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Objective flow velocity analysis of the renal artery using 4D PC-VIPR in robot-assisted partial nephrectomy

Research Project

Project/Area Number 18K09191
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 56030:Urology-related
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

MOTOYAMA Daisuke  浜松医科大学, 医学部附属病院, 助教 (00727787)

Co-Investigator(Kenkyū-buntansha) 三宅 秀明  浜松医科大学, 医学部, 教授 (60379435)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords血流解析 / PC-VIPR / 4D flow / ロボット支援下腎部分切除術
Outline of Final Research Achievements

For the first time, it has been shown that 3D image reconstruction and flowmetry of the native renal arteries with FROVA II software based on the DICOM data of MRI / 4D PC-VIPR can be performed with constant quality and accuracy. However, no correlation or constant tendency was observed between the OFV of the affected renal arteries and various clinical variables such as the recovery slope of the postoperative eGFR. These results suggest that it may be difficult to find clinical significance in the measurement of preoperative OFV for native renal artery in RAPN.

Academic Significance and Societal Importance of the Research Achievements

被爆の観点でCTより人体に負担の少ないMRIの撮像時データだけを基にして、専用ソフトを用いることで腎動脈の血液流速を一定の精度を保ったまま測定可能であることが、本研究により今回初めて示された。腎動脈は体内の最も深部に位置し、かつ呼吸性移動の影響を受けることから、従来の超音波機器による流速測定は困難と考えられ、本技術が将来人体に害のない唯一の測定法となる可能性がある。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (16 results)

All 2020 2019 2018

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 2 results) Presentation (11 results) (of which Invited: 3 results)

  • [Journal Article] Perioperative outcomes in patients undergoing robot‐assisted partial nephrectomy: Comparative assessments between complex and non‐complex renal tumors2020

    • Author(s)
      Motoyama Daisuke、Sato Ryo、Watanabe Kyohei、Matsushita Yuto、Watanabe Hiromitsu、Matsumoto Rikiya、Ito Toshiki、Sugiyama Takayuki、Otsuka Atsushi、Miyake Hideaki
    • Journal Title

      Asian Journal of Endoscopic Surgery

      Volume: - Issue: 3 Pages: 379-385

    • DOI

      10.1111/ases.12872

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy2019

    • Author(s)
      Motoyama Daisuke、Matsushita Yuto、Watanabe Hiromitsu、Tamura Keita、Ito Toshiki、Sugiyama Takayuki、Otsuka Atsushi、Miyake Hideaki
    • Journal Title

      BMC Urology

      Volume: 19 Issue: 1 Pages: 132-132

    • DOI

      10.1186/s12894-019-0567-0

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy2019

    • Author(s)
      Motoyama Daisuke、Aki Ryota、Matsushita Yuto、Tamura Keita、Ito Toshiki、Sugiyama Takayuki、Otsuka Atsushi、Miyake Hideaki
    • Journal Title

      Current Urology

      Volume: 13 Issue: 1 Pages: 13-18

    • DOI

      10.1159/000499300

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Improved perioperative outcomes by early unclamping prior to renorrhaphy compared with conventional clamping during robot-assisted partial nephrectomy: a propensity score matching analysis2019

    • Author(s)
      Motoyama Daisuke、Matsushita Yuto、Watanabe Hiromitsu、Tamura Keita、Ito Toshiki、Sugiyama Takayuki、Otsuka Atsushi、Miyake Hideaki
    • Journal Title

      Journal of Robotic Surgery

      Volume: 14 Issue: 1 Pages: 47-53

    • DOI

      10.1007/s11701-019-00924-3

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Initial learning curve for robot-assisted partial nephrectomy performed by a single experienced robotic surgeon2019

    • Author(s)
      Motoyama Daisuke、Matsushita Yuto、Watanabe Hiromitsu、Tamura Keita、Suzuki Takahisa、Ito Toshiki、Sugiyama Takayuki、Otsuka Atsushi、Miyake Hideaki
    • Journal Title

      Asian Journal of Endoscopic Surgery

      Volume: - Issue: 1 Pages: 59-64

    • DOI

      10.1111/ases.12683

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 大動静脈間で腎動脈を阻血したRAPN症例の検討2020

    • Author(s)
      本山大輔、渡邊恭平、松下雄登、渡邉弘充、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      The 11th Tokai Robotic Urology Symposium
    • Related Report
      2020 Annual Research Report
  • [Presentation] シンポジウム 7:ロボット支援腎部分切除の進歩と課題:Early unclampingの意義:腎機能marginal case における有用性2020

    • Author(s)
      本山大輔、三宅秀明
    • Organizer
      第70回 日本泌尿器科学会中部総会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 大動静脈間で右腎動脈を阻血したRAPN症例の検討:傾向スコア解析2020

    • Author(s)
      本山大輔、佐藤亮、渡邊恭平、松下雄登、渡邉弘充、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第34回 日本泌尿器内視鏡学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] RAPNにおける腎周囲脂肪体積の解析2019

    • Author(s)
      本山大輔、石川岳、大塚智哉、鈴木英斗、渡邉信哉、渡邊恭平、松下雄登、渡邉弘充、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      静岡RCC講演会2019
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 観る人よしのビデオワークショップ3:RAPN困難症例、こんなはずではなかった!? 仮性動脈瘤予防に向けた試み~early unclamping techniqueの意義を中心に~2019

    • Author(s)
      本山大輔、三宅秀明
    • Organizer
      第33回 日本泌尿器内視鏡学会総会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 腫瘍由来の高難度要素を有したRAPN症例の検討2019

    • Author(s)
      本山大輔、渡邊恭平、松下雄登、渡邉弘充、田村啓多、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第33回 日本泌尿器内視鏡学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] Complex tumorに対するRAPNの治療成績2019

    • Author(s)
      本山大輔、石川岳、大塚智哉、鈴木英斗、渡邉信哉、渡邊恭平、松下雄登、渡邉弘充、田村啓多、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第13回 静岡ラパロ・ロボット研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] SYNAPSE VINCENTを用いた3D volumetry:RAPNにおける腎周囲脂肪体積測定の意義2019

    • Author(s)
      本山大輔、石川岳、大塚智哉、鈴木英斗、渡邉信哉、渡邊恭平、松下雄登、渡邉弘充、田村啓多、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第7回JSURT
    • Related Report
      2019 Research-status Report
  • [Presentation] Early unclamping techniqueによるロボット支援下腎部分切除術後仮性動脈瘤の発症抑制効果:傾向スコア解析2019

    • Author(s)
      本山大輔、竹村綾奈、久世俊輔、松下雄登、渡邉弘充、田村啓多、鈴木孝尚、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第107回 日本泌尿器科学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 浜松医科大学でのロボット支援下腎部分切除術と開放腎部分切除術におけるTrifecta 達成率の比較2018

    • Author(s)
      本山 大輔、杉山 桃子、佐藤 亮、秋 亮太、松下 雄登、田村 啓多、伊藤 寿樹、杉山 貴之、大塚 篤史、三宅 秀明
    • Organizer
      第106回 日本泌尿器科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 単一術者によるda vinci Xiを用いたRAPNのラーニングカーブの検討2018

    • Author(s)
      本山大輔、竹村綾奈、久世俊輔、松下雄登、渡邉弘充、田村啓多、伊藤寿樹、杉山貴之、大塚篤史、三宅秀明
    • Organizer
      第68回 日本泌尿器科学会中部総会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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