2013 10 5 The forgotten chamber.,,,.1.2,,, 3,,. 4,CT,MRI,,,,,,,, fractional area change: FAC,,M tricuspid annular plane systolic excursion: TAPSE TAPSE < 16 mm., s, speckle tracking, Tei index,,,.,,,.,6,.,,,,, The Best Imaging 1, 1, 1, 1, 1, 1, 1, 1, 2, 1 1, 2 70 C, 3 Levine IV, 3D,,.,,, 1, 3D 1, 1 2, 2, 2, 1, 1, 2, 1 2, 1, 1 2 1, 2 50 2000,,2012 11,, 4, TEE, 4 1. 3 TEE, 1 / 4, 12 1, 3 TEE 1, 1, 1, 1, 2, 2 1, 2 70, 2008 Carbomedics optiform 27 mm2013 2 84 Jpn J Med Ultrasonics Vol. 41 No. 1(2014)
BNP,, 2. 5 m/s CT,,, 1. 5 m/s 3D,,, 3D 1, 1, 1, 1, 1, 2, 3, 4, 1 2, 2 1, 2, 3, 4 70,, C,,,,,,,,,.,, 40 45 40 mm., CT,,,,,,,, 60,,, 15 mm 1,2,. 3.,,,., 2, 1, 1, 1, 1, 2, 2 1, 2, 2 1 69 S 94 36 42 mm.s. 2 80,, 10 cm,,,,,,,,,,,,, CT,, CT,, 3 1, 1, 1, 1, 1, 2, 3, 2, 1 4, 1 4 1, 2, 3, 4 88,,Type Ⅱ end leak 78 mm, 20XX 4,,,,,,, 80 mm,,, CT,,, Jpn J Med Ultrasonics Vol. 41 No. 1(2014) 85
1, 1, 2 1, 2 1, 2012 7 2013 5 20 10, 10 B,A B/A, CT,, 6. CT 80, 90, CT 60, 90 B/A, 6. 2 4. 8, 1. 5 0. 6 B/A 2. 0 90, 80., CT,, CT,,,, 34 4 2,12,19,21. 6 2,,., 2 cm,, MRI,,,, TJO PSE,, PSE TJO 16 PSE TJO,, WHVP PSE TJO 2 514 146,512 161 ml/min, 319 131 and 179 113 ml/min p 0. 05 WHVP PSE 23 7 19 7 mmhg p 0. 01,TJO 20 5 22 6 mmhg p 0. 01 PSE TJO 1, 1, 1, 1, 2, 2, 3, 4, 5, 5 1, 2, 3, 4, 5 17,,. 1,,.20XX 5,, 38. 5,,,,. 197 98 mm,. CT,,,, 1,. no-touch ablation,,,,,, 64, 8 B 21 S 4,TACE RFA 25 3 S 4 2 cm, RFA -,2 CT. RFA, RFA, no-touch ablation no-touch ablation.,,,,,,,,, 38 CT 86 Jpn J Med Ultrasonics Vol. 41 No. 1(2014)
S 2 38 mm MRI, US B 35 mm iso low,ceus A 2,, defect CTHA CEUS AML. motion artifact CEUS AML A 2, realtime CEUS, EUS-FNA 1, 1, 1, 1, 2, 2, 2, 3, 3, 4 1, 2, 3, 4 70, 2012,HBV CT CT 2 cm ERP EUS EUS-FNA. 22 G 1,25 G 3.,., WHO G 1 EUS-FNA,... 82, 11 24 4 Voriconazole, IPMN. 1, 1, 2, 3 1, 2, 3 60,,, 2012 5, CT,,T-Bil 1. 22 mg/dl, 124 mg/dl US 7 mm, US 2, EOB-dynamic MRI MRCP,,.,,,,,,,,,, 72,, 10 AS,., TAVI,EOAproj 1. 2 cm2 stroke volume reserve 22 equivocal findings,true severe AS pseudo severe AS. TAVI,, 1, 2, 3, 4, 5, 5, 5, 5 6, 1 1, 3, 4, 5, 2, 6 43,18 / 19 95 Grade 1, 2,,22 / 24 92 Grade 3, 4 Grade 1, 2-3, 4 : p 0. 0001Grade 1, 2 1, adenomatous goiter 5 mm Jpn J Med Ultrasonics Vol. 41 No. 1(2014) 87
follicular carcinoma,grade 3, 4 2 1 follicular adenoma, clear cell variant,ballooning,,,. 2, 1, 1, 1, 1 1, 2 64,.,,,,, EUS FNA,,,,,,, 70 C,4 HCC 3,,AFP CT 2 cm 1,HCC PET CT, HCC, EUS FNA.EUS,22 G 2 HCC, EUS FNA 1, 2, 1, 1, 1, 1, 3, 2, 3 1, 2, 3,,, 73, 140. 9 cm, 39. 2 kg,bmi 19. 7, 103 / 65 mmhg, 90 /, 55, 222 mg/dl,, CT,CT FDG-PET FDG,,, CT,FDG-PET,,,,,,,,,, 39,.20 4,,,5 3 Levine III/VI.,,., 2 mm,,, 1 Chiari s Network PFO 1, 2, 3, 4 1, 2, 3, 4, PFO 7 PFO, 4,,.,.PFO.,,, 70, 1 88 Jpn J Med Ultrasonics Vol. 41 No. 1(2014)
2,,,., 21 mm, 9 mm,,,., 1 1, 1, 1, 2, 1, 2, 1, 1, 1 2, 2 1, 2 60,,CT, 2011 4,CT, 2. 0 cm,2012 7, 9, 2013 4, 37 28 mm,, M E 1, 2, 1, 1, 2, 2, 2, 1, 2, 3 1, 2, 3 M E EchoPAC, 40 61, 4, M, 4, 2 3 M- second quarter decent rate: SQDR cm/sec E, E 0. 82 SQDR- 2. 1, R 2 0. 69,SQDR, 14. 1, 14. 0,,E 0. 87 SQDR-2. 0, R 2 0. 60 M,,, E 1, 1 2, 1, 2, 1, 1, 1, 2, 1, 2 1, 2 80,,,.,, ST,,Ⅱ ST,V 2 6 T CK,, CT,,,. 15, 28,. 1, 1, 1, 1, 1, 1, 2, 2, 2, 2 1 KKR, 2 KKR CAVI, CAVI,. 2010 1 2013 3 50 79 236 LAD,LADI,E,E/A, E,E/E,2., LAD,LADI,E/E.,,,. 1, 1, 1, 2, 1, 1 1, 2 1,70,,,,,,. CT, Jpn J Med Ultrasonics Vol. 41 No. 1(2014) 89
2,50, CT,,,,, 3, 2, Valsalva 1, 1 2, 1, 2, 2, 2, 2, 2, 2, 1 2 1, 2,70,.,,, 5 6 cm Valsalva,, Valsalva CT,,,Valsalva Valsalva,, Valsalva, 1, 2, 1, 2, 2 1, 2 85,,.,. IMT CT,,,.,,,,,,,,,,,,,,,,,,,,,,, Swan-Ganz, Swan-Ganz,,,.,,,,,, 1. 1,,, 2,,,,,, 2. 1, 2,, 3, 90 Jpn J Med Ultrasonics Vol. 41 No. 1(2014)
, 4,,, 5,,,,,,,,,,,,,,.,,,,,,,.,,,,,, free air, AGML,,,,,,,,free air,,,,, UC,.,,,,,,,,,,., irregular internal texture,,,,, hcg. GS. GS,., hcg,,, fine granular echo,ct,,,,,,,,, CT MRI Jpn J Med Ultrasonics Vol. 41 No. 1(2014) 91