Updated on 2024/10/21

写真a

 
TAOKA Toshiaki
 
Organization
Graduate School of Medicine Department of Innovative Biomedical Visualization (iBMV) Industry-Academia Collaborative Chair Designated professor
Title
Designated professor

Degree 1

  1. 博士(医学) ( 1999.2   奈良県立医科大学 ) 

Research Interests 5

  1. Interstitial fluid dynamics of the brain

  2. Neuroradiology

  3. Magnetic Resonance Imaging

  4. Diffusion image

  5. Glymphatic system

Research Areas 1

  1. Life Science / Radiological sciences

Current Research Project and SDGs 2

  1. 神経領域の拡散画像

  2. Imaging for glymphatic system

Research History 21

  1. Nagoya University   Graduate School of Medicine Industry-Academia Cooperative Research Course   Designated professor

    2019.10

  2. Nagoya University Hospital   Department of Radiology   Associate Professor

    2015.4 - 2019.9

  3. 奈良県立医科大学准教授(中央放射線部)

    2007.10 - 2015.3

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    Country:Japan

  4. Nara Medical University

    2007.10 - 2015.3

  5. 奈良県立医科大学講師(中央放射線部)

    2006.7 - 2007.9

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    Country:Japan

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Education 1

  1. Nara Medical University   Faculty of Medicine

    1982.4 - 1989.3

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    Country: Japan

Professional Memberships 12

  1. 日本医学放射線学会   代議員

    2010.4

  2. 日本神経放射線学会会員   評議員

    2012.2

  3. 日本磁気共鳴医学会会員

    2009.4

  4. 日本正常圧水頭症学会   理事

    2021.4

  5. The American Society of Neuroradiology

    2020.10

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Committee Memberships 12

  1. Radiological Society of North America Education Exhibits Committee   Member  

    2012.5 - 2018.12   

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    Committee type:Academic society

  2. International Society for Magnetic Resonance in Medicine, Annual Meeting Program Committee   member  

    2012.11 - 2015.5   

  3. 日本脳ドック学会-脳ドックのガイドライン検証・改訂委員会-無症候性脳梗塞,白質病変のMRI診断の標準化小委員会   委員  

    2005.10 - 2008.9   

  4.   MRI-QCコアメンバー  

    2007.7 - 2012.9   

  5. International Society for Magnetic Resonance in Medicine   Senior Fellow  

    2023.5   

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    Committee type:Academic society

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Awards 30

  1. Senior Fellow of the Society

    2023.6   International Society for Magnetic Resonance in Medicine  

  2. Most Often Cited Paper Award

    2023.4   Japan Radiological Society  

  3. Most Often Cited Paper Award

    2019.4   Japan Radiological Society  

  4. 加藤賞

    2007.2   日本神経放射線学会  

    田岡 俊昭

  5. Certificate of Merit, RSNA2019

    2019.12   The Radiological Society of North America  

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    Award type:Award from international society, conference, symposium, etc.  Country:Japan

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Papers 337

  1. Diffusion-weighted image analysis along the perivascular space (DWI-ALPS) for evaluating interstitial fluid status: age dependence in normal subjects. Reviewed

    Toshiaki Taoka, Rintaro Ito, Rei Nakamichi, Toshiki Nakane, Mayuko Sakai, Kazushige Ichikawa, Hisashi Kawai, Shinji Naganawa

    Japanese journal of radiology   Vol. 40 ( 9 ) page: 894 - 902   2022.9

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    Language:English   Publishing type:Research paper (scientific journal)  

    PURPOSE: The purpose of this study was to evaluate the interstitial fluid status in a wide range of age groups using diffusion-weighted image analysis along the perivascular space (DWI-ALPS) method, which is a simplified variation of diffusion tensor image analysis along the perivascular space (DTI-ALPS). MATERIALS AND METHODS: This retrospective study included data from 128 patients who underwent clinical magnetic resonance imaging (MRI) studies, including DWI, and were found to have no abnormal findings in the brain on MRI. Three motion-probing gradients of the DWI were applied in an orthogonal direction to the imaging plane. Apparent diffusion coefficient images in the x-, y-, and z-axes were retrospectively generated, and composite color images were created to locate the projection and association fiber area on the slice including the body of the lateral ventricle. ALPS indices were calculated, and correlations with age were evaluated using linear and second-degree regression analysis. Linear regression analysis was also performed for a subgroup of patients older than 40 years. In addition, an analysis of variance (ANOVA) test among the generations was performed. RESULTS: The linear regression analysis between age and the ALPS index showed a correlation coefficient of -0.20 for all age group and -0.51 for the subgroup older than 40 years. The second-degree regression analysis showed a correlation coefficient of 0.39. ANOVA showed that the 40's generation showed a statistically significant higher value of ALPS index compared to all other generations except for the 30's generation. While, the 70's generation showed a statistically significant lower value of the ALPS index compared to all other generations. CONCLUSIONS: The analysis of the DWI-APLS method showed a correlation between age and the ALPS index in second-degree distribution which peaked in the 40's generation. This finding in normal subjects may be fundamental in the analysis of disease cases. We tried to evaluate the glymphatic system status in a wide range of age groups using diffusion-weighted image analysis along the perivascular space (DWI-ALPS) method, and the results showed a correlation between age and the ALPS index in second-degree distribution which peaked in the 40's generation.

    DOI: 10.1007/s11604-022-01275-0

    Web of Science

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    PubMed

  2. Reproducibility of diffusion tensor image analysis along the perivascular space (DTI-ALPS) for evaluating interstitial fluid diffusivity and glymphatic function: CHanges in Alps index on Multiple conditiON acquIsition eXperiment (CHAMONIX) study. Reviewed

    Toshiaki Taoka, Rintaro Ito, Rei Nakamichi, Koji Kamagata, Mayuko Sakai, Hisashi Kawai, Toshiki Nakane, Takashi Abe, Kazushige Ichikawa, Junko Kikuta, Shigeki Aoki, Shinji Naganawa

    Japanese journal of radiology   Vol. 40 ( 2 ) page: 147 - 158   2022.2

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    Language:English   Publishing type:Research paper (scientific journal)  

    PURPOSE: The diffusion tensor image analysis along the perivascular space (DTI-ALPS) method was developed to evaluate the brain's glymphatic function or interstitial fluid dynamics. This study aimed to evaluate the reproducibility of the DTI-ALPS method and the effect of modifications in the imaging method and data evaluation. MATERIALS AND METHODS: Seven healthy volunteers were enrolled in this study. Image acquisition was performed for this test-retest study using a fixed imaging sequence and modified imaging methods which included the placement of region of interest (ROI), imaging plane, head position, averaging, number of motion-proving gradients, echo time (TE), and a different scanner. The ALPS-index values were evaluated for the change of conditions listed above. RESULTS: This test-retest study by a fixed imaging sequence showed very high reproducibility (intraclass coefficient = 0.828) for the ALPS-index value. The bilateral ROI placement showed higher reproducibility. The number of averaging and the difference of the scanner did not influence the ALPS-index values. However, modification of the imaging plane and head position impaired reproducibility, and the number of motion-proving gradients affected the ALPS-index value. The ALPS-index values from 12-axis DTI and 3-axis diffusion-weighted image (DWI) showed good correlation (r = 0.86). Also, a shorter TE resulted in a larger value of the ALPS-index. CONCLUSION: ALPS index was robust under the fixed imaging method even when different scanners were used. ALPS index was influenced by the imaging plane, the number of motion-proving gradient axes, and TE in the imaging sequence. These factors should be uniformed in the planning ALPS method studies. The possibility to develop a 3-axis DWI-ALPS method using three axes of the motion-proving gradient was also suggested.

    DOI: 10.1007/s11604-021-01187-5

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  3. Diffusion analysis of fluid dynamics with incremental strength of motion proving gradient (DANDYISM) to evaluate cerebrospinal fluid dynamics Reviewed

    Toshiaki Taoka, Hisashi Kawai, Toshiki Nakane, Takashi Abe, Rei Nakamichi, Rintaro Ito, Yuki Sato, Mayuko Sakai, Shinji Naganawa

    Japanese Journal of Radiology   Vol. 39 ( 4 ) page: 315 - 323   2021.4

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Springer Science and Business Media LLC  

    <title>Abstract</title><sec>
    <title>Purpose</title>
    To visualize and analyze the dynamics of cerebrospinal fluid (CSF) motion in the cranium, we evaluated the distribution of motion-related signal dephasing by CSF on Diffusion ANalysis of fluid DYnamics with Incremental Strength of Motion proving gradient (DANDYISM) method, a composite imaging method using various low <italic>b</italic> values.



    </sec><sec>
    <title>Materials and methods</title>
    This study examined ten subjects aged 25–58. We acquired DWIs on a 3T clinical scanner with <italic>b</italic> values 0, 50, 100, 200, 300, 500, 700, and 1000 s/mm<sup>2</sup> in total imaging time of 4 min. We constructed DANDYISM images and evaluated the CSF area distribution with decreased motion-dephasing signal using a scoring method.


    </sec><sec>
    <title>Results</title>
    The DANDYISM images showed statistically significant higher CSF scores in the ventral posterior fossa, suprasellar cistern, and Sylvian vallecula compared to the lateral ventricle and frontal and parietal CSF spaces, indicating greater CSF movement in the former areas.


    </sec><sec>
    <title>Conclusion</title>
    The results indicated prominent CSF motions in the ventral portion of the posterior fossa, suprasellar cistern, and Sylvian fissure but smaller motions in the lateral ventricles and parietal subarachnoid space. This method may provide information of CSF dynamics in the clinical settings within short imaging time.


    </sec>

    DOI: 10.1007/s11604-020-01075-4

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    Other Link: http://link.springer.com/article/10.1007/s11604-020-01075-4/fulltext.html

  4. Imaging for central nervous system (CNS) interstitial fluidopathy: disorders with impaired interstitial fluid dynamics.

    Toshiaki Taoka, Shinji Naganawa

    Japanese journal of radiology   Vol. 39 ( 1 ) page: 1 - 14   2021.1

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    Language:English   Publishing type:Research paper (scientific journal)  

    After the introduction of the glymphatic system hypothesis, an increasing number of studies on cerebrospinal fluid and interstitial fluid dynamics within the brain have been investigated and reported. A series of diseases are known which develop due to abnormality of the glymphatic system including Alzheimer's disease, traumatic brain injury, stroke, or other disorders. These diseases or disorders share the characteristics of the glymphatic system dysfunction or other mechanisms related to the interstitial fluid dynamics. In this review article, we propose "Central Nervous System (CNS) Interstitial Fluidopathy" as a new concept encompassing diseases whose pathologies are majorly associated with abnormal interstitial fluid dynamics. Categorizing these diseases or disorders as "CNS interstitial fluidopathies," will promote the understanding of their mechanisms and the development of potential imaging methods for the evaluation of the disease as well as clinical methods for disease treatment or prevention. In other words, having a viewpoint of the dynamics of interstitial fluid appears relevant for understanding CNS diseases or disorders, and it would be possible to develop novel common treatment methods or medications for "CNS interstitial fluidopathies."

    DOI: 10.1007/s11604-020-01017-0

    Web of Science

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  5. Evaluation of glymphatic system activity with the diffusion MR technique: diffusion tensor image analysis along the perivascular space (DTI-ALPS) in Alzheimer's disease cases. Reviewed

    Toshiaki Taoka, Yoshitaka Masutani, Hisashi Kawai, Toshiki Nakane, Kiwamu Matsuoka, Fumihiko Yasuno, Toshifumi Kishimoto, Shinji Naganawa

    Japanese journal of radiology   Vol. 35 ( 4 ) page: 172 - 178   2017.4

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Springer Nature  

    PURPOSE: The activity of the glymphatic system is impaired in animal models of Alzheimer's disease (AD). We evaluated the activity of the human glymphatic system in cases of AD with a diffusion-based technique called diffusion tensor image analysis along the perivascular space (DTI-ALPS). MATERIALS AND METHODS: Diffusion tensor images were acquired to calculate diffusivities in the x, y, and z axes of the plane of the lateral ventricle body in 31 patients. We evaluated the diffusivity along the perivascular spaces as well as projection fibers and association fibers separately, to acquire an index for diffusivity along the perivascular space (ALPS-index) and correlated them with the mini mental state examinations (MMSE) score. RESULTS: We found a significant negative correlation between diffusivity along the projection fibers and association fibers. We also observed a significant positive correlation between diffusivity along perivascular spaces shown as ALPS-index and the MMSE score, indicating lower water diffusivity along the perivascular space in relation to AD severity. CONCLUSION: Activity of the glymphatic system may be evaluated with diffusion images. Lower diffusivity along the perivascular space on DTI-APLS seems to reflect impairment of the glymphatic system. This method may be useful for evaluating the activity of the glymphatic system.

    DOI: 10.1007/s11604-017-0617-z

    Web of Science

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Books 7

  1. Diffusion tensor and kurtosis

    Taoka T.( Role: Joint author)

    Diffusion-Weighted MR Imaging of the Brain, Head and Neck, and Spine  2021.5  ( ISBN:9783030621193

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    Language:Japanese

    Diffusion of water is based on the principle that the water molecules show random motion. In diffusion study on magnetic resonance imaging using motion proving gradient, signal decrease which is caused by molecular diffusion in the tissue provides information about tissue structure and physiological status. Diffusion-weighted image plays a very important role in the brain diagnosis especially for acute infarctions and has become an essential tool for clinical practice. Diffusion tensor imaging (DTI) using the Gaussian distribution model also has made success in evaluating anisotropic water diffusion in the white matter in which water diffusion is restricted by macromolecules, membrane, and myelin. Diffusion tensor tractography is an innovative application of diffusion tensor method which can access the pathways of neuronal fibers. Complicated wall structures exist in the neuronal tissue, and the Gaussian distribution model does not reflect the existence of a large number of compartments and nerve tracts in the central nervous system. Therefore, instead of a simple Gaussian distribution model, measurement of the probability distribution of a detailed water molecule is required. One method is q-space imaging (QSI). QSI is performed by measurement of a large amount of diffusion encoding and can provide the probability density function of water molecules. One limitation of QSI is the long acquisition time due to the large sampling number. Kurtosis is a quantity that reflects a gap between the diffusion distribution of a water molecule in vivo and the Gaussian distribution, and can be calculated from datasets of relatively few diffusion encoding elements compared to QSI. Thus, a rather short acquisition time is needed for diffusion kurtosis images (DKI). DKI as well as DTI will provide useful information on tissue microstructure not only in scientific research but also in clinical practice.

    DOI: 10.1007/978-3-030-62120-9_4

    Scopus

  2. 頭部画像診断の勘ドコロNEO

    田岡, 俊昭( Role: Joint author)

    メジカルビュー社  2021.2  ( ISBN:9784758316132

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    Total pages:xvi, 535p   Language:Japanese

    CiNii Books

  3. Neuroimaging Diagnosis for Alzheimer’s Disease and Other Dementias

    Toshiaki Taoka( Role: Contributor ,  Diffusion Tensor Imaging in Dementia)

    Springer Japan  2017 

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    Responsible for pages:117-128   Language:English Book type:Scholarly book

  4. "Movement Disorders" in "Geriatric Imaging"

    Guglielmi G, Peh, WCG.; Guermazi, A eds( Role: Sole author)

    Springer-Verlag  2013 

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    Language:English

  5. "Movement Disorders" in "Geriatric Imaging"

    Guglielmi G, Peh, WCG, Guermazi, A eds( Role: Sole author)

    Springer-Verlag  2013 

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    Responsible for pages:675-712   Language:English

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MISC 479

  1. 脳内リンパ系の非侵襲的評価 硬膜下血腫症例でのDiffusion Weighted Image Analysis Along the Perivascular Space法の応用

    田岡 俊昭

    宇宙航空環境医学   Vol. 61 ( 1 ) page: 22 - 22   2024.3

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    Language:Japanese   Publisher:日本宇宙航空環境医学会  

  2. 脳グリアリンパ系と髄膜リンパ系 MRIによる脳間質液動態の評価

    田岡 俊昭

    Dementia Japan   Vol. 37 ( 4 ) page: 605 - 605   2023.10

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    Language:Japanese   Publisher:(一社)日本認知症学会  

  3. Basic Neuroscience 画像 脳内リンパ系の画像評価

    田岡 俊昭

    Annual Review神経   Vol. 2023   page: 46 - 55   2023.6

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    Language:Japanese   Publisher:(株)中外医学社  

  4. ALPS-indexを用いた糖尿病と糖尿病前期の病態におけるGlymphatic systemの評価

    Tuerxun Rukeye, 鎌形 康司, Andica Christina, 内田 航, 斎藤 勇哉, 高林 海斗, 加賀 英義, 染谷 由希, 明石 敏昭, 和田 昭彦, 田端 宏樹, 内藤 仁嗣, 田村 好史, 田岡 俊昭, 長縄 慎二, 河盛 隆造, 綿田 裕孝, 青木 茂樹

    日本磁気共鳴医学会雑誌   Vol. 43 ( 2 ) page: 60 - 62   2023.5

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    Language:Japanese   Publisher:(一社)日本磁気共鳴医学会  

    2型糖尿病(T2DM)および境界型糖尿病(pre-DM)を対象に、diffusion tensor image analysis along with the perivascular space(DTI-ALPS)解析を実施し、認知機能との関連を調査した。T2DM患者19名(男性14名、女性5名、平均72.5±5.8歳)、pre-DM者26名(男性12名、女性14名、平均72.0±3.94歳)、健常群30名(男性14名、女性16名、平均70.3±4.78歳)の計75名に頭部MRIを実施し、拡散強調像を取得した。健常群と比較して、T2DM群とpre-DM群ではそれぞれALPS-indexが有意に低く、T2DM群とpre-DM群の間に有意差は認められなかった。相関解析の結果、T2DM・pre-DM群ではALPS-indexとMontreal Cognitive Assessmentとの間に有意な正の相関が認められた。本研究によりpre-DMの時点ですでにGlymphatic system(GS)機能の低下が生じることが示され、T2DMおよびpre-DMにおけるGS機能障害と認知機能低下には関連があることが示唆された。

  5. CNS Interstitial fluidopathyと拡散画像による間質液動態の評価

    田岡 俊昭

    脳と発達   Vol. 55 ( Suppl. ) page: S103 - S103   2023.5

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    Language:Japanese   Publisher:(一社)日本小児神経学会  

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KAKENHI (Grants-in-Aid for Scientific Research) 19

  1. Early diagnosis before onset of disease pioneered by the evaluation of vascular permeability and waste excretion function for the brain and sensory organs

    Grant number:23H02854  2023.4 - 2026.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

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    Authorship:Coinvestigator(s) 

  2. Early detection of pre-symptomatic conditions through evaluation of vascular permeability and waste excretion function in the brain and sensory organs

    Grant number:23K27545  2023.4 - 2026.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

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    Authorship:Coinvestigator(s) 

  3. 深層学習を用いた脳深部の高精細MR画像 ~7テスラ超高磁場MR画像に迫る~

    Grant number:22K07715  2022.4 - 2025.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    中根 俊樹, 田岡 俊昭, 福永 雅喜, 田岡 俊昭, 福永 雅喜

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    Authorship:Coinvestigator(s) 

    中枢神経系の画像診断にMRIは必須であるが、MRIでも感度の低い脳深部をターゲットとする脳深部核刺激療法の手術においてはアトラスや刺入電極からの電気信号等に頼らざるを得ない。その解剖を画像で評価できれば臨床的に有用で、神経科学にも寄与すると思われる。MRIの画質は静磁場強度に比例し良好になるが、3テスラと比較し2倍以上の信号雑音比を達成しうる7テスラの装置は限られた施設でしか使用できない。我々は深層学習にて3テスラMR装置の画像から訓練し、7テスラに匹敵する画像の取得を目指す。そして他施設の3テスラのMR画像においても訓練した深層学習を使用可能なよう、アプリケーションの形態での配布を検討する。
    本研究においては、中枢神経系の画像診断にて必須となるMRIにおいてすら、感度が低く、描出能の低下する脳深部の画質の改善を行うために、深層学習を応用した画像の生成を試みてきた。脳深部の核は臨床応用されている脳深部核刺激のような外科的処置において標的とされる領域であり、また、その構造内の特定の変化は多発性硬化症やパーキンソン病等の疾患に関連しているため、大きさや形状、信号評価といった画像上の特性の評価は、手術計画や医学研究等の関連研究や応用において重要な要素となり、その要望に応える精緻な画像の取得が望まれている。その為、本研究で目指すべき高画質の画像としては、国内では限られた施設でしか利用できない7テスラの超高磁場MR装置を用いて取得された画像を対象とするようにした。
    MR装置はその静磁場強度が強くなるほど高い信号雑音比が得られ、良好な画質の画像を取得することが出来る。近年、一般の医療施設においても普及してきた3テスラのMR装置より、7テスラのMR装置の方が静磁場強度は強く、その結果、例え体内の深部の構造であっても、低い静磁場強度よりも、高い静磁場強度の装置の方が優れた画質の画像が得られるため、その画質を得られるような深層学習を進めるよう計画してきた。
    今年度は7テスラの高磁場のMR装置から得られた画像を深層学習における教師画像として、一般の臨床現場に普及して用いられている3テスラMR装置から得られた画像からの画像の生成をする為、既に存在する7テスラのMR装置と3テスラのMR装置で取得された画像でのサンプルとなる画像の収集を行い、そこからの学習を先ず試みた。また、実験の開始のため7テスラのMR装置と3テスラのMR装置において、可能な限り同一の条件でのファントム画像の撮像に取り組み、併せて深層学習の環境についても検討を重ねてきた。
    研究を開始するため、資料の収集、整理、データの蓄積・解析のためのワークステーション、ソフトウェア、セキュリティ関連の物品等の購入を進め、情報収集のため関連諸学会に出席した。これまで実施されてきた学会、研究会において、深層学習の応用の例について、過去の報告や撮像に関連する情報の検索や理解を深め、新たな知見を得ることができた。また、実際の深層学習を用いた画像生成の例について、画像データを取り扱い、手順について検討することが出来た。
    超高磁場MR装置を取り扱える施設での実験の申請を行い、現状は超高磁場MR装置と、高磁場MR装置とでどのような撮像を行えるかの検討の段階であり、当初予定していたような被験者での撮像は進んでいない。
    MR装置での撮像の手順を十分確認出来たら、早急に被験者による撮像を行い、実験データのチェック、解析を進めていく。逐次、データ処理を進めていく。

  4. Development of assessment method for lymphatic system in the brain: Evaluation of the influence by sleep.

    Grant number:21K07563  2021.4 - 2024.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

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    Authorship:Principal investigator 

    Grant amount:\4160000 ( Direct Cost: \3200000 、 Indirect Cost:\960000 )

  5. In vivo investigation of neuroinflammation of AD with PET molecular imaging

    Grant number:19H03590  2019.4 - 2022.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    Yasuno Fumihiko

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    Authorship:Coinvestigator(s) 

    11C-DPA-713 binding measured with positron emission tomography (PET) can be used as a sensitive tool for the determination of level of glial activation due to neuroinflammation in the brain by the quantification of translocator protein.
    1) We investigated the relationship between regional 11C-DPA-713 binding shown as 11C-DPA713-binding potential (BPND) and neuropsychiatric symptoms in amyloid-positive Alzheimer’s disease (AD) continuums. The contribution of the neuroinflammation in the medial temporal region and its neighboring area was shown in the generation of agitation symptoms of AD continuums. 2) We examined and validated the model with blood-based biomarkers which can predict the level of glial activation due to neuroinflammation estimated by 11C-DPA-713 PET. We found that the model including the concentration of blood-based biomarkers related to the neuroinflammatory responses of glial cells and co-variates of gender and diagnosis was the best one predicting brain TSPO-BPND.

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Industrial property rights 1

  1. 画像処理装置及び画像処理プログラム

    田岡 俊昭, 市之瀬 伸保, 森 昂也

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    Applicant:国立大学法人東海国立大学機構

    Application no:特願2021-181837  Date applied:2021.11

    Announcement no:特開2023-069738  Date announced:2023.5

    J-GLOBAL

 

Teaching Experience (Off-campus) 1

  1. 2015.4 - 2016.3 Nara Medical University)