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1. 総胆管診査 common bile duct exploration
2. 悪性疾患による胃十二指腸閉塞緩和のための経腸ステント enteral stents for the palliation of malignant gastroduodenal obstruction
3. 成人における一側性横隔膜麻痺および横隔膜挙上の原因および診断 causes and diagnosis of unilateral diaphragmatic paralysis and eventration in adults
4. 成人における股関節痛の放射線評価 radiologic evaluation of the painful hip in adults
5. 心臓移植後の妊娠 pregnancy after cardiac transplantation

English Journal

The effectiveness of a pneumatic compression belt in reducing respiratory motion of abdominal tumors in patients undergoing stereotactic body radiotherapy.

Lovelock DM1, Zatcky J, Goodman K, Yamada Y.Author information 1Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY. lovelocm@mskcc.org.AbstractPurpose: Abdominal compression using a pneumatic abdominal compression belt developed in-house has been used to reduce respiratory motion of patients undergoing hypo-fractionated or single fraction stereotactic radio-ablative therapy for abdominal cancers. The clinical objective of belt usage was to reduce the cranial-caudal (CC) respiratory motion of the tumor to 5 mm or less during both CT simulation and treatment. A retrospective analysis was done to determine the effectiveness of the device and associated clinical procedures to reduce the CC respiratory motion of the tumor. Materials and Methods: 42 patients treated for tumors in the liver (30), adrenal glands (6), pancreas (3) and lymph nodes (3) using high dose hypofractionated radiotherapy between 2004 and the present were eligible for analysis. All patients had 2-3 radiopaque fiducial markers implanted near the tumor prior to simulation, or had clips from prior surgery. Integral to the belt is an inflatable air bladder that is positioned over the abdomen. The pneumatic pressure was set to a level in consultation with the patient. The CC motion was measured fluoroscopically with and without pneumatic pressure. Pneumatic pressure was used at all treatments to reduce to CC motion to that achieved at simulation. Results: The mean CC motion with the belt in place, but no additional air pressure was 11.4 mm with a range of 5-20 mm. With the pressure applied, the mean CC motion was reduced to 4.4 mm with a range of 1-8 mm (P-value < 0.001). The clinical objective of reducing the CC motion of the tumor to a maximum excursion of 5 mm or less was achieved in 93% of cases. Conclusion: The use of a pneumatic compression belt and associated clinical procedures was found to result in a significant and frequently substantial reduction in the CC motion of the tumor.
Technology in cancer research & treatment.Technol Cancer Res Treat.2014 Jun;13(3):259-67. doi: 10.7785/tcrt.2012.500379. Epub 2013 Nov 4.
Purpose: Abdominal compression using a pneumatic abdominal compression belt developed in-house has been used to reduce respiratory motion of patients undergoing hypo-fractionated or single fraction stereotactic radio-ablative therapy for abdominal cancers. The clinical objective of belt usage was to
PMID 24206202

Accuracy of Fluoroscopically Assisted Pedicle Screw Placement: Analysis of 1218 Screws in 198 Patients.

Koktekir E1, Ceylan D2, Tatarli N3, Karabagli H4, Recber F5, Akdemir G6.Author information 1Assistant Professor, Selcuk University Medical School, Department of Neurosurgery. Electronic address: enderkoktekirnrs@hotmail.com.2Assistant Professor, Sakarya University Medical School, Department of Neurosurgery.3M.D., Dr. Lutfi Kirdar Education and Research Hospital, Department of Neurosurgery.4Associated Professor, Selcuk University Medical School, Department of Neurosurgery.5M.D., Selcuk University Medical School, Department of Neurosurgery.6Professor,PhD, Selcuk University Medical School, Department of Neurosurgery.AbstractBACKGROUND CONTEXT: We retrospectively analyzed a total of 1218 pedicle screws for accuracy, with postoperative computed tomography, in 198 patients who were operated on between March of 2004 and September of 2012.
The spine journal : official journal of the North American Spine Society.Spine J.2014 Apr 3. pii: S1529-9430(14)00352-0. doi: 10.1016/j.spinee.2014.03.044. [Epub ahead of print]
BACKGROUND CONTEXT: We retrospectively analyzed a total of 1218 pedicle screws for accuracy, with postoperative computed tomography, in 198 patients who were operated on between March of 2004 and September of 2012.PURPOSE: The purpose of this study was to determine the incidence of screw misplacemen
PMID 24704680

Patient skin reactions from interventional fluoroscopy procedures.

Balter S1, Miller DL.Author information 11 Columbia University Medical Center, 173 Fort Washington Ave, HC 2-605, New York, NY 10032.AbstractOBJECTIVE. This article presents relevant physics, technology, and radiobiology along with a summary of operational guidelines for radiation management in interventional fluoroscopy procedures. CONCLUSION. Fluoroscopically guided interventional procedures offer patients clinical and economic benefits as compared with the alternatives. Radiation-induced skin injuries are uncommon but continue to occur.
AJR. American journal of roentgenology.AJR Am J Roentgenol.2014 Apr;202(4):W335-42. doi: 10.2214/AJR.13.12029.
OBJECTIVE. This article presents relevant physics, technology, and radiobiology along with a summary of operational guidelines for radiation management in interventional fluoroscopy procedures. CONCLUSION. Fluoroscopically guided interventional procedures offer patients clinical and economic benefit
PMID 24660731

Japanese Journal

腸重積様超音波像を呈した乳児盲腸炎の1例

金井理紗,玉城昭彦,佐辺直也,山里將仁,喜舎場由香,座間味雅俊
超音波医学 45(6), 617-620, 2018
症例は9ヵ月女児．主訴は間欠的腹痛と血便．超音波検査で右上腹部にmultiple concentric ring signとpseudokidney sign様の所見を認め，腸重積と診断した．カラードプラでは重積腸管に血流信号を確認できた．注腸での整復を試み，上行結腸にカニ爪様の陰影欠損を認めたため腸重積症に矛盾しないと考えた．2回の高圧浣腸でも欠損像の移動はなく，整復困難例と判断し緊急開腹術を施 …
NAID 130007511638

CアームX線透視下での人工内耳電極挿入術

南修司郎,山本修子,加我君孝
頭頸部外科 28(2), 245-248, 2018
蝸牛軸の欠損を伴った重度内耳奇形の人工内耳手術の場合，電極が内耳道内に迷入する可能性がある。私たちは，Cアームを用いて透視下で正しい位置に電極を挿入することを行っている。Incomplete partition type Ⅲ（IP-Ⅲ）1例（13歳女児）とCommon Cavity 3例（1歳男児，3歳女児，5歳女児）に対してCアームX線透視下での人工内耳電極挿入を行った。 …
NAID 130007510126

腸重積様超音波像を呈した乳児盲腸炎の1例

金井理紗,玉城昭彦,佐辺直也,山里將仁,喜舎場由香,座間味雅俊
超音波医学, 2018
症例は9ヵ月女児．主訴は間欠的腹痛と血便．超音波検査で右上腹部にmultiple concentric ring signとpseudokidney sign様の所見を認め，腸重積と診断した．カラードプラでは重積腸管に血流信号を確認できた．注腸での整復を試み，上行結腸にカニ爪様の陰影欠損を認めたため腸重積症に矛盾しないと考えた．2回の高圧浣腸でも欠損像の移動はなく，整復困難例と判断し緊急開腹術を施 …
NAID 130007495879