抄録36-6偶_中国_責.indd

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1 D D 2 2 3D g 11cm 2 3D x 3DCT 1 3D 45-2 FIUVV 3 10 FIUVV IUFD 2 FIUVV MRI cm FIUVV 28 IUFD 45-3 Fetal intra-abdominal umbilical vein varixfiuv varix mm g 235 MD mm mm gFIUVvarix 2078g FIUV 327 MD mm gFIUVvarix 2088g 432 DD mm gFIUVvarix 2624g FIUV varix D AFD ± ±320g 601±101g; ±1.1 cm LFD 6 ; 39.0± ±159g 407±77gAFD -2.0SD p< ±0.6cm AFD SD p< CBDBA MRI CBD BA 1 1 CBD

2 BA I cyst Nuchal translucency Nuchal translucencynt NT NT NT NT 3mm NT 4 12%3/25 7%4/55 42%10/24 41%3/7 NT NT % echogenic cystic gApgar Score TVS HSSG % 15.6%p<0.01TVS 9 4 HSSG 10 9 TVS HSSG 45-9 papillary carcinoma papillary carcinoma PC 1 2% PC 2 US 160 MMG US20x14x21mm low 270 MMG US17x13x17mm low PC 2 PC US DCIS MMG USMMG US C US 6mm 4 MMG US E 2cm 4 MMG bright loop 1cm 1 70 C US S7 S5 5mm 3 dysplastic nodule 5

3 S7 bright loop 2 S7 S5 Bright loop 1cm Gd-EOB-DTPA MRI Gd-EOB-DTPA MRI EOB-MRI HCC dysplastic noduledn US CT isodensity EOB-MRI 19 A CT low density 67 B 12mm A/B hypoechoic 74%/46%hyperechoic 26%/54% P=0.05 bright loop10%/17%halo 5%/7% HCC DN US MRI T1 A 2 10% B 33 49% P=0.003 A US hypoechoic B hyperechoic Sonazoid mm Sonazoid Kupffer defect US diffuse large B-cell lymphoma Sonazoid Sonazoid 3 B Sonazoid CEUS CEUS 3 Sonazoid 170 cyst B CEUS S7/8 5cm CEUS CEUS AML MRI S7/8 10mm MRI T1-lowT2-intermediate CT wash out B hypoechoic SOL Kupffer image defectaml HMB45vimentinαSMAS-100 AML Sonazoid US ALOKA Pro-Sound α-10 ExPHDmodeMI Hz Sonazoid kg/ml B-mode US US B-mode US 13/18 72%US15/19 79%US B-mode US11/13 85% US15/19 79% B-mode US1/5 20% US2/5 40%

4 Sonazoid US Sonazoid 70 C mm CT Sonazoid SPIO-MR HCC CT Sonazoid CT Sonazoid Sonazoid CT Sonazoid /μlCRP30mg/dl CT 60mm CT B Sonazoid Kupffer image defect Sonazoid Kupffer image defect CT Sonazoid HCC Sonazoid RFA 2 Sonazoid RFA 179 S8 19mm hypo echoic SOLTACE Vascular phase defect enhancekupffer phase defectre-injection Kupffer phase 257 S7 17mm biloma hypo echoic SOLTACE Vascular phase defect Kupffer phasere-injection vascular phase 366 S8 13mm hypo echoic SOL TACE RFA Vascular phasedefectkupffer phasereinjection Vascular phase Sonazoid Kupffer phase defect target Vascular phase Sonazoid RFA Sonazoid RFA RFA AplioGE LOGIQ7 EUB-8500 Sonazoid ml/kg Kupffer phase RFA HCC mm7 26mmTACE B-mode RFA B-mode Sonazoid targeting RFA HCCRFA 31 56% 24% 15% 5% 135 B S2 14mm HCC RFA acoustic shadowas C S5 14mm HCC RFA AS HCC RFA RVS RFA 1 64 C HCV genotype1b

5 16 S5 1.5cm HCC RFA TACE 20 8 S4 2cm HCC RFA 21 2 CT real time virtual sonographyrvs EUB-7500 RFA 3 CT cover AFP/PIVKA-II RFA 1 RFA ~0.4% RFA 69 B C S3 16mm HCC RFA 4 6 S3 10mmS4/5 10mm Pugh 6 2 HCC RFA 1 Dynamic CT 2/3 1500U/ U/ 4 2mg RFA ARFIAcoustic Radiation Force Impulse ARFIAcoustic Radiation Force Impulse ARFI FibroScan 65 ARFI 1.19 m/s m/s FibroScan Kpa Kpa P< F 11.01m/s - F m/s - F m/ s - F m/s - F F4 ARFI Fibroscan ARFI C S6 14mm Gd- EOB-DTPA MRI EOB-MRI defect CE-US hypovascular Kupffer phase cholangiocarcinomaicc RFA ICC 270 C EOB-MRI S2S5S7 defect US 9mm 3 AngioCT CTA CTAP RFA ICC EOB-MRI ICC B ICC NASH HCC NASHF3 follow US S3 8mm SOL HCC MRI US S3 SOL 14mm Sonazoid US Kupffer defect CTAP lowctha high low HCC HCC RFA NASH HCC Angiomyolipoma 63 CT adenomyomatosis CT S4 20mm B-mode US hypo echo iso echoic Sonazoid US vascular phase Kupffer phase defect Angiomyolipoma B-mode US Angiomyolipoma 1 Angiomyolipoma

6 C 60 C Sonazoid dynamic CT C HCC A2F3 IgE CT 2 IgE follow cavernous transformation CT S6 S6 high echo MRI S6 RFA RFA CT EUS EUS EUS-BD EUS-GBD 1 bilomaeus-bilod biloma1 Zimmon 19G Plastic stentps EUS-BD PS91%10/11 1 PS 4 / 2 PS EUS-GBD PTGBD EUS-BiloD Peri-Biliary cysts 1 68 CT Peri-Biliary Cysts DIC CT CT Peri-Biliary Cysts Peri-Biliary Cysts X 2 CT HbA1c Sonazoid

7 informed consent CT ClassV IPMC IMPC EUS-FNAB 2 EUS-FNAB EUS-FNAB CT 9mm 2 57 USCT 12mm MRIEUSERCP EUS-FNAB EUS- FNAB ICT EUS-FNA ICT 4 GE LOGIQ7 Sonazoid MI CPI mode CHA mode B-mode 1 CPI mode 4 3 hypo 1 iso hypo CHA-mode 3 Sonazoid ICT US GIST GIF 12 GIF 3cm 1 2.7cm 2 2cm 12 4 GIST GIST GIST Group IV 30 T4N0M0Stage4A

8 45-39 GISTgastrointestinal stromal tumor ESD 2 EUS 179 GIS delle 22mm SMT EUS SM ESDendoscopic submucosal dissection 273 SMT 15mm EUS SM MP ESD SM MP MP SMT 2 12 GIST GIST MP GIST SMT EUS SMA XPCT US SMA SMA US 30 3 XPCT SMA US % CT 5 23mm Sonazoid Low MI imaging Sonazoid scope Group I mm Malignant lymphoma diffuse large B cell lymphoma R-THP-COP mm Sonazoid CT X

9 type2tub2>por2psiintinfb>c ly1v0pn25/ PTP X CT 1.5cm strong echo PTP PTP Terminal ileum 20cm 9cm PTP X cm CT USRa>RS 1 75 CF 7cm CF US Ra RS 5cm 3 4 SS > ss US % US 76 S 1 S US S 1 2 US S 2 stage II A2 stage II A US PET-CT 25mm 3 4 Sonazoid hypervascular Sonazoid 1

10 CTMRI. 7cm. complicated cyst. S. mm V1-3 QS V4-6 q c-tga CT MRI c-tga c-tga H16 1 H20 1 CT 4.7m/s peak ± CT mm

11 ICD 42%2 6 30% %2 43% %3 38% 453 ICD 48%1 28% D 2D 3 2D 3D D 3D 21 59±4 EDVESVEF Bland and Altman 2D 3D EDV ESV 0.92sphericity index;si0.65 cut off SI>0.65 EDV ESV LVEF 2D 3D 2D 3D 3D 2D VSD IE 55. IE VSD. 3D. IE.. VSD 3D Q akinesis dyskinesis echogenic low Flap CT

12 45-61 NC HT HT >2 HT HT EF44% 18 DCM NC HT EF=53%HT 4.9% 1.9% DCM NC 1.6% LVDd58mm EF26%E/A1.3DcT175msecE/E 15 pseudonormalization pattern E/A0.6DcT202msecE/E 8 EF45% EF36%E/A1.7 DcT169msecE/E 16β CT TRCA RAS RAS TRCA 423 radial loop radial artery RAS RAS 25 6%RAS - + p<0.0001p0<.01 RAS TRCA RAS cm HIFU HIFU 12 follow 115

13 PSA ng/ml 7.4Gleason score T1b 7 T1c 43 T2a 49 T2b 11 T2c 5 D Amico low risk 24 intermediate risk 58 high risk Kaplan-Meier 3 PSA low risk 96%intermediate risk 89%high risk 59% low risk high risk p grade2 HIFU US 131 US FNAB classv 228 US FNAB classiv 314 US FNAB classiii US FNAB X 4 Hb10.8g/dl speckle pattern Sonazoid CT CT CT 3cm 10 US 35 35mm MRIPET-CT 3cm Schwannoma US CT 50mm Sonazoid MRI T1 T EUS-FNA CT EBUS-TBNA EUS-FNA 30

14 45-72 X MRI 22% 93% MRI

抄録_46回中国地方会37-6_責.indd

抄録_46回中国地方会37-6_責.indd 46 22 9 11 Update 46-1 Gd-EOB-DTPA MRI EOB-MRI HCC dysplastic nodule DN 146 62 146 123 HCC 23 DN B hypoechoic 67 46%hyperechoic 79 54% bright loop 14% A dynamic MDCT iso density EOB-MRI 24 B CT low density