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Diagnosis of pulmonary hypertension by the small vessel analysis using CT scans.

Research Project

Project/Area Number 25670401
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Respiratory organ internal medicine
Research InstitutionKeio University

Principal Investigator

Tsujimura Shuko  慶應義塾大学, 医学部(信濃町), 共同研究員 (70528174)

Co-Investigator(Kenkyū-buntansha) 原口 水葉  慶應義塾大学, 医学部(信濃町), 助教 (80571140)
佐々木 衛  慶應義塾大学, 医学部(信濃町), 助教 (90573311)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
KeywordsCT / COPD / 微小血管 / 気腫 / CSA<5 / micro CT / %CSA<5 / LAA% / 逆相関 / CT解析 / 肺気腫 / 肺内分布 / CT画像 / 微小血管解析 / 喫煙暴露 / microCT / 肺高血圧 / CT画像解析 / 肺微小血管体積 / マイクロCT
Outline of Final Research Achievements

The purpose of this study is to clarify the distribution of emphysema (low attenuation area: LAA) and that of small pulmonary vessels less than 5 mm2 (cross-sectional area: CSA<5) on the quantitative CT analyses in individual COPD patients. We proposed the method to create a histogram of LAA% and %CSA<5 on all CT images. The resultant data show that patients with COPD had various distribution patterns of %CSA<5. The half of COPD patients had the negative correlation and the rest had no correlation between LAA% and %CSA<5.
The cigarette smoke (CS) induced emphysema mice were analyzed longitudinal morphological changes in lungs by micro CT. Emphysema was also assessed histologically. The mean linear intercept value was significantly increased in CS exposed mice compared with control at 3 and 5 months. CS exposure mice did not have increased low attenuation area, however they had rather higher average lung CT values.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (7 results)

All 2017 2016 2015 2013

All Presentation (7 results) (of which Invited: 2 results)

  • [Presentation] ヒストグラムを用いた全肺野の気腫と微小血管の分布の検討2017

    • Author(s)
      真下(辻村) 周子
    • Organizer
      第57回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2017-04-21
    • Related Report
      2016 Annual Research Report
  • [Presentation] COPD患者のCTを用いた肺内気腫病変と微小血管分布の検討2016

    • Author(s)
      真下(辻村)周子
    • Organizer
      第56回日本呼吸器学会学術講演会
    • Place of Presentation
      国立京都国際会館(京都府京都市)
    • Year and Date
      2016-04-08
    • Related Report
      2015 Research-status Report
  • [Presentation] CT多方向再構成画像を用いたCOPD患者の肺微小血管の定量解析2015

    • Author(s)
      真下(辻村)周子
    • Organizer
      日本呼吸器学会
    • Place of Presentation
      東京国際フォーラム(東京)
    • Year and Date
      2015-04-17 – 2015-04-19
    • Related Report
      2014 Research-status Report
  • [Presentation] CT画像を用いた微小血管解析によるCOPD患者での肺高血圧の診断2013

    • Author(s)
      辻村周子
    • Organizer
      日本呼吸器学会
    • Place of Presentation
      東京国際フォ-ラム(東京)
    • Related Report
      2013 Research-status Report
  • [Presentation] CT derived small vessel metrics correlate with pulmonary hemodynamics and exercise capacity in subjects with severe COPD2013

    • Author(s)
      Shuko Tsujimura
    • Organizer
      American Thoracic Society 2013 International conference
    • Place of Presentation
      フィラデルフィア(アメリカ合衆国)
    • Related Report
      2013 Research-status Report
  • [Presentation] Evaluation of pulmonary hypertension using CT images on the patients with COPD2013

    • Author(s)
      真下(辻村)周子
    • Organizer
      日本肺高血圧学会
    • Place of Presentation
      慶応義塾大学日吉キャンパス(神奈川)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] CT画像を用いたCOPD患者の肺高血圧の診断2013

    • Author(s)
      真下(辻村)周子
    • Organizer
      新宿閉塞性肺疾患研究会
    • Place of Presentation
      明治記念館(東京)
    • Related Report
      2013 Research-status Report
    • Invited

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

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