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Assessment of the carotid plaque vulnerability and stabilization

Research Project

Project/Area Number 21591847
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Cerebral neurosurgery
Research InstitutionNagasaki University

Principal Investigator

NAGATA Izumi  長崎大学, 大学院・医歯薬学総合研究科, 教授 (10198327)

Co-Investigator(Kenkyū-buntansha) HAYASHI Kentaro  長崎大学, 大学院・医歯薬学総合研究科, 講師 (40404222)
HORIE Nobutaka  長崎大学, 大学院・医歯薬学総合研究科, 助教 (70380912)
BABA Shiro  長崎大学, 大学院・医歯薬学総合研究科, 講師 (30530430)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2009: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords脳梗塞 / 頸動脈狭窄 / 不安定プラーク / MRI / CT / 頚動脈狭窄症 / 頸動脈プラーク / 不安定性 / 頸動脈内膜剥離術 / 頸動脈ステント術 / 画像診断 / デブリス
Research Abstract

Carotid atherosclerosis is one of the major causes of cerebral stroke. This can contribute to hemodynamic impairment in the intracranial circulation, as well as artery to artery embolisms. Recently, studies on carotid atherosclerotic plaques have revealed that plaque morphology could be an important additional feature in the risk assessment of patients with carotid stenosis. Certain morphological features of carotid plaques, such as a large lipid rich necrotic core, intraplaque hemorrhage, neovascularization, inflammation, or thin fibrous caps are increasingly reported to be associated with a heightened risk of stroke. Therefore, the concept of the vulnerable or high risk plaque, initially derived from coronary studies, has been increasingly shown to be applicable in the carotid circulation. In this study, we reported multi-modal assessment of the plaque vulnerability to detect high risk patient for stroke.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (30 results)

All 2012 2011 2010 2009 Other

All Journal Article (13 results) (of which Peer Reviewed: 9 results) Presentation (15 results) Book (2 results)

  • [Journal Article] Assessment of Carotid Plaque Stability Based on the Dynamic Enhancement Pattern in Plaque Components With Multidetector CT Angiography2012

    • Author(s)
      Horie Nobutaka, Morikawa Minoru, Ishizaka Shunsuke, Takeshita Tomonori, So Gohei, Hayashi Kentaro, Suyama Kazuhiko, Nagata Izumi
    • Journal Title

      Stroke

      Volume: 43 Issue: 2 Pages: 393-398

    • DOI

      10.1161/strokeaha.111.635953

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of Carotid Plaque Stability Based on the Dynamic Enhancement Pattern in Plaque Components with Multi-detector CT Angiography2012

    • Author(s)
      堀江信貴
    • Journal Title

      Stroke

      Volume: 43 Pages: 393-398

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of preoperative multimodal imaging in evaluating carotid plaque-role of the ultrasound-2011

    • Author(s)
      Nobutaka Horie, Minoru Morikawa, Yohei Tateishi, Shunsuke Ishizaka, Tomonori Takeshita, Kentaro Hayashi, Kazuhiko Suyama, Izumi Nagata
    • Journal Title

      Neurosonology

      Volume: 24 Pages: 20-20

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article]2011

    • Author(s)
      Nobutaka Horie, Kentaro Hayashi, Minoru Morikawa, Gohei So, Kazuhiko Suyama, Izumi Nagata
    • Journal Title

      Neurosonology

      Volume: 24 Pages: 20-20

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Restenosis after endovascular PTA/stenting for supra-aortic branches in Takayasu aortitis : report of three cases and review of the literature2011

    • Author(s)
      堀江信貴
    • Journal Title

      Acta Neurochir (Wien)

      Volume: 153 Pages: 1135-1139

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] "Brush Sign" on susceptibility-weighted MR imaging indicates the severity of moyamoya disease2011

    • Author(s)
      堀江信貴
    • Journal Title

      AJNR Am J Neuroradiol

      Volume: 32 Pages: 1697-1702

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cerebellar variant of posterior reversible encephalopathy syndrome (PRES) after coil embolization for the hemorrhagic dissecting aneurysm2011

    • Author(s)
      堀江信貴
    • Journal Title

      Acta Neurochir (Wien)

      Volume: 153 Pages: 1143-1144

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 糖尿病と頸動脈病変-特集:糖尿病と脳卒中-2010

    • Author(s)
      堀江信貴
    • Journal Title

      脳と循環

      Volume: 15 Pages: 129-133

    • Related Report
      2010 Annual Research Report
  • [Journal Article] ジャーナルレビューATHEROMA study:アトルバスタチンによる頸動脈プラークのマクロファージ活性抑制効果2010

    • Author(s)
      堀江信貴
    • Journal Title

      脳と循環

      Volume: 15 Pages: 153-157

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 頸動脈狭窄症の治療Current status for carotid stenosis2010

    • Author(s)
      堀江信貴
    • Journal Title

      総合臨床

      Volume: 59 Pages: 2133-2134

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Accuracy of plaque morphology using IVUS virtual histology (IVUS-VH) in carotid artery stenting2010

    • Author(s)
      Nobutaka Horie
    • Journal Title

      Neurosonology

      Volume: 23 Pages: 41-41

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Observation of the embolus protection filter for Carotid Artery Stenting2009

    • Author(s)
      Hayashi Kentaro, Kitagawa Naoki, Morikawa Minoru, Hiu Takeshi, Morofuji Youichi, Suyama Kazuhiko, Nagata Izumi
    • Journal Title

      Surgical Neurology

      Volume: 72 Pages: 532-537

    • NAID

      120006982668

    • URL

      http://dx.doi.org/10.1016/j.surneu.2008.12.011

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Observation of the embolus protection filter for Carotid Artery Stenting.2009

    • Author(s)
      林健太郎
    • Journal Title

      Surgical Neurology 72

      Pages: 532-537

    • NAID

      120006982668

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 頸動脈内膜剥離術におけるICGを用いた術中蛍光撮影の有用性2011

    • Author(s)
      堀江信貴
    • Organizer
      第11回日本頸部脳血管治療学会
    • Place of Presentation
      大阪千里
    • Year and Date
      2011-06-10
    • Related Report
      2011 Final Research Report
  • [Presentation] Delayed absorption of the contrast media in CT angiography indicates plaque stability in carotid stenosis2011

    • Author(s)
      Nobutaka Horie
    • Organizer
      International Stroke Conference 2011
    • Place of Presentation
      Los Angeles, USA
    • Year and Date
      2011-02-09
    • Related Report
      2011 Final Research Report
  • [Presentation] 頸動脈プラークにおけるvulnerability評価の信頼性.(シンポジウム明日の頸動脈治療)2011

    • Author(s)
      堀江信貴
    • Organizer
      Stroke
    • Place of Presentation
      京都
    • Related Report
      2011 Final Research Report
  • [Presentation] 頸動脈プラークにおけるvulnerability評価の信頼性2011

    • Author(s)
      堀江信貴
    • Organizer
      Stroke 2011
    • Place of Presentation
      京都(シンポジウム)
    • Related Report
      2011 Annual Research Report
  • [Presentation] Helical CTを用いたvulnerable plaqueの検出-CT delayed imaging-2010

    • Author(s)
      堀江信貴
    • Organizer
      日本頚部脳血管治療学会JASTNEC
    • Place of Presentation
      横浜
    • Related Report
      2011 Final Research Report
  • [Presentation] 頸動脈ステント術におけるIVUS virtual histology(IVUS-VH)の信頼性2010

    • Author(s)
      堀江信貴
    • Organizer
      第29回日本脳神経超音波学会
    • Place of Presentation
      岡山
    • Related Report
      2011 Final Research Report
  • [Presentation] Helical CTを用いたvulnerable plaqueの検出-CT delayed imaging-2010

    • Author(s)
      堀江信貴
    • Organizer
      日本頚部脳血管治療学会
    • Place of Presentation
      横浜
    • Related Report
      2010 Annual Research Report
  • [Presentation] CEA病理標本とCAS申に回収されたデブリスの対比2010

    • Author(s)
      林健太郎
    • Organizer
      日本頚部脳血管治療学会
    • Place of Presentation
      横浜
    • Related Report
      2010 Annual Research Report
  • [Presentation] 頸動賑ステント術におけるIVUS virtual histology (IVUS-VH)の信頼性2010

    • Author(s)
      堀江信貴
    • Organizer
      日本脳神経超音波学会
    • Place of Presentation
      岡山
    • Related Report
      2010 Annual Research Report
  • [Presentation] Multimodal imagingによる頸動脈プラークのvulnerability評価2010

    • Author(s)
      堀江信貴
    • Organizer
      日本脳神経血管内治療学会
    • Place of Presentation
      小倉(シンポジウム)
    • Related Report
      2010 Annual Research Report
  • [Presentation] CAS中に回収されたデブリスの同定:CEA病理標本と比較して2010

    • Author(s)
      林健太郎
    • Organizer
      日本脳神経血管内治療学会
    • Place of Presentation
      小倉
    • Related Report
      2010 Annual Research Report
  • [Presentation] 頸動脈プラークの術前評価におけるmultimodal imagingの有用性-超音波診断の役割-(シンポジウム外科治療および血管内治療と超音波診断)2009

    • Author(s)
      堀江信貴
    • Organizer
      神経超音波学会
    • Place of Presentation
      長崎
    • Year and Date
      2009-07-07
    • Related Report
      2011 Final Research Report
  • [Presentation] ステント留置術後Angioguard filterの観察法2009

    • Author(s)
      林健太郎
    • Organizer
      2009年脳神経血管内治療学会
    • Place of Presentation
      オーバードホール(富山)
    • Related Report
      2009 Annual Research Report
  • [Presentation] 頸動脈プラークのvulnerability評価におけるCT Angiographyの信頼性(シンポジウムプラークイメージング)

    • Author(s)
      堀江信貴
    • Organizer
      Mt. Fuji Workshop on CVD
    • Place of Presentation
      札幌
    • Related Report
      2011 Final Research Report
  • [Presentation] 頸動脈プラーク評価におけるインドシアニングリーン動注・静注の有用性

    • Author(s)
      堀江信貴
    • Organizer
      日本脳神経外科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2011 Final Research Report
  • [Book] 泉.脳外科から診た脳血管障害と動脈硬化.書籍「動脈硬化を画像でみる」2010

    • Author(s)
      堀江信貴、永田
    • Publisher
      新興医学出版社
    • Related Report
      2011 Final Research Report
  • [Book] 「動脈硬化を画像でみる」脳外科から診た脳血管障害と動脈硬化2010

    • Author(s)
      堀江信貴
    • Publisher
      新興医学出版社
    • Related Report
      2010 Annual Research Report

URL: 

Published: 2009-04-01   Modified: 2016-04-21  

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