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Establishment of non-invasive therapy of TRAP sequence using HIFU

Research Project

Project/Area Number 16K10108
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionShowa University

Principal Investigator

ICHIZUKA Kiyotake  昭和大学, 医学部, 准教授 (00338451)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
KeywordsHIFU / 胎児治療 / TRAPsequence / 超音波治療 / TRAP sequence
Outline of Final Research Achievements

In this study, an improved therapeutic HIFU transducer was constructed. As a feature, it is possible to emit HIFU beam on the same axis by arranging the imaging probe in the center and compared to the previous method, targeting has become much easier for HIFU irradiation targets. Furthermore, the HIFU ceramic has been improved to 6 divisions to reduce the generation of stationary waves and cavitation on the skin surface, it made the thermal burn reduce. We succeeded in occluding the interlobar blood vessels of juvenile pigs close to the target blood vessels of TRAP sequence without causing severe burns.The present study adds a new possible modality for non-invasive in-utero treatment of TRAP sequence.

Academic Significance and Societal Importance of the Research Achievements

胎児は将来の社会を担うヒトの出発点であり、健康な児の出生こそが健全な人間社会の源である。しかし、これまでは、胎児が母体内に存在すると言う理由から疾患の診断とその治療は難しいものとされて来た。特に胎児治療は、母体に侵襲を与え、また子宮筋への侵襲が早産という致命的な副作用を引き起こす可能性を有するために、その実地臨床での普及が著しく遅れて来た経緯がある。本研究は胎児治療のこの難点を一挙に解決する治療法の確立を目指すものである。本研究で良好な成績が得られれば、HIFU治療はTRAP sequence以外にも種々な疾患への応用が期待され、本研究が周産期医学の進歩に著しく貢献することは明らかである。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (22 results)

All 2019 2018 2017 2016

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (12 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] 産婦人科領域における微小血流観察SMIの有用性2019

    • Author(s)
      市塚清健、奥山亜由美、瀬尾晃平、土肥聡、長塚正
    • Journal Title

      映像情報

      Volume: 86 Pages: 1085-1089

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Twin-Reversed Arterial Perfusion Sequence Using High-Intensity Focused Ultrasound Therapy2018

    • Author(s)
      Seo Kohei、Ichizuka Kiyotake、Okai Takashi、Dohi Satoshi、Nakamura Masamitsu、Hasegawa Junichi、Matsuoka Ryu、Yoshizawa Shin、Umemura Shin-ichiro、Nagatsuka Masaaki、Sekizawa Akihiko
    • Journal Title

      Ultrasound in Obstetrics & Gynecology

      Volume: 印刷中 Issue: 1 Pages: 128-134

    • DOI

      10.1002/uog.20101

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Three-dimensional ultrasound imaging of intra-abdominal cervical-isthmus cerclage2018

    • Author(s)
      Ichizuka K.、Seo K.、Dohi S.、Ishikawa T.、Sekizawa A.、Nagatsuka M.
    • Journal Title

      Ultrasound in Obstetrics & Gynecology

      Volume: 51 Issue: 5 Pages: 704-705

    • DOI

      10.1002/uog.19052

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Reply2018

    • Author(s)
      Ichizuka K.、Seo K.
    • Journal Title

      Ultrasound in Obstetrics & Gynecology

      Volume: 52 Issue: 1 Pages: 125-125

    • DOI

      10.1002/uog.19089

    • Related Report
      2018 Research-status Report
  • [Journal Article] 【胎児心臓をみる-診断から治療へ】 胎児血流からみた胎児機能不全の診断(解説/特集)2018

    • Author(s)
      市塚 清健, 長塚 正晃
    • Journal Title

      産科と婦人科

      Volume: 85 Pages: 59-65

    • Related Report
      2018 Research-status Report
  • [Journal Article] 超音波でみる胎児機能不全2018

    • Author(s)
      市塚清健
    • Journal Title

      香川産科婦人科雑誌

      Volume: 20 Pages: 17-24

    • NAID

      40021715516

    • Related Report
      2018 Research-status Report
  • [Journal Article] 強出力集束超音波(High-intensity focused ultrasound:HIFU)の胎児治療への応用2017

    • Author(s)
      市塚清健、瀬尾晃平、松岡 隆、仲村将光、長塚正晃、関沢明彦
    • Journal Title

      周産期医学

      Volume: 146 Pages: 553-556

    • Related Report
      2017 Research-status Report
  • [Journal Article] 新しい超音波技術を用いた胎児評価2017

    • Author(s)
      市塚清健
    • Journal Title

      インナービジョン

      Volume: 32 Pages: 74-75

    • Related Report
      2017 Research-status Report
  • [Journal Article] Basic study of less invasive high-intensity focused ultrasound (HIFU) in fetal therapy for twin reversed arterial perfusion (TRAP) sequence2016

    • Author(s)
      K. Ichizuka, R. Matsuoka, H. Aoki, J. Hasegawa, T. Okai, S. Umemura
    • Journal Title

      Journal of Medical Ultrasonics

      Volume: 43 Issue: 4 Pages: 487-492

    • DOI

      10.1007/s10396-016-0725-x

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 無心無頭蓋体/無心体胎児の血管に対する集束超音波での治療2016

    • Author(s)
      市塚清健、瀬尾晃平、松岡 隆、長塚正晃、関沢明彦、岡井 崇
    • Journal Title

      産婦人科の実際

      Volume: 65 Pages: 1067-1070

    • Related Report
      2016 Research-status Report
  • [Presentation] Reference range of the fetal anal sphincter from 22 to 37 weeks of gestation.2019

    • Author(s)
      K Ichizuka, M Iki, H Kawase, A Okuyama, K Seo, S Dohi, K Hirose, Y Sanai, M Nagatsu
    • Organizer
      29th World Congress on Ultrasound in Obstetrics and Gynecology(国際学会)
    • Related Report
      2019 Annual Research Report
  • [Presentation] Selection of image construction method of 3D ultrasound in fetal evaluation2019

    • Author(s)
      K Ichizuka
    • Organizer
      11th Japan Ian Donald advance seminar
    • Related Report
      2019 Annual Research Report
  • [Presentation] 焦点ナビゲーション法のHIFU治療への応用2018

    • Author(s)
      瀬尾 晃平, 市塚 清健, イズデプスキ 龍也, 西井 彰悟, 土肥 聡, 岩崎 亮祐, 高木 亮, 吉澤 晋, 梅村 晋一郎, 関沢 明彦
    • Organizer
      第91回日本超音波医学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] HIFU照射方式の違いによるブタ腎実質焼灼の比較検証2018

    • Author(s)
      イズデプスキ 龍也, 瀬尾 晃平, 西井 彰悟, 土肥 聡, 高木 亮, 吉澤 晋, 梅村 晋一郎, 関沢 明彦, 市塚 清健
    • Organizer
      第91回日本超音波医学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 皮膚熱傷を低減させるためのHIFU照射プロトコールの検証2018

    • Author(s)
      西井 彰悟, 瀬尾 晃平, イズデプスキ 龍也, 土肥 聡, 岩崎 亮祐, 高木 亮, 吉沢 晋, 梅村 晋一郎, 関沢 明彦, 市塚 清健
    • Organizer
      第91回日本超音波医学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] A case of cervical insufficiency-three-dimensional ultrasound for observations after intra-abdominal cervical ithmus cerclage-.2018

    • Author(s)
      K. Ichizuka K. Seo S. Dohi T. Ishikawa M. Nagatsuka
    • Organizer
      28th World Congress on Ultrasound in Obstetrics and Gynecology
    • Related Report
      2018 Research-status Report
  • [Presentation] Twin‐reversed arterial perfusion sequence using high‐intensity focused ultrasound therapy2018

    • Author(s)
      K. Seo K. Ichizuka T. Okai S. Dohi M. Nakamura J. Hasegawa R. Matsuoka S. Yoshizawa S. Umemura M. Nagatsuka A. Sekizawa
    • Organizer
      28th World Congress on Ultrasound in Obstetrics and Gynecology
    • Related Report
      2018 Research-status Report
  • [Presentation] HIFUによる胎児治療2017

    • Author(s)
      市塚清健、瀬尾晃平、松岡隆、仲村将光、関沢明彦、岡井崇、吉澤晋、梅村晋一郎
    • Organizer
      日本超音波医学会第90回学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 新しい超音波技術を用いた胎児評価2017

    • Author(s)
      市塚清健
    • Organizer
      第53回日本周産期新生児医学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Non-invasive in-utero treatment of twin reversed arterial perfusion sequence by improved high-intensity focused ultrasound systems.2017

    • Author(s)
      K.Ichizuka, K.Seo, R.Matsuoka, T.OKai, S.Umemura, S.Yoshizawa, M.Sumie.
    • Organizer
      27th World Congress on Ultrasound in Obstetrics and Gynecology
    • Related Report
      2017 Research-status Report
  • [Presentation] A case of fetal bilateral marked echogenic kidneys with normal amniotic fluid during pregnancy.2016

    • Author(s)
      Kiyotake Ichizuka, Minako Goto, Masaaki Nagatsuka
    • Organizer
      26th World Congress on Ultrasound and Gynecology
    • Place of Presentation
      Roma Italy
    • Year and Date
      2016-09-25
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prenatal management and outcome in fetuses with twin anemia-polycythemia sequence (TAPS).2016

    • Author(s)
      Kiyotake Ichizuka
    • Organizer
      42nd Asia pacific advanced network
    • Place of Presentation
      Tokyo
    • Year and Date
      2016-08-03
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2021-02-19  

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