169_39-2_23関東甲信越_念*.indd

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1 TFT infective endocarditis IE IE vegetation IE IE Duke US 1 mammography MMG 2 2 a second

2 look US 0. 4 mm US b MMG US MMG cse ASVascularity SE AS Vascularity US US US US US US MRI 2008 Clinical Question; CQ CQ CQ 305, 306CQ 301 CQ 302 Rh D CQ 614 B 19 MCA PSV 2011 AFI JA 2 JA

3 Aplio XG Lower Urinary Tract Symptoms: LUTS OveractiveBladder: OABOAB LUTS 3D tension free vaginal mesh TVM

4 TVM 3D acoustic radiation force mw/cm 2 Herman Harris 3 duty DDSGDS 3 Bjerknes DDS GDS DDS GDS Expert WFUMB ALARA as low as reasonably achievablemi TI DCM DCM DCM

5 DCM HCM 13 mm HOCM 3 volume MHz 3 mm 20 mm g : 27 30, GE 2 GE E E E/E LVEDP PAWP E/E E/E 15 E

6 E/E 15 Ommen E GE 2 GE E E E/E LVEDP PAWP E/E ml AR 17 MR 29 Vivid 7, i Vscan AR jet MR jet AR Vscan 17 5 MR 4. 3 vs 4. 5 mm 6. 1 vs 6. 8 cm 2 Vscan 29 8 Vscan Af R R R R LVOF Af 18 LVOF 1 SV ET R R R R R R SV ET Preirus R R :SV ml ml ET 293 ms 295 ms R R R R :SV ET R R Navigation Af T NSVT ICD sotalol PVC LVEF granular sparkling

7 EF EF H H 20 8 H g/dl ng/ ml 2 D 2 Dspeckle tracking radial strain time to peak strain H 21 1 time to peak strain TTE NBTE Lateral scallop P 1 medial scallop P 3 TTE SLE NBTE NBTE E/A E/e LAVILVMI 2DST GE Vivid E9 2DST Longitudinal Circumferential Radial global strain peak global strain rate peak strain Radial strain rate LAVI r 0. 59LVMI r 0. 61E/e r DST Radial strain rate Nitroglycerin mediated vasodilation NMD nitroglycerin P NTGD Brachial Artery Diameter BAD arterial tone confounding effects P NTGD lipid 64 BAD P NTGD UNEXEF18G International Brachial Artery Reactivity Task Force FMD nitroglycerin mg NMD P NTGD HDL C P NTGD Total Cholesterol/HDL C ratio P NTGD lipid marker PCI PCI mm 2

8 EVAR US EVAR proximal neck endoleak US CT 1 proximal neck US CT endoleak CT US 1 endoleak EVAR US CT endoleak US EVAR US CT CT CT aplio XV xarioxg 3. 5 MHz mm mm 7238 CT PSVRAR aortapsv aortapsv aortapsv 2. aortapsv cm/sec 8. 6 cm/sec 38 cm/sec 0. 1 cm/sec CT CT CT 51 CT 19 CT CT

9 35 US US S 2 15 mm 2 35 mm AML 5 52 mm AML US AML RFA 75 stage Complete TUR BT M VAC 2 2 CT S mm vascular image Kupffer image RFA RFA HCC CT 2 50 CT S mm FNH 2008 size mm S mm B mode focal spared lesion spoke wheele pattern FNH 2009 S 5 B mode CT FNH MHz penetration bright liver AplioXG 805AT DTHI E 9 9 L virtual convex 8 MHz Depth 4 10 cm US 10 cm 6 cm 7 cm

10 CT CT MRI T 1 T GVHD A 100 mg/ 18 mm CT CA19 9 complicated cyst 6 6 CA U/ml 4 1 / CA CA CA US 22 mm US 30 mm US CEA PET CT US 50 mm WHO 3 US SUS C 69 HCV RNA 5. 8 TaqManHCV 3. 0 C ALT 601 T Bil SUS AP type 2 ALT 56 SUS A type T Bil LOHF 4 IFN Sonazoid B mode CHI Q Aplio500 PVT 375BT Sonazoid 0. 5 ml body raw data

11 Manual Flash Sonazoid high MI mode GE LOGIQE 9, S 8 Sonazoid 0. 5 ml/body mode AMImode CHImode arterial phase CHA mode MI CHA mode mode portal phase post vascular phase 55 H US B mode Arrival time Parametric Imaging At PI Sonazoid US US B mode 22 US B mode P 8 At PI Sonazoid US P 8 At PI Sonazoid US PV 2 1 HCV PV 2 PV 72 US US MRI T 2 EOB MRI 5 15 mm EHE CD 34 US C APLIO XG 30 Raw data Perfusion Parametric Image perfusionpi perfusionpi P A AP 3 AP A

12 CA U/ml CEA 6. 1 ng/ml S 5 34 mm 40 mm P 5 B 5 S US Rokitansky Aschoff sinus RAS comet like echo AST 136 IU/L ALT 91 IU/LGTP 586 IU/L T CHO 222 mg/ dl T G 579 mg/dl US CEA 9. 5 ng/ml CT ICC ICC 3 cm ICC 3 cm 6 25 mm mm / / /mix 1 / 1 / 3 / 1 / 4 / 2 eg/ig 1 / 5 fc /0 / 6 / 3 / US 10 mm comet like echo RAS CT MRI RAS US RAS RAS US mm US 10 mm CT MRI US Ip m US Ip mm 11 9 mm cyst in cyst CT MRI T1WI MCN MCN cyst in cyst CT MRI CT MRI 1

13 monoclonal gammopathy of un determined significance MGUS CT 90 mm Dutcher body IU/CRP 1. 3 mg/dwbc 18800/ CT groovepancreatitis mm MRI 6 50 mm cm CT MRCP AIP PSL SC AIP US AIP PSL 5 mg 2 20 mm IgG AIP 2 IgG4 PSL 7. 5 mg AIP 3 US ERCP SC AIP US AIP CT 4 3 mm 5 3 mm

14 CT 2 10 CT 3 20 CT V B I 4 5 MRI Second look US 2 ndus 2 ndus ndus ndus 104 US mm 7 2 DCIS US MRI 2 ndus PEIT 54 intact PTH 389 pg/ml mm 6. 6 mm 3. 4 mm 25 mg 4 intact PTH 206 pg/ml PEIT 1 intact PTH 61 pg/ml IL 2 CT AIMAH Cushing mm mm CT MRI ACTH Cushing AIMAH AIMAH TTTS FLPFLP

15 FLP IUFD 32 2 G 2 P 23 TTTS stage I FLP well being IUFD MCA PSV MCA PSV CT TU F TU 34 0 G 0 P 40 3 Voulson E 8 GE TU TU 53 mm Progression Angle 158 SP 4 cm F 3008 g APS 9 / 9 UApH TU TU Raj Kumar Parajuli 1 2 cm FDTD m/s 300 Hz 15 mm mm 10 mm W 1 mm 2 mm W W Raj Kumar Parajuli 2 3 cm FDTD FDTD voigt 30 mm 100 Hz 400 Hz LED 1 2 3

16 1 2 1 GE MR FUS 2 FUS QOL MR MRgFUS MR MRgFUS D Fly Thru Aplio500 PVT 675MV 3D volume data raw data P Vshunt 2D 2D 3D Acoustic Structure Quantification ASQ ASQ ASQ ver. 5 Cm 2 R/B ratio ASQ : Aplio XG : PVT 375BT 8 cm 4 cm ROI 3 Cm 2 R/B ratio ASQ R/B ratio Fly Thru Fly Thru APLIO500 3D 75 3D Fly Thru data Fly Thru Virtual laparoscopy CT MRI CT MRI GE LOGIQE 9, S8, C1 5, 9 L CT EOB MRI DICOM reference DICOM CT MRI

17 CT MRI GE LOGIQE 9 S 8 CT EOB MRI DICOM reference Volume imaging 5 Toshiba Aplio XG SSA 790A GE LOGIQ7Toshiba PVT 382 MV GE 4D3C L 10 LOGIQ7 Auto sweep LOGIQ7 Static 3D Volume imaging CT US US CT US US 30 DVD US US US US P P 0. 01bright liver P US US US US data raw data GE LOGIQE9 S8 C1 5 9 L 3Dmode reference B mode NMIJ 3 HIFU 140 mm 140 mm 100 mm 60 mm SCL mmhg Ca AED

18 AED 118 mmhg mmhg AS 1 14 AS 65 mmhg cm 2 AS 3D AR AR AS 3D 2 3D CT hyperechoic rim Halo halo pseudohalo 1 hyperechoic rim Sonazoid lowmi vascular phase B mode B flow GE LOGIQS 8 C1 59 Lprobe Sonazoid 0. 5 ml/body B flow MI 0. 2 vascular phase portal phase B flow mode Hb 3. 0 g/dl EUS iso hyperechoic 2 4 ESD EUS mm Group 5 0 c Stage A T 2 N 1 M 0 P 0 CY 0 H 0 S 1 1

19 Budd Chiari BCS 5 BCS BCS to and fro BCS Keyboard Sign cm Borrmann mm CT CT CT 40 cm CT CT

20 CT 80 cm WBC: / l CRP: 2. 8 mg/ml CEA: 9. 7 ng/ml CT cm Borrmann CT CT CT MRI scalloping GIST ma lignant score MS GIST US US Yamada 3 cm 5 MS GIST 1 MS MS Yamada MS GIST GIST MS 88

21 CT 5. 8 mm 12 mm Fowler

42-2_26回関東甲信越地方会Pr6N_念*.indd

42-2_26回関東甲信越地方会Pr6N_念*.indd 2014 10 18 19 TFT acoustic radiation force ARALA TI MI TI / MI TI / MI 1 2 3 4 5 1 2 3 4 5 PZT MASON 20 MRayl 20 MRayl 10 500 khz 20 MHz 1 mw 15 W 500 khz 20 MHz 100 W 60 MHz 1 2 3 4 5 4 6 6 4 1 2 3 4