2014 9 6 1, 2, 2, 2, 2 1, 2 60.. CT S 5 47 mm, 20 mm. US,,..,,. CT.,,.,. 8.,,.,. 1, 2, 2, 2, 2, 2, 3, 3 1, 2, 3 70 5,, 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 0. 015 ml/ kg.,,., B. US.,. PCR,., Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 905
. 1, 1, 1, 1, 2, 2, 2, 3, 2 1, 2, 3 78. 23 B.,. 25 9. 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.,,..,,,. 4. 5 mm,.,.,. BMI 16. 5.,.,. 2., 3 4 1. 3, 1 1.,.,,., 5 cm.. MRI..,.,.,... Meckel, 99mTc,.,. 3.,. 10-12 mm target sign,..,. 4 99mTc.,Meckel,.,Meckel.,,,,,,,, 1 30,. CT 40 mm. 906 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
US,40 30 mm,. 2 65,.,CT 40 mm. US 40 35 mm,.2,..,,. 1, 2, 1, 1, 1, 1, 1 1, 2,., 1. 81.. 8, 200 / l CRP 0. 56 mg/dl.,. S, 35 15 mm...ct, S,., 9. 1, 1, 1, 1, 1, 1, 1, 1 2, 3, 3 4 1, 2, 3, 4 50.,. 56 45 mm,.,. CT,..,,.,.,.. 1, 1, 1, 1, 1, 2 1, 2 63.201X 1,,.,.,, air,., 28 mm,, empty,., S,. 3 cm,.,,,.,,,,,,,,, 40.,.,,. CT. 3 cm,., 3 cm.. 24, 7. 100 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
CRP 4. 72 mg/dl.. 2 10 cm,2,. CT,. US... 1, 2, 1, 1, 3, 3, 3, 4, 4, 2 1, 2, 3, 4 67 46,63, CT.20XX 8,,. 2. 3,,..,.,.,,, 72,.2013 2,. 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, 4 70. 20, 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., 1. 7 6 cm 3 4.. hypervascular. MRI 13 cm,. MCN. MCC.,., MCN. MCN. 1, 2, 2, 2, 2, 1, 1, 2, 2 1, 2 24. 908 Jpn J Med Ultrasonics Vol. 41 No. 6(2014)
. MRI,., 13 mm.,.,.,.,. CT MRCP.,.,.,. 1, 1, 1, 1, 2, 3, 3, 4, 1 1, 2, 3, 4 66.. US 35 mm,p 2. CT, CT washout.eob-mri T1WI T2WI,DWI,. US,. defect...,. US 1. 80.,,.,,. CT,MRI,.,,.,. 2.,IgG4,IgG4 243 mg/dl.,.igg4,,,.,,.. 18 36 23 17 40 146,., 9 12 CRL. 17 22,, 23 26,., 27,. 28, 29 36 3,., 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. 17 27 266,. 18 trisomy 3,. r 0. 61 p 0. 01, r 0. 86 p 0. 01. / r 0. 07 p 0. 25, 0. 53 10 : 0. 46,90 : 0. 59.18 trisomy 3 / 10. Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 909
/,.18 trisomy 10,.,,. 27,., 22,.,, 25,,. 30. 33 1534 g NICU,,4 CT AP. 3, 83.,.,,,, 78. 26 1. ⅡⅢ avf ST,.DOA,hANP,,. # 2,.... VSP.. 1. 1, 1, 1, 1, 1, 1, 2, 2, 3, 3 1, 2, 3 50 20XX 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)
,.., 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 60 40. 2014 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, 2 60. 1.,.,CT 24 18 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, 4 50 2010,.US, A 1. 9 cm,abc,.2011. 2. 6 cm,,. ABC,,.. 2...US Jpn J Med Ultrasonics Vol. 41 No. 6(2014) 911
,,,,. 1, 1, 1, 1, 1, 1, 1, 2, 4, 2 3 1, 2, 3, 4 NAC US MMG. 2010 12 2013 9 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. 2011 11 2013 12 VTQ, 44 47 23, 18, 6. VTQ Vs,. Vs,1. 42 0. 32 100, 2. 60 0. 56 73. 9, 2. 21 0. 46 44. 4,0.,.,.VTQ,,.,,,,,.,,. 9 6, 1, 1, 1.,. 7 1, 4, 1, 1. 6.,,,.,,,. 35 39 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)