マルチモーダル認知症鑑別コーパスの構築
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(2) Vol.2016-ASD-6 No.9 2016/11/12. ሗฎ⌮Ꮫ◊✲ሗ࿌ IPSJ SIG Technical Report. ⾲ 1 ㄆ▱ࡢཎᅉᝈ Table 1 Primary disease of dementia. ศ㢮. ཎᅉᝈ. ⒪ᅔ㞴࡞. ࣝࢶࣁ࣐࣮㸪ࣞࣅ࣮ᑠయ㸪๓. ㄆ▱. 㢌ഃ㢌ⴥኚᛶ࡞ࡢኚᛶᝈ. ⒪ࡀ㔜せ. ⾑⟶ᛶㄆ▱. ࡞ㄆ▱ ⒪ྍ⬟࡞. ៏ᛶ◳⭷ୗ⾑⭘㸪ṇᖖᅽỈ㢌㸪⬻. ㄆ▱. ⅖㸪⏥≧⭢ᶵ⬟㞀ᐖ㸪ࣅࢱ࣑ࣥḞஈ. ᅗ 1 ㄆ▱≧ࡢ࣓࢝ࢽࢬ࣒. ࡞. Fig㸬1 Mechanism of dementia symptoms.. ᅗ 2 㚷ูデ᩿ࡢ࣮࣡ࢡࣇ࣮ࣟ Fig㸬2 Workflow of differential diagnosis. άᨭ㞀ࢆ᮶ࡍࡼ࠺࡞ࡗࡓ≧ែࠖᐃ⩏ࡉࢀ࡚࠸ࡿ㸬ㄆ. ࡛ㄆ▱ࡢ≧ែࢆⓗ☜ᤊ࠼ࡿ㚷ูࢆ⾜࠸ᨭࡍࡿࣔࢹࣝ. ▱ࡢ≧ࡣᅗ 1 ࡀ♧ࡍࡼ࠺㸪⬻ࡢᶵ⬟ࡀపୗࡍࡿࡇ. ᴗࢆ㐍ࡵ࡚ࡁࡓᩔ㈡ Ἠ㝔࡛ࡣ㸪ࡋ࡚ᅗ 2 ࡢࡼ࠺. ࡼࡗ࡚㸪グ᠈㞀ᐖࡸぢᙜ㆑㞀ᐖ࡞ࡢㄆ▱ᶵ⬟㞀ᐖࡀ⏕. 㚷ูデ᩿ࢆ⾜ࡗ࡚࠸ࡿ㸬௨ୗึデࡢ㚷ูࡢὶࢀࢆㄝ. ࡌࡿ㸬ࡑࡋ࡚㸪ㄆ▱ᶵ⬟㞀ᐖࡀ⏕ࡌ࡚࠸ࡿࡓࡵᮏேࡢᛶ. ᫂ࡍࡿ㸬. ᱁ࡸ㈨㉁㸪⎔ቃࡸᚰ⌮≧ែࡼࡗ࡚ᚔᚉࡸᭀຊ⾜Ⅽ㸪ዶ. 1.. ᮶㝔ᝈ⪅ࡘ࠸࡚௨ୗࡢሗࢆ㞟ࡍࡿ㸬. ࠸ࡗࡓ⾜ື࣭ᚰ⌮≧(BPSD㸸Behavioral and Psychological. ࣭ᝈ⪅ࡢ⌧Ṕ㸪᪤ Ṕ㸪⌧ࡢ≧࡞ࡢᢕᥱࡢࡓ. Symptoms of Dementia)࡞ࡀᘬࡁ㉳ࡇࡉࢀࡿࡓࡵ㸪ㄆ▱. ࡵࡢ⏕ά≧ἣࡢሗ. ࡢேࡢ≧ែࡀ」㞧ኚࡍࡿࡇࡀ࠶ࡿ㸬ࡲࡓ㸪⬻ࡢᶵ⬟. ࣭ᝈ⪅┤᥋㉁ၥࡋ࡚ᮏேࡢグ᠈ࡸุ᩿㸪ゝㄒ⬟ຊ࡞. పୗࢆ㉳ࡇࡍཎᅉࡶከᵝᏑᅾࡍࡿ㸬࠼ࡤ㸪ࣝࢶࣁ. ࡢㄆ▱ᶵ⬟ࢆホ౯ࡍࡿ㸪HDS-R㸪MMSE㸪BFB[6]. ࣐࣮㸪ࣞࣅ࣮ᑠయ㸪⾑⟶ᛶㄆ▱㸪៏ᛶ◳⭷ୗ⾑⭘㸪. ࣭ᐙ᪘ࡸࢣࢫࢱࢵࣇ࡞ࡀᝈ⪅ࡢ᪥ᖖࡢ⾜ືࢆほ. ṇᖖᅽỈ㢌㸪⏥≧⭢ᶵ⬟㞀ᐖ࡞ࡀ࠶ࡿ㸬ࡲࡓ㸪⋢. ᐹࡋ࡚⾜࠺⾜ືほᐹ᪉ᘧ AOS. ࡼࡿ㸪ࡇࢀࡽࡢཎᅉᝈࡣ⾲ 1 ࡢࡼ࠺ศ㢮ࡍࡿࡇࡀ. ࣭⬻ෆࡢ≧ἣࢆᢕᥱࡍࡿࡓࡵࡢ㢌㒊 CT. ࡛ࡁࡿ㸬ࡇࡢࡼ࠺⒪ࡼࡗ࡚ᨵၿྍ⬟࡞ㄆ▱࡞ࡶ. 2.. 㞟ࡋࡓሗࢆヲ⣽་ᖌఏ࠼ࡿࡓࡵ㸪ᝈ⪅ࡢᵝ. Ꮡᅾࡍࡿ㸬ࡲࡓ㸪࠺ࡘࡸ⤫ྜኻㄪ㸪ࡏࢇዶ࡞ࡢㄆ▱. Ꮚࢆグ㏙ࡋࡓࡶࡢࡔࡅ࡛࡞ࡃ㸪ཱྀ㢌࡛ࡶヲ⣽ᝈ⪅ࡢ. ㄗࡾࡸࡍ࠸≧ែࡶᏑᅾࡍࡿࡓࡵ㸪ㄆ▱ࡢ≧ែ࡛࠶ࡿ. ≧ែࡢㄝ᫂ࢆ⾜࠺㸬. ࠺ࢆ㐺ษ㚷ูࡋ㸪ࡑࢀ㐺ࡋࡓ་⒪ࢆᥦ౪ࡍࡿᚲ せࡀ࠶ࡿ㸬. 3.. ሗ࿌ࡉࢀࡓሗࡸデᐹᐊ࡛ࡢᝈ⪅ࡸᐙ᪘ࡢ᪉ࡢ ヰࡢሗ㸪ࣜࣂ࣮ࢩࣈࣝࢸࢫࢺࡸᡭᣦᶍೌ᳨ᰝ㸪ᕥྑ ᡭᣦᵓᡂࣃࢱ࣮ࣥࡢኚ᳨ᰝ࡞ࡢ⚄⤒ᚰ⌮Ꮫⓗ᳨. 2.2 ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ู ㄆ▱ࡢேࡢ≧ែࢆ㐺ษ⌮ゎࡍࡿࡓࡵࡣ㸪ᵝࠎ࡞ࢹ. ᰝ[7]ࢆ⏝࠸࡚་ᖌࡢ▱㆑ࡸ⤒㦂ࡽᵝࠎ࡞≧ែࢆㄞ ࡳゎࡁㄆ▱㚷ูࢆ⾜࠺㸬. ࣮ࢱࢆ⏝࠸࡚ከ㠃ⓗ㚷ูࡍࡿࡇࡀ㔜せ࡛࠶ࡿ㸬ࡇࢀࡲ. ף2016 Information Processing Society of Japan. 2.
(3) Vol.2016-ASD-6 No.9 2016/11/12. ሗฎ⌮Ꮫ◊✲ሗ࿌ IPSJ SIG Technical Report ⾲ 2 㞟ࢹ࣮ࢱࡢ. Table 2 Example of collection data. ဨ. ࢹ࣮ࢱࡢ✀㢮. ࢹ࣮ࢱࡢヲ⣽. ࢝ࣝࢸࢹ࣮ࢱ. ᐙ᪘Ṕ㸪᪤ Ṕ㸪ᮏேṔ㸪. 㞟ࡍࡿ ࢹ࣮ࢱ. ッ㸪⌧Ṕ㸪⾑ᾮ᳨ᰝ ㄆ▱᳨ᰝࡢ. ⾜ືほᐹ᪉ᘧ AOS㸪BFB㸪. ࢹ࣮ࢱ. MMSE㸪HDS-R㸪CDR㸪Zarit. ⏬ീ᳨ᰝࢹ࣮. CT. ࢱ ᳨ᰝࡋ. グ᠈᳨ᰝࡢࢹ. ࡓሙྜ. ࣮ࢱ. ᅗ 3 ㄆ▱㚷ู࠾ࡅࡿከ⫋✀㐃ᦠ. 㞟ࡍ. ⏬ീ᳨ᰝࢹ࣮. Fig㸬3 Interprofessional collaboration in dementia diagnosis.. ࡿࢹ࣮. ࢱ. WMS-R㸪ADAS VSRAD㸪SPECT㸪MRI. ࢱ. ᅗ 5 㞟ࢹ࣮ࢱࡢ 2 ᅗ 4 ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࢥ࣮ࣃࢫ. Fig㸬5 Example 2 of collection data.. Fig㸬4 Multimodal dementia diagnosis corpus. ࡼ࠺࡞࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࢥ࣮ࣃࢫࢆᵓ⠏ࡋࡓ㸬 4.. 㚷ูࡢ⤖ᯝࡽ㸪⏕άᣦᑟࡸᚋࡢ⒪ࡘ࠸࡚ࡢヰ. ࡇࡢࢥ࣮ࣃࢫࡣ㸪ㄆ▱ࡢேࡸᐙ᪘㸪ㆤࢫࢱࢵࣇࡽᵓ. ࢆ⾜࠺㸬ࡑࡋ࡚㸪ࡉࡽ⢭ᰝࡍࡿሙྜࡣ⬻Ἴ(EGG)ࡸ. ᡂࡉࢀࡿࢣࢳ࣮࣒་ᖌࡸሗᏛ◊✲⪅࡛ᵓᡂࡉࢀࡿᑓ. グ᠈ࡢ᳨ᰝ࡛࠶ࡿ WMS-R㸪ᾏ㤿ࡢⴎ⦰ࡸ⾑ὶࢆㄪ. 㛛ᐙࢳ࣮࣒࡛ᵓᡂࡉࢀ࡚࠾ࡾ㸪ࡣࢣࢳ࣮࣒ࡽㄆ▱. ࡿࡓࡵࡢ VSRAD ࡸ SPECT ࡢ᳨ᰝ࡞ࢆ 2 ᅇ┠௨㝆. ࡢேࡢࢆ㞟ࡋ㸪✚ࡍࡿ㸬ࡑࡢ✚ࡋࡓࢆ⏝. ⾜࠸㸪ㄆ▱ࡢேࡘ࠸࡚ࡼࡾ⌮ゎࢆ῝ࡵ⒪ࢆ㐍. ࠸࡚ᑓ㛛ᐙࢳ࣮࣒ࡀࢣ࣮ࢫ࢝ࣥࣇࣞࣥࢫࢆ㏻ࡋ࡚㸪ศᯒ. ࡵ࡚࠸ࡃ㸬. ࢆ⾜࠸ᑐࡋ࡚ពࡅ࣭ᵓ㐀ࢆ⾜࠸ࢥ࣮ࣃࢫ㑏. ௨ୖࡢࡼ࠺࡞࣮࣡ࢡࣇ᳨࣮࡛ࣟᰝࡸㄆ▱ࡢே㛵ࡍ. ඖࡍࡿ㸬ࡑࡢ⤖ᯝࢆᇶ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࡘ࠸. ࡿሗ࡞ࡢሗࢆ㞟ࡋ㸪ࠕᝈ⪅ࡢᛶ᱁ࡸ⏕άྐ㸪⎔ቃࠖ㸪. ࡚ࡢ▱㆑ࡸ⪃࠼᪉࡞ࡢ㚷ูࣉࣟࢭࢫࡘ࠸࡚Ꮫࡪࡇࡀ࡛. ࠕࡢࡼ࠺࡞≧ࡀฟ࡚࠸ࡿࠖ㸪ࠕⴎ⦰ࡢලྜࠖ㸪ࠕᐙ᪘ࡀ. ࡁࡿ࠸࠺୍㐃ࡢὶࢀ࡞ࡿ㸬ࡇࡢࢧࢡࣝࢆᚠ⎔ࡉࡏࡿ. Ᏻࢆᢪ࠼࡚ၥ㢟࡞ࡗ࡚࠸ࡿⅬࠖ࡞ࢆぢᴟࡵ࡚࣐ࣝࢳ. ࡇ࡛㸪ࢥ࣮ࣃࢫ㔞ࡢࡀ✚ࡉࢀ㸪㚷ูࣉࣟࢭࢫ. ࣮ࣔࢲࣝㄆ▱㚷ูࢆ⾜ࡗ࡚࠸ࡿ㸬ࡲࡓ㸪ㄆ▱ࡢேࡢ. ࡀ᫂ࡽ࡞ࡗ࡚࠸ࡃࡇ࡛ㄆ▱㚷ูࡢ㉁ࡢྥୖࡘ࡞. ሗࢆ㞟ࡵࡿ㝿ࡣᅗ 3 ࡢࡼ࠺┳ㆤᖌࡸ⢭⚄ಖ⚟♴ኈ࡞. ࡀࡿ⪃࠼ࡿ㸬. ࡢ」ᩘࡢࢫࢱࢵࣇࡀ㛵ࢃࡗ࡚࠸ࡿ㸬ࡲࡓ㸪ࡾࡘࡅ་ ࡽሗࢆᥦ౪ࡋ࡚ࡶࡽࡗࡓࡾ㸪ࡢ㝔᳨ᰝࢆ౫㢗ࡋ. 3.2 ࢹ࣮ࢱ㞟࣭ศᯒ⎔ቃ. ࡓࡾࡍࡿሙྜࡶ࠶ࡾ㸪ከ⫋✀ࡀ㐃ᦠࡋ࡚⾜ࡗ࡚࠸ࡿ㸬. ➹⪅ࡽࡣࢥ࣮ࣃࢫࢆ✚ࡍࡿ᭱ึࡢྲྀࡾ⤌ࡳࡋ ࡚㸪ᩔ㈡ Ἠ㝔࡛ᐇ㝿ᢅࡗ࡚࠸ࡿࢆ㞟ࡋ㸪ࡑࡢ. 3. ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࢥ࣮ࣃࢫ 3.1 ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࢥ࣮ࣃࢫࡢᵓ⠏ ⌧ሙ࡛⾜ࢃࢀ࡚࠸ࡿ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ู㛵ࡍࡿ ࢚ࣅࢹࣥࢫࢆ✚ࡋ㸪ᙧᘧ▱ࡍࡿࡓࡵࡣࢆ✚ࡋ ࡚㸪ศᯒࡍࡿ⎔ቃࡀᚲせ࡛࠶ࡿ㸬ࡑࡇ࡛➹⪅ࡽࡣ㸪ᅗ 4 ࡢ. ף2016 Information Processing Society of Japan. ࢆᇶศᯒࢆ⾜࠺ࢧࢡࣝࡢ⎔ቃࢆᵓ⠏ࡋࡓ㸬 ࡢ㞟ࡣ㸪ࡶࡢᛀࢀእ᮶࡛᮶㝔ࡋࡓᝈ⪅ࡉࢇࡑࡢ ᐙ᪘་ᖌࡀࢹ࣮ࢱ㞟㛵ࡋ࡚ࡢㄝ᫂ࢆ⾜࠸ྠពࡀྲྀࢀ ࡓேࡢࡔࡅࢆ㞟ࡋ㸪ࢥ࣮ࣃࢫ✚ࡍࡿ࠸࠺ᙧᘧ ࡛⾜ࡗࡓ㸬㞟ࡍࡿࢹ࣮ࢱࡢ୍ぴࢆ⾲ 2 ♧ࡍ㸬㞟ࡍࡿ. 3.
(4) Vol.2016-ASD-6 No.9 2016/11/12. ሗฎ⌮Ꮫ◊✲ሗ࿌ IPSJ SIG Technical Report ⾲ 3 ࢝ࣝࢸࢹ࣮ࢱࡢ Table 3 Case sample of medical record data. (୍㒊ᢤ⢋). ዪᛶ. ᐙ᪘Ṕ㸸 ኵࡀ X-17 ᖺ๓ஸࡃ࡞ࡿ㸬. 4.1.2 ㄆ▱᳨ᰝࢹ࣮ࢱࡢศᯒ ㄆ▱᳨ᰝࡢࢹ࣮ࢱᑐࡋ࡚ࡶ㸪ྠᵝ᳨ᰝࡢ⤖ᯝᑐ ࡋ࡚ࡢࡼ࠺ᛮ⪃ࡋ࡚࠸ࡿศᯒࢆ⾜ࡗࡓ㸬 ศᯒࡢ୍ࢆ♧ࡍ㸬࠼ࡤ㸪BFB ࡢ᳨ᰝ㡯┠ࠕ⏕ࠖ ╔┠ࡋࡓࡁ㸪ࡇࡢ㡯┠ࡀ࡛ࡁ࡞࠸ሙྜࡣഃ㢌ⴥ㞀ᐖ. ッ㸸. ࡀ࠶ࡿ᥎ᐃࡍࡿࡇࡀ࡛ࡁࡿ㸬ࡲࡓ㸪ࣝࢶࣁ࣐࣮. ࡾࡘࡃࢁ࠸. ࡢሙྜࡣ㒊ᛀࢀ࡚ࡋࡲ࠺ࡢ࡛㸪ࡶࡋࣄࣥࢺࢆฟࡋ࡚ࡶゎ. ᭹⸆⟶⌮ࡀ࡛ࡁ࡞࠸. ⟅࡛ࡁ࡞ࡗࡓሙྜࡣ㸪ࣝࢶࣁ࣐࣮ࡢྍ⬟ᛶࡀ࠶ࡾ㸪. ࣜࣔࢥࣥ࡞ࡢ᧯స࣭ᡭ㡰ࡀぬ࠼ࡽࢀ࡞࠸. ࣄࣥࢺࢆฟࡋ࡚ゎ⟅࡛ࡁࡓሙྜࡣ⾑⟶ᛶㄆ▱ࡢྍ⬟ᛶࡀ. ᪤ Ṕ㸸. ࠶ࡿ࠸ࡗࡓࡼ࠺㸪BFB ࡸ MMSE,HDS-R ࡞ࡢ┤᥋ᮏ. X-17 ᖺ๓㧗⾑ᅽ࡛ධ㝔. ே⾜࠺ㄆ▱᳨ᰝࢹ࣮ࢱࡽࡣ㸪ぢᙜ㆑ࡢ☜ㄆࡸ⬻ࡢࡢ. ㌿ಽ㸪ᡴ᧞ᩘᅇ࠶ࡾ. 㒊ၥ㢟ࡀ࠶ࡿ㸪ࡲࡓ㸪ࡢࡼ࠺࡞ᝈࡢྍ⬟ᛶࡀ࠶ ࡿࡢ㚷ูࢆ⾜ࡗ࡚࠸ࡿ㸬. ࢹ࣮ࢱࡣㄆ▱㚷ู⏝࠸ࡽࢀࡓࢹ࣮ࢱࢆ㞟ࡍࡿࡓࡵ㸪. ࡲࡓ㸪ᐙ᪘ࡢ㈇ᢸᗘࢆ☜ㄆࡍࡿ⾜ືほᐹ᪉ᘧ AOS ࡸ Zarit. ಶேࡼࡗ࡚ࡑࢀࡒࢀ␗࡞ࡿ㸬⾲ࡢဨ㞟ࡍࡿࢹ࣮ࢱ. ࡛ࡣ㸪BFB ࡢⅬᩘࡢẚ㍑ࢆࡋ࡚㸪᪉ࡢⅬᩘࡀࡰ୍⮴. ศ㢮ࡉࢀ࡚࠸ࡿࡶࡢࡣဨࡍ࡚ࡢࢹ࣮ࢱࢆ㞟ࡋ㸪᳨ᰝ. ࡋ࡚࠸ࢀࡤ㸪ᐙ᪘ࡣᮏேࡢࡇࢆぢ࡚࠸ࡿ࠸࠺ࡼ࠺㸪. ࡋࡓሙྜ㞟ࡍࡿࢹ࣮ࢱศ㢮ࡉࢀ࡚࠸ࡿࡶࡢࡣ᳨ᰝࢆ⾜. ᐙ᪘ࡀㄆ▱ࡢேࢆࡢࡃࡽ࠸ぢ࡚࠸ࡿࡢ㸪ࡢ㎶㈇. ࡗࡓࡶࡢࡢࡳ㞟ࡍࡿࡼ࠺ࡋ㸪㞟ࡋ࡞࠸ࡶࡢࡶᏑᅾࡍ. ᢸࢆᢪ࠼࡚࠸ࡿࡢ㚷ูࢆ⾜࠸㸪ᐙ᪘ࡢᚰ⌮ᩍ⫱࣭⏕ά. ࡿ㸬ࡲࡓ㸪ࢹ࣮ࢱࡣᅗ 5 ♧ࡍࡼ࠺㸪ࢸ࢟ࢫࢺ࣮࣋ࢫࡢ. ᣦᑟ⧅ࡀࡗ࡚࠸ࡿࡇࡀศࡗࡓ㸬. ࢝ࣝࢸࢹ࣮ࢱ㸪ᚰ⌮᳨ᰝࢹ࣮ࢱࡸ⬻⏬ീ᳨ᰝࢹ࣮ࢱ➼ࡢ⏬ ീࢹ࣮ࢱ࡞ࡢᙧᘧࡀᏑᅾࡍࡿ㸬ࡢ㞟ࡣ⥅⥆ⓗ㐍. 4.1.3 ⬻⏬ീ᳨ᰝࢹ࣮ࢱࡢศᯒ. ࡵ࡚࠾ࡾ㸪⌧ᅾࡢẁ㝵࡛⣙ 120 ࢆ✚ࡋ࡚࠸ࡿ㸬. ⬻⏬ീ᳨ᰝࢹ࣮ࢱࡢศᯒ࡛ࡣ㸪⬻⏬ീࢆぢ࡞ࡀࡽ╔┠ࡍ. ศᯒࡘ࠸࡚ࡣ㸪✚ࡋࡓࢆᇶࢣ࣮ࢫ࢝ࣥࣇࣞ ࣥࢫࢆ⾜ࡗ࡚࠸ࡿ㸬ࢣ࣮ࢫ࢝ࣥࣇࣞࣥࢫࡢ᪉ἲࡣ㸪ᐇ㝿. ࡿ࣏ࣥࢺࢆᕪࡋ㸪ࡇࢀᑐࡋ࡚ゎㄝࢆ⾜࠺㸬 ศᯒࡢࡋ࡚㸪. ࡢデᐹᐊ࡛⾜ࡗ࡚࠸ࡿ㚷ูࢆ㞟ࡋࡓࢹ࣮ࢱࢆཧ↷ࡋ࡞ࡀ. ࣭ᾏ㤿ⴎ⦰ࡀぢࡽࢀࡿࡓࡵ㸪グ᠈㞀ᐖࡘ࡞ࡀࡿ. ࡽグ㏙ࡸ⤖ᯝࡽࡢࡼ࠺⪃࠼㚷ูࢆ⾜ࡗ࡚࠸ࡿゎㄝ. ࣭⬻ᐊ࿘㎶╔┠ࡋࡓࡁⅬࡢࡼ࠺࡞ࡶࡢࡀᩓぢࡉࢀࡿ. ࠸ࡓࡔࡁ㸪ࡑࡢ୰࡛㆟ㄽࢆ⾜࠸࡞ࡀࡽព࡙ࡅࢆࡋ࡚࠸ࡃ ࠸࠺ᙧᘧ࡛⾜ࡗ࡚࠸ࡿ㸬. ࡓࡵࣛࢡࢼ᱾ሰࡀ࠶ࡿ ࣭⬻ᐊࡢᣑࡀࡳࡽࢀࡿࡓࡵ㸪ṇᖖᅽỈ㢌ࢆ⪃࠼ࡿ ௨ୖࡢࡼ࠺㸪⬻⏬ീ᳨ᰝ࡛ࡣ㸪⬻ࡢ㒊ࡢⴎ⦰ࡢ⛬ᗘ. 4. ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࡢศᯒ 4.1 ࣐ࣝࢳ࣮ࣔࢲࣝㄆ▱㚷ูࡢᛮ⪃ࣉࣟࢭࢫࡢᢳฟ. ࡢ☜ㄆࢆ⾜ࡗࡓࡾ㸪ࣛࢡࢼ᱾ሰ࡞ࡢ⬻᱾ሰࡀࡳࡽࢀ࡞࠸ ࢆデࡓࡾ㸪ࡑࡢࡢᝈࡢᡤぢࡀ࡞࠸ࡢ㚷ูࢆ⾜ࡗ࡚ ࠸ࡿ㸬. ㄆ▱㚷ูࡢᛮ⪃ࣉࣟࢭࢫࡢᢳฟࡍࡿࡓࡵ㸪ࢣ࣮ࢫ࢝ ࣥࣇࣞࣥࢫ࡛ࡣࡢࡼ࠺ศᯒࢆ⾜࠸㸪ࡢࡼ࠺࡞ࡇ. 4.2 ⪃ᐹ. ࡀࢃࡗࡓࡢࡘ࠸࡚࢝ࣝࢸࢹ࣮ࢱ㸪ㄆ▱ᶵ⬟᳨ᰝࢹ࣮. ๓⠇࡛㏙ࡓศᯒ⤖ᯝࡽ㸪㞟ࡋࡓࢹ࣮ࢱࢆᇶࡢ. ࢱ㸪⬻⏬ീ᳨ᰝࢹ࣮ࢱࡢศᯒࡢ୍㒊ࢆ⤂ࡍࡿ㸬. ࡼ࠺ᛮ⪃ࡋ࡚㚷ูデ᩿ࢆ⾜ࡗ࡚࠸ࡿࡢᩚ⌮ࡘ࡞ࡀࡿ. 4.1.1 ࢝ࣝࢸࢹ࣮ࢱࡢศᯒ. ࡇࡀ♧ࡉࢀࡓ㸬ᮏ◊✲ࡢศᯒ࡛ࡣ㸪ࢹ࣮ࢱẖࡢᛮ⪃ࡢᢳ. ⾲ 3 ࡣ࢝ࣝࢸࢹ࣮ࢱࡢ୍࡛࠶ࡿ㸬་ᖌࡣࡇࡢࢹ࣮ࢱ. ฟࢆ⾜ࡗࡓࡢࡳ࡛࠶ࡾ㸪ᵓ㐀ࢆ㐍ࡵࡿࡇࡣ⮳ࡗ࡚࠸. ࡽ௨ୗࡢࡼ࠺㚷ูࢆ⾜ࡗ࡚࠸ࡿ㸬࠼ࡤ㸪 ࠕࡾࡘࡃࢁ࠸ࠖ. ࡞࠸㸬ࡲࡓ㸪ྛࢹ࣮ࢱࡢ㛵㐃ࡣ⪃࠼ࡽࢀ࡚࠸࡞࠸㸬ᐇ㝿. ࠸࠺グ㏙ࡽࡣ๓㢌ⴥࡢ≧࡛࠶ࡿ⪃࠼㸪 ࠕ᭹⸆⟶⌮ࡀ. ࡢㄆ▱㚷ู࡛ࡣ」ᩘࡢࢹ࣮ࢱࢆ⏝࠸࡚⥲ྜⓗ㚷ูࢆ⾜. ࡛ࡁ࡞࠸ࠖ࠸࠺グ㏙ᑐࡋ࡚ࡣ๓㢌ⴥᶵ⬟㞀ᐖࡢ≧㸪. ࡗ࡚࠸ࡿࡓࡵ㸪ᚋࡣࢹ࣮ࢱ㛵ಀࡘ࠸࡚ࡶ⪃࠼ࡿᚲせࡀ. ᶵ⬟㞀ᐖࡢ≧࡛࠶ࡿ࠸࠺ࡼ࠺⪃࠼ࡿ㸬ࡲࡓ㸪 ࠕ㧗⾑ᅽࠖ. ࠶ࡿ㸬ࡑࡋ࡚㸪ศᯒࡋࡓࢹ࣮ࢱࡘ࠸࡚ࡶ㸪ࣝࢶࣁ࣐. ࠸࠺グ㏙ࡽࡣ⾑⟶ᛶㄆ▱ࡲࡓࡣࣝࢶࣁ࣐࣮ࡢ. ࣮ࡸ⾑⟶ᛶㄆ▱ࡢ೫ࡗ࡚࠾ࡾ㸪ࡑࡢࡢ. ༴㝤ᅉᏊ࡛࠶ࡿ㸪PVL(⬻ᐊ࿘ᅖప྾ᇦ)ࡸࣛࢡࢼ᱾ሰ࡞. ࡘ࠸࡚ࡣࡲࡔᑡ࡞࠸ࡓࡵ㸪⥅⥆ⓗ࡞ࡢ㞟ศᯒࡀᚲ. ࢆ⏕ࡌࡸࡍ࠸࠸࠺ࡼ࠺ゎ㔘ࢆ⾜ࡗ࡚࠸ࡿ㸬ࡇࡢࡇ. せ࡛࠶ࡿ㸬. ࡽ㸪ㄆ▱ࡢே⌧ᅾࡢࡼ࠺࡞≧ࡀฟ࡚࠸ࡿ㸪㐣. ㄆ▱࠾࠸࡚ࡣ㸪㌟㏆࠸ࡿேࡀ㐺ษุ᩿ࡋ࡚㸪ᚲ. ཤࡢ⏕ά⫼ᬒ࡞ࡽࡑࡢேࡢࡼ࠺࡞༴㝤ᅉᏊࡀᏑᅾ. せ࡞་⒪ࡸࡑࡢࡢࢧ࣮ࣅࢫࢆ⏝࡛ࡁࡿࡼ࠺ࡍࡿࡇ. ࡍࡿࡢ㚷ูࢆ⾜ࡗ࡚࠸ࡿࡇࡀศࡗࡓ㸬. ࡀ㔜せࡔゝࢃࢀ࡚࠸ࡿ[8]㸬ᮏ◊✲ࡢࣉ࣮ࣟࢳࡼࡗ࡚㸪. ף2016 Information Processing Society of Japan. 4.
(5) Vol.2016-ASD-6 No.9 2016/11/12. ሗฎ⌮Ꮫ◊✲ሗ࿌ IPSJ SIG Technical Report ㄆ▱㚷ูࡢᛮ⪃ࣉࣟࢭࢫࢆ⾲⌧ࡋ࡚࠸ࡃࡇ࡛ㄆ▱་. ฟ∧(2016). ⒪ࡢ⌮ゎࡢಁ㐍ࡘ࡞ࡀࡿࡇࡀᮇᚅࡉࢀࡿ㸬. 5. ࠾ࢃࡾ ᮏ✏࡛ࡣ㸪ㄆ▱ࡢேࡢࢆ✚࣭ศᯒࡋ࡚࠸ࡃࢥ࣮ ࣃࢫࡢ⎔ቃࢆᩚഛࡋࡓ㸬ࡲࡓ㸪ẖ᭶ᩘ༑ࡢࢆ㞟ࡋ㸪 ࡑࢀࢆ✚㸪᭦᪂ࡋ࡚࠸ࡃࡇ࡛ࢥ࣮ࣃࢫࡢ῝ᡂ㛗ࡘ ࡞ࡀࡿぢ㏻ࡋࢆᚓࡓ㸬 ᚋࡣ㸪⥅⥆ⓗࡢ㞟࣭ศᯒࢆ㐍ࡵ㸪ㄆ▱㚷ู ࣉࣟࢭࢫࢆ⾲⌧ࡍࡿࡓࡵࡢᵓ㐀ࡢタィࡑࢀࢆᇶㄆ▱ 㚷ูࡘ࠸࡚ࡢ▱㆑ࢆ㌟ࡅࡿࡇࡢ࡛ࡁࡿᏛ⩦ᨭ⎔ ቃࡢᵓ⠏ࢆ㐍ࡵࡿ㸬 ㅰ㎡ ᮏ◊✲ࢆ㐍ࡵࡿ࠶ࡓࡾࡢ㞟ࡸศᯒ༠ຊ ࡋ࡚࠸ࡓࡔ࠸ࡓᩔ㈡ Ἠ㝔ࢫࢱࢵࣇ㸪ࡑࡋ࡚ࢆᥦ౪ ࡋ࡚࠸ࡓࡔ࠸ࡓᑐ㇟⪅ࡑࡢᐙ᪘ࡢⓙᵝ㸪ࡈᨭ㡬࠸ࡓୖ 㔝⚽ᶞẶ῝ㅰࡍࡿ㸬. ཧ⪃ᩥ⊩ [1]. ▼ᕝ⩧࿃㸪⚄㇂┤㍤㸪࢚࣮ࢽࣥࣉࣥࣥ㸪ᰘ⏣ ୍㸪⏣୰ࡶỤ㸪ୖ㔝⚽ᶞ㸪᱒ᒣఙஓ㸪➉ᯘὒ୍㸹ከ ᵝ࡞࣮ࣘࢨࡢせồᛂ࠼ࡿㄆ▱▱㆑ࢥࣥࢸࣥࢶࡢ ඹ㸪ࣄ࣮࣐ࣗࣥࣥࢱࣇ࢙࣮ࢫࢩ࣏ࣥࢪ࣒࢘ 2013(2013.9.12). [2]. ᒣᮏ᪼ᖹ㸪▼ᕝ⩧࿃㸪ୖ㔝⚽ᶞ㸪➉ᯘὒ୍㸹ㄆ▱ࢣ 㧗ᗘࡢࡓࡵࡢࡏࢇዶ≧ែࡢศᯒࢥ࣮ࣃࢫࡢタ ィ㸪ࣄ࣮࣐ࣗࣥࣥࢱࣇ࢙࣮ࢫࢩ࣏ࣥࢪ࣒࢘ 2013(2013). [3] ୖ㔝⚽ᶞ㸸⢭⚄άືࡢ⌮ゎࢆ῝ࡵࡿࡓࡵࡢぢ❧࡚▱ࡢ ᵓ⠏㸪,➨ 30 ᅇேᕤ▱⬟Ꮫᅜ [4]. ᑠ㔝ᑑஅ, ⋢㢷, ᒾ⏣ᜏᫍ㸸⑵࿈≧ホ౯ᑻᗘ Assessment Scale for Symptoms of Dementia(ASSD)ࡢಙ 㢗ᛶ࣭ጇᙜᛶ㛵ࡍࡿ ᳨ウ; ⪁ᖺ⢭⚄་Ꮫ㞧ㄅ㸪Vol.13, No.2, pp.191-204 (2002).. [5]. ᰘ⏣୍㸪▼ᕝ⩧࿃㸪㏆⸨ㄔ㸪ୖ㔝⚽ᶞ㸪⋢㢷㸪ᶫ ⏣ᾈ୍㸪➉ᯘὒ୍㸸」ᩘࡢㄆ▱᳨ᰝ᪉ᘧࢆ⏝ࡋࡓ ㆤࢫࢱࢵࣇᐙ᪘ࡢㆤሗ≧ἣࡢඹ᭷㸪➨ 1 ᅇ ሗฎ⌮Ꮫ㧗㱋♫ࢹࢨࣥ◊✲, 2015. [6]. ⋢㢷㸪ᑠ㔝ᑑஅ㸪⋢ㆡ㸪ᒾ⏣ᜏᫍ㸪ከ㈡Ἃె㸸⬻ ᶵ⬟ホ౯ ࣂࢵࢸ࣮ࣜ Brain function battery (BFB) ࡢస ᡂ-ಙ㢗ᛶ ጇᙜᛶࡢ ᳨ウ-㸪㝣⚄⤒⢭⚄་Ꮫ㞧ㄅ㸪 Vol.17㸪pp.37-48(2003)㸬. [7] ⋢㢧㸪ᑎᕝᝋᏊ㸪ຍ⸨༓✑㸪ᑠᒣၿᏊ㸸㍍ᗘㄆ▱ ࡢࡓࡵࡢ⡆౽࡞⚄⤒ᚰ⌮Ꮫⓗ᳨ᰝ--ࣜࣂ࣮ࢩࣈࣝࢸࢫ ࢺ,ᡭᣦᶍೌ᳨ᰝ,ᕥྑᡭᣦᵓᡂࣃࢱ࣮ࣥࡢኚ᳨ᰝ㸪 ⪁ᖺ⢭⚄་Ꮫ㞧ㄅ㸪21(2)㸸232-238㸪2010 [8] ୖ㔝⚽ᶞ㸸ㄆ▱་⒪ࡢ㝈⏺ࠊࢣࡢྍ⬟ᛶ㸪࣓ࢹ࢝. ף2016 Information Processing Society of Japan. 5.
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