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Clinical evaluation of preclinical Alzheimer's disease in patients with subjective cognitive decline

Research Project

Project/Area Number 16K10223
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionKeio University

Principal Investigator

Tabuchi Hajime  慶應義塾大学, 医学部(信濃町), 講師 (10286578)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords自覚的認知機能低下 / アミロイドPET / 神経心理学的検査 / 告知 / アルツハイマー型認知症 / 発症前診断 / アルツハイマー病 / 発症前 / 自覚 / 精神症状 / 病名告知
Outline of Final Research Achievements

The present study found that Aβ accumulation in cognitively normal research participants with subjective cognitive decline (SCD) might be predicted by the score change from immediate recall to delayed recall of the logical memory, whereas no significant differences were observed between Aβ-positive and negative SCD groups. Also, subjective memory decline correlated with verbal fluency and amotivation in Aβ-negative individuals with SCD.
Disclosing amyloid status to SCD did not cause significant long-term psychological risks. However, our findings suggested that those who fill criteria of SCD will include a possible high-risk subgroup for exacerbated distress after learning their negative amyloid PET results. Participants with high levels of anxiety before enrolment were more likely to have test-related distress one year after learning their amyloid negative results.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は、現在臨床的には判断の難しいADの発症前診断について、低いコストでより幅広い対象者に対して実施できる、いわばスクリーニング検査的な役割につながる、重要な知見となることが期待される。また将来的に利用が広がると思われるPET検査等の発症前診断においては、告知の問題が未だほとんど調査されていない。本研究により告知の安全性が確認されたことが、今後おそらく利用が広がると思われる発症前診断を適切に実施するための、有用な知見になると期待される。

Report

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

    (33 results)

All 2019 2018 2017 2016

All Journal Article (13 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 7 results,  Open Access: 3 results) Presentation (15 results) (of which Int'l Joint Research: 8 results) Book (5 results)

  • [Journal Article] Can we predict amyloid deposition by objective cognition and regional cerebral blood flow in patients with subjective cognitive decline?2019

    • Author(s)
      Funaki K, Nakajima S, Noda Y, Wake T, Ito D, Yamagata B, Yoshizaki T, Kameyama M, Nakahara T, Murakami K, Jinzaki M, Mimura M, Tabuchi H.
    • Journal Title

      Psychogeriatrics

      Volume: AOP Issue: 4 Pages: 325-332

    • DOI

      10.1111/psyg.12397

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of a combination of quantitative indices representing uptake intensity, shape, and asymmetry in DAT SPECT using machine learning: comparison of different volume of interest settings2019

    • Author(s)
      Iwabuchi Yu、Nakahara Tadaki、Kameyama Masashi、Yamada Yoshitake、Hashimoto Masahiro、Matsusaka Yohji、Osada Takashi、Ito Daisuke、Tabuchi Hajime、Jinzaki Masahiro
    • Journal Title

      EJNMMI Research

      Volume: 9 Issue: 1 Pages: 7-7

    • DOI

      10.1186/s13550-019-0477-x

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Efficacy and Safety of Yokukansankachimpihange for Treating Behavioral and Psychological Symptoms of Dementia in Patients with Alzheimer’s Disease: An Open-Label Pilot Study2018

    • Author(s)
      Arita Ryutaro、Yoshino Tetsuhiro、Ohgishi Miwako、Hamaguchi Takuya、Horiba Yuko、Sawai Kaori、Funaki Kei、Tabuchi Hajime、Oka Mizuki、Yoshizaki Takahito、Watanabe Kenji、Mimura Masaru
    • Journal Title

      Advances in Alzheimer's Disease

      Volume: 07 Issue: 04 Pages: 141-152

    • DOI

      10.4236/aad.2018.74010

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] うつ病と前頭側頭型認知症2018

    • Author(s)
      田渕肇
    • Journal Title

      老年精神医学雑誌

      Volume: 29 Pages: 274-280

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Quantitative evaluation of the tracer distribution in dopamine transporter SPECT for objective interpretation2018

    • Author(s)
      Iwabuchi Yu、Nakahara Tadaki、Kameyama Masashi、Yamada Yoshitake、Hashimoto Masahiro、Ogata Yuji、Matsusaka Yohji、Katagiri Mari、Itoh Kazunari、Osada Takashi、Ito Daisuke、Tabuchi Hajime、Jinzaki Masahiro
    • Journal Title

      Annals of Nuclear Medicine

      Volume: Epub ahead of print Issue: 5 Pages: 363-371

    • DOI

      10.1007/s12149-018-1256-x

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] The psychological impact of disclosing amyloid status to Japanese elderly: a preliminary study on asymptomatic patients with subjective cognitive decline2017

    • Author(s)
      Wake Taisei、Tabuchi Hajime、Funaki Kei、Ito Daisuke、Yamagata Bun、Yoshizaki Takahito、Kameyama Masashi、Nakahara Tadaki、Murakami Koji、Jinzaki Masahiro、Mimura Masaru
    • Journal Title

      International Psychogeriatrics

      Volume: Epub ahead of print Issue: 5 Pages: 1-5

    • DOI

      10.1017/s1041610217002204

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 認知症の鑑別2017

    • Author(s)
      田渕肇
    • Journal Title

      精神科

      Volume: 31 Pages: 456-461

    • Related Report
      2017 Research-status Report
  • [Journal Article] Attention Behavior Evaluation during Daily Living based on Egocentric Vision2017

    • Author(s)
      Ooi S, Ikegaya T, Sano M, Tabuchi H, Saito F, Umeda S
    • Journal Title

      Journal of Advances in Information Technology

      Volume: 8 Pages: 67-73

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Extremely Low Prevalence of Amyloid Positron Emission Tomography Positivity in Parkinson's Disease without Dementia.2017

    • Author(s)
      Mashima K, Ito D, Kameyama M, Osada T, Tabuchi H, Nihei Y, Yoshizaki T, Noguchi E, Tanikawa M, Iizuka T, Date Y, Ogata Y, Nakahara T, Iwabuchi Y, Jinzaki M, Murakami K, Suzuki N
    • Journal Title

      Eur Neurol

      Volume: 77 Issue: 5-6 Pages: 231-237

    • DOI

      10.1159/000464322

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] てんかん性健忘2017

    • Author(s)
      田渕肇
    • Journal Title

      老年精神医学雑誌

      Volume: 28(supp 1) Pages: 80-84

    • NAID

      130006894308

    • Related Report
      2016 Research-status Report
  • [Journal Article] 統合失調症と抗NMDA受容体脳炎2016

    • Author(s)
      堀込俊郎,田渕肇
    • Journal Title

      精神科

      Volume: 28 Pages: 503-507

    • Related Report
      2016 Research-status Report
  • [Journal Article] 頭部外傷の遅発性後遺症 慢性外傷性脳症(CTE)と頭部外傷に続発するアルツハイマー病を中心に2016

    • Author(s)
      高畑圭輔,田渕肇,三村將
    • Journal Title

      BRAIN and NERVE:神経研究の進歩

      Volume: 68 Pages: 849-857

    • Related Report
      2016 Research-status Report
  • [Journal Article] てんかん性健忘2016

    • Author(s)
      田渕肇
    • Journal Title

      高次脳機能研究

      Volume: 36 Pages: 183-190

    • NAID

      130006894308

    • Related Report
      2016 Research-status Report
  • [Presentation] Tau-PET imaging of Alzheimer and non-Alzheimer dementia using 18F-PI26202019

    • Author(s)
      Mimura M, Tabuchi H, Sano Y, Ito D, Yoshizaki T, Takahata K, Nakahara T, Jinzaki M
    • Organizer
      The 14th International Conference on Alzheimer’s & Parkinson’s Diseases
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Disclosure of amyloid status for risk of Alzheimer’s disease to cognitively normal persons with subjective cognitive decline2018

    • Author(s)
      Wake T, Tabuchi H, Funaki K, Ito D, Yamagata B, Yoshizaki T, kameyama M, Nakahara T, Murakami K, Jinzaki M, Yoshimasu H, Tanahashi I, Shimazaki H, Mimura M
    • Organizer
      Alzheimer’s Association International Conference 2018, 2018.7.22-26, Chicago, USA
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Assessment of MMSE improvement by categories through choline esterase inhibitor medication in Alzheimer’s Disease patients2018

    • Author(s)
      Yoshizaki T, Mashima K, Tabuchi H, Funaki K, Yamagata B, Kuniyoshi N, Mimura M, Nakahara J, Ito D
    • Organizer
      16Th Asian Oceanian Congress of Neurology
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] アルツハイマー病においてコリンエステラーゼ阻害薬により改善するMMSEの下位項目2018

    • Author(s)
      吉崎崇仁、馬島恭子、船木桂、山縣文、田渕肇、三村將、国吉昇、鈴木則宏、中原仁、伊東大介
    • Organizer
      第37回日本認知症学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Agraphia as the initial symptoms of Alzheimers disease; Case report2017

    • Author(s)
      Tabuchi T, Horigome T, Konishi M, Mimura M
    • Organizer
      Alzheimer’s Association International Conference 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Neural basis of future thinking in major depression: a fMRI study2017

    • Author(s)
      Katayama N, Nakagawa A, Umeda S, Terasawa Y, Kikuchi T, Tabuchi H, Yamagata B, Mimura M
    • Organizer
      Organization for Human Brain Mapping 2017 Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Increased PET-detectable tau pathologies in late-life depression with psychosis2017

    • Author(s)
      Moriguchi S, Takahata K, Shimada H, Kimura Y, Kubota M, Kitamura S, Ishii T, Takado Y, Tagai K, Nakajima S, Tarumi R, Tabuchi H, Mimura M, Suhara T, Higuchi M
    • Organizer
      2017 Society of Biological Psychiatry Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Delayed-onset psychosis following TBI is associated with tau depositions in the neocortex but not with β-amyloid depositions: A PET study with [11C]PBB3 and [11C]PiB2017

    • Author(s)
      Takahata K, Kimura Y, Shimada H, Ichise M, Tabuchi H, Kitamura S, Kubota M, Moriguchi S, Ishii T, Niwa F, Endo H, Morimoto Y, Funayama M, Onaya M, Sahara N, SUmeda S, Mimura M, Higuchi M, Suhara T
    • Organizer
      2017 Society of Biological Psychiatry Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 自覚的認知機能低下患者に対するアミロイドPET検査告知の影響2017

    • Author(s)
      和氣大成,田渕肇,船木桂、伊東大介、山縣文、吉崎崇仁、亀山征史、中原理紀、村上康二、陣崎雅弘、三村將
    • Organizer
      第36回日本認知症学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 神経心理学的検査によるMCIからアルツハイマー病への予後予測2016

    • Author(s)
      小西海香,田渕肇,山縣文,三村將
    • Organizer
      第40回日本高次脳機能障害学会学術総会
    • Place of Presentation
      キッセイ文化ホール(長野県松本市)
    • Year and Date
      2016-11-11
    • Related Report
      2016 Research-status Report
  • [Presentation] Psychological impact of diagnostic disclosure of preclinical Alzheimer’s disease in Japan2016

    • Author(s)
      Wake T, Tabuchi H, Funaki K, Ito D, Murakami K, Mimura M
    • Organizer
      Alzheimer’s Association International Conference 2016
    • Place of Presentation
      Toronto, Canada
    • Year and Date
      2016-07-16
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] アロマセラピーは健常高齢者の認知機能を改善するか2016

    • Author(s)
      和氣大成,田渕肇,神崎晶,梅田幸映,岸本年史,三村將
    • Organizer
      第31回日本老年精神医学会
    • Place of Presentation
      金沢歌劇座(石川県金沢市)
    • Year and Date
      2016-06-23
    • Related Report
      2016 Research-status Report
  • [Presentation] fMRIを用いたうつ病に対する認知行動療法の脳神経活動変化に関する予備的研究2016

    • Author(s)
      片山奈理子,中川敦夫,寺澤悠理,菊池俊暁,梅田聡,田渕肇,三村將
    • Organizer
      第112回日本精神神経学会学術総会
    • Place of Presentation
      幕張メッセ(千葉県千葉市)
    • Year and Date
      2016-06-02
    • Related Report
      2016 Research-status Report
  • [Presentation] イメージングバイオマーカーを用いた高齢者の精神疾患の評価 タウ・アミロイドPETを用いた老年期精神障害の背景病理に関する検討2016

    • Author(s)
      高畑圭輔,森口翔,田渕肇,島田斉,篠遠仁,木村泰之,北村聡一郎,三村將,樋口真人,須原哲也
    • Organizer
      第112回日本精神神経学会学術総会
    • Place of Presentation
      幕張メッセ(千葉県千葉市)
    • Year and Date
      2016-06-02
    • Related Report
      2016 Research-status Report
  • [Presentation] 前頭側頭葉変性症9例における[11C]PBB3 PETを用いた脳内タウ集積の検討2016

    • Author(s)
      丹羽文俊,島田斉,高畑圭輔,篠遠仁,遠藤浩信,北村聡一郎,平野成樹,樋口真人,須原哲也,田渕肇
    • Organizer
      第57回日本神経学会学術大会
    • Place of Presentation
      神戸コンベンションセンター(兵庫県神戸市)
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
  • [Book] やさしい高次脳機能障害用語辞典2018

    • Author(s)
      田渕肇ら(種村純 編)
    • Total Pages
      624
    • Publisher
      ぱーそん書房
    • Related Report
      2018 Annual Research Report
  • [Book] 精神科レジデントマニュアル2017

    • Author(s)
      田渕肇ら(三村將 編)
    • Total Pages
      340
    • Publisher
      医学書院
    • Related Report
      2016 Research-status Report
  • [Book] 精神医療・臨床心理の知識と技法2016

    • Author(s)
      田渕肇ら(下山晴彦、中島義文 編)
    • Total Pages
      345
    • Publisher
      医学書院
    • Related Report
      2016 Research-status Report
  • [Book] 高次脳機能障害の考えかたと画像診断2016

    • Author(s)
      田渕肇ら(武田克彦、村井俊哉 編)
    • Total Pages
      306
    • Publisher
      中外医学社
    • Related Report
      2016 Research-status Report
  • [Book] 神経内科Clinical questions and pearls2016

    • Author(s)
      田渕肇ら(高尾昌樹 編)
    • Total Pages
      435
    • Publisher
      中外医学社
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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