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Distinguishing Alzheimer's disease and dementia with Lewy bodies using electrogastrography

Research Project

Project/Area Number 25461307
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionChiba University

Principal Investigator

Asahina Masato  千葉大学, 医学(系)研究科(研究院), 特任教授 (40301098)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2014: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2013: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Keywords認知症 / レビー小体型認知症 / アルツハイマー病 / 胃電図 / 自律神経 / 鑑別診断 / 鑑別 / レビー小体病 / MIBG心筋シンチグラフィ / 嗅覚
Outline of Final Research Achievements

The present study was undertaken to evaluate the ability of electrogastrogram (EGG) and other clinical tests to distinguish between DLB and AD. We performed electrogastrogram recording, MIBG myocardial scintigraphy, olfactory test (OSIT-J), head-up tilt test and heat rate variability measurement in 11 DLB and 17 AD patients and 20 healthy controls. Gastric myoelectrical activity was measured using a portable EGG recorder. The AD patients and controls showed 3 cycle /min of regular slow waves in EGG meanwhile the DLB patients presented irregular slow waves. The instability coefficient of the dominant frequency, an index of gastric slow wave irregularity, was significantly higher in the DLB patients than the AD patients and controls. From the aspect of differentiation between DLB and AD, EGG showed similar sensitivity and specificity to MIBG scintigraphy. Olfactory test and cardiovascular autonomic function tests were not useful to distinguish between DLB and AD.

Report

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

    (6 results)

All 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results)

  • [Journal Article] Myocardial (123)I-MIBG Uptake and Cardiovascular Autonomic Function in Parkinson's Disease.2015

    • Author(s)
      1.Katagiri A, Asahina M, Araki N, Poudel A, Fujinuma Y, Yamanaka Y, Kuwabara S
    • Journal Title

      Parkinson's disease

      Volume: 2015 Pages: 805351-805351

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] パーキンソン病の発汗障害・皮膚血流障害:Parkinson病の精神性発汗障害2015

    • Author(s)
      朝比奈正人
    • Journal Title

      自律神経

      Volume: 52 Pages: 352-359

    • Related Report
      2015 Annual Research Report
  • [Presentation] The measuring and diagnostic instruments for neurological symptoms of Parkinson disease: Cutaneous electrogastrogram for early and prodromal diagnosis of Parkinson's disease.2015

    • Author(s)
      Asahina M
    • Organizer
      The 9th International Conference on Complex Medical EngineeringX
    • Place of Presentation
      岡山コンベンションセンター(岡山県・岡山市)
    • Year and Date
      2015-06-16
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] The Clinical Practice in autonomic disorders; Clinical Autonomic Testing in Japan2015

    • Author(s)
      Asahina M
    • Organizer
      the First International Taiwanese Congress of Neurology
    • Place of Presentation
      Taipei International Convention Center (Taipei, Taiwan)
    • Year and Date
      2015-05-07
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 胃電図の解析法2014

    • Author(s)
      307.荒木信之、山中義崇、Anupama Poudel、藤沼好克、片桐明、桑原聡、朝比奈正人
    • Organizer
      第67回日本自律神経学会総会
    • Place of Presentation
      ラフレさいたま(埼玉県さいたま市)
    • Year and Date
      2014-10-30 – 2014-10-31
    • Related Report
      2014 Research-status Report
  • [Presentation] 認知症を伴うレビー小体病の胃電気活動2014

    • Author(s)
      300.荒木信之、山中義崇、藤沼好克、片桐明、Anupama Poudel、桑原聡、朝比奈正人
    • Organizer
      第55回日本神経学会
    • Place of Presentation
      福岡国際会議場(福岡県福岡市)
    • Year and Date
      2014-05-21 – 2014-05-24
    • Related Report
      2014 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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