarchical structure of causal interactions between neuronal populations correlates with conscious perception. We derived the hierarchical causal structure as a pattern of integrated information, inspired by the integrated information theory (IIT) of consciousness. We computed integrated information patterns from intracranial electrocorticography (ECoG) from six human neurosurgical patients with electrodes implanted over lateral and ventral cortices. During recording, subjects viewed continuous flash suppression (CFS) and backward masking (BM) stimuli intended to dissociate conscious percept from stimulus, and unmasked suprathreshold stimuli. Object-sensitive areas revealed correspondence between conscious percepts and integrated information patterns. We quantified this correspondence using unsupervised classification methods that revealed clustering of visual experiences with integrated information, but not with broader information measures including mutual information and entropy. Our findings point to a significant role of locally integrated information for understanding the neural substrate of conscious object perception

NCRT with S-1 plus irinotecan for LALRC

Background and purpose: Preoperative 5-fluorouracil-based chemoradiotherapy is a standard treatment for locally advanced lower rectal cancer (LALRC). We performed a phase I study to develop a new regimen combining irinotecan and S-1. Materials and methods: Patients with LALRC (T3-4, N0-2) were studied. The radiation dose was 45 Gy in 25 fractions. S-1 (80 mg/m2/day) was administered on days 1–5, 8–12, 22–26, and 29–33. Irinotecan was administered on days 1, 8, 22, and 29. The dose of irinotecan was initially 60 mg/m2 (level 1). Surgery was performed 6–10 weeks after the chemoradiotherapy. Results: Twenty patients were enrolled, of whom 18 patients were analyzed. Dose-limiting toxicity (DLT) did not occur in the first 3 patients treated with irinotecan at 80 mg/m2 (level 2), but developed in 3 of the 6 patients who received irinotecan at 90 mg/m2 (level 3). Then DLT occurred in 3 other patients at level 2. At level 2 or 3, DLT comprised neutropenia, thrombocytopenia, and diarrhea. Level 2 was designated as the maximum tolerated dose, and level 1 as a recommended dose (RD). The pathological complete response rate was 28%, and the down-staging rate was 56%. Conclusions: Our results suggested that the RD of irinotecan when combined with preoperative S-1 and pelvic radiation was 60 mg/m2

Conscious Perception as Integrated Information Patterns in Human Electrocorticography

A significant problem in neuroscience concerns the distinction between neural processing that is correlated with conscious percepts from processing that is not. Here, we tested if a hierarchical structure of causal interactions between neuronal populations correlates with conscious perception. We derived the hierarchical causal structure as a pattern of integrated information, inspired by the integrated information theory (IIT) of consciousness. We computed integrated information patterns from intracranial electrocorticography (ECoG) from six human neurosurgical patients with electrodes implanted over lateral and ventral cortices. During recording, subjects viewed continuous flash suppression (CFS) and backward masking (BM) stimuli intended to dissociate conscious percept from stimulus, and unmasked suprathreshold stimuli. Object-sensitive areas revealed correspondence between conscious percepts and integrated information patterns. We quantified this correspondence using unsupervised classification methods that revealed clustering of visual experiences with integrated information, but not with broader information measures including mutual information and entropy. Our findings point to a significant role of locally integrated information for understanding the neural substrate of conscious object perception

Epithelioid sarcoma with muscle metastasis detected by positron emission tomography

<p>Abstract</p> <p>Background</p> <p>Epithelioid sarcoma is an uncommon high-grade sarcoma, mostly involving the extremities.</p> <p>Case presentation</p> <p>A 33-year-old man was referred to our institute with a diagnosis of Volkmann's contracture with the symptom of flexion contracture of the fingers associated with swelling in his left forearm. Magnetic resonance imaging (MRI) showed abnormal signal intensity, comprising iso-signal intensity on T1- and high-signal intensity on T2-weighted images surrounding the flexor tendons in the forearm. Diagnosis of epithelioid sarcoma was made by open biopsy, and amputation at the upper arm was then undertaken. [¹⁸F]-2-fluoro-2-deoxy-D-glucose-positron emission tomography (FDG-PET) detected multiple lesions with an increased uptake in the right neck, the bilateral upper arms and the right thigh, as well as in the left axillary lymph nodes, with maximum standardized uptake value (SUVmax) ranging from 2.0 to 5.5 g/ml. Magnetic resonance imaging confirmed that there was a lesion within the right thigh muscle which was suggestive of metastasis, even though the lesion was occult clinically.</p> <p>Conclusion</p> <p>Increased uptake on FDG-PET might be representative of epithelioid sarcoma, and for this reason FDG-PET may be useful for detecting metastasis. Muscle metastasis is not well documented in epithelioid sarcoma. Accordingly, the frequency of muscle metastasis, including occult metastasis, needs to be further analyzed.</p

Current Performance and On-Going Improvements of the 8.2 m Subaru Telescope

An overview of the current status of the 8.2 m Subaru Telescope constructed and operated at Mauna Kea, Hawaii, by the National Astronomical Observatory of Japan is presented. The basic design concept and the verified performance of the telescope system are described. Also given are the status of the instrument package offered to the astronomical community, the status of operation, and some of the future plans. The status of the telescope reported in a number of SPIE papers as of the summer of 2002 are incorporated with some updates included as of 2004 February. However, readers are encouraged to check the most updated status of the telescope through the home page, http://subarutelescope.org/index.html, and/or the direct contact with the observatory staff.Comment: 18 pages (17 pages in published version), 29 figures (GIF format), This is the version before the galley proo

Gastrointestinal stromal tumor of the stomach: How to manage?

Gastrointestinal stromal tumor (GIST) is one of the most common malignant mesenchymal tumors of the stomach. Prognosis of this disease is related to tumor size and mitotic activity and early diagnosis is the only way to improve it. Diagnosis of GIST always requires histological and immunohistochemical confirmation as no imaging modalities can diagnose it conclusively. Endoscopic forceps biopsy results are frequently negative. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is a technique which allows tissue samples to be obtained with minimal risks and is accurate in the diagnosis of GIST. From the point of view of the endoscopist, aggressive use of EUS-FNA is the only promising way to allow early diagnosis and early treatment of this disease