1-24 acoustic neurinoma schwannoma T1 CT 13 Schwann Schwann T MRI T1 T2 14 T1 von Hippel-Lindau von Hippel-Lindau von Hippel-Lindau epidermo
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1 MKSA X 6 MKSA 1kg 1 X 1.02MeV 0.51MeV X C/kg 1GyGray SvSievert 4 GyGray C/kg X X 5 X X X 3 SVSievert 0.51MeV contrast 2 X X 2 X 2 n MeV X n bit X 1-3 X 8 bit X X X 256 sharpness X kVp X 3 X 1/ 2 X X CRT X 20 30kVp 6 7
2 1-24 acoustic neurinoma schwannoma T1 CT 13 Schwann Schwann T MRI T1 T2 14 T1 von Hippel-Lindau von Hippel-Lindau von Hippel-Lindau epidermoid hemangioblastoma metastatic brain tumor J 15 von Hippel-Lindau 1 2 CT MRI 1-27 T p.59 von Hippel-Lindau
3 S 1 S 1+2 S 2 S 3 S 3 S 4 S 5 S 4 S 4 S 5 S S 6 S 9 S 8 S 10 S 7 S 6 S 10 S 8 S 9 CT a d 3-17a
4 spicula notch sign notch spicula 78 pleural indentation 3-60 CT pulmonary lymphoma X CT J large cell carcinoma metastatic lung tumor 3-61 hematogenous metastasis 6cm X CT S 3 small cell carcinoma X lung adenocarcinoma X CT
5 CT MRI 4-3 CT cine-mri a b 4 4 SVC RVOT AAo LA LCA RCA RA RV LV LA MV DAo PV DAo c d RCA RV RCA RV LV RA LV IVC LA DAo DAo a b c 4 d LV RV RVOT LA RA AAo DAo PV SVC IVC LCA RCA T
6 CT 6-38 CT CT 2cm CT T T2 2cm CT CT CT CT MRI CT MRI MRI T1 CT MRI T2 2cm T halo lateral shadow
7 wrist joint 2 hip joint shoulder joint X pronation supination 8-11 MRI Perthes elbow joint MRI /3 fat pad sign
8 particle beam radiosensitivity reoxygenation 1 therapeutic ratiotr DNA Bragg 4 R 2 repairrepopulationredistribution kg reoxygenation J - Gy1Gy 1J/kg fractionated irradiation 1 cm Gy 5 8 Bergonié-Tribondeau repair definitive radiation therapy Gy Gy repopulation 5 redistribution
9 three-dimensional conformal radiation therapy3d CRT Gy DVH 7DVH PTV PTV PTV PTV IMRT intensity-modulated radiation therapyimrt IMRT 3D CRT IMRT 3D CRT Gy 3D CRT 3D CRT PTV IMRT PTV DVH IMRT3D CRTPTV DVHIMRT
10 a b T1 2cm T2 T3 T4a T4b 2cm 4cm 4cm N0 N1 3cm N2a 3 6cm N2b 6cm N2c N3 6cm M0 M1 c d IMRT GTV 6070Gy Gy Gy Gy Gy Gy/ 10 30Gy
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Past, Present, and Future of Radiation Oncology Masahiro Hiraoka, M.D. Department of Therapeutic Radiology and Oncology, Kyoto University Graduate School of Medicine NICHIDOKU-IHO Vol. 50 No. 1 98 104
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