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Establishment of diagnostic methods for vestibular migraine from an vewpoint of habituation to repetitive auditory and accelerative stimuli

Research Project

Project/Area Number 15K10764
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionTeikyo University

Principal Investigator

MUROFUSHI TOSHIHISA  帝京大学, 医学部, 教授 (30242176)

Co-Investigator(Kenkyū-buntansha) 小宮山 櫻子  帝京大学, 医学部, 助手 (20645923)
坪田 雅仁  帝京大学, 医学部, 講師 (90436791)
林 裕史  独立行政法人国立病院機構(東京医療センター臨床研究センター), その他部局等, 研究員 (40715166)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywordsめまい / 片頭痛 / 聴覚誘発電位 / 内耳 / 前庭系 / 耳石器 / 半規管 / メニエール病 / 前庭性片頭痛「 / 聴性誘発電位 / 馴化 / 前庭誘発筋電位 / 前庭眼反射 / 鑑別診断 / 内リンパ水腫
Outline of Final Research Achievements

Through this project for establishment of methods of differentiation of vestibular migraine from Meniere’s disease, we found that auditory middle latency responses will be optimal because we observed clear differences of habituation modes to repetitive stimulation between the two diseases. While Meniere’s disease patients showed clear decreasing of amplitudes of responses to repetitive stimuli more than 600 (habituation), vestibular migraine patients showed rather augmentation. Due to limitation of number of stimuli, vestibular evoked myogenic potentials did not show clear differences between the 2 groups. Concerning video head-impulse test, improvement of reproducibility should be required in the future study.

Academic Significance and Societal Importance of the Research Achievements

前庭性片頭痛は近年認知されるようになってきた反復性めまいをきたす疾患である。一方のメニエール病は古くから知られている反復性めまい疾患である。この両疾患の鑑別は各々の典型例では容易であるが、鑑別診断に苦慮する症例も少なくない。診断を困難にする要因の一つとして、両者、ことに前庭性片頭痛の診断に寄与するバイオマーカーがないことがあげられる。本研究で明らかになった、反復聴覚刺激に対する馴化の態様の違いは、両疾患の鑑別に客観的で有用な情報を提供すると考えられる。両疾患の治療に用いられる薬剤は異なっており、今回明らかになった鑑別法の確立は、適切な治療薬の選択に資するという点で公共の福祉に役立つものである。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (61 results)

All 2019 2018 2017 2016 2015

All Journal Article (24 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 18 results,  Open Access: 8 results,  Acknowledgement Compliant: 3 results) Presentation (33 results) (of which Int'l Joint Research: 11 results,  Invited: 11 results) Book (2 results) Funded Workshop (2 results)

  • [Journal Article] Idiopathic acute high tone sensorineural hearing loss accompanied by vertigo: vestibulo-cochlear artery syndrome? Consideration based on VEMP and vHIT.2019

    • Author(s)
      Murofushi T, Tsubota M, Suzuki D
    • Journal Title

      J Neurol

      Volume: 印刷中 Issue: 8 Pages: 2066-2067

    • DOI

      10.1007/s00415-019-09353-6

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 内リンパ水腫と前庭性片頭痛.2019

    • Author(s)
      室伏利久
    • Journal Title

      日本頭痛学会誌

      Volume: 印刷中

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Aging Is a Risk Factor for Utricular Dysfunction in Idiopathic Benign Paroxysmal Positional Vertigo2018

    • Author(s)
      Fujimoto Chisato、Kawahara Takuya、Kinoshita Makoto、Kikkawa Yayoi S.、Sugasawa Keiko、Yagi Masato、Yamasoba Tatsuya、Iwasaki Shinichi、Murofushi Toshihisa
    • Journal Title

      Frontiers in Neurology

      Volume: 9 Pages: 1049-1049

    • DOI

      10.3389/fneur.2018.01049

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Simultaneous presentation of definite vestibular migraine and definite Ménière’s disease: Overlapping syndrome of two diseases.2018

    • Author(s)
      Murofushi T, Tsubota M, Kitao K, Yoshimura E
    • Journal Title

      Front Neurol

      Volume: 9 Pages: 749-749

    • DOI

      10.3389/fneur.2018.00749

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Japanese standard for clinical stabilometry assessment: Current status and future directions2018

    • Author(s)
      Yamamoto Masahiko、Ishikawa Kazuo、Aoki Mitsuhiro、Mizuta Keisuke、Ito Yatsuji、Asai Masatsugu、Shojaku Hideo、Yamanaka Toshiaki、Fujimoto Chisato、Murofushi Toshihisa、Yoshida Tomoe
    • Journal Title

      Auris Nasus Larynx

      Volume: 45 Issue: 2 Pages: 201-206

    • DOI

      10.1016/j.anl.2017.06.006

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 原著から今日まで-代表的疾患の変遷- 前庭性片頭痛(片頭痛関連めまい).2018

    • Author(s)
      室伏利久
    • Journal Title

      Equilibrium Res

      Volume: 77 Pages: 525-531

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Is alteration of tuning property in cVEMP specific for Meniere's disease?2017

    • Author(s)
      Murofushi T, Tsubota M, Suizu R, Yoshimura E
    • Journal Title

      Frontiers in Neurology

      Volume: 8 Pages: 193-193

    • DOI

      10.3389/fneur.2017.00193

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Bilateral vestibulopathy: diagnostic criteria. Consensus document of Classification Committee of the Barany Society2017

    • Author(s)
      Strupp M, Kim JS, Murofushi T, Straumann D Jen JC, Rosengren S, Della Santina C, Kingma H
    • Journal Title

      Journal of Vestibular Research

      Volume: 27 Issue: 4 Pages: 177-189

    • DOI

      10.3233/ves-170619

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] cVEMP tuning property of patients with recurrent peripheral vestibulopathy: Is it Meniere's disease without hearing loss?2017

    • Author(s)
      Murofushi T, Tsubota M, Suizu R
    • Journal Title

      Clinical Neurophysiology

      Volume: 128 Issue: 12 Pages: 2491-2492

    • DOI

      10.1016/j.clinph.2017.10.006

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 最新のめまい診療2017

    • Author(s)
      室伏利久、牛尾宗貴
    • Journal Title

      耳喉頭頸

      Volume: 89 Pages: 12-20

    • Related Report
      2017 Research-status Report
  • [Journal Article] Clinical application of vestibular evoked myogenic potential (VEMP).2016

    • Author(s)
      Murofushi T
    • Journal Title

      Auris Nasusu Larynx

      Volume: 43 Issue: 4 Pages: 367-376

    • DOI

      10.1016/j.anl.2015.12.006

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Is otolithic vertigo accompanied by hearing loss caused by sacculocochlear endolymphatic hydrops?2016

    • Author(s)
      Murofushi T, Komiyama S, Hayashi Y, Yoshimura E.
    • Journal Title

      Acta Otolaryngol.

      Volume: 136(1) Issue: 1 Pages: 38-42

    • DOI

      10.3109/00016489.2015.1081277

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Detection of saccular endolymphatic hydrops in Meniere's disease using a modified glycerol cVEMP test in combination with the tuning property test.2016

    • Author(s)
      Murofushi T, Komiyama S, Suizu R
    • Journal Title

      Otology and Neurotology

      Volume: 37 Issue: 8 Pages: 1131-1136

    • DOI

      10.1097/mao.0000000000001149

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Otolithic vertigo in children. Report of 3 cases.2016

    • Author(s)
      Murofushi T, Komiyama S, Suizu R, Yoshimura E
    • Journal Title

      Acta Otolaryngol Case Reports

      Volume: 1 Issue: 1 Pages: 71-74

    • DOI

      10.1080/23772484.2016.1235466

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] VEMP所見異常と治療による回復を認めた中枢神経系脱髄疾患の一症例2016

    • Author(s)
      室伏利久、林裕史、松崎真樹、室伏利久
    • Journal Title

      Equilibrium Research

      Volume: 75 Pages: 16-21

    • NAID

      130005142019

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 片頭痛関連めまい2016

    • Author(s)
      室伏利久
    • Journal Title

      JOHNS

      Volume: 32 Pages: 71-73

    • NAID

      10029512488

    • Related Report
      2016 Research-status Report 2015 Research-status Report
  • [Journal Article] 疾患と病態生理 片頭痛2016

    • Author(s)
      室伏利久
    • Journal Title

      JOHNS

      Volume: 32 Pages: 393-395

    • Related Report
      2016 Research-status Report
  • [Journal Article] VEMP2016

    • Author(s)
      室伏利久
    • Journal Title

      Clinical Neuroscience

      Volume: 34 Pages: 803-811

    • Related Report
      2016 Research-status Report
  • [Journal Article] VEMP所見異常と治療による回復を認めた中枢神経系脱髄疾患の一症例.2016

    • Author(s)
      小宮山櫻子 林裕史 松崎真樹 室伏利久
    • Journal Title

      Equilibrium Research

      Volume: 75 Pages: 16-21

    • NAID

      130005142019

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 片頭痛2016

    • Author(s)
      室伏利久
    • Journal Title

      JOHNS

      Volume: 32 Pages: 393-395

    • Related Report
      2015 Research-status Report
  • [Journal Article] Frequency preference in cervical vestibular evoked myogenic potential of idiopathic otolithic vertigo. Does it reflect otolithic endolymphatic hydrops?2015

    • Author(s)
      Murofushi T, Komiyama S, Hayashi Y, Yoshimura E
    • Journal Title

      Acta Otolaryngologica

      Volume: 135 Issue: 10 Pages: 995-999

    • DOI

      10.3109/00016489.2015.1022834

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 軽症神経救急診療の現状と課題. めまい.2015

    • Author(s)
      室伏利久
    • Journal Title

      Neurosurgical Emergency

      Volume: 20 Pages: 160-164

    • NAID

      40020909758

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] めまい・平衡障害と遺伝子.片頭痛.2015

    • Author(s)
      室伏利久
    • Journal Title

      Equilibrium Research

      Volume: 74 Pages: 513-519

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 姿勢・歩行-Something new.重心動揺計・VEMP2015

    • Author(s)
      室伏利久
    • Journal Title

      Clinical Neuroscience

      Volume: 33 Pages: 778-781

    • Related Report
      2015 Research-status Report
  • [Presentation] Combined use of VEMP and vHIT for accurate diagnosis of vestibular disorders.2018

    • Author(s)
      Murofushi T
    • Organizer
      The 6th East Asian Symposium on Otology
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Is it possible to differentiate vestibular migraine from Meniere's disease neurophysiologically?2018

    • Author(s)
      Murofushi T, Tsubota M, Suizu R, Hakuba N, Kitao K, Suzuki D, Tanaka K, Tsuda Y, Yoshimura E
    • Organizer
      第119回日本耳鼻咽喉科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] What kinds of information can be provided by chirp sound cVEMP?2018

    • Author(s)
      Murofushi T, Tsuda Y, Yoshimura E
    • Organizer
      The 30th Barany Society Meeting
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] How to differentiate vestibular migraine from Meniere’s disease neurophysiologically?2018

    • Author(s)
      Murofushi T, Tsubota M, Suizu R, Tsuda Y, Yoshimura E
    • Organizer
      The 30th Barany Society Meeting
    • Related Report
      2018 Annual Research Report
  • [Presentation] The origin and pathway of oVEMP and cVEMP :the evidences.2018

    • Author(s)
      Murofushi T
    • Organizer
      The 7th Chinese national meeting on vertigo and balance disorders
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] BC-VEMP and galvanic VEMP: their significance.2018

    • Author(s)
      Murofushi T
    • Organizer
      The 7th Chinese national meeting on vertigo and balance disorders
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] How to detect hydropic ears using cVEMP?2018

    • Author(s)
      Murofushi T
    • Organizer
      The 1st Japan-Korea Scientific Meetin
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Chirp音による前庭誘発頸筋電位(cVEMP)によってどのような情報が得られるか?2018

    • Author(s)
      室伏利久、坪田雅仁、水津亮太、白馬伸洋、鈴木大士、吉村恵理子
    • Organizer
      第28回日本耳科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] VEMPの過去と現在、未来にむけて.2018

    • Author(s)
      室伏利久
    • Organizer
      第77回日本めまい平衡医学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] VEMPとvHITの成績からみためまいを伴う急性感音難聴.2018

    • Author(s)
      室伏利久、坪田雅仁、水津亮太、津田幸子、吉村恵理子
    • Organizer
      第77回日本めまい平衡医学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Does intermittent pressure therapy using TMM device reduce endolymphatic hydrops in Meniere's disease?2017

    • Author(s)
      Murofushi T
    • Organizer
      The 3rd Vertigo Cacademy International
    • Place of Presentation
      Mumbai, India
    • Year and Date
      2017-03-02
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Does intermittent pressure therapy using TMM device reduce endolymphatic hydrops in Meniere's disease?2017

    • Author(s)
      Murofushi T, Suizu R, Tsubota M
    • Organizer
      The 3rd vertigo Academy International
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Vestibular migraine/Meniere's disease overlappng syndrome.2017

    • Author(s)
      Murofushi T, Tsubota M Suizu R, Yoshimura E
    • Organizer
      IFOS 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] どのような症例が前庭型メニエール病と診断できるか?2017

    • Author(s)
      室伏利久、水津亮太、坪田雅仁、白馬伸洋、津田幸子、吉村恵理子
    • Organizer
      第118回日本耳鼻咽喉科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 新しい疾患概念としての前庭性片頭痛/メニエール病重複症候群について2017

    • Author(s)
      室伏利久、坪田雅仁、水津亮太、北尾恭子、鈴木大士、白馬伸洋、津田幸子、吉村恵理子
    • Organizer
      第27回日本耳科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] VEMPの臨床応用Update2017

    • Author(s)
      室伏利久
    • Organizer
      第76回日本めまい平衡医学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 前庭神経炎の診断基準2016

    • Author(s)
      室伏利久
    • Organizer
      第75回日本めまい平衡医学会
    • Place of Presentation
      大阪
    • Year and Date
      2016-10-26
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] cVEMPを用いた内リンパ水腫推定検査成績とメニエール病の病期2016

    • Author(s)
      室伏利久
    • Organizer
      第75回日本めまい平衡医学会
    • Place of Presentation
      大阪
    • Year and Date
      2016-10-26
    • Related Report
      2016 Research-status Report
  • [Presentation] 中耳加圧治療は内リンパ水腫を改善させるか?2016

    • Author(s)
      室伏利久
    • Organizer
      第26回日本耳科学会
    • Place of Presentation
      長野
    • Year and Date
      2016-10-05
    • Related Report
      2016 Research-status Report
  • [Presentation] Neural pathway of cVEMP: insights from clinical findings2016

    • Author(s)
      Murofushi T
    • Organizer
      The 29th Barany Society Meeting
    • Place of Presentation
      Seoul, South Korea
    • Year and Date
      2016-06-05
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] cVEMP tuningの高音側へのシフトはメニエール病に特異的か?2016

    • Author(s)
      室伏利久
    • Organizer
      第117回日本耳鼻咽喉科学会
    • Place of Presentation
      名古屋
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
  • [Presentation] How to detect endolymphatic hydrops in Meniere’s disease using cVEMP? –glycerol cVEMP test vs tuning property test.2016

    • Author(s)
      Murofushi T
    • Organizer
      The 17th International Symposium and Workshops on Inner Ear Medicine & Surgery (Prosper Meniere Society)
    • Place of Presentation
      Zell am Ziller, Austria
    • Year and Date
      2016-03-12
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 小児のめまい症例の検討-特に診断上の問題点について.2015

    • Author(s)
      室伏利久、小宮山櫻子、水津亮太、津田幸子、吉村恵理子
    • Organizer
      第74回日本めまい平衡医学会
    • Place of Presentation
      岐阜
    • Year and Date
      2015-11-25
    • Related Report
      2015 Research-status Report
  • [Presentation] 頭痛を伴い末梢前庭性めまい様の発症をした小脳動静脈奇形の一症例.2015

    • Author(s)
      小宮山櫻子、水津亮太、津田幸子、吉村恵理子、室伏利久
    • Organizer
      第74回日本めまい平衡医学会
    • Place of Presentation
      岐阜
    • Year and Date
      2015-11-25
    • Related Report
      2015 Research-status Report
  • [Presentation] 小児の頭位性めまいの2症例.2015

    • Author(s)
      水津亮太、小宮山櫻子、室伏利久
    • Organizer
      第74回日本めまい平衡医学会
    • Place of Presentation
      岐阜
    • Year and Date
      2015-11-25
    • Related Report
      2015 Research-status Report
  • [Presentation] 上半規管裂隙症候群における振動刺激誘発眼2015

    • Author(s)
      大木雅文、杉本裕彦、堤 剛、室伏利久
    • Organizer
      第74回日本めまい平衡医学会
    • Place of Presentation
      岐阜
    • Year and Date
      2015-11-25
    • Related Report
      2015 Research-status Report
  • [Presentation] 小型聴神経腫瘍に対するselective neurinomectomyの試み-聴力温存を超えて-.2015

    • Author(s)
      関要次郎、鮫島直之、渡辺 玲、桑名信匡、遠藤朝則、中原はるか、室伏利久
    • Organizer
      第74回日本脳神経外科学会
    • Place of Presentation
      札幌
    • Year and Date
      2015-10-14
    • Related Report
      2015 Research-status Report
  • [Presentation] メニエール病およびその類縁疾患における内リンパ水腫推定検査としてのグリセロールcVEMPの判定法の検討2015

    • Author(s)
      室伏利久、林 裕史
    • Organizer
      第25回日本耳科学会
    • Place of Presentation
      長崎
    • Year and Date
      2015-10-08
    • Related Report
      2015 Research-status Report
  • [Presentation] 小児のめまい症例の検討.2015

    • Author(s)
      室伏利久、水津亮太、小宮山櫻子
    • Organizer
      第171回日本耳鼻咽喉科学会神奈川県地方部会耳鼻咽喉科・頭頸部外科学術講演会
    • Place of Presentation
      横浜
    • Year and Date
      2015-07-11
    • Related Report
      2015 Research-status Report
  • [Presentation] Postural instability and bone quality in the elderly with vestibular disorders.2015

    • Author(s)
      Murofushi T, Tsuda Y, Yoshimura E
    • Organizer
      ISPGR2015
    • Place of Presentation
      Sevilla, Spain
    • Year and Date
      2015-06-28
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 難聴を伴う耳石器性めまい症例.2015

    • Author(s)
      室伏利久、小宮山櫻子、林 裕史、松﨑真樹、津田幸子、吉村恵理子
    • Organizer
      第116回日本耳鼻咽喉科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2015-05-14
    • Related Report
      2015 Research-status Report
  • [Presentation] Neurophysiology of VEMP.2015

    • Author(s)
      Murofushi T
    • Organizer
      IERASG2015
    • Place of Presentation
      Busan, Korea
    • Year and Date
      2015-05-10
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Clinical characteristics and presumed pathophysiology of vestibular migraine.2015

    • Author(s)
      Murofushi T
    • Organizer
      International Congress of Korean Society of Otolaryngology Head and Neck Surgery
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Book] めまいの起源を求めて2018

    • Author(s)
      室伏利久
    • Total Pages
      133
    • Publisher
      中外医学社
    • ISBN
      4498062809
    • Related Report
      2018 Annual Research Report
  • [Book] めまいの診かた,治し方2016

    • Author(s)
      室伏利久
    • Total Pages
      152
    • Publisher
      中外医学社
    • Related Report
      2016 Research-status Report
  • [Funded Workshop] Ther 3rd Vertigo Academy International2017

    • Place of Presentation
      Mumbai, India
    • Year and Date
      2017-03-02
    • Related Report
      2016 Research-status Report
  • [Funded Workshop] The 29th Barany Society Meeting2016

    • Place of Presentation
      Seoul, South Korea
    • Year and Date
      2016-06-05
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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