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Clinical significance of diffusion MRI in patients with Moyamoya disease

Research Project

Project/Area Number 16K19995
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurosurgery
Research InstitutionJuntendo University

Principal Investigator

Hara Shoko  順天堂大学, 医学部, 非常勤助手 (60772879)

Research Collaborator HORI masaaki  
AOKI shigeki  
NARIAI tadashi  
ISHII kenji  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsもやもや病 / 拡散MRI / 高次脳機能障害 / 脳血流障害 / 脳循環代謝 / 脳微細構造 / 脳神経疾患 / 磁気共鳴画像 / 認知機能障害
Outline of Final Research Achievements

We investigated the clinical significance of brain microstructural analysis and perfusion analysis of diffusion magnetic resonance imaging in patients with moyamoya disease. This study revealed that patients with moyamoya disease suffer from chronic ischemic damage to the brain microstructure, i.e. decreased neurite density and simplified network complexity, and the degree of ischemic damage is related to neurocognitive dysfunction and the degree of hemodynamic and metabolic dysfunction. We also found that diffusion magnetic resonance imaging might be used to noninvasively evaluate cerebral hemodynamic impairment in patients with moyamoya disease.

Academic Significance and Societal Importance of the Research Achievements

本研究により、もやもや病患者さんでは脳血流障害によって白質の神経細胞密度低下・皮質のネットワーク構造の単純化が生じ、認知機能障害につながっていることが示唆されました。また、もやもや病の認知機能障害には、前頭葉だけでなく後頭葉・頭頂葉といった脳後部の領域の血流障害も関連している可能性、脳後部の領域の血流を改善させることが認知機能障害の予防につながる可能性も示すことができました。

Report

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

    (24 results)

All 2019 2018 2017 2016 Other

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 4 results) Presentation (19 results) (of which Int'l Joint Research: 7 results,  Invited: 2 results) Remarks (1 results)

  • [Journal Article] Regression of White Matter Hyperintensity after Indirect Bypass Surgery in a Patient with Moyamoya Disease2019

    • Author(s)
      Hara S, Hori M, Inaji M, Maehara T, Aoki S, Nariai T
    • Journal Title

      Magnetic Resonance in Medical Sciences

      Volume: 18 Issue: 4 Pages: 247-248

    • DOI

      10.2463/mrms.ci.2018-0088

    • NAID

      130007728806

    • ISSN
      1347-3182, 1880-2206
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Unraveling Specific Brain Microstructural Damage in Moyamoya Disease Using Diffusion Magnetic Resonance Imaging and Positron Emission Tomography.2019

    • Author(s)
      Hara S, Hori M, Ueda R, Hayashi S, Inaji M, Tanaka Y, Maehara T, Ishii K, Aoki S, Nariai T
    • Journal Title

      Journal of Stroke and Cerebrovascular diseases

      Volume: 28 Issue: 4 Pages: 1113-1125

    • DOI

      10.1016/j.jstrokecerebrovasdis.2018.12.038

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intravoxel Incoherent Motion Perfusion in Patients with Moyamoya Disease: Comparison with 15O-gas Positron Emission Tomograph2019

    • Author(s)
      Hara S, Hori M, Ueda R, Hagiwara A, Hayashi S, ,Inaji M, Tanaka Y, Maehara T, Ishii K, Aoki S, Nariai T
    • Journal Title

      Acta Radiologica Open

      Volume: (in press)

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Microstructural Damage in Normal-Appearing Brain Parenchyma and Neurocognitive Dysfunction in Adult Moyamoya Disease2018

    • Author(s)
      Hara Shoko、Hori Masaaki、Murata Syo、Ueda Ryo、Tanaka Yoji、Inaji Motoki、Maehara Taketoshi、Aoki Shigeki、Nariai Tadashi
    • Journal Title

      Stroke

      Volume: 49 Issue: 10 Pages: 2504-2507

    • DOI

      10.1161/strokeaha.118.022367

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Hara S, Hori M, Aoki S, Nariai T2019

    • Author(s)
      Microstructural correlates of personality in patients with Moyamoya disease measured by neurite orientation dispersion and density imaging
    • Organizer
      ECR2019
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 成人もやもや病患者の脳微細構造障害と認知機能障害2019

    • Author(s)
      原 祥子
    • Organizer
      第48回日本神経放射線学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Microstructural imaging using diffusion MRI in patients with Moyamoya disease2019

    • Author(s)
      Hara S, Nariai T
    • Organizer
      Research meeting with Neuroradiology, Stanford University 2017
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Correlation between brain microstructure revealed by Neurite Orientation Dispersion and Density Imaging and cerebral hemodynamics and metabolism measured with positron emission tomography in patients with moyamoya disease2019

    • Author(s)
      Hara S, Nariai T, Murata S, Tsuruta K, Tanaka Y, Hori M, Maehara T, Aoki S
    • Organizer
      Neuroscience 2017
    • Related Report
      2018 Annual Research Report
  • [Presentation] NODDI revealed the brain microstructural damage in patients with moyamoya NODDI revealed the brain microstructural damage in patients with moyamoya disease2019

    • Author(s)
      Hara S, Hori M, Murata S, Ueda R, Nakazawa M, Tanaka Y, Maehara T, Aoki S, Nariai T
    • Organizer
      ISMRM 25th Anuual Meeting & Exhibition 2017
    • Related Report
      2018 Annual Research Report
  • [Presentation] Correlation of Intravoxel Incoherent Motion and 15O-gas PET in patients with Moyamoya disease2019

    • Author(s)
      Hara S, Hori M, Ueda R, Tanaka Y, Maehara T, Ishii K, Nariai T, Aoki S.
    • Organizer
      5th International Congress on Magnetic Resonance Imaging (ICMRI 2017) and 22nd Scientific Meeting of KSMRM
    • Related Report
      2018 Annual Research Report
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2019

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、青木茂樹、前原健寿
    • Organizer
      第42回日本脳卒中学会学術集会 2017
    • Related Report
      2018 Annual Research Report
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2019

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、前原健寿、青木茂樹
    • Organizer
      第46回日本脳神経CI学学会 2017
    • Related Report
      2018 Annual Research Report
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2019

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、前原健寿、青木茂樹
    • Organizer
      第46回日本神経放射線学会 2017
    • Related Report
      2018 Annual Research Report
  • [Presentation] Neurite orientation dispersion and density imaging revealed the brain microstructural ischemic damage of moyamoya disease2019

    • Author(s)
      Hara S, Nariai T, Murata S, Tsuruta K, Tanaka Y, Hori M, Maehara T, Aoki S
    • Organizer
      Neuroscience 2016
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] pCASLとNODDIを用いたもやもや病の脳血流および微細構造の評価2019

    • Author(s)
      原祥子、田中洋次、稲次基希、石井賢二、前原健寿、堀正明、青木茂樹、成相直
    • Organizer
      第45回日本神経放射線学会 2016
    • Related Report
      2018 Annual Research Report
  • [Presentation] Myelin imaging may reveal microstructural damage caused by chronic ischemia correlated with neurocognitive dysfunction in patients with moyamoya disease2018

    • Author(s)
      Hara S, Hori M, Tsurushima Y, Tanaka Y, Maehara T, Aoki S, and Nariai T.
    • Organizer
      Joint Annual Meeting ISMRM-ESMRMB 2018, Paris, France
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Correlation of Intravoxel Incoherent Motion and 15O-gas PET in patients with Moyamoya disease2017

    • Author(s)
      Hara S, Hori M, Ueda R, Tanaka Y, Maehara T, Ishii K, Nariai T, Aoki S
    • Organizer
      the 5th International Congress on Magnetic Resonance Imaging (ICMRI 2017) and 22nd Scientific Meeting of KSMRM
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2017-03-23
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2017

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、青木茂樹、前原健寿
    • Organizer
      第42回日本脳卒中学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2017-03-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2017

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、前原健寿、青木茂樹
    • Organizer
      第40回日本脳神経CI学学会
    • Place of Presentation
      鹿児島
    • Year and Date
      2017-03-03
    • Related Report
      2016 Research-status Report
  • [Presentation] 新規拡散MRI・NODDI法によるもやもや病の脳微細構造の検討2017

    • Author(s)
      原祥子、成相直、堀正明、村田渉、上田亮、中澤美咲、田中洋次、前原健寿、青木茂樹
    • Organizer
      第46回日本神経放射線学会
    • Place of Presentation
      東京
    • Year and Date
      2017-02-16
    • Related Report
      2016 Research-status Report
  • [Presentation] Neurite Orientation Dispersion and Density Imaging (NODDI) revealed the brain microstructural ischemic damage in patients with moyamoya disease2017

    • Author(s)
      Shoko Hara, Masaaki Hori, Syo Murata, Ryo Ueda, Misaki Nakazawa, Yoji Tanaka, Taketoshi Maehara, Shigeki Aoki, and Tadashi Nariai
    • Organizer
      ISMRM 25th Annual Meeting & Exhibition
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Correlation between brain microstructure revealed by Neurite Orientation Dispersion and Density Imaging and cerebral hemodynamics and metabolism measured with positron emission tomography in patients with moyamoya disease2017

    • Author(s)
      Hara S, Hori M, Inaji M, Maehara T, Ishii K, Aoki S. Nariai T
    • Organizer
      Neuroscience 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Neurite orientation dispersion and density imaging revealed the brain microstructural ischemic damage of moyamoya disease2016

    • Author(s)
      Hara S, Nariai T, Murata S, Tsuruta K, Tanaka Y, Hori M, Maehara T, Aoki S
    • Organizer
      Neuroscience 2016
    • Place of Presentation
      San Diego, U.S.A.
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Remarks] ResearchMap

    • URL

      https://researchmap.jp/smhara/

    • Related Report
      2018 Annual Research Report

URL: 

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

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