名古屋大学 · 医学
石川拓也教授の研究室は、膵疾患、特に自己免疫性 pancreatitis(AIP)の診断と治療に関するエビデンスを築くことを目指しています。特に、超音波内視鏡的細針吸引生検(EUS-FNA/FNB)の技術的・診断的妥当性を検証し、AIを活用した画像解析による病理診断支援の確立を目指しています。また、代謝異常と膵疾患の関連性についても、分岐鎖アミノ酸代謝の制御が筋肉におけるタンパク質代謝に与える影響を動物モデルで解明しています。
Figures are computed from collected data and may differ slightly.
EUS-FNA is useful in the differentiation of type 1 and type 2 AIP, particularly in seronegative cases.
EUS-FNB with a 22-gauge Franseen needle demonstrated favorable detection rates which would be clinically beneficial for the histological diagnosis of AIP.
Given its guaranteed ability to obtain core specimens and comparable safety, and although the risk of bleeding should be kept in mind, EUS-FNB using a Franseen needle is likely to become a standard procedure for obtaining pancreatic tissue in the near future.
We aimed to develop a new artificial intelligence (AI)-based method for evaluating endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) specimens in pancreatic diseases using deep learning and contrastive learning. We analysed a total of 173 specimens from 96 patients who underwent EUS-FNB with a 22 G Franseen needle for pancreatic diseases. In the initial study, the deep learning method based on stereomicroscopic images of 98 EUS-FNB specimens from 63 patients showed an accuracy of 71.8% f
Branched-chain amino acids (BCAAs) are essential amino acids for mammals and play key roles in the regulation of protein metabolism. However, the effect of BCAA deficiency on protein metabolism in skeletal muscle in vivo remains unclear. Here we generated mice with lower BCAA concentrations by specifically accelerating BCAA catabolism in skeletal muscle and heart (BDK-mKO mice). The mice appeared to be healthy without any obvious defects when fed a protein-rich diet; however, bolus ingestion of
Autoimmune pancreatitis patients show a high prevalence of peripancreatic vascular involvements. Thus, patients with vascular involvements are suitable candidates for steroid therapy with evaluation of its potential merits and demerits, even if they are asymptomatic.
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