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Elucidation of the mechanism on biological tissue injuries induced by shock waves

Research Project

Project/Area Number 03454382
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Urology
Research InstitutionTOHOKU UNIVERSITY

Principal Investigator

KUWAHARA Masaaki  TOHOKU UNIV., DEPT. UROLOGY, ASSOCIATE PROFESSOR, 医学部, 助教授 (50006780)

Co-Investigator(Kenkyū-buntansha) YOSHIKAWA Kazuyuki  TOHOKU UNIV. DEPT. UROLOGY, ASSISTANT PROFESSOR, 医学部・附属病院, 講師 (10133977)
TAKAYAMA Kazuyoshi  TOHOKU UNIV., INST. FLUID SCIENCE, PROFESSOR, 流体科学研究所, 教授 (40006193)
Project Period (FY) 1991 – 1992
Project Status Completed (Fiscal Year 1992)
Budget Amount *help
¥6,300,000 (Direct Cost: ¥6,300,000)
Fiscal Year 1992: ¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 1991: ¥3,500,000 (Direct Cost: ¥3,500,000)
KeywordsShock Wave / Biological Tissue Injury / Cavitation / Extracorporeal Shock Wave Lithotripsy / Simulation of Shock Wave Focusing / ESWL / Cavitation Bubbles / Fluid Flow Induced by Shock Wave
Research Abstract

1)Elucidation of physical phenomena in the focal region of the focused shock waves concerning the mechanism of biological tissue injuries.
Focusing process of shock waves inside water was observed under an ultrasound diagnostic system. It was revealed that the hyperechoic region was induced around the focal region, and it moved distally , then, disappeared gradualy with elapsed time. This observation indicated that cavitation bubbles was responsible for generation of the hyperechoic region, and a fluid flow was induced at the time, Gene-ration and behavior of the liquid flow was simulated numerically by computer, and the results of simulation indicated that a direction of the fluid flow was not only parallel, but also radial to that of shock wave propagation. Consequently, besides the cavitation phenomena, the fluid flow was assumend to be an important factor causing tissue injury. In addition, it was observed on ultrasonic images that cavitation developed in wide range through the shock wave propagating path, from the prefocal region to the postfocal region. Tissue injuries through the path of shock wave propagation was confirmed by animal experiment. From considering aforementioned results, a new safer lithotriptor equipped anti-miss-shot device was developed and clinically used.
2)Real-time observation on the tissue injury in the in situ rabbit auricular vessels was performed using high-speed video camera. Results indicated that the artery was injured following the vein, and during that process vasoconstiriction and vasodilation developed, suggesting that shock waves effected on autonomic nerves. If compared to the injury of kidney vessls in the previous experiments, the auricular vessels were relatively resistive to the shock wavaes. Therefore, sensitivity to shock wave injury was assumed to be influenced by the acoustic condition in various organs.

Report

(3 results)
  • 1992 Annual Research Report   Final Research Report Summary
  • 1991 Annual Research Report
  • Research Products

    (32 results)

All Other

All Publications (32 results)

  • [Publications] Kuwahara,M.: "Tissue injuries during extracorporeal shock wave lithotripy from the stanapoint of basic physics and experimental pathophysi oiogy" Jpn.J.Endourol.ESWL. 6. 10-17 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.et al.: "Effects of focused shock waves on oiological tissnes:cavitation in the prsfocol region and the fluid flow in the prefocal region" Shock Waves,proc.Sencloi,Japon. 1. 41-48 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 桑原 正明ら: "生体と衝撃波についての研究:高速ビデオカメラによる兎耳介血管のin vitro,リアルタイム観察" 平成3年度衝撃波シンポジウム論文集. 281-284 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.et al.: "A new overhead-xype extracorpsrcal shock wave lithotripter with an anti-nvis-shot control device:Study on the kidney movemont and refletecl acousti signals" Jpn.J.Endourol.ESWL. 3. 171-178 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.et al.: "Effect of focused shock waves on the kiomey tmor:a new experimental modcl and it resuets" J.Urol.147. 227-A (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Hoshi,S.et al.: "Shock waves and TPH-adriamycm for treotment g Rabbit's fladcler concer" Jpn.J.Can.Res.83. 248-250 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.,Ioritani,N.,Saito,T.,Hoshi,S.,Shirai,S.,Taguchi,K.,Orikasa,S.,Obara,T.,Takayama,K., and Aida,S.: "Effects of focused shock waves on biological tissues:cavitation in the prefocal and the fluid flow in the focal region." Proc. 18th Intr. Sympo.Shock Waves. K1-K2 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Ioritani, N.,Orikasa,S.,Kuwahara,M.,Taguchi,K.,Saito,T. and Shirai,S.: "Renal tissue damage after extracorporeal shock wave therapy-The mechanism of the development of side effects." Proc.18th Intr. Symp.Shock Wave.K3-K4 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Saitoh,T.,Orikasa,S.,Kuwahara,M.,Kambe,K.,Ioritani,N.,Taguchi,T. and Shirai,S.: "Renal ultrastructural changes after shock wave exposure." Proc. 18th Intr. Symp.Shock Wave. K5-K6 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Aida,S.,Fujimori,K.,Kuwahara,M. and Takayama,K.: "Experimental studies on destructivity of impacted stones." Proc.18th Intr.Symp.Shock Wave.K11-K12 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Hoshi,S.,Orikasa,S.,Kuwahara,M.,Yoshikawa,K.,Ohyama,C. and Satoh,M.: "The treatment of rabbit's implanted urinary bladder cancer with shock waves." Proc. 18th Intr.Symp.Shock Wave.K13-K14 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Takeda,A.,Kuwahara,M.,Hoshi,S. and Orikasa,S.: "Effects of focused shock Wases on the kidney tumor: A new experimental model and its results." Proc. 1992 Shock Waves Sympo.277-280 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M., Atushi,T.,Hoshi,S.,Taguchi,K.,Saito,T.,Shirai,S. and Orikasa,S.: "Study on the bio-logical tissue and shock waves:A Real-time observation in the rabbit's auricular vessels by a high speed videocamera." Proc. 1992 Shock Wave Sympo.277-280 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Saito,T.,Orikasa,S.,Kuwahara,M.,Ioritani,N.,Taguchi,K. and Shirai,S.: "Comparison between the direct shock wave effect and the indirect effect through ischemia in the kidney." Proc. 1992 Shock Wave Sympo.281-284 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Nagoya,H.,Obara,T.,Kuwahara,M.,Ise,H.,Kitayama,O.,Abe,H. and Takayama,K.: "Basical study on the extracorporeal shock wave lithotripsy:1, A conditional formula of the biological tissues." Proc. 1992 Shock Wave Sympo.289-292 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Obara,T.,Nagoya,H.,Kuwahara,M.,Ise,H.,Kitayama,O.,Abe,H. and Takayama,K.: "Basical study on the extracorporeal shock wave lithotripsy:2, Numerical simulation of propagating shock wave in the biological tissue." Proc. 1992 Shock Wave Sympo.293-296 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Hoshi,S.,Orikasa,S.,Kuwahara,M.,Suzuki,K.,Shirai,S.,Yoshikawa,K. and Nose,M.: "Shock wave and TPH-Adriamycin for treatment of Rabbit's bladder cancer." Jpn.J.Ca.Res.83. 248-250 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.,Hoshi,S.,Takeda,A. and Orikasa,S.: "Effect of focused shock waves on the kidney tumor:a new experimental model and its results." J.Urol.147. 227A (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.,Ioritani,N.,Saito,T.,Hoshi,S.,Taguchi,K.,Orikasa,S.,Obara,T.,Takayama,K. and Aida,S.: "Effects of focused shock waves on biological tissues: Cavitation in the prefocal region and the fluid flow in the focal region." Shock Waves, ED.Takayama,K., Springer-Verlag, Berlin,Heidelberg. Vol.1. 41-78 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Saitoh, T.,Orikasa,S.,Kuwahara,M.,Kambe,K.,Ioritani,N.,Taguchi,K. and Shirai,S.: "Renal ultrastructural changes after focused shock wave exposure." Shock Waves, ED.Takayama,K., Springer-Verlag,Berlin,Heidelberg. Vol.2. 1173-1176 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kuwahara,M.: "Tissue injuries during extracorporeal shock wave lithotripsy from the standpoint of basic physics and experimental pathophysiology" Jpn.J.Endourol.ESWL.6. 10-17 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 小原 哲郎ら: "体外衝撃波療法に関する基礎研究:第2報生体を伝幡する衝撃波の数値シミュレーション" 平成3年度衝撃波シンポジウム論文集. 293-296 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 桑原 正明ら: "生体と衝撃波についての研究:高速ビデオカメラによる兎耳介血管のin vitro,リアルタイム観察" 平成3年度衝撃波シンポジウム論文集. 281-284 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Kuwahara,M.et al.: "Effects of focused shock waves on biolagical tissues:caritation in the prefocal region and the fluid flow in the focal region." Shock waves,Proc.Sendai,Japan. 1. 41-48 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Kuwahara,M.: "Tissue in junries during extracorporeal shock wave lithotripsy from the standpoint of basic physics and experimental pathophyology" Jpn.J.Endourol.ESWL.6. 10-17 (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] 桑原 正明ら: "衝撃波の生体に及ぼす影響:兎腎癌モデルにおける検討" 平成4年度衝撃波シンポジウム論文集. 151-154 (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] Hoshi,S.et al.: "High energy underwater shock wave treatment on inplented minary fladder cancer" J.Url.146. 439-443 (1991)

    • Related Report
      1992 Annual Research Report
  • [Publications] 高山 和喜ら: "水中衝撃波による衝撃波フォ-カシング:医療応用への基礎研究" 日本博会学会論文集(B編). 57. 2285-2292 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 桑原 正明ら: "腎尿管結石に対する各種摘出法の比較" 腎と透析. 31. 536-538 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 桑原 正明ら: "収束衝撃波による生体損傷・焦点領域における圧力分布と流れの発生について" 日本ME学会誌. 29. 295-295 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 藤原 克彦ら: "大型ピエゾ素子西よる体外衝撃波結石破砕:反射波による破砕状況確認の可能性" 日本ME学会誌. 29. 293-293 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 小原 哲郎ら: "体外衝撃波療法に関する基礎研究:第2報生体を伝播する衝撃波の数値シミュレ-ション" 平成4年度衝撃波シンポジウム論文集. 293-296 (1992)

    • Related Report
      1991 Annual Research Report

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Published: 1991-04-01   Modified: 2016-04-21  

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