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High-levels functionas and images of the brain in hepatic encephalopathy

Research Project

Project/Area Number 09470133
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Gastroenterology
Research InstitutionToyama Medical and Pharmaceutical University

Principal Investigator

WATANABE Akiharu  Toyama Medical and Pharmaceutical University, Third Department of Internal Medicine, Faculty of Medicine, Professor, 医学部, 教授 (00033390)

Co-Investigator(Kenkyū-buntansha) WAKABAYASHI Hiroyuki  Toyama Medical and Pharmaceutical University, Third Department of Internal Medic, 附属病院, 講師 (30230915)
HIGUCHI Kiyohiro  Toyama Medical and Pharmaceutical University Blood transfusion of Hospital, Assi, 附属病院, 講師 (00135021)
WATANABE Naoto  Toyama Medical and Pharmaceutical University Central Radiology of Hospital, Asso, 附属病院, 助教授 (40210926)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥5,800,000 (Direct Cost: ¥5,800,000)
Fiscal Year 1998: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1997: ¥4,700,000 (Direct Cost: ¥4,700,000)
Keywordshepatic encephalopathy / high-level function of the brain / brain image / subclinical encephalopathy / quantitative psychometric tests / cerebral blood glow / choline / hippocampus / 肝硬変 / 肝不全 / 事象関連電位 / 脳コリン / ^1H-MRS
Research Abstract

From the previous results of our study on the functional heterogeneity of the brain, we attempted to investigate the high-level functions and images of the brain for early diagnosis and treatment of hepatic encephalopathy.Patients with compensated and decompensated cirrhosis of the liver were tested by a computer-assisted quantitative psychometric tests (5 tests, g items to be evaluated) to detect subclinical hepatic encephalopathy. Following results were obtained during the two years' study.
1 . Abnormality of cognition function and attention ability was evaluated by the brain mapping and color-topogram of event-related potentials of P300, and then the results were compared to those of quantitative psychometric tests.
2. Renticular formation controlling the consciousness of the whole brain and hippocampus as center of memory and emotion frontal region, atrophy being observed, the localized blood flow of the various brain regions were calculated by ^<99m>Tc-ECD SPECT.
3. Choline, glutamine and mio-inositol contents in the various regions of the brain including hippocampus were measured by ^1H-MRS . Furthermore, brain choline contents following the oral administration of yolk choline were determined to compare the results with quantitative psychometric tests.

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (19 results)

All Other

All Publications (19 results)

  • [Publications] 沖田英明・渡辺明治: "肝性脳症グレードIにおける神経心理学的検査と^1H-MRスペクトロスユピーによるアプローチ" 肝臓. 39(7). 514-516 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 渡辺明治: "呼気アンモニア濃度の測定 -急性肝不全の早期診断と治療評価のために" 厚生省特定疾患難治性の肝疾患研究報告. 平成九年度. 71-72 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 渡辺明治(分担): "呼気生化学-測定とその意義" 小橋恭一編, 68-75 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Okita H,Watanabe A: "An approach of psychometric tests and ^1H-MR spectroscopy for grade I of hepatic encephalopathy." Acta Hepatol Jpn. 39(7). 514-516 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Wakabayashi,H.,Watanabe,A.: "Measurement of the expiratory ammonia concentration and its clinical significance." Metabol Brain Dis. 12(2). 161-169 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Watanebe,A.: "Clinical efficancy of lactulose in cirrhotic patients with and without sobclinical hepatic encephalopathy." Hepatology. 26(6). 1410-1414 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Watanabe,A.: "Computer-associated quantitative neurophychological tests for early detection of subclinical hepatic encephalopathy in patients with liver cirrhosis." Res Commun Biol Psychol Psychiat. 22(1,2). 25-38 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Aiba,N.,Watanabe,A.: "Intrahepatic portal-hepatic venous shunts associated with a huge pelvic leiomyoma." J Gastroenterol Hepatol. 13(2). 158-162 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Watanabe,A.: "Cerebral Changes in hepatic encephalopathy" J Gastroenterol Hepatol. 13(7). 752-760 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Watanabe,A.: "Advances in Hepatic Encephalopathy and Metabolism in Liver Disease" CRC Press Boca Raton(分担), 133-137 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Watanabe,A.: "Advances in Hepatic Encephalopathy and Metabolism in Liver Disease" CRC Press Boca Raton(分担), 475-479 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 渡辺明治: "潜在性肝性脳症-最近の動向と今後の展開" Pharma Med. 14・2. 177-190 (1966)

    • Related Report
      1997 Annual Research Report
  • [Publications] 渡辺明治: "潜在性肝性脳症の診断-コンピューター化した神経心理学的検査法" Molecular Med. 33・12. 1439-1440 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] 渡辺明治、河相覚: "肝性脳症における二糖類代謝の研究" Pharma Med. 15・5. 159-169 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 渡辺明治、沖田英明: "リン脂質の栄養薬理学的作用" Pharma Med. 15・6. 147-158 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Wakabayashi H,Watanabe A.: "Measurement of the expiratory ammonia concentration and its clinical significance" Metabol Brain Disease. 12・2. 161-169 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Watanabe A: "Management of ascifes-A review" J Med. 28・1/2. 31-44 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 渡辺明治: "臨床肝不全学" 永井書店, 363 (1994)

    • Related Report
      1997 Annual Research Report
  • [Publications] Watanabe A, et al.: "Advances in Hepatic Encephalopathy and Metabolism in Liver Disease" CRC Press (Record H ed.), 475-479 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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