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Development of advanced but economical nuclear cardiology diagnostic procedure without using expensive equipment

Research Project

Project/Area Number 17K10447
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionNagasaki University

Principal Investigator

KUDO Takashi  長崎大学, 原爆後障害医療研究所, 教授 (20330300)

Co-Investigator(Kenkyū-buntansha) 井手口 怜子  長崎大学, 原爆後障害医療研究所, 助教 (10457567)
西 弘大  長崎大学, 原爆後障害医療研究所, 助教 (10719496)
上谷 雅孝  長崎大学, 医歯薬学総合研究科(医学系), 教授 (40176582)
前村 浩二  長崎大学, 医歯薬学総合研究科(医学系), 教授 (90282649)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords虚血性心疾患 / 核医学 / 心筋血流シンチグラフィ / 位相解析 / 人工知能 / 心臓核医学 / 心不全 / 定量 / 心筋血流 / 核医学検査 / 虚血評価 / 医療経済
Outline of Final Research Achievements

To improve the diagnostic accuracy of myocardial perfusion imaging(MPI) without using expensive equipment, phase analysis and artificial intelligence techniques were applied. Using the phase analysis, it became clear that the change of cardiac phase distribution was observed only in the patient of the severe ischemia. This indicates that phase analysis may contribute to the stratification of the severity of ischemic heart disease. Regarding the application of artificial intelligence, adding diagnosis assistance using artificial intelligence during diagnosis process of MPI improve the accuracy of image interpretation make it close to that of expert interpretation. This results indicates that artificial intelligence may contributed saving the human resources in clinical practices. We also performed basic research regarding improvement of image quality using cimetidine before MPI process.

Academic Significance and Societal Importance of the Research Achievements

医療費の高騰を招くことなく、ソフトウエア、解析手法、安価な薬剤の追加といった経済的負担の少ない方法を追加するのみで、心臓核医学検査の診断精度を向上させることが出来ることを明らかにした。また、人工知能の臨床への応用は、初心者と熟練者の診断精度の差を埋めることに役立つことが明らかとなり、費用の削減効果のみでなく、人的資源の節約・適正配分にも役立つことが明らかとなった。

Report

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

    (39 results)

All 2020 2019 2018 2017

All Journal Article (21 results) (of which Int'l Joint Research: 5 results,  Peer Reviewed: 21 results,  Open Access: 16 results) Presentation (17 results) (of which Int'l Joint Research: 7 results,  Invited: 9 results) Book (1 results)

  • [Journal Article] Health-related quality of life in Japanese patients with prostate cancer following proton beam therapy: an institutional cohort study2020

    • Author(s)
      Matsukawa Kyoko、Arimura Takeshi、Orita Makiko、Kondo Hisayoshi、Chuman Ikuko、Ogino Takashi、Taira Yasuyuki、Kudo Takashi、Takamura Noboru
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: - Issue: 5 Pages: 519-527

    • DOI

      10.1093/jjco/hyaa027

    • NAID

      120006988198

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Wortmannin, a specific inhibitor of phosphatidylinositol-3-kinase, induces accumulation of DNA double-strand breaks.2020

    • Author(s)
      Ihara M, Shichijo K, Takeshita S, Kudo T
    • Journal Title

      J Radiat Res

      Volume: 61(2) Issue: 2 Pages: 171-176

    • DOI

      10.1093/jrr/rrz102

    • NAID

      120006988251

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Determination of the Kinetic Parameters for 123I Uptake by the Thyroid, Thyroid Weights, and Thyroid Volumes in Present-day Healthy Japanese Volunteers2020

    • Author(s)
      Kudo Takashi、Inano Akihiro、Midorikawa Sanae、Kubo Hitoshi、Hayashi Kino、Nakashima Sawako、Fukushima Chizu、Maeda Kazuya、Oriuchi Noboru、Irie Shin、Yamashita Shunichi、Kusuhara Hiroyuki
    • Journal Title

      Health Physics

      Volume: 118 Issue: 4 Pages: 417-426

    • DOI

      10.1097/hp.0000000000001144

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Detection of invasive pulmonary aspergillosis in mice using lung perfusion single-photon emission computed tomography with [99mTc]MAA2020

    • Author(s)
      Yoshida Masataka、Tashiro Masato、Nishi Kodai、Mishima Maki、Kawano Kei、Takazono Takahiro、Saijo Tomomi、Yamamoto Kazuko、Imamura Yoshifumi、Miyazaki Taiga、Kudo Takashi、Yanagihara Katsunori、Mukae Hiroshi、Izumikawa Koichi
    • Journal Title

      Medical Mycology

      Volume: - Issue: 7 Pages: 965-972

    • DOI

      10.1093/mmy/myz131

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] PET/computed tomography shows association between subjective pain in knee joints and fluorine-18-fluorodeoxyglucose uptake2020

    • Author(s)
      Kamasaki T, Mori K, Taira Y, Orita M, Miyamoto I, Usui T, Chiba K, Kudo T, Takamura N
    • Journal Title

      Nucl Med Commun

      Volume: 41 Issue: 3 Pages: 241-245

    • DOI

      10.1097/mnm.0000000000001143

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Quantitative Susceptibility Mapping for Carotid Atherosclerotic Plaques: A Pilot Study2020

    • Author(s)
      Ikebe Yohei、Ishimaru Hideki、Imai Hiroshi、Abe Kuniko、Izumo Tsuyoshi、Morofuji Yoichi、Ideguchi Reiko、Morikawa Minoru、Uetani Masataka
    • Journal Title

      Magnetic Resonance in Medical Sciences

      Volume: 19 Issue: 2 Pages: 135-140

    • DOI

      10.2463/mrms.mp.2018-0077

    • NAID

      130007839532

    • ISSN
      1347-3182, 1880-2206
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Imaging of Hepatic Drug Transporters with [131I]6-β-iodomethyl-19-norcholesterol.2019

    • Author(s)
      Kobayashi M., Nishi K., Mizutani A., Hokama T., Matsue M., Tsujikawa T., Nakanishi T., Nishii R., Tamai I., Kawai K.
    • Journal Title

      Sci. Rep.

      Volume: 9 Issue: 1 Pages: 13413-13413

    • DOI

      10.1038/s41598-019-50049-8

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reactivation of heat-inactivated Ku proteins by heat shock cognate protein HSC73.2019

    • Author(s)
      Ihara M, Shichijo K, Kudo T, Ohtsuka K.
    • Journal Title

      Int J Hyperthermia.

      Volume: 36 Issue: 1 Pages: 438-443

    • DOI

      10.1080/02656736.2019.1587009

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Radiation Monitoring of an Isolation Room for 131I Therapy After the Patients Were Released.2019

    • Author(s)
      Karo C, Ideguchi R, Nishi K, Fukuda N, Miura M, Matuda N, Kudo T.
    • Journal Title

      Health Phys.

      Volume: 116 Issue: 4 Pages: 419-425

    • DOI

      10.1097/hp.0000000000001063

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Risk perceptions regarding radiation exposure among Japanese schoolteachers living around the Sendai Nuclear Power Plant after the Fukushima accident.2019

    • Author(s)
      Hori H, Orita M, Taira Y, Kudo T, Takamura N.
    • Journal Title

      PLoS One.

      Volume: 14 Issue: 3 Pages: e0212917-e0212917

    • DOI

      10.1371/journal.pone.0212917

    • NAID

      120006987772

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Usefulness of FDG PET/CT derived parameters in prediction of histopathological finding during the surgery in patients with pancreatic adenocarcinoma.2019

    • Author(s)
      Myssayev A, Myssayev A, Ideguchi R, Eguchi S, Adachi T, Sumida Y, Tobinaga S, Uetani M, Kudo T.
    • Journal Title

      PLoS One.

      Volume: 14 Issue: 1 Pages: e0210178-e0210178

    • DOI

      10.1371/journal.pone.0210178

    • NAID

      120006987857

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Expression of the DNA-dependent protein kinase catalytic subunit is associated with the radiosensitivity of human thyroid cancer cell lines.2019

    • Author(s)
      Ihara M, Ashizawa K, Shichijo K, Kudo T.
    • Journal Title

      J Radiat Res.

      Volume: 60 Issue: 2 Pages: 171-177

    • DOI

      10.1093/jrr/rry097

    • NAID

      120006987752

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intention to return to the town of Tomioka in residents 7 years after the accident at Fukushima Daiichi Nuclear Power Station: a cross-sectional study.2019

    • Author(s)
      Matsunaga H, Orita M, Iyama K, Sato N, Aso S, Tateishi F, Taira Y, Kudo T, Yamashita S, Takamura N.
    • Journal Title

      J Radiat Res.

      Volume: 60 Issue: 1 Pages: 51-58

    • DOI

      10.1093/jrr/rry094

    • NAID

      120006987796

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 1.The pharmacological properties of 3-arm or 4-arm DOTA constructs for conjugation to α-melanocyte-stimulating hormone analogues for melanoma imaging2018

    • Author(s)
      Kobayashi M, Kato T, Washiyama K, Ihara M, Mizutani A, Nishi K, Flores LG 2nd, Nishii R, Kawai K.
    • Journal Title

      PLoS One

      Volume: 14 Issue: 3 Pages: e0213397-e0213397

    • DOI

      10.1371/journal.pone.0213397

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Different Efflux Transporter Affinity and Metabolism of 99mTc-2-Methoxyisobutylisonitrile and 99mTc-Tetrofosmin for Multidrug Resistance Monitoring in Cancer2018

    • Author(s)
      Kobayashi M, Tsujiuchi T, Okui Y, Mizutani A, Nishi K, Nakanishi T, Nishii R, Fukuchi K, Tamai I, Kawai K
    • Journal Title

      Pharm Res

      Volume: 36 Issue: 1 Pages: 18-18

    • DOI

      10.1007/s11095-018-2548-5

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The present state of radiation exposure from pediatric CT examinations in Japan?what do we have to do?2018

    • Author(s)
      Ideguchi Reiko、Yoshida Koji、Ohtsuru Akira、Takamura Noboru、Tsuchida Tatsuro、Kimura Hirohiko、Uetani Masataka、Kudo Takashi
    • Journal Title

      Journal of Radiation Research

      Volume: 印刷中 Issue: suppl_2 Pages: 130-136

    • DOI

      10.1093/jrr/rrx095

    • NAID

      120006988070

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Can Stress-induced Phase Change be Observed on <sup>99m</sup>Tc Pharmacological Stress Myocardial Perfusion Imaging?2018

    • Author(s)
      Myssayev A, Ideguchi R, Chiba A, Koide Y, Uetani M, Maemura K, Kudo T
    • Journal Title

      Annals of Nuclear Cardiology

      Volume: 4 Issue: 1 Pages: 34-41

    • DOI

      10.17996/anc.18-00072

    • NAID

      130007474534

    • ISSN
      2189-3926, 2424-1741
    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Activities concentration of radiocesium in wild mushroom collected in Ukraine 30 years after the Chernobyl power plant accident2018

    • Author(s)
      Orita Makiko、Kimura Yuko、Taira Yasuyuki、Fukuda Toshiki、Takahashi Jumpei、Gutevych Oleksandr、Chornyi Serghii、Kudo Takashi、Yamashita Shunichi、Takamura Noboru
    • Journal Title

      PeerJ

      Volume: 6 Pages: e4222-e4222

    • DOI

      10.7717/peerj.4222

    • NAID

      120006988087

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Diagnostic accuracy of an artificial neural network compared with statistical quantitation of myocardial perfusion images: a Japanese multicenter study2017

    • Author(s)
      Nakajima Kenichi、Kudo Takashi、Nakata Tomoaki、Kiso Keisuke、Kasai Tokuo、Taniguchi Yasuyo、Matsuo Shinro、Momose Mitsuru、Nakagawa Masayasu、Sarai Masayoshi、Hida Satoshi、Tanaka Hirokazu、Yokoyama Kunihiko、Okuda Koichi、Edenbrandt Lars
    • Journal Title

      European Journal of Nuclear Medicine and Molecular Imaging

      Volume: 44 Issue: 13 Pages: 2280-2289

    • DOI

      10.1007/s00259-017-3834-x

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] abrication of Synthetic Mesenchymal Stem Cells for the Treatment of Acute Myocardial Infarction in Mice.2017

    • Author(s)
      Luo L, Tang J, Nishi K, Yan C, Dinh PU, Cores J, Kudo T, Zhang J, Li TS, Cheng K.
    • Journal Title

      Circulation Research

      Volume: 印刷中 Issue: 11 Pages: 1768-1775

    • DOI

      10.1161/circresaha.116.310374

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Ionizing radiation impairs endogenous regeneration of infarcted heart: an in vivo 18F-FDG PET/CT and 99mTc-tetrofosmin SPECT/CT study in mice.2017

    • Author(s)
      Luo L, Nishi K, Urata Y, Yan C, Hasan AS, Goto S, Kudo T, Li ZL, Li TS
    • Journal Title

      Radiation Research

      Volume: 187 Issue: 1 Pages: 89-97

    • DOI

      10.1667/rr14543.1

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 核医学治療の進歩と日本の現状2020

    • Author(s)
      工藤崇
    • Organizer
      令和元年度量子医療研究会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Nuclear Medicine2020

    • Author(s)
      工藤崇
    • Organizer
      HICARE/IAEA workshop on biological and internal dosimetry: Recent advance and clinical application
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Clinical Value of 18F-FDG PET/CT imaging for atherosclerosis lesion evaluation on aorta among the IgG4-RD and neoplastic disease of young patients2020

    • Author(s)
      工藤崇
    • Organizer
      The 4th International Symposium of the Network-type Joint Usage/Research Center for Radiatioin Disaster Medical Science
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] PET核医学エキスパートセミナー 臨床2循環器2019

    • Author(s)
      工藤崇
    • Organizer
      第19回日本核医学会春季大会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Comparison of whether a beginner can be close to an expert with an artificial neural network in myocardial perfusion imaging2019

    • Author(s)
      工藤崇
    • Organizer
      International conference of Nuclear Cardiology and Cardiac CT
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Radioisotope therapy: present condition in Japan and hurdle to be solved2019

    • Author(s)
      工藤崇
    • Organizer
      The 3rd Joint symposium between Nagasaki University and Wurzburg University - Advances in Comprehensive Cancer Therapy-
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 肺血流の可視化による肺ムーコル症と侵襲性肺アスペルギルス症の比較2019

    • Author(s)
      西弘大
    • Organizer
      第14回日本分子イメージング学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 肺血流SPECTによる肺アスペルギルス症と肺ムーコル症の比較2019

    • Author(s)
      西弘大
    • Organizer
      第59回日本核医学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 22Naを用いた密封線源型PET用ファントムの試作と有用性の検討2019

    • Author(s)
      西弘大
    • Organizer
      日本放射線安全管理学会 第18回学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Recognition of radiation exposure from nuclear medicine and other imaging: What’s the strategy?2018

    • Author(s)
      工藤崇
    • Organizer
      2018 Annal Congress of East Asia Nuclear Medicine
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 日本における心臓核医学検査とその被ばくの特徴2018

    • Author(s)
      西弘大
    • Organizer
      第82回日本循環器学会学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] PET核医学エキスパートセミナー 臨床2循環器2018

    • Author(s)
      工藤崇
    • Organizer
      第18回日本核医学会春季大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 心臓核医学検査に伴う医療被ばくの最適化に関するワーキンググループ報告2018

    • Author(s)
      工藤崇
    • Organizer
      第28回日本心臓核医学会総会・学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 読影時に問題となるアーチファクトについて2018

    • Author(s)
      工藤崇
    • Organizer
      第58回日本核医学会学術総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 前臨床分子イメージングエリアの室内放射線環境モニタリングの試み2018

    • Author(s)
      西弘大
    • Organizer
      日本放射線安全管理学会 第17回学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] Is phase analysis still have incremental value on Tc-99m MPI even with pharmacological stress?2017

    • Author(s)
      Takashi Kudo, Reiko Ideguchi, Karo Choeung, Koji Maemura, Masataka Uetani
    • Organizer
      International Conference on Nuclear Cardiology and Cardiac CT 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] The Present Status of Medical Radiation and Nuclear Medicine Usage in Japan2017

    • Author(s)
      Takashi Kudo
    • Organizer
      22nd Annual Scientific Session of American Society of Nuclear Cardiology (ASNC2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Book] Clinical Nuclear Cardiology: Practical Applications and Future Directions2018

    • Author(s)
      Shinro Matsuo
    • Total Pages
      261
    • Publisher
      Bentham science
    • ISBN
      9781681087610
    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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