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Clinicopathological study on early diagnosis of dementia with Lewy bodies

Research Project

Project/Area Number 23591729
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionJuntendo University

Principal Investigator

ISEKI Eizo  順天堂大学, 医学部, 教授 (30203061)

Co-Investigator(Kenkyū-buntansha) FUJISHIRO Hiroki  順天堂大学, 医学部, その他 (20536924)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsレビー小体型認知症 / 免疫組織化学 / オートファジー・ライソゾーム系 / 123I-MIBG心筋シンチグラフィー / 18F-FDG PET / α-シヌクレイン病理 / タウ病理 / Aβ病理 / 頭部FDG-PET検査 / MIBG心筋シンチグラフィー検査 / 前駆状態 / 心筋MIBG心筋シンチグラフィー検査
Research Abstract

The aim of this study is to clarify a prodromal state of dementia with Lewy bodies (DLB) and to lead to an early diagnosis and therapy of DLB. From the results of this study, it has been indicated that the patients showing progression to DLB have prodromal symptoms such as RRM sleep behavior disorder, autonomic symptoms, olfactory dysfunction and depression before the onset of cognitive impairment, and that glucose hypometabolism in primary visual cortex on brain FDG-PET and decrease MIBG uptake on MIBG cardiac scintigraphy are already observed in non-demented or mild cognitive impaiment patients with these prodromal symptoms. When patients with prodromal symptoms exhibit characteristic findings on these functional imagings, a preventive therapy should be given for the patients as a prodromal DLB.

Report

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

    (45 results)

All 2014 2013 2012 2011 Other

All Journal Article (20 results) (of which Peer Reviewed: 14 results) Presentation (24 results) Book (1 results)

  • [Journal Article] Primary visual metabolism and REM sleep behavior disorder in dementia with Lewy bodies2014

    • Author(s)
      Chiba Y, Iseki E, Fujishiro H, Kasanuki K, Ota K, Sato K
    • Journal Title

      Psychiatry Clin Neurosci

      Volume: 68 Issue: 2 Pages: 137-144

    • DOI

      10.1111/pcn.12101

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Three presenile patients in which neuropsychological and neuroimaging examinations suggest possibility of progression to dementia with Lewy bodies2014

    • Author(s)
      Ota K, Iseki E, Murayama N, Chiba Y, Fijishiro H, Kasanuki K, Manabe Y, Arai H, Sato K
    • Journal Title

      Psychogeriatrics

      Volume: 14 Issue: 1 Pages: 72-80

    • DOI

      10.1111/psyg.12039

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] A follow up study of non-demented patients with primary visual cortical hypometabolism: prodromal dementia with Lewy bodies2013

    • Author(s)
      Fujishiro H, Iseki E, Kasanuki K, Chiba Y, Ota K, Murayama N, Sato K
    • Journal Title

      J Neurol Sci

      Volume: 334 Issue: 1-2 Pages: 48-54

    • DOI

      10.1016/j.jns.2013.07.013

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Dementia with Lewy bodies: early diagnostic challenges2013

    • Author(s)
      Fujishiro H, Iseki E, Nakamura S, Kasanuki K, Chiba Y, Ota K, Murayama N, Sato K
    • Journal Title

      Psychogeriatrics

      Volume: 13 Issue: 2 Pages: 581-583

    • DOI

      10.1111/psyg.12005

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of remelteon for treatment of visual hallucinations in dementia with Lewy bodies: four cases report2013

    • Author(s)
      Kasanuki K, Iseki E, Nishida Y, Fujishiro H, Sato K, Arai H
    • Journal Title

      J Clin Psychopharmacol

      Volume: 33 Issue: 4 Pages: 128-138

    • DOI

      10.1097/jcp.0b013e318295fdf4

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] レビー小体型認知症vs老年期うつ病2013

    • Author(s)
      近藤大三, 井関栄三
    • Journal Title

      精神科

      Volume: 23 Pages: 637-643

    • Related Report
      2013 Annual Research Report
  • [Journal Article] レビー小体型認知症 (DLB)におけるBPSDに対する薬物療法の課題2013

    • Author(s)
      笠貫浩史, 井関栄三
    • Journal Title

      精神科治療学

      Volume: 28 Pages: 1603-1608

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Glucose hypomatabolism in primary visual cortex is commonly associated with clinical features of dementia with Lewy bodies regardless of cognitive conditions.2012

    • Author(s)
      Fujishiro H, Iseki E, et al
    • Journal Title

      Int J Geriatr Psychiatry

      Volume: 27 Issue: 11 Pages: 1138-1146

    • DOI

      10.1002/gps.2836

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Early detection of dementia with Lewy bodies in patients with amnestic mild cognitive impairment using 123I-MIBG cardiac scintigraphy.2012

    • Author(s)
      Fujishiro H, Iseki E, et al
    • Journal Title

      J Neurol Sci

      Volume: 315 Issue: 1-2 Pages: 115-119

    • DOI

      10.1016/j.jns.2011.11.012

    • Related Report
      2013 Final Research Report 2012 Research-status Report 2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Retrospective survey of prodromal symptoms in dementia with Lewy bodies: comparison with Retrospective survey of prodromal symptoms in dementia with Lewy bodies: comparison with Alzheimer’s disease.2012

    • Author(s)
      Chiba Y, Iseki E, et al
    • Journal Title

      Dement Geriatr Cogn Disord

      Volume: 33 Issue: 4 Pages: 278-281

    • DOI

      10.1159/000339363

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Neuropathological investigation of the hypometabolic regions on positron emission tomography with [18F] fluorodeoxyglucose in patients with dementia with Lewy bodies2012

    • Author(s)
      Kasanuki K, Iseki E, Fujishiro H, Yamamoto R, Higashi S, Minegishi M, Togo T, Katsuse O, Uchikado H, Furukawa Y, Hino H, Kosaka K, Sato K, Arai H
    • Journal Title

      J Neurol Sci.

      Volume: 314(1-2) Issue: 1-2 Pages: 111-9

    • DOI

      10.1016/j.jns.2011.10.010

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] レビー小体型認知症の臨床症状出現に関連する心理社会的要因の検討―アルツハイマー型認知症との比較2012

    • Author(s)
      太田一実、井関栄三、他
    • Journal Title

      老年精神医学雑誌

      Volume: 23 Pages: 457-465

    • NAID

      40019249669

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clonazepamにより幻視が消失したレビー小体型認知症の1例2012

    • Author(s)
      北沢麻衣子、井関栄三、他
    • Journal Title

      精神医学

      Volume: 27 Pages: 669-674

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Vision-幻視:レビー小体型認知症2012

    • Author(s)
      笠貫浩史、井関栄三
    • Journal Title

      Clinical Neuroscience

      Volume: 30 Pages: 947-949

    • Related Report
      2012 Research-status Report
  • [Journal Article] Localization of MAP1-LC3 in vulnerable neurons and Lewy bodies in brains of patients with dementia with Lewy bodies.2011

    • Author(s)
      Higashi S, Moore DJ, Minegishi M, Kasanuki K, Fujishiro H, Kabuta T, Togo T, Katsuse O, Uchikado H, Furukawa Y, Hino H, Kosaka K, Sato K, Arai H, Wada K, Iseki E
    • Journal Title

      J Neuropathol Exp Neurol

      Volume: 70(4) Issue: 4 Pages: 264-80

    • DOI

      10.1097/nen.0b013e318211c86a

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 特発性レム睡眠行動障害の長期経過の後に、場所依存性に幻視が出現したレビー小体型認知症の1例2011

    • Author(s)
      藤城弘樹、井関栄三、他
    • Journal Title

      精神医学

      Volume: 53 Pages: 7-13

    • NAID

      40017407281

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] レビー小体型認知症患者の幻視に対する心理的介入の有用性:2症例での検討2011

    • Author(s)
      太田一実、井関栄三、他
    • Journal Title

      精神医学

      Volume: 53 Pages: 845-853

    • NAID

      40018965195

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] レビー小体型認知症の薬物療法2011

    • Author(s)
      井関栄三
    • Journal Title

      医学のあゆみ

      Volume: 236 Pages: 987-991

    • Related Report
      2011 Research-status Report
  • [Journal Article] レビー小体型認知症の神経病理2011

    • Author(s)
      藤城弘樹、井関栄三
    • Journal Title

      老年精神医学雑誌

      Volume: 22 Pages: 139-146

    • Related Report
      2011 Research-status Report
  • [Journal Article] レビー小体型認知症の分類・病期と診断2011

    • Author(s)
      藤城弘樹、千葉悠平、井関栄三
    • Journal Title

      老年精神医学雑誌

      Volume: 22 Pages: 1297-1307

    • Related Report
      2011 Research-status Report
  • [Presentation] Ramelteonが幻視に有効であったレビー小体型認知症の4例2013

    • Author(s)
      笠貫浩史、井関栄三、他
    • Organizer
      第28回日本老年精神医学会
    • Place of Presentation
      大阪
    • Year and Date
      2013-06-05
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] DLB診断におけるドパミントランスポータイメージングの有用性2013

    • Author(s)
      井関栄三、他
    • Organizer
      第28回日本老年精神医学会
    • Place of Presentation
      大阪
    • Year and Date
      2013-06-04
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] レビー小体型認知症剖検脳のhypocretin発現に関する神経病理学的検討2013

    • Author(s)
      笠貫浩史、井関栄三、他
    • Organizer
      第54回日本神経病理学会
    • Place of Presentation
      東京
    • Year and Date
      2013-04-26
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] 認知症高齢者の心理査定におけるWAIS-III短縮版の有用性ーMCI, AD, DLBを対象とした検討2013

    • Author(s)
      太田一実、井関栄三、村山憲男、笠貫浩史、佐藤潔
    • Organizer
      第28回日本老年精神医学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
  • [Presentation] Effect of psychological intervention for visual hallucinations in patients with Lewy bodies2012

    • Author(s)
      Ota K, Iseki E, et al
    • Organizer
      15^<th> Pacific Rim College of Psychiatrics Scientific Meeting
    • Place of Presentation
      Seoul
    • Year and Date
      2012-10-25
    • Related Report
      2013 Final Research Report
  • [Presentation] Retrospective survey of prodromal symptoms in dementia with Lewy bodies : comparison with Alzheimer's disease2012

    • Author(s)
      Chiba Y, Iseki E, et al
    • Organizer
      Alzheimer's association International Conference
    • Place of Presentation
      Vancouver
    • Year and Date
      2012-07-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Three presenile dementia cases in which neuropsychological and neuroimaging examinations suggest progression to dementia with Lewy bodies2012

    • Author(s)
      Ota K, Iseki E, et al
    • Organizer
      Alzheimer's association International Conference
    • Place of Presentation
      Vancouver
    • Year and Date
      2012-07-19
    • Related Report
      2013 Final Research Report
  • [Presentation] レム睡眠行動障害を呈するレビー小体型認知症患者における18F-FDG PET scanの一次視覚野糖代謝低下の有無による臨床的相違について2011

    • Author(s)
      千葉悠平、井関栄三、他
    • Organizer
      第30回日本認知症学会
    • Place of Presentation
      東京
    • Year and Date
      2011-11-11
    • Related Report
      2013 Final Research Report
  • [Presentation] 認知症症状と妄想の発現契機に関する社会的要因―レビー小体型認知症とアルツハイマー型認知症における検討2011

    • Author(s)
      太田一実、井関栄三、他
    • Organizer
      第26回日本老年精神医学会
    • Place of Presentation
      東京
    • Year and Date
      2011-06-16
    • Related Report
      2013 Final Research Report
  • [Presentation] レビー小体型認知症脳における18F-FDG PETの糖代謝低下部位の神経病理学的検討2011

    • Author(s)
      笠貫浩史、井関栄三、他
    • Organizer
      第52回日本神経病理学会
    • Place of Presentation
      京都
    • Year and Date
      2011-06-03
    • Related Report
      2013 Final Research Report
  • [Presentation] レビー小体型認知症のアミロイドアンギオパチーに関する神経病理学的検討2011

    • Author(s)
      藤城弘樹、井関栄三
    • Organizer
      第52回日本神経病理学会
    • Place of Presentation
      京都テルサ(京都)
    • Related Report
      2011 Research-status Report
  • [Presentation] レビー小体型認知症脳における18F-FDG PETの糖代謝低下部位の神経病理学的検討2011

    • Author(s)
      笠貫浩史、井関栄三、他
    • Organizer
      第52回日本神経病理学会
    • Place of Presentation
      京都テルサ(京都)
    • Related Report
      2011 Research-status Report
  • [Presentation] 認知症症状と妄想の発現契機に関する社会的要因―レビー小体型認知症とアルツハイマー型認知症における検討2011

    • Author(s)
      太田一実、井関栄三、他
    • Organizer
      第26回日本老年精神医学会
    • Place of Presentation
      新宿京王プラザホテル(東京)
    • Related Report
      2011 Research-status Report
  • [Presentation] 18F-FDG PETの一次視覚野糖代謝低下は認知機能に関わらずレビー小体病を示唆している2011

    • Author(s)
      藤城弘樹、井関栄三、他
    • Organizer
      第30回日本認知症学会
    • Place of Presentation
      タワーホテル船堀(東京)
    • Related Report
      2011 Research-status Report
  • [Presentation] レム睡眠行動障害を呈するレビー小体型認知症患者における18F-FDG PET scanの一次視覚野糖代謝下の有無による臨床的相違について2011

    • Author(s)
      千葉悠平、井関栄三、他
    • Organizer
      第30回日本認知症学会
    • Place of Presentation
      タワーホテル船堀(東京)
    • Related Report
      2011 Research-status Report
  • [Presentation] シンポジウム―レビー小体型認知症の臨床病理学的概念と早期診断について2011

    • Author(s)
      藤城弘樹、井関栄三
    • Organizer
      第31回日本精神科診断学会
    • Place of Presentation
      信州大学医学部附属病院(松本)
    • Related Report
      2011 Research-status Report
  • [Presentation] Retrospective survey of prodromal symptoms in dementia with Lewy bodies: comparison with Alzheimer’s disease.

    • Author(s)
      Chiba Y, Iseki H, et al
    • Organizer
      Alzheimer’s association Internationa;l Conference
    • Place of Presentation
      Vancouver
    • Related Report
      2012 Research-status Report
  • [Presentation] Three presenile dementia cases in which neuropsychological and neuroimaging examinations suggest progression to dementia with Lewy bodies.

    • Author(s)
      Ota K, Iseki E, et al
    • Organizer
      Alzheimer’s association Internationa;l Conference
    • Place of Presentation
      Vancouver
    • Related Report
      2012 Research-status Report
  • [Presentation] Effectiveness of ramelteon for treatment of visual hallucinations in dementia with Lewy bodies.

    • Author(s)
      Kasanuki K, Iseki E, et al
    • Organizer
      15th Pacific Rim College of Psychiatrics Scientific Meeting
    • Place of Presentation
      Seoul
    • Related Report
      2012 Research-status Report
  • [Presentation] Examination of the simplified scoring method for the diagnosis of dementia with Lewy bodies byneuropsychological test.

    • Author(s)
      Sugiyama H, Iseki E, et al
    • Organizer
      15th Pacific Rim College of Psychiatrics Scientific Meeting
    • Place of Presentation
      Seoul
    • Related Report
      2012 Research-status Report
  • [Presentation] Effect of psychological intervention for visual hallucinations in patients with dementia with Lewy bodies.

    • Author(s)
      Ota K, Iseki E, et al
    • Organizer
      15th Pacific Rim College of Psychiatrics Scientific Meeting
    • Place of Presentation
      Seoul
    • Related Report
      2012 Research-status Report
  • [Presentation] 心理検査と画像検査の結果からDLBへの進行が示唆された初老期発症の3症例の検討

    • Author(s)
      太田一実、井関栄三,, 他
    • Organizer
      第27回日本老年精神医学会
    • Place of Presentation
      大宮
    • Related Report
      2012 Research-status Report
  • [Presentation] 神経心理検査によるレビー小体型認知症の簡易鑑別法の検討―MMSEの Ala scoreに注目して

    • Author(s)
      杉山秀樹、井関栄三, 他
    • Organizer
      第27回日本老年精神医学会
    • Place of Presentation
      大宮
    • Related Report
      2012 Research-status Report
  • [Presentation] 神経心理検査による認知症の早期発見②:診断基準を満たさないもののDLBが疑われた1例

    • Author(s)
      太田一実、井関栄三,, 他
    • Organizer
      第32回日本精神科診断学会
    • Place of Presentation
      沖縄
    • Related Report
      2012 Research-status Report
  • [Book] 現代精神医学辞典―レビー小体型認知症2011

    • Author(s)
      井関栄三(共著)
    • Total Pages
      1400
    • Publisher
      弘文社
    • Related Report
      2011 Research-status Report

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

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