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Evaluation of Insulin Independence using 11C -Methionine Positron Emission Tomography after Living-donor and Brain-dead Donor Pancreas Transplantation

Research Project

Project/Area Number 24591806
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionClinical research Center, Chiba-East National Hospital, National Hospital Organization

Principal Investigator

otuki kazunori  独立行政法人国立病院機構(千葉東病院臨床研究部), その他部局等, 研究員 (50399755)

Co-Investigator(Kenkyū-buntansha) AKUTSU naotake (ITO taihei / KENMOCHI takashi / MARUTAMA michihiro)  千葉東病院臨床研究センター, 移植医療再生部長 (00344979)
丸山 通広  独立行政法人国立病院機構(千葉東病院臨床研究部), その他部局等, 研究員 (40399754)
剣持 敬  藤田保健衛生大学, 医学部, 教授 (50215133)
伊藤 泰平  藤田保健衛生大学, 医学部, 准教授 (60509701)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywordspet / PET / 移植・再生医療 / 膵臓移植 / 核医学 / PET / 膵臓再生 / Computed Tomography / ドナー / メチオニン
Outline of Final Research Achievements

The objective of this study was to evaluate the post-operative insulin independence in 10 living donor (LD) and 10 brain-dead donor (BD) pancreas transplantations for 20 patients with type I diabetes mellitus by using 11C-methionine PET. Patient survivals were 100% at 5 years for LD transplants and at 2 years for BD transplants. The SUVs of LD and BD pancreas transplants with insulin independence were 7.2 ± 1.8 and 10.4 ± 2.3, respectively. The SUVs of LD pancreas transplants with insulin dependence and BD pancreas transplants with graft failure were 3.6 ± 1.1 and 2.9 ± 1.0, respectively. At 5 years after transplantation, for the LD transplants, the insulin-independent rate was 100% for the graft recipients with an SUV higher than 5, and the median insulin independence duration of the graft recipients with an SUV lower than 5 was 7 month (p < 0.01). The 11C-methionine PET may be a potent modality to predict long-term insulin independence and the avoidance of pancreas graft failure.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (12 results)

All 2015 2014 2013

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (10 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Three-dimensional computed tomographic volumetric changes in pancreas before and after living donor surgery for pancreas transplantation2014

    • Author(s)
      Otsuki K
    • Journal Title

      Transplant Proc

      Volume: 46 Issue: 3 Pages: 963-6

    • DOI

      10.1016/j.transproceed.2013.09.046

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluation of Insulin Independence Using (11)C-Methionine Positron Emission Tomography After Living-donor and Brain-dead Donor Pancreas Transplantation2014

    • Author(s)
      Otsuki K
    • Journal Title

      Transplant Proc

      Volume: 46 Issue: 6 Pages: 1913-6

    • DOI

      10.1016/j.transproceed.2014.05.069

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] Evaluation of live Donor pancreas and Graft pancreas Function Using 11C-Methionine Positron Emission Tomography in Pancreas Transplantation2015

    • Author(s)
      K.Otsuki
    • Organizer
      2015 IPITA・IXA・CTS JOINT CONGRESS
    • Place of Presentation
      Melbourne
    • Year and Date
      2015-11-15
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 11C-methionine PET/CTを用いた生体・脳死膵臓移植後の膵グラフト機能の予後予測2015

    • Author(s)
      大月和宣
    • Organizer
      第58回 日本糖尿病学会年次学術集会
    • Place of Presentation
      下関
    • Year and Date
      2015-05-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] Evaluation of Pancreatic Graft Function Using 11C-Methionine Positron Emission Tomography in Pancreas Transplantation2014

    • Author(s)
      K.Otsuki
    • Organizer
      2014 World Transplantation Congress
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2014-07-26 – 2014-07-31
    • Related Report
      2014 Research-status Report
  • [Presentation] 生体膵ドナー手術前後での残膵3D-CT volumetryおよび糖代謝機能評価2014

    • Author(s)
      大月和宣
    • Organizer
      第26回日本肝胆膵外科学会学術集会
    • Place of Presentation
      和歌山
    • Year and Date
      2014-06-11 – 2014-06-13
    • Related Report
      2014 Research-status Report
  • [Presentation] 11C-methionine PET/CTを用いたグラフト膵機能の長期予後予測2014

    • Author(s)
      大月和宣
    • Organizer
      第41回日本膵・膵島移植研究会
    • Place of Presentation
      ミッドランドホール
    • Related Report
      2013 Research-status Report
  • [Presentation] 脳死膵移植と生体膵移植による11C-methionine PET/CTを用いたグラフト膵機能発現におよぼす影響の比較2013

    • Author(s)
      大月和宣
    • Organizer
      第25回 日本肝胆膵外科学会
    • Place of Presentation
      ホテル東日本宇都宮
    • Related Report
      2013 Research-status Report
  • [Presentation] 3D-CT volumetric changes of reserved pancreas before and after living donor surgery for pancreas transplantation: volume effect on the glycemic controls2013

    • Author(s)
      K.Otsuki
    • Organizer
      Kyoto International Conference, Japan
    • Place of Presentation
      Kyoto International Conference, Japan
    • Related Report
      2013 Research-status Report
  • [Presentation] Preoperative pancreas volume and function using 11C-methionine PET/CT in the living donor for pancreas transplantation: comparison of the graft and the residual pancreas2013

    • Author(s)
      K.Otsuki
    • Organizer
      Kyoto International Conference, Japan
    • Place of Presentation
      Kyoto International Conference, Japan
    • Related Report
      2013 Research-status Report
  • [Presentation] Evaluation of pancreatic graft survival using 11C-Methionine Positron Emission Tomography after living donor and cadaveric donor pancreas transplantation2013

    • Author(s)
      K.Otsuki
    • Organizer
      14Th World Congress of the International Pancreas and Islet Transplant Association
    • Place of Presentation
      Monterey Plaza Hotel, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 11C-methionine PET/CTを用いた脳死膵移植と生体膵移植によるグラフト膵機能発現におよぼす影響の比較2013

    • Author(s)
      大月和宣 圷 尚武 西郷健一 長谷川正行 青山博道 松本育子 浅野武秀 剣持 敬 丸山通広 伊藤泰平 松原久裕 吉川京燦 内野福生
    • Organizer
      第40回日本膵・膵島移植研究会
    • Place of Presentation
      サンポートホール高松
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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