TWIST法と繰り返し再構成併用TWIST法を用いた下垂体ダイナミック造影MRIの画質評価

京都大学0048新制・課程博士博士(医学)甲第22743号医博第4661号新制||医||1046(附属図書館)京都大学大学院医学研究科医学専攻(主査)教授 花川 隆, 教授 渡邉 大, 教授 黒田 知宏学位規則第4条第1項該当Doctor of Medical ScienceKyoto UniversityDFA

Seafloor crustal deformation data along the subduction zones around Japan obtained by GNSS-A observations

Crustal deformation data obtained by geodetic observation networks are foundations in the fields of geodesy and seismology. These data are essential for understanding plate motion and earthquake sources and for simulating earthquake and tsunami disasters. Although relatively scarce, seafloor geodetic data are particularly important for monitoring the behaviour of undersea interplate boundary regions. Since the mid-1990s, we have been developing the combined Global Navigation Satellite System-Acoustic ranging (GNSS-A) technique for realizing seafloor geodesy. This technique allows us to collect time series of seafloor crustal deformation. Our published data can be used to investigate several seismological phenomena along the subduction zones around Japan, namely the Nankai Trough, Sagami Trough and Japan Trench. These regions are globally important places in geodesy and seismology and are also suitable for comparison with other geophysical datasets. Our intention is for these data to promote further understanding of megathrust zones.Comment: 16 pages, 6 figures, 4 table

Color superconductivity on the lattice -- analytic predictions from QCD in a small box

We investigate color superconductivity on the lattice using the gap equation for the Cooper pair condensate. The weak coupling analysis is justified by choosing the physical size of the lattice to be smaller than the QCD scale, while keeping the aspect ratio of the lattice small enough to suppress thermal excitations. In the vicinity of the critical coupling constant that separates the superconducting phase and the normal phase, the gap equation can be linearized, and by solving the corresponding eigenvalue problem, we obtain the critical point and the Cooper pair condensate without assuming its explicit form. The momentum components of the condensate suggest spatially isotropic s-wave superconductivity with Cooper pairs formed by quarks near the Fermi surface. The chiral symmetry in the massless limit is spontaneously broken by the Cooper pair condensate, which turns out to be dominated by the scalar and the pseudo-scalar components. Our results provide useful predictions, in particular, for future lattice simulations based on methods to overcome the sign problem such as the complex Langevin method.Comment: 30 pages, 15 figures, 1 table, v2: A.3 modified, Ref. [57] adde

General Factors and Dental-Related Risk Factors for Postoperative Pneumonia or Infectious Complications: A Retrospective Study

Numerous studies report that perioperative oral care decreases the frequency of postoperative pneumonia or infection. However, no studies have analyzed the specific impact of oral infection sources on the postoperative course, and the criteria for preoperative dental care differ among institutions. This study aimed to analyze the factors and dental conditions present in patients with postoperative pneumonia and infection. Our results suggest that general factors related to postoperative pneumonia, including thoracic surgery, sex (male > female), the presence or absence of perioperative oral management, smoking history, and operation time, were identified, but there were no dental-related risk factors associated with it. However, the only general factor related to postoperative infectious complications was operation time, and the only dental-related risk factor was periodontal pocket (4 mm or higher). These results suggest that oral management immediately before surgery is sufficient to prevent postoperative pneumonia, but that moderate periodontal disease must be eliminated to prevent postoperative infectious complication, which requires periodontal treatment not only immediately before surgery, but also on a daily basis.Isomura E.T., Fujimoto Y., Matsukawa M., et al. General Factors and Dental-Related Risk Factors for Postoperative Pneumonia or Infectious Complications: A Retrospective Study. Journal of Clinical Medicine 12, 3529 (2023); https://doi.org/10.3390/jcm12103529

Bone microstructural characteristics or positional changes of condyle head affect short-term condyle head resorption after orthognathic surgery

Miyagawa K., Arikawa C., Hayashi K., et al. Bone microstructural characteristics or positional changes of condyle head affect short-term condyle head resorption after orthognathic surgery. Scientific Reports 14, 14269 (2024); https://doi.org/10.1038/s41598-024-65077-2.Condylar resorption occurs in some cases after orthognathic surgery, and the risk factors associated with postoperative condylar head resorption have been extensively described. Nevertheless, even in cases with a combination of risk factors, postoperative condylar resorption may not appear. This study analyzed the microstructure and three-dimensional positional change of the condylar bone via imaging in patients who have undergone bimaxillary orthognathic surgery to determine whether the microstructure or condylar position differs between patients with and without postoperative condylar resorption. Among asymptomatic patients who underwent bimaxillary surgery between April 2021 and March 2022 at our department, 17 patients were analyzed, limited to “female,” “skeletal Class II,” and “high-angle cases,” which are known risk factors for mandibular head resorption. Multidetector computed tomography was performed on these patients before and 6 months after surgery, and the bone microstructure of the condylar head and the three-dimensional positional changes of the condylar bone and the proximal bony fragments were compared with the presence of postoperative condyle resorption using the bone morphology software TRI/3D-BON. Patients with condylar bone abnormalities before surgery and those with high trabecular bone density can develop postoperative resorption if the condyle is misaligned by surgery

Brain MRI with Quantitative Susceptibility Mapping: Relationship to CT Attenuation Values

[Background]: Quantitative susceptibility mapping (QSM) is used to differentiate between calcification and iron deposits. Few studies have examined the relationship between CT attenuation values and magnetic susceptibility in such materials. Purpose: To assess the relationship among metal concentration, CT attenuation values, and magnetic susceptibility in paramagnetic and diamagnetic phantoms, and the relationship between CT attenuation values and susceptibility in brain structures that have paramagnetic or diamagnetic properties. [Materials and Methods]: In this retrospective study, CT and MRI with QSM were performed in gadolinium and calcium phantoms, patients, and healthy volunteers between June 2016 and September 2017. In the phantom study, we evaluated correlations among metal concentration, CT attenuation values, and susceptibility. In the human study, Pearson and Spearman correlations were performed to assess the relationship between CT attenuation values and susceptibility in regions of interest placed in the globus pallidus (GP), putamen, caudate nucleus, substantia nigra, red nucleus, dentate nucleus, choroid plexus, and hemorrhagic and calcified lesions. [Results]: Eighty-four patients (mean age, 64.8 years 6 19.6; 49 women) and 20 healthy volunteers (mean age, 72.0 years 6 7.6; 11 men) were evaluated. In the phantoms, strong linear correlations were identified between gadolinium concentration and CT and MRI QSM values (R2 = 0.95 and 0.99, respectively; P , .001 for both) and between calcium concentration and CT and MRI QSM values (R2 = 0.89 [P = .005] and R2 = 0.98 [P , .001], respectively). In human studies, positive correlations between CT attenuation values and susceptibility were observed in the GP (R2 = 0.52, P , .001) and in hemorrhagic lesions (R2 = 0.38, P , .001), and negative correlations were found in the choroid plexus (R2 = 0.53, P , .001) and in calcified lesions (R2 = 0.38, P = .009). [Conclusion]: CT attenuation values showed a positive correlation with susceptibility in the globus pallidus and hemorrhagic lesions and negative correlation in the choroid plexus and calcified lesions

Swallowing-like activity elicited in neonatal rat medullary slice preparation

Kondo T., Yamanishi T., Nishio T., et al. Swallowing-like activity elicited in neonatal rat medullary slice preparation. Brain Research 1837, 148955 (2024); https://doi.org/10.1016/j.brainres.2024.148955.Swallowing is induced by a central pattern generator in the nucleus tractus solitarius (NTS). We aimed to create a medullary slice preparation to elucidate the neural architecture of the central pattern generator of swallowing (Sw-CPG) and record its neural activities. Experiments were conducted on 2-day-old Sprague–Dawley rats (n = 46). The brainstem-spinal cord was transected at the pontomedullary and cervicothoracic junctions; the medulla was sliced transversely at thicknesses of 600, 700, or 800 μm. The rostral end of the slice was 100 μm rostral to the vagus nerve. We recorded hypoglossal nerve activity and electrically stimulated the vagus nerve or microinjected bicuculline methiodide (BIC) into the NTS. The 800-μm slices generated both rhythmic respiratory activity and electrically elicited neural activity. The 700-μm slices generated only respiratory activity, while the 600-μm slices did not generate any neural activity. BIC microinjection into the NTS in 800-μm slices resulted in the typical activity that closely resembled the swallowing activity reported in other experiments. This swallowing-like activity consistently lengthened the respiratory interval. Despite complete inhibition of respiratory activity, weak swallowing-like activity was observed under bath application of a non-NMDA receptor antagonist. Contrastingly, bath application of NMDA receptor antagonists resulted in a complete loss of swallowing-like activity and no change in respiratory activity. These results suggest that the 800-μm medullary slice preparation contains both afferent and efferent neural circuits and pattern generators of swallowing activity. Additionally, NMDA receptors may be necessary for generating swallowing activity. This medullary slice preparation can therefore elucidate Sw-CPG neural networks