41-6_50回中国地方会Pr6N__HP掲載用.indd
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1 , 2, 2, 2, 2 1, CT S 5 47 mm, 20 mm. US,,..,,. CT.,,.,. 8.,,.,. 1, 2, 2, 2, 2, 2, 3, 3 1, 2, ,, CT. 17, 20, 30..,. Segmental Arterial Mediolysis SAM,.,. SAM,., 50,.,, 70. S 5 SOL. CT,,. CT,MRI,,.,Vascular Phase wash out,post Vascular Phase.,..,..,.. 1, 1 2, 1, 1, 4, 1 2, 3, 2, 3, 2 1, 2, 3, 4. 1, 2, 1, 1, 1, 1, 2, 2, 2 1, 2 7.,. CT,, US 12 mm. MRI T 2 WI,T 1 WI. US : Hitachi-Aloka 10, : Sonazoid ml/ kg.,,., B. US.,. PCR,., Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 905
2 . 1, 1, 1, 1, 2, 2, 2, 3, 2 1, 2, B., CT,. 2,,. CT., free air, air,,.,,,.,., 1. 1, 2, 1, 1, 4, 1 2, 3, 2, 3, 2 1, 2, 3, 4. 1, 2, 1, 1, 4, 1 2, 3, 2, 3, 2 1, 2, 3, 4,. 1, 2, 2, 2, 2, 3, 3, 4, 5, 1 1, 2, 3 1, 4, 5. 80,.,12.,,..,,, mm,.,.,. BMI ,.,. 2., , 1 1.,.,,., 5 cm.. MRI..,.,.,... Meckel, 99mTc,.,. 3., mm target sign,..,. 4 99mTc.,Meckel,.,Meckel.,,,,,,,, 1 30,. CT 40 mm. 906 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
3 US,40 30 mm,. 2 65,.,CT 40 mm. US mm,.2,..,,. 1, 2, 1, 1, 1, 1, 1 1, 2,., , 200 / l CRP mg/dl.,. S, mm...ct, S,., 9. 1, 1, 1, 1, 1, 1, 1, 1 2, 3, 3 4 1, 2, 3, 4 50., mm,.,. CT,..,,.,.,.. 1, 1, 1, 1, 1, 2 1, X 1,,.,.,, air,., 28 mm,, empty,., S,. 3 cm,.,,,.,,,,,,,,, 40.,.,,. CT. 3 cm,., 3 cm.. 24, cm.,. 3 cm. 1, 2, 3, 3, 3, 3, 2, 2, 2, 1 1, 2, 3,. 60,,.,. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 907
4 CRP mg/dl cm,2,. CT,. US... 1, 2, 1, 1, 3, 3, 3, 4, 4, 2 1, 2, 3, ,63, CT.20XX 8,,. 2. 3,,..,.,.,,, 72, ,. NET Neuroendocrine tumor.ct 30 mm.,. heterogeneous,.,., NET,. 10 HPF 1, Ki-67 2,NET grade 1. NET,. NET. 1 4, 1, 1, 1, 1, 3, 3, 3, 3, 2 1, 2, 3, , CT free air.. US,free air,,.,. US, 12, US, whirl sign,.,,us,,,. 1, 1, 1, 1, 1, 1, 1, 1 2, 3, 3 4 1, 2, 3, 4 40.,. 14 cm, fluid., cm hypervascular. MRI 13 cm,. MCN. MCC.,., MCN. MCN. 1, 2, 2, 2, 2, 1, 1, 2, 2 1, Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
5 . MRI,., 13 mm.,.,.,.,. CT MRCP.,.,.,. 1, 1, 1, 1, 2, 3, 3, 4, 1 1, 2, 3, US 35 mm,p 2. CT, CT washout.eob-mri T1WI T2WI,DWI,. US,. defect...,. US ,,.,,. CT,MRI,.,,.,. 2.,IgG4,IgG4 243 mg/dl.,.igg4,,,.,, ,., 9 12 CRL ,, 23 26,., 27,. 28, ,., 36,,. 27,.,,.. I cyst 1,III-a- 1,III-d- 4. I cyst 1 III-d- 4,.I cyst,iii-d-.iii-a- 1,. AFD,.,.,, 2, 18 trisomy ,. 18 trisomy 3,. r p 0. 01, r p / r p 0. 25, : 0. 46,90 : trisomy 3 / 10. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 909
6 /,.18 trisomy 10,.,,. 27,., 22,.,, 25,, g NICU,,4 CT AP. 3, 83.,.,,,, ⅡⅢ avf ST,.DOA,hANP,,. # 2,.... VSP , 1, 1, 1, 1, 1, 2, 2, 3, 3 1, 2, XX 1,MRI.. 3 Levine Ⅲ / Ⅵ., 3. Streptococcus anginosus G.., 4..,,.,,,,,,,,, 79.1,, CT,. 10 mm,., 3.,, 10..,. 1, 2, 2, 2, 2, 2, 2, 2, 1 1, 2 82,..,. 5,6.,,,,..,.,dyssynchrony.,,.. dyssynchrony,. 1, 1, 2, 2, 2, 2, 2, 2, 2 1, 2 57,..,,,.-Streptococcus 910 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
7 ,.., 2,.3D-TEE,P 2, P 3 2,.,, 8. P 2,P 3 2,.,., 39..3D-TEE. 宮地克維 ( 国立病院機構岡山医療センター ) 2D,3D 3DTEE. 3DTEE, 3. P 2 2 P 3 1.P 2 2,P 2,P 2..P 3 1,P 3, P 2 P 3, P 3 P 2.3DTEE,. 1, 2, 1, 1, 1, 1 1, ,2,.2,,EF 50,,,. 25 mm, 30 mm.,,.,...,. 1, 2, 2, 2, 2, 2, 1, 2 1, 2. 1, 1, 1, 1, 1, 2, 2, 2, 1, 2 1, ,.,CT cm.,,., 147 / 93 mmhg, CTR 62, LVDd 52 mm,ef 20,., MIBG. EF 20,, 1 EF 40.,.,. 1, 1, 1, 1, 1, 1, 1, 2, 3, 2 4 1, 2, 3, ,.US, A 1. 9 cm,abc, cm,,. ABC,, US Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 911
8 ,,,,. 1, 1, 1, 1, 1, 1, 1, 2, 4, 2 3 1, 2, 3, 4 NAC US MMG NAC 14.NAC USMMG NAC. NAC MMG 6 US 4. 4 MMG NAC PR. 2 US. NAC MMG US NAC. 1, 1, 2, 1 1, 2 Virtual Touch Quantification VTQ,. VTQ VTQ, , 18, 6. VTQ Vs,. Vs, , , ,0.,.,.VTQ,,.,,,,,.,,. 9 6, 1, 1, 1.,. 7 1, 4, 1, 1. 6.,,,.,,, FPL : 15,FDS,FDP : 8, 4, 6, 6,,., 20, 1, 10, bow string 1, 7. 28,1. 1,Zone Ⅱ FDS FDP,. CT MRI,.,,,. 912 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
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