2019 Fiscal Year Annual Research Report
内耳老廃物排泄機構に着目した新機軸脳神経臨床画像診断の確立
Project/Area Number |
17H04259
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Research Institution | Nagoya University |
Principal Investigator |
長縄 慎二 名古屋大学, 医学系研究科, 教授 (50242863)
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Co-Investigator(Kenkyū-buntansha) |
渡辺 宏久 藤田医科大学, 医学部, 教授 (10378177)
曽根 三千彦 名古屋大学, 医学系研究科, 教授 (30273238)
田岡 俊昭 名古屋大学, 医学系研究科, 特任教授 (30305734)
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Project Period (FY) |
2017-04-01 – 2020-03-31
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Keywords | 血液脳関門 / ガドリニウム造影剤 / 磁気共鳴画像 / 血液迷路関門 |
Outline of Annual Research Achievements |
今回の研究課題の目的である内耳老廃物排泄機構および脳老廃物排泄機構Glymphatic systemの解析を進めるために、我々が開発した液体中の極微量のガドリニウム造影剤への感度をさらに高めるための新規パルスシーケンスの臨床応用をさらに進めた。繰り返し時間の延長と反転時間の最適化、フリップアングルの増加などにより、従来よりも半分の時間で、同等のコントラストノイズ比を達成するimproved-HYDROPS(i-HYDROPS)法とi-HYDROPSの技術を応用し、さらに造影後のParadoxycal signal decreaseを防ぐための3D-real IR法を用いて、臨床例で迷路リンパ液の造影効果を検討し症例を蓄積した。 それらで症例を重ねるうちに、ガドリニウム造影剤静注後4時間にて、皮質静脈から脳脊髄液へのガドリニウム造影剤の漏れがLabbe静脈周囲や頭頂部皮質静脈周囲に頻回にみられること、そしてその漏れの程度は、年齢に相関することを見出した。初期報告で37歳を境に、若年者ではまったく漏れが見られないと報告したが、症例を重ねるうちに例外もみられたので多数例を蓄積した時点で、ROC解析を行ってカットオフ値として37.3歳が適切であることを論文発表した(Magn Reson Med Sci. 2020 Feb 6. doi: 10.2463/mrms.mp.2019-0182. )。 加齢現象の客観的な評価につながる画期的な結果として注目されている。さらにGlymphatic systemの評価のためにT1, T2などの磁気共鳴画像パラメーターを高速に定量するMR fingerprinting技術の測定精度や安定性の検証を進めるとともに、臨床データの収集をすすめ国内外の学会で発表するとともに英文論文化した(Magn Reson Med Sci, in press)。
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Research Progress Status |
令和元年度が最終年度であるため、記入しない。
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Strategy for Future Research Activity |
令和元年度が最終年度であるため、記入しない。
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Research Products
(66 results)
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[Journal Article] Assessing the Risk of Intracranial Aneurysm Rupture Using Morphological and Hemodynamic Biomarkers Evaluated from Magnetic Resonance Fluid Dynamics and Computational Fluid Dynamics.2020
Author(s)
Roshani Perera, Haruo Isoda, Kenta Ishiguro, Takashi Mizuno, Yasuo Takehara, Masaki Terada, Chiharu Tanoi, Takehiro Naito, Harumi Sakahara, Hisaya Hiramatsu, Hiroki Namba, Takashi Izumi, Toshihiko Wakabayashi, Takafumi Kosugi, Yuki Onishi, Marcus Alley, Yoshiaki Komori, Mitsuru Ikeda, Shinji Naganawa
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Journal Title
Magn Reson Med Sci.
Volume: -
Pages: -
DOI
Peer Reviewed / Open Access
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[Journal Article] Optimal Plane Selection for Measuring Post-prandial Blood Flow Increase within the Superior Mesenteric Artery: Analysis Using 4D Flow and Computational Fluid Dynamics.2020
Author(s)
Masataka Sugiyama, Yasuo Takehara, Masanori Kawate, Naoki Ooishi, Masaki Terada, Haruo Isoda, Harumi Sakahara, Shinji Naganawa, Kevin M. Johnson, Oliver Wieben, Tetsuya Wakayama, Atsushi Nozaki, Hiroyuki Kabasawa
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Journal Title
Magn Reson Med Sci.
Volume: -
Pages: -
DOI
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[Journal Article] Efficacy and safety of accelerated fractionated radiotherapy without elective nodal irradiation for T3N0 glottic cancer without vocal cord fixation.2020
Author(s)
Masayuki Okumura, Atsushi Motegi, Sadamoto Zenda, Naoki Nakamura, Hidehiro Hojo, Masaki Nakamura, Yasuhiro Hirano, Shun-Ichiro Kageyama, Satoko Arahira, Raturi Vijay Parshuram, Hirofumi Kuno, Ryuichi Hayashi, Makoto Tahara, Yoshiyuki Itoh , Shinji Naganawa, Tetsuo Akimoto
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Journal Title
Head Neck.
Volume: -
Pages: -
DOI
Peer Reviewed
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[Journal Article] Pharmacologic and non-pharmacologic interventions to prevent hypersensitivity reactions of non-ionic iodinated contrast media: a systematic review protocol.2020
Author(s)
Hiroyasu Umakoshi, Takashi Nihashi, Hironori Shimamoto, Takehiro Yamada, Hiroaki Ishiguchi, Akira Takada, Naoki Hirasawa, Shunichi Ishihara, Yasuo Takehara, Shinji Naganawa, Matthew Davenport, Teruhiko Terasawa,
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Journal Title
BMJ Open. 1
Volume: 10(3)
Pages: e033023.
DOI
Peer Reviewed / Open Access
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[Journal Article] Detection of IV-gadolinium Leakage from the Cortical Veins into the CSF Using MR Fingerprinting.2019
Author(s)
Shinji Naganawa, Toshiki Nakane, Hisashi Kawai, Toshiaki Taoka, Hirokazu Kawaguchi, Katsuya Maruyama, Katsutoshi Murata, Gregor Korzdorfer, Josef Pfeuffer, Mathias Nittka, Michihiko Sone
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Journal Title
Magn Reson Med Sci.
Volume: -
Pages: -
DOI
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] A plea for systematic literature analysis and conclusive study design, comment on: "Systematic review of magnetic resonance imaging for diagnosis of Meniere disease".2019
Author(s)
Robert Gurkov, Krisztina Barath, Bert de Foer, Munehisa Fukushima, Michael Gluth, Jermy Hornibrook, Nicolas Perez-Fernandez, Ilmari Pyykko, Michihiko Sone, Shin-Ichi Usami, Wuqing Wang, Jing Zou, Shinji Naganawa
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Journal Title
J Vestib Res.
Volume: -
Pages: -
DOI
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Phase II study of chemoradiotherapy combined with gemcitabine plus nab-paclitaxel for unresectable locally advanced pancreatic ductal adenocarcinoma (NUPAT 05 Trial): study protocol for a single arm phase II study.2019
Author(s)
Nao Takano, Suguru Yamada, Akihiro Hirakawa, Yukihiro Yokoyama,Yoshiki Hirooka, Yoshiyuki Ito, Shinji Naganawa, Yuichi Ando, …他 Masato Nagino, Hidemi Goto, Tsutomu Fujii, Yasuhiro Kodera
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Journal Title
Nagoya J Med Sci.
Volume: 81(2)
Pages: 233-239
DOI
Peer Reviewed / Open Access
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[Journal Article] Comprehensive Evaluation of B1 +-corrected FISP-based Magnetic Resonance Fingerprinting: Accuracy, Repeatability and Reproducibility of T1 and T2 Relaxation Times for ISMRM/NIST System Phantom and Volunteers.2019
Author(s)
Yutaka Kato, Kazushige Ichikawa, Kuniyasu Okudaira, Toshiaki Taoka, Hirokazu Kawaguchi, Katsutoshi Murata, Katsuya Maruyama, Gregor Koerzdoerfer, Josef Pfeuffer, Mathias Nittka, Shinji Naganawa
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Journal Title
Magn Reson Med Sci.
Volume: -
Pages: -
DOI
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Monitoring of fatigue in radiologists during prolonged image interpretation using fNIRS.2019
Author(s)
Takashi Nihashi, Takeo Ishigaki, Hiroko Satake, Shinji Ito, Osamu Kaii, Yoshine Mori, Kazuhiro Shimamoto, Hiromichi Fukushima, Kojiro Suzuki, Hiroyasu Umakoshi, Mitsuo Ohashi, Fumio Kawaguchi, Shinji Naganawa
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Journal Title
Jpn J Radiol.
Volume: 37(6)
Pages: 437-448
DOI
Peer Reviewed / Open Access
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[Presentation] Development of Three-Dimensional Printed Compensator for Improvement of Dose Distribution in Boron Neutron Capture Therapy: A Preliminary Study2019
Author(s)
Takeshi Kamomae, Yoshinori Sakurai, Masataka Oita, Takushi Takata, Tatsuya Niimi, Takashi Matsumura, Takuya Saito, Tomohiro Komada, Katsuhiko Kato, Yoshiyuki Itoh, Shinji Naganawa
Organizer
61st American Association of Physicists in Medicine Annual Meeting
Int'l Joint Research
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[Presentation] Should Small Cell Carcinoma of the Cervix be Treated As Localized Small Cell Cancer or Advanced Cervical Cancer: A Retrospective Multi-Institutional Cohort Study2019
Author(s)
Mariko Kawamura, Yutaro Koide, Taro Murai, Shunichi Ishihara, Yuuki Takase, Takayuki Murao, Dai Okazaki, Takahiro Yamaguchi, Kaoru Uchiyama, Yoshiyuki Itoh, Takeshi Kodaira, Yuta Shibamoto, Mika Mizuno, Fumitaka Kikkawa, Shinji Naganawa
Organizer
American Society for Radiation Oncology 2019(ASTRO 2019)
Int'l Joint Research
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[Presentation] Clinical results of T1 glottic cancer treated with radiotherapy using 2.25 Gy per fractions:A multicenter survey in clinical practice.2019
Author(s)
Yumi Oie,Yoshiyuki Itoh, Mariko Kawamura, Yuki Takase, Takayuki Murano, Shunichi Ishihara, Yoshihito Nomoto, naoki Hirasawa, Akiko Asano, Kouji Yamakawa, Junji Ito, Shinji Naganawa
Organizer
American Society for Radiation Oncology 2019(ASTRO 2019)
Int'l Joint Research
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[Presentation] MR Fingerprinting Evaluation for the Early Changes of Relaxation Time in the Brain Tumor and Surrounding White Matter After Stereotactic Radiotherapy.2019
Author(s)
Toshiaki Taoka, Kazuhiro Ohtakara, Hisashi Kawai, Yutaka Kato, Yoshiyuki Itoh, Shinji Naganawa, Toshiki Nakane, Rintaro Ito, Kazushige Ichikawa, Kuniyasu Okudaira, Katsutoshi Murata, Katsuya Maruyama, Hirokazu Kawaguchi, Gregor Koerzdoerfer, Josef Pfeuffer, Mathias Nittka
Organizer
105th Scientific Assembly and Annual Meeting of Radiological Society of North America(RSNA)
Int'l Joint Research
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