{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679997604608.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3143/geriatrics.31.879"}},{"identifier":{"@type":"COI","@value":"1:STN:280:ByqB3sbptFM%3D"}},{"identifier":{"@type":"PMID","@value":"7723191"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"3605135"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/3605135"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I3605135"}},{"identifier":{"@type":"NAID","@value":"40003076005"}},{"identifier":{"@type":"NAID","@value":"130003652013"}},{"identifier":{"@type":"NAID","@value":"10010768135"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/1995139988"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"en","@value":"Brain MRI Findings in Patients with Initial Cerebral Thrombosis and the Relationship between Incidental Findings, Aging and Dementia."},{"@value":"初発脳血栓のＭＲ画像　特に随伴所見と加齢，痴呆との関連"},{"@language":"ja-Kana","@value":"ショハツ ノウ ケッセン ノ MR ガゾウ トクニ ズイハン ショケン ト カ"}],"dcterms:alternative":[{"@value":"特に随伴所見と加齢, 痴呆との関連"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"To estimate the relationship between aging, dementia and changes observed on magnetic resonance imaging (MRI) seen in elderly patients with cerebral thrombosis, MRI findings in 103 patients with an initial stroke event (thrombosis group) were compared with those of 37 patients with hypertension/diabetes (high risk group) and 78 patients without those disorders (low risk group). In addition to the causative lesions in the thrombosis group, periventricular hyperintensities (PVH), spotty lesions (SL), silent infarctions (SI), ventricular dilatation (VD), and cortical atrophy (CA) were analyzed in these groups. Infarctions located in the internal capsule/corona radiata were the most frequent causative lesion. Compared to the low risk group, a high incidence of patchy/diffuse PVH, SI, and severe CA was seen in both the thrombosis group and the high risk group. Widespread PVH and multiple SL increased with age in the thrombosis group, while severe CA was seen in each group. SI and VD tended to increase after age 60, though they were not significant. Dementia, diagnosed in 40 out of 78 patients, increased with age. Multivariate analysis revealed the degree of the effects of MRI findings on dementia to be marked in PVH, brain atrophy, causative lesions, and SL, in that order. These results indicated that diffuse PVH and brain atrophy, developing with age, promoted dementia in the elderly with vascular lesions. Moreover, they suggested that a variety of silent brain lesions recognized on MRI other than infarction can affect symptoms in the elderly."},{"@value":"高齢者脳血栓症患者のMR画像でみられる変化と加齢, 痴呆との関連を知る目的で, 初発脳血栓103例 (脳血栓群) のMR画像を age-match した危険因子群 (脳梗塞の既往がなく, 高血圧/糖尿病を有する37例), 非危険因子群 (いずれもない78例) の3群で比較検討した. 脳血栓群は発作後3カ月以内のMR (T2強調) 画像で, 検討項目は, (1)責任病巣 (分布より大脳皮質型, 半卵円中心型, 内包-放線冠型, 脳幹・小脳型), (2)脳室周囲高信号 (PVH: 広がりより Rims/Caps, Patchy, Diffuse), (3)深部点状病変 (SL: 出現数より0, 1～3個, 4個以上), (4)無症候性脳梗塞, (5)脳室拡大, (6)皮質萎縮 (視覚的に mild, moderate, severe) であった. 脳血栓群の責任病巣では内包-放線冠型 (46例) が最も多く, 非危険因子群との比較ではPVHの広がり, 無症候性脳梗塞の頻度, 皮質萎縮の程度に関して有意差を認めた. 年代別にみると加齢とともに脳血栓群では広範なPVH, 多発SLが増加し, 高度な皮質萎縮は非危険因子群でも有意に増加した. 無症候性脳梗塞, 脳室拡大は60歳代より漸増傾向を示したが, 有意でなかった. 痴呆の有無, 程度をDSM-IIIRおよび改訂長谷川式痴呆スケールで評価すると, 痴呆は40例 (78例中) にみられ, その頻度は加齢とともに増加した. 多変量解析数量化II類より痴呆に影響するMRI変化は, 強い順からPVH, 脳萎縮 (脳室拡大と皮質萎縮を含む), 責任病巣, SLとなった. 以上より, 加齢とともに広範なPVHが出現し, 脳萎縮が進行した結果, 血管病変を有する高齢者では痴呆を来しやすいことが示された. また既に多彩な変化をもつ老人脳では脳血栓症に随伴する変化が痴呆のごとき症状を修飾する可能性のあることが示唆された."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204639386627","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253465970"},{"@type":"NRID","@value":"9000252890331"},{"@type":"NRID","@value":"9000252875816"},{"@type":"NRID","@value":"9000014349235"},{"@type":"NRID","@value":"9000391562878"},{"@type":"NRID","@value":"9000283446938"},{"@type":"NRID","@value":"9000252875570"},{"@type":"NRID","@value":"9000391568117"},{"@type":"NRID","@value":"9000283445738"},{"@type":"NRID","@value":"9000253521326"},{"@type":"NRID","@value":"9000253520996"},{"@type":"NRID","@value":"9000391568111"},{"@type":"NRID","@value":"9000391585273"},{"@type":"NRID","@value":"9000391581244"},{"@type":"NRID","@value":"9000391584735"},{"@type":"NRID","@value":"9000253465336"},{"@type":"NRID","@value":"9000391585277"},{"@type":"NRID","@value":"9000252890288"},{"@type":"NRID","@value":"9000253518819"},{"@type":"NRID","@value":"9000253521291"},{"@type":"NRID","@value":"9000253521596"},{"@type":"NRID","@value":"9000253519849"},{"@type":"NRID","@value":"9000283445742"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0026612"}],"foaf:name":[{"@language":"en","@value":"Iwamoto Toshihiko"},{"@language":"ja","@value":"岩本 俊彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Geriatric Medicine, Tokyo Medical College"},{"@language":"ja","@value":"東京医科大学老年科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679997604610","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253518820"}],"foaf:name":[{"@language":"en","@value":"Okada Toyohiro"},{"@language":"ja","@value":"岡田 豊博"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Geriatric Medicine, Tokyo Medical College"},{"@language":"ja","@value":"東京医科大学老年科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679997604609","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253518821"}],"foaf:name":[{"@language":"en","@value":"Ogawa Kimikazu"},{"@language":"ja","@value":"小川 公啓"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Geriatric Medicine, Tokyo Medical 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Masaru"},{"@language":"ja","@value":"高崎 優"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Geriatric Medicine, Tokyo Medical College"},{"@language":"ja","@value":"東京医科大学老年科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03009173"},{"@type":"NDL_BIB_ID","@value":"000000019022"},{"@type":"ISSN","@value":"03009173"},{"@type":"LISSN","@value":"03009173"},{"@type":"NCID","@value":"AN00199010"}],"prism:publicationName":[{"@language":"en","@value":"Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics"},{"@language":"ja","@value":"日本老年医学会雑誌"},{"@language":"en","@value":"Nippon Ronen Igakkai Zasshi"},{"@language":"en","@value":"Nihon Ronen Igakkai Zasshi"},{"@language":"en","@value":"Jpn J Geriat"},{"@language":"ja","@value":"日老医誌"},{"@language":"en","@value":"Jpn. j. geriat"}],"dc:publisher":[{"@language":"en","@value":"The Japan Geriatrics Society"},{"@language":"ja","@value":"一般社団法人 日本老年医学会"}],"prism:publicationDate":"1994","prism:volume":"31","prism:number":"11","prism:startingPage":"879","prism:endingPage":"888"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/3605135"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I3605135"},{"@id":"https://search.jamas.or.jp/link/ui/1995139988"}],"availableAt":"1994","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Magnetic%20resonance%20imaging","dc:title":"Magnetic resonance imaging"},{"@id":"https://cir.nii.ac.jp/all?q=Cerebral%20thrombosis","dc:title":"Cerebral thrombosis"},{"@id":"https://cir.nii.ac.jp/all?q=Periventricular%20hyperintensity","dc:title":"Periventricular hyperintensity"},{"@id":"https://cir.nii.ac.jp/all?q=Silent%20infarction","dc:title":"Silent infarction"},{"@id":"https://cir.nii.ac.jp/all?q=Dementia","dc:title":"Dementia"},{"@id":"https://cir.nii.ac.jp/all?q=MRI","dc:title":"MRI"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%84%B3%E8%A1%80%E6%A0%93%E7%97%87","dc:title":"脳血栓症"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%84%B3%E5%AE%A4%E5%91%A8%E5%9B%B2%E9%AB%98%E4%BF%A1%E5%8F%B7","dc:title":"脳室周囲高信号"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%84%A1%E7%97%87%E5%80%99%E6%80%A7%E8%84%B3%E6%A2%97%E5%A1%9E","dc:title":"無症候性脳梗塞"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%97%B4%E5%91%86","dc:title":"痴呆"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1050282813480501632","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@value":"わが国の老年医学の動向と本学老年病学教室の10年の歩み"},{"@language":"ja-Kana","@value":"サイシュウ コウギ ワガクニ ノ ロウネン イガク ノ ドウコウ ト ホンガク ロウネンビョウガク キョウシツ ノ 10ネン ノ アユミ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205022342912","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Long-term Prognosis of Patients with Initial Cerebral Thrombosis and the MRI Findings."},{"@value":"初発脳血栓の長期予後とＭＲ画像　生命予後"},{"@language":"ja-Kana","@value":"ショハツ ノウ ケッセン ノ チョウキ ヨゴ ト MR ガゾウ セイメイ ヨゴ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205023797888","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"痴呆化の要因"},{"@language":"en","@value":"Predisposing factors to dementia in ischemic stroke"},{"@language":"ja-Kana","@value":"チホウカ ノ ヨウイン"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205024129664","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"老年医学的にみた高齢者の脳血管障害"},{"@language":"en","@value":"Cerebrovascular diseases in the elderly from gerontological aspects"},{"@language":"ja-Kana","@value":"ロウネン イガクテキ ニ ミタ コウレイシャ ノ ノウケッカン ショウガイ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680002268288","@type":"Article","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Cerebrovascular diseases in the elderly on a geriatric viewpoint"},{"@language":"ja","@value":"老年医学からみた脳血管障害"},{"@value":"会長講演 老年医学からみた脳血管障害"},{"@language":"ja-Kana","@value":"カイチョウ コウエン ロウネン イガク カラ ミタ ノウケッカン ショウガイ"}]},{"@id":"https://cir.nii.ac.jp/crid/1520572360536626176","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@value":"脳血栓初発後の痴呆,ADL低下とそのMR画像,合併症"},{"@language":"ja-Kana","@value":"ノウ ケッセン ショハツ ゴ ノ チホウ ADL テイカ ト ソノ MR ガゾウ ガッペイショウ"}]},{"@id":"https://cir.nii.ac.jp/crid/1520853833676333696","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@value":"最近の高齢者脳血管障害の臨床"},{"@language":"ja-Kana","@value":"サイキン ノ コウレイシャ ノウ ケッカン ショウガイ ノ リンショウ"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0008117203"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I3605135"},{"@type":"CROSSREF","@value":"10.3143/geriatrics.31.879"},{"@type":"PUBMED","@value":"7723191"},{"@type":"CIA","@value":"10010768135"},{"@type":"CIA","@value":"130003652013"},{"@type":"CIA","@value":"40003076005"},{"@type":"CROSSREF","@value":"10.3143/geriatrics.48.466_references_DOI_WPuUcO7yNGqzwoWAjazEAUI6HcA"},{"@type":"CROSSREF","@value":"10.3143/geriatrics.40.476_references_DOI_WPuUcO7yNGqzwoWAjazEAUI6HcA"},{"@type":"CROSSREF","@value":"10.3143/geriatrics.40.124_references_DOI_WPuUcO7yNGqzwoWAjazEAUI6HcA"}]}