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d23 2 e 1 JRCART mail news The Japanese Red Cross Association of Radiological Technologists mail news news No.1 DMAT 2010.05.18 news No.2 2010.06.08 news No.3 2010.06.17 news No.4 2010.06.24 news No.5 MR 2010.07.07 news No.6 2010.07.20 news No.7 CT 2010.07.27 news No.8 2010.08.13 news No.9 2010.08.19 news No.10 2010.09.02 news No.11 2010.09.09 news No.12 20 2010.09.22 news No.13 2010.10.01 news No.14 46 2010.10.14 news No.15 46 2010.10.22 news No.16 2010.10.28 news No.17 2010.11.05 news No.18 46 2010.11.12 news No.19 46 2 2010.11.12 news No.20 2010.11.25 news No.21 2010.12.01 news No.22 2010.12.08 news No.23 2010.12.15 news No.24 2010.12.28 news No.25 2011.01.04 23 news No.26 CT 2011.01.07 news No.27 2011.01.16 news No.28 2011.01.25 2324 news No.29 CR2011.02.01 news No.30 2011.03.02 148

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1. Modified STAR using asymmetric inversion slabs (ASTAR). 20 8 374-385 (2000). 2. MR AngiographyMEDICAL IMAGING TECHNOLOGY Vol.27 No.2:97-102, 2009. 3. Gotoh K et al: Visualization of the lenticulostriate artery with flow-sensitive black-blood acquisition in comparison with time-of-flight MR angiography. J Magn Reson Imaging. 2009 Jan;29(1):65-9. 4. MRI EXCELART TM.. 54, 11, 1999, p62-65. 5. 3 MRI Vantage Titan TM 3T..66, 7, 2011, p20-p23. 6.. 33. 2013. 261

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1. Kalin R and Stanton MSCurrent clinical issues for MRI scanning of pacemaker and defibrillator patients. PACE 200528:326-8. 2. Strach K et allow-field magnetic resonance imaging: increased safety for pacemaker patients? Europace 201012:952-60. 3. 2007 MRI Market Summary Report. 4. American Cancer Society. 5. Strokecenter.org 6. 7. The burden of musculoskeletal diseases in the United States, http://boneandjointburden.org/. 8. Fontaine JM.,et al, Rapid Ventricular Pacing in a Pacemaker Patient Undergoing Magnetic Resonance Imaging. PACE 1998; 21: 1336-1339. 9. Sierra et al. Magnetic Resonance Imaging in Patients with Implantable Cardiac Devices. Reviews in Cardiovascular Medical. Vol 9, No 4, 2008. 299

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