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High circulating tumor cell concentrations in a specific subtype of gastric cancer with diffuse bone metastasis at diagnosis

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World Journal of Gastroenterology 2016年第26期22卷 6083-6088页

作者： Kazuhiro Shimazu Koji Fukuda taichi yoshida Masahiro Inoue Hiroyuki Shibata Department of Clinical Oncology Graduate School of Medicine Akita University

AIM: To clarify the biological feature contributing to gastric cancer with diffuse bone metastases at ***: The participants visited the Department of Clinical Oncology, Akita University Hospital, from January 2014 to August 2015. The selection criterion for gastric cancer with diffuse bone metastases at diagnosis includes over 29 hot spots of bone scintigraphy. Circulating tumor cell were collected from 20 m L of peripheral venous blood drawn using a Cell Search kit and a Cell Tracks Auto Prep system by SRL, a clinical laboratory. The endpoints of this study were correlations between circulating tumor cells(CTC) count and therapeutic outcomes. RESULTS: Among 39 patients with gastric cancer, 5 patients met the criterion. The incidence of this subtype was 12.8%. CTC counts ranged from 235 to 6440 cells/7.5 m L of peripheral blood(median of 1724). These values were much higher than common gastric cancers(2 cells). In chemo-sensitive cases, CTC counts decreased within 14 d(median) from 275, 235 and 1724 to 2, 7 and 66, respectively. On the other hand, CTC counts increased after treatment failure or insensitive case from 2, 7 and 6440 to 787, 513 and 7885, respectively. The correlation between CTC count and survival time showed a trend, but did not reach significance(Y = 234.6- 0.03 X, P = 0.085).CONCLUSION: High CTC count is a biological hallmark of this subtype, and can be used as a direct and definitive indicator of therapeutic outcome.

关键词： Bone metastasis Circulating tumor cell Gastric cancer Predictive biomarker Prognostic biomarker

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Clinical efficacy and safety of second line and salvage aflibercept for advanced colorectal cancer in Akita prefecture

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World Journal of Gastrointestinal Oncology 2021年第4期13卷 295-304页

作者： taichi yoshida Kentaro Takahashi Kengo Shibuya Osamu Muto Yuko yoshida Daiki Taguchi Kazuhiro Shimazu Koji Fukuda Fuminori Ono Kyoko Nomura Hiroyuki Shibata Department of Clinical Oncology Akita University Graduate School of MedicineAkita 010-8543Japan Department of Gastroenterological Surgery Nakadori General HospitalAkita 010-8577Japan Department of Gastroenterology Akita Kousei MedicalAkita 010-0948Japan Department of Medical Oncology Akita Red Cross HospitalAkita 010-1495Japan Department of Surgery Omagari Kousei Medical CenterAkita 014-0027Japan Department of Environmental Health Science and Public Health Akita University Graduate School of MedicineAkita 010-8543Japan

BACKGROUND Angiogenesis inhibitors(AIs)combination with cytotoxic chemotherapy is a promising treatment for patients with colorectal cancer(CRC).Aflibercept(AFL)is an option for second-line treatment of CRC,according to the‘VELOUR’***,we can choose from three AIs,including bevacizumab,ramucirumab,and *** AIs can be used in subsequent treatment because of their distinctive mechanisms of *** addressed the uncertainty regarding AFL efficacy and safety in heavily-treated patients by comparing outcomes of survival treatment with second-line *** To determine and compare the efficacy and safety profiles of AFL in the secondline and salvage therapy *** Clinical data of 41 patients with advanced CRC who received intravenous AFL combined with the folinic acid-fluorouracil-irinotecan(FOLFIRI)regimen were collected retrospectively from six institutions in Japan,for the period from May 2017 to March *** characteristics collected included age,sex,tumor location,RAS and RAF status,metastatic sites,number of previous treatment cycles,therapeutic response,adverse events,duration of previous AI treatment,and survival *** end points were time to AFL treatment failure(aTTF)and median survival time post-AFL(aMST).Statistical analyses were performed to compare the efficacy and safety in the second-line setting with those of the salvage therapy setting,which was defined as the days since the end of secondline *** All 41 patients who received AFL+FOLFIRI for advanced CRC had metastatic or unresectable ***-two patients received AFL in the second-line setting and nineteen in the salvage therapy *** patient characteristics were similar in the two groups,except for two *** median duration of the previous AI administration was shorter in the second-line patients compared with that in the salvage therapy patients(144 d vs 323 d,P=0.006).In the second-line and salvage therapy groups,the objectiv

关键词： Colorectal cancer Aflibercept Second-line chemotherapy Folinic acidfluorouracil-irinotecan Palliative chemotherapy Observational cohort study

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Recent trends in bone metastasis treatments:A historical comparison using the new Katagiri score system

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World Journal of Clinical Cases 2024年第15期12卷 2499-2505页

作者： Kenji Matsuda Kazuhiro Shimazu Hanae Shinozaki Koji Fukuda taichi yoshida Daiki Taguchi Kyoko Nomura Hiroyuki Shibata Department of Clinical Oncology Akita University Graduate School of MedicineAkita 010-8543Japan Department of Environmental Health Science and Public Health Akita University Graduate School of MedicineAkita 010-8543Japan Department of Comprehensive Cancer Control Akita University Graduate School of MedicineAkita 010-8543Japan

BACKGROUND Bone metastasis has various negative *** of daily living(ADL)and quality of life(QOL)can be significantly decreased,survival may be impacted,and medical expenses may *** is estimated that at least 5%cancer patients might be suffering from bone *** 2016,we published the Comprehensive Guidelines for the Diagnosis and Treatment of Bone *** then,the therapeutic outcomes for patients have gradually *** life expectancy is a major determinant of surgical intervention,the strategy should be modified if the prolongation of survival is to be *** To monitor how bone metastasis treatment has changed before and after launch of our guidelines for bone *** For advanced cancer patients with bone metastasis who visited the Department of Clinical Oncology at Akita University hospital between 2012 and 2023,parameters including the site and number of bone metastases,laboratory data,and survival time,were extracted from electronic medical records and the Katagiri score was *** association with survival was determined for each *** Data from 136 patients were *** 1-year survival rate for the poor prognosis group with a higher Katagiri score was 20.0%in this study,which was 6%and an apparent improvement from 2014 when the scoring system was *** factors significantly affecting survival included five or more bone metastases than less(P=0.0080),and treatment with chemotherapy(P<0.001),bone modifying agents(P=0.0175)and immune checkpoint inhibitors(P=0.0128).In recent years,advances in various treatment methods have extended the survival period for patients with advanced *** is necessary not only to simply extend survival time,but also to maintain ADL and improve *** Various therapeutic interventions including surgical approach for bone metastasis,which is a disorder of locomotor organs,are increasingly *** and scoring system for p

关键词： Bone metastasis New Katagiri scoring system Prognosis Immune check point inhibitors Survival

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In-situ evaluation for activated concrete in accelerator facility with scintillation-type gamma-ray spectrometer

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辐射防护 2020年第6期40卷 545-549页

作者： Go yoshida Hiroshi Matsumura Koichi Nishikawa Akihiro Toyoda Yoshiharu Miyazaki Kazuyoshi Masumoto Hajime Nakamura taichi Miura High Energy Accelerator Research Organization(KEK) 1-1 OhoTsukubaIbaraki 305-0801Japan The Medical and Pharmacological Research Center Foundation Wo-32Inoyama-machiHakuiIshikawa 925-0613Japan

The assessment of activated concrete is particularly difficult during the decommissioning of an accelerator *** analysis by core boring is the only method of investigating the activity of concrete *** address this problem,an in-situ and nondestructive analysis method was developed to determineγ-ray-emitting nuclides and their specific activities in the concrete walls and floor by using a portable germanium semiconductor *** this work,we examined a substitute for Ge detector to establish a simpler and more convenient *** candidates,we focused on some scintillation type spectrometers,and the possibility of a substitute for a Ge detector was examined by both simulation and *** detection limits were roughly estimated through Monte Carlo simulation for various scintillation crystals,and it was found that 1.5-inch LaBr3,CeBr3,and SrI2 could distinguish the clearance *** was confirmed that the 1.5-inch LaBr3 could reproduce the calibration curve of the Ge detector in the *** required thickness and length of the radiation shield for suppressing the background radiation during the measurement was also determined for the convenience of an actual decommissioning work.

关键词： activation accelerator concrete scintillation detector PHITS code

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Nondestructive high-sensitivity measurement method for activation estimation in accelerator room concrete

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辐射防护 2020年第6期40卷 677-682页

作者： Hiroshi Matsumura Go yoshida Akihiro Toyoda Kazuyoshi Masumoto Hajime Nakamura taichi Miura Koichi Nishikawa Kotaro Bessho Kimikazu Sasa Tetsuaki Moriguchi Fumiyoshi Nobuhara Yoko Nagashima High Energy Accelerator Research Organization(KEK) Oho 1-1Tsukuba Ibaraki 305-0801Japan University of Tsukuba 1-1-1 TennodaiTsukubaIbaraki 305-8577Japan Tokyo Nuclear Services Co. Ltd.1-3-5.TaitoTaito-kuTokyo 110-0016Japan

This study established a method for easily and quickly estimating the specific activity produced in the concrete walls and floors of accelerator rooms during long-term operation of accelerator,for advanced zoning of activated/nonactivated areas in planning the decommissioning of an *** propose a new,highly sensitive method for nondestructively estimating the specific activity in concrete that can be applied to activation *** this method,instead of direct determination of the specific activities of important long-half-life radionuclides for decommissioning,such as 152 Eu and 60 Co,we determine the specific activities of short-half-life radionuclides,24 Na and 56 Mn,in situ to obtain neutron *** obtained neutron flux and accelerator operation history yield the specific activities of 152 Eu and 60 Co for the advance zoning of activated/non-activated *** method is a powerful long-term prediction tool for concrete activation.

关键词： accelerator activation concrete specific activity decommissioning

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