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Prediction and prevention of cardiovascular events and no-reflow phenomenon during PCI by cardiac MR

Research Project

Project/Area Number 26461080
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionOsaka City University

Principal Investigator

Ehara Shoichi  大阪市立大学, 大学院医学研究科, 講師 (90382150)

Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords核磁気共鳴画像 / 光干渉断層像 / 急性冠症候群 / 狭心症 / 不安定プラーク / 血栓 / 経皮的冠動脈形成術 / 慢性完全閉塞
Outline of Final Research Achievements

Over the past several decades, significant progress has been made in the pathohistological assessment of vulnerable plaques and in invasive intravascular imaging techniques. However, the assessment of plaque morphology by invasive modalities is of limited value for the detection of subclinical coronary atherosclerosis and the subsequent prediction or prevention of acute cardiovascular events. Following the introduction of noncontrast T1-weighted imaging (T1WI) on magnetic resonance (MR), some investigators have reported that coronary artery high-intensity signals (HISs) on T1WI are associated with vulnerable plaque morphology and an increased risk of future cardiac events. We showed that the presence of HISs on T1WI was a novel independent predictor of the no-reflow phenomenon during percutaneous coronary intervention (PCI) in angina patients, and that thrombus-related HIS at the target lesions was identified as an independent predictor of major adverse cardiovascular events after PCI.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (17 results)

All 2017 2016 2015 2014

All Journal Article (14 results) (of which Peer Reviewed: 14 results,  Open Access: 6 results,  Acknowledgement Compliant: 3 results) Presentation (3 results)

  • [Journal Article] Cholesterol crystal as a new feature of coronary vulnerable plaques: An optical coherence tomography study.2017

    • Author(s)
      Nishimura S, Ehara S, Hasegawa T, Matsumoto K, Yoshikawa J, Shimada K.
    • Journal Title

      J Cardiol

      Volume: 69 Issue: 1 Pages: 253-259

    • DOI

      10.1016/j.jjcc.2016.04.003

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Coronary plaque rupture with subsequent thrombosis typifies the culprit lesion of non-ST-segment-elevation myocardial infarction, not unstable angina: non-ST-segment-elevation acute coronary syndrome study.2017

    • Author(s)
      Sakaguchi M, Ehara S, Hasegawa T, Matsumoto K, Nishimura S, Yoshikawa J, Shimada K.
    • Journal Title

      Heart Vessels

      Volume: 32 Issue: 3 Pages: 241-251

    • DOI

      10.1007/s00380-016-0862-6

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The signal intensity of coronary culprit lesions on T1-weighted magnetic resonance imaging is directly correlated with the accumulation of vulnerable morphologies.2017

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Nishimura S, Shimada K
    • Journal Title

      Int J Cardiol

      Volume: 231 Pages: 284-286

    • DOI

      10.1016/j.ijcard.2016.12.028

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between duration of coronary occlusion and high-intensity signal on T1-weighted magnetic resonance imaging among patients with angiographic total occlusion.2017

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Sakaguchi M, Shimada K
    • Journal Title

      Eur Radiol

      Volume: 27 Issue: 9 Pages: 3896-3903

    • DOI

      10.1007/s00330-016-4672-0

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The signal intensity of coronary culprit lesions on T1-weighted magnetic resonance imaging is directly correlated with the accumulation of vulnerable morphologies2017

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Nishimura S, Shimada K.
    • Journal Title

      Int J Cardiol

      Volume: 231 Pages: 284-286

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Characteristic patterns of the longitudinal and circumferential distribution of calcium deposits by parent coronary arteries observed from computed tomography angiography2016

    • Author(s)
      Ehara S, Matsumoto K, Hasegawa T, Otsuka K, Sakaguchi M, Shimada K, Yoshikawa J, Yoshiyama M.
    • Journal Title

      Heart Vessels

      Volume: 31 Issue: 4 Pages: 508-518

    • DOI

      10.1007/s00380-015-0652-6

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prediction of the filter no-reflow phenomenon in patients with angina pectoris by using multimodality: Magnetic resonance imaging, optical coherence tomography, and serum biomarkers2016

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Otsuka K, Yoshikawa J, Shimada K.
    • Journal Title

      J Cardiol

      Volume: 67 Issue: 5 Pages: 430-436

    • DOI

      10.1016/j.jjcc.2015.06.015

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] New insights into spotty calcification and plaque rupture in acute coronary syndrome: an optical coherence tomography study2016

    • Author(s)
      Sakaguchi M, Hasegawa T, Ehara S, Matsumoto K, Mizutani K, Iguchi T, Ishii H, Nakagawa M, Shimada K, Yoshiyama M.
    • Journal Title

      Heart Vessels

      Volume: 31 Pages: 1915-1922

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Clinical Value of High-Intensity Signals on the Coronary Atherosclerotic Plaques: Noncontrast T1-Weighted Magnetic Resonance Imaging2016

    • Author(s)
      Ehara S, Matsumoto K, Shimada K.
    • Journal Title

      Int J Mol Sci

      Volume: 17 Issue: 7 Pages: 1187-1187

    • DOI

      10.3390/ijms17071187

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Characteristic patterns of the longitudinal and circumferential distribution of calcium deposits by parent coronary arteries observed from computed tomography angiography.2016

    • Author(s)
      Ehara S, Matsumoto K, Hasegawa T, Otsuka K, Sakaguchi M, Shimada K, Yoshikawa J, Yoshiyama M
    • Journal Title

      Heart Vessels

      Volume: 31 Pages: 508-518

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Localization of Coronary High-Intensity Signals on T1-Weighted MR Imaging: Relation to Plaque Morphology and Clinical Severity of Angina Pectoris.2015

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Sakaguchi M, Otsuka K, Yoshikawa J, Shimada K
    • Journal Title

      JACC Cardiovasc Imaging

      Volume: 8 Issue: 10 Pages: 1143-1152

    • DOI

      10.1016/j.jcmg.2015.06.013

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Serum n-3 to n-6 polyunsaturated fatty acids ratio correlates with coronary plaque vulnerability: an optical coherence tomography study2014

    • Author(s)
      Hasegawa T, Otsuka K, Iguchi T, Matsumoto K, Ehara S, Nakata S, Nishimura S, Kataoka T, Shimada K, Yoshiyama M
    • Journal Title

      Heart Vessels

      Volume: 29 Issue: 5 Pages: 596-602

    • DOI

      10.1007/s00380-013-0404-4

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] The strain pattern, and not Sokolow-Lyon electrocardiographic voltage criteria, is independently associated with anatomic left ventricular hypertrophy2014

    • Author(s)
      Ehara S, Hasegawa T, Matsumoto K, OtsukaY, Yamazaki T, Iguchi T, Izumi Y, Shimada K, Yoshiyama M
    • Journal Title

      Heart Vessels

      Volume: 29 Issue: 5 Pages: 638-644

    • DOI

      10.1007/s00380-013-0408-0

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Chronic active Epstein-Barr virus infection complicated with multiple artery aneurysms2014

    • Author(s)
      Nishimura S, Ehara S, Hanatani A, Yoshiyama M
    • Journal Title

      Eur Heart J Cardiovsc Imaging

      Volume: 15 Issue: 11 Pages: 1255-1255

    • DOI

      10.1093/ehjci/jeu119

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] 非造影T1強調black-blood MRIを用いた冠動脈高信号プラークは何を表すのか?2016

    • Author(s)
      江原省一、松本健嗣、島田健永
    • Organizer
      第64回日本心臓病学会
    • Place of Presentation
      東京国際フォーラム (東京都)
    • Year and Date
      2016-09-23
    • Related Report
      2016 Research-status Report
  • [Presentation] Higher Signal Intensity of Coronary Plaque on T1-Weighted Magnetic Resonance Imaging Predicts Vulnerable Morphologies on Optical Coherence Tomography2016

    • Author(s)
      Matsumoto K, Ehara S, Hasegawa T, Sakaguchi M, Nishimura S, Yoshikawa J, Shimada K
    • Organizer
      第80回日本循環器学会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 非造影T1強調 black blood MR imagingにおける冠動脈高信号にせまる2014

    • Author(s)
      江原省一、松本健嗣、長谷川隆生、島田健永、葭山稔
    • Organizer
      第62回日本心臓病学会
    • Place of Presentation
      仙台国際センター (宮城県・仙台市)
    • Year and Date
      2014-09-26 – 2014-09-28
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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