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Development of a supporting technology for bypass surgery for complex intracranial aneurysms using a blood flow simulator

Research Project

Project/Area Number 24592150
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cerebral neurosurgery
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

KATAOKA HIROHARU  独立行政法人国立循環器病研究センター, 病院, 医長 (40359815)

Co-Investigator(Kenkyū-buntansha) YAGI Takanobu  早稲田大学, 理工学術院, 講師 (00468852)
NAKAMURA Masanori  埼玉大学, 理工学研究科, 准教授 (20448046)
SAITO Kozue  独立行政法人国立循環器病研究センター, 病院, 医師 (80398429)
UMEZU Mitsuo  早稲田大学, 理工学術院, 教授 (90132927)
IIHARA Koji  九州大学, 医学(系)研究科(研究院), 教授 (90270727)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords脳動脈瘤 / PC-MRI / 数値流体解析 / CFD / バイパス術
Outline of Final Research Achievements

This study aimed at the prediction of cerebral hemodynamics after revascularization surgery for complex intracranial aneurysms by using phase contrast magnetic resonance imaging (PC-MRI) and computational fluid dynamics (CFD), thus developing a treatment support tool leading to the improvement of operative outcomes. First, we optimezed acquisition parameters of PC-MRI using a silicone model and normal volunteers, and then measured pre and post-operative blood flow in cerebral arteies of patients with an intracranial aneurysm undergoing a revascularzation surgery using optimezed parameters. Blood flow, vessel diameters and wall shear stress (WSS)dynamically changed immediate after surgery, and WSS tended to retrun to the preoperative value after three months. These results revealed one of the rules determinating hemodynamics after revascularization surgery for complex intracranial aneurysms.

Report

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

    (28 results)

All 2015 2014 2013 2012

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Open Access: 2 results) Presentation (17 results) (of which Invited: 4 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Molecular Mechanisms of the Formation and Progression of Intracranial Aneurysms2015

    • Author(s)
      Kataoka H
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 55 Issue: 3 Pages: 214-229

    • DOI

      10.2176/nmc.ra.2014-0337

    • NAID

      130004725005

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 脳血管バイパス術前後の血行動態の適応に関する検討2015

    • Author(s)
      髙村兼司,八木高伸,渡邊幹彦,片岡大治,山本明秀,井口智史,飯田秀博,沼田尚己,中村匡徳,梅津光生
    • Journal Title

      第27回バイオエンジニアリング講演会

      Volume: 14 Pages: 325-326

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Exacerbation of intracranial aneurysm and aortic dissection in hypertensive rat treated with the prostaglandin F-receptor antagonist AS604872.2014

    • Author(s)
      Fukuda M, Aoki T, Manabe T, Maekawa A, Shirakawa T, Kataoka H, Takagi Y, Miyamoto S, Narumiya S.
    • Journal Title

      J Pharmacol Sci.

      Volume: 126 Pages: 230-242

    • NAID

      130004700281

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 穿通枝温存の観点からみた脳動脈瘤クリッピング術の手術手技2014

    • Author(s)
      片岡大治,森田健一,丸山大輔,石井大造,小林紀方,森久恵,佐藤徹,飯原弘二.
    • Journal Title

      脳卒中の外科

      Volume: 42 Pages: 157-163

    • NAID

      130004678586

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 脳動脈瘤の発生要因・自然歴・スタチンの可能性2014

    • Author(s)
      片岡大治
    • Journal Title

      脳神経外科ジャーナル

      Volume: 23 Pages: 702-709

    • NAID

      130004692080

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hybrid Operating Room for the Treatment of Complex Neurovascular and Brachiocephalic Lesions.2013

    • Author(s)
      Iihara K, Satow T, Matsushige T, Kataoka H, Nakajima N, Fukuda K, Isozaki M, Maruyama D, Nakae T, Hashimoto N.
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 22 Issue: 8 Pages: e277-e285

    • DOI

      10.1016/j.jstrokecerebrovasdis.2012.07.014

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Tasuki clipping combined with high flow bypass for ruptured, previously coiled, partially thrombosed giant aneurysm at the carotid bifurcation.2013

    • Author(s)
      Iihara K, Maruyama D, Fukuda K, Nakajima N, Kataoka H
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 53 Pages: 185-189

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Subarachnoid hemorrhage from intracranial aneurysms during pregnancy and the puerperium.2013

    • Author(s)
      Kataoka H, Miyoshi T, Neki R, Yoshimatsu J, Ishibashi-Ueda H, Iihara K
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 53 Pages: 549-554

    • NAID

      10031178564

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Computational fluid dynamics of blood flow in coil-embolized aneurysms: effect of packing density on flow stagnation in an idealized geometry.2013

    • Author(s)
      Otani T, Nakamura M, Fujinaka T, Hirata M, Kuroda J, Shibano K, Wada S
    • Journal Title

      Medical & Biological Engineering & Computing

      Volume: in press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Regression of Intracranial Aneurysms by Simultaneous Inhibition of Nuclear Factor-κB and Ets With Chimeric Decoy Oligodeoxynucleotide Treatment2012

    • Author(s)
      Aoki T, Kataoka H, Nishimura M, Ishibashi R, Morishita R, Miyamoto S
    • Journal Title

      Neurosurgery

      Volume: 70 Issue: 6 Pages: 1534-1543

    • DOI

      10.1227/neu.0b013e318246a390

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Phase Contrast MRIを用いた脳動脈瘤に対するバイパス併用術前後の血行動態の評価2015

    • Author(s)
      片岡大治
    • Organizer
      第44回日本脳卒中の外科学会総会
    • Place of Presentation
      広島
    • Year and Date
      2015-03-26 – 2015-03-29
    • Related Report
      2014 Annual Research Report
  • [Presentation] PC-MRIを用いたflow alteration treatment術前・術後の血行動態の評価2014

    • Author(s)
      片岡大治
    • Organizer
      第26回日本脳循環代謝学会総会
    • Place of Presentation
      岡山
    • Year and Date
      2014-11-21 – 2014-11-22
    • Related Report
      2014 Annual Research Report
  • [Presentation] Proposed scheme for predicting blood flow distributions after bypass-grafting of a giant intracranial aneurysm2014

    • Author(s)
      Nakamura M
    • Organizer
      omputer Methods in Biomechanics and Biomedical Engineering 2014
    • Place of Presentation
      Amsterdam
    • Year and Date
      2014-10-13 – 2014-10-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] 大型・巨大内頚動脈瘤の治療戦略と成績2014

    • Author(s)
      片岡大治
    • Organizer
      第73回日本脳神経外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2014-10-09 – 2014-10-11
    • Related Report
      2014 Annual Research Report
  • [Presentation] 穿通枝の外科解剖 -ICG videoangiographyと神経内視鏡の有用性-2014

    • Author(s)
      片岡大治
    • Organizer
      第34回日本脳神経外科コングレス総会
    • Place of Presentation
      大阪
    • Year and Date
      2014-05-16 – 2014-05-18
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] PC-MRIを用いたflow alteration treatment術前・術後の血行動態の評価2014

    • Author(s)
      片岡大治
    • Organizer
      第43回日本脳卒中の外科学会総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] 治療困難な内頸動脈瘤に対するflow alteration treatmentの手術手技と治療成績2014

    • Author(s)
      片岡大治
    • Organizer
      第43回日本脳卒中の外科学会総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] 巨大脳動脈瘤に対する血管バイパス手術後の血流分布予測のための境界条件の検討2014

    • Author(s)
      佐藤洸太
    • Organizer
      関東学生会第53回学生員卒業研究発表講演会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 脳血管バイパス術における術前・術後の血行動態に関する検討2014

    • Author(s)
      高村兼司
    • Organizer
      第26回バイオエンジニアリング講演会
    • Place of Presentation
      仙台
    • Related Report
      2013 Research-status Report
  • [Presentation] 脳動脈瘤の発生要因・発生要因・スタチンの可能性2013

    • Author(s)
      片岡大治
    • Organizer
      第33回日本脳神経外科コングレス総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] ICA blood blister-like aneurysmの治療戦略2013

    • Author(s)
      片岡大治
    • Organizer
      第72回日本脳神経外科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] 穿通枝温存の観点から見た脳動脈瘤クリッピング術の手術手技と成績2013

    • Author(s)
      片岡大治
    • Organizer
      第42回日本脳卒中の外科学会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Presentation] The usefulness of ICG videoangiography in aneurysm surgery.2012

    • Author(s)
      Hiroharu Kataoka
    • Organizer
      11th Japanese & Korean Friendship Conference on Surgery for Cerebral Stroke
    • Place of Presentation
      Seoul
    • Related Report
      2012 Research-status Report
  • [Presentation] ICG videoangiographyを併用した脳動脈瘤クリッピング術2012

    • Author(s)
      片岡大治
    • Organizer
      第41回日本脳卒中の外科学会
    • Place of Presentation
      福岡
    • Related Report
      2012 Research-status Report
  • [Presentation] 未破裂脳動脈瘤の破裂のメカニズムと破裂予防2012

    • Author(s)
      片岡大治
    • Organizer
      第32回日本脳神経外科コングレス総会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] ICA large or giant aneurysmの治療戦略2012

    • Author(s)
      片岡大治
    • Organizer
      第71回日本脳神経外科学会総会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
  • [Presentation] 医療支援に向けた血流シミュレーション2012

    • Author(s)
      中村匡徳
    • Organizer
      旭川医科大学第2回教育研究推進センター講演会
    • Place of Presentation
      旭川
    • Related Report
      2012 Research-status Report
    • Invited
  • [Patent(Industrial Property Rights)] 血管手術後の血流配分を予測する方法及び予測プログラム2013

    • Inventor(s)
      中村匡徳
    • Industrial Property Rights Holder
      埼玉大学
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2013-170839
    • Filing Date
      2013-08-20
    • Related Report
      2013 Research-status Report

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

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