41-6_35回中部地方会Pr6N_HP掲載用.indd

₃₅ 2014 9 7 ₃₅ ₁ 1, 1, 2, 1, 1, 1, 3, 3, 3 1, 2, 3., e E E/e. CT 158,CT Volume data, CT -140-40 HU. E e, e E/e. e,e/e,. ₃₅ ₂ 1, 1, 1, 1, 2, 2, 3, 2, 2 1, 2, 3 82, T,.. S, 13 mmhg,,, 10γ S 260 mmhg,. S,., 10γ 28 mmhg,. S,. ₃₅ ₃ 1,,,,,,,,, 60.50, UCG,,. UCG,,. PTSMA,UCG PTSMA 100 mmhg. MRI,.PTSMA,. ₃₅ ₄ 6 1, 1, 1, 1, 2 1, 2 6 6 MWD. 2013 9 2014 5 6 MWD, 60 62 15, 63. 6 MWD. 430 103 m 100 616 m. 6 MWD EF,E/A,,E/e,LAVI P=0. 002,P=0. 008,P=0. 03. 400 m 2 400 m,,e/e, e.,,e/e 400 m. P=0. 007,P=0. 03, P=0. 009 6 MWD. ₃₅ ₅ 25 1, 2, 1, 1, 1, 3, 3, 3, 1, 3 1, 2, 3 CA,,., CA. 2000 11 2014 6 CA 36, 25 63 13. 5 Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 893

, 16.. 639. 22,granular sparkling sign 14, 6,Dct..,E/A, E/e. 25 CA.,,,. ₃₅ ₆ 1,,,,,, 44,.. 2014 1.,.. 16,. CT,., CT.,.,. ₃₅ ₇,,,,,,,,. ₃₅ ₈ JA. ₃₅ ₉ 1, 1, 2, 2, 2, 3 1, 2, 3 79 24 3 stage Ⅲa,.,. 12, MRI. UCG 4 cm,.. CT,, CT.,., 2.,.,. ₃₅ ₁₀ 1 1, 1, 1, 1, 1, 1, 1, 2, 2, 2 1, 2,, 56.,,.,, CT,. PCPS, 8 cm,.pcps, PCPS, 4.,,. ₃₅ ₁₁ 1, 2, 2, 2, 2, 2, 3, 2, 2, 1 1, 2, 3 72..MRI,.,., B 17,.. ADL,., 55.. 894 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)

₃₅ ₁₂ 1, 1, 1, 2, 2, 3, 3, 1 1, 2, 3,. 2000 1 2014 3 72148 2. 0 m/s 4815,,1 2 1697,443 70. 9 10. 7, 51. 4. 2 2. 7. 0. 143 0. 379 m/s, 0. 3 m/s 16, 61, 39.,. ₃₅ ₁₃ 1, 2, 1, 1, 1, 1, 1, 3, 3, 3 1, 2, 3 SE,., MR SE, SE MR 42 58. 5 15. 0, 30. NYHA class Ⅰ 28, class Ⅱ 14, EDVI,ESVI,EF LAVI.,class Ⅰ Ⅱ,Ⅰ EDVI ESVI,EF,LAVI,Ⅱ EDVI,ESVI EF,LAVI. NYHA,,SE,. ₃₅ ₁₄ 1, 1, 1, 2, 2, 3, 3, 4 1, 2, 3, 4 42..34,. AR.,40., VSDjet, AR, MR,.,VSD,., 88 mm 1 52 mm., VSD, Ⅰ, Ⅱ.. ₃₅ ₁₅ 1, 2, 3, 1, 1, 1 1, 2, 3 QAV 0. 008 0. 033, AR. 65.. 1,.., AR EF 23, LVDd 63 mm.,.,ar. QAV AR, Hurwitz D,1 AR,EF 59,LVDd 44 mm. QAV AR,. ₃₅ ₁₆ 1,,,,, 84..., MRI,.,, 2 B -Streptococcus,,,. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 895

₃₅ ₁₇ 1, 1, 1, 1, 2 1, 2 71,. ECG : V 1 - V 3 R,V 5 - V 6 ST LVDd 4. 2 cm,ef 43.,..,.,,.,,. ₃₅ ₁₈. 1, 2, 2, 2, 2, 2, 2, 2, 3, 1 1, 2, 3 48.7.5,.,.,,.,., WHO Ⅱ.,.,5 WHO Ⅳ.,6,,. ₃₅ ₁₉ 1 1, 2, 1, 1, 1 1, 2 61.,,,.,,.,.,.,,. ₃₅ ₂₀ 1,,,,,, 70.....,.,,,Woven Coronary Artery,.Woven Coronary Artery,, ₃₅ ₂₁ 2 1, 1, 2, 1, 1, 1, 1 1, 2. ₃₅ ₂₂ 2, 2, 2, 2, 1 1, 2 70.1988,, SVG -#8, SVG-#12,SVG-#14.2013 9 10. 60 mm,ct 37 57 mm. 7 #12, 60 mm,#12,. 60 mm,.. ₃₅ ₂₃ 2, 2, 2, 2, 2 1, 2, 896 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)

, fibroscan., PI, PI fibroscan E. 23.fibroscan 10.PI 2 3 cm. fibroscan E PI PI. ₃₅ ₂₄ 1, 2, 1, 1, 1, 1, 1, 3, 3, 3 1, 2, 3,,. 2005 2007 258 Child-Pugh grade A 183, B 63,C 12. pulsatility index PI,Child-Pugh score,,,3 2,, PI,Child-Pugh score,,. Child-Pugh grade A,3 2,3,Child-Pugh grade A B. PI,,. ₃₅ ₂₅ 1 1, 1, 2, 2, 2 1, 2 74.CRF,RA.H 25 5 / 27,,5 / 31,.,. US,,.,, ALB,, :.6 / 20,, AP. AP,7 / 3,.,US,,8 / 10,. AP, US 1. ₃₅ ₂₆ 1. ₃₅ ₂₇,,,,, 20,2014 1,,., B.,., PT 45,AST 2261 IU/L,ALT 2931 IU/L,T-Bil 9. 4 mg/dl,., E, 1 27 kpa, 29 13. 6 kpa, 39 18. 4 kpa, 62 9. 4 kpa,.,,., ₃₅ ₂₈ 1, 1, 1, 1, 2 1 JA, 2 JA,HCC TACE RFA CEUS,.,B., B. CEUS TACE RFA HCC 7 7 GE LOGIQ E 9 CEUS B.,7.,5.,7 4 CEUS,,. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 897

₃₅ ₂₉, 50.C,2012 5, RFA. 7,,..,,. CT, RFA,. A 3,,.,RFA.,. ₃₅ ₃₀, HCC DEB-TACE.DEB-TACE 6 MRI TACE ctace PRECISION V,.. DEB-TACE 1 1,. DEB-TACE CEUS 1 MRI,, 1 CUES 1 MRI Sonazoid EB-TACE ₃₅ ₃₁ 75.,.70,TACE,RFA. 74 MRI,., T V 1-4.,., 9,.,.,.,. ₃₅ ₃₂ 1, 1, 1, 2, 2 1, 2 80,2007, CT 1 CT.,HBs,HCV,AFP 11. 4 ng/ml,afp-l 3,PIVKA-Ⅱ 14170 mau/ml. 8 cm,,,.. CT,EOB-MRI.,,,.. ₃₅ ₃₃ 1,,, CT/MRI.. 80.C..77 Ⅲ. 3,, PIVKA Ⅱ S 8 30 mm., wash out,,, 2,RFA.,,. CT/MRI.. ₃₅ ₃₄ 4 2 1, 2, 2, 2, 1, 2 1, 2 RFA,,US 4D 3D,4D-US,2D-US RFA. 898 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)

4D probe 4D-US RFA 20 4D. biopsy mode.2d probe 20 2D. dynamic CT R grade R 0 - R 3 R 2 :, ablated margin AM 5 mm.r 3 : 5 mm AM. 2,.2D R 3 10 50.,4D 19 95 R3, P 0.01. 4D-US,2D-US. ₃₅ ₃₅ 1 1, 1, 2 1 JA, 2 JA collagenous colitis CC,, collagen band 10 m., 80..,, CRP..,,. CC., 1., CC ₃₅ ₃₆ 1, 1, 1, 1, 1, 1, 1, 1, 2, 2 1, 2 7 2011 1,..2011 9..,.,,.3, 5 mg,,.,. ₃₅ ₃₇ 50, 10,B 2012 7, 11,....,.2012 12, mucinous adenocarcinoma. 21,. ₃₅ ₃₈,,, US,.,,.,. 2012 4 2014 3 US 43259,US, 133.US,. 23. 3 31 / 133, 58. 1 18 / 31.,,27,4.,,. ₃₅ ₃₉ 1,. 1. 54,, 2,,.,.,. CT.,..,,,, Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 899

. ₃₅ ₄₀ 1, 1, 1, 2, 2 1, 2.,. 2012 2013,, 20.free air free air, free air, strong echo.,free air air,free air.,free air,free air,.,. ₃₅ ₄₁,. CS, US CS,. 2009 2014 6 63 37, 26. 13, 10 CS US,8 80 US.CS US 14 11 78. 6.US 2, S 1 / 2 2 2. CS, US. ₃₅ ₄₂ 1 79. 20 11,. 6 cm,,. CT,,.MRCP.,..,.,.,. ₃₅ ₄₃ 1,, 39,. 24 3. CT,. US 40 mm. CT 35 mm,.mri T 1,T 2, 40 mm,. solid-pseudopapillary neoplasm SPN MCN,., SPN. SPN,US. ₃₅ ₄₄ 1 54,. 2012 9, CT,9,. US 17 14 mm. US.EUS 7. 2 mm.erp., G 1.,. ₃₅ ₄₅ 1, 1, 1, 1, 1, 1, 1, 1, 2, 2 1, 2., 1,. 2013 4 2014 5 2251 1488, 763, 61. 8, 3 900 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)

,,,,.,. ₃₅ ₄₆ 1 1, 2, 1, 1, 1, 1, 1 1, 2 3 62,... 8. 5 4. 3 cm., 1,,,,,...,,MFI. 1,. ₃₅ ₄₇ 1 1, 2, 2, 2, 2, 1 1, 2 47,.2013 9,., CT SMA,3.CT,SMA,.US SMA 5 mm 6 cm SMA,..,,.1 CT US,5 CT US SMA,. ₃₅ ₄₈ 1 1 37,.,. 40 5.,, 6. 3 mg/dl,., 4058 g..,., 7.. ₃₅ ₄₉ 1,,., 74,2 2. 50.,.CT,MRI., CA 125 218 U/mL,,. 9. ₃₅ ₅₀ 1.,. 17, 21,,.,.,,.1,.3,,,. ₃₅ ₅₁ 1 1, 2 1, 2 VSD Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 901

,,. VSD, 1. 42 1.31, 2 mm,.,37,., 3 4 mm.,, 5, 14, VSD. VSD,,. ₃₅ ₅₂,,, MRI-Real-time virtual sonography.rvs, 1.. H 25 4 H 26 3 MRI-RVS 53 68. 4.MRI, 1.,RVS.13,., 28 53, 10 19, 15 28.,13 38 14 44,RVS, 78 64. ₃₅ ₅₃ 1, 1, 1, 2, 2, 2, 2 1, 2 2006 UCSF,... PSA. 1 5 ml Hanaco 21G 200 mm.,.. ₃₅ ₅₄ 1 1, 2, 1, 1, 1, 3, 2 1, 2, 3, ADRCs. ADRCs 71, GE LOGIQ 7, E 8 C,B, 0. 015 ml/kg. 40, I,peak T, I,T ₃₅ ₅₅ 1 1, 1, 2, 2, 2, 2 1, 2 40....MMG AC 5 cm,.us,,. Doppler, MRI T 1 WI,T 2 WI,,... 1 100.50,,. ₃₅ ₅₆ 1, 2 1, 2. 902 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)

₃₅ ₅₇ 1 1, 1, 1, 2, 3 1, 2, 3 ShearWave Elastography SWE,, shear wave,.,., SWE,. 40.,.MMG 3.,18 mm 2,SWE 3, 3.,. ₃₅ ₅₈ 1 2, 2, 2, 2, 2 1, 2,,,., 1. 14,. TSH,.,,,.2,,,..6,,,,, TSH. TSH,,. ₃₅ ₅₉ 1, 1, 2, 3 1, 2, 3,.,, Superb Micro-vascular Imaging SMI.,Aplio 500, 3. 5 MHz..,.,. SMI,. ₃₅ ₆₀,,,,., SMI. 8,,,,ADF SMI.. 0. 8 mm.smi ADF,. SMI ADF SMI,SMI,.SMI,. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 903