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Early Detection of Pre-onset Signs of Alzheimer Dementia in the Healthy Elderly by Follow-up Imaging : 11th Study.

Research Project

Project/Area Number 14570945
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Psychiatric science
Research InstitutionJikei University School of Medicine

Principal Investigator

HIROO Kasahara  Jikei University School of Medicine, Professors, 医学部, 教授 (60056950)

Co-Investigator(Kenkyū-buntansha) TAKANASHI Youko  Jikei University School of Medicine, Research Assistant, 医学部, 助手 (90266643)
NAKANISHI Tatsurou  Jikei University School of Medicine, Research Assistant, 医学部, 助手 (10287261)
NISHIMURA Hiroshi  Jikei University School of Medicine, Lecturer, 医学部, 講師 (00246430)
HASHIDUME Toshihiko  Jikei University School of Medicine, Research Assistant, 医学部, 助手 (10317985)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2003: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2002: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsMRI / BVRT / ECR / temporal lobe / rating scale / elderly / dementia
Research Abstract

In the year 2002 period, we completed 3-year testing of 59 participants from the year 1999 period. We investigated the relationship between MRI observations and results from first-round cognitive testing of these subjects and second-round cognitive testing 3 years later. Cognitive testing results declined after 3 years in conjunction with the extent of deterioration in indices of : mild cortical atrophy, cerebellar atrophy, T2 of basal ganglia (number of strong signals in T2 image on MRL), parietal lobe atrophy, corpus callosum atrophy, T2 of the pans, PVH, temporal lobe atrophy, T2 of the temporal lobe, and lateral ventricle enlargement.
By late December in the 2003 period, we had carried out 3-year, second-round testing in a total 150 subjects. In the current round, to the Benton Visual Retention Test we added Enhanced Cued Recall (ECR) and Symbol Digit Substitution, and with regard to MRI, we carried out visual assessment of horizontal slices. We have also decided to add assessment of other coronary slice images.
In cases in which MRI demonstrated any of: cortical atrophy, temporal lobe atrophy, lateral ventricle enlargement, or enlargement of the sylvian fissure, we observed a relationship to deterioration in cognitive testing; additionally, the presence of T2HSI suggested an impetus to deterioration of brain function, depending on the site.
Consequently, it is possible to hypothesize changes in the brain function of healthy elderly adults based on MRI observations, and by compiling a second round of screening for all cases and a third round of screening after 6 years, it will be possible to perceive changes not only in brain function, but also in the daily activity of healthy elderly adults.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (8 results)

All Other

All Publications (8 results)

  • [Publications] 笠原洋勇: "高齢者のうつ病"日本醫事新報. No4126. 24-30 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 笠原洋勇, 小高文聰, 伊藤達彦: "Huntington病(脳器質性精神障害神経変性疾患)"日本臨牀. No40. 261-264 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 笠原洋勇, 小高文聰: "老炎医療の歩みと展望(社団法人日本老年医学編)"メジカルビュー社. 320 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 笠原洋勇: "高齢者のうつ病"日本醫事新報. No4126. 24-30 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 笠原洋勇, 小高文聰, 伊藤達彦: "Huntington病(脳器質性精神障害神経変性疾患)"日本臨牀. No40. 261-264 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 笠原洋勇, 小高文聰: "老炎医療の歩みと展望(社団法人日本老年医学編)"メジカルビュー社. 320 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 笠原洋勇, 古川はるこ: "老人の強迫"最新精神医学. 7(6). 531-536 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 笠原洋勇, 古川はるこ: "高齢者の精神療法"老年精神医学雑誌. 13(12). 1447-1453 (2002)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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