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An establishment of risk prediction of skeletal-related event in patients with bone metastatic cancer by evaluating bone strength

Research Project

Project/Area Number 15K10423
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionAichi Medical University

Principal Investigator

Wakao Norimitsu  愛知医科大学, 医学部, 講師 (80528802)

Co-Investigator(Kenkyū-buntansha) 中野 正吾  愛知医科大学, 医学部, 教授 (20351108)
住友 誠  愛知医科大学, 医学部, 教授 (50255535)
三嶋 秀行  愛知医科大学, 医学部, 教授 (70520881)
Co-Investigator(Renkei-kenkyūsha) SUMITOMO Makoto  愛知医科大学, 泌尿器科学, 教授 (50255535)
Research Collaborator MISHIMA Hideyuki  愛知医科大学, 臨床腫瘍センター, 教授 (70520881)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords癌骨転移 / 骨強度 / 有害事象 / リスク / デノスマブ / 骨強度評価 / 骨関連有害事象 / 骨修復薬 / 治療効果 / 疼痛改善 / 抗RANKL抗体 / 転移性骨腫瘍 / 有限要素解析
Outline of Final Research Achievements

Overall 24 cases with bone metastasis was enrolled in this case series study (Lung cancer: 8 cases, Prostate cancer: 6 cases, Breast cancer: 5 cases, Colon cancer: 3 cases, Pancreas cancer: 1 case, and thyroid cancer: 1 case). 2 cases with lung cancer, 1 case with pancreas cancer, and 1 case with colon cancer have died because of cancer itself during the following up period. Fortunately, none of them has been suffered from a skeletal-related adverse event, and pain related to the bone metastasis and performance status have been well controlled.
However, the capability of bone restoration drugs for avoiding spinal paralysis could not be calculated because there were no patients with spinal paralysis associated with bone metastasis from the results of our case series study, the effect of pain relief of bone restoration drugs were significantly remarkable in patients with bone metastasis originated from lung cancer and bone, which showed osteolytic changes in computed tomography images.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (27 results)

All 2017 2016 2015

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 9 results,  Open Access: 7 results,  Acknowledgement Compliant: 3 results) Presentation (17 results) (of which Int'l Joint Research: 7 results)

  • [Journal Article] Two cases of pelvic sarcoma in the acetabulum with >10-year follow-ups after carbon ion radiotherapy2017

    • Author(s)
      73.Kawanami K, Matsuo T, Sato K, Imai R, Kamiya M, Wakao N, Hirasawa A, Deie M
    • Journal Title

      J Orthop Sci

      Volume: 17 Pages: 0949-0949

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Optimal Timing of Surgery for Intramedullary Cavernous Hemangioma of the Spinal Cord in Relation to Preoperative Motor Paresis, Disease Duration, and Tumor Volume and Location2017

    • Author(s)
      Imagama Shiro、Ito Zenya、Ando Kei、Kobayashi Kazuyoshi、Hida Tetsuro、Ito Kenyu、Tsushima Mikito、Ishikawa Yoshimoto、Matsumoto Akiyuki、Morozumi Masayoshi、Tanaka Satoshi、Machino Masaaki、Ota Kyotaro、Nakashima Hiroaki、Wakao Norimitsu、Sakai Yoshihito、Matsuyama Yukihiro、Ishiguro Naoki
    • Journal Title

      Global Spine Journall

      Volume: 7 Issue: 3 Pages: 246-253

    • DOI

      10.1177/2192568217707938

    • NAID

      120006370578

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Contusional Cerebellar Hemorrhage Related to Placement in the Protrusion Position After Atlantoaxial Fusion.2017

    • Author(s)
      Miyaoka Y, Takeuchi M, Wakao N, Aoyama M, Hongo K, Takayasu M.
    • Journal Title

      World Neurosurg.

      Volume: 101

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Risk Factors for Ineffectiveness of Posterior Decompression and Dekyphotic Corrective Fusion with Instrumentation for Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament: A Single Institute Study.2017

    • Author(s)
      Imagama S, Ando K, Ito Z, Kobayashi K, Hida T, Ito K, Tsushima M, Ishikawa Y, Matsumoto A, Morozumi M, Tanaka S, Machino M, Ota K, Nakashima H, Wakao N, Nishida Y, Matsuyama Y, Ishiguro N.
    • Journal Title

      Neurosurgery

      Volume: 未定 Issue: 5 Pages: 800-808

    • DOI

      10.1093/neuros/nyw130

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ultrasonography has a diagnostic value in the assessment of cervical radiculopathy: A prospective pilot study.2017

    • Author(s)
      Takeuchi M, Wakao N, Hirasawa A, Murotani K, Kamiya M, Osuka K, Takayasu M.
    • Journal Title

      European Radiology

      Volume: 未定 Issue: 8 Pages: 3467-3473

    • DOI

      10.1007/s00330-016-4704-9

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery.2016

    • Author(s)
      Imagama S, Ando K, Ito Z, Kobayashi K, Hida T, Ito K, Ishikawa Y, Tsushima M, Matsumoto A, Tanaka S, Morozumi M, Machino M, Ota K, Nakashima H, Wakao N, Nishida Y, Matsuyama Y, Ishiguro N
    • Journal Title

      Global Spine Journal

      Volume: 6(8) Pages: 812-821

    • NAID

      120005946830

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] An extremely rare case of a glomus tumor in the popliteal fossa.2016

    • Author(s)
      Kawanami K, Matsuo T, Deie M, Izuta Y, Wakao N, Kamiya M, Hirasawa A.
    • Journal Title

      Journal of Orthopedics

      Volume: 13(4) Issue: 4 Pages: 313-315

    • DOI

      10.1016/j.jor.2016.06.014

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risks for Vascular Injury During Anterior Cervical Spine Surgery: Prevalence of a Medial Loop of Vertebral Artery and Internal Carotid Artery.2016

    • Author(s)
      Wakao N, Takeuchi M, Nishimura M, Riew KD, Kamiya M, Hirasawa A, Imagama S, Kawanami K, Murotani K, Takayasu M
    • Journal Title

      Spine

      Volume: 41 Pages: 2930298-2930298

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] The prevalence of diffuse idiopathic skeletal hyperostosis in Japan - the first report of measurement by CT and review of the literature.2016

    • Author(s)
      Hirasawa A, Wakao N, Kamiya M, Takeuchi M, Kawanami K, Murotani K, Matsuo T, Deie M.
    • Journal Title

      J Orthop Sci.

      Volume: 16 Issue: 3 Pages: 10231027-10231027

    • DOI

      10.1016/j.jos.2016.02.001

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Effect of Denosumab Administration on Lumbar Vertebral Strength of Patients with Vertebral Bony Metastases: Preliminary Study2016

    • Author(s)
      Kawanami K, Wakao N, Murotani K, Kamiya M, Takeuchi M, Hirasawa A, Matsuo T, Sato K, Deie M.
    • Journal Title

      Anticancer Res

      Volume: 36 Pages: 10271031-10271031

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] A revision surgery for a patient with swallowing disorder after a combined trans-oral decompression and posterior fusion surgery2017

    • Author(s)
      若尾典充
    • Organizer
      Cervical Spine Resarch Society Asian Pacific
    • Place of Presentation
      神戸、兵庫
    • Year and Date
      2017-03-09
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 胸椎症性脊髄症の病態―胸腰椎移行部の動的因子とその背景ー2017

    • Author(s)
      若尾典充
    • Organizer
      第128回中部日本整形・災害外科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 骨粗鬆症性遅発性椎体圧潰・麻痺 に対する徹底した保存治療の有用性2017

    • Author(s)
      若尾典充
    • Organizer
      第46回日本脊椎脊髄病学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 骨粗鬆症性遅発性圧潰・麻痺に対する徹底した保存治療の有効性―手術回避は可能か?―2017

    • Author(s)
      若尾典充
    • Organizer
      第90回日本整形外科学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 手術直前に診断がついた ANCA関連血管炎による不全四肢麻痺2017

    • Author(s)
      若尾典充
    • Organizer
      圧迫性脊髄症研究会
    • Place of Presentation
      東京
    • Related Report
      2016 Research-status Report
  • [Presentation] Risks for Vascular Injury During Anteior Cervical Spine Surgery Prevalence of a Medial loop of VA and ICA2016

    • Author(s)
      N Wakao
    • Organizer
      EUROSPINE annual meeting
    • Place of Presentation
      Berilin, Germany
    • Year and Date
      2016-10-03
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Effect of an Intensive Conservative Treatment Therapy with Daily Teriparatide Administration and Rehabilitation for Osteoporotic Delayed Vertebral Collapse and Paralysis2016

    • Author(s)
      N Wakao
    • Organizer
      SICOT World Congress
    • Place of Presentation
      Rome, Italy
    • Year and Date
      2016-09-08
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Effect of Denosumab Administration on Lumbar Vertebral Strenght of Patients with Vertebaral Bony Metastasis2016

    • Author(s)
      Kawanami K, N Wakao
    • Organizer
      SICOT World Congress
    • Place of Presentation
      Rome, Italy
    • Year and Date
      2016-09-08
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 頸椎前方手術における血管障害リスク2016

    • Author(s)
      若尾典充
    • Organizer
      日本整形外科学会
    • Place of Presentation
      横浜、神奈川
    • Year and Date
      2016-05-12
    • Related Report
      2016 Research-status Report
  • [Presentation] Denosumabによる治療介入は転移椎体の骨強度を上昇させるか?2016

    • Author(s)
      若尾典充
    • Organizer
      日本脊椎脊髄病学会
    • Place of Presentation
      幕張、千葉
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] 頸椎前方手術における血管障害リスク―1.000例の画像解析結果―2016

    • Author(s)
      若尾典充
    • Organizer
      日本脊椎脊髄病学会
    • Place of Presentation
      幕張、千葉
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] C2脊索腫に対する治療2016

    • Author(s)
      若尾典充、神谷光広、竹内幹伸、平澤敦彦、佐藤啓二、高安正和
    • Organizer
      圧迫性脊髄症研究会
    • Place of Presentation
      東京駅八重洲カンファレンスセンター(東京)
    • Year and Date
      2016-01-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 根治を得た高悪性度胸椎砂時計型腫瘍2016

    • Author(s)
      若尾典充
    • Organizer
      東海脊椎脊髄病研究会
    • Place of Presentation
      名古屋、愛知
    • Related Report
      2016 Research-status Report
  • [Presentation] Vertebral artery variations and osseous anomaly at the C1-2 level diagnosed by 3D CT angiography in normal patients2015

    • Author(s)
      N Wakao, M Takeuchi, M Kamiya, A Hirasawa, M Takayasu
    • Organizer
      Spine Across the Sea
    • Place of Presentation
      Hawaii、米国
    • Year and Date
      2015-07-28
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Risk for vascular involvement in an anterior approach surgery for cervical spine―Prevalence of Medial loop of VA and ICA―2015

    • Author(s)
      N Wakao, M Takeuchi, M Kamiya, A Hirasawa, M Takayasu
    • Organizer
      Cervical Spine Research Society, European Section
    • Place of Presentation
      London、英国
    • Year and Date
      2015-05-29
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 頚椎手術における血管損傷リスクとトラブルシューティング―1,000例の血管造影CT画像解析結果をもとに―2015

    • Author(s)
      若尾典充、神谷光広、竹内幹伸、平澤敦彦、佐藤啓二、高安正和
    • Organizer
      日本脊椎脊髄病学会
    • Place of Presentation
      福岡国際会議場(福岡)
    • Year and Date
      2015-04-10
    • Related Report
      2015 Research-status Report
  • [Presentation] Variance of Cervical Vertebral Artery Measured by CT Angiography and Its Influence on C7 Pedicle Anatomy.2015

    • Author(s)
      N Wakao, M Takeuchi, M Kamiya, A Hirasawa, M Takayasu
    • Organizer
      Orthopedic Research Society
    • Place of Presentation
      Las Vegas、米国
    • Year and Date
      2015-04-01
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2019-03-29  

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