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Development and the clinical application of the caqrdiovascular operation support program applied hydrodynamics simulation

Research Project

Project/Area Number 22659252
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeSingle-year Grants
Research Field Thoracic surgery
Research InstitutionOsaka University

Principal Investigator

UENO Takayoshi  大阪大学, 医学系・研究科, 講師 (60437316)

Co-Investigator(Kenkyū-buntansha) SAWA Yoshiki  大阪大学, 医学系・研究科, 教授 (00243220)
KURATANI Toru  大阪大学, 医学系・研究科, 准教授 (90448035)
SAKAGUCHI Taichi  大阪大学, 医学系・研究科, 寄附講座准教授 (10467574)
SHIRAKAWA Yukitoshi  大阪大学, 医学系・研究科, 助教 (20457013)
YOSHIKAWA Yasushi  大阪大学, 医学部附属病院, 助教 (40570594)
YAMAUCHI Takashi  大阪大学, 医学系・研究科, 助教 (20527999)
SHIMAMURA Kazuo  大阪大学, 医学系・研究科, 寄附講座助教 (10507205)
宮川 繁  大阪大学, 医学系研究科, 助教 (70544237)
Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥3,290,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥390,000)
Fiscal Year 2011: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2010: ¥1,600,000 (Direct Cost: ¥1,600,000)
Keywords先天性心疾患 / 循環器・高血圧 / シュミレーション工学 / 血流評価 / Phase contrast MRI / シミュレーション / 循環・高血圧 / シミュレーション工学
Research Abstract

With the recent advancement of imaging technology in the medical field, more sophisticated information are now at our hand. Application of novel imaging modality into establishing computational model to simulate the outcome of cardiac surgery is envisioned. Among various factors, blood flow velocity is one of the key components in establishing the hydrodynamic model simulating the circulatory physiology of specific cardiac defects. The novel phase contrast cardiac magnetic resonance imaging(PC-CMR) technique enables the measurement of blood flow velocity at any point of interests in human. Hence, we investigated the possibility of PC-CMR in evaluating the hydrodynamics in patients with Fontan physiology. The study revealed that, compared with normal circulation, Fontan physiology is liable to have,# 1 : less cardiac output with higher systemic flow resistance,# 2 : more systemic to pulmonary collateral flow volume in association with higher systemic resistance,# 3 : more atrio-ventricular valve regurgitation,# 4 : more collateral flow volume, which correlated with degree of cyanosis as well as with age at Fontan operation. Thus, PC-CMR is highly informative in simulating and analyzing the specific circulation physiology, as well as estimating the outcome of cardiac surgery.

Report

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

    (8 results)

All 2011 2010

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (6 results)

  • [Journal Article] Effect of ventricular volume before unloading in a systemic ventricle supporting the Fontan circulation2011

    • Author(s)
      Adachi I, Ueno T, Ichikawa H, Kagisaki K, Ide H, Hoashi T, Kogaki S, Ohuchi H, Yagihara T, Sawa Y.
    • Journal Title

      Am J Cardiol

      Volume: 107(3) Pages: 459-65

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Alterations in the medial layer of the main pulmonary artery in a patient with longstanding Fontan circulation2010

    • Author(s)
      Adachi I, Ueno T, Hori Y, Sawa Y.
    • Journal Title

      Interact Cardiovasc Thorac Surg

      Volume: 11(5) Pages: 682-3

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Presentation] Cardiac MRを用いたFontan循環の検討2011

    • Author(s)
      小澤秀登、上野高義、井手春樹、石丸和彦、平将生、澤芳樹
    • Organizer
      第64回日本胸部外科学会
    • Place of Presentation
      名古屋
    • Year and Date
      2011-10-11
    • Related Report
      2011 Final Research Report
  • [Presentation] phase contrast心臓MRI法によるフォンタン循環の定量的評価の有用性2011

    • Author(s)
      井手春樹
    • Organizer
      日本胸部外科学会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2011-10-10
    • Related Report
      2011 Annual Research Report
  • [Presentation] Novel application of phase-contrast cardiac magnetic resonance imaging in assessment of right ventricle contractile status with maximal ventricular power divided by the square of end-diastolic volume2011

    • Author(s)
      井手春樹
    • Organizer
      ESC congress 2011
    • Place of Presentation
      Pare des Expositions, Paris
    • Year and Date
      2011-08-30
    • Related Report
      2011 Annual Research Report
  • [Presentation] Phase Contrast Cardiac MKI is useful for detecting Right Ventricle Contractile Abnormality in Patients after Right Ventricle Outflow Tract Reconstruction2011

    • Author(s)
      井手春樹
    • Organizer
      日本小児循環器学会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2011-07-07
    • Related Report
      2011 Annual Research Report
  • [Presentation] 心臓MRI検査を用いた体循環系形態的右室の遠隔期心機能評価Evaluati on of long term cardiac function of morphological right ventricule as a systemic chamber with cardiac MRI2010

    • Author(s)
      平将生
    • Organizer
      日本胸部外科学会 定期学術集会
    • Place of Presentation
      大阪国際会議場
    • Related Report
      2010 Annual Research Report
  • [Presentation] 右室流出路再建における自己組織化人工材料の工夫と低侵襲右室流出路再建への展望2010

    • Author(s)
      平将生
    • Organizer
      日本人工臓器学会大会
    • Place of Presentation
      仙台国際センター
    • Related Report
      2010 Annual Research Report

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Published: 2010-08-23   Modified: 2016-04-21  

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