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The empathic network preserved by intraoperative brain mapping in awake craniotomy

Research Project

Project/Area Number 17K10859
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionKanazawa University

Principal Investigator

Kinoshita Masashi  金沢大学, 医学系, 講師 (50525045)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords共感性 / 覚醒下手術 / 神経膠腫 / グリオーマ / ファンクショナルMRI / 脳・神経 / 外科
Outline of Final Research Achievements

We analyzed the functional areas and white matter networks of empathy related to human emotions. We established an empathy evaluation task that could be used in our developed awake craniotomy, and proved that it could be assessed intraoperatively in glioma cases, based on standard data from healthy adults. Next, we performed an intraoperative evaluation using the empathy task in patients with right frontal glioma, and various MRI data suggested the existence of a neural network involved in human emotion and empathy. Further involvement in postoperative "motivation" was suspected. In order to elucidate the multimodal network related to emotion, empathy, and motivation, we will continue to conduct developmental research on motivation-related networks.

Academic Significance and Societal Importance of the Research Achievements

本研究では、右前頭葉皮質ならびに皮質下の直接電気刺激を用いた誘発症状を元に、共感性(情動面)が関わる機能領域と白質神経線維束を直接的に同定し、心の理論(認知面)と合わせた共感性ネットワーク回路の一部解明につながった。今回作成した新しい術中共感性評価タスクにより、脳腫瘍手術における共感性(情動+認知)を評価することが可能となり、本機能の温存を目的とした次世代覚醒下手術法の確立に一歩近づいた。

Report

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

    (55 results)

All 2020 2019 2018 2017

All Journal Article (27 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 15 results,  Open Access: 7 results) Presentation (24 results) (of which Int'l Joint Research: 8 results,  Invited: 2 results) Book (4 results)

  • [Journal Article] Temozolomide radiochemotherapy for high-grade glioma patients with hemodialysis: a case series of 7 patients.2020

    • Author(s)
      Muto J, Matsutani T, Matsuda R, Kinoshita M, Oikawa M, Pallud J, Sasaki H
    • Journal Title

      Neuro-Oncology Practice

      Volume: 7 Issue: 1 Pages: 111-117

    • DOI

      10.1093/nop/npz034

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 視路トラクトグラフィと覚醒下手術により視野異常を回避する神経膠腫摘出術の試み2020

    • Author(s)
      一ノ瀬 惇也、木下 雅史、中嶋 理帆、中田 光俊
    • Journal Title

      CI研究

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] トラクトグラフィと覚醒下マッピングを用いた経皮質アプローチ2020

    • Author(s)
      木下 雅史、田中 慎吾、宮下 勝吉、中田 光俊
    • Journal Title

      CI研究

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Direct evidence of the relationship between brain metastatic adenocarcinoma and white matter fibers: A fiber dissection and diffusion tensor imaging tractography study2020

    • Author(s)
      Liu Xiaoliang、Kinoshita Masashi、Shinohara Harumichi、Hori Osamu、Ozaki Noriyuki、Hatta Toshihisa、Honma Satoru、Nakada Mitsutoshi
    • Journal Title

      Journal of Clinical Neuroscience

      Volume: S0967-5852 Pages: 55-61

    • DOI

      10.1016/j.jocn.2020.05.043

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Does the superior fronto-occipital fascicle exist in the human brain? Fiber dissection and brain functional mapping in 90 patients with gliomas2020

    • Author(s)
      Liu Xiaoliang、Kinoshita Masashi、Shinohara Harumichi、Hori Osamu、Ozaki Noriyuki、Nakada Mitsutoshi
    • Journal Title

      NeuroImage: Clinical

      Volume: 25 Pages: 102192-102192

    • DOI

      10.1016/j.nicl.2020.102192

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Pyramid-Shape Crossings and Intercrossing Fibers Are Key Elements for Construction of the Neural Network in the Superficial White Matter of the Human Cerebrum2020

    • Author(s)
      Shinohara Harumichi、Liu Xiaoliang、Nakajima Riho、Kinoshita Masashi、Ozaki Noriyuki、Hori Osamu、Nakada Mitsutoshi
    • Journal Title

      Cerebral Cortex

      Volume: - Issue: 10 Pages: 5218-5228

    • DOI

      10.1093/cercor/bhaa080

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 研究 ニューロナビゲーションを用いた側臥位局所麻酔下定位脳生検術の有用性の検証2019

    • Author(s)
      吉識 賢志、木下 雅史、田中 慎吾、南部 育、宮下 勝吉、中田 光俊
    • Journal Title

      Neurological Surgery 脳神経外科

      Volume: 47 Issue: 10 Pages: 1045-1051

    • DOI

      10.11477/mf.1436204072

    • ISSN
      0301-2603, 1882-1251
    • Year and Date
      2019-10-10
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 解剖を中心とした脳神経手術手技 右前頭葉病変に対する高次脳機能温存型覚醒下手術2019

    • Author(s)
      Nakada M, Kinoshita M, Nakajima R, Shinohara H
    • Journal Title

      Neurological Surgery 脳神経外科

      Volume: 47 Issue: 2 Pages: 179-197

    • DOI

      10.11477/mf.1436203916

    • ISSN
      0301-2603, 1882-1251
    • Year and Date
      2019-02-10
    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Case of metastatic glioblastoma with primitive neuronal component to the lung2019

    • Author(s)
      Tamai Sho、Kinoshita Masashi、Sabit Hemragul、Furuta Takuya、Miyashita Katsuyoshi、Yoshimura Kaori、Homma Taku、Harada Kenichi、Nakada Mitsutoshi
    • Journal Title

      Neuropathology

      Volume: 39 Issue: 3 Pages: 218-223

    • DOI

      10.1111/neup.12553

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 大脳の機能解剖に基づく手術 - 空間認知のネットワークと覚醒下手術2019

    • Author(s)
      中田 光俊,木下 雅史,中嶋 理帆
    • Journal Title

      大脳白質解剖入門

      Volume: - Pages: 146-158

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Recovery time from supplementary motor area syndrome: relationship to postoperative day 7 paralysis and damage of the cingulum2019

    • Author(s)
      Nakajima Riho、Kinoshita Masashi、Yahata Tetsutaro、Nakada Mitsutoshi
    • Journal Title

      Journal of Neurosurgery

      Volume: 8 Issue: 3 Pages: 1-10

    • DOI

      10.3171/2018.10.jns182391

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Awake surgery for glioblastoma can preserve independence level, but is dependent on age and the preoperative condition2019

    • Author(s)
      Nakajima R, Kinoshita M, Okita H, Yahata T, Nakada M
    • Journal Title

      J Neuro-oncol

      Volume: 144 Issue: 1 Pages: 155-163

    • DOI

      10.1007/s11060-019-03216-w

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Two cases of primary supratentorial intracranial rhabdomyosarcoma with DICER1 mutation which may belong to a “spindle?cell sarcoma with rhabdomyosarcoma-like feature, DICER1 mutant”2019

    • Author(s)
      Sakaguchi Maki、Nakano Yoshiko、Honda-Kitahara Mai、Kinoshita Masashi、Tanaka Shingo、Oishi Masahiro、Noguchi Kazuhiro、Fukuda Masaki、Maeba Hideaki、Watanabe Takuya、Hayashi Yutaka、Ikeda Hiroko、Minato Hiroshi、Ichimura Koichi、Nojima Takayuki、Nakada Mitsutoshi
    • Journal Title

      Brain Tumor Pathology

      Volume: 36 Issue: 4 Pages: 174-182

    • DOI

      10.1007/s10014-019-00352-z

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Glioma Treatment focusing on Brain Function2019

    • Author(s)
      Nakada Mitsutoshi、Nakajima Riho、Tamai Sho、Tanaka Shingo、Kinoshita Masashi
    • Journal Title

      Japanese Journal of Neurosurgery

      Volume: 28 Issue: 11 Pages: 686-698

    • DOI

      10.7887/jcns.28.686

    • NAID

      130007751025

    • ISSN
      0917-950X, 2187-3100
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] グリオーマ覚醒下手術で見えてくる高次脳機能2019

    • Author(s)
      木下 雅史、中嶋 理帆、中田 光俊
    • Journal Title

      脳神経外科速報

      Volume: 29 Pages: 773-779

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Q 096 運動誘発電位の合併症, ピットフォールは?2019

    • Author(s)
      木下 雅史、中田 光俊
    • Journal Title

      脳神経外科手術合併症の回避・対処法

      Volume: - Pages: 179-180

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Q 097 覚醒下手術の合併症は?2019

    • Author(s)
      木下 雅史、中田 光俊
    • Journal Title

      脳神経外科手術合併症の回避・対処法

      Volume: - Pages: 182-182

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 3. トラクトグラフィの作成法2019

    • Author(s)
      木下 雅史
    • Journal Title

      覚醒下手術ことはじめ

      Volume: - Pages: 26-38

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 4. 覚醒下手術の流れ2019

    • Author(s)
      木下 雅史
    • Journal Title

      覚醒下手術ことはじめ

      Volume: - Pages: 44-51

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 8. 覚醒下手術の手術手技2019

    • Author(s)
      木下 雅史
    • Journal Title

      覚醒下手術ことはじめ

      Volume: - Pages: 65-73

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 11. 症例提示2019

    • Author(s)
      木下 雅史
    • Journal Title

      覚醒下手術ことはじめ

      Volume: - Pages: 139-181

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 13. 術後急性期の症状2019

    • Author(s)
      木下 雅史
    • Journal Title

      覚醒下手術ことはじめ

      Volume: - Pages: 209-211

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Neural Networks Mediating High-Level Mentalizing in Patients With Right Cerebral Hemispheric Gliomas2018

    • Author(s)
      Nakajima Riho、Kinoshita Masashi、Okita Hirokazu、Yahata Tetsutaro、Matsui Mie、Nakada Mitsutoshi
    • Journal Title

      Frontiers in Behavioral Neuroscience

      Volume: 12 Pages: 33-33

    • DOI

      10.3389/fnbeh.2018.00033

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Damage of the right dorsal superior longitudinal fascicle by awake surgery for glioma causes persistent visuospatial dysfunction2017

    • Author(s)
      Nakajima Riho、Kinoshita Masashi、Miyashita Katsuyoshi、Okita Hirokazu、Genda Ryoji、Yahata Tetsutaro、Hayashi Yutaka、Nakada Mitsutoshi
    • Journal Title

      Scientific Reports

      Volume: 7 Issue: 1 Pages: 17158-17158

    • DOI

      10.1038/s41598-017-17461-4

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 覚醒下手術の実際2017

    • Author(s)
      中田光俊, 木下雅史
    • Journal Title

      脳神経外科速報

      Volume: 27 Pages: 1039-1045

    • Related Report
      2017 Research-status Report
  • [Journal Article] 右前頭葉の機能局在と覚醒下手術2017

    • Author(s)
      中田光俊, 木下雅史, 中嶋理帆, 篠原治道
    • Journal Title

      Jpn J Neurosurg

      Volume: 26 Pages: 657-667

    • NAID

      130006100216

    • Related Report
      2017 Research-status Report
  • [Journal Article] グリオーマに対する覚醒下手術2017

    • Author(s)
      木下雅史
    • Journal Title

      日本脳神経財団ぶれいん

      Volume: 128 Pages: 6-7

    • Related Report
      2017 Research-status Report
  • [Presentation] 覚醒下マッピングと拡散スペクトラムイメージングに基づいた言語ネットワークの証明(シンポジウム)2019

    • Author(s)
      木下雅史,中嶋理帆,中田光俊
    • Organizer
      第42回日本脳神経CI学会総会
    • Related Report
      2019 Annual Research Report 2018 Research-status Report
  • [Presentation] 脳腫瘍に対する覚醒下手術2019

    • Author(s)
      木下雅史
    • Organizer
      金沢大学平成30年度法人主導(トップダウン)型研究課題キックオフセミナー「生涯学の挑戦」
    • Related Report
      2019 Annual Research Report 2018 Research-status Report
  • [Presentation] 覚醒下脳機能マッピング領域から得られる機能解剖学的脳アトラスの作成(シンポジウム)2019

    • Author(s)
      木下雅史, 中嶋理帆, Xiaoliang Liu, 中田光俊
    • Organizer
      第28回脳神経外科手術と機器学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Cerebral localization and network of articulatory system suggested by direct electrical stimulation in human brain.2019

    • Author(s)
      Masashi Kinoshita, Riho Nakajima, Xiaoliang Liu, Mitsutoshi Nakada
    • Organizer
      25th Annual meeting of the organization for human brain mapping
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Awake craniotomy for gliomas in all lobes with preservation of higher brain functions: a technical report (oral)2019

    • Author(s)
      Masashi Kinoshita, Xiaoliang Liu, Shingo Tanaka, Riho Nakajima, Mitsutoshi Nakada
    • Organizer
      The 11th Conference of Chinese-Japanese Neurosurgery Committee
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 左側頭葉神経膠腫に対する覚醒下手術の貢献:切除限界と言語機能の長期予後(シンポジウム)2019

    • Author(s)
      木下雅史, 吉識賢志, 中嶋理帆, 沖田浩一, 田中慎吾, 中田光俊
    • Organizer
      第24回日本脳腫瘍の外科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 覚醒下手術が示唆する大域的脳機能分布と機能別特徴について(シンポジウム)2019

    • Author(s)
      木下雅史, 中嶋理帆, 沖田浩一, Xiaoliang Liu, 中田光俊
    • Organizer
      第78回日本脳神経外科学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 術中言語マッピングにおける覚醒度(シンポジウム)2019

    • Author(s)
      木下雅史、沖田浩一、中嶋理帆、中田光俊
    • Organizer
      第17回日本Awake Surgery学会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] A rare variation of central sulcus with dangerous sensorimotor distribution identified by awake craniotomy for glioma2019

    • Author(s)
      Masashi Kinoshita, Harumichi Shinohara, Mitsutoshi Nakada
    • Organizer
      6th Asian Society for Neuro-Oncology (ASNO) Meeting
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Language and speech networks suggested by cluster probabilistic mapping in awake craniotomy for gliomas2019

    • Author(s)
      Masashi Kinoshita, Riho Nakajima, Xiaoliang Liu, Mitsutoshi Nakada
    • Organizer
      The 2019 Congress of Neurological Surgeons Annual Meeting
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Awake surgery for brain tumors with preservation of higher brain functions: challenge and contributions2019

    • Author(s)
      Masashi Kinoshita, Riho Nakajima, Mitsutoshi Nakada
    • Organizer
      Kanazawa University International Symposium
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Transcortical approach for intraaxial brain tumors using awake functional mapping with tractographic navigation (Symposium)2018

    • Author(s)
      Masashi Kinoshita, Shingo Tanaka, Katsuyoshi Miyashita, Mitsutoshi Nakada
    • Organizer
      The 6th Japan Russia Neurosurgical Symposium
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Frontal aslant tract as functional boundary for the maximal resection of frontal gliomas.2018

    • Author(s)
      Masashi Kinoshita, Riho Nakajima, Mitsutoshi Nakada
    • Organizer
      24th Annual meeting of the organization for human brain mapping
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 覚醒下脳マッピングが示唆する構音の機能局在とネットワークについて2018

    • Author(s)
      木下雅史、中嶋理帆、田中慎吾、中田光俊
    • Organizer
      第16回日本Awake Surgery学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 膠芽腫治療に対する機能解剖学的手術の貢献(シンポジウム)2018

    • Author(s)
      木下雅史、中嶋理帆、田中慎吾、宮下勝吉、中田光俊
    • Organizer
      第77回日本脳神経外科学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 覚醒下手術と温故知新(招待講演)2018

    • Author(s)
      木下雅史
    • Organizer
      奈良県脳腫瘍カンファレンス
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 膠芽腫に対する高次脳機能温存型覚醒下手術の役割2018

    • Author(s)
      木下雅史、中嶋理帆、田中慎吾、宮下勝吉、中田光俊
    • Organizer
      第36回日本脳腫瘍学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 言語機能温存を目的とした前頭葉グリオーマ摘出限界の同定2017

    • Author(s)
      木下雅史、中嶋理帆、沖田浩一、宮下勝吉、中田光俊
    • Organizer
      第35回日本脳腫瘍学会学術総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Maximal and safe resection of glioblastoma provided by awake craniotomy2017

    • Author(s)
      Masashi Kinoshita, Katsuyoshi Miyashita, Shingo Tanaka, Riho Nakajima, Mitsutoshi Nakada
    • Organizer
      14th Asian Society for Neuro-Oncology (ASNO) Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Maximal resection of frontal glioma corresponding to verbal fluency2017

    • Author(s)
      Masashi Kinoshita, Riho Nakajima, Katsuyoshi Miyashita, Mitsutoshi Nakada
    • Organizer
      The 76th Annual Meeting of the Japan Neurosurgical Society
    • Related Report
      2017 Research-status Report
  • [Presentation] 再発膠芽腫に対する覚醒下手術について2017

    • Author(s)
      木下雅史、一ノ瀬惇也、中嶋理帆、沖田浩一、宮下勝吉、中田光俊
    • Organizer
      第15回日本Awake Surgery学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 覚醒下手術を用いた拡大前側頭葉切除術の有用性2017

    • Author(s)
      木下雅史、一ノ瀬惇也、中嶋理帆、宮下勝吉、中田光俊
    • Organizer
      第22回日本脳腫瘍の外科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] VBM解析が示唆する膠芽腫に対する覚醒下手術の有用性2017

    • Author(s)
      木下雅史、玉井 翔、宮下勝吉、中田光俊
    • Organizer
      第40回日本脳神経CI学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] トラクトグラフィと覚醒下マッピングを用いた経皮質アプローチへのこだわり2017

    • Author(s)
      木下雅史、田中慎吾、宮下勝吉、中田光俊
    • Organizer
      第41回日本脳神経CI学会総会
    • Related Report
      2017 Research-status Report
  • [Book] 覚醒下手術ことはじめ2019

    • Author(s)
      木下雅史
    • Total Pages
      226
    • Publisher
      中外医学社
    • ISBN
      9784498328327
    • Related Report
      2018 Research-status Report
  • [Book] 大脳白質解剖入門(An Introduction of Fiber Dissenction)2019

    • Author(s)
      中田光俊, 木下雅史, 中嶋理帆
    • Total Pages
      192
    • Publisher
      メディカ出版
    • ISBN
      4840464928
    • Related Report
      2018 Research-status Report
  • [Book] 機能的脳神経外科 診療ガイドブック2018

    • Author(s)
      木下雅, 中田光俊
    • Total Pages
      224
    • Publisher
      メジカルビュー社
    • ISBN
      9784758318464
    • Related Report
      2018 Research-status Report
  • [Book] 機能的脳神経外科診療ガイドブック(メジカルビュー社)2018

    • Author(s)
      木下雅史, 中田光俊
    • Total Pages
      224
    • Publisher
      覚醒下手術と脳機能
    • Related Report
      2017 Research-status Report

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

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