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K Hamamoto

Publications and source records attributed to K Hamamoto.

225 records · Page 13Linked to original sources

Validity of microsphere model in cerebral blood flow measurement using N-isopropyl-p-(I-123) iodoamphetamine.

A microsphere model is sometimes used when calculating cerebral blood flow (CBF) using N-isopropyl-p-[I-123]iodoamphetamine (IMP), and is based on the assumption that there is essentially no washout of IMP. The validity of a microsphere model was investigated by comparison with the values of CBF obtained by means of a model which takes into consideration the diffusion of IMP from brain tissue to blood (nonmicrosphere model). When calculating CBF by the latter model, the look-up table method was used with expression of the double integral in the model equation by the recursion relations, a method which is useful for obtaining pixel-by-pixel values. The average rate constants for diffusion from brain to blood of gray and white matter were 0.021 and 0.0016 min-1, respectively. The values of CBF obtained by applying a microsphere model to the data acquired from 0 to 3.2 min after IMP injection were overestimated by approximately 23% compared with those values obtained using a nonmicrosphere model. This is considered to be due to the effect of the IMP activity in the vascular space. Values obtained using the data acquired from 3.2 to 6.4 min were underestimated by approximately 15%. When the values of CBF obtained by a microsphere model were interpolated, they became nearly equal to those obtained using a nonmicrosphere model at about 4 to 5 min after injection. This is suggested to be the reason why the underestimation due to diffusion from brain to blood is cancelled out by the overestimation due to the IMP in the vascular space. Our preliminary results suggest that it is necessary to take the diffusion of IMP from brain tissue to blood into account for the quantification of CBF using IMP.

Amphetamines↗

Characterization of a novel activation-specific antiplatelet monoclonal antibody.

We developed a murine monoclonal antibody (KmT-50) which binds to a protein expressed on the surface of human platelets after activation. KmT-50 is an immunoglobulin G1 monoclonal antibody that recognizes a 50-kD antigen localized in intracellular organelles and the open canalicular system of unstimulated platelets. After platelets were stimulated, the antigen was secreted via the surface-connected canalicular system and exposed on the platelet membrane. KmT-50 bound not only to human platelets, but also to rabbit and monkey platelets. This new antibody may be useful for experimental studies on thrombosis and hemostasis.

Animals↗

Heterogeneity of acute myeloblastic leukemia without maturation: an ultrastructural study.

We demonstrated by ultrastructural examination that the leukemic blasts of 13 patients with acute myeloblastic leukemia (AML) without maturation (M1 in the French-American-British classification) showed heterogeneous features. In 7 patients, the leukemic blasts had a high level of light microscopic myeloperoxidase positivity (> 50%). Ultrastructurally, the cells were myeloblast-promyelocytes with 100% myeloperoxidase positivity, and these 7 patients appeared to have typical AML. In contrast, the remaining 6 patients had leukemic blasts with a low myeloperoxidase positivity (< 50%) and heterogeneous features. Three had ultrastructural features of myelomonocytic or monocytic lineage, 1 had myelomonocytic cells associated with megakaryoblasts, and 1 had undifferentiated blasts. The former group had a better prognosis than the latter, indicating that ultrastructural analysis of M1 leukemia may help predict the response to therapy.

Adolescent↗

Application of Hilbert transform to radionuclide-gated cardiac studies: analysis of asynchronous emptying and filling in various heart diseases.

Fourier phase analysis has generally been used to investigate asynchronous emptying and filling in various heart diseases. A potential limitation of this form of analysis is curve fitting error, since a truncated Fourier series may not adequately describe the shape of a time-volume curve (TVC) and thus may produce errors in indices calculated from the fit. To overcome this problem, we developed a new method using Hilbert transform. Using Hilbert transform, the instantaneous phase (IP) curve was calculated directly from the TVC obtained from multigated cardiac blood pool images. Four parameters [time to maximum IP [T(max)], time to 0 in IP[T(0)], time to minimum IP[T(min)], and time from 0 to minimum IP [T(min-0)]] were extracted from the IP curves for each pixel, and functional images were constructed in 40 patients with ischemic heart disease (IHD), 16 with hypertrophic cardiomyopathy (HCM), 3 with dilated cardiomyopathy (DCM), and 7 normal controls (N). The standard deviations (SD) of these parameters were then calculated for the left ventricle. In IHD patients with a left ventricle ejection fraction (LVEF) of less than 50% and in DCM, the SDs of all parameters were significantly higher than in group N. In IHD patients with an LVEF of greater than 50%, the SDs of T(min), T(0), and T(min-0) were significantly higher than in group N, but there was no significant difference in the SD of T(max). In HCM patients, the SDs of T(min) and T(min-0) were significantly higher than in group N, suggesting the presence of asynchronous filling. In conclusion, this method appears to be promising for the quantitative analysis of asynchronous emptying and filling in various heart diseases.

Cardiomyopathy, Dilated↗

Treatment response on CT scan in patients with brain metastases treated with irradiation.

To evaluate the role of CT scans in the assessment of response to therapeutic irradiation of brain metastases, CT findings of 64 patients were reviewed retrospectively. Enhanced tumor on CT scans disappeared in 21 patients, who survived significantly longer than those whose CT scans showed less than 50% regression (p less than 0.01). Ring contrast enhancement (ring CE) of the tumor on pre-RT CT scan did not seem to affect the patient's prognosis for survival. Tumors with ring-CE on pre- and post-RT CT scans, however, did not regress as much as those without ring-CE. Patients without ring-CE on pre- and post-RT CT scans tended to survive longer than those with ring-CE. This study suggests that tumor regression and the CE pattern on pre- and post-RT CT scans would be useful prognostic indicators for patients with brain metastases.

Aged↗

Gallium-67 citrate scintigraphy in Wegener's granulomatosis involving the stomach.

67Ga-citrate scintigraphy was performed on a 68-year-old woman with Wegener's granulomatosis of the right orbita and nasal cavity to search for other involved sites. Seventy-two-hour images demonstrated an abnormal accumulation on the left upper abdomen, in addition to her head and chest. Upper gastrointestinal series revealed marked deformation of the upper part of the stomach and a large shallow ulcer on its posterior wall. The histological diagnosis from biopsied specimens on gastroendoscopy was an involvement of Wegener's granulomatosis. 67Ga-citrate scintigraphy was helpful in detecting the sites of involvements of this disease.

Aged↗

Carcinoma of the esophagus simulating "downhill" varices.

A case of esophageal carcinoma which showed an upper mediastinal mass shadow on plain chest X-ray film and varicoid lesions on esophagogram is reported. The findings seemed compatible with "downhill" varices, an unusual form of esophageal varices caused by superior vena caval obstruction. In this case, contrast-enhanced computed tomography (CE-CT) was useful for the differential diagnosis between varices and varicoid tumor.

Carcinoma↗

Scintigraphic study on the distribution of radiolabeled cis-diamminedichloroplatinum (II) in the tumor-bearing rabbit: a comparison between intra-arterial injection with lipiodol and intravenous injection.

To compare the distribution of cis-diamminedichloroplatinum (II) (CDDP) on scintigraphic images between intra-arterial injection with lipiodol and intravenous injection, we obtained serial scintigraphic images using radiolabeled CDDP (Pt-195m CDDP), which had a high specific activity (7.4 x 10(6) Bq [200 microCi]/mg-CDDP), in the rabbit VX-2 tumor system. A dose of 9.25 x 10(6) Bq (250 microCi) of Pt-195m CDDP was injected at one shot via an ear vein, while 7.4 x 10(6) Bq (200 microCi of Pt-195m CDDP mixed with 1 ml of lipiodol was injected at one shot via a saphenous artery. Mean pixel count, which was corrected for the total dose injected, in the arterially injected tumor always exceeded than that in the intravenously injected tumor. Pt-195m CDDP uptake by the rabbit tumor at 2 hr was 7.8% of the total injected dose with intravenous injection and 16.0% with intra-arterial injection. These data suggest that intra-arterial injection with lipiodol is a more useful method to increase CDDP uptake by tumors than intra-venous injection.

Animals↗

Distribution of radiolabeled cis-diamminedichloroplatinum (II) on scintigraphic images in the tumor-bearing rabbit.

To evaluate the feasibility of using scintigraphic images to assess the distribution of cis-diamminedichloroplatinum (II) (CDDP), we obtained serial scintigraphic images using radiolabeled CDDP (Pt-195m CDDP), which had high specific activity (7.4 x 10(6) Bq [200 microCi]/mg-CDDP) in the rabbit VX-2 tumor system. Radioactivity at the heart decreased in a biexponential manner, with an initial half-time of 15.3 min and secondary phase of 4.5 days. Time-activity curves revealed that the tumor/heart ratio was greater than 1.0 (1.0-1.1) between 30 min and 4 hr after intravenous injection. The scintigraphic study clearly depicted the tumor. Pt-195m CDDP uptake by the rabbit tumor at 2 hr was 7.8% of the total injected dose. These data suggest that scintigraphic imaging using Pt-195m CDDP is a promising method for imaging tumors and evaluating their CDDP uptake.

Animals↗