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MR lymphangiography for the innovations in diagnosis and treatment of lymphedema

Research Project

Project/Area Number 15K19832
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Radiation science
Research InstitutionNational Defense Medical College

Principal Investigator

Soga Shigeyoshi  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 放射線医学, 講師 (80365387)

Research Collaborator OHNISHI Fumio  埼玉医科大学, 医学部, 講師 (80327569)
SHINMOTO Hiroshi  防衛医科大学校, 教授 (00206335)
JINZAKI Masahiro  慶應義塾大学, 医学部, 教授 (80216259)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsリンパ管造影 / MR lymphangiography / リンパ浮腫 / リンパ管 / MRI / MRリンパ管造影
Outline of Final Research Achievements

Image analyses of high-resolution magnetic resonance lymphangiography (MRL), an emerging imaging method, revealed that patterns of abnormal MRL findings significantly change with the progression of the lymphedema. We developed an MRL severity classification for lymphedema based on these findings. Supermicrosurgical procedures including lymphovenous anastomosis were performed based on MRL findings to evaluate the usefulness of MRL as preoperative imaging. New treatment strategies were proposed based on the results. Novel MR imaging techniques showed the successful visualization of peripheral lymphatics that were difficult to delineate with conventional techniques. Comparison between various MRL methods and currently available techniques (fluorescence imaging with indocyanine green, lymphoscintigraphy, and intranodal lymphangiography, etc.) clarified advantages and disadvantages of each modality.

Report

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

    (21 results)

All 2018 2017 2016 2015

All Journal Article (5 results) (of which Peer Reviewed: 3 results) Presentation (15 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Book (1 results)

  • [Journal Article] MRIによるリンパ管の診断2018

    • Author(s)
      曽我茂義
    • Journal Title

      画像診断

      Volume: 38

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Pubo-urethral stump angle measured on preoperative MRI predicts urethroplasty type for pelvic fracture urethral injury repair2018

    • Author(s)
      Horiguchi A, Edo H, Soga S, Shinchi M, Masunaga A, Ito K, Asano T, Shinmoto H, Azuma R
    • Journal Title

      Urology

      Volume: 112 Pages: 198-204

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pubourethral Stump Angle Measured on Preoperative Magnetic Resonance Imaging Predicts Urethroplasty Type for Pelvic Fracture Urethral Injury Repair2018

    • Author(s)
      Horiguchi Akio、Edo Hiromi、Soga Shigeyoshi、Shinchi Masayuki、Masunaga Ayako、Ito Keiichi、Asano Tomohiko、Shinmoto Hiroshi、Azuma Ryuichi
    • Journal Title

      Urology

      Volume: 112 Pages: 198-204

    • DOI

      10.1016/j.urology.2017.09.038

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Appropriate imaging utilization in Japan: a survey of accredited radiology training hospitals2017

    • Author(s)
      Kanako K Kumamaru, Sadayuki Murayama, Yasuyuki Yamashita, Takeshi Nojo, Yoshiyuki Watanabe, Mariko Goto, Eriko Maeda, Junko Echigo, Shigeyoshi Soga, Shinya Fujii, Yutaka Tanami, Tetsuhiko Okabe, Masahiro Okada, Jiro Munechika, Hideki Ota, Mototaka Miyake, Hiroshi Honda, Shigeki Aoki
    • Journal Title

      Japanese Journal of Radiology

      Volume: 35 Issue: 1 Pages: 648-654

    • DOI

      10.3892/ol.2017.6262

    • NAID

      50012797177

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 皮膚・皮下腫瘤の画像診断2017

    • Author(s)
      曽我茂義
    • Journal Title

      PEPARS

      Volume: 122 Pages: 53-62

    • Related Report
      2016 Research-status Report
  • [Presentation] State of The Art Peripheral Lymphatic Imaging: Now You Can See It!2017

    • Author(s)
      Shigeyoshi Soga, Fumio Ohnishi, Wakana Murakami, Yosuke Suyama, Toshiharu Minabe, Hiroshi Shinmoto
    • Organizer
      Radiological Society of North America 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 高分解能 MR リンパ管イ メージングによる治療の Decision Making と手術プラン ニング2017

    • Author(s)
      曽我 茂義, 大西 文夫, 三鍋 俊春, 須山 陽介, 村上 和香奈, 濱邊 布美子, 新本 弘
    • Organizer
      第 53 回日本医学放射線 学会 秋季臨床大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] High-resolution MR lymphangiography for the anatomical and functional assessment of lymphedema and other lymphatic circulation disorders.2017

    • Author(s)
      Shigeyoshi Soga, Fumio Ohnishi, Hiroshi Shinmoto, Toshiharu Minabe, SuyamaYosuke, Murakami Wakana, Hamabe Fumiko, Kita Tamotsu, Kaji Tatsumi
    • Organizer
      第 76 回日本医学放射線 学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Balloon-occluded retrograde glue embolization for intractable lymphorrhea from bilateral iliac lymphatics following surgery for rectal cancer2017

    • Author(s)
      Shigeyoshi Soga, Yosuke Suyama, Kentaro Yamada, Hiroshi Shinmoto, Tatsumi Kaji
    • Organizer
      Cardiovascular and Interventional Radiological Society of Europe
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] シンポジウム1 リンパ浮腫治療の今後 LVAの限界を押し上げる 系統的手術戦略とチームアプローチによる術後集中排液の取り組み2017

    • Author(s)
      大西文夫、曽我茂義、 三鍋俊春
    • Organizer
      第60回日本形成外科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] MR Lymphographyでみる原発性リンパ浮腫の病態とLVA治療効果2017

    • Author(s)
      呉アンナ、大西文夫、曽我茂義
    • Organizer
      第60回日本形成外科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] パネルディスカッション1 リンパ浮腫治療の標準化をめざして:適応、治療結果の定量評価 リンパ浮腫治療におけるlymphatic surgical ladder2017

    • Author(s)
      大西文夫、森重侑樹、三鍋俊春、曽我茂義他
    • Organizer
      第44回日本マイクロサージャリー学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] MRIによる四肢リンパ浮腫における皮下脂肪織内浮腫貯留分布に関する検討2017

    • Author(s)
      大西文夫、曽我茂義、鈴木愛弓、三鍋俊春
    • Organizer
      第26回日本形成外科基礎学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 上肢リンパ浮腫に対するMR Lymphographyの画像所見の検討2017

    • Author(s)
      鈴木愛弓、大西文夫、曽我茂義、三鍋俊春
    • Organizer
      第26回日本形成外科基礎学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Balloon-occluded retrograde embolisation of massive chylous ascites2017

    • Author(s)
      須山 陽介, 曽我 茂義, 山田 謙太郎, 中森 貴俊, 村上 和香奈, 見越 綾子, 新本 弘, 加地 辰美
    • Organizer
      第 46 回日本 IVR 学会総 会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Uncommon Retroperitoneal Masses: CT and MR Imaging Findings2016

    • Author(s)
      Fumiko Hamabe, Shigeyoshi Soga, Hiroshi Shinmoto, Yosuke Suyama, Kaori Nishida, Wakana Murakami, Hiroko Tomita, Kentaro Yamada, Tatsumi Kaji
    • Organizer
      日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] リンパ浮腫診断と治療のbreakthrough 病態把握から始まる系統的手術戦略 SLIMS concept2016

    • Author(s)
      大西文夫、曽我茂義、繼渉、三鍋俊春
    • Organizer
      第59回日本形成外科学会総会
    • Place of Presentation
      福岡
    • Related Report
      2016 Research-status Report
  • [Presentation] MR Lymphographyと手術戦略ー高い視点と広い視野ー2015

    • Author(s)
      大西文夫、曽我茂義、三鍋俊春
    • Organizer
      第58回日本形成外科学会総会
    • Place of Presentation
      京都
    • Year and Date
      2015-04-09
    • Related Report
      2015 Research-status Report
  • [Presentation] リンパ管細静脈吻合術 (LVA) 追加手術の意義はあるか?2015

    • Author(s)
      大西文夫、継渉、御任大輔 、桐渕英人 、曽我茂義 、 石井直弘、三鍋俊春
    • Organizer
      第42回日本マイクロサージャリー学会
    • Place of Presentation
      東京
    • Year and Date
      2015-04-01
    • Related Report
      2015 Research-status Report
  • [Presentation] 最新画像診断 -顔面移植からリンパ管、頭皮まで  ミクロへの挑戦、画像診断の限界を超える2015

    • Author(s)
      曽我茂義
    • Organizer
      第88回FML理事会 毛髪科学研究セミナー
    • Place of Presentation
      さいたま市
    • Year and Date
      2015-04-01
    • Related Report
      2015 Research-status Report
    • Invited
  • [Book] Whole Body Imaging Anatomy, Lymphatics of the lower extremities2018

    • Author(s)
      Koichi Watanabe, Shigeyoshi Soga, Fumio Ohnishi, Farhood Saremi
    • Publisher
      Thieme Medical Publishers
    • Related Report
      2017 Annual Research Report

URL: 

Published: 2015-04-16   Modified: 2021-01-27  

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