著者
谷 直樹 押野 悟 細見 晃一 Khoo Hui Ming 貴島 晴彦
出版者
医学書院
巻号頁・発行日
pp.760-768, 2021-07-10

Point・本態性振戦に対する定位的外科治療法として,脳深部刺激療法,高周波視床凝固術,集束超音波視床破壊術,ガンマナイフ視床凝固術が利用できる.・破壊術,刺激術ともに視床中間腹側核(Vim核)が標的核であるが,刺激術ではposterior subthalamic area(PSA)も有力な標的核となる.・刺激術はRCTの結果より凝固術と比べ効果・安全性に優れると考えられるが,近年,凝固術の技術的な進歩がみられる.
著者
福島 大志 西川 敦 宮崎 文夫 関野 正樹 安室 喜弘 松崎 大河 細見 晃一 齋藤 洋一
出版者
公益社団法人 日本生体医工学会
雑誌
生体医工学 (ISSN:1347443X)
巻号頁・発行日
vol.49, no.1, pp.122-131, 2011-02-10 (Released:2011-12-13)
参考文献数
16

Repetitive Transcranial Magnetic Stimulation (rTMS) is effective for intractable diseases of the nervous system. As the effects of rTMS last only several hours, rTMS therapies need to be continued daily. Under present circumstances, it is difficult to use rTMS in patients' home, because only experienced physicians in limited hospitals can use the expensive and complicated rTMS system. Therefore, we developed a magnetic navigation system for home use of rTMS. The proposed system uses inexpensive and small magnetic sensors; hence it is suitable for home use. By using the proposed method, even people who have no medical knowledge and technique can easily navigate the coil to the optimal position preliminarily specified by expert physicians. Our system needs to collect some dataset which consists of magnetic field and the corresponding position of the coil at the patients' initial visit. Since it is bothersome to collect a large number of dataset, we reduced the dataset by approximation using multi-regression analysis.
著者
福島 大志 西川 敦 宮崎 文夫 関野 正樹 安室 喜弘 松崎 大河 細見 晃一 齋藤 洋一
出版者
Japanese Society for Medical and Biological Engineering
雑誌
生体医工学 (ISSN:1347443X)
巻号頁・発行日
vol.49, no.1, pp.122-131, 2011

Repetitive Transcranial Magnetic Stimulation (rTMS) is effective for intractable diseases of the nervous system. As the effects of rTMS last only several hours, rTMS therapies need to be continued daily. Under present circumstances, it is difficult to use rTMS in patients' home, because only experienced physicians in limited hospitals can use the expensive and complicated rTMS system. Therefore, we developed a magnetic navigation system for home use of rTMS. The proposed system uses inexpensive and small magnetic sensors; hence it is suitable for home use. By using the proposed method, even people who have no medical knowledge and technique can easily navigate the coil to the optimal position preliminarily specified by expert physicians. Our system needs to collect some dataset which consists of magnetic field and the corresponding position of the coil at the patients' initial visit. Since it is bothersome to collect a large number of dataset, we reduced the dataset by approximation using multi-regression analysis.