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Development of transcranial electrical stimulation for intraoperative neuromonitoring

Research Project

Project/Area Number 26462248
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionWakayama Medical University

Principal Investigator

Nakagawa Yukihiro  和歌山県立医科大学, 医学部, 講師 (20372865)

Co-Investigator(Kenkyū-buntansha) 筒井 俊二  和歌山県立医科大学, 医学部, 講師 (70423960)
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: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2014: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywordsspinal cord monitoring / transcranial stimulation / motor evoked potential / multi train stimulation / spine surgery / transcranial / high frequency / multi-train / electrical stimulation / intraoperative / 脊椎脊髄手術 / 術中運動昨日モニタリング / 大脳刺激筋誘発電位 / 多連発刺激 / 安全性 / 術中運動機能モニタリング
Outline of Final Research Achievements

Weinvestigated the safety of highfrequency MTS, behaviorally and histologically. TcMEPs were recorded from the triceps surae muscle in 38 rats. A multipulse stimulus was delivered repeatedly at different rates (2, 5, 10, 20, and 50 Hz), and was defined as MTS. A conditioned taste aversion method was used to investigate the effect of high-frequency MTS on learning and memory function. Subsequently, animals were sacrificed, and the brains were removed and examined using the standard hematoxylin-eosin method. Compared with conventional single train stimulation, TcMEP amplitudes increased 1.3, 2.1, 1.9, and 2.0 times on average with 5, 10, 20, and 50 Hz stimulation, respectively. The aversion index was[0.8 in all animals after they received 100 high-frequency MTSs. Histologically, no pathological changes were evident in the rat brains. High-frequency MTS shows potential to effectively enhance TcMEP responses, and to be used safely in transcranial brain stimulation.

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 (5 results) (of which Peer Reviewed: 5 results) Presentation (11 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] Efficacy and safety of novel high-frequency multi-train stimulation for recording transcranial motor evoked potentials in a rat model2017

    • Author(s)
      Deguchi Tsuyoshi、Tsutsui Shunji、Iwahashi Hiroki、Nakagawa Yukihiro、Yoshida Munehito
    • Journal Title

      Journal of Clinical Monitoring and Computing

      Volume: 31 Issue: 5 Pages: 1053-1058

    • DOI

      10.1007/s10877-016-9930-9

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Basic Principles and Recent Trends of Transcranial Motor Evoked Potentials in Intraoperative Neurophysiologic Monitoring2016

    • Author(s)
      Tsutsui S, Yamada H.
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 56 Issue: 8 Pages: 451-456

    • DOI

      10.2176/nmc.ra.2015-0307

    • NAID

      130005169782

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Augmentation of motor evoked potentials using multi-train transcranial electrical stimulation in intraoperative neurophysiologic monitoring during spinal surgery.2015

    • Author(s)
      Tsutsui S, Iwasaki H , Yamada H, Hashizume H, Minamide A, Nakagawa Y, Nishi H, Yoshida M
    • Journal Title

      J Clin Monit Comput.

      Volume: 24 Issue: 1 Pages: 396-403

    • DOI

      10.1007/s10877-014-9565-7

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 頚椎症性脊髄症に対する内視鏡下除圧術(CMEL)2014

    • Author(s)
      中川幸洋、吉田宗人、山田宏、南出晃人、岩崎博、筒井俊二
    • Journal Title

      整形・災害外科

      Volume: 57 Pages: 253-258

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 頚椎疾患に対する内視鏡手術2014

    • Author(s)
      中川幸洋
    • Journal Title

      Monthly Book Orthopaedics

      Volume: 27 Pages: 227-236

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] Clinical results and utility of eXtreme lateral interbody fusion system for revision spine surgery2016

    • Author(s)
      Nakagawa Y, Yoshida M, yamadaH, Hashizume H, Minamide A, Iwasaki H, Tsutsui S, Takami M Nakao S
    • Organizer
      Society for Minimally Invasive Spine Surgery (SMISS) global forum2016
    • Place of Presentation
      Las Vegas, USA
    • Year and Date
      2016-10-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Microendoscopic surgery for cervical spondylotic amyotrophy2016

    • Author(s)
      Nakagawa Y, Yoshida M, yamadaH, Hashizume H, Minamide A, Iwasaki H, Tsutsui S, Takami M Nakao S
    • Organizer
      Society for Minimally Invasive Spine Surgery (SMISS) global forum2016
    • Place of Presentation
      Las Vegas, USA
    • Year and Date
      2016-10-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] アスリートに対する頸椎内視鏡手術2016

    • Author(s)
      中川幸洋 吉田宗人 山田 宏 橋爪 洋 南出晃人 岩崎 博 筒井俊二 高見正成 中尾慎一 西井佑介 井口智揮
    • Organizer
      第42回日本整形外科スポーツ医学会
    • Place of Presentation
      札幌
    • Year and Date
      2016-09-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 頸椎症性筋萎縮症に対する後方内視鏡下除圧術の成績2016

    • Author(s)
      中川幸洋、吉田宗人、山田宏、橋爪洋、南出晃人、岩崎博、筒井俊二、高見正成、
    • Organizer
      第45回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      幕張
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] 脊椎Revision surgery におけるXLIF(eXtreme Lateral Interbody Fusion)の成績と有用性2016

    • Author(s)
      中川幸洋、吉田宗人、山田宏、橋爪洋、南出晃人、岩崎博、筒井俊二、高見正成、
    • Organizer
      第45回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      幕張
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] 内視鏡手術のEBMの検証; MEDシステムを用いた脊椎変性疾患に対する除圧手術についての現状と未来2015

    • Author(s)
      1.中川幸洋 吉田宗人 山田宏 橋爪洋 南出晃人 西秀人 岩崎博 筒井俊二 中尾慎一 岡田紗枝 岩橋弘樹
    • Organizer
      第88回日本整形外科学会学術総会
    • Place of Presentation
      神戸市
    • Year and Date
      2015-05-21
    • Related Report
      2015 Research-status Report
  • [Presentation] 脊椎内視鏡手術における合併症と対策2015

    • Author(s)
      2.中川幸洋、吉田宗人、山田宏、橋爪洋、南出晃人、西秀人、岩崎博、筒井俊二、中尾慎一、岡田紗枝、岩橋弘樹
    • Organizer
      第44回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2015-04-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Revision surgery としてのXLIF(eXtreme Lateral Interbody Fusion)の適応と実際2015

    • Author(s)
      3.中川幸洋、吉田宗人、山田宏、橋爪洋、南出晃人、西秀人、岩崎博、筒井俊二、中尾慎一、岡田紗枝、岩橋弘樹
    • Organizer
      第44回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2015-04-16
    • Related Report
      2015 Research-status Report
  • [Presentation] 経頭蓋電気刺激複合筋活動電位を用いた術中運動機能モニタリングにおける多連発刺激の有用性‐電位振幅の安定性に着目して‐2015

    • Author(s)
      4.筒井俊二、山田宏、橋爪洋、南出晃人、中川幸洋、西秀人、岩﨑博、中尾慎一、岡田紗枝、岩橋弘樹、吉田宗人
    • Organizer
      第44回日本脊椎脊髄病学会学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2015-04-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Perioperative complications associated with cervical microendoscopic foraminotomy (CMEF) and its solution.2014

    • Author(s)
      Nakagawa Y, Yoshida M, Yamada H, Hashizume H, Minamide A, Nishi H, Iwasaki H, Tsutsui S
    • Organizer
      Society for Minimally Invasive Spine Surgery(SMISS)
    • Place of Presentation
      Miami, Florida, USA
    • Year and Date
      2014-09-19 – 2014-09-21
    • Related Report
      2014 Research-status Report
  • [Presentation] Improvement of motor evoked potential responses of novel transcranial electrical stimulation technique in intraoperative neurophysiologic monitoring during spinal edeformity surgery: Multi-train stimulation2014

    • Author(s)
      Tsutsui S, Iwasaki H, Yamada H, Hashizume H, Minamide A, Nakagawa Y, Nishi H, Yoshida M
    • Organizer
      Scoliosis Research Society
    • Place of Presentation
      Anchorage, Alaska, USA,
    • Year and Date
      2014-09-10 – 2014-09-13
    • Related Report
      2014 Research-status Report
  • [Book] 「整形外科Surgical Technique」: 腰部脊柱管狭窄症・変性すべり症に対する内視鏡下除圧術2014

    • Author(s)
      中川幸洋
    • Total Pages
      11
    • Publisher
      メディカ出版
    • Related Report
      2014 Research-status Report

URL: 

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

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