Biomedical subjects
Publications and source records attributed to H Maeda.
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This article describes previous studies on a unique protein antitumor antibiotic, neocarzinostatin. Namely, its chemical nature, mode of action at molecular and cellular levels, toxicity and pharmacology, and recent results in clinical trials obtained primarily in Japan have been reviewed briefly.
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A technique is described for transaxial imaging of the thorax during pulmonary perfusion study. The contours of the air-containing lungs were obtained by gamma-ray transmission data from a Tc-99m plane flood source. These images were overlaid on the emission tomogram of the pulmonary blood flow obtained with Tc-99m MAA. It permits reliable detection of peripheral perfusion defects. Use of the results from these measurements can be applied to evaluate marginal hypoperfusions of the lungs.
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Two hundred one patients (138 boys, 63 girls), 1 month to 11 years old, with Kawasaki disease underwent coronary angiography, ultrasonic tomography, myocardial imaging, and biopsy of right ventricular myocardium. Aneurysms of epicardial coronary arteries, mostly left, occurred in 26 cases (12.9%). Degeneration and proliferation of endothelium, edema, scarring, and fibrosis, slight to moderate, involved the tunicae of intramural small vessels in all cases. These changes tended to abate with time. The basic lesion of Kawasaki disease, round-cell myocarditis and fibrosis, involved all cases and persisted. Disarrangement, abnormal branching, disarray, and hypertrophy of myocytes correlated significantly with myocarditis, but not with epimural or intramural coronary angitis. As a consequence of the myocardial changes, it is suggested that some cases may terminate as myocardiopathy. Scoring criteria for vascular and myocardial changes in biopsy specimens are included.
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