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Significance of high-resolution CT findings by using densitometry in patient with pulmonary alveolar proteinosis.

Research Project

Project/Area Number 23591160
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionKyorin University

Principal Investigator

ISHII Haruyuki  杏林大学, 医学部, 講師 (30406970)

Co-Investigator(Kenkyū-buntansha) NAKATA Koh  新潟大学, 医歯学総合病院, 教授 (80207802)
TAZAWA Ryushi  新潟大学, 医歯学総合病院, 准教授 (70301041)
NITADORI Toshiaki  杏林大学, 医学部, 教授 (80137512)
Co-Investigator(Renkei-kenkyūsha) GOTO Hajime  杏林大学, 医学部, 教授 (80134617)
YOKOYAMA Kenichi  杏林大学, 医学部, 講師 (20383680)
HIRAOKA Sayuki  杏林大学, 医学部, 助教 (20458871)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2011: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords肺胞蛋白症 / 胸部CT / densitometry / 肺野濃度
Research Abstract

The aim of this study was to analyze the lung attenuation of ground glass opacity (GGO) by using densitometry on high-resolution CT in patients with pulmonary alveolar proteinosis (PAP). Five cases were enrolled in this study. Inspiratory thin-slice spiral chest CT scans (Aquilion 64, Toshiba medical systems, Japan) were performed. The mean lung attenuation and whole lung volume varied in each severity of PAP cases. According to the histogram feature, the ratio associated with PAP (defined as the ratio of CT lung volume for GGO divided by total CT lung volume) contributed to differentiate PAP lesion from normal area. GGO for the range of density -850 to -750 HU suggested the lesion of PAP on HRCT and the lung volume in this range showed the greatest degree correlation with the levels of serum KL-6 (r=0.867)and CEA (r=0.616). Although it is very difficult to early diagnose as PAP in generally, these results might be practical radiographic findings of diagnostic procedure for PAP.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (18 results)

All 2014 2013 2012 2011

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 2 results) Presentation (11 results) (of which Invited: 2 results)

  • [Journal Article] Secondary pulmonary alveolar proteinosis complicating myelodysplastic syndrome results in worsening of prognosis: a retrospective cohort study in Japan2014

    • Author(s)
      Haruyuki Ishii, John F Seymour, Ryushi Tazawa, Yoshikazu Inoue, Naoyuki Uchida, Aya Nishida, Yoshihito Kogure, Takeshi Saraya, Keisuke Tomii, Toshinori Takada, Yuko Itoh, Masayuki Hojo, Toshio Ichiwata, Hajime Goto, Koh Nakata
    • Journal Title

      BMC Pulmonary Medicine

      Volume: 14: 37 Issue: 1 Pages: 1471-2466

    • DOI

      10.1186/1471-2466-14-37

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical features of three cases with pulmonary alveolar proteinosis secondary to myelodysplastic syndrome developed during the course of Behçet's disease.2013

    • Author(s)
      Handa T, Nakatsue T, Baba M, Takada T, Nakata K, Ishii H
    • Journal Title

      Respiratory Investigation

      Volume: 52 Issue: 1 Pages: 75-79

    • DOI

      10.1016/j.resinv.2013.05.005

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 続発性肺胞蛋白症の予後解析2013

    • Author(s)
      石井晴之
    • Journal Title

      呼吸器内科

      Volume: 23(4) Pages: 342-349

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Direct evidence that GM-CSF inhalation improves lung clearance in pulmonary alveolar proteinosis.2012

    • Author(s)
      Ohhashi K, Sato A, Takada T, , Ishii H, , Nakata K, Tazawa R.
    • Journal Title

      Respiratory Medicine

      Volume: 106 Pages: 284-293

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] A-54 years-old man with an uncommon cause of left pleural effusion.2012

    • Author(s)
      Koide T, Saraya K, Nakajima A, Kurai D, Ishii H, Goto H.
    • Journal Title

      Chest

      Volume: 141 Pages: 560-563

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 肺胞蛋白症:最新の知見2011

    • Author(s)
      石井晴之
    • Journal Title

      呼吸器内科

      Volume: 20 (5) Pages: 430-438

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Kinetics of c-reactive protein (CRP) and serum amyloid protein (SAA) in patients with community-acquired pneumonia (CAP), as presented with biologic half-life times.2011

    • Author(s)
      Takata S, Wada H, , Ishii H, Goto H.
    • Journal Title

      Biomarkers

      Volume: 16 (6) Pages: 530-535

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] 続発性肺胞蛋白症の臨床的特徴―全国調査結果と更なる課題―2013

    • Author(s)
      石井晴之
    • Organizer
      日本肺サーファクタント・界面医学会第49回学術集会
    • Place of Presentation
      東京
    • Year and Date
      2013-11-16
    • Related Report
      2013 Final Research Report
  • [Presentation] Clinical characteristics of secondary pulmonary alveolar proteinosis complicated with myelodysplastic syndrome in Japan2013

    • Author(s)
      Ishii H, Tazawa R, Inoue Y, Nakata K
    • Organizer
      18^<th> Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Yokohama (oral session)
    • Year and Date
      2013-11-13
    • Related Report
      2013 Final Research Report
  • [Presentation] Characteristics of negative GM-CSF autoantibody pulmonary alveolar proteinosis (NA-PAP) in Japan2013

    • Author(s)
      Ishii H, Nakata K, Tazawa R, Inoue Y
    • Organizer
      American Thoracic Society 2013 International Conference
    • Place of Presentation
      Philadelphia (Poster session)
    • Year and Date
      2013-05-20
    • Related Report
      2013 Final Research Report
  • [Presentation] Characteristics of negative GM-CSF autoantibody pulmonary alveolar proteinosis (NA-PAP) in Japan.2013

    • Author(s)
      Ishii H, Nakata K, Tazawa R, Inoeu Y.
    • Organizer
      American Thoracic Society 2013 International Conference
    • Place of Presentation
      Philadelphia, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Clinical characteristics of secondary pulmonary alveolar proteinosis complicated with myelodysplastic syndrome in Japan.2013

    • Author(s)
      Ishii H, Tazawa R, Inoue Y, Nakata K.
    • Organizer
      18th Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Yokohama, Japan
    • Related Report
      2013 Annual Research Report
  • [Presentation] 続発性肺胞蛋白症の臨床的特徴―全国調査結果と更なる課題―2013

    • Author(s)
      石井晴之
    • Organizer
      日本肺サーファクタント・界面医学会第49回学術集会
    • Place of Presentation
      東京, 日本
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 骨髄異形成症候群に合併した続発性肺胞蛋白症(MDS-SPAP)の予後解析―SPAPはMDSの予後に影響を及ぼすのか―2012

    • Author(s)
      石井晴之
    • Organizer
      第52回日本呼吸器学会総会・学術講演会
    • Place of Presentation
      神戸
    • Related Report
      2012 Research-status Report
  • [Presentation] Prognosis of secondary pulmonary alveolar proteinosis complicated with myelodysplastic syndrome. ― Has the complication of pulmonary alveolar proteinosis had major impact on the prognosis of patients with myelodysplastic syndrome? ―2012

    • Author(s)
      Haruyuki Ishii, Ryushi Tazawa, Koh Nakata
    • Organizer
      American Thoracic Society 2012 International Conference
    • Place of Presentation
      San Francisco
    • Related Report
      2012 Research-status Report
  • [Presentation] 自己免疫性肺胞蛋白症と続発性肺胞蛋白症との 胸部高分解能CT所見における比較臨床研究.2012

    • Author(s)
      石井晴之
    • Organizer
      第104回ACCP日本部会総会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Characteristics of negative GM-CSF autoantibody pulmonary alveolar proteinosis in Japan.2012

    • Author(s)
      Haruyuki Ishii
    • Organizer
      17th Congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      Hong Kong
    • Related Report
      2012 Research-status Report
  • [Presentation] Clinical features of secondary pulmonary alveolar proteinosis complicated with myelodysplastic syndrome in Japan.2011

    • Author(s)
      Ishii H, Nakata K.
    • Organizer
      American Thoracic Society 2011 International Conference
    • Place of Presentation
      Denver
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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