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The establish of differential method between focal AIP and pancreas cancer based on the radiopathologic comparison.

Research Project

Project/Area Number 16K19811
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Radiation science
Research InstitutionKanazawa University

Principal Investigator

Inoue Dai  金沢大学, 附属病院, 助教 (00645129)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
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)
Keywords自己免疫性膵炎 / 膵癌 / Focal AIP / CT / MRI / focal AIP / 放射線 / 病理学
Outline of Final Research Achievements

Treatment for autoimmune pancreatitis differ from that for pancreas cancer.Though,the diagnosis of pancreas mass lesions largely depend on imaging examinations such as CT and MRI, imaging discrimination of mass forming autoimmune pancreatitis (focal AIP) and pancreas cancer remains challenging. Thus, in this study, we compared imaging features of focal AIP and pancreas cancer to reveal the imaging findings that can discriminate these two conditions.
We found that multiple dot-like enhancement, homogeneous enhancement and capsule-like rim were noted with high prevalence. Relying on these imaging findings, precise discrimination between focal AIP and pancreas cancer will be expected to be possible.

Academic Significance and Societal Importance of the Research Achievements

。Focal AIPはステロイド内服で治療が可能であるにも関わらず、膵癌と鑑別が困難であるが故に、不必要な切除術が施行されてきた症例があり、また反対に膵癌にステロイド治療が施行され、適切な治療時期を逸してしまっている症例が少なからず存在していたが本研究により明らかにされた画像所見が広く認識されるようになるとCT, MRIといった低侵襲の画像検査で両者の鑑別が可能となり、膵腫瘤性病変を有する患者さんにとって大きなメリットとなる。

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 (19 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 16 results,  Open Access: 5 results) Presentation (13 results) (of which Int'l Joint Research: 2 results,  Invited: 12 results) Book (1 results)

  • [Journal Article] Multiple unilateral subcapsular cortical hemorrhagic cystic disease of the kidney: CT and MRI findings and clinical characteristic.2019

    • Author(s)
      Yoshida K, Takahashi N, King BF, Kawashima A, Harris PC, Cornell LD, Cornec-Le Gall E, Inoue D, et al.
    • Journal Title

      Eur Radiol.

      Volume: Feb 26.

    • DOI

      10.1007/s00330-019-06057-3

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical practice guidelines for IgG4-related sclerosing cholangitis2019

    • Author(s)
      Kamisawa Terumi、Kanno Atsushi、Shimosegawa Tooru、Kawa Shigeyuki、Chiba Tsutomu、Okazaki Kazuichi、Takikawa Hajime、Kimura Wataru、Unno Michiaki、Yoshida Masahiro
    • Journal Title

      J Hepatobiliary Pancreat Sci.

      Volume: 26 Pages: 9-42

    • DOI

      10.1002/jhbp.596

    • NAID

      120007183279

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of renal oxygen saturation using photoacoustic imaging for the early prediction of chronic renal function in a model of ischemia-induced acute kidney injury2018

    • Author(s)
      Okumura Kenichiro、Matsumoto Junichi、Iwata Yasunori、Yoshida Kotaro、Yoneda Norihide、Ogi Takahiro、Kitao Azusa、Kozaka Kazuto、Koda Wataru、Kobayashi Satoshi、Inoue Dai、Sakai Norihiko、Furuichi Kengo、Wada Takashi、Gabata Toshifumi
    • Journal Title

      PLoS One.

      Volume: 13

    • DOI

      10.1371/journal.pone.0206461

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] CT imaging comparison between intraductal papillary neoplasms of the bile duct and papillary cholangiocarcinomas.2018

    • Author(s)
      Komori T, Inoue D, et al.
    • Journal Title

      Eur Radiol.

      Volume: Dec 5.

    • DOI

      10.1007/s00330-018-5841-0

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] What Does Deep Learning See? Insights From a Classifier Trained to Predict Contrast Enhancement Phase From CT Images.2018

    • Author(s)
      Philbrick KA, Yoshida K, Inoue D, et al.
    • Journal Title

      AJR Am J Roentgenol.

      Volume: Dec;211(6) Pages: 1184-1193

    • DOI

      10.2214/ajr.18.20331

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Qualitative and quantitative evaluation for morphological changes of the splenic artery in autoimmune pancreatitis: novel imaging findings for differentiation from pancreatic adenocarcinoma.2018

    • Author(s)
      Toshima F, Inoue D, et al.
    • Journal Title

      Abdom Radiol (NY).

      Volume: Dec;43(12) Pages: 3357-3366

    • DOI

      10.1007/s00261-018-1634-9

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Transbronchial lung biopsy for the diagnosis of IgG4-related lung disease2018

    • Author(s)
      Otani Kyoko、Inoue Dai、Itoh Tomoo、Zen Yoh
    • Journal Title

      Histopathology.

      Volume: 印刷中 Pages: 49-58

    • DOI

      10.1111/his.13513

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gadoxetic acid-enhanced magnetic resonance imaging reflects co-activation of β-catenin and hepatocyte nuclear factor 4α in hepatocellular carcinoma.2018

    • Author(s)
      Kitao A, Matsui O, Yoneda N, Kozaka K, Kobayashi S, Koda W, Minami T, Inoue D, Yoshida K, Yamashita T, Yamashita T, Kaneko S, Takamura H, Ohta T, Ikeda H, Sato Y, Nakanuma Y, Harada K, Kita R, Gabata T.
    • Journal Title

      Hepatol Res.

      Volume: 48 Pages: 205-216

    • DOI

      10.1111/hepr.12911

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Idiopathic multicentric Castleman's disease: a clinicopathologic study in comparison with IgG4-related disease.2018

    • Author(s)
      Otani K, Inoue D, Fujikura K, Komori T, Abe-Suzuki S, Tajiri T, Itoh T, Zen Y.
    • Journal Title

      Oncotarget

      Volume: Jan 9;9(6) Pages: 6691-6706

    • DOI

      10.18632/oncotarget.24068

    • NAID

      120006649603

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pathology and images of radiation-induced hepatitis: a review article.2018

    • Author(s)
      Shigeyuki Takamatsu
    • Journal Title

      Japanese Journal of Radiology

      Volume: 36 Issue: 4 Pages: 241-256

    • DOI

      10.1007/s11604-018-0728-1

    • NAID

      210000187297

    • ISSN
      1867-1071, 1867-108X
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Isolated Arteries Originating from the Intrahepatic Arteries: Anatomy, Function, and Importance in Intervention.2018

    • Author(s)
      Yoshida K, Matsui O, Miyayama S, Ibukuro K, Yoneda N, Inoue D, et al.
    • Journal Title

      J Vasc Interv Radiology

      Volume: Feb 22. Pages: 531-537

    • DOI

      10.1016/j.jvir.2017.12.002

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 自己免疫性膵炎のCT, MRIの特徴的所見.2018

    • Author(s)
      井上 大、戸島史仁、米田憲秀、北尾 梓、小森隆弘、蒲田敏文.
    • Journal Title

      臨床消化器内科

      Volume: 33(2). Pages: 197-202

    • Related Report
      2017 Research-status Report
  • [Journal Article] 膵疾患の画像診断Update-診療ガイドラインを踏まえて-自己免疫性膵炎.2017

    • Author(s)
      井上 大、高橋直幹、吉田耕太郎、米田憲秀、戸島史仁、松原崇史、小森隆弘、蒲田敏文.
    • Journal Title

      画像診断

      Volume: 37(5) Pages: 397-406

    • Related Report
      2017 Research-status Report
  • [Journal Article] Dynamic CT findings of cholangiolocellular carcinoma: correlation with angiography-assisted CT and histopathology.2017

    • Author(s)
      Kozaka Kazuto
    • Journal Title

      Abdom Radiol (NY).

      Volume: 42 Pages: 861-869

    • DOI

      10.1007/s00261-016-0944-z

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Is the combination of MR and CT findings useful in determining the tumor grade of pancreatic neuroendocrine tumors?2017

    • Author(s)
      Toshima F, Inoue D, Komori T, Yoshida K, Yoneda N, Minami T, Matsui O, Ikeda H, Gabata T.
    • Journal Title

      Japanese Journal of Radiology

      Volume: 3 Issue: 5 Pages: 242-253

    • DOI

      10.1007/s11604-017-0627-x

    • NAID

      50012595357

    • ISSN
      1867-1071, 1867-108X
    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 自己免疫性膵炎2017

    • Author(s)
      井上 大、高橋直幹、吉田耕太郎、米田憲秀、戸島史仁、松原崇史、小森隆弘、蒲田敏文
    • Journal Title

      画像診断

      Volume: 37(5) Pages: 397-406

    • Related Report
      2016 Research-status Report
  • [Journal Article] Imaging and pathological features of gastric lesion of immunoglobulin G4-related disease: A case report and review of the recent literature.2016

    • Author(s)
      Inoue D, Yoneda N, Yoshida K, Nuka H, Kinoshita J, Fushida S, Toshima F, Minami T, Takahira M, Hamaoka S, Ikeda H, Gabata T, Kawano M.
    • Journal Title

      Mod Rheumatol.

      Volume: 21 Pages: 1-5

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A case of IgG4-related tubulointerstitial nephritis and membranous glomerulonephritis during the clinical course of gastric cancer: Imaging features of IgG4-related kidney disease.2016

    • Author(s)
      Horita S, Fujii H, Mizushima I, Fujisawa Y, Hara S, Yamada K, Inoue D, Nakajima K, Harada K, Kawano M.
    • Journal Title

      Mod Rheumatol.

      Volume: 27 Pages: 1-5

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Factors related to renal cortical atrophy development after glucocorticoid therapy in IgG4-related kidney disease: a retrospective multicenter study.2016

    • Author(s)
      Mizushima I, Yamamoto M, Inoue D, Nishi S, Taniguchi Y, Ubara Y, Matsui S, Yasuno T, Nakashima H, Takahashi H, Yamada K, Nomura H, Yamagishi M, Saito T, Kawano M.
    • Journal Title

      Arthritis Research and Therapy

      Volume: 25 Pages: 273-273

    • DOI

      10.1186/s13075-016-1175-y

    • NAID

      120006325353

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 全身疾患に伴う膵病変の画像所見(IgG4関連疾患を念頭に)2018

    • Author(s)
      井上 大
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 腹部領域のIgG4関連疾患の画像所見-肝胆膵領域を中心に-2018

    • Author(s)
      井上 大
    • Organizer
      第69回日本消化器画像診断研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 腹部領域のIgG4関連疾患の画像診断-肝胆膵領域を中心に-2018

    • Author(s)
      井上 大
    • Organizer
      第8回肝胆膵セミナーin Yamaguchi
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 膵癌と鑑別を要する良性疾患2018

    • Author(s)
      井上 大
    • Organizer
      第54回日本医学放射線学会秋季臨床大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] IgG4関連疾患の画像所見(心血管系病変を除く)2018

    • Author(s)
      井上 大
    • Organizer
      第47回断層映像研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] IgG4関連疾患の諸臓器病変の画像所見と鑑別すべき疾患~放射線科の視点から~2018

    • Author(s)
      井上 大
    • Organizer
      第36回日本眼腫瘍学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 知っておくべきIgG4関連疾患の画像診断2018

    • Author(s)
      井上 大
    • Organizer
      第8回 Radiology Update in Gifu
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] IgG4関連疾患の画像所見2018

    • Author(s)
      井上 大
    • Organizer
      第3回 北海道免疫疾患セミナー
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Imaging consderations of IgG4-related disease2017

    • Author(s)
      Dai Inoue
    • Organizer
      3rd IgG4-related disease and fibrosis symposium
    • Place of Presentation
      Maui, USA
    • Year and Date
      2017-02-15
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Imaging comparison study between type 1 and type 2 autoimmune pancreatitis2017

    • Author(s)
      Dai Inoue , Naoki Takahashi , Lizhi Zhang, Thomas C. Smyrk, and Suresh T. Chari.
    • Organizer
      RSNA 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] IgG4関連疾患-上腹部病変-2017

    • Author(s)
      井上 大
    • Organizer
      第76回日本医学放射線学会総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] IgG4関連硬化性胆管炎の診断にCT,MRIは有用か?2017

    • Author(s)
      井上 大
    • Organizer
      第53回日本胆道学会学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 膵胆道系の画像診断(画像と病理の対比)2017

    • Author(s)
      井上 大
    • Organizer
      第63回日本病理学会秋期特別総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Book] Rheumatology2018

    • Author(s)
      HIsanori Umehara, Mitsuhiro Kawano, Dai Inoue.
    • Total Pages
      1837
    • Publisher
      Elsevior
    • Related Report
      2018 Annual Research Report

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

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