Grant-in-Aid for Scientific Research (A).
|Research Institution||Chiba University|
磯野 可一 千葉大, 医学部, 教授 (70009489)
ASANO Takehide Chiba University, School of Medicine Professor, 医学部, 講師 (80143311)
KENMOCHI Takashi Chiba University, University Hospital Lecturer, 医学部・付属病院, 講師 (50215133)
中郡 聡夫 国立がんセンター東病院, 外科, 医師 (10261918)
中島 一彰 千葉大学, 医学部, 助手 (20261919)
軍司 祥雄 千葉大学, 医学部, 助手 (60241957)
貝沼 修 千葉大学, 医学部・付属病院, 医員
TAKAYAMA Wataru Chiba University, University Hospital Assistant, 医学部・付属病院, 助手 (60292702)
神宮 和彦 千葉大学, 医学部・付属病院, 医員
所 義治 千葉大学, 医学部, 医員
宮内 英聡 千葉大学, 医学部・付属病院, 医員
中郡 聡史 国立がんセンター東病院, 外科, 医師
NAKAGORI Toshio National Cancer Center
JINGU Kazuhiko Chiba University, University Hospital Fellow
MIYAUCHI Hideaki Chiba University, University Hospital Fellow
|Project Fiscal Year
1996 – 1999
Completed(Fiscal Year 1999)
|Budget Amount *help
¥40,300,000 (Direct Cost : ¥40,300,000)
Fiscal Year 1999 : ¥7,900,000 (Direct Cost : ¥7,900,000)
Fiscal Year 1998 : ¥8,200,000 (Direct Cost : ¥8,200,000)
Fiscal Year 1997 : ¥8,800,000 (Direct Cost : ¥8,800,000)
Fiscal Year 1996 : ¥15,400,000 (Direct Cost : ¥15,400,000)
|Keywords||High Intensity Focused Ultrasound / Active Oxygen / Photo Sensitizer / Thermal Ablation / Liver Tumor / Minimally Invasive Therapy / Liver Surgery / Acoustic Surgery / 集束超音波 / 熱凝固 / 肝腫瘍 / キャビテーション / 位相差駆動 / 低侵襲治療 / 肝臓外科 / 超音波外科 / High Intensity Focused Ultra sound / 肝癌 / 熱凝固療法 / フリーラジカル / 低侵襲 / 転移性肝癌 / 肝細胞癌 / Thermal ablation / 変調周期超音波 / ホットナイフ / VX2移植肝腫瘍 / 局所的抗腫瘍 / Cavitation Suppression Technique|
Focused Ultrasound has the potential ability to ablate selective tissue targets without damaging the intervening tissues between the transducer and target areas.
We have studied this technique from the following two point of view.
1) Fundamental studies on cancer therapy utilizing active oxygen that arises in ultrasonic field.
The measurement by ESR proved the production of hydroxyl radical and singlet oxygen by the ultrasonic cavitation. The ultrasound field with the radical productivity activated pre-medicated photo sensitizer, and that it strengthens the tumoricidal effect in does dependent fashion. This tumoricidal effect was suppressed by the ascorbic acid, which has potential of radical scavenger. The tumor growth of the mouse experimental model was also suppressed by this combination. The combined use of photo sensitizer and focused ultrasound can be expected as a new minimally invasive therapy for the tumor which is not adequate photo-dynamic therapy since it located further depth than photo can reach.
2) Thermal ablation by High intensity Focused Ultrasound (HIFU) as a tool for cancer therapy
When the focusing ultrasonic energy is further strengthened focused area become thermal ablation. Continuous irradiation of focused ultrasound causes cavitation in the targeted region, creating microbubbles. It impairs the ultrasound to reach on the target area. We have developed an irradiation device with a new technique called the CAST, aimed at controlling the occurrence of microbubbles, which combined single frequency waves and frequency modulation. A devise with CAST can be more correctly conducted ablation with predetermined size and spatial location without damaging to surrounding tissues. It could also ablate the target area of rabbit and pig liver, precisely.
An attractive thermal ablation method, HIFU would become a main therapeutic modality for liver, pancreas, and breast cancers in 21 century.