{"id":70,"date":"2021-02-13T09:53:49","date_gmt":"2021-02-13T00:53:49","guid":{"rendered":"https:\/\/radiology-exam.com\/?page_id=70"},"modified":"2024-10-05T11:29:40","modified_gmt":"2024-10-05T02:29:40","slug":"2012%e5%b9%b4%e6%94%be%e5%b0%84%e7%b7%9a%e7%a7%91%e5%b0%82%e9%96%80%e5%8c%bb%e8%a9%a6%e9%a8%93%e8%a7%a3%e7%ad%94%e4%be%8b","status":"publish","type":"page","link":"https:\/\/radiology-exam.com\/?page_id=70","title":{"rendered":"2012\u5e74\u653e\u5c04\u7dda\u79d1\u5c02\u9580\u533b\u8a66\u9a13\u89e3\u7b54\u4f8b"},"content":{"rendered":"<h3>\u57fa\u790e(1-15)<\/h3>\n<p><strong><span style=\"font-size: 24px;\">1.<\/span><\/strong><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u5897\u6b96\u6b7b\u3068\u9593\u671f\u6b7b\u3068\u306b\u5206\u985e\u3055\u308c\u308b\u3002\u25cb<\/li>\n<li>b \u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\u3068\u30cd\u30af\u30ed\u30fc\u30b7\u30b9\u3068\u306b\u5206\u985e\u3055\u308c\u308b\u3002\u25cb<\/li>\n<li>c \u5897\u6b96\u6b7b(=\u5206\u88c2\u6b7b)\u3067\u306f\u5de8\u7d30\u80de\u5f62\u6210\u3084\u7d30\u80de\u878d\u5408\u304c\u307f\u3089\u308c\u308b\u3002\u25cb\u7167\u5c04\u5f8c\u6570\u56de\u306e\u7d30\u80de\u5206\u88c2\u5f8c\u306b\u6b7b\u306b\u81f3\u308b\u306e\u304c\u5897\u6b96\u6b7b\u3002\u7dda\u7dad\u82bd\u7d30\u80de\u3067\u306e\u4e3b\u8981\u306a\u7d30\u80de\u6b7b\u306e\u5f62\u614b\u3002\u5de8\u7d30\u80de\u5f62\u614b\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u901a\u5e38\u306e\u7dda\u91cf(1-2Gy\u7a0b\u5ea6)\u3067\u8d77\u3053\u308b\u3002<\/li>\n<li>d \u9593\u671f\u6b7b\u3067\u306f\u7167\u5c04\u5f8c\u6570\u56de\u306e\u7d30\u80de\u5206\u88c2\u5f8c\u306b\u6b7b\u306b\u81f3\u308b\u3002\u00d7\u3053\u308c\u306f\u5897\u6b96\u6b7b\u306e\u3053\u3068\u3002\u9593\u671f\u6b7b\u3067\u306f\u3001\u653e\u5c04\u7dda\u7167\u5c04\u304c\u539f\u56e0\u3067\u3001\u6b21\u306eM\u671f\u306b\u5165\u308b\u3053\u3068\u306a\u304f\u3001\u7d30\u80de\u304c\u6b7b\u306c\u3002\uff11\u56de\u3082\u7d30\u80de\u5206\u88c2\u3092\u7d4c\u308b\u3053\u3068\u306a\u304f\u76f4\u3061\u306b\u304a\u3053\u308b\u7d30\u80de\u6b7b\u3002\u539f\u5f62\u8cea\u306e\u878d\u89e3\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u5927\u7dda\u91cf\u7167\u5c04\u304c\u5fc5\u8981\u3002<\/li>\n<li>e \u30ea\u30f3\u30d1\u7403\u3067\u307f\u3089\u308c\u308b\u9ad8\u611f\u53d7\u6027\u9593\u671f\u6b7b\u306f\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\u3067\u3042\u308b\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>2.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u967d\u5b50\u7dda\u306f\u4f4e LET \u653e\u5c04\u7dda\u3067\u3042\u308b\u3002\u25cb\u3000\u657010MeV\u306e\u967d\u5b50\u7dda\u306f\u3001\u9ad8LET\u653e\u5c04\u7dda\u3068\u540c\u3058\u7269\u7406\u7684\u7279\u5b9a\u3092\u6301\u3061\u3001\u967d\u5b50\u7dda\u306f\u3059\u3079\u3066\u4f4eLET\u3068\u601d\u3063\u305f\u3089\u9593\u9055\u3044\u3067\u306f\u3042\u308b\u304c\u3001\u904e\u53bb\u554f\u3092\u898b\u308b\u9650\u308a\u3001\u4f4eLET\u653e\u5c04\u7dda\u3068\u3057\u3066\u899a\u3048\u308c\u3070\u3088\u3044\u3002<\/li>\n<li>b \u9ad8 LET \u653e\u5c04\u7dda\u3067\u306f\u7dda\u91cf\u7387\u52b9\u679c\u306f\u5c0f\u3055\u3044\u3002\u25cb\u3000\u9ad8LET\u653e\u5c04\u7dda\u3067\u306f\u3001\u9006\u7dda\u91cf\u7387\u52b9\u679c\u304c\u8d77\u3053\u308a\u3001\u4f4e\u91cf\u7dda\u3067\u5c11\u3057\u305a\u3064\u653e\u5c04\u7dda\u3092\u6d74\u3073\u305f\u65b9\u304c\u751f\u7269\u5b66\u7684\u5f71\u97ff\u304c\u5927\u304d\u3044\u3002(\u4f4eLET\u653e\u5c04\u7dda\u3067\u306f\u9006\u3002)<\/li>\n<li>c \u751f\u7269\u5b66\u7684\u52b9\u679c\u6bd4\uff08RBE\uff09\u306f LET \u306b\u6bd4\u4f8b\u3059\u308b\u3002\u00d7-\u25b3\u3000\u57fa\u672c\u7684\u306b\u6bd4\u4f8b\u3059\u308b\u304c\u3001LET\u304c100keV\/\u03bcm\u4ee5\u4e0a\u3067\u306f\u30aa\u30fc\u30d0\u30fc\u30ad\u30eb\u304c\u304a\u3053\u308a\u3001\u6bd4\u4f8b\u3057\u306a\u3044\u3002\u904e\u53bb\u554f\u3092\u898b\u308b\u3068\u3053\u308c\u304c\u8aa4\u308a\u304b\u3002<\/li>\n<li>d \u9ad8 LET \u653e\u5c04\u7dda\u306e DNA \u640d\u50b7\u306f\u76f4\u63a5\u4f5c\u7528\u304c\u4e3b\u4f53\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>e \u9ad8 LET \u653e\u5c04\u7dda\u3067\u306f\u4f4e LET \u653e\u5c04\u7dda\u3088\u308a\u9178\u7d20\u52b9\u679c\u304c\u5c0f\u3055\u3044\u3002\u25cb\u3000\u9178\u7d20\u52b9\u679c\u306fLET\u306b\u53cd\u6bd4\u4f8b\u3059\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>3.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u03b1\/\u03b2\u306e\u5358\u4f4d\u306f Gy \u3067\u3042\u308b\u3002\u25cb\u3000\u03b1\u306b\u3088\u308b\u52b9\u679c\u3068\u3001\u03b2\u306b\u3088\u308b\u52b9\u679c\u304c\u7b49\u3057\u304f\u306a\u308b\u3068\u3053\u308d\u304c\u3001\u03b1\/\u03b2\u3067\u3042\u308b\u3002\u3064\u307e\u308a\u3001\u03b1D\uff1d\u03b2D2\u3068\u306a\u308bD(\u653e\u5c04\u7dda\u91cf)\u306a\u306e\u3067\u3001\u5358\u4f4d\u306fGy\u3002<\/li>\n<li>b \u5f8c\u671f\u53cd\u5fdc\u306e\u03b1\/\u03b2\u306f\u65e9\u671f\u53cd\u5fdc\u306b\u6bd4\u3057\u3066\u5c0f\u3055\u3044\u3002\u25cb\u03b1\/\u03b2\u306f\u7d30\u80de\u306e\u5897\u6b96\u6027\u3084\u7a2e\u985e\u306b\u3088\u3063\u3066\u6c7a\u307e\u308b\u3002\u65e9\u671f\u306b\u53cd\u5fdc\u3059\u308b\u7d30\u80de(\u5897\u6b96\u6027\u304c\u9ad8\u3044)\u304a\u3088\u3073\u816b\u760d\u7d30\u80de\u306f10Gy\u7a0b\u5ea6\u3002\u5f8c\u671f\u53cd\u5fdc\u7d30\u80de(\u5897\u6b96\u6027\u304c\u4f4e\u3044)\u306f1\u301c3Gy\u3002<\/li>\n<li>c 1 \u672c\u306e\u653e\u5c04\u7dda\u30672\u672c\u9396\u5207\u65ad\u304c\u751f\u3058\u308b\u78ba\u7387\u306f\u7dda\u91cf\u306e2\u4e57\u306b\u6bd4\u4f8b\u3059\u308b\u3068\u3057\u305f\u3002\u00d7\u3000\u8907\u6570\u306e\u653e\u5c04\u7dda\u30021\u672c\u306e\u653e\u5c04\u7dda\u30672\u672c\u9396\u5207\u65ad\u306f\u7dda\u91cf\u306b\u6bd4\u4f8b\u3059\u308b\u3002<\/li>\n<li>d \u81f4\u6b7b\u969c\u5bb3\u306f2\u672c\u9396\u5207\u65ad\u3067\u3042\u308a\u5358\u9396\u5207\u65ad\u3067\u306f\u81f4\u6b7b\u306b\u81f3\u3089\u306a\u3044\u3068\u3057\u305f\u30e2\u30c7\u30eb\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>e \u7d30\u80de\u306e\u751f\u6b8b\u66f2\u7dda\u3092\u591a\u6a19\u76841\u30d2\u30c3\u30c8\u306e\u307f\u3067\u8aac\u660e\u3059\u308b\u306b\u306f\u4f4e\u7dda\u91cf\u306e\u90e8\u5206\u306b\u7121\u7406\u304c\u3042\u308b\u305f\u3081\u63d0\u5531\u3055\u308c\u305f\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>4.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<ul>\n<li>a \u7d30\u80de\u5468\u671f\u306e\u3046\u3061 S \u671f\u306b\u3042\u308b\u7d30\u80de\u306f\u653e\u5c04\u7dda\u611f\u53d7\u6027\u304c\u9ad8\u3044\u3002\u00d7\u3002S\u671f\u5f8c\u534a\u304b\u3089G2\u521d\u671f\u306f\u611f\u53d7\u6027\u304c\u4f4e\u3044\u3002<\/li>\n<li>b LET \u3068\u306f\u98db\u8de1\u4e0a\u306e\u4e00\u5b9a\u8ddd\u96e2\u5f53\u305f\u308a\u3067\u4ed8\u4e0e\u3059\u308b\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u3053\u3068\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>c \u9ad8 LET \u653e\u5c04\u7dda\u306f\u4f4e LET \u653e\u5c04\u7dda\u306b\u6bd4\u3057\u3066 DNA \u306e\u4e8c\u91cd\u9396\u5207\u65ad\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u3002\u25cb\u3000\u96fb\u96e2\u4f5c\u7528\u304c\u5f37\u3044\u3002<\/li>\n<li>d \u6709\u9178\u7d20\u72b6\u614b\u306b\u3042\u308b\u816b\u760d\u7d30\u80de\u3068\u6bd4\u8f03\u3057\u3066\uff0c\u4f4e\u9178\u7d20\u72b6\u614b\u306b\u3042\u308b\u816b\u760d\u7d30\u80de\u306f X \u7dda\u7167\u5c04\u306b\u5bfe\u3059\u308b\u611f\u53d7\u6027\u304c\u4f4e\u3044\u3002\u25cb\u9178\u7d20\u304c\u3042\u308b\u3068\u30d5\u30ea\u30fc\u30e9\u30b8\u30ab\u30eb\u3092\u751f\u3058\u3001\u816b\u760d\u6bba\u50b7\u80fd\u529b\u304c\u4e0a\u6607\u3059\u308b\u3068\u8003\u3048\u308c\u3070\u3044\u3044\u3002<\/li>\n<li>e \u540c\u7b49\u306e\u751f\u7269\u5b66\u7684\u52b9\u679c\u3092\u53ca\u307c\u3059\u7dda\u91cf\u304c X \u7dda 6 Gy\uff0c\u70ad\u7d20\u7dda 2 Gy \u3067\u3042\u308c\u3070\uff0c\u70ad\u7d20\u7dda\u306e\u751f\u7269\u5b66\u7684\u52b9\u679c\u6bd4\uff08RBE\uff09\u306f 3 \u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>\u203bRBE=6(\u57fa\u6e96\u653e\u5c04\u7dda\u3067\u3042\u308bX\u7dda\u306e\u5438\u53ce\u7dda\u91cf)\/2(\u5f53\u8a72\u70ad\u7d20\u7dda\u306e\u5438\u53ce\u7dda\u91cf)=3<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>5.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u9ad8 LET \u653e\u5c04\u7dda\u3067\u306fOER \u306f 2\uff5e3 \u7a0b\u5ea6\u3067\u3042\u308b\u3002\u00d7\u3000\u4f4eLET\u7dda\u3067\u3042\u308bX\u7dda\u3001\u03b3\u7dda\u30672.5-3.0\u3002OER\u306fLET\u306b\u53cd\u6bd4\u4f8b\u3059\u308b\u306e\u3067\u9ad8LET\u7dda\u306f\u3082\u3063\u3068\u5c0f\u3055\u3044<\/li>\n<li>b OER \u306f\u9178\u7d20\u5206\u5727\u304c\u9ad8\u304f\u306a\u308c\u3070\u306a\u308b\u307b\u3069\u9ad8\u304f\u306a\u308b\u3002\u00d7\u300050mmHg\u3067\u76f8\u5bfe\u7684\u306a\u653e\u5c04\u6027\u611f\u53d7\u6027\u306f\u30d7\u30e9\u30c8\u30fc\u306b\u9054\u3059\u308b\u3002<\/li>\n<li>c \u653e\u5c04\u7dda\u7167\u5c04\u5f8c\u306b\u9178\u7d20\u6fc3\u5ea6\u3092\u9ad8\u3081\u308b\u3068 OER \u304c\u9ad8\u304f\u306a\u308b\u3002\u00d7\u7167\u5c04\u4e2d\u306e\u9178\u7d20\u6fc3\u5ea6\u304c\u91cd\u8981\u3002\u7167\u5c04\u5f8c\u306b\u5909\u5316\u3055\u305b\u3066\u3082\u9178\u7d20\u52b9\u679c\u306f\u8a8d\u3081\u3089\u308c\u306a\u3044\u3002<\/li>\n<li>d \u7167\u5c04\u6642\u306e\u7d44\u7e54\u306e\u9178\u7d20\u5206\u5727\u306b\u3088\u3063\u3066\u52b9\u679c\u306e\u5927\u304d\u3055\u304c\u6c7a\u307e\u308b\u3002\u25cb<\/li>\n<li>e \u9ad8 LET \u653e\u5c04\u7dda\u3067\u306f\u4f4e LET \u653e\u5c04\u7dda\u306b\u304f\u3089\u3079\u9178\u7d20\u52b9\u679c\u304c\u5927\u304d\u3044\u3002\u00d7\u9ad8LET\u3067\u306f\u9178\u7d20\u52b9\u679c\u306f\u307b\u3068\u3093\u3069\u8a8d\u3081\u3089\u308c\u306a\u3044\u3002\u306a\u306e\u3067\u9178\u7d20\u52b9\u679c\u306f\u9593\u63a5\u4f5c\u7528\u306e\u95a2\u4e0e\u304c\u8003\u3048\u3089\u308c\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>6.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1ab<\/div>\n<div><\/div>\n<ul>\n<li>a \u7c92\u5b50\u7dda\u3068\u96fb\u78c1\u6ce2\u304c\u3042\u308b\u3002 \u25cb<\/li>\n<li>b \u96fb\u5b50\u7dda\u306f\u96fb\u78c1\u6ce2\u3067\u3042\u308b\u3002\u00d7\u3000\u96fb\u5b50\u7dda\u306f\u8377\u96fb\u7c92\u5b50\u7dda\u3002\u96fb\u78c1\u6ce2\u306fX\u7dda\u3001\u03b3\u7dda\u3001\u96fb\u6ce2\u3001\u7d2b\u5916\u7dda\u3001\u8d64\u5916\u7dda\u306a\u3069\u3002<\/li>\n<li>c \u7c92\u5b50\u7dda\u306f\u6ce2\u52d5\u6027\u3068\u7c92\u5b50\u6027\u3092\u6301\u3064\u3002\u25cb<\/li>\n<li>d \u8377\u96fb\u7c92\u5b50\u306f\u76f4\u63a5\u96fb\u96e2\u653e\u5c04\u7dda\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>e \u30ac\u30f3\u30de\u7dda\u306f\u53ef\u8996\u5149\u7dda\u306b\u6bd4\u3079\u3066\u6ce2\u9577\u304c\u77ed\u3044\u3002\u25cb\u3000\u03b3\u7dda\u304c\u6700\u3082\u6ce2\u9577\u304c\u77ed\u3044\u3002\u6b21\u306bX\u7dda\u3002\u3055\u3089\u306b\u7d2b\u5916\u7dda\u3001\u8d64\u5916\u7dda\u3068\u53ef\u8996\u5149\u3078\u3068\u7d9a\u304f\u3002<a href=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89202.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89202.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4001\" alt=\"\u30b9\u30e9\u30a4\u30c920\" width=\"640\" height=\"480\" srcset=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9202.jpg?w=720&amp;ssl=1 720w, https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9202.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><a href=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89211.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89211.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4002\" alt=\"\u30b9\u30e9\u30a4\u30c921\" width=\"640\" height=\"480\" srcset=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9211.jpg?w=720&amp;ssl=1 720w, https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9211.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><\/li>\n<\/ul>\n<p><span style=\"font-size: 24px;\"><strong>7.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>c,d<\/span><\/p>\n<ul>\n<li>a \u6298\u308a\u8fd4\u3057\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306f<span>\u5468\u6ce2\u6570\u30a8\u30f3\u30b3\u30fc\u30c9<\/span>\u65b9\u5411\u306b\u751f\u3058\u3084\u3059\u3044\u3002\u00d7\u3000\u4f4d\u76f8\u30a8\u30f3\u30b3\u30fc\u30c9\u65b9\u5411\u3002\u5468\u6ce2\u6570\u30a8\u30f3\u30b3\u30fc\u30c9\u306f\u77ed\u6642\u9593\u3067\u64ae\u308b\u3002\u4f4d\u76f8\u30a8\u30f3\u30b3\u30fc\u30c9\u306f\u6642\u9593\u304b\u304b\u308b\u305f\u3081\u3001\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306f\u3088\u308a\u751f\u3058\u3084\u3059\u3044\u3002<\/li>\n<li>b \u30a8\u30b3\u30fc\u30d7\u30e9\u30ca\u30fc\u6cd5(EPI)\u306f\u78c1\u5316\u7387\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306e\u5f71\u97ff\u3092\u53d7\u3051\u306b\u304f\u3044\u3002\u00d7EPI\u306fDWI\u3067\u4f7f\u3063\u3066\u3044\u308b\u3002\u524d\u982d\u8449\u306e\u3068\u3053\u308d\u3068\u304b\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u304c\u51fa\u3066\u308b\u306e\u306f\u3053\u308c\u3002<\/li>\n<li>c \u62cd\u52d5\u6d41\u306b\u4f34\u3046\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306f\u4f4d\u76f8\u30a8\u30f3\u30b3\u30fc\u30c9\u306e\u65b9\u5411\u306b\u89b3\u5bdf\u3055\u308c\u308b\u3002\u25cb<\/li>\n<li>d \u64ae\u50cf\u6761\u4ef6\u3092\u540c\u4e00\u3068\u3057\u305f\u5834\u5408\uff0c\u5316\u5b66\u30b7\u30d5\u30c8\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306f\u78c1\u5834\u5f37\u5ea6\u304c\u9ad8\u3044\u307b\u3069\u5927\u304d\u304f\u306a\u308b\u3002\u25cb\u3000\u78c1\u5834\u306e\u5f37\u5ea6(\u30c6\u30b9\u30e9)\u306b\u5b8c\u5168\u306b\u6bd4\u4f8b\u3059\u308b\u3002<\/li>\n<li>e \u30b0\u30e9\u30c7\u30a3\u30a8\u30f3\u30c8\u30a8\u30b3\u30fc\u6cd5\u306f\uff0c\u30b9\u30d4\u30f3\u30a8\u30b3\u30fc\u6cd5\u3068\u6bd4\u3079\u3066\u78c1\u5316\u7387\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306e\u5f71\u97ff\u3092\u53d7\u3051\u306b\u304f\u3044\u3002\u00d7\u53d7\u3051\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>8.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1ac<\/div>\n<div><\/div>\n<ul>\n<li>a \u30bf\u30f3\u30b0\u30b9\u30c6\u30f3\u306f X \u7dda\u7ba1\u7403\u306b\u7528\u3044\u3089\u308c\u308b\u3002\u25cb\u3000X\u7dda\u7ba1\u7403\u3068\u3057\u3066\u306f\uff0c\u30bf\u30f3\u30b0\u30b9\u30c6\u30f3\uff0c\u30e2\u30ea\u30d6\u30c7\u30f3\uff0c\u30ed\u30b8\u30a6\u30e0\uff0c\u9280\u306a\u3069\u3092\u5bfe\u9670\u6975(\u967d\u6975)\u3068\u3057\u305f\u3082\u306e\u304c\u4f7f\u308f\u308c\u308b\u3002<\/li>\n<li>b X \u7dda CT \u753b\u50cf\u3067\u306f\u30b9\u30e9\u30a4\u30b9\u539a\u3092\u8584\u304f\u3059\u308b\u3068\u90e8\u5206\u4f53\u7a4d\u52b9\u679c\u306e\u5f71\u97ff\u304c\u6e1b\u5c11\u3059\u308b\u3002\u25cb\u3000\u5e38\u8b58\u3002<\/li>\n<li>c \u8d85\u97f3\u6ce2\u306f\u7d44\u7e54\u9593\u306b\u97f3\u97ff\u30a4\u30f3\u30d4\u30fc\u30c0\u30f3\u30b9\u306e\u5dee\u304c\u5c0f\u3055\u3044\u307b\u3069\u5f37\u304f\u53cd\u5c04\u3059\u308b\u3002\u00d7\u3000\u97f3\u97ff\u30a4\u30f3\u30d4\u30fc\u30c0\u30f3\u30b9\u306b\u5dee\u304c\u5927\u304d\u3044\u90e8\u5206\u307b\u3069\u53cd\u5c04\u306f\u5f37\u304f\u8d77\u3053\u308a\u30a8\u30b3\u30fc\u8f1d\u5ea6\u304c\u9ad8\u304f\u306a\u308b\u3002\u9006\u306b\u97f3\u97ff\u30a4\u30f3\u30d4\u30fc\u30c0\u30f3\u30b9\u306b\u5dee\u306e\u306a\u3044\u3001\u307e\u305f\u306f\u5c11\u306a\u3044\u5883\u754c\u306b\u304a\u3044\u3066\u306f\u3001\u53cd\u5c04\u304c\u8d77\u3053\u3089\u306a\u3044\u304b\u3001\u3082\u3057\u304f\u306f\u53cd\u5c04\u306f\u975e\u5e38\u306b\u5f31\u3044\u3002\u5f93\u3063\u3066\u30a8\u30b3\u30fc\u8f1d\u5ea6\u306f\u7121\u30a8\u30b3\u30fc\u304b\u3089\u4f4e\u30a8\u30b3\u30fc\u8f1d\u5ea6\u306b\u306a\u308b\u3002<\/li>\n<li>d \u8377\u96fb\u7c92\u5b50\u304c\u7d50\u6676\u306b\u5165\u5c04\u3057\u305f\u3068\u304d\u9583\u5149\u3092\u767a\u3059\u308b\u7269\u8cea\u3092\u30b7\u30f3\u30c1\u30ec\u30fc\u30bf\u3068\u3044\u3046\u3002\u25cb\u305d\u306e\u901a\u308a\u3002\u03b3\u7dda\u306e\u5165\u5c04\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u86cd\u5149\u306b\u5909\u63db\u3059\u308b\u306e\u304cSPECT(NaI)\u3084PET(BGO,LSO,GSO)\u30b7\u30f3\u30c1\u30ec\u30fc\u30bf\u3002\u4ed6\u306b\u03b1\u7dda\u3084\u03b2\u7dda\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u86cd\u5149\u306b\u5909\u63db\u3059\u308b\u30b7\u30f3\u30c1\u30ec\u30fc\u30bf\u3082\u3042\u308b\u306e\u3067\u25cb\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3002<\/li>\n<li>e \u967d\u96fb\u5b50\u306f\u9670\u96fb\u5b50\u3068\u7d50\u5408\u3057\u3066\u6d88\u6ec5\u3059\u308b\u3068\u304d\uff0c2 \u672c\u306e\u653e\u5c04\u7dda\u3092\u6b63\u53cd\u5bfe\u306e\u65b9\u5411\u306b\u653e\u51fa\u3059\u308b\u3002\u25cb\u3000\u305d\u306e\u6d88\u6ec5\u653e\u5c04\u7dda\u3092\u611f\u77e5\u3059\u308b\u306e\u304cPET\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>9.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1aa,e<\/div>\n<div><\/div>\n<ul>\n<li>a \u56de\u5fa9\u73fe\u8c61\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u25cb\u3000\u540c\u3058\u7dda\u91cf\u3067\u3082\u5206\u5272\u3057\u3066\u53d7\u3051\u305f\u65b9\u304c\u3001\u5f71\u97ff\u306f\u5c11\u306a\u3044\u3002\u3053\u308c\u306f\u56de\u5fa9\u73fe\u8c61\u304c\u3042\u308b\u304b\u3089\u3002\u306a\u306e\u3067\u3001\u3042\u308b\u91cf\u3092\u53d7\u3051\u308b\u3068\u767a\u751f\u3059\u308b\u3068\u3044\u3046\u3057\u304d\u3044\u5024\u304c\u3042\u308b\u78ba\u5b9a\u7684\u5f71\u97ff\u306b\u304a\u3044\u3066\u3082\u3001\u3053\u306e\u56de\u5fa9\u73fe\u8c61\u3092\u8003\u616e\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u3068\u601d\u308f\u308c\u308b\u3002<\/li>\n<li>b \u767a\u75c7\u306b\u6027\u5dee\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u00d7\u3000\u751f\u6b96\u817a\u306e\u78ba\u5b9a\u7684\u5f71\u97ff\u306b\u306f\u6027\u5dee\u304c\u3042\u308b\u304c\u2026\u3002<\/li>\n<li>c \u907a\u4f1d\u5b50\u306e\u7a81\u7136\u5909\u7570\u304c\u539f\u56e0\u3067\u3042\u308b\u3002\u00d7\u3000\u95a2\u4fc2\u306a\u3044\u3002<\/li>\n<li>d \u88ab\u66dd\u7dda\u91cf\u304c\u5897\u52a0\u3059\u308b\u3068\u30ea\u30b9\u30af\u304c\u5897\u3059\u3002\u00d7\u3000\u3057\u304d\u3044\u5024\u3092\u8d85\u3048\u306a\u3044\u3068\u30ea\u30b9\u30af\u306f\u5897\u3055\u306a\u3044\u3002<\/li>\n<li>e \u7cbe\u795e\u767a\u9054\u9045\u6ede\u306f\u78ba\u5b9a\u7684\u5f71\u97ff\u306e 1 \u3064\u3067\u3042\u308b\u3002\u25cb\u6210\u9577\u3068\u767a\u9054\u306e\u9045\u5ef6\u306f\u80ce\u5150\u671f\u88ab\u3070\u304f\u306b\u3088\u308b\u78ba\u5b9a\u7684\u5f71\u97ff\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>\u203b\u56de\u5fa9\u73fe\u8c61\u306b\u3064\u3044\u3066\uff1a<\/p>\n<ul>\n<li>\u540c\u3058\u653e\u5c04\u7dda\u3092\u6d74\u3073\u308b\u306b\u3057\u3066\u3082\u3001\u5c11\u91cf\u306e\u653e\u5c04\u7dda\u3092\u9577\u6642\u9593\u306b\u308f\u305f\u3063\u3066\u53d7\u3051\u305f\u5834\u5408\u3068\u3001\u5f37\u3044\u653e\u5c04\u7dda\u3092\u4e00\u5ea6\u306b\u6d74\u3073\u305f\u5834\u5408\u3068\u3067\u306f\u3001\u5f71\u97ff\u3092\u304b\u306a\u308a\u9055\u3046\u3002\u524d\u8005\u306e\u65b9\u304c\u306f\u308b\u304b\u306b\u653e\u5c04\u7dda\u969c\u5bb3\u306f\u5c11\u306a\u304f\u306a\u308b\u3002\u3053\u308c\u306f\u7d30\u80de\u3084\u7d44\u7e54\u306e\u6301\u3064\u640d\u50b7\u56de\u5fa9\u529b\u304c\u653e\u5c04\u7dda\u306b\u3088\u308b\u969c\u5bb3\u306e\u767a\u751f\u3092\u4e0a\u56de\u3063\u3066\u50cd\u304f\u305f\u3081\u3002<\/li>\n<li>\u3057\u305f\u304c\u3063\u3066\u3001\u5e74\u9593\u7d042.4mSv\u3068\u3044\u3046\u81ea\u7136\u653e\u5c04\u7dda\u3088\u308b\u88ab\u3070\u304f\u3067\u3001\u969c\u5bb3\u306e\u767a\u751f\u306f\u307e\u305a\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>10.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1ad<\/div>\n<div><\/div>\n<ul>\n<li>a \u81ea\u7136\u653e\u5c04\u7dda\u91cf\u304c\u9ad8\u3044\u5730\u57df\u306e\u4f4f\u6c11\u306e\u767a\u304c\u3093\u7387\u306f\u9ad8\u3044\u3002\u00d7\u3000\u81ea\u7136\u653e\u5c04\u7dda\u91cf\u304c\u591a\u3044\u5730\u57df\u306e\u4f4f\u6c11\u306e\u767a\u764c\u7387\u304c\u9ad8\u3044\u3068\u3044\u3046\u30c7\u30fc\u30bf\u306f\u306a\u3044\u3070\u304b\u308a\u304b\u3001\u9006\u306b\u305d\u3046\u3044\u3063\u305f\u5730\u57df\u306e\u4f4f\u6c11\u306e\u307b\u3046\u304c\u3001\u767a\u764c\u7387\u3084\u764c\u6b7b\u4ea1\u7387\u304c\u4f4e\u3044\u3002<\/li>\n<li>b \u653e\u5c04\u7dda\u8a98\u767a\u304c\u3093\u3067\u6f5c\u4f0f\u671f\u9593\u304c\u6700\u3082\u77ed\u3044\u816b\u760d\u306f\u4e73\u764c\u3067\u3042\u308b\u3002\u00d7\u3000\u767d\u8840\u75c5\u3002<\/li>\n<li>c \u767d\u8840\u75c5\u306e\u767a\u751f\u306f\u653e\u5c04\u7dda\u88ab\u3070\u304f\u5f8c 15 \u5e74\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u304b\u3089\u5897\u52a0\u3059\u308b\u3002\u00d7\u3000\uff16-7\u5e74\u304c\u30d4\u30fc\u30af\u3002\u305d\u306e\u4ed6\u306e\u764c\u306f\u901a\u5e3810-20\u5e74\u5f8c\u306b\u8d77\u3053\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/li>\n<li>d \u653e\u5c04\u7dda\u306b\u3088\u308b\u907a\u4f1d\u7684\u5f71\u97ff\u306f\u3053\u308c\u307e\u3067\u306b\u30d2\u30c8\u3067\u306f\u78ba\u8a8d\u3055\u308c\u3066\u3044\u306a\u3044\u3002\u25cb<\/li>\n<li>e \u653e\u5c04\u7dda\u8a98\u767a\u304c\u3093\u306f\u4ed6\u306e\u539f\u56e0\u306b\u3088\u308b\u767a\u304c\u3093\u3068\u7d44\u7e54\u5b66\u7684\u306b\u8b58\u5225\u53ef\u80fd\u3067\u3042\u308b\u3002\u00d7\u3000\u306a\u308f\u3051\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>11.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<div><\/div>\n<p>e \u30a2\u30ca\u30d5\u30a3\u30e9\u30ad\u30b7\u30fc\u69d8\u53cd\u5fdc\u306f\u7528\u91cf\u4f9d\u5b58\u6027\u306b\u767a\u751f\u3059\u308b\u3002\u00d7<\/p>\n<h5>\u975e\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u306e\u7279\u5fb4<\/h5>\n<ul>\n<li>\u6211\u304c\u56fd\u306b\u304a\u3044\u3066\u3001\u30e8\u30fc\u30c9\u7cfb\uff38\u7dda\u9020\u5f71\u5264\u3092\u6295\u4e0e\u3055\u308c\u305f337,647\u4f8b\uff08\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264169,284\u4f8b\u3001\u975e\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264168,363\u4f8b\uff09\u3092\u5bfe\u8c61\u3068\u3057\u5927\u898f\u6a21\u306a\u591a\u65bd\u8a2d\u5171\u540c\u306e\u526f\u4f5c\u7528\u8abf\u67fb\u304c\u884c\u308f\u308c\u305f\u3002\u305d\u306e\u7d50\u679c\u3001\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u306e\u526f\u4f5c\u7528\u767a\u751f\u983b\u5ea6\u304c12.66\uff05\uff0821,428\u4f8b\uff0f169,284\u4f8b\uff09\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u975e\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u3067\u306f\u30013.13\uff05\uff085,276\u4f8b\uff0f168,363\u4f8b\uff09\u3067\u3042\u3063\u305f\u3002<\/li>\n<li>\u526f\u4f5c\u7528\u75c7\u72b6\u306e\u3046\u3061\u547c\u5438\u56f0\u96e3\u3001\u6025\u6fc0\u306a\u8840\u5727\u4f4e\u4e0b\u3001\u5fc3\u505c\u6b62\u3001\u610f\u8b58\u6d88\u5931\u306a\u3069\u306e\u91cd\u7be4\u306a\u526f\u4f5c\u7528\u306e\u767a\u751f\u983b\u5ea6\u3092\u307f\u308b\u3068\u3001\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u3067\u306f0.22\uff05\uff08367\u4f8b\uff0f169,284\u4f8b\uff09\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u975e\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u3067\u306f0.04\uff05\uff0870\u4f8b\uff0f168,363\u4f8b\uff09\u3068\u6709\u610f\u306b\u526f\u4f5c\u7528\u304c\u5c11\u306a\u304b\u3063\u305f\u3002<\/li>\n<li>\u3057\u304b\u3057\u3001\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u306e\u526f\u4f5c\u7528\u306f\u3001\u4f7f\u7528\u5f8c\u6570\u5206\uff5e30\u5206\u4ee5\u5185\u306b\u767a\u73fe\u3059\u308b\u5373\u6642\u578b\u30a2\u30ec\u30eb\u30ae\u30fc\u304c\u5927\u90e8\u5206\u3092\u5360\u3081\u3066\u3044\u305f\u306e\u306b\u5bfe\u3057\u3066\u3001\u975e\u30a4\u30aa\u30f3\u6027\u9020\u5f71\u5264\u3067\u306f\u3001\u6295\u4e0e\u5f8c\uff11\u6642\u9593\u4ee5\u4e0a\u3001\u3068\u304d\u306b\u6570\u6642\u9593\u4ee5\u4e0a\u3082\u7d4c\u904e\u3057\u3066\u767a\u73fe\u3059\u308b\u9045\u767a\u6027\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u5831\u544a\u304c\u5c11\u306a\u304f\u306a\u304f\u3001\u307e\u305f\u5373\u6642\u578b\u306e\u75c7\u4f8b\u306e\u5831\u544a\u3082\u3042\u308b\u70b9\u306b\u5341\u5206\u7559\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u9045\u767a\u578b\u526f\u4f5c\u7528\u306e\u767a\u751f\u983b\u5ea6\u53ca\u3073\u767a\u75c7\u6a5f\u5e8f\u306b\u3064\u3044\u3066\u306f\u3001\u307e\u3060\u660e\u78ba\u306b\u306f\u306a\u3063\u3066\u3044\u306a\u3044\u3002<\/li>\n<\/ul>\n<h5>\u30e8\u30fc\u30c9\u9020\u5f71\u5264\u304c\u526f\u4f5c\u7528\u3092\u304a\u3053\u3059\u539f\u56e0<\/h5>\n<p>\uff081\uff09\u9020\u5f71\u5264\u306e\u7269\u7406\u7684\u7279\u6027\u3001<br \/>\n\uff082\uff09\u9020\u5f71\u5264\u306e\u5316\u5b66\u6bd2\u6027\u3001<br \/>\n\uff083\uff09\u30a2\u30ca\u30d5\u30a3\u30e9\u30ad\u30b7\uff0d\u69d8\u53cd\u5fdc\u3001<br \/>\n\uff084\uff09\u5fc3\u7406\u7684\u56e0\u5b50<\/p>\n<p>\u306e4\u3064\u306b\u5927\u5225\u3055\u308c\u308b<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>12.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u814e\u4e0d\u5168\u3000\u00d7\u3000\u539f\u5247\u7981\u5fcc<\/li>\n<li>b \u6025\u6027\u81b5\u708e\u3000\u25cb\u3000\u539f\u5247\u7981\u5fcc\u3060\u3063\u305f\u304c\u3001\u614e\u91cd\u6295\u4e0e\u3078\u5909\u66f4\u3068\u306a\u3063\u305f\u3002<\/li>\n<li>c \u6c17\u7ba1\u652f\u5598\u606f\u3000\u00d7\u3000\u539f\u5247\u7981\u5fcc<\/li>\n<li>d \u591a\u767a\u6027\u9aa8\u9ac4\u816b\u3000\u00d7\u3000\u539f\u5247\u7981\u5fcc<\/li>\n<li>e \u91cd\u7be4\u306a\u7532\u72b6\u817a\u75be\u60a3\u3000\u00d7\u3000\u7d76\u5bfe\u7981\u5fcc<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>13.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u901a\u5e38\u80c6\u9053\u7cfb\u304b\u3089\u6392\u6cc4\u3055\u308c\u308b\u3002\u00d7\u3000\u814e\u6392\u6cc4\u3002<\/li>\n<li>b \u9020\u5f71\u5264\u6fc3\u5ea6\u3068\u4fe1\u53f7\u5f37\u5ea6\u306f\u6bd4\u4f8b\u3059\u308b\u3002\u00d7\u3000\u4fe1\u53f7\u5f37\u5ea6\u3068\u9020\u5f71\u5264\u6fc3\u5ea6\u306f\u6bd4\u4f8b\u95a2\u4fc2\u3067\u306f\u306a\u3044\u3068\u8a18\u8f09\u3042\u308a\u3002<\/li>\n<li>c \u526f\u4f5c\u7528\u306e\u983b\u5ea6\u306f CT \u7528\u9020\u5f71\u5264\u3088\u308a\u3082\u9ad8\u3044\u3002\u00d7\u3000\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u306e\u526f\u4f5c\u7528\u767a\u73fe\u7387\u306f 1\uff5e2\uff05\u7a0b\u5ea6\u3067\u3042\u308a\u3001\u30e8\u30fc\u30c9\u9020\u5f71\u5264\u306b\u6bd4\u3079\u5b89\u5168\u6027\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u91cd\u5ea6\u814e\u969c\u5bb3\u60a3\u8005\u306b\u767a\u73fe\u3059\u308b\u526f\u4f5c\u7528\u3068\u3057\u3066\u814e\u6027\u5168\u8eab\u6027\u7dda\u7dad\u6cd5\uff08NSF\uff09\u304c\u5831\u544a\u3055\u308c\u3066\u4ee5\u6765\u305d\u306e\u8a8d\u8b58\u306f\u4e00\u5909\u3057\u3001\u5b89\u5168\u6027\u306b\u3064\u3044\u3066\u4e16\u754c\u7684\u306b\u518d\u8003\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/li>\n<li>d \u4f53\u5185\u52d5\u614b\u306f\u30e8\u30fc\u30c9\u7cfb\u9020\u5f71\u5264\u3068\u540c\u69d8\u3067\u3042\u308b\u3002\u25cb\u3000\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\uff08\u81d3\u5668\u975e\u7279\u7570\u6027\uff09\u306f\u30e8\u30fc\u30c9\u9020\u5f71\u5264\u307b\u307c\u540c\u3058\u4f53\u5185\u52d5\u614b\u3092\u3068\u308a\u3001\u814e\u6a5f\u80fd\u304c\u6b63\u5e38\u306a\u60a3\u8005\u3067\u306e\u8840\u4e2d\u534a\u6e1b\u671f\u306f 1 \u6642\u9593\u524d\u5f8c\u3067\u3042\u308b\u304c\u3001\u672b\u671f\u814e\u969c\u5bb3\u60a3\u8005\u3067\u306f 35 \u6642\u9593\u7a0b\u5ea6\u307e\u3067\u5ef6\u9577\u3059\u308b\u3002<\/li>\n<li>e \u900f\u6790\u3092\u884c\u3063\u3066\u3044\u308c\u3070\u814e\u4e0d\u5168\u306e\u60a3\u8005\u306b\u6295\u4e0e\u53ef\u80fd\u3067\u3042\u308b\u3002\u00d7\u3000\u7981\u5fcc\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>14.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a CT \u306e\u753b\u50cf\u89b3\u5bdf\u3067\u306f 50 \u4e07\u753b\u7d20\u30e2\u30cb\u30bf\u304c\u63a8\u5968\u3055\u308c\u308b\u3002\u00d7130\u4e07\u301c500\u4e07\u753b\u7d20\u3002<\/li>\n<li>b \u30ab\u30e9\u30fc\u30e2\u30cb\u30bf\u306f\u30e2\u30ce\u30af\u30ed\u30e2\u30cb\u30bf\u306e\u4ee3\u66ff\u3068\u306f\u306a\u3089\u306a\u3044\u3002\u00d7<\/li>\n<li>c \u80f8\u90e8 X \u7dda\u5199\u771f\u3067\u306f\u8f1d\u5ea6\u304c 20\uff05 \u4f4e\u4e0b\u3059\u308b\u3068\u7cbe\u5ea6\u304c\u52a3\u5316\u3059\u308b\u3002\u00d7\u3000\u6700\u9ad8\u8f1d\u5ea6\u304c67\uff05\u4ee5\u4e0b\u306b\u4f4e\u4e0b\u3059\u308b\u3068\u80f8\u90e8\u5199\u771f\u3068\u3057\u3066\u4f7f\u7528\u3059\u308b\u4e0a\u3067\u81e8\u5e8a\u7684\u306b\u8aad\u5f71\u7d50\u679c\u306e\u7cbe\u5ea6\u306b\u5f71\u97ff\u3059\u308b\u3002\u3064\u307e\u308a\u300133\uff05\u4f4e\u4e0b\u304c\u6b63\u89e3\u3002<\/li>\n<li>d \u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u306e\u753b\u50cf\u89b3\u5bdf\u3067\u306f 500 \u4e07\u753b\u7d20\u30e2\u30cb\u30bf\u304c\u63a8\u5968\u3055\u308c\u308b\u3002\u25cb\u3000500\u4e07\u753b\u7d20\u4ee5\u4e0a\u5fc5\u8981\u3002<\/li>\n<li>e \u30e2\u30cb\u30bf\u7ba1\u7406\u7528\u6a19\u6e96\u30c6\u30b9\u30c8\u30d1\u30bf\u30fc\u30f3\uff08TG-18QC\uff09\u306e\u30b0\u30ec\u30fc\u30b9\u30b1\u30fc\u30eb\u306f 8 \u968e\u8abf\u3067\u3042\u308b\u3002\u00d716\u6bb5\u968e<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>15.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1ae<\/div>\n<div><\/div>\n<ul>\n<li>a \u533b\u7528\u753b\u50cf\u306e\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\u3068\u901a\u4fe1\u30d7\u30ed\u30c8\u30b3\u30eb\u306e\u898f\u683c\u3067\u3042\u308b\u3002\u25cb\u3000CT\u30fbMRI\u30fb\u5185\u8996\u93e1\u30fb\u8d85\u97f3\u6ce2\u306a\u3069\u306e\u533b\u7528\u753b\u50cf\u8a3a\u65ad\u88c5\u7f6e\u3001\u533b\u7528\u753b\u50cf\u30d7\u30ea\u30f3\u30bf\u3001\u533b\u7528\u753b\u50cf\u30b7\u30b9\u30c6\u30e0\u3001\u533b\u7642\u60c5\u5831\u30b7\u30b9\u30c6\u30e0\u306a\u3069\u306e\u9593\u3067\u30c7\u30b8\u30bf\u30eb\u753b\u50cf\u30c7\u30fc\u30bf\u3084\u95a2\u9023\u3059\u308b\u8a3a\u7642\u30c7\u30fc\u30bf\u3092\u901a\u4fe1\u3057\u305f\u308a\u3001\u4fdd\u5b58\u3057\u305f\u308a\u3059\u308b\u65b9\u6cd5\u3092\u5b9a\u3081\u305f\u56fd\u969b\u6a19\u6e96\u898f\u683c\u3092DICOM\u3068\u3044\u3046\u3002<\/li>\n<li>b \u3059\u3079\u3066\u306e\u533b\u7528\u753b\u50cf\u30e2\u30c0\u30ea\u30c6\u30a3\u306f\u3053\u306e\u898f\u683c\u306b\u6e96\u62e0\u3057\u3066\u3044\u308b\u3002\u25b3\u8d85\u97f3\u6ce2\u306a\u3069\u306f\u30c7\u30b8\u30bf\u30eb\u5bfe\u5fdc\u3057\u3066\u304d\u305f\u304cDICOM\u5316\u3055\u308c\u305f\u306e\u306f\u6700\u8fd1\u3002<\/li>\n<li>c Digital Imaging and Communications in Medicine \u306e\u7565\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>d Modality Working Management\uff08MWM\uff09\u306f\u305d\u306e\u6a5f\u80fd\u306e\u4e00\u3064\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>e DICOM3.0 \u306f8\u3064\u306e\u30b5\u30fc\u30d3\u30b9\u30af\u30e9\u30b9\u3068\u547c\u3070\u308c\u308b\u6a5f\u80fd\u3067\u6210\u308a\u7acb\u3063\u3066\u3044\u308b\u3002\u00d7\u3000\u3082\u3063\u3068\u6ca2\u5c71\u30b5\u30fc\u30d3\u30b9\u30af\u30e9\u30b9\u306f\u3042\u308b\u3002\u30b5\u30fc\u30d3\u30b9\u3092\u63d0\u4f9b\u3059\u308b\u5074\u3068\u3001\u30b5\u30fc\u30d3\u30b9\u3092\u5229\u7528\u3059\u308b\u5074\u306e2\u3064\u304c\u3042\u308a\u3001\u524d\u8005\u3092SCP\uff08Service Class Provider\uff09\u3001\u5f8c\u8005\u3092SCU\uff08Service Class User\uff09\u3068\u3044\u3046\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>\u8a3a\u65ad(16-70)<\/h3>\n<p><span style=\"font-size: 24px;\"><strong>16.<\/strong><\/span><\/p>\n<div>\u89e3\u7b54\uff1aa,c<\/div>\n<div><\/div>\n<ul>\n<li>a \u9aa8\u8089\u816b\u3000\u25cb\u3000\u6eb6\u9aa8\u6027\u5909\u5316\u3092\u793a\u3059\u3082\u306e\u3001\u9aa8\u786c\u5316\u6027\u5909\u5316\u3092\u793a\u3059\u3082\u306e\u3001\u4e21\u8005\u306e\u6df7\u5408\u3059\u308b\u3082\u306e\u306b\u5206\u985e\u3055\u308c\u3001\u4e2d\u3067\u3082\u6df7\u5408\u578b\u304c\u591a\u3044\u3002<\/li>\n<li>b \u30d3\u30bf\u30df\u30f3 D \u6b20\u4e4f\u75c7\u3000\u00d7\u3000\u9aa8\u8edf\u5316\u75c7\u3002<\/li>\n<li>c \u9aa8Paget \u75c5\u6162\u6027\u671f\u3000\u25cb\u3000\u7834\u9aa8\u7d30\u80de\u6d3b\u6027\u2192\u6eb6\u9aa8\u6027\u5909\u5316\u2192\u9020\u9aa8\u7d30\u80de\u6d3b\u6027\u304c\u6df7\u5728\u2192\u9020\u9aa8\u6027\u5909\u5316\u304c\u512a\u4f4d\u3068\u306a\u308b\u9806\u306b\u9032\u884c\u3059\u308b\u3002<\/li>\n<li>d \u526f\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u3000\u00d7\u3000\u9aa8\u819c\u4e0b\u5438\u53ce\u3092\u8d77\u3053\u3059\u3002<\/li>\n<li>e Langerhans \u7d30\u80de\u7d44\u7e54\u7403\u75c7\u3000\u00d7 \u9aa8\u786c\u5316\u7e01\u3084\u9aa8\u819c\u53cd\u5fdc\u3092\u4f34\u308f\u306a\u3044\u9aa8\u6eb6\u89e3\u50cf\u3002\u30ec\u30f3\u30c8\u30b2\u30f3\u306b\u3066beveled edge appearance\u3068\u547c\u3070\u308c\u308b\u8fba\u7e01\u90e8\u3068\u4e2d\u5fc3\u90e8\u306e\u6fc3\u5ea6\u5dee\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>17.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>c,e<\/span><\/p>\n<ul>\n<li>a \u5148\u5929\u6027\u810a\u690e\u3059\u3079\u308a\u306f L1 \u306b\u6700\u3082\u591a\u3044\u3002\u00d7\u3000\u5148\u5929\u7684\u306aS1\u690e\u3068\u95a2\u7bc0\u7a81\u8d77\u306e\u5f62\u6210\u4e0d\u5168\u306b\u3088\u308a\u3001L5\u690e\u306e\u304d\u308f\u3081\u3066\u9ad8\u5ea6\u306a\u3059\u3079\u308a\u75c7\u304c\u751f\u3058\u308b\u3002<\/li>\n<li>b \u5206\u96e2\u3059\u3079\u308a\u306f L4 \u306b\u6700\u3082\u591a\u3044\u3002\u00d7\u3000L5\u304c80\uff05\u3001L4\u304c10\uff05\u300210\u4ee3\u306e\u7537\u5b50\u3067\u30b9\u30dd\u30fc\u30c4\u3059\u308b\u4eba\u306b\u591a\u3044\u3002<\/li>\n<li>c \u5206\u96e2\u3059\u3079\u308a\u306f\u795e\u7d4c\u6839\u75c7\u72b6\u3092\u304d\u305f\u3057\u6613\u3044\u3002\u25cb<\/li>\n<li>d \u5909\u6027\u3059\u3079\u308a\u306f L5 \u306b\u6700\u3082\u591a\u3044\u3002\u00d7\u3000L4<\/li>\n<li>e \u5909\u6027\u3059\u3079\u308a\u306f\u99ac\u5c3e\u75c7\u72b6\u3092\u304d\u305f\u3057\u6613\u3044\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>18.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u5f37\u76f4\u6027\u810a\u690e\u708e\u3000\u25cb\u3000\u3073\u3089\u3093\u304c\u5c0f\u3055\u304f\u5207\u624b\u306e\u3075\u3061\u69d8\u3002<\/li>\n<li>b \u4e7e\u766c\u6027\u95a2\u7bc0\u708e\u3000\u25cb\u3000\u975e\u5bfe\u79f0\u6027\u3002<\/li>\n<li>c \u8178\u708e\u6027\u95a2\u7bc0\u708e\u3000\u25cb\u3000\u708e\u75c7\u6027\u8178\u708e\u306b\u5408\u4f75\u3002\u5bfe\u79f0\u6027\u3002<\/li>\n<li>d \u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u3000\u00d7\u3000\u95a2\u4fc2\u306a\u3044\u3002<\/li>\n<li>e \u526f\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u3000\u25cb\u3000\u9aa8\u5438\u53ce\u306b\u3088\u308a\u958b\u5927\u3059\u308b\u3002<\/li>\n<\/ul>\n<h5>\u4ed9\u8178\u95a2\u7bc0\u306e\u958b\u5927<\/h5>\n<ul>\n<li>\u5916\u50b7\u306b\u3088\u308b\u976d\u5e2f\u640d\u50b7\u306b\u3088\u308a\u4ed9\u8178\u95a2\u7bc0\u9593\u9699\u306f\u958b\u5927\u3059\u308b\u3002\u976d\u5e2f\u4ed8\u7740\u90e8\u306e\u708e\u75c7(enthesopathy),\u9aa8\u3073\u3089\u3093,\u9aa8\u5438\u53ce\u306a\u3069\u306b\u3088\u3063\u3066\u3082\u95a2\u7bc0\u9593\u9699\u306e\u958b\u5927\u3092\u304d\u305f\u3059\u3002<\/li>\n<li>\u5916\u50b7\u306b\u4f34\u3046\u4ed9\u8178\u95a2\u7bc0\u306e\u958b\u5927\u306f\u524d\u30fb\u5f8c\u4ed9\u8178\u976d\u5e2f\u306e\u640d\u50b7\u3092\u793a\u5506\u3059\u308b\u3002\u814e\u4e0d\u5168\u306b \u3088\u308b2\u6b21\u6027\u526f\u7532\u72b6\u817a\u6a5f\u80fd\u5145\u9032\u75c7\u3067\u306f,\u9aa8\u5438\u53ce\u306b\u3088\u308a\u4ed9\u8178\u95a2\u7bc0\u9593\u9699\u306f\u958b\u5927\u3059\u308b\u3002<\/li>\n<li>Seronegative spondyloarthropathy\u306b\u591a\u304f\u307f\u3089\u308c\u308b\u976d\u5e2f\u30fb\u5065\u4ed8\u7740\u90e8\u306e\u708e\u75c7 (enthesopathy)\u3067\u306f,\u9aa8\u3073\u3089\u3093\u3088\u308a\u59cb\u307e\u308a,\u53cd\u5fdc\u6027\u30fb\u4fee\u5fa9\u6027\u9aa8\u786c\u5316,\u3055\u3089\u306b\u9aa8\u7652\u5408\u3078\u3068\u9032\u884c\u3059\u308b\u3002\u3053\u308c\u3089\u306f\u4ed9\u8178\u95a2\u7bc0\u708e\u306e\u5b58\u5728\u3092\u610f\u5473\u3057,\u4e21\u5074\u6027\u306e\u4ed9\u8178\u95a2\u7bc0\u708e\u306f\u786c\u76f4\u6027\u810a\u690e\u708e\u306e\u8a3a\u65ad\u306b\u306f\u5fc5\u9808\u9805\u76ee\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>19.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>a. \u25cb<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>20.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u985e\u9aa8\u9aa8\u816b\u3000\u25cb<\/li>\n<li>b \u5185\u8edf\u9aa8\u816b\u3000\u00d7<\/li>\n<li>c Brodie \u81bf\u760d\u3000\u25cb\u3000\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\u306b\u3088\u308b\u9aa8\u9ac4\u708e\u306e1\u578b\u3002\u5f53\u7136\u5468\u56f2\u306b\u9aa8\u9ac4\u6d6e\u816b\u3092\u4f34\u3046\u3002<\/li>\n<li>d \u30b9\u30c8\u30ec\u30b9\u9aa8\u6298\u3000\u25cb<\/li>\n<li>e \u8edf\u9aa8\u82bd\u7d30\u80de\u816b\u3000\u25cb<\/li>\n<\/ul>\n<h5>\u5468\u56f2\u306e\u9aa8\u9ac4\u3084\u8edf\u90e8\u7d44\u7e54\u306b\u6d6e\u816b\u6027\u5909\u5316\u3092\u4f34\u3046\u826f\u6027\u816b\u760d<\/h5>\n<ul>\n<li>\u8edf\u9aa8\u82bd\u7d30\u80de\u816b<\/li>\n<li>\u985e\u9aa8\u9aa8\u816b<\/li>\n<li>\u597d\u9178\u7403\u6027\u8089\u82bd\u816b<\/li>\n<li>\u75b2\u52b4\u9aa8\u6298\uff08\u30b9\u30c8\u30ec\u30b9\u9aa8\u6298\uff09<\/li>\n<\/ul>\n<p>\u203bMRI\u6240\u898b\u306f\u3057\u3070\u3057\u3070\u975e\u7279\u7570\u7684\u3002\u5468\u56f2\u306b\u53cd\u5fdc\u6027\u6d6e\u816b\u3092\u8a8d\u3081\u3001\u60aa\u6027\u816b\u760d\u3068\u7d1b\u3089\u308f\u3057\u3044\u3053\u3068\u304c\u3042\u308b\u3002\u8cea\u7684\u8a3a\u65ad\u306b\u306f\u81e8\u5e8a\u6240\u898b\u3084\u5358\u7d14\u5199\u771f\u6240\u898b\u3092\u5341\u5206\u306b\u8003\u616e\u3059\u308b\u5fc5\u8981\u3042\u308a\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>21.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad \u8edf\u9aa8\u82bd\u7d30\u80de\u816b<\/p>\n<p>\u25cb\u3000\u5b50\u4f9b\u3002\u3053\u308c\u3068\u9aa8\u5de8\u7d30\u80de\u816b\u304c\u9aa8\u7aef\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>22.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u8133\u81bf\u760d\u3000\u00d7\u3000\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>b \u985e\u4e0a\u76ae\u816b\u3000\u00d7\u3000\u8457\u660e\u306a\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>c \u304f\u3082\u819c\u56ca\u80de\u3000\u25cb\u3000\u4f4e\u4fe1\u53f7<\/li>\n<li>d \u6025\u6027\u671f\u8133\u6897\u585e\u3000\u00d7\u3000\u9ad8\u4fe1\u53f7<\/li>\n<li>e \u8133\u60aa\u6027\u30ea\u30f3\u30d1\u816b\u3000\u00d7\u3000\u9ad8\u4fe1\u53f7<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>23.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a Leigh \u8133\u75c7\u3000\u00d7\u3000\u8996\u5e8a,\u5927\u8133\u57fa\u5e95\u6838,\u4e2d\u8133,\u6a4b\u306a\u3069\u306b\u5de6\u53f3\u5bfe\u79f0\u6027\u306e\u58ca\u6b7b\u6027\u75c5\u5909\u3092\u6301\u3064\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u5909\u6027\u75be\u60a3\u3067\u3042\u308a,\u75c5\u56e0\u306f\u5358\u4e00\u3067\u306f\u306a\u3044\u3002\u75c5\u56e0\u306f\u751f\u4f53\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u7523\u751f\u306b\u91cd\u8981\u306a\u30d4\u30eb\u30d3\u30f3\u9178\u4ee3\u8b1d\u969c\u5bb3\u3002\u907a\u4f1d\u6027\u7070\u767d\u8cea\u75be\u60a3\u306e\uff11\u3064\u3002<\/li>\n<li>b \u591a\u767a\u6027\u786c\u5316\u75c7\u3000\u00d7\u3000\u9ac4\u9798\u306e\u30df\u30a8\u30ea\u30f3\u86cb\u767d\u306b\u5bfe\u3059\u308b\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3002\u307b\u304b\u3001\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u306e\u95a2\u4e0e\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>c Wernicke \u8133\u75c7\u3000\u00d7\u3000\u30d3\u30bf\u30df\u30f3B1(\u30c1\u30a2\u30df\u30f3)\u4e0d\u8db3\u3002<\/li>\n<li>d Creutzfeldt-Jakob \u75c5\u3000\u00d7\u3000\u7570\u5e38\u30d7\u30ea\u30aa\u30f3\u306e\u4e2d\u67a2\u795e\u7d4c\u5185\u6c88\u7740\u304c\u539f\u56e0\u3067\u3042\u308a,\u305d\u306e\u767a\u751f\u306f\u6563\u767a\u6027\u306e\u3082\u306e\u304c\u307b\u3068\u3093\u3069\u3067\u3042\u308b\u304c,\u5bb6\u65cf\u6027\u306e\u767a\u751f\u3084,\u72c2\u725b\u75c5\u304b\u3089\u306e\u611f\u67d3(\u5909\u7570\u578b)\u3082\u77e5\u3089\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>e \u9032\u884c\u6027\u591a\u5de3\u6027\u767d\u8cea\u8133\u75c7 \u25cb\u514d\u75ab\u4e0d\u5168\u60a3\u8005\u306b\u75c7\u3058\u308b\u9032\u884c\u6027\u30fb\u81f4\u6b7b\u6027\u306e\u8131\u9ac4\u75be\u60a3\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n<h5>PML\u306e\u753b\u50cf\u6240\u898b<\/h5>\n<ul>\n<li>\u5c40\u5728\uff1a\u591a\u767a\u6027\u3001\u975e\u5bfe\u79f0\u6027\u3001\u76ae\u9ac4\u5883\u754c\u30fb\u76ae\u8cea\u4e0b\u767d\u8cea\uff08U-fiber\u3092\u542b\u3080\uff09\u3001\u8133\u6881\u3001\u8996\u5e8a\u3001\u57fa\u5e95\u6838\u3001\u5185\u5305\u3001\u5916\u5305\uff08\u8133\u5e79\u3001\u5c0f\u8133\u306f\u307e\u308c\u3060\u304c\u3001\u30c6\u30f3\u30c8\u4e0b\u3067\u306f\u4e2d\u5c0f\u8133\u811a\u306b\u307f\u3089\u308c\u3046\u308b\u4e8b\u304c\u591a\u3044\uff09\u3002<\/li>\n<li>\u75c5\u5909\u306f\u76ae\u8cea\u4e0b\u767d\u8cea\u304b\u3089\u6df1\u90e8\u767d\u8cea\u3078\u9032\u5c55\u3057\u3001\u9032\u884c\u3068\u3068\u3082\u306b\u840e\u7e2e\u3059\u308b\u3002<\/li>\n<li>T1WI\u3067\u4f4e\u4fe1\u53f7\u3001T2WI\u3067\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>DWI\u3067\u306f\u3001\u8131\u9ac4\u524d\u306e\u81a8\u5316\u3057\u305f\u7d30\u80de\u306b\u3088\u308a\u62e1\u6563\u304c\u4f4e\u4e0b\u3059\u308b\u90e8\u4f4d\u3068\u3001oligodendrocytes\u304c\u6d88\u5931\u3057\u7d30\u80de\u5916\u8154\u304c\u62e1\u5927\u3001\u62e1\u6563\u304c\u4ea2\u9032\u3059\u308b\u90e8\u4f4d\u304c\u3042\u308b\u305f\u3081\u3001\u4fe1\u53f7\u57df\u306e\u90e8\u4f4d\u3068\u4f4e\u4fe1\u53f7\u57df\u306e\u90e8\u4f4d(T1WI\u3067\u4f4e\u4fe1\u53f7\u306e\u90e8\u4f4d\u306f\u3001DWI\u3067\u3082\u4f4e\u4fe1\u53f7)\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002<\/li>\n<li>\u539f\u5247\u3068\u3057\u3066\u3001\u9020\u5f71\u52b9\u679c\u3084mass effect\u306f\u306a\u3044\u3002<\/li>\n<li>\u514d\u75ab\u518d\u69cb\u7bc9\u306b\u3088\u308a\u4e00\u904e\u6027\u306b\u5897\u60aa\u3057\u3001\u5897\u5f37\u52b9\u679c\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>24.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae:\u25cb<\/p>\n<h5>\u8133\u5e95\u52d5\u8108\u5148\u7aef\u75c7\u5019\u7fa4\u3068\u306f<\/h5>\n<ul>\n<li>\u5f8c\u5927\u8133\u52d5\u8108\u8fd1\u4f4d\u50743\u301c4mm\u3088\u308a\u51fa\u308b\u7a7f\u901a\u679d\u306e\u585e\u6813\u306b\u3088\u308a\u767a\u75c7\u3059\u308b\u3002<\/li>\n<li>\u4e00\u5074PCA\u304b\u3089\u51fa\u308b\u7a7f\u901a\u679d\u306f\u4e2d\u8133\u3001\u8996\u5e8a\u80cc\u5074\u304a\u3088\u3073\u8996\u5e8a\u6b63\u4e2d\u90e8\u306e\u4e21\u5074\u3092\u990a\u3046\u305f\u3081\u3001\u8776\u5f62\u306e\u6897\u585e\u3092\u8a8d\u3081\u308b\u3002\u307e\u305f\u5f8c\u982d\u8449\u3084\u5074\u982d\u8449\u306b\u3082\u6897\u585e\u5de3\u3092\u4f5c\u308b\u3002<\/li>\n<li>\u4e00\u5074\u307e\u305f\u306f\u4e21\u5074\u52d5\u773c\u795e\u7d4c\u9ebb\u75fa\u3001Parinaud\u5fb4\u5019\u3001\u4e0b\u65b9\u6ce8\u8996\u9ebb\u75fa\u3092\u6765\u305f\u3057\u3001\u540c\u6642\u306b\u610f\u8b58\u969c\u5bb3\u3001\u7121\u70ba\u3001\u8a18\u61b6\u969c\u5bb3\u3092\u4f34\u3046\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>25.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa:\u25cb<\/p>\n<h5>MRI(\u7279\u306bFLAIR)\u306e\u7279\u5fb4\u3001\u6ce8\u610f\u70b9<\/h5>\n<ul>\n<li>FLAIR\u3067\u3042\u308c\u3070\u6025\u6027\u671f\u306e\u307f\u306a\u3089\u305a\u4e9c\u6025\u6027\u671f\u4f8b\u306e\u8a3a\u65ad\u304c\u53ef\u80fd\u3002CT\u3068\u540c\u7b49\u4ee5\u4e0a\u3068\u3055\u308c\u308b\u3002<\/li>\n<li>\u8efd\u5fae\u306aSAH\u3082FLAIR\u3067\u3042\u308c\u3070\u660e\u77ad\u306a\u9ad8\u4fe1\u53f7\u3068\u3057\u3066\u63cf\u51fa\u3055\u308c\u308b\u3002\u9ad8\u4fe1\u53f7\u304c\u8a8d\u3081\u306a\u304f\u3066\u3082\u3001FLAIR\u306b\u3066\u304f\u3082\u819c\u4e0b\u8154\u306b(\u9ed2\u3044)\u52d5\u8108\u304c\u898b\u3048\u308b(\u6b63\u5e38\u3067\u306f\u898b\u3048\u306a\u3044\u3002\u304f\u3082\u819c\u4e0b\u8154\u5185\u306e\u6fc3\u5ea6\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u305f\u3081\u6d6e\u304d\u51fa\u3066\u898b\u3048\u308b\u3002)<\/li>\n<li>CT\u540c\u69d8\u3001FLAIR\u306b\u3066SAH\u3092\u6307\u6458\u3067\u304d\u3066\u3082\u3001\u5426\u5b9a\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3002<\/li>\n<li>FLAIR\u3067\u304f\u3082\u819c\u4e0b\u8154\u304c\u9ad8\u4fe1\u53f7\u3092\u5448\u3059\u308b\u75c5\u5909\u30fb\u75c5\u614b\u3092\u77e5\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>26.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<ul>\n<li>a \u4e0a\u8863\u816b\u00a0 \u25cb\u3000\u6700\u591a\u3002<\/li>\n<li>b \u661f\u7d30\u80de\u816b\u3000\u00d7\u30002\u756a\u76ee\u306b\u591a\u3044\u3002\u5c0f\u5150\u306f\u3053\u308c\u304c\u4e00\u756a\u3002<\/li>\n<li>c \u795e\u7d4c\u9798\u816b\u3000\u00d7<\/li>\n<li>d \u8840\u7ba1\u82bd\u816b\u3000\u00d7\u30003\u756a\u76ee\u3002<\/li>\n<li>e \u795e\u7d4c\u7bc0\u81a0\u816b\u3000\u00d7<\/li>\n<\/ul>\n<h5>\u810a\u9ac4\u4e0a\u8863\u816b(ependymoma)<\/h5>\n<ul>\n<li>\u4e2d\u5fc3\u7ba1\u3001\u7d42\u5ba4\u306e\u4e0a\u8863\u7d30\u80de\u304b\u3089\u767a\u751f\u3002<\/li>\n<li>\u9ac4\u5185\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u306e60%\u3092\u5360\u3081\u3001\u6210\u4eba\u306e\u810a\u9ac4\u9ac4\u5185\u816b\u50b7\u3067\u306f\u6700\u3082\u591a\u3044\u3002<\/li>\n<li>\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u306b\u3001\u7d30\u80de\u6027\u4e0a\u8863\u816b(cellular)\u3068\u7c98\u6db2\u4e73\u982d\u72b6\u4e0a\u8863\u816b(myxopapillary)\u304c\u3042\u308a\u3001\u767a\u751f\u90e8\u4f4d\u3001\u767a\u751f\u5e74\u9f62\u3001\u753b\u50cf\u6240\u898b\u304c\u7570\u306a\u308b\u3002<\/li>\n<li>\u7d30\u80de\u6027\u4e0a\u8863\u816b\u306f30~40\u6b73\u4ee3\u306b\u597d\u767a\u3057\u3001\u5c0f\u5150\u306b\u306f\u5c11\u306a\u3044\u3002\u981a\u9ac4\u306b\u597d\u767a\u3057\u30013~4\u690e\u4f53\u4ee5\u5185\u306b\u9650\u5c40\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3002\u981a\u90e8\u75db\u3084\u80cc\u90e8\u75db,\u904b \u52d5\u611f\u899a\u969c\u5bb3\u3092\u304d\u305f\u3059\u3002<\/li>\n<li>\u7c98\u6db2\u4e73\u982d\u72b6\u4e0a\u8863\u816b\u306f\u810a\u9ac4\u4e0a\u8863\u816b\u306e\u7d043\u5272\u3092\u5360\u3081\u3001\u305d\u306e\u307b\u3068\u3093\u3069\u304c\u810a\u9ac4\u5186\u9310\u3068\u7d42\u7cf8\u306b\u8d77\u3053\u308b\u3002\u3088\u308a\u82e5\u5e74\u8005\u306b\u591a\u304f\u3001\u51fa\u8840\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u3002\u8170\u4ed9\u90e8\u75db\u3084\u4e0b\u80a2\u8131\u529b\u3001\u8180\u80f1\u76f4\u8178\u969c\u5bb3\u3092\u304d\u305f\u3059\u3002<\/li>\n<li>\u795e\u7d4c\u7dda\u7dad\u816b\u75c72\u578b(NF2)\u3092\u4f34\u3063\u3066\u3044\u308b\u5834\u5408\u304c\u3042\u308b\u306e\u3067\u3001\u4e0a\u8863\u816b\u3092\u898b\u305f\u3089\u8074\u795e\u7d4c\u816b\u760d\u3084\u9ac4\u819c\u816b\u306b\u3082\u6ce8\u610f\u3092\u6255\u3046\u5fc5\u8981\u3042\u308a\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>27.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,b<\/p>\n<ul>\n<li>a \u4e0a\u8863\u816b\u3000\u25cb<\/li>\n<li>b \u9ac4\u819c\u816b\u3000\u25cb<\/li>\n<li>c \u8840\u7ba1\u82bd\u816b\u3000\u00d7\u3000von Hipple Lindau\u75c5<\/li>\n<li>d \u795e\u7d4c\u81a0\u816b\u3000\u00d7<\/li>\n<li>e \u4e0a\u8863\u4e0b\u5de8\u7d30\u80de\u661f\u7d30\u80de\u816b\u3000\u00d7\u3000\u7d50\u7bc0\u6027\u786c\u5316\u75c7 \u4e21\u5074\u8074\u795e\u7d4c\u9798\u816b\u2192NF2\u306e\u3053\u3068\u3002\u3064\u307e\u308aNF2\u306b\u5408\u4f75\u3059\u308b\u3082\u306e\u3092\u9078\u3079\u3068\u3044\u3046\u554f\u984c\u3002<\/li>\n<\/ul>\n<h5>\u795e\u7d4c\u7dda\u7dad\u816b\u75c72\u578b(NF-2,neurofibromatosis with bilateral acoustic schwannomas)<\/h5>\n<ul>\n<li>\u5e38\u67d3\u8272\u4f53\u512a\u6027\u907a\u4f1d(22ql2;\u816b\u50b7\u6291\u5236\u907a\u4f1d\u5b50\u3067\u3042\u308bmerlin\u306e\u7570\u5e38)\u3067\u3042\u308b\u304c,\u7d0450%\u306f\u7a81\u7136\u5909\u7570\u306b\u3066\u751f\u3058\u308b\u3002<\/li>\n<li>\u983b\u5ea6\u306f50,000\u4eba\u306b1\u4eba\u307b\u3069\u3067\u3042\u308b\u3002<\/li>\n<li>\u4e21\u5074\u8074\u795e\u7d4c\u9798\u816b\u306f\u307b\u307c\u5fc5\u767a\u3067,\u767a\u75c7\u5e74\u9f62\u306f\u5e73\u5747\u7d0420\u6b73\u3068\u5358\u767a\u306e\u8074\u795e\u7d4c\u9798\u816b\u3068\u6bd4\u3079\u82e5\u3044\u3002<\/li>\n<li>\u5c0f\u5150\u671f\u306e\u75c7\u72b6\u3068\u3057\u3066\u306f\u75d9\u6523,\u9854\u9762\u795e\u7d4c\u9ebb\u75fa\u306a\u3069\u3067,\u96e3\u8074\u306f\u5c11\u306a\u3044\u3002<\/li>\n<li>\u6210\u4eba\u3067\u306f\u96e3\u8074\u3092\u5448\u3059\u308b\u3002<\/li>\n<li>\u76ae\u819a\u75c7\u72b6\u306f\u5c11\u306a\u304f\u30ab\u30d5\u30a7\u30fb\u30aa\u30ec\u6591\u306f\u7d0425%\u3067\u898b\u3089\u308c\u308b\u3002\u307e\u305f,\u76ae\u819a\u306e\u795e\u7d4c\u9798\u816b\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002<\/li>\n<li>\u7d04\u534a\u6570\u3067\u767d\u5185\u969c\u3092\u4f34\u3046\u3002<\/li>\n<\/ul>\n<p>NF2<br \/>\nME2 (meningioma ependymoma)\u3068\u899a\u3048\u308b\u3002<\/p>\n<h5>NF2\u306eMR\u6240\u898b<\/h5>\n<ul>\n<li>\u4e21\u5074\u8074\u795e\u7d4c\u9798\u816b(90~95%)\u304a\u3088\u3073\u4ed6\u306e\u8133\u795e\u7d4c(\u4e3b\u306b\u7b2c3,5,7\u8133\u795e\u7d4c)\u9798\u816b(\u7d0450%),\u9ac4\u819c\u816b(\u7d0450~60%)\u304c\u898b\u3089\u308c\u308b\u3002<\/li>\n<li>\u500b\u3005\u306e\u816b\u760d\u306e\u6240\u898b\u306f\u5358\u767a\u306e\u3082\u306e\u3068\u5909\u308f\u308a\u306a\u3044\u3002<\/li>\n<li>\u4e3b\u306a\u75c5\u5909\u304c\u8074\u795e\u7d4c\u9798\u816b,\u9ac4\u819c\u816b\u306e\u305f\u3081,\u9020\u5f71MRI\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/li>\n<li>\u810a\u9ac4\u75c5\u5909(\u795e\u7d4c\u9798\u816b\u3001\u4e0a\u8863\u816b\u3001\u9ac4\u819c\u816b\u306a\u3069)\u306e\u5408\u4f75\u306b\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>28.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u773c\u7aa9 T4<\/li>\n<li>b \u526f\u9f3b\u8154 T3<\/li>\n<li>c Meckel \u6d1e T4?<\/li>\n<li>d \u508d\u54bd\u982d\u9593\u9699\u3000\u25cb\u3000T2\u306f\u3053\u3053\u3078\u306e\u4f38\u5c55\u306e\u307f\u3002\u899a\u3048\u308b\u3002<\/li>\n<li>e Rosenm\u00fcller \u7aa9 T1<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>29.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<p>\u307e\u305a\u5186\u9310\u3068\u306f4\u3064\u306e\u5916\u773c\u7b4b\u304c\u3064\u304f\u308b\u5186\u9310\u3002\u5186\u9310\u5185\u306b\u306f\u773c\u7aa9\u306e\u8840\u7ba1, \u5916\u773c\u7b4b\u3092\u652f\u914d\u3059\u308b\u611f\u899a\u30fb\u904b\u52d5\u795e\u7d4c, \u8996\u795e\u7d4c, \u8996\u795e\u7d4c\u9798\u306a\u3069\u304c\u542b\u307e\u308c\u308b\u3002<\/p>\n<ul>\n<li>a \u9ac4\u819c\u816b\u3000\u3000\u25cb<\/li>\n<li>b \u985e\u76ae\u816b\u3000\u00d7<\/li>\n<li>c \u795e\u7d4c\u81a0\u816b\u3000\u25cb\u3000\u8996\u795e\u7d4c\u539f\u767a\u816b\u760d\u306e\u3046\u306180\uff05\u3092\u5360\u3081\u308b\u3002<\/li>\n<li>d \u60aa\u6027\u9ed2\u8272\u816b\u3000\u25cb\u8ee2\u79fb\u3002<\/li>\n<li>e \u60aa\u6027\u30ea\u30f3\u30d1\u816b\u3000\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>\u985e\u76ae\u816b\u3000dermoid<\/h5>\n<ul>\n<li>\u80ce\u751f\u671f\u306e\u5916\u80da\u8449\u306e\u8ff7\u5165\u306b\u3088\u3063\u3066\u767a\u751f\u3059\u308b\u56a2\u80de\u6027\u816b\u7624\u3067\u3042\u308a,\u771f\u306e\u816b\u816b\u3067\u306f\u306a\u3044\u3002<\/li>\n<li>\u8868\u76ae\u6210\u5206\u304a\u3088\u3073\u6bdb\u56a2\u30fb\u76ae\u8102\u817a\u306a\u3069\u306e\u76ae\u819a\u4ed8\u5c5e\u5668\u3092\u542b\u3080\u771f\u76ae\u6210\u5206\u304b\u3089\u306a\u3063\u3066\u304a\u308a,\u6587\u5b57\u901a\u308a\u76ae\u819a\u306b\u985e\u4f3c\u3057\u305f\u816b\u7624\u3067\u3042\u308b\u3002\u56a2\u80de\u58c1\u306f\u89d2\u5316\u3092\u793a\u3059\u91cd\u5c64\u6241\u5e73\u4e0a\u76ae,\u76ae\u819a\u4ed8\u5c5e\u5668,\u7dda\u7dad\u7d50\u5408\u7d44\u7e54\u3067\u69cb\u6210\u3055\u308c, \u56a2\u80de\u306e\u5185\u5bb9\u7269\u306f\u3053\u308c\u3089\u304b\u6392\u6cc4\u3055\u308c\u308b\u89d2\u8cea\u3084\u8102\u80aa\u306a\u3069\u304c\u6df7\u5728\u3059\u308b\u3002<\/li>\n<li>\u767a\u75c7\u5e74\u9f62\u306f\u5c0f\u5150\u301c\u4e2d\u5e74\u3068\u5e45\u5e83\u3044\u3002<\/li>\n<li>\u6b63\u4e2d\u8fd1\u304f\u306b\u767a\u751f\u3059\u308b\u50be\u5411\u304c\u3042\u308a,\u982d\u84cb\u5185\u3067\u306f\u30c8\u30eb\u30b3\u978d\u8fd1\u508d\u3084\u524d\u982d\u84cb\u5e95\u306b\u597d\u767a\u3059\u308b\u3002<\/li>\n<li>\u5f8c\u982d\u84cb\u7aa9(\u7279\u306b\u6b63\u4e2d\u306e\u5c0f\u8133\u866b\u90e8~\u7b2c\u56db\u8133\u5ba4)\u3084\u305d\u306e\u4ed6\u306e\u8133\u5ba4\u5185\u306a\u3069\u306b\u3082\u8a8d\u3081\u3089\u308c\u308b\u3002\u773c\u7aa9(\u9854\u9762\u3067\u306f\u773c\u7aa9\u4e0a\u5916\u5074\u306e\u767a\u751f\u304c\u6700\u3082\u591a\u3044\u3068\u3055\u308c\u308b\u3002\u3064\u307e\u308a\u5186\u9310\u5185\u3067\u306f\u306a\u3044\u3002)\u3084\u982d\u84cb\u9aa8(\u7279\u306b\u7e2b\u5408\u4ed8\u8fd1)\u306b\u3082\u767a\u751f\u3059\u308b\u3002<\/li>\n<li>\u5f8c\u982d\u90e8\u3084\u9f3b\u524d\u982d\u90e8\u306e\u76ae\u819a\u6d1e\u306b\u5408\u4f75\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u305d\u306e\u5834\u5408\u306f\u611f\u67d3\u306e\u30ea\u30b9\u30af\u304c\u3042\u308b\u3002\u7834\u88c2\u3059\u308b\u3068,\u304f\u3082\u819c\u4e0b\u8154\u3084\u8133\u5ba4\u5185\u306b\u5185\u5bb9\u7269\u304c\u5e83\u304c\u3063\u3066chemical meningitis\u3092\u751f\u3058,\u982d\u75db\u30fb\u75d9\u6523\u30fb\u610f\u8b58\u969c\u5bb3\u30fb\u8840\u7ba1\u6523\u7e2e\u30fb\u6c34\u982d\u75c7\u306a\u3069\u3092\u6765\u3059\u3002<\/li>\n<li>\u978d\u4e0a\u90e8\u306e\u75c5\u5909\u3067\u306f\u8996\u91ce\u969c\u5bb3\u306a\u3069\u3082\u751f\u3058\u3046\u308b\u3002<\/li>\n<li>\u7a00\u306b\u60aa\u6027\u8ee2\u5316\u3059\u308b\u3053\u3068\u304c\u3042\u308a,\u305d\u306e\u5834\u5408\u306e\u7d44\u7e54\u578b\u306f\u6247\u5e73\u4e0a\u76ae\u764c\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>30.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,d<\/p>\n<ul>\n<li>a \u4e73\u982d\u764c\u306f\u6700\u3082\u983b\u5ea6\u304c\u9ad8\u3044\u3002\u25cb\u300085\uff05\u3002<\/li>\n<li>b \u6ffe\u80de\u764c\u306f\u6700\u3082\u4e88\u5f8c\u304c\u826f\u3044\u3002\u00d7\u305d\u308c\u306f\u4e73\u982d\u764c\u3002\u6b21\u306b\u6ffe\u80de\u764c\uff1e\u9ac4\u69d8\u764c\uff1e\u60aa\u6027\u30ea\u30f3\u30d1\u816b\uff1e\uff1e\u672a\u5206\u5316\u764c\u306e\u9806\u3002<\/li>\n<li>c \u672a\u5206\u5316\u764c\u306f\u82e5\u5e74\u8005\u306b\u767a\u751f\u3059\u308b\u3002\u00d7\u300060\u6b73\u4ee5\u4e0a\u3002<\/li>\n<li>d \u60aa\u6027\u30ea\u30f3\u30d1\u816b\u306f\u6162\u6027\u7532\u72b6\u817a\u708e(\u6a4b\u672c\u75c5)\u306b\u767a\u751f\u3059\u308b\u3002\u25cb<\/li>\n<li>e \u9ac4\u69d8\u764c\u306f\u591a\u767a\u6027\u5185\u5206\u6ccc\u816b\u760d\u75c7 1 \u578b\u306b\u5c5e\u3059\u308b\u3002\u00d72\u578b\u3002 MEN1=\u81b5\u3001\u4e0b\u5782\u4f53\u3001\u526f\u7532\u72b6\u817a\u817a\u816b(\u3059\u3044\u3059\u3044\u4e0d\u5e78)\u3001 MEN2=\u9ac4\u69d8\u3001\u8910\u8272\u7d30\u80de\u3001\u526f\u7532\u72b6\u817a\u817a\u816b\uff08\u305a\u3044\u305a\u3044\u4e0d\u5e78\uff09<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>31.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u591a\u767a\u7a7a\u6d1e\u5c0f\u7d50\u7bc0\u00d7<\/li>\n<li>b \u9032\u884c\u6027\u584a\u72b6\u7dda\u7dad\u5316\u3000\u00d7\u3000PML:progressive massive fibrosis\u306f\u73ea\u80ba\u3002<\/li>\n<li>c \u4e0b\u80ba\u91ce\u672b\u68a2\u7db2\u72b6\u5f71\u3000\u25cb<\/li>\n<li>d \u4e0a\u80ba\u91ce\u591a\u767a\u5c0f\u7c92\u72b6\u5f71\u3000\u00d7\u3000\u4e0b\u80ba\u91ce\u3002\u4e0a\u80ba\u91ce\u306f\u73ea\u80ba\u3002<\/li>\n<li>e \u30ea\u30f3\u30d1\u7bc0\u5375\u6bbb\u72b6\u77f3\u7070\u5316\u3000\u00d7\u3000\u73ea\u80ba\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>32.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u7a7a\u6d1e\u6027\u75c5\u5909\u2015\u2015\u2015\u5c0f\u5150\u521d\u611f\u67d3\u7d50\u6838\u3000\u00d7\u3000\u3080\u3057\u308d\u4e8c\u6b21\u7d50\u6838\u3002<\/li>\n<li>b \u30ea\u30f3\u30d1\u7bc0\u816b\u5927 \u2015\u2015\u2015\u518d\u611f\u67d3\u7d50\u6838\u3000\u00d7\u3000\u3080\u3057\u308d\u521d\u611f\u67d3\u3002<\/li>\n<li>c \u3059\u308a\u30ac\u30e9\u30b9\u72b6\u9670\u5f71\u2015\u2015\u2015\u7d30\u80de\u6027\u514d\u75ab\u4e0d\u5168\u3000\u25cb<\/li>\n<li>d \u4e0b\u80ba\u91ce\u672b\u68a2\u5206\u5e03\u75c5\u5909\u2015\u2015\u2015\u518d\u611f\u67d3\u7d50\u6838\u3000\u00d7\u3000\u80ba\u5c16\u90e8\u3084S6\u3002<\/li>\n<li>e tree-in-bud appearance\u2015\u2015\u2015\u8840\u884c\u6563\u5e03\u6027\u7d50\u6838\u3000\u00d7\u3000\u7d4c\u6c17\u9053\u6563\u5e03\u3002\u8840\u884c\u6027\u306a\u3089\u30e9\u30f3\u30c0\u30e0\u5206\u5e03\u3002<\/li>\n<\/ul>\n<h5>\u7d50\u6838\u306e\u5206\u985e\u3068\u753b\u50cf\u6240\u898b<\/h5>\n<p>\u4e8c\u6b21\u7d50\u6838(\u518d\u611f\u67d3\u7d50\u6838)\uff1a\u3088\u304f\u898b\u308b\u7d50\u6838\u3002<\/p>\n<p>\u4e00\u6b21\u7d50\u6838(\u521d\u611f\u67d3\u7d50\u6838)\uff1a<\/p>\n<ul>\n<li><span>\u4e0b\u80ba\u512a\u4f4d<\/span>\u3002<br \/>\n<span><\/span><\/li>\n<li><span>\u30ea\u30f3\u30d1\u7bc0\u816b\u5927<\/span>\u3002<br \/>\n<span><\/span><\/li>\n<li><span>\u80f8\u6c34<\/span>\u3002<\/li>\n<\/ul>\n<p>\u514d\u75ab\u4e0d\u5168\u60a3\u8005\u306e\u7d50\u6838\uff1a\u975e\u533a\u57df\u6027\u5206\u5e03\u3092\u5448\u3059\u308b\u9670\u5f71,\u9670\u5f71\u5185\u90e8\u306b\u5c0f\u7a7a\u6d1e\u306e\u591a\u767a\u3059\u308b\u75c5\u5909\u304c\u6709\u610f\u306b\u8a8d\u3081\u3089\u308c\u308b\u983b\u5ea6\u304c\u9ad8\u304b\u3063\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>33.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u6591\u72b6\u5f71\u3000\u00d7<\/li>\n<li>b \u591a\u767a\u8584\u58c1\u56ca\u80de\u3000\u25cb\u301c\u25b3\u3000\u539a\u3044\u3053\u3068\u304c\u591a\u3044\u304c\u3001\u8584\u3044\u3082\u306e\u3082\u3042\u308b\u3002\u3068\u899a\u3048\u3066\u304a\u304f\u3057\u304b\u306a\u3044\u3002<\/li>\n<li>c \u4e0b\u80ba\u91ce\u512a\u4f4d\u7dda\u72b6\u5f71\u3000\u00d7\u3000\u4e0a\u80ba\u91ce\u512a\u4f4d\u3002<\/li>\n<li>d \u80ba\u9580\u5468\u56f2\u306e\u591a\u767a\u7c92\u72b6\u5f71\u3000\u00d7<\/li>\n<li>e \u80ba\u91ce\u672b\u68a2\u306e\u3059\u308a\u30ac\u30e9\u30b9\u72b6\u9670\u5f71\u3000\u00d7\u7c92\u72b6\u5f71\u3002<br \/>\n\u203bCT \u753b\u50cf\u4e0a\u306f\u5c0f\u8449\u4e2d\u5fc3\u6027\u7c92\u72b6\u5f71\u3068\u6bd4\u8f03\u7684\u58c1\u306e\u539a\u3044\u56a2\u80de\u304c\u7279\u5fb4\u3067\u3001\u4e0a\u80ba\u91ce\u512a\u4f4d\u306e\u5206\u5e03\u3092\u793a\u3059\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>34.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<p>a \u80ba\u8840\u6d41\u518d\u5206\u5e03\u3000\u25cb\u3000redistribution of pulmorIary blood flow\u3002\u50e7\u5e3d\u5f01\u75be\u60a3\u3084\u5de6\u5fc3\u4e0d\u5168\u306b\u3088\u308a\u80ba\u9759\u8108\u5727\u304c\u4e0a\u6607\u3057\u305f\u5834\u5408,\u7acb\u4f4d\u80f8\u90e8\u5358\u7d14\u50cf\u3067\u4e0a\u80ba\u91ce\u306e\u8840\u7ba1\u9670\u5f71\u306e\u5897\u5f37(\u62e1\u5f35)\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>35.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u5185\u90e8\u306e\u7a7a\u6d1e\u3000\u00d7\u3000\u6241\u5e73\u4e0a\u76ae\u764c\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u60aa\u6027\u3067\u3082\u898b\u3089\u308c\u308b\u6240\u898b\u3002<\/li>\n<li>b \u8fba\u7e01\u90e8\u70b9\u72b6\u77f3\u7070\u5316\u3000\u00d7\u3000\u60aa\u6027\u3082\u3042\u308a\u5f97\u308b\u6240\u898b\u3002<\/li>\n<li>c \u672b\u68a2\u306e\u6c17\u9053\u6563\u5e03\u9670\u5f71\u3000\u25cb\u3000\u901a\u5e38\u306f\u611f\u67d3\u3092\u793a\u5506\u3059\u308b\u6240\u898b\u3002<\/li>\n<li>d CT \u4e0a\u306e\u826f\u597d\u306a\u9020\u5f71\u52b9\u679c\u3000\u00d7\u3000\u9006\u3002CT\u5024\u4e0a\u660715HU\u4ee5\u4e0b\u306e\u3082\u306e\u306f\u307b\u307c\u826f\u6027\u3002<\/li>\n<li>e 3 \u30f6\u6708\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u4e0d\u5909\u3000\u00d7\u3000\uff13\u30f6\u6708\u3060\u3051\u3067\u306f\u826f\u6027\u3068\u306f\u3044\u3048\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<blockquote><p>\u304f\u307e\u3082\u3093\u5148\u751f\u3088\u308a\u9802\u3044\u305f\u30b3\u30e1\u30f3\u30c8<\/p>\n<p>\u653e\u5c04\u7dda\u79d1\u5c02\u9580\u533b\u8a66\u9a13(\u4e00\u6b21)2012\u306e\u56de\u7b54\u306b\u3064\u3044\u3066\u3067\u3059\u304c\u3001<br \/>\n\u554f35\u306fe\u304c\u6b63\u89e3\u3060\u3068\u601d\u308f\u308c\u307e\u3059\u3002<br \/>\nc\u306b\u3064\u3044\u3066\u306f\u3001\u300c\u80ba\u764c(\u817a\u764c)\u3067\u3082\u80ba\u5185\u8ee2\u79fb\u5de3\uff08\u6563\u5e03\u5de3\uff09\u3092\u4f34\u3046\u5834\u5408\u304c\u3042\u308b\u300d\u30682016\u5e74\u306e\u30ec\u30b8\u30c7\u30f3\u30c8\u30bb\u30df\u30ca\u30fc\u306e\u8cc7\u6599\u30b9\u30e9\u30a4\u30c9\u306b\u8a18\u8f09\u304c\u3042\u308a\u307e\u3057\u305f\u3002<br \/>\n\u5bfe\u3057\u3066e\u306b\u3064\u3044\u3066\u306f\u3001\u826f\u60aa\u6027\u3092\u9451\u5225\u3059\u308b\u305f\u3081\u306b\u753b\u50cf\u3092\u7d99\u6642\u7684\u306b\u30d5\u30a9\u30ed\u30fc\u3059\u308b\u3053\u3068\u306f\u4e00\u822c\u7684\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u4e0d\u5909\u306a\u3089\u826f\u6027\u3068\u3059\u308b\u3068\u3044\u3046\u306e\u306f\u59a5\u5f53\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f\u305f\u3060\u30013\u30f5\u6708\u3060\u3051\u3068\u3044\u3046\u306e\u306f\u5c11\u3057\u77ed\u3044\u6c17\u304c\u3057\u307e\u3059\u304c\u3002<br \/>\n\u52a0\u3048\u3066c\u304c\u6b63\u89e3\u3068\u3059\u308b\u6839\u62e0\u306e\u8a18\u8f09\u304c\u306a\u304b\u3063\u305f\u306e\u3067\u3001\u3053\u306e\u6b63\u89e3\u306b\u7d0d\u5f97\u3067\u304d\u305a\u30b3\u30e1\u30f3\u30c8\u3055\u305b\u3066\u9802\u304d\u307e\u3057\u305f\u3002<\/p><\/blockquote>\n<p>\u2192\u304a\u3063\u3057\u3083\u308b\u3088\u3046\u306b\u3001c\u3067\u3082\u60aa\u6027\u306e\u5834\u5408\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u983b\u5ea6\u3068\u3057\u3066\u3068\u3044\u3046\u610f\u5473\u3060\u3068\u601d\u308f\u308c\u307e\u3059\u3002<\/p>\n<p>e\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"http:\/\/www.jscts.org\/pdf\/guideline\/gls2ndfig.pdf\" target=\"_blank\" sl-processed=\"1\" rel=\"noopener\">\u80ba\u7d50\u7bc0\u306e\u5224\u5b9a\u3068\u7d4c\u904e\u89b3\u5bdf\u00a0\u7b2c2\u7248 \u00a9\u65e5\u672cCT\u691c\u8a3a\u5b66\u4f1a<\/a>\u306b\u3082\u3042\u308a\u307e\u3059\u3088\u3046\u306b\u30013\u30f6\u6708\u3067\u4e0d\u5909\u3060\u304b\u3089\u3068\u8a00\u3063\u3066\u826f\u6027\u3068\u3057\u3066\u7d4c\u904e\u89b3\u5bdf\u3092\u4e2d\u65ad\u3057\u3066\u826f\u3044\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>36.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u53f3\u80ba\u9580\u306f\u5de6\u80ba\u9580\u3088\u308a\u982d\u5074\u306b\u4f4d\u7f6e\u3059\u308b\u3002\u00d7\u3000\u5de6\u304c\u4e0a\u3002<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89083.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89083.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4059\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9083.jpg?w=720&amp;ssl=1 720w, https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9083.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><\/p>\n<ul>\n<li>b \u524d\u63a5\u5408\u7dda\u306f\u5f8c\u63a5\u5408\u7dda\u3088\u308a\u5c3e\u5074\u306b\u898b\u3089\u308c\u308b\u3002\u25cb<\/li>\n<li>c \u5074\u9762\u50cf\u3067\u306f\u4e0b\u5927\u9759\u8108\u9670\u5f71\u306f\u8a8d\u3081\u3089\u308c\u306a\u3044\u3002\u00d7\u3000\u8a8d\u3081\u3089\u308c\u308b\u3002<\/li>\n<li>d \u53f3\u4e0a\u8449\u6c17\u7ba1\u652f\u306f\u5de6\u4e0a\u8449\u6c17\u7ba1\u652f\u3088\u308a\u5c3e\u5074\u306b\u3042\u308b\u3002\u00d7\u3000\u982d\u5074\u306b\u3042\u308b\u3002<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89086.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89086.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4062\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9086.jpg?w=720&amp;ssl=1 720w, https:\/\/i2.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9086.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><\/p>\n<ul>\n<li>e \u6b63\u9762\u50cf\u306e\u5fc3\u53f3\u7e01\u4e0b\u90e8\u3092\u5f62\u6210\u3059\u308b\u306e\u306f\u53f3\u5ba4\u3067\u3042\u308b\u3002\u00d7\u3000\u53f3\u623f\u3002\u4e0a\u90e8\u306f\u4e0a\u5927\u9759\u8108\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>37.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,e<\/p>\n<ul>\n<li>a \u5206\u753b\u80ba\u306f\u6b63\u5e38\u306e\u6c17\u7ba1\u652f\u3068\u4ea4\u901a\u304c\u3042\u308b\u3002\u00d7<\/li>\n<li>b \u80ba\u8449\u5185\u5206\u753b\u75c7\u306f\u6b63\u5e38\u80ba\u3068\u5225\u306e\u80f8\u819c\u3092\u6709\u3059\u308b\u3002\u00d7\u3000\u305d\u308c\u306f\u5916\u3002<\/li>\n<li>c \u80ba\u8449\u5185\u5206\u753b\u75c7\u306e\u7570\u5e38\u52d5\u8108\u306f\u80f8\u90e8\u4e0b\u884c\u5927\u52d5\u8108\u3088\u308a\u5206\u5c90\u3059\u308b\u3002\u25cb\u3000\u305d\u306e\u901a\u308a\u3002<\/li>\n<li>d \u80ba\u8449\u5916\u5206\u753b\u75c7\u306e\u5408\u4f75\u5947\u5f62\u306f\u7a00\u3067\u3042\u308b\u3002\u00d7\u3000\u5916\u306b\u5408\u4f75\u5947\u5f62\u304c\u591a\u3044\u3002<\/li>\n<li>e \u80ba\u8449\u5916\u5206\u753b\u75c7\u306f\u80ba\u8449\u5185\u5206\u753b\u75c7\u3088\u308a\u767a\u751f\u983b\u5ea6\u304c\u4f4e\u3044\u3002\u25cb<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89092.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89092.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4065\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9092.jpg?w=720&amp;ssl=1 720w, https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9092.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89093.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4066\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9093.jpg?w=720&amp;ssl=1 720w, https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9093.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>38.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<ul>\n<li>a SLE \u2015\u2015\u2015\u80ba\u80de\u51fa\u8840\u3000\u25cb<\/li>\n<li>b \u591a\u767a\u6027\u7b4b\u708e \u2015\u2015\u2015\u80ba\u52d5\u8108\u8840\u6813\u585e\u6813\u75c7\u00d7<\/li>\n<li>c \u95a2\u7bc0\u30ea\u30a6\u30de\u30c1 \u2015\u2015\u2015\u80ba\u52d5\u9759\u8108\u5947\u5f62\u00d7\u3000\u6c17\u9053\u75c5\u5909\u3001\u9593\u8cea\u6027\u80ba\u708e\u3001RA\u7d50\u7bc0(\u80f8\u819c\u76f4\u4e0b\u3001\u5c0f\u8449\u9593\u9694\u58c1\u306b\u6cbf\u3046\u7d50\u7bc0\u3001\u77f3\u7070\u5316\u306a\u3057\u3002)<\/li>\n<li>d \u5f37\u76f4\u6027\u810a\u690e\u708e\u2015\u2015\u2015\u80ba\u30ab\u30eb\u30c1\u30ce\u30a4\u30c9\u00d7\u3000\u5f37\u76f4\u6027\u810a\u690e\u708e\u60a3\u8005\u306e\u3054\u304f\u4e00\u90e8(\u304a\u305d\u3089\u304f1~2%)\u306b,\u56a2\u80de\u72b6\u307e\u305f\u306f\u7a7a\u6d1e\u69d8\u306e\u5909\u5316\u3092\u4f34\u3063\u305f\u80ba\u5c16\u90e8\u306e\u80ba\u7dda\u7dad\u75c7\u3068\u3001\u96a3\u63a5\u3057\u305f\u80f8\u819c\u306e\u80a5\u539a\u3092\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308b\u3002<\/li>\n<li>e \u5168\u8eab\u6027\u786c\u5316\u75c7 \u2015\u2015\u2015\u80ba\u904e\u8aa4\u816b\u00d7\u3000\u9593\u8cea\u6027\u80ba\u708e\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>39.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<p>b\uff1a\u25cb<\/p>\n<p>e \u591a\u767a\u3059\u308a\u30ac\u30e9\u30b9\u72b6\u9670\u5f71\u3000\u00d7\u3000mosaic appearance\u306f\u751f\u3058\u308b\u304c\u3001\u3059\u308a\u30ac\u30e9\u30b9\u5f71\u3067\u306f\u306a\u3044\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n<h5>\u6c17\u7ba1\u652f\u5598\u606f\u306eCT\u6240\u898b<\/h5>\n<ul>\n<li>\u6c17\u7ba1\u652f\u306e\u62e1\u5f35\u3084\u72ed\u7a84\u3001<\/li>\n<li>\u6c17\u7ba1\u652f\u58c1\u80a5\u539a<\/li>\n<li>\u5c0f\u8449\u4e2d\u5fc3\u6027\u5206\u5c90\u72b6\u9670\u5f71<\/li>\n<li>\u6c17\u7ba1\u652f\u62e1\u5f35<\/li>\n<li>\u7c98\u6db2\u6813<\/li>\n<li>\u672b\u68a2\u6c17\u9053\u306e\u72ed\u7a84\u306b\u4f34\u3044\u3001\u547c\u6c17CT\u306b\u304a\u3044\u3066air trapping\u2192mosaic appearance<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>40.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<p><em><strong>2018\/02\/14\u8ffd\u8a18<\/strong><\/em><\/p>\n<p>\u65e5\u672c\u80ba\u764c\u5b66\u4f1a\u7de8\u300c\u81e8\u5e8a\u30fb\u75c5\u7406\u3000\u80ba\u764c\u53d6\u6271\u3044\u898f\u7d04\u30002017\u5e741\u6708\uff08\u7b2c8\u7248\uff09\u300d\uff08\u91d1\u539f\u51fa\u7248\uff09\u3000\u306b\u3088\u308b\u3068<\/p>\n<p>\u5de6\u4e0b\u8449\u306b6cm\u306e\u539f\u767a\u5de3\u2192<strong>T3<\/strong>\uff1a\u5145\u5b9f\u6210\u5206\u306e\u5927\u304d\u3055\u304c5cm\u3092\u8d85\u30487cm\u4ee5\u4e0b<\/p>\n<p>\u53f3\u4e0b\u90e8\u6c17\u7ba1\u508d\u30ea\u30f3\u30d1\u7bc0\u30fb\u6c17\u7ba1\u5206\u5c90\u4e0b\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u3042\u308a\u3002\u2192<strong>N3<\/strong>\uff1a\u5bfe\u5074\u7e26\u9694\u3001\u5bfe\u5074\u80ba\u9580\u3001\u540c\u5074\u3042\u308b\u3044\u306f\u5bfe\u5074\u306e\u9396\u9aa8\u306e\u4e0a\u3042\u305f\u308a\u306b\u3042\u308b\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\u304c\u3042\u308b<\/p>\n<p>\u5de6\u80f8\u8154\u5185\u64ad\u7a2e\u2192M1a\uff1a\u5bfe\u5074\u80ba\u5185\u306e\u96e2\u308c\u305f\u3068\u3053\u308d\u306b\u816b\u760d\u304c\u3042\u308b\u3001\u80f8\u819c\u307e\u305f\u306f\u5fc3\u819c\u3078\u306e\u8ee2\u79fb\u3001\u60aa\u6027\u80f8\u6c34\u304c\u3042\u308b\u3001\u60aa\u6027\u5fc3\u56a2\u6c34\uff08\u3057\u3093\u306e\u3046\u3059\u3044\uff09\u304c\u3042\u308b<\/p>\n<p>\u306b\u305d\u308c\u305e\u308c\u76f8\u5f53\u3059\u308b\u306e\u3067\u3001T3N3M1a\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u3001\u6b63\u89e3\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>41.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<ul>\n<li>a \u5927\u52d5\u8108\u640d\u50b7\u306f\u5ce1\u90e8\u306b\u591a\u3044\u3002\u25cb\u3000\u5de6\u9396\u9aa8\u4e0b\u52d5\u8108\u5206\u5c90\u90e8\u76f4\u4e0b\u306e\u5ce1\u90e8\u306b\u591a\u3044\u3002<\/li>\n<li>b \u6c17\u9053\u640d\u50b7\u306f\u672b\u68a2\u6c17\u9053\u306b\u591a\u3044\u3002\u00d7\u3000\u4e2d\u67a2\u306b\u591a\u3044\u3002\u5927\u8840\u7ba1\u640d\u50b7\u540c\u69d8\u306b\u56fa\u5b9a\u3055\u308c\u305f\u6c17 \u7ba1\u306b\u5bfe\u3057\u6bd4\u8f03\u7684\u56fa\u5b9a\u306e\u7de9\u3084\u304b\u306a\u80ba\u3068\u306e\u9593\u306e\u6c34\u5e73\u30fb \u5782\u76f4\u65b9\u5411\u306e\u52a0\u901f\u5ea6\u306b\u3088\u308b\u52e2\u65ad\u5916\u529b\u304c\u52a0\u308f\u308b\u3053\u3068\u306b\u3088\u308a\u751f\u3058\u308b\u3002\u305d\u306e\u305f\u3081,\u920d\u7684\u640d\u50b7\u306e80%\u4ee5\u4e0a\u304c\u6c17\u7ba1\u5206\u5c90\u90e8\u304b\u30892cm\u4ee5\u5185\u306b\u767a\u751f\u3059\u308b\u3002<\/li>\n<li>c \u5916\u50b7\u6027\u80ba\u56ca\u80de\u306f 1\uff5e2 \u9031\u3067\u6d88\u9000\u3059\u308b\u3002\u00d7\u3000\u5916\u50b7\u6027\u80ba\u56a2\u80de\u306e\u6d88\u5931\u306b\u306f\u6570\u9031\u9593\u3092\u8981\u3059\u308b\u3002\u5916\u50b7\u5f8c\u306b\u80ba\u306e\u9650\u5c40\u6027\u306e\u900f\u4eae\u57df\u304c\u8a8d\u3081\u3089\u308c\u305f\u5834\u5408\u306f\u5916\u50b7\u6027\u80ba\u56a2\u80de\u304c\u8003\u3048\u3089\u308c\u308b\u3002\u5916\u50b7\u6027\u80ba\u56a2\u80de\u3067\u306f,\u5185\u90e8\u306bair-fluidlevel\u304c\u898b\u3089\u308c\u308b\u3002<\/li>\n<li>d \u80ba\u632b\u50b7\u306f 24 \u6642\u9593\u4ee5\u5f8c\u3067\u660e\u3089\u304b\u3068\u306a\u308b\u3002\u00d7\u3000\u80ba\u632b\u50b7\u306f\u53d7\u50b7\u76f4\u5f8c\u304b\u30896\u6642\u9593\u4ee5\u5185\u306bX\u7dda\u6240\u898b\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3002 X\u7dda\u3067\u5916\u50b7\u5f8c6\u6642\u9593\u4ee5\u5185\u306b\u6700\u521d\u306e\u5199\u771f\u304c\u64ae\u3089\u308c\u305f\u75c7\u4f8b\u306e70\uff05\u306b\u6240\u898b\u3092\u8a8d\u3081\u305f\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u300224\u6642\u9593\u307e\u3067\u5897\u5f37\u3057\u3066\u300148\u6642\u9593\u4ee5\u964d\u6d88\u9000\u3057\u3066\u3044\u304f\u3002<\/li>\n<li>e \u6a2a\u9694\u819c\u640d\u50b7\u3067\u306f\uff0c\u4ed6\u81d3\u5668\u640d\u50b7\u5408\u4f75\u306f\u307e\u308c\u3067\u3042\u308b\u3002\u00d7\u3000\u6a2a\u9694\u819c\u640d\u50b7\u6642\u306b\u306f\u8179\u90e8\u81d3\u5668\u640d\u50b7\u3092\u4f34\u3046\u3053\u3068\u304c\u591a\u304f,\u53f3\u5074\u306e\u640d\u50b7\u3067\u306f\u809d\u640d\u50b7\u304c\u591a\u304f\u3092\u5360\u3081\u308b\u3002\u5de6\u5074\u3067\u306f77%\u306b\u8179\u8154\u5185\u81d3\u5668\u640d\u50b7\u3092\u5408\u4f75\u3059\u308b\u3068\u306e\u5831\u544a\u3082\u3042\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>42.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a Stanford A \u578b\u306f\uff0cDeBakey II \u578b\u306b\u76f8\u5f53\u3059\u308b\u3002\u00d7<\/li>\n<li>b Stanford B \u578b\u306f\uff0cDeBakey III \u578b\u306b\u76f8\u5f53\u3059\u308b\u3002\u25b3\u3000DeBakey\u306f\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u306e\u4f4d\u7f6e\u3068\u89e3\u96e2\u8154\u306e\u7bc4\u56f2\u306b\u3088\u3063\u3066\u5206\u985e\u3057\u3066\u304a\u308a\u3001Stanford\u306e\u578b\u30681\u5bfe1\u5bfe\u5fdc\u3057\u306a\u3044\u3002\u8a73\u3057\u304f\u306f\u6b21\u306e\u30b9\u30e9\u30a4\u30c9\u53c2\u7167\u3002Stanford A=\u2160\uff0b\u2161\u3001 B=\u2162a+\u2162b\u3067\u3044\u3063\u304b\u3002<\/li>\n<li>c Stanford B \u578b\u306e\u4e88\u5f8c\u306f A \u578b\u3088\u308a\u4e0d\u826f\u3067\u3042\u308b\u3002\u00d7\u3000\u4e0a\u884c\u306b\u304a\u3088\u3076A\u306e\u65b9\u304c\u91cd\u75c7\u3002<\/li>\n<li>d \u52d5\u8108\u7624\u5408\u4f75\u304c\u591a\u3044\u3002\u25b3\u5927\u52d5\u8108\u89e3\u96e2\u3067\u5927\u52d5\u8108\u5f84\u306e\u5897\u5927\u304c\u3042\u308b\u306e\u306f 40\uff5e50\uff05\u306b\u904e\u304e\u306a\u3044\u3002\u3053\u308c\u3092\u591a\u3044\u3068\u3059\u308b\u304b\u3069\u3046\u304b\u306f\u4ed6\u306e\u9078\u629e\u80a2\u3068\u306e\u95a2\u4fc2\u6b21\u7b2c\u30022010\u5e74\u306f\u7624\u306e\u5408\u4f75\u304c90\uff05\u4ee5\u4e0a\u3001\u3092\u8aa4\u308a\u3002<\/li>\n<li>e \u5358\u7d14 CT \u3067\u6025\u6027\u671f\u89e3\u96e2\u8154\u306f\u4f4e\u5438\u53ce\u3092\u793a\u3059\u3002\u00d7\u9ad8\u5438\u53ce<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>43.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u51a0\u9759\u8108\u6d1e\u306f<span>\u5de6\u623f<\/span>\u306b\u9084\u6d41\u3059\u308b\u3002\u3000\u00d7\u3000\u53f3\u623f\u3002\u51a0\u9759\u8108\u6d1e\u3078\u9084\u3063\u3066\u304f\u308b\u306e\u306f\u5de6\u5ba4\u304b\u3089\u306e\u8840\u6d41\u3002\u53f3\u5ba4\u304b\u3089\u306e\u8840\u6d41\u306f\u5c0f\u5fc3\u9759\u8108\u304b\u3089\u53f3\u623f\u3078\u9084\u308b\u3002<\/li>\n<li>b \u53f3\u51a0\u52d5\u8108\u306f\u53f3\u623f\u5ba4\u9593\u6e9d\u306b\u6cbf\u3063\u3066\u8d70\u884c\u3059\u308b\u3002\u25cb<\/li>\n<li>c \u5de6\u51a0\u52d5\u8108<span>\u56de\u65cb\u679d<\/span>\u306f\u524d\u5fc3\u5ba4\u9593\u6e9d\u306b\u6cbf\u3063\u3066\u8d70\u884c\u3059\u308b\u3002\u00d7\u3000\u524d\u4e0b\u884c\u679d\u3002\u4e3b\u5e79\u90e8\u304c\u524d\u5fc3\u5ba4\u9593\u6e9d\u3092\u901a\u3063\u3066\u3044\u304d\u3001\u524d\u4e0b\u884c\u679d\u304c\u305d\u306e\u307e\u307e\u901a\u308b\u3002\u56de\u65cb\u679d\u306f\u3001\u5de6\u623f\u5ba4\u9593\u6e9d\u3092\u901a\u3063\u3066\u3044\u304f\u3002<\/li>\n<li>d \u80ba\u52d5\u8108\u5f01\u306f 2 \u679a\u306e\u534a\u6708\u5f01\u304b\u3089\u306a\u308b\u3002\u3000\u00d7\u30003\u679a\u3002<\/li>\n<li>e \u5de6\u5fc3\u5ba4\u306e\u8089\u67f1\u69cb\u9020\u306f\u53f3\u5fc3\u5ba4\u3088\u308a\u76f4\u4ea4\u3059\u308b\u3002\uff1f<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>44.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u52d5\u8108\u7ba1\u958b\u5b58\u3000\u00d7\u3000\u5927\u52d5\u8108\u304b\u3089\u80ba\u52d5\u8108\u306b\u6d41\u308c\u308b\u306e\u3067\u9670\u5f71\u306f\u5897\u5f37\u3059\u308b\u3002<\/li>\n<li>b \u5927\u52d5\u8108\u7e2e\u7a84\u3000\u00d7<\/li>\n<li>c Fallot \u56db\u5fb4\u75c7\u3000\u25cb\u3000PS+VSD+\u5927\u52d5\u8108\u9a0e\u4e0a<\/li>\n<li>d \u5fc3\u5ba4\u4e2d\u9694\u6b20\u640d\u3000\u00d7\u3000\u5de6\u5ba4\u304b\u3089\u53f3\u5ba4\u3078\u6d41\u308c\u308b\u306e\u3067\u80ba\u52d5\u8108\u9670\u5f71\u306f\u5897\u5f37\u3059\u308b\u3002<\/li>\n<li>e \u5fc3\u623f\u4e2d\u9694\u6b20\u640d\u3000\u00d7\u3000\u5de6\u623f\u304b\u3089\u53f3\u623f\u2192\u53f3\u5ba4\u3078\u6d41\u308c\u308b\u306e\u3067\u80ba\u52d5\u8108\u9670\u5f71\u306f\u5897\u5f37\u3059\u308b\u3002<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89134.jpg?ssl=1\" sl-processed=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89134.jpg?resize=640%2C480&amp;ssl=1\" class=\"aligncenter size-full wp-image-4095\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9134.jpg?w=720&amp;ssl=1 720w, https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/\u30b9\u30e9\u30a4\u30c9134.jpg?resize=300%2C225&amp;ssl=1 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" data-lazy-loaded=\"true\" \/><\/a><a href=\"https:\/\/i0.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89132.jpg?ssl=1\" sl-processed=\"1\"><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>45.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u77f3\u7070\u4e73\u77f3\u7070\u5316\u3000\u00d7\u3000\u660e\u3089\u304b\u306a\u826f\u6027\u3002<\/li>\n<li>b \u9818\u57df\u6027\u77f3\u7070\u5316\u3000\u00d7\u826f\u6027\u3002\u533a\u57df\u6027\u306f\u60aa\u6027\u3002<\/li>\n<li>c \u5206\u679d\u72b6\u77f3\u7070\u5316 \u25cb<\/li>\n<li>d \u4e2d\u5fc3\u900f\u4eae\u6027\u77f3\u7070\u5316\u3000\u00d7\u3000\u660e\u3089\u304b\u306a\u826f\u6027\u3002<\/li>\n<li>e 1 mm \u4ee5\u4e0a\u306e\u5b64\u7acb\u5186\u5f62\u77f3\u7070\u5316\u3000\u00d7\u3000\u660e\u3089\u304b\u306a\u826f\u6027\u3002<\/li>\n<\/ul>\n<h5>\u660e\u3089\u304b\u306a\u826f\u6027\u77f3\u7070\u5316<\/h5>\n<ul>\n<li>\u5186\u5f62<\/li>\n<li>\u4e2d\u5fc3\u900f\u4eae\u6027<\/li>\n<li>\u77f3\u7070\u4e73\u3000(\u4e0a\u304b\u3089\u898b\u308b\u3068Tea cup sign\u3001\u56a2\u80de\u5185)<\/li>\n<li>\u7dda\u7dad\u817a\u816b(\u7c97\u5927\u3042\u308b\u3044\u306f\u30dd\u30c3\u30d7\u30b3\u30fc\u30f3\u72b6)<\/li>\n<li>\u5206\u5e03\u3067\u306f\u3001 \u3073\u307e\u3093\u6027\/\u6563\u5728\u6027\uff1e\u9818\u57df\u6027\uff1e\u96c6\u7c07\u6027\uff1e\u7dda\u72b6\uff1e\u533a\u57df\u6027<\/li>\n<li>\u3000\u3000\u3000\u3000\u3000 \u826f\u6027\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u60aa\u6027<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>46.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,e<\/p>\n<ul>\n<li>a \u753b\u50cf\u8a3a\u65ad\u306b\u3088\u308b\u8449\u72b6\u816b\u760d\u3068\u306e\u9451\u5225\u306f\u5bb9\u6613\u3067\u3042\u308b\u3002\u00d7\u3000\u8449\u72b6\u3082\u826f\u6027\u3002<\/li>\n<li>b \u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u306f\u8fba\u7e01\u4e0d\u660e\u77ad\u306a\u816b\u7624\u50cf\u3092\u793a\u3059\u3002\u00d7\u5883\u754c\u660e\u77ad\u3002<\/li>\n<li>c \u30dd\u30c3\u30d7\u30b3\u30fc\u30f3\u69d8\u77f3\u7070\u5316\u304c\u30de\u30f3\u30e2\u30b0\u30e9\u30e0\u3067\u306e\u5178\u578b\u7684\u6240\u898b\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>d MRI\u3067\u306f\u7c98\u6db2\u764c\u3068\u306e\u9451\u5225\u306f\u5bb9\u6613\u3067\u3042\u308b\u3002\u00d7\u3000\u3068\u3082\u306bT2WI\u9ad8\u4fe1\u53f7\u3001\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306b\u3066\u6f38\u5897\u578b\u306b\u9020\u5f71\u3055\u308c\u308b\uff08\u7dda\u7dad\u817a\u816b\u306fT2WI\u3067\u4f4e\u4fe1\u53f7\u306e\u3053\u3068\u3082\u3001\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306b\u3066\u6025\u901f\u306b\u30d7\u30e9\u30c8\u30fc\u306b\u9054\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002\uff09<\/li>\n<li>e MRI\u306e\u4fe1\u53f7\u5f37\u5ea6\u306b\u306f\u7d50\u5408\u7e54\u6210\u5206\u306e\u591a\u5be1\u304c\u5927\u304d\u304f\u53cd\u6620\u3055\u308c\u308b\u3002\u25cb\u3000\u305d\u306e\u901a\u308a\u3002 \u7dda\u7dad\u817a\u816b<\/li>\n<\/ul>\n<h5>Fibroadenoma(FA)<\/h5>\n<ul>\n<li>\u4e0a\u76ae\u3068\u9593\u8cea\u306e\u904e\u5f62\u6210\u6027\u5897\u6b96\u3002<\/li>\n<li>\u75c5\u7406\uff1a\u4e0a\u76ae\u6210\u5206\u306e\u7d44\u7e54\u5f62\u614b\u306b\u3088\u308a\u5206\u985e\u3002 \uff08\u7ba1\u5185\u578b\u3001\u7ba1\u5468\u56f2\u578b\u3001\u985e\u81d3\u5668\u578b\u3001\u4e73\u817a\u75c7\u578b\u306e4\u3064\uff09<\/li>\n<li>20\u301c30\u6b73\u4ee3\u3002<\/li>\n<li>\u81ea\u7136\u9000\u7e2e\u3082\u3042\u308a\u6cbb\u7642\u306e\u5fc5\u8981\u306a\u3057\u3002\u7dda\u7dad\u817a\u816b\u5185\u306b\u4e73\u764c\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u306f\u307e\u308c\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u753b\u50cf\u6240\u898b(\u5178\u578b\u50cf):<\/li>\n<li>\u5883\u754c\u660e\u77ad\u5e73\u6ed1\u3067\u6241\u5e73\u306a\u816b\u7624\u3002<\/li>\n<li>\u5185\u90e8\u6027\u72b6\u306f\u9593\u8cea\u6210\u5206\u306e\u6027\u72b6\u306b\u3088\u308b\u3002<\/li>\n<li>\u7c98\u6db2\u6d6e\u816b\u72b6(\u7c98\u6db2\u764c\u3068\u4f3c\u3066\u3044\u308b\u3002)\u304b\u3089\u785d\u5b50\u5316<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>47.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>b<\/span><\/p>\n<ul>\n<li>a T1 \u5f37\u8abf\u50cf\u3067\u9ad8\u4fe1\u53f7\u3092\u793a\u3059\u3002\u00d7\u3000\u4f4e\u4fe1\u53f7\u3002<\/li>\n<li>b \u9020\u5f71 MRI \u306f\u6f38\u5897\u578b\u306e\u9020\u5f71\u30d1\u30bf\u30fc\u30f3\u3092\u793a\u3059\u3002\u25cb\u3000\u901a\u5e38\u578b\u306e\u4e73\u7ba1\u764c\u3084\u3001\u9ac4\u69d8\u764c\u306e\u3088\u3046\u306bwash out\u30d1\u30bf\u30fc\u30f3\u3067\u306f\u306a\u3044\u3002<\/li>\n<li>c T2 \u5f37\u8abf\u50cf\u3067\u7b4b\u3068\u540c\u7a0b\u5ea6\u306e\u4fe1\u53f7\u3092\u793a\u3059\u3002\u00d7\u3000\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>d \u8fba\u7e01\u306f\u4e0d\u660e\u77ad\u3067\u3042\u308b\u3002\u00d7\u3000\u5883\u754c\u306f\u660e\u77ad\u3067\u5206\u8449\u72b6\u3002<\/li>\n<li>e \u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u9ad8\u983b\u5ea6\u306b\u898b\u3089\u308c\u308b\u3002\u00d7\u3000\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7a00\u3002<\/li>\n<\/ul>\n<h5>\u7c98\u6db2\u764c\u306eMRI\u6240\u898b<\/h5>\n<ul>\n<li>\u5883\u754c\u660e\u77ad\u3001\u5206\u8449\u72b6\u3001T2WI\u3067\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>\u30c0\u30a4\u30ca\u30df\u30c3\u30af\uff1apersistent pattern\u3002\u65e9\u671f\u76f8\u306e\u9020\u5f71\u52b9\u679c\u306e\u7a0b\u5ea6\u306f\u7d30\u80de\u6210\u5206\u306e\u591a\u5be1\u3067\u5909\u5316\u3002<\/li>\n<li>\u7dda\u7dad\u817a\u816b\u3084\u56a2\u80de\u6027\u75c5\u5909\u3068\u306e\u9451\u5225\u306b\u6ce8\u610f(\u56f0\u96e3\u306a\u3053\u3068\u304c\u3057\u3070\u3057\u3070\u3042\u308b\u3002)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>48.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a wormian bone\uff08\u9593\u633f\u9aa8\uff09\u00d7\u3000\u6b63\u5e38\u3067\u3082\u307f\u3089\u308c\u308b\u6b63\u5e38\u5909\u7570\u306e\u6240\u898b\u3060\u304c\u3001\u6d3e\u624b\u306a\u5834\u5408\u306f\u9aa8\u5f62\u6210\u4e0d\u5168\u75c7\u306a\u3069\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u4eba\u5b57\u7e2b\u5408\u3068\u5f8c\u90e8\u77e2\u72b6\u7e2b\u5408\u306b\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/li>\n<li>b \u5f8c\u5074\u5f2f\u75c7\u3000\u00d7<\/li>\n<li>c \u9aa8\u5e79\u7aef\u640d\u50b7\u3000\u25cb<\/li>\n<li>d \u690e\u4f53\u5727\u8feb\u9aa8\u6298\u3000\u00d7<\/li>\n<li>e \u6210\u9577\u677f\u8edf\u9aa8\u640d\u50b7\u3000\u00d7<span>\u00a0<\/span><strong>\u00a0<\/strong><\/li>\n<\/ul>\n<h5><strong>\u88ab\u8650\u5f85\u5150\u75c7\u5019\u7fa4\u306e<\/strong>\u53e4\u5178\u7684\u306a\u6240\u898b<\/h5>\n<ol>\n<li>\u767a\u751f\u6642\u671f\u306e\u7570\u306a\u308b\u8907\u6570\u306e\u9aa8\u6298\u306e\u5b58\u5728\u3002<\/li>\n<li>\u591a\u91cf\u306e\u9aa8\u819c\u4e0b\u9aa8\u65b0\u751f\u50cf<\/li>\n<li>\u9aa8\u5e79\u7aef\u3092\u542b\u3080\u9aa8\u6298(coner fracture)\u00a0 \u305f\u3060\u3057\u3001\u3053\u308c\u306f11\uff05\u7a0b\u5ea6\u306e\u307f\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>49.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u30af\u30eb\u30fc\u30d7\u3000\u00d7<\/li>\n<li>b \u6025\u6027\u5589\u982d\u84cb\u708e\u3000\u00d7<\/li>\n<li>c \u30a6\u30a3\u30eb\u30b9\u6027\u80ba\u708e\u3000\u25cb<\/li>\n<li>d \u30b7\u30df\u30bf\u30fc\u75c7\u5019\u7fa4\u3000\u80ba\u9759\u8108\u304c\u5de6\u5fc3\u623f\u3067\u306f\u306a\u304f\u4e0b\u5927\u9759\u8108\u306b\u9084\u6d41\u3057\u3066\u3044\u308b\u7570\u5e38\u3002\u53f3\u80ba\u3092\u7e26\u8d70\u3059\u308b\u80ba\u9759\u8108\u304c\u30c8\u30eb\u30b3\u306e\u534a\u6708\u5200(scimitar)\u306b\u4f3c\u308b\u3053\u3068\u306b\u7531\u6765\u3059\u308b\u3002<\/li>\n<li>e \u547c\u5438\u7aae\u8feb\u75c7\u5019\u7fa4\u3000\u00d7\u3000\u30b5\u30fc\u30d5\u30a1\u30af\u30bf\u30f3\u30c8\u306e\u6b20\u4e4f\u306b\u3088\u308a\u80ba\u80de\u306f\u81a8\u3089\u3080\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>50.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u80a5\u539a\u6027\u5e7d\u9580\u72ed\u7a84\u75c7\u306e\u5e7d\u9580\u7b4b\u80a5\u539a\u306f 8 mm \u4ee5\u4e0a\u3067\u3042\u308b\u3002\u00d7\u30004mm\u4ee5\u4e0a\u3002<\/li>\n<li>b \u5341\u4e8c\u6307\u8178\u9589\u9396\u75c7\u3067\u306f\u819c\u69d8\u9589\u9396\u3092\u5448\u3059\u308b\u3082\u306e\u304c\u591a\u3044\u3002\u00d7\u3000\u819c\u69d8\u578b\u3001\u7d22\u72b6\u578b\u3001\u96e2\u65ad\u578b\u3001\u591a\u767a\u578b\u304c\u3042\u308a\u3001\u819c\u69d8\u578b\u3068\u96e2\u65ad\u578b\u304c\u591a\u3044\u3002<br \/>\n\u203b\u819c\u69d8\u9589\u9396\uff1d\u8178\u306e\u5185\u8154\u304c\u819c\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u9589\u3056\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3002<\/li>\n<li>c \u8178\u91cd\u7a4d\u3067\u306f\u8d85\u97f3\u6ce2\u691c\u67fb\u3067 target sign \u3092\u793a\u3059\u3002\u25cb<\/li>\n<li>d Hirschsprung \u75c5\u306e\u6ce8\u8178\u691c\u67fb\u3067\u306f\u6d63\u8178\u306e\u524d\u51e6\u7f6e\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u00d7\u76f4\u8178\u6307\u8a3a\u3084\u6d63\u8178\u3092\u3059\u308b\u3068RTZ\u304c\u3086\u304c\u3093\u3067\u6b63\u3057\u304f\u63cf\u51fa\u3055\u308c\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u524d\u51e6\u7f6e\u306f\u884c\u308f\u306a\u3044\u3002<\/li>\n<li>e \u8179\u58c1\u7834\u88c2\u306e\u8178\u7ba1\u306f\u56ca\u3067\u8986\u308f\u308c\u3066\u3044\u308b\u3002\u00d7\u3000\u610f\u5473\u4e0d\u660e\u3002\u21e92016\/7\/14\u8ffd\u8a18\u3002<\/li>\n<\/ul>\n<div>\u3053\u308c\u306f\u6050\u3089\u304f\u81cd\u5e2f\u30d8\u30eb\u30cb\u30a2(\u30d8\u30eb\u30cb\u30a2\u306e\u3046\u304c\u3042\u308b)\u3068\u8179\u58c1\u7834\u88c2(\u30d8\u30eb\u30cb\u30a2\u306e\u3046\u304c\u306a\u3044)\u306e\u5bfe\u6bd4\u306e\u3053\u3068\u3092\u6307\u3057\u3066\u308b\u3082\u306e\u3068\u601d\u308f\u308c\u307e\u3059\u3002TD.jr\u5148\u751f\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>51.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<del>e<\/del><span>\u00a0<\/span>\u2192c<\/p>\n<div><\/div>\n<div>2018\/04\/03\u66f4\u65b0<\/div>\n<div><\/div>\n<blockquote>\n<div>\u30ec\u30b8\u30c7\u30f3\u30c8\u30bb\u30df\u30ca\u30fc2017\u306e\u300c\u6d88\u5316\u7ba1\u30fb\u8179\u58c1\u30fb\u8179\u819c\u300d\u3067\u306f\u300c\u6d88\u5316\u7ba1X\u7dda\u9020\u5f71\u5264\u300d\u3068\u984c\u3059\u308b\u30b9\u30e9\u30a4\u30c9\u306b\u300c\u786b\u9178\u30d0\u30ea\u30a6\u30e0\u306e\u5408\u4f75\u75c7\u306b\u6d88\u5316\u7ba1\u7a7f\u5b54\u300d\u3068\u8a18\u8f09\u304c\u3042\u308a\u300c\u8541\u9ebb\u75b9\u306e\u751f\u3058\u308b\u983b\u5ea6\u306f\u6975\u3081\u3066\u4f4e\u3044\u300d\u3068\u3042\u308a\u307e\u3059\u3002<\/div>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>52.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u80c3\u306b\u597d\u767a\u3059\u308b\u3002\u25cb\u3000\u80c3\u304c60\u301c70\uff05<\/li>\n<li>b \u8ee2\u79fb\u306e\u4e2d\u3067\u306f\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u591a\u3044\u3002\u3000\u00d7\u3000\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7a00\u3002\u64ad\u7a2e\u304c\u591a\u3044\u3002<\/li>\n<li>c \u98df\u9053\u306b\u304a\u3044\u3066\u306f\u5e73\u6ed1\u7b4b\u816b\u306e\u307b\u3046\u304c\u591a\u3044\u3002\u25cb<\/li>\n<li>d 5 cm \u3092\u8d85\u3048\u308b\u3082\u306e\u306f\u7d76\u5bfe\u7684\u624b\u8853\u9069\u5fdc\u3068\u306a\u308b\u3002\u25cb\u3000\u81e8\u5e8a\u7684\u306b\u306f\u816b\u760d\u5f84\uff12cm\u4ee5\u4e0a\u306f\u76f8\u5bfe\u7684\u624b\u8853\u9069\u5fdc\uff0c\uff15cm\u4ee5\u4e0a\u306f\u7a4d\u6975\u7684\uff08\u7d76\u5bfe\u7684\uff09\u624b\u8853\u9069\u5fdc\u3002\u75c5\u7406\u7d44\u7e54\u6240\u898b\u304c\u8853\u524d\u306b\u5f97\u3089\u308c\u305f\u306a\u3089\u3070\uff0c\u22675\/50HPF\u306f\u76f8\u5bfe\u7684\u624b\u8853\u9069\u5fdc\uff0c\u226710\/50HPF\u306f\u7a4d\u6975\u7684\uff08\u7d76\u5bfe\u7684\uff09\u624b\u8853\u9069\u5fdc\u3002<\/li>\n<li>e \u8ee2\u79fb\uff0c\u518d\u767a\u75c7\u4f8b\u306b\u306f\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u85ac\u304c\u8a66\u307f\u3089\u308c\u308b\u3002\u25cb\u3000\u30a4\u30de\u30c1\u30cb\u30d6\u3002<\/li>\n<\/ul>\n<h5>GIST\u3068\u306f<\/h5>\n<ul>\n<li>GIST\u306f\u6d88\u5316\u7ba1\u58c1\u304b\u3089\u767a\u751f\u3059\u308b\u9593\u8449\u7cfb\u816b\u760d\u306e\u7d0480%\u3092\u5360\u3081\u308b\u4e00\u7fa4\u3002<\/li>\n<li>Cajal\uff08\u30ab\u30cf\u30fc\u30eb\uff09\u4ecb\u5728\u7d30\u80de\u306b\u898b\u3089\u308c\u308b\u30c1\u30ed\u30b7\u30f3\u30ad\u30ca\u30fc\u30bc\u53d7\u5bb9\u4f53\u3067\u3042\u308bKIT(c-kit\u907a\u4f1d\u5b50\u306b\u30b3\u30fc\u30c9\u3055\u308c\u308b\u53d7\u5bb9\u4f53\u30c1\u30ed\u30b7\u30f3\u30ad\u30ca\u30fc\u30bc)and\/or CD34\u3092\u767a\u73fe\u3059\u308b\u3053\u3068\u3092\u7279\u5fb4\u3068\u3059\u308b\u3002<\/li>\n<li>GIST\u306e\u767a\u75c7\u983b\u5ea6\u306f\u4eba\u53e3100\u4e07\u4eba\u3042\u305f\u308a20\u4eba\/\u5e74\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>\u7537\u5973\u5dee\u306f\u306a\u304f\u300140\u6b73\u4ee3\u4ee5\u964d\u306e\u4e2d\u9ad8\u5e74\u306b\u597d\u767a\u3057\u3001\u7279\u306b50~60\u6b73\u4ee3\u304c\u6700\u3082\u591a\u304f\u3001\u5c0f\u5150\u306b\u306f\u975e\u5e38\u306b\u307e\u308c\u3067\u3042\u308b\u3002<\/li>\n<li>GIST\u306e\u76f8\u5bfe\u7684\u983b\u5ea6\u306f\u5168\u6d88\u5316\u7ba1\u816b\u760d\u306e0.2~0.5%\u7a0b\u5ea6\u3068\u8003\u3048\u3089\u308c\u308b\u3002 \u6d88\u5316\u7ba1\u5168\u4f53\u306e\u9593\u8449\u7cfb\u816b\u760d\u306e\u3046\u3061\u3001GIST\u306f80%\u8fd1\u304f\u3092\u5360\u3081\u3001\u5e73\u6ed1\u7b4b\u816b\u760d\u304c10~20%\u3001\u795e\u7d4c\u539f\u6027\u816b\u760d\u304c5%\u7a0b\u5ea6\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>GIST\u306e\u81d3\u5668\u5225\u767a\u751f\u983b\u5ea6\u306f<span>\u80c3\u304c60~70%\u3068\u6700\u591a\u3067\u3001\u5c0f\u817820~ 30%\u3001\u5927\u81785%\u3001\u98df\u90535%<\/span>\u3068\u7d9a\u304f\u3002<\/li>\n<li>\u7a00\u306b\u306f\u8178\u9593\u819c\u3084\u5f8c\u8179\u819c\u304b\u3089\u767a\u751f\u3059\u308b\u3053\u3068\u3082\u77e5\u3089\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>\u5e83\u7fa9\u306eGIST\uff1a\u80c3\u8178\u7ba1\u306e\u7d21\u9318\u5f62\u7d30\u80de\u306a\u3044\u3057\u985e\u4e0a\u76ae\u7d30\u80de\u304b\u3089\u306a\u308b\u975e\u4e0a\u76ae\u6027\u816b\u760d\u3002<\/li>\n<li>\u72ed\u7fa9\u306eGIST\uff1a\u7b4b\u539f\u6027\u30fb\u795e\u7d4c\u539f\u6027\u30de\u30fc\u30ab\u30fc\u9670\u6027\u306e\u3082\u306e\u3002<\/li>\n<li>\u7d44\u7e54\u5b66\u7684\u306b\u7d21\u9318\u5f62\u7d30\u80de\u578b(spindle type 77%)\u3001\u985e\u4e0a\u76ae\u7d30\u80de\u578b(epithelioid type 8%)\u3001\u6df7\u5408\u578b(mixed type 15%)\u306b\u5206\u985e\u3055\u308c\u308b\u3002<\/li>\n<li>\u6f5c\u5728\u7684\u306a\u60aa\u6027\u816b\u760d\u3067\u3042\u308b\u304c\u3001\u60aa\u6027\u7d4c\u904e\u3092\u305f\u3069\u308b\u306e\u306f30%\u3002<\/li>\n<li><span>\u8ee2\u79fb\u306f\u4e3b\u306b\u8840\u884c\u6027\u3067\u809d\u304c\u4e3b\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7a00\u3002\u64ad\u7a2e\u306f\u8d77\u3053\u308b<\/span>\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>53.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a continuous diaphragm sign\u3000\u00d7\u3000\u7e26\u9694\u6c17\u816b<\/li>\n<li>b incomplete border sign\u3000\u00d7\u3000\u9670\u5f71\u306e\u4e00\u90e8\u306e\u307f\u9bae\u660e\u306a\u8fba\u7e01\u3092\u793a\u3059\u3082\u306e\u3002\u816b\u7624\u304c\u80f8\u58c1\u306e\u8edf\u90e8\u7d44\u7e54\u306b\u9023\u7d9a\u3059\u308b\u90e8\u5206\u3067\u6d88\u5931\u3059\u308b\u30b5\u30a4\u30f3\u3002\u80f8\u58c1\u75c5\u5909\u3092\u793a\u5506\u3059\u308b\u6240\u898b\u3002<\/li>\n<li>c deep sulcus sign\u3000\u00d7\u3000\u6c17\u80f8<\/li>\n<li>d angel wings sign \u00d7\u3000\u6c17\u7e26\u9694<\/li>\n<li>e football sign\u3000\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>54.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u591a\u767a\u6027\u786c\u5316\u75c7\u3000\u4e0a\u4f4d\u3002<\/li>\n<li>b \u810a\u9ac4\u661f\u7d30\u80de\u816b\u3000\u4e0a\u4f4d\u3002<\/li>\n<li>c \u810a\u9ac4\u7a7a\u6d1e\u75c7 \u4e0a\u4f4d\u3002<\/li>\n<li>d \u810a\u9ac4\u6897\u585e\u3000\u3000\u4e0a\u4f4d\u3002<\/li>\n<li>e \u7cd6\u5c3f\u75c5 \u25cb\u3000\u4e0b\u4f4d\u3002\u5f1b\u7de9\u6027\u795e\u7d4c\u56e0\u6027\u8180\u80f1<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>55.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,d<\/p>\n<ul>\n<li>a \u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u3057\u3066\u306e\u4f7f\u7528\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3002\u00d7<\/li>\n<li>b \u751f\u691c\u306b\u3088\u308b\u51fa\u8840\u306e\u5f71\u97ff\u306f\u307b\u3068\u3093\u3069\u53d7\u3051\u306a\u3044\u3002\u00d7<\/li>\n<li>c \u9020\u5f71\u691c\u67fb\u306f\u7cbe\u56ca\u6d78\u6f64\u306e\u8a55\u4fa1\u306b\u6709\u7528\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>d T1 \u5f37\u8abf\u50cf\u306f\u9aa8\u8ee2\u79fb\u306e\u8a55\u4fa1\u306b\u6709\u7528\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>e \u79fb\u884c\u57df\u764c\u306e\u8a3a\u65ad\u306f\u3067\u304d\u306a\u3044\u3002\u00d7<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>56.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u77f3\u7070\u5316\u306f\u60aa\u6027\u5316\u306e\u6307\u6a19\u3067\u3042\u308b\u3002\u00d7\u3000\u6307\u6a19\u3068\u306f\u306a\u3089\u306a\u3044\u304c\u3001\u60aa\u6027\u3092\u7591\u3046\u6240\u898b\u3067\u306f\u3042\u308b\u3002<\/li>\n<li>b multilocular cystic nephroma \u306f\u5973\u5150\u306b\u597d\u767a\u3059\u308b\u3002\u00d7\u3000\u7537\u5150\u3068\u5973\u6027\u3002\u597d\u767a\u5e74\u9f62\u306f4\u6b73\u4ee5\u4e0b\u307e\u305f\u306f30\u6b73\u4ee5\u4e0a\u3068\u3044\u3046\u4e8c\u5cf0\u6027\u306e\u5206\u5e03\u3092\u793a\u3059\u3002\u767a\u751f\u983b\u5ea6\u306f4\u6b73\u4ee5\u4e0b\u3067\u306f\u7d042\u500d\u7537\u5150\u306b\u591a\u304f(CPDN\u304c\u591a\u3044), 30\u6b73\u4ee5\u4e0a\u3067\u306f\u7d048\u500d\u5973\u2018\u6027\u306b\u591a\u3044(CN\u304c\u591a\u3044)\u3002 4~30\u6b73\u306b\u767a\u751f\u3059\u308b\u3082\u306e\u306f\u7d045%\u3067\u3042\u308b\u3002<\/li>\n<li>c \u907a\u4f1d\u6027\u306e\u591a\u767a\u56ca\u80de\u814e\u306b\u306f\u814e\u764c\u304c\u5408\u4f75\u3057\u3084\u3059\u3044\u3002\u00d7\u3000\u5f8c\u5929\u6027\u307b\u3069\u9ad8\u304f\u306a\u3044\u3002<\/li>\n<li>d \u56ca\u80de\u6027\u814e\u764c\u306f\u901a\u5e38\u578b\u814e\u764c\u3088\u308a\u3082\u4e88\u5f8c\u4e0d\u826f\u3067\u3042\u308b\u3002\u3000\u00d7\u3000\u56a2\u80de\u6027\u814e\u764c\u306e\u7d30\u80de\u306e\u7d44\u7e54\u5b66\u7684\u60aa\u6027\u5ea6 \u306fgrade 1\u3068\u3055\u308c,\u4e88\u5f8c\u306f\u826f\u597d\u3067\u3042\u308b\u3002<\/li>\n<li>e CT \u3067\u9ad8\u5438\u53ce\u3092\u793a\u3059\u5f84 3 cm \u4ee5\u4e0a\u306e\u56ca\u80de\u306f\u7d4c\u904e\u89b3\u5bdf\u3068\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u25cb\u3000Bosniak\u5206\u985e\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u2161F(\u30d5\u30a9\u30ed\u30fc)\u306f3\u3064\u4ee5\u4e0a\u306e\u8584\u3044\u9694\u58c1\u3001\u6700\u5c0f\u9650\u306e\u9020\u5f71\u52b9\u679c\u30013cm\u4ee5\u4e0a\u306e\u9ad8\u5438\u53ce\u56a2\u80de\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>57.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u6d78\u6f64\u6027\u767a\u80b2\u304c\u591a\u3044\u3002\u00d7\u3000\u507d\u88ab\u819c\u3092\u6709\u3059\u308b<\/li>\n<li>b \u4e4f\u8840\u6027\u306e\u3082\u306e\u306f5\uff05\u4ee5\u4e0b\u3067\u3042\u308b\u3002\u00d7\u3082\u3063\u3068\u3042\u308b\u3002<\/li>\n<li>c \u9060\u9694\u8ee2\u79fb\u306e\u81d3\u5668\u306f\u80ba\u304c\u6700\u3082\u591a\u3044\u3002\u25cb<\/li>\n<li>d MRI\u3067\u8102\u8cea\u3092\u8a8d\u3081\u308b\u306e\u306f5\uff05\u4ee5\u4e0b\u3067\u3042\u308b\u3002\u00d7\u3000\u8102\u8cea\u3092\u542b\u3080\u901a\u5e38\u578b\u304c70\uff05\u306a\u306e\u3067\u3001MR\u3067\u308f\u304b\u308b\u3082\u306e\u306f\u5c11\u306a\u304f\u3068\u30825\uff05\u3069\u3053\u308d\u3067\u306f\u306a\u3044\u3002<\/li>\n<li>e \u8cea\u7684\u8a3a\u65ad\u304c\u56f0\u96e3\u306a\u5f842cm\u4ee5\u4e0b\u306e\u816b\u7624\u306f\uff0c\u814e\u7d30\u80de\u764c\u3068\u3057\u3066\u624b\u8853\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u00d7<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>58.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab,e<\/p>\n<ul>\n<li>a \u817a\u816b\u306e CT \u5024\u306f 20 H.U. \u4ee5\u4e0a\u3067\u3042\u308b\u3002\u00d7\u3000\u526f\u814e\u817a\u816b\u306e1\u3064\u3067\u3042\u308a\u3001\u8102\u80aa\u3092\u542b\u6709\u3059\u308b\u305f\u3081\u5358\u7d14CT\u3067CT\u5024\u306f10HU\u4ee5\u4e0b\u3067\u3042\u308b<\/li>\n<li>b \u9ad8\u8840\u5727\u75c7\u306e\u539f\u56e0\u306e 10\uff05 \u4ee5\u4e0a\u3092\u5360\u3081\u308b\u3002\u25cb\u3000\u3053\u308c\u307e\u30670.1\u301c\uff11\uff05\u3068\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u6700\u8fd1\u306f5\uff05-10\uff05\u3092\u5360\u3081\u308b\u3068\u306e\u5831\u544a\u3082\u3042\u308b\u3002\u4ed6\u306e\u9078\u629e\u80a2\u306e\u95a2\u4fc2\u3067\u3053\u308c\u304c\u25cb\u304b\u3002<\/li>\n<li>c \u591a\u767a\u6027\u5185\u5206\u6ccc\u816b\u760d\uff08MEN\uff09\u3068\u95a2\u9023\u304c\u6df1\u3044\u3002\u00d7<\/li>\n<li>d \u308f\u304c\u56fd\u3067\u306f\u526f\u814e\u904e\u5f62\u6210\u304c\u539f\u56e0\u3068\u3057\u3066\u6700\u3082\u591a\u3044\u3002\u00d7\u3000\u7247\u5074\u6027\u306e\u817a\u816b\u304c\u591a\u3044(74%)\u3002\u7279\u767a\u6027\u304c20\uff05<\/li>\n<li>e \u8a3a\u65ad\u306b\u306f\u526f\u814e\u9759\u8108\u8840\u30b5\u30f3\u30d7\u30ea\u30f3\u30b0\u304c\u6709\u7528\u3067\u3042\u308b\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>59.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad or\u00a0 e<\/p>\n<p>\u203b\u6025\u6027\u80c6\u56a2\u708e\u306e\u8d85\u97f3\u6ce2\u6240\u898b<br \/>\n\u2460\u80c6\u56a2\u816b\u5927,<br \/>\n\u2461\u58c1\u80a5\u539a,<br \/>\n\u2462\u5185\u8154\u306efine echo(\u7d30\u304b\u3044\u30a8\u30b3 \u30fc)\u304c\u57fa\u672c\u7684\u306a\u6240\u898b\u3067\u3042\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>60.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad,e<\/p>\n<ul>\n<li>a \u80c6\u56ca\u764c\u306e\u5408\u4f75\u3000\u00d7\u301c\u25b3\uff1f<\/li>\n<li>b \u80c6\u56ca\u5468\u56f2\u8179\u6c34\u3000\u00d7<\/li>\n<li>c \u809d\u9580\u90e8\u30ea\u30f3\u30d1\u7bc0\u816b\u5927\u3000\u00d7<\/li>\n<li>d \u80c6\u56ca\u58c1\u5468\u56f2\u8102\u80aa\u5897\u751f\u3000\u25cb<\/li>\n<li>e Rokitansky-Aschoff \u6d1e\u62e1\u5f35\u3000\u25cb<\/li>\n<\/ul>\n<h4><span id=\"i\">\u80c6\u306e\u3046\u817a\u7b4b\u816b<\/span><\/h4>\n<p>\u80c6\u306e\u3046\u817a\u7b4b\u816b\u3067\u306f\u3001CT\u3067\u306f<\/p>\n<ul>\n<li>\u6570\u73e0\u72b6\u306e\u58c1\u80a5\u539a<\/li>\n<li>\u75c5\u5909\u90e8\u306e\u6f3f\u819c\u4e0b\u8102\u80aa\u5897\u6b96<\/li>\n<li>\u5185\u8154\u304a\u3088\u3073\u58c1\u5185\u7d50\u77f3<\/li>\n<\/ul>\n<p>\u304c\u7279\u5fb4\u7684\u3002\uff08\u8179\u90e8CT\u8a3a\u65ad120\u30b9\u30c6\u30c3\u30d5\u309aP134\uff09<\/p>\n<p>\u30e9\u30e0\u5148\u751f\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\uff01<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>61.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u7537\u6027\u306b\u591a\u3044\u3002\u00d7\u300010-30\u6b73\u306e\u82e5\u3044\u5973\u6027\u306b\u591a\u3044\u3002<\/li>\n<li>b \u4e2d\u9ad8\u5e74\u306b\u591a\u3044\u3002\u00d7<\/li>\n<li>c \u60aa\u6027\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u3002\u00d7\u3000low malignancy\u3002\u826f\u6027\u3067\u3082\u306a\u3044\u3002<\/li>\n<li>d \u77f3\u7070\u5316\u3092\u4f34\u3046\u3053\u3068\u306f\u5c11\u306a\u3044\u3002\u00d7\u300034\uff05\u306b\u77f3\u7070\u5316\u3042\u308a\u3002<\/li>\n<li>e \u816b\u760d\u5185\u51fa\u8840\u3092\u4f34\u3046\u3053\u3068\u304c\u591a\u3044\u3002\u25cb\u300096\uff05\u306b\u51fa\u8840\u3042\u308a\u3002<\/li>\n<\/ul>\n<h5>Solid-pseudopapillary neoplasm(SPN)<\/h5>\n<ul>\n<li>\u82e5\u5e74\u5973\u6027(10\uff5e30\u6b73\u4ee3)\u306b\u597d\u767a\u3002<\/li>\n<li>\u4e88\u5f8c\u826f\u597d\u306a\u5206\u5316\u65b9\u5411\u4e0d\u660e\u306a\u4e0a\u76ae\u6027\u81b5\u816b\u760d\u3002<span>\u7a00\u306b\u60aa\u6027\u4f8b<\/span>\u3002\u9ad8\u9f62\u8005\u307b\u3069\u60aa\u6027\u4f8b\u304c\u591a\u3044\u3002\u518d\u767a\u4f8b\u306f5\uff05\u3067\u809d\u8ee2\u79fb\u304c\u591a\u304f\u300110\u5e74\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u304b\u3089\u306e\u518d\u767a\u306e\u5831\u544a\u3082\u3042\u308b\u3002<span>low grade malignancy\u3068\u306e\u8a8d\u8b58\u304c\u5fc5\u8981<\/span>\u3002<\/li>\n<li>\u9ad8\u983b\u5ea6\u306b\u816b\u760d\u5185\u58ca\u6b7b\u306b\u3088\u308b<span>\u56a2\u80de(\u51fa\u8840)\u5909\u6027(96%)<\/span>\u3002<\/li>\n<li>\u56a2\u80de\u58c1\u306e<span>\u77f3\u7070\u5316(34%) central\u3001Stippled(\u6591\u72b6)\u3001Eggshell\u306e3\u30d1\u30bf\u30fc\u30f3\u3042\u308a(\u8f2a\u72b6\u30fb\u8c9d\u6bbb\u72b6\u30fb\u5375\u6bbb\u72b6)<\/span><\/li>\n<li>\u8fba\u7e01\u90e8\u306e\u5145\u5b9f\u90e8\u306f\u9020\u5f71\u3067\u6f38\u5897\u6027\u306b\u6fc3\u67d3\u3002<\/li>\n<li>MRI\u306f\u56a2\u80de\u5185\u306e\u65b0\u65e7\u306e\u51fa\u8840\u306e\u8a55\u4fa1\u306b\u6709\u7528\u3002<\/li>\n<\/ul>\n<p>\u25c6T1WI high(\u51fa\u8840\u3092\u53cd\u6620)\uff5elow<\/p>\n<p>\u25c6T2WI \u4e0d\u5747\u4e00\u306ahigh\u304c\u591a\u3044\u3002\u304c\u3001\u591a\u5f69\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>62.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>e<\/span><\/p>\n<ul>\n<li>a \u81b5\u7ba1\u5185\u4e73\u982d\u7c98\u6db2\u6027\u816b\u760d\u3067\u306f\u901a\u5e38\u578b\u81b5\u764c\u306e\u5408\u4f75\u304c\u591a\u3044\u3002\u25cb<\/li>\n<li>b \u4e3b\u81b5\u7ba1\u578b\u81b5\u7ba1\u5185\u4e73\u982d\u7c98\u6db2\u6027\u816b\u760d\u306f\u624b\u8853\u9069\u5fdc\u3067\u3042\u308b\u3002\u25cb\u3000malignant potential<\/li>\n<li>c \u7c98\u6db2\u6027\u56ca\u80de\u816b\u760d\u306f\u81b5\u7ba1\u3068\u306e\u4ea4\u901a\u306f\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3002\u25cb<\/li>\n<li>d \u6f3f\u6db2\u6027\u56ca\u80de\u816b\u760d\u306f\u4e2d\u5fc3\u90e8\u306b\u77f3\u7070\u5316\u304c\u898b\u3089\u308c\u308b\u3002\u25cb<\/li>\n<li>e \u7c98\u6db2\u6027\u56ca\u80de\u816b\u760d\u306f\u81b5\u982d\u90e8\u306b\u597d\u767a\u3059\u308b\u3002\u00d7<\/li>\n<\/ul>\n<h5>IPMN \u3000\u81b5\u7ba1\u5185\u4e73\u982d\u7c98\u6db2\u6027\u816b\u760d\u00a0intraductal papillary mucinous neoplasm<\/h5>\n<ul>\n<li>\u7c98\u6db2\u7523\u751f\u6027\u4e0a\u76ae\u306e\u4e73\u982d\u72b6\u5897\u6b96\u304b\u3089\u306a\u308b\u81b5\u7ba1\u5185\u816b\u760d\u3002<\/li>\n<li>\u9ad8\u9f62\u3001\u7537\u6027\u306b\u591a\u3044\u3002<\/li>\n<li>\u904e\u5f62\u6210\u2192\u817a\u816b\u2192\u817a\u764c(adenoma-carcinoma sequence)<\/li>\n<li>\u7c98\u6db2\u8caf\u7559\u2192\u81b5\u7ba1\u62e1\u5f35<\/li>\n<li>\u4e3b\u81b5\u7ba1\u578b\u3001\u5206\u679d\u578b\u3001\u6df7\u5408\u578b\u306b\u5206\u3051\u3089\u308c\u308b\u3002<\/li>\n<li>\u9451\u5225\uff1aMCT\u3001\u8caf\u7559\u56a2\u80de<\/li>\n<\/ul>\n<h5>IPMN\u4e3b\u81b5\u7ba1\u578b<\/h5>\n<ul>\n<li>57\uff5e92%\u306b\u60aa\u6027\u2192\u539f\u5247\u624b\u8853\u3002<\/li>\n<li>\u3073\u307e\u3093\u6027\u3042\u308b\u3044\u306f\u9650\u5c40\u6027\u306e\u4e3b\u81b5\u7ba1\u62e1\u5f35\u3002<\/li>\n<li>\u7a0b\u5ea6\u306e\u5f37\u3044\u6642\u306f\u5206\u679d\u81b5\u7ba1\u62e1\u5f35\u3084\u5b9f\u8cea\u59d4\u7e2e\u3042\u308a\u3002<\/li>\n<\/ul>\n<h5>MCT\u3068IPMN\u306e\u9451\u5225\u70b9<\/h5>\n<table border=\"0\" width=\"664\" cellspacing=\"0\" cellpadding=\"0\">\n<colgroup>\n<col span=\"3\" width=\"221\" \/><\/colgroup>\n<tbody>\n<tr>\n<td width=\"221\" height=\"48\"><\/td>\n<td width=\"221\">MCT<\/td>\n<td width=\"221\">IPMN<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u6027<\/td>\n<td width=\"221\">\u5973\u6027<\/td>\n<td width=\"221\">\u7537\u6027\uff1e\u5973\u6027<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u5e74\u9f62<\/td>\n<td width=\"221\">\u82e5\u5e74\uff5e\u4e2d\u5e74<\/td>\n<td width=\"221\">\u9ad8\u9f62<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u767a\u751f\u90e8\u4f4d<\/td>\n<td width=\"221\">\u81b5\u4f53\u5c3e\u90e8<\/td>\n<td width=\"221\">\u81b5\u982d\u90e8(\u81b5\u9264\u90e8)<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u56a2\u80de\u306e\u5f62\u614b<\/td>\n<td width=\"221\">\u7403\u5f62\uff5e\u6955\u5186\u5f62(\u30df\u30ab\u30f3)<\/td>\n<td width=\"221\">\u3076\u3069\u3046\u306e\u623f\u72b6<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u5171\u901a\u306e\u88ab\u819c<\/td>\n<td width=\"221\">\u3042\u308a<\/td>\n<td width=\"221\">\u306a\u3057<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u5375\u5de3\u9593\u8cea<\/td>\n<td width=\"221\">\u3042\u308a<\/td>\n<td width=\"221\">\u306a\u3057<\/td>\n<\/tr>\n<tr>\n<td width=\"221\" height=\"48\">\u81b5\u7ba1\u3068\u306e\u4ea4\u901a<\/td>\n<td width=\"221\">\u7a00<\/td>\n<td width=\"221\">\u307b\u3068\u3093\u3069\u3042\u308a<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><a href=\"https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89502.jpg?ssl=1\" sl-processed=\"1\"><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>63.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,c<\/p>\n<ul>\n<li>a \u5e38\u67d3\u8272\u4f53\u512a\u6027\u591a\u767a\u6027\u56ca\u80de\u814e\u3000\u25cb<\/li>\n<li>b Sturge-Weber \u75c7\u5019\u7fa4\u3000\u00d7<\/li>\n<li>c von Hippel-Lindau \u75c5\u3000\u25cb\u3000\u6bce\u5e74\u3069\u3093\u3069\u3093\u51fa\u984c\u7bc4\u56f2\u304c\u5e83\u304f\u306a\u3063\u3066\u3044\u308b\u306e\u304b\u3053\u308c\u3002<\/li>\n<li>d Recklinghausen \u75c5\u3000\u00d7<\/li>\n<li>e \u7d50\u7bc0\u6027\u786c\u5316\u75c7\u3000\u00d7\u3000\u814eAML\u306a\u3069\u304c\u6709\u540d\u3002<\/li>\n<\/ul>\n<p>\u203b\u5148\u5929\u6027\u56a2\u80de\u306b\u306f\u5b64\u767a\u6027\u771f\u6027\u56a2\u80de\u3084vonHippel-Lindau\u75c5,polycystic kidney disease, cysticfibrosis\u306b\u5408\u4f75\u3059\u308b\u81b5\u56a2\u80de\u304c\u3042\u308b\u3002<\/p>\n<p><a href=\"https:\/\/i1.wp.com\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%8955.jpg?ssl=1\" sl-processed=\"1\"><\/a><\/p>\n<p><span style=\"font-size: 24px;\"><strong>64.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u5b50\u5bae\u7b4b\u816b\u3000\u00d7\u3000\u4f4e\u4fe1\u53f7\u3002<\/li>\n<li>b \u5b50\u5bae\u9838\u90e8\u30ca\u30dc\u30c3\u30c8\u56ca\u80de\u3000\u25cb\u3000\u56a2\u80de\u306a\u306e\u3067\u9ad8\u4fe1\u53f7\u3002<\/li>\n<li>c \u5375\u5de3\u7dda\u7dad\u816b\u3000\u00d7\u3000\u4f4e\u4fe1\u53f7\u304c\u7279\u5fb4\u3002<\/li>\n<li>d \u5375\u5de3\u7532\u72b6\u817a\u816b\u3000\u00d7\u3000\u4f4e\u4fe1\u53f7\u304c\u7279\u5fb4\u3002<\/li>\n<li>e \u5375\u5de3\u5185\u819c\u75c7\u6027\u56ca\u80de\u3000\u00d7\u3000shading=\u4f4e\u4fe1\u53f7\u304c\u7279\u5fb4\u3002<\/li>\n<\/ul>\n<h5>T2WI\u3067\u4f4e\u4fe1\u53f7\u3092\u5448\u3057\u3046\u308b\u5375\u5de3\u816b\u760d<\/h5>\n<ul>\n<li>\u7dda\u7dad\u816b\u3000Fibroma<\/li>\n<li>Fibrothecoma<\/li>\n<li>Brenner\u816b\u760d\uff08\u5145\u5b9f\u90e8\u512a\u4f4d\u3001\u9045\u5ef6\u6027\u306e\u6de1\u3044\u5897\u5f37\u52b9\u679c\u3001\u30db\u30eb\u30e2\u30f3\u7523\u751f\u3084\u77f3\u7070\u5316\u3092\u5448\u3059\u308b\u3082\u306e\u3042\u308a\uff09<\/li>\n<li>\u817a\u7dda\u7dad\u816b\/\u56a2\u80de\u817a\u7dda\u7dad\u816b\u3000(adenofibroma\/cystadenofibroma)<\/li>\n<li>Sclerosing stromal tumor \uff08\u5145\u5b9f\u90e8\u306f\u4e0d\u5747\u4e00\u3001\u65e9\u671f\u6fc3\u67d3\uff09<\/li>\n<li>\u5375\u5de3\u7532\u72b6\u817a\u816b(Struma ovarii)\uff08CT\u3067\u9ad8\u5438\u53ce\u3001\u30b2\u30eb\u72b6\u5185\u5bb9\u7269\u306b\u306f\u5897\u5f37\u52b9\u679c\u306a\u3057\uff09<\/li>\n<li>\u8ee2\u79fb\u6027\u816b\u760d Krukenberg tumor\uff08\u8efd\u5ea6\u4f4e\u4fe1\u53f7\u3001\u5145\u5b9f\u90e8\u306f\u4e0d\u6574\u3001\u58ca\u6b7b\u3092\u4f34\u3046\uff09<\/li>\n<li>\u5185\u819c\u75c7\u6027\u56a2\u80de \uff08T1WI\u9ad8\u4fe1\u53f7\u3001shading\uff09<\/li>\n<li>\u5883\u754c\u60aa\u6027\u56a2\u80de\u6027\u816b\u760d\uff0f\u56a2\u80de\u817a\u764c\uff08\u539a\u3044\u9694\u58c1\u3001\u4e73\u982d\u72b6\u7d50\u7bc0\u3001\u5375\u5de3\u3092\u8d85\u3048\u3066\u9032\u5c55\uff09<\/li>\n<li>\u60aa\u6027\u30ea\u30f3\u30d1\u816b<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>65.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u5375\u5de3\u6210\u719f\u5947\u5f62\u816b\u3000\u00d7\u3000\u6700\u591a\uff01<\/li>\n<li>b \u5185\u819c\u75c7\u6027\u56ca\u80de\u3000\u25cb\u3000\u7652\u7740\u5f37\u304f\u3066\u3001\u637b\u8ee2\u3057\u306b\u304f\u3044\u3002<\/li>\n<li>c \u5375\u5de3\u7dda\u7dad\u816b\u3000\u00d7\u3000\u7dda\u7dad\u816b\u306a\u3069\u306e\u5145\u5b9f\u6027\u816b\u760d\u306f\u6f3f\u819c\u4e0b\u7b4b\u816b\u306e\u637b\u8ee2\u3068\u306e\u9451\u5225\u304c\u554f\u984c\u3068\u306a\u308b\u3002<\/li>\n<li>d \u6b63\u5e38\u5375\u5de3\u3000\u00d7\u3000\u5c0f\u5150\u3067\u306f\u4ed8\u5c5e\u5668\u306e\u56fa\u5b9a\u304c\u4e0d\u5341\u5206\u3067\u53ef\u52d5\u6027\u306b\u5bcc\u3080\u305f\u3081\u6b63\u5e38\u5375\u5de3\u3082\u637b\u8ee2\u3059\u308b\u3002<\/li>\n<li>e \u5b50\u5bae\u7b4b\u816b\u3000\u00d7\u3000\u6f3f\u819c\u4e0b\u5b50\u5bae\u7b4b\u816b\u306f\u637b\u8ee2\u3059\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>66.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a Vp4 \u75c7\u4f8b\u306f\u826f\u3044\u9069\u5fdc\u3067\u3042\u308b\u3002\u00d7.\u8108\u7ba1\u6d78\u6f64\u4f8b\u306b\u95a2\u3057\u3066\u306f, Vp1,Vp2\u3067\u3042\u308c\u3070\u809d\u5207\u9664\u3084TACE\u304c\u884c\u308f\u308c,Vp3, Vp4\u3067\u3042\u308c\u3070HAIC(\u809d\u52d5\u6ce8)\u304c\u884c\u308f\u308c\u308b.Vp3,Vp4\u3067\u304b\u3064Child-PughA\u3067\u3042\u308c\u3070\u30bd\u30e9\u30d5\u30a7\u30cb\u30d6\u3082\u9078\u629e\u80a2\u306e\u3072\u3068\u3064\u3068\u306a\u308b\u3002<br \/>\n\u203bVP4\u3068\u306f\u9580\u8108\u672c\u5e79\u816b\u760d\u6813\u306e\u3053\u3068\u3002<\/li>\n<\/ul>\n<p>Vp0:\u9580\u8108\u306b\u4fb5\u8972(\u816b\u760d\u6813)\u3092\u8a8d\u3081\u306a\u3044<br \/>\nVp1:\u9580\u8108\u4e8c\u6b21\u5206\u679d\u3088\u308a\u672b\u68a2(\u4e8c\u6b21\u5206\u679d\u3092\u542b\u307e\u306a\u3044)\u306b\u4fb5\u8972\u3092\u8a8d\u3081\u308b<br \/>\nVp2:\u9580\u8108\u4e8c\u6b21\u5206\u679d\u306b\u4fb5\u8972\u3092\u8a8d\u3081\u308b<br \/>\nVp3:\u9580\u8108\u4e00\u6b21\u5206\u679d\u306b\u4fb5\u8972\u3092\u8a8d\u3081\u308b\u3000\u2191\u3053\u3053\u307e\u3067\u306fTACE\u9069\u5fdc<br \/>\n<strong>Vp4<\/strong>:<strong>\u9580\u8108\u672c\u5e79\u306b\u4fb5\u8972<\/strong>\u3092\u8a8d\u3081\u308b \u3000\u3000 \u00a0\u2193Vp4\u306fTACE\u7981\u5fcc<\/p>\n<ul>\n<li>b \u4e4f\u8840\u6027\u809d\u7d30\u80de\u764c\u306f\u826f\u3044\u9069\u5fdc\u3067\u3042\u308b\u3002\u00d7\u3000\u591a\u8840\u6027\u306b\u3088\u3044\u9069\u5fdc\u3002<\/li>\n<li>c \u4e0b\u6a2a\u9694\u819c\u52d5\u8108\u304b\u3089\u4f9b\u8840\u3055\u308c\u308b\u3068\u304d\u306f\u9069\u5fdc\u3067\u306f\u306a\u3044\u3002\u00d7 TACE\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u306b\u3088\u308a\u809d\u52d5\u8108\u304c\u3084\u305b\u3066\u304f\u308b\u3002\u305d\u306e\u7d50\u679c\u3001\u809d\u5916\u5074\u526f\u8840\u884c\u8def\u304c\u518d\u767a\u306b\u5bc4\u4e0e\u3059\u308b\u3002\u3067\u304d\u308b\u3060\u3051\u5074\u526f\u8def\u3082\u8ffd\u3044\u304b\u3051\u3088\u3002<\/li>\n<li>d 3cm\u4ee5\u4e0b\u5358\u767a\u306e\u809d\u7d30\u80de\u764c\u306f\u6cbb\u7642\u306e\u7b2c\u4e00\u9078\u629e\u3067\u306f\u306a\u3044\u3002\u25cb\u3000TACE\u306e\u9069\u5fdc\u306f\u5207\u9664\u8853\u3084RFA\u306a\u3069\u306e\u6839\u6cbb\u7642\u6cd5\u304c\u4e0d\u80fd\u306a4\u500b\u4ee5\u4e0a\u3042\u308b\u3044\u306f\uff13cm\u3092\u8d85\u3048\u308b\u304c\u4e3b\u306a\u5bfe\u8c61\u3002<\/li>\n<li>e \u809d\u969c\u5bb3\u5ea6C\uff08Child-Pugh \u5206\u985e C\uff09\u306e\u75c7\u4f8b\u306f\u826f\u3044\u9069\u5fdc\u3067\u3042\u308b\u3002\u00d7\u3000B\u304f\u3089\u3044\u306a\u3089\u3044\u3051\u308b\u304c\u3002<\/li>\n<\/ul>\n<h5>TAE\u306e\u9069\u5fdc(\u5927\u307e\u304b\u306a\u57fa\u6e96)<\/h5>\n<ul>\n<li>\u809d\u764c\u306b\u3088\u308a\u9580\u8108\u672c\u5e79\u306e\u9589\u585e\u304c\u306a\u3044\u3053\u3068\u3002<\/li>\n<li>\u9ec4\u75b8\u306fT.bil \u6700\u59275mg\/dl\u307e\u3067\u3002\u901a\u5e383mg\/dl\u4ee5\u4e0b\u304c\u597d\u307e\u3057\u3044\u3002<\/li>\n<li>\u809d\u764c\u306e\u5927\u304d\u3055\u3001\u500b\u6570\u306f\u554f\u308f\u306a\u3044\u3002(\u591a\u6570\u500b\u3042\u308b\u5834\u5408\u306fTAE\u306e\u72ec\u58c7\u5834)<\/li>\n<li>\u8457\u660e\u306a\u816b\u760d\u5185\u30b7\u30e3\u30f3\u30c8\u306e\u307f\u3089\u308c\u306a\u3044\u4f8b\u3002<\/li>\n<\/ul>\n<p>\u203b\u7981\u5fcc\u3068\u306a\u308b\u306e\u306f\u3001\u9ad8\u5ea6\u9ec4\u75b8\u3001\u96e3\u6cbb\u6027\u8179\u6c34\u3001\u9580\u8108\u672c\u5e79\u9589\u585e\u306a\u3069\u3002<\/p>\n<p><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%8964.jpg\" sl-processed=\"1\">\u00a0<\/a><\/p>\n<p><span style=\"font-size: 24px;\"><strong>67.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>d<\/span><\/p>\n<ul>\n<li>a \u30a4\u30bd\u30b8\u30f3\u6eb6\u6db2\u306f\u5857\u5e03\u5f8c 2 \u5206\u307b\u3069\u305f\u3066\u3070\uff0c\u4e7e\u71e5\u3057\u306a\u304f\u3066\u3082\u6d88\u6bd2\u52b9\u679c\u304c\u3042\u308b\u3002\u3000\u25cb\u30a4\u30bd\u30b8\u30f3 (\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9) \u306e\u6bba\u83cc\u4f5c\u7528\u306f, \u30a4\u30bd\u30b8\u30f3\u6c34\u6eb6\u6db2\u304b\u3089\u904a\u96e2\u3059\u308b\u30e8\u30a6\u7d20\u304c\u6301\u3064\u9178\u5316\u4f5c\u7528\u306b\u3088\u308b\u3082\u306e\u3002\u904a\u96e2\u30e8\u30a6\u7d20\u6fc3\u5ea6\u304c\u9ad8\u3044\u307b\u3069\u6bba\u83cc\u529b\u304c\u9ad8\u307e\u308b\u305f\u3081, \u76ae\u819a\u306b\u5857\u5e03\u5f8c, \u30a4\u30bd\u30b8\u30f3\u306e\u6bba\u83cc\u529b\u304c\u6700\u3082\u9ad8\u304f\u306a\u308b\u307e\u3067\u4f5c\u7528\u6642\u9593\u3092\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002\u306a\u306e\u3067\u4e7e\u71e5\u306f\u95a2\u4fc2\u306a\u3044\u3002<\/li>\n<li>b \u30a4\u30bd\u30b8\u30f3\u6eb6\u6db2\u306f\u7d30\u83cc\u3060\u3051\u3067\u306a\u304f\uff0c\u30a6\u30a4\u30eb\u30b9\u306b\u3064\u3044\u3066\u3082\u52b9\u679c\u304c\u3042\u308b\u3002\u25cb<\/li>\n<li>c \u30a4\u30bd\u30b8\u30f3\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u5834\u5408\u306f\uff0c\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u7528\u3044\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u25cb<\/li>\n<li>d \u5916\u304b\u3089\u4e2d\u3078\u5411\u304b\u3063\u3066\u540c\u5fc3\u5186\u72b6\u306b\u6d88\u6bd2\u3059\u308b\u3002\u00d7\u5185\u5074\u304b\u3089\u5916\u5074\u306b\u540c\u5fc3\u5186\u72b6\u306b\u884c\u3046\u306e\u304c\u6d88\u6bd2\u306e\u539f\u5247\u3002<\/li>\n<li>e \u30a4\u30bd\u30b8\u30f3\u6eb6\u6db2\u306f\u7c98\u819c\u9762\u306b\u4f7f\u7528\u3057\u3066\u826f\u3044\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>68.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a \u53f3\u814e\u52d5\u8108\u304c 2 \u672c\u5b58\u5728\u3059\u308b\u3002<\/li>\n<li>b \u56fa\u6709\u809d\u52d5\u8108\u304c\u5de6\u80c3\u52d5\u8108\u304b\u3089\u5206\u5c90\u3059\u308b\u3002\u25cb\u30000.5\uff05<\/li>\n<li>c \u526f\u5de6\u80c3\u52d5\u8108\u304c\u5de6\u809d\u52d5\u8108\u304b\u3089\u5206\u5c90\u3059\u308b\u3002\u30007%\u3002<\/li>\n<li>d \u53f3\u809d\u52d5\u8108\u304c\u4e0a\u8178\u9593\u819c\u52d5\u8108\u304b\u3089\u5206\u5c90\u3059\u308b\u3002 11%<\/li>\n<li>e \u53f3\u4e0b\u6a2a\u9694\u52d5\u8108\u304c\u8179\u8154\u52d5\u8108\u8d77\u59cb\u90e8\u304b\u3089\u5206\u5c90\u3059\u308b\u30029\u5272\u8fd1\u304f\u304c\u5927\u52d5\u8108(CA\u76f4\u4e0a\u90e8)\u307e\u305f\u306fCA\u8d77\u59cb\u90e8\u3088\u308a\u5206\u5c90\u3002\u53f3\u306e10\uff05\u306f\u814e\u52d5\u8108\u3088\u308a\u5206\u5c90\u3059\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>69.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u809d\u82bd\u816b\u3000\u25cb<\/li>\n<li>b \u809d\u8089\u82bd\u816b\u3000\u25cb<\/li>\n<li>c \u809d\u8840\u7ba1\u816b\u3000\u25cb<\/li>\n<li>d \u8ee2\u79fb\u6027\u809d\u816b\u760d\u3000\u25cb<\/li>\n<li>e \u9650\u5c40\u6027\u7d50\u7bc0\u6027\u904e\u5f62\u6210(FNH)\u3000\u00d7\u203b\u8102\u80aa\u3082\u77f3\u7070\u5316\u3082\u5c11\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>70.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,e<\/p>\n<ul>\n<li>a \u30d8\u30e2\u30af\u30ed\u30de\u30c8\u30fc\u30b7\u30b9\u3000\u25cb<\/li>\n<li>b \u6025\u6027\u809d\u708e<\/li>\n<li>c \u3046\u3063\u8840\u809d\u3000\u00d7\u3000\u6fc3\u5ea6\u4f4e\u4e0b\u3002<\/li>\n<li>d \u8102\u80aa\u809d\u3000\u00d7\u3000\u4f4e\u5438\u53ce\u306b\u306a\u308b\u3002<\/li>\n<li>e \u7cd6\u539f\u75c5\u3000\u25cb\u3000\u5358\u7d14CT\u306b\u304a\u3044\u3066\u306f\u3001\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3\u306e\u84c4\u7a4d\u306b\u3088\u308a\u809d\u5b9f\u8cea\u306e\u5438\u53ce\u5024\u304c\u4e0a\u6607\u3059\u308b\u4e00\u65b9\u3067\u3001\u8102\u80aa\u306e\u6c88\u7740\u306b\u3088\u308a\u5438\u53ce\u5024\u304c\u4f4e\u4e0b\u3059\u308b\u5834\u5408\u3082\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u809d\u5b9f\u8cea\u306f\u3055\u307e\u3056\u307e\u306a\u5438\u53ce\u5024\u3092\u5448\u3059\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>\u6838\u533b\u5b66(71-85)<\/h3>\n<p><span style=\"font-size: 24px;\"><strong>71.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a\u00a0 <sup>11<\/sup>C\u3000PET\u88fd\u5264\u300010\u5206<\/li>\n<li>b\u00a0 <sup>13<\/sup>N\u3000PET\u88fd\u5264\u300020\u5206<\/li>\n<li>c\u00a0 <sup>99m<\/sup>Tc\u30006\u6642\u9593<\/li>\n<li>d\u00a0 <sup>131<\/sup>I\u30008\u65e5\u3000\u25cb<\/li>\n<li>e\u00a0 <sup>201<\/sup>Tl\u300074\u6642\u9593<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>72.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab<\/p>\n<ul>\n<li>a <sup>18<\/sup>F-FDG PET \u2015\u2015\u2015\u4e0b\u5264\u6295\u4e0e\u3000\u00d7\u30006\u6642\u9593\u4ee5\u4e0a\u306e\u7d76\u98df\u30021\u6642\u9593\u4ee5\u4e0a\u306e\u5b89\u606f\u4f11\u606f\u3002\u691c\u67fb\u524d\u306b\u6392\u5c3f\u3002<\/li>\n<li>b <sup>99m<\/sup>Tc-MAG3 \u814e\u52d5\u614b\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3\u2015\u2015\u98f2 \u6c34\u3000\u25cb<\/li>\n<li>c <sup>99m<\/sup>Tc-ECD \u8133\u8840\u6d41 SPECT \u2015\u2015\u30e8\u30fc\u30c9\u30d6\u30ed\u30c3\u30af\u00d7\u3002\u30e8\u30fc\u30c9\u5236\u9650\u306f131I\u3002<\/li>\n<li>d <sup>201<\/sup>Tl \u5b89\u9759\u6642\u5fc3\u7b4b SPECT\u2015\u2015\u30ab\u30d5\u30a7\u30a4\u30f3\u7981\u6b62\u3000\u00d7\u3002\u7279\u306b\u306a\u3057\u3002\u30ab\u30d5\u30a7\u30a4\u30f3\u7981\u6b62\u306f\u3001\u5fc3\u81d3\u306e\u85ac\u5264\u8ca0\u8377\u30b7\u30f3\u30c1\u3002<\/li>\n<li>e\u00a0 \u30ac\u30ea\u30a6\u30e0\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3 \u2015\u2015\u7d76 \u98df\u00d7\u3000\u4e0b\u5264\u6295\u4e0e\u3067\u5927\u8178\u5185\u306e\u7cde\u4fbf\u3092\u9664\u53bb\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>73.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>e \u30a4\u30e1\u30fc\u30b8\u30a4\u30f3\u30c6\u30f3\u30b7\u30d5\u30a1\u30a4\u30a2\u3000\u00d7\u3000\u900f\u8996\u306e\u6a5f\u68b0\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>74.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,e<\/p>\n<ul>\n<li>a \u967d\u96fb\u5b50\u3092\u691c\u51fa\u3059\u308b\u3002\u00d7\u3000\u6d88\u6ec5\u03b3\u7dda<\/li>\n<li>b SPECT \u3088\u308a\u611f\u5ea6\u304c\u4f4e\u3044\u3002\u00d7\u9ad8\u3044\u3002<\/li>\n<li>c \u540c\u6642\u8a08\u6570\u56de\u8def\u3092\u7528\u3044\u308b\u3002\u3000\u25cb<\/li>\n<li>d 2\u6838\u7a2e\u540c\u6642\u53ce\u96c6\u304c\u53ef\u80fd\u3067\u3042\u308b\u3002\u3000\u00d7 dual \u5fc3\u7b4b\u30b7\u30f3\u30c1<\/li>\n<li>e CT \u3092\u7528\u3044\u3066\u6e1b\u5f31\u88dc\u6b63\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>75.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a <sup>99m<\/sup>Tc-ECD \u2015\u2015\u8133\u9178\u7d20\u4ee3\u8b1d\u7387 \u00d7\u3000\u8133\u8840\u6d41\u91cf<\/li>\n<li>b <sup>99m<\/sup>Tc-HMPAO \u2015\u2015\u8133\u816b\u760d\u60aa\u6027\u5ea6\u3000\u00d7\u8133\u8840\u6d41\u91cf<\/li>\n<li>c <sup>111<\/sup>In-DTPA \u2015\u2015\u3066\u3093\u304b\u3093\u7126\u70b9\u3000\u00d7\u3000\u8133\u810a\u9ac4\u6db2\u8154\u75c5\u5909<\/li>\n<li>d <sup>123<\/sup>I-IMP \u2015\u2015\u5185\u9838\u52d5\u8108\u5185\u819c\u5265\u96e2\u8853\u5f8c\u306e\u904e\u704c\u6d41\u3000\u25cb99mTc-ECD \u3067\u306f\u3001 \u898b\u3089\u308c\u306a\u3044\u4e8b\u306b\u6ce8\u610f\u3002<\/li>\n<li>e <sup>123<\/sup>I-iomazenil\u2015\u2015\u8133\u8840\u6db2\u91cf\u00d7\u3000\u3066\u3093\u304b\u3093\u7126\u70b9\u90e8\u4f4d\u8a3a\u65ad\u85ac\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>76.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,d<\/p>\n<ul>\n<li>a Beh\u00e7et \u75c5 \u00d7<\/li>\n<li>b \u9ad8\u5b89\u52d5\u8108\u708e\u3000\u00d7<\/li>\n<li>c \u6c17\u7ba1\u652f\u9589\u9396\u75c7\u3000\u25cb<\/li>\n<li>d \u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\u3000\u25cb<\/li>\n<li>e \u6162\u6027\u80ba\u8840\u6813\u585e\u6813\u75c7\u3000\u00d7\u3000\u30df\u30b9\u30de\u30c3\u30c1\u3002\u8840\u6d41\u304c\u843d\u3061\u308b\u3002<\/li>\n<\/ul>\n<p>\u203b\u80ba\u6c17\u816b\u3084\u6162\u6027\u6c17\u7ba1\u652f\u708e\u306a\u3069\u6c17\u9053\u7cfb\u306e\u75c5\u6c17\u3067\u306f\u3001\u75c5\u5909\u90e8\u4f4d\u3067\u306f\u63db\u6c17\u3068\u8840\u6d41\u306e\u4e21\u65b9\u304c\u4f4e\u4e0b\u3059\u308b\uff08\u63db\u6c17\u8840\u6d41\u304c\u30de\u30c3\u30c1\u3059\u308b\uff09\u3002\u3053\u308c\u306f\u3001\u80ba\u8840\u6d41\u304c\u63db\u6c17\u306b\u3088\u3063\u3066\u8abf\u7bc0\u3055\u308c\u3066\u3044\u308b\u304b\u3089\u3002<\/p>\n<p><span><strong>\u203b\u30df\u30b9\u30de\u30c3\u30c1\u2192\u8840\u7ba1\u75c5\u5909\u3092\u9078\u3076\u3002<\/strong><\/span><span>\u00a0<\/span><span><strong>\u203b\u30de\u30c3\u30c1\u2192\u6c17\u9053\u75c5\u5909\u3092\u9078\u3076\u3002<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>77.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li><span>e \u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u3067\u5fc3\u96c6\u7a4d\u304c\u4f4e\u4e0b\u3059\u308b\u3002\u25cb\u3000PD\u3067H\/M\u6bd4\u306e\u4f4e\u4e0b\u3092\u8a8d\u3081\u308b\u3002<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>78.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,b<\/p>\n<ul>\n<li>a <sup>99m<\/sup>Tc-DMSA\u3000\u25cb\u814e\u9759\u614b\u30b7\u30f3\u30c1\u3002\u5b50\u4f9b\u3001VUR\u306b\u3088\u308b\u7622\u75d5\u3068\u304b\u3002Seitai<\/li>\n<li>b <sup>99m<\/sup>Tc-DTPA\u3000\u25cb\u814e\u52d5\u614b\u30b7\u30f3\u30c1\u3002GFR\u3002DouTai<\/li>\n<li>c <sup>99m<\/sup>Tc-MAA\u3000\u00d7\u80ba\u8840\u6d41\u3002\u30de\u30af\u30ed\u306a\u30a2\u30eb\u30d6\u30df\u30f3\u304c\u80ba\u306e\u6bdb\u7d30\u8840\u7ba1\u3067\u3072\u3063\u304b\u304b\u308b\u3002<\/li>\n<li>d <sup>99m<\/sup>Tc-MIBI\u3000\u00d7\u5b89\u9759\u5fc3\u7b4b\u3002\u526f\u7532\u72b6\u817a\u816b(2011\u4fdd\u967a\u9069\u5fdc)\u3002<\/li>\n<li>e <sup>99m<\/sup>Tc-PMT\u3000\u00d7\u809d\u80c6\u9053\u7cfb\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>79.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,d<\/p>\n<ul>\n<li>a\u00a0 <sup>99m<\/sup>Tc-phytate(\u30d5\u30c1\u30f3\u9178\u30b7\u30f3\u30c1) \u3092\u9759\u6ce8\u3059\u308b\u3002\u00d7\u00a0 \u7db2\u5185\u7cfb\u8caa\u98df(kupper\u7d30\u80de)\u3092\u753b\u50cf\u5316\u3059\u308b\u3002\u30a2\u30b7\u30a2\u30ed\u30b7\u30f3\u30c1\u306f99mTc-GSA\u3002<\/li>\n<li>b \u00a0\u80c6\u56ca\u6a5f\u80fd\u3084\u80c6\u9053\u306e\u901a\u904e\u6027\u3092\u8a55\u4fa1\u3059\u308b\u3002\u00d7 <sup>99m<\/sup>Tc-PMT\u306e\u3053\u3068\u3002<\/li>\n<li>c \u00a0\u809d\u4e88\u5099\u80fd\u4f4e\u4e0b\u3067\u5fc3\u30d7\u30fc\u30eb\u306e\u63cf\u51fa\u304c\u6301\u7d9a\u3059\u308b\u3002\u25cb<\/li>\n<li>d \u00a0\u5b9a\u91cf\u7684\u6307\u6a19\u3068\u3057\u3066 HH15 \u3084 LHL15 \u304c\u7528\u3044\u3089\u308c\u308b\u3002\u3000\u25cb<\/li>\n<li>e \u00a0\u7528\u3044\u308b\u653e\u5c04\u6027\u533b\u85ac\u54c1\u306f\u809d\u306e Kupffer \u7d30\u80de\u306b\u53d6\u308a\u8fbc\u307e\u308c\u308b\u3002\u00d7\u3000\u3053\u308c\u306f\u30d5\u30c1\u30f3\u9178\u30b7\u30f3\u30c1\u3002\u30af\u30c3\u30d1\u30fc\u2192\u30af\u30c3\u30d7\u30d5\u30a1\u30fc\u3002<\/li>\n<\/ul>\n<h4><span id=\"i\">\u809d\u53d7\u5bb9\u4f53\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3(\u30a2\u30b7\u30a2\u30ed\u30b7\u30f3\u30c1)<\/span><\/h4>\n<ul>\n<li>\u809d\u6a5f\u80fd\u969c\u5bb3 \u2192\u5fc3\u81d3\u306b\u505c\u6ede\u3057\u3066\u3001\u809d\u306b\u53d6\u308a\u8fbc\u307e\u308c\u306a\u3044\u3002 \u2192\u5fc3\u3067\u306e\u96c6\u7a4d\u2191\u3001\u809d\u3067\u306e\u96c6\u7a4d\u2193<\/li>\n<li>HH15=H15\/H3 (H3\u306f3\u5206\u5f8c\u306b\u5fc3\u306b\u96c6\u7a4d)15\u5206\u7d4c\u3063\u3066\u3082\u5fc3\u3078\u306e\u96c6\u7a4d\u304c\u591a\u3051\u308c\u3070\u3001\u809d\u6a5f\u80fd\u969c\u5bb3\u3042\u3063\u3066\u5fc3\u306b\u505c\u6ede\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002\u3064\u307e\u308a\u3001\u3053\u306e\u5024\u306f\u4f4e\u3044\u65b9\u304c\u6b63\u5e38\u3002\uff1c0.61<\/li>\n<li>LHL15=L15\/H15+L15 15\u5206\u7d4c\u3063\u3066\u3082\u5fc3\u3078\u505c\u6ede\u591a\u3051\u308c\u3070\u5206\u6bcd\u304c\u5927\u304d\u304f\u306a\u308a\u3001\u5024\u306f\u5c0f\u3055\u304f\u306a\u308b\u3002\u306a\u306e\u3067\u5024\u306f\u5927\u304d\u3044\u307b\u3046\u304c\u3088\u3044\u3002\uff1e0.91<\/li>\n<\/ul>\n<h4><span id=\"i-2\">\u809d\u80c6\u306e\u30b7\u30f3\u30c1\u307e\u3068\u3081<\/span><\/h4>\n<ul>\n<li>\u7db2\u5185\u7cfb\u8caa\u98df(kupper\u7d30\u80de)\uff1a\u30d5\u30c1\u30f3\u9178\u3000<sup>99m<\/sup>Tc-phytate<\/li>\n<li>\u809d\u7d30\u80de(\u53d7\u5bb9\u4f53)\uff1a\u30a2\u30b7\u30a2\u30ed\u30b7\u30f3\u30c1\u3000<sup>99m<\/sup>Tc-GSA<\/li>\n<li>\u80c6\u9053\u7cfb\uff1a<sup>99m<\/sup>Tc-PMT<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>80.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab \u795e\u7d4c\u9798\u816b\u3000\u00d7<\/p>\n<h4><span id=\"MIBG\">MIBG<\/span><\/h4>\n<ul>\n<li>MIBG\u306f\u3001norepinephrine\u306e\u985e\u4f3c\u7269\u8cea\u3002<\/li>\n<li>Amine precursor uptake and decarboxylation(APUD)\u7cfb\u816b\u760d\u306f\u30ab\u30c6\u30b3\u30e9\u30df\u30f3\u3092\u7523\u751f\u3059\u308b\u6027\u8cea\u304c\u3042\u308b\u305f\u3081\u3001MIBG\u3092\u53d6\u308a\u8fbc\u3080\u3002<\/li>\n<li>APUD\u7cfb\u816b\u760d\uff1a<span><strong>\u8910\u8272\u7d30\u80de\u816b\u3001\u795e\u7d4c\u82bd\u816b\u3001\u7532\u72b6\u817a\u9ac4\u69d8\u764c\u3001\u30ab\u30eb\u30c1\u30ce\u30a4\u30c9<\/strong><\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>81.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa \u65e9\u671f\u80c3\u764c\u306e\u691c\u51fa\u3000\u25cb<\/p>\n<h5>FDG PET\u306e\u4fdd\u967a\u9069\u7528<\/h5>\n<ul>\n<li><span><strong>\u65e9\u671f\u80c3\u764c\u3092\u9664\u304f\u60aa\u6027\u816b\u760d<\/strong><\/span>\u3002<br \/>\n\u203b\u4ed6\u306e\u691c\u67fb\u3001\u753b\u50cf\u8a3a\u65ad\u306b\u3088\u308a\u75c5\u671f\u8a3a\u65ad\u3001\u8ee2\u79fb\u30fb\u518d\u767a\u306e\u8a3a\u65ad\u304c\u78ba\u5b9a\u3067\u304d\u306a\u3044\u60a3\u8005\u306b\u4f7f\u7528\u3059\u308b\u3002<\/li>\n<li>\u6cbb\u7642\u52b9\u679c\u5224\u5b9a\u3078\u306e\u6709\u7528\u6027\u306f\u9ad8\u3044\u304c\u3001\u9069\u7528\u306b\u306f\u660e\u8a18\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>82.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac \u80c6\u56ca\u3000\u00d7<\/p>\n<h5>FDG PET\u306e\u751f\u7406\u7684\u96c6\u7a4d<\/h5>\n<ul>\n<li>\u307b\u307c\u5e38\u6642\uff1a\u8133\u3001\u814e\u3001\u8180\u80f1\u3001\u809d\u81d3<\/li>\n<li>\u3070\u3089\u3064\u304d\u3042\u308a\uff1a\u6241\u6843\u3001\u553e\u6db2\u817a\u3001\u58f0\u9580\u3001\u5fc3\u7b4b\u3001\u4e73\u817a\u3001\u6d88\u5316\u7ba1\u3001\u7cbe\u5de3\u3001\u5b50\u5bae\u3001\u5375\u5de3\u3001\u9aa8\u683c\u7b4b<\/li>\n<li>\u307e\u308c\u306b\u898b\u3089\u308c\u308b\u90e8\u4f4d\uff1a\u8910\u8272\u7d30\u80de\u3001\u80f8\u817a(\u5c0f\u5150\u3001\u82e5\u5e74\u8005)<\/li>\n<\/ul>\n<p>\u203b\u203b\u203b<\/p>\n<ul>\n<li>\u982d\u981a\u90e8\u306e\u751f\u7406\u7684\u96c6\u7a4d\uff1a\u5de6\u53f3\u5bfe\u79f0\u304c\u591a\u3044\u3002<\/li>\n<li>\u80c3\u306e\u751f\u7406\u7684\u96c6\u7a4d\uff1a\u3073\u307e\u3093\u6027\u3001\u3082\u3057\u304f\u306f\u7a79\u9686\u90e8\u301c\u4f53\u90e8\u306b\u5f37\u3044\u3053\u3068\u304c\u591a\u3044\u3002\u5e7d\u9580\u306e\u307f\u76ee\u7acb\u3066\u3070\u3072\u3063\u304b\u3051\u308b\u3002<\/li>\n<li>\u8178\u7ba1\u306e\u751f\u7406\u7684\u96c6\u7a4d\uff1a\u983b\u5ea6\u3001\u90e8\u4f4d\u306f\u4e00\u5b9a\u3057\u306a\u3044\u3002\u51fa\u308b\u4eba\u306f\u3044\u3064\u3067\u3082\u51fa\u308b\u3068\u3044\u3046\u8a33\u3067\u306f\u306a\u3044\u3002<\/li>\n<li>\u5b50\u5bae\u3001\u5375\u5de3\u306e\u751f\u7406\u7684\u96c6\u7a4d\uff1a\u6392\u5375\u671f-\u6708\u7d4c\u671f\u306b\u76ee\u7acb\u3064\u3053\u3068\u304c\u591a\u3044\u3002<\/li>\n<li>\u8910\u8272\u8102\u80aa\u306e\u751f\u7406\u7684\u96c6\u7a4d\uff1a\u5bd2\u51b7\u3001\u3084\u305b\u578b\u3001\u5973\u6027\u3001\u82e5\u5e74\u8005\u3002\u7e26\u9694\u3001\u5f8c\u8179\u819c\u306a\u3069\u306b\u3082\u898b\u3089\u308c\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>83.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u816b\u760d\u306e\u5185\u90e8\u306b\u653e\u5c04\u6027\u533b\u85ac\u54c1\u3092\u6ce8\u5c04\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u00d7\u3000\u76ae\u4e0b\u306b\u6ce8\u5c04\u3059\u308b\u3002<\/li>\n<li>b<span>\u00a0<\/span><span>\u8ee2\u79fb\u30ea\u30f3\u30d1\u7bc0<\/span>\u3092\u30ac\u30f3\u30de\u30d7\u30ed\u30fc\u30d6\u3067\u691c\u51fa\u3059\u308b\u624b\u6cd5\u3067\u3042\u308b\u3002\u00d7\u3000\u30ea\u30f3\u30d1\u306e\u6d41\u308c\u3067\u6700\u3082\u6700\u521d\u306b\u5230\u9054\u3059\u308b\u30ea\u30f3\u30d1\u7bc0\u3092\u691c\u51fa\u3059\u308b\u3002\u8ee2\u79fb\u30ea\u30f3\u30d1\u7bc0\u3068\u3044\u3046\u66f8\u304d\u65b9\u306f\u3084\u3084\u3053\u3057\u3044\u3051\u3069\u00d7\u3002<\/li>\n<li>c \u7c92\u5b50\u306e\u5927\u304d\u3044\u653e\u5c04\u6027\u533b\u85ac\u54c1\u306e\u65b9\u304c\u30ea\u30f3\u30d1\u7bc0\u306b\u505c\u6ede\u3057\u3084\u3059\u3044\u3002\u25cb\u3000\u30b9\u30ba\u30b3\u30ed\u30a4\u30c9\u304c\u5927\u304d\u3044\u3002\u5927\u304d\u3044\u65b9\u304c\u75db\u3044\u3002<\/li>\n<li>d \u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u9ad8\u5ea6\u306e\u65b9\u304c\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u306e\u8a3a\u65ad\u7cbe\u5ea6\u306f\u9ad8\u3044\u3002\u00d7\u3000\u95a2\u4fc2\u306a\u3044\u3002<\/li>\n<li>e 2 \u500b\u4ee5\u4e0a\u691c\u51fa\u3055\u308c\u305f\u5834\u5408\u306b\u306f\u816b\u760d\u306b\u8fd1\u3044\u65b9\u3092\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u3068\u5b9a\u7fa9\u3059\u308b\u3002\u00d7\u3000\u8fd1\u3044\u304b\u3069\u3046\u304b\u306f\u95a2\u4fc2\u306a\u3044\u3002\u764c\u7d30\u80de\u304b\u3089\u76f4\u63a5\u30ea\u30f3\u30d1\u6d41\u3092\u53d7\u3051\u308b\u30ea\u30f3\u30d1\u7bc0\u306e\u3053\u3068\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>84.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>c MRI \u9020\u5f71\u5264\u306e\u6295\u4e0e\u3000\u25cb\u3000\u95a2\u4fc2\u306a\u3044\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>85.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ab,c<\/p>\n<ul>\n<li>a\u00a0 <sup>60<\/sup>Co\u3000\u00d7<\/li>\n<li>b <sup>89<\/sup>Sr \u25cb<\/li>\n<li>c <sup>90<\/sup>Y\u3000\u25cb<\/li>\n<li>d <sup>111<\/sup>In<\/li>\n<li>e <sup>123<\/sup>I\u3000\u00d7\u3000\u3067\u306f\u306a\u304f\u3066<sup>131<\/sup>I<\/li>\n<\/ul>\n<h3>\u6cbb\u7642(86-100)<\/h3>\n<p><span style=\"font-size: 24px;\"><strong>86.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa \u6cbb\u7642\u4f53\u7a4d\uff08TV\uff09\u25cb<\/p>\n<h5>\u7167\u5c04\u7bc4\u56f2(TV: target volume)\u306e\u6c7a\u3081\u304b\u305f<\/h5>\n<ul>\n<li>GTV(Gross Target Volume):\u8089\u773c\u7684\u306a\u30bf\u30fc\u30b2\u30c3\u30c8\u306e\u9818\u57df<\/li>\n<li>CTV(Clinical Target Volume):\u81e8\u5e8a\u7684\u306a\u9818\u57df\uff08\u8089\u773c\u3067\u306f\u898b\u3048\u3066\u3044\u306a\u3044\u3068\u3053\u308d\uff09<\/li>\n<li>ITV(Internal Target Volume):\u547c\u5438\u306a\u3069\u306e\u52d5\u304d\u3092\u8003\u616e<\/li>\n<li>PTV(Planning Target Volume):\u6a5f\u68b0\u306e\u7167\u5c04\u8aa4\u5dee\u306a\u3069\u3092\u52a0\u5473<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>87.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u817a\u764c\u3000\u00d7\u4f4e\u3044\u3002<\/li>\n<li>b \u9aa8\u8089\u816b\u3000\u00d7\u4f4e\u3044\u3002<\/li>\n<li>c Ewing \u8089\u816b\u3000\u25cb\u9aa8\u816b\u760d\u3067\u306f\u6700\u3082\u653e\u5c04\u7dda\u611f\u53d7\u6027\u304c\u9ad8\u3044\u3002<\/li>\n<li>d \u6241\u5e73\u4e0a\u76ae\u764c \u00d7\u3000\u4e2d\u7b49\u5ea6<\/li>\n<li>e \u60aa\u6027\u9ed2\u8272\u816b\u3000\u00d7<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>88.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>a \u98df\u9053\u764c\u3000\u25ce\u00a0d \u809b\u9580\u7ba1\u764c\u3000\u25cb<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>89.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad,e<\/p>\n<ul>\n<li>d \u816b\u760d\u6027\u810a\u9ac4\u5727\u8feb\u306b\u3088\u308b\u9ebb\u75fa\u3000\u25cb<\/li>\n<li>e \u795e\u7d4c\u82bd\u816b\u809d\u8ee2\u79fb\u306e\u6025\u901f\u5897\u5927\u3000\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>90.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1a<span>b \u30d9\u30fc\u30bf\u7dda\u3000\u25cb<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>91.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u624b\u8853\uff0b\u62e1\u5927\u5c40\u6240\u7167\u5c04\u3000\u00d7<\/li>\n<li>b \u62e1\u5927\u5c40\u6240\u7167\u5c04\uff0b\u5168\u8eab\u5316\u5b66\u7642\u6cd5\u3000\u00d7<\/li>\n<li>c \u5168\u8133\u5168\u810a\u9ac4\u7167\u5c04\uff0b\u5168\u8eab\u5316\u5b66\u7642\u6cd5\u3000\u3000\u00d7\u3000\u307e\u305a\u624b\u8853\u3002<\/li>\n<li>d \u624b\u8853\uff0b\u62e1\u5927\u5c40\u6240\u7167\u5c04\uff0b\u5168\u8eab\u5316\u5b66\u7642\u6cd5\u3000\u00d7<\/li>\n<li>e \u624b\u8853\uff0b\u5168\u8133\u5168\u810a\u9ac4\u7167\u5c04\uff0b\u5168\u8eab\u5316\u5b66\u7642\u6cd5\u3000\u25cb\u3000\u9ac4\u82bd\u816b\u306b\u5bfe\u3059\u308b\u4e00\u822c\u7684\u306a\u6cbb\u7642\u306f\u3001\u9855\u5fae\u93e1\u624b\u8853\u4e0b\u306b\u816b\u760d\u5168\u6458\u51fa\u3042\u308b\u3044\u306f\u4e9c\u5168\u6458\u51fa\u8853\u3092\u884c\u3044\u3001\u8853\u5f8c\u306b\u3001\u5316\u5b66\u7642\u6cd5\u3068\u5168\u8133\u5168\u810a\u9ac4\u7167\u5c04\u3092\u884c\u3046\u3053\u3068\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>92.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li>a \u8853\u524d\u7167\u5c04\u304c\u6a19\u6e96\u6cbb\u7642\u3067\u3042\u308b\u3002\u00d7\u3000\u5358\u72ec\u653e\u5c04\u7dda\u3067\u3088\u3044\u3002<\/li>\n<li>b \u7dcf\u7dda\u91cf 80 Gy40 \u56de\u3092\u7528\u3044\u308b\u3002\u00d7\u300066-70Gy\u3002<\/li>\n<li>c 1 \u56de\u7dda\u91cf\u306f 2\uff5e2.4 Gy \u3092\u4f7f\u7528\u3059\u308b\u3002\u25cb<\/li>\n<li>d \u6cbb\u7642\u4e2d\u306b 1 \u9031\u9593\u4ee5\u4e0a\u306e\u4f11\u6b62\u671f\u9593\u3092\u304a\u304f\u3002<\/li>\n<li>e \u6297\u764c\u5264\u3068\u306e\u540c\u6642\u4f75\u7528\u7642\u6cd5\u304c\u6a19\u6e96\u3067\u3042\u308b\u3002\u00d7\u3000\u5358\u72ec\u653e\u5c04\u7dda\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>93.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa<\/p>\n<ul>\n<li>a \u767d\u5185\u969c\u3000\u00d7<\/li>\n<li>b \u5473\u899a\u969c\u5bb3\u3000\u25cb<\/li>\n<li>c \u56a5\u4e0b\u969c\u5bb3\u3000\u25cb<\/li>\n<li>d \u553e\u6db2\u817a\u969c\u5bb3\u3000\u25cb<\/li>\n<li>e \u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3000\u25cb\u3000\u8133\u816b\u760d\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u3082\u7532\u72b6\u817a\u306b\u304b\u304b\u308b\u3068\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u304c\u8d77\u3053\u308b\u3068\u8a18\u8f09\u3042\u308a\u3002<a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/wp-content\/uploads\/2013\/09\/%E3%82%B9%E3%83%A9%E3%82%A4%E3%83%89125.jpg\" sl-processed=\"1\"><br \/>\n<\/a><\/li>\n<\/ul>\n<p><span style=\"font-size: 24px;\"><strong>94.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac<\/p>\n<ul>\n<li><span>c \u80ba\u9580\u90e8\u3000\u25cb\u3000\u816b\u760d\u6700\u5927\u5f84\u304c\u20085\u2008\u339d\u4ee5\u5185\u3067\uff0c\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u3084\u9060\u9694\u8ee2\u79fb\u306e\u306a\u3044T1N0M0\u304a\u3088\u3073T2N0M0\u304c\u597d\u9069\u5fdc\u3067\u3042\u308b\u3002\u305f\u3060\u305d\u306e\u4e2d\u3067\u3082\u816b\u760d\u306e\u5b58\u5728\u90e8\u4f4d\u304c\u7e26\u9694\u306b\u8fd1\u63a5\u3057\u3066\uff0c\u5927\u7dda\u91cf\u304c\u6b63\u5e38\u81d3\u5668\u306b\u7167\u5c04\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u5834\u5408\u306f\u9069\u5fdc\u304c\u96e3\u3057\u3044\u3002<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>95.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ae<\/p>\n<ul>\n<li>a \u5c40\u6240\u9032\u884c\u764c\u3067\u306f\u5316\u5b66\u7642\u6cd5\u3092<span>\u9806\u6b21<\/span>\u4f75\u7528\u3059\u308b\u3002\u00d7\u3000\u540c\u6642\u4f75\u7528<\/li>\n<li>b \u672b\u68a2\u578b I \u671f\u306b\u306f\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3046\u3002\u00d7IMRT<\/li>\n<li>c Pancoast \u816b\u760d\u306f\u6839\u6cbb\u7167\u5c04\u306e\u9069\u5fdc\u3068\u306a\u3089\u306a\u3044\u3002\u00d7<\/li>\n<li>d \u5c40\u6240\u5236\u5fa1\u3055\u308c\u305f\u5834\u5408\u306f\u5168\u8133\u4e88\u9632\u7167\u5c04\u306e\u9069\u5fdc\u304c\u3042\u308b\u3002\u00d7\u305d\u308c\u306f\u5c0f\u7d30\u80de\u764c(CR\u75c7\u4f8b)<\/li>\n<li>e \u5bfe\u5074\u80ba\u9580\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u3042\u308b IIIb \u671f\u306f\u6839\u6cbb\u7167\u5c04\u306e\u9069\u5fdc\u3068\u306a\u3089\u306a\u3044\u3002\u25cb \u5bfe\u5074\u80ba\u9580\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u3063\u3066\u306f\u30c0\u30e1\u3002\u6839\u6cbb\u7167\u5c04\u306e\u9069\u5fdc\u3068\u306a\u308b\u306e\u306f\u3001\u5bfe\u5074\u80ba\u9580\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u3092\u9664\u304f\u2162b\u306e\u5c40\u6240\u9032\u884c\u764c\u3002(\u2162b\u3068\u306fany T N3 M0 , T4N1M0)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>96.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,c<\/p>\n<ul>\n<li>a \u9838\u90e8\u98df\u9053\u764c\u306f\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u826f\u3044\u9069\u5fdc\u3067\u3042\u308b\u3002\u25cb\u3000\u9838\u90e8\u98df\u9053\u764c\u306f\u5f37\u5ea6\u5909\u8abf\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u6709\u52b9\u3002<\/li>\n<li>b \u6839\u6cbb\u7684\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3067\u306f 66 Gy33 \u56de\u3092\u8d85\u3048\u3066\u7167\u5c04\u3059\u308b\u3002\u00d7\u300060-70Gy\/30-35\u56de\u3060\u3051\u306960Gy\u3068\u899a\u3048\u308b\u3002<\/li>\n<li>c \u5fc3\u81d3\u306e\u6709\u5bb3\u4e8b\u8c61\u306f\u524d\u5f8c\u5bfe\u5411 2 \u9580\u7167\u5c04\u3088\u308a 4 \u9580\u7167\u5c04\u3067\u6e1b\u5f31\u3059\u308b\u3002\u25cb\u3000\u5fc3\u5408\u4f75\u75c7\u56de\u907f\u76ee\u7684\u3067\u591a\u9580\u7167\u5c04\u304c\u8a66\u307f\u3089\u308c\u3066\u3044\u308b\u3002<\/li>\n<li>d \u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3067\u306f\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\u3068<span>\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb<\/span>\u306e\u4f75\u7528\u304c\u6a19\u6e96\u3067\u3042\u308b\u3002\u00d7\u3000\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\uff0b5FU\u3002<\/li>\n<li>e II\uff0cIII \u671f\u306b\u5bfe\u3059\u308b\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u306e\u6cbb\u7642\u6210\u7e3e\u306f\u624b\u8853\u7642\u6cd5\u3068\u540c\u7b49\u3067\u3042\u308b\u3002\u3000\u00d7\u3000II-III\u671f\u98df\u9053\u764c\u306b\u5bfe\u3059\u308b\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u306f\u624b\u8853\uff0b\u8853\u5f8c\u5316\u5b66\u7642\u6cd5\u3068\u540c\u7b49\u306e\u6cbb\u7642\u6210\u7e3e\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b(Int.J. Radiation Oncology Biol. Phys. 57: 425-433, 2003)\u3002<\/li>\n<\/ul>\n<p>\u203bI\u671f\u75c7\u4f8b\u3067\u306f\u5185\u8996\u93e1\u6cbb\u7642\u3001\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3001\u5916\u79d1\u6cbb\u7642\u306f\u307b\u307c\u540c\u7b49\u306e\u6cbb\u7642\u6210\u7e3e\u3067\u3042\u308b\u3002<\/p>\n<p>\u203bII-III\u671f\u75c7\u4f8b\u3067\u306f\u624b\u8853\u304c\u512a\u5148\u3055\u308c\u308b\u304c\u3001\u975e\u9069\u5fdc\u4f8b\u306b\u306f\u540c\u6642\u4f75\u7528\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u304a\u3053\u306a\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>97.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad<\/p>\n<ul>\n<li>a \u5168\u4e73\u623f\u7167\u5c04\u306f\u4e88\u5f8c\u306e\u6539\u5584\u306b\u5bc4\u4e0e\u3057\u306a\u3044\u3002\u00d7\u3000\u6e29\u5b58\u8853\u5f8c\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7701\u7565\u3059\u308b\u3068\u5c40\u6240\u518d\u767a\u306f3\u500d\u5897\u52a0\u3002\u6b7b\u4ea1\u30ea\u30b9\u30af\u304c8.6\uff05\u5897\u52a0\u3059\u308b\u3002<\/li>\n<li>b \u508d\u80f8\u9aa8\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306b\u306f\u624b\u8853\u5207\u9664\u304c\u539f\u5247\u3067\u3042\u308b\u3002\u00d7\u3000\u508d\u80f8\u9aa8\u30ea\u30f3\u30d1\u7bc0\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u63a8\u5968\u3055\u308c\u308b\u6839\u62e0\u304c\u306a\u3044\u3088\u3046\u3060\u304c\u3002<\/li>\n<li>c \u8853\u5f8c\u75c5\u7406\u691c\u67fb\u3067\u65ad\u7aef\u9670\u6027\u306e\u5834\u5408\u306b\u306f\u8853\u5f8c\u816b\u760d\u5e8a\u3078\u306e\u5c40\u6240\u7167\u5c04\u306e\u307f\u3067\u826f\u3044\u3002\u00d7\u3000\u5168\u4e73\u623f\u7167\u5c04\u3059\u308b(GradeA).<\/li>\n<li>d \u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c 4 \u500b\u4ee5\u4e0a\u306e\u5834\u5408\u306b\u306f\u540c\u5074\u9396\u9aa8\u4e0a\u7aa9\u3078\u306e\u7167\u5c04\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u25cb\u3000\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u306e4\u500b\u4ee5\u4e0a\u306b\u8ee2\u79fb\u3092\u8a8d\u3081\u305f\u60a3\u8005\u3059\u3079\u3066\u306b\u9396\u9aa8\u4e0a\u7aa9\u9818\u57df\u3078\u306e\u7167\u5c04\u3092\u63d0\u6848\u3059\u308b(\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb3\u3001\u63a8\u5968A)\u3002<\/li>\n<li>e \u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u3067\u967d\u6027\u306e\u5834\u5408\u306b\u306f\u814b\u7aa9\u90ed\u6e05\u5f8c\u306b\u814b\u7aa9\u3078\u306e\u7167\u5c04\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u3000\u00d7\u7167\u5c04\u306f\u5fc5\u8981\u3067\u306f\u306a\u3044\u3068\u601d\u308f\u308c\u308b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>98.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ad,e<\/p>\n<ul>\n<li>d \u30ea\u30c4\u30ad\u30b7\u30de\u30d6\u304a\u3088\u3073 CHOP 6 \u30b3\u30fc\u30b9\u3000\u25cb<\/li>\n<li>e \u30ea\u30c4\u30ad\u30b7\u30de\u30d6\u304a\u3088\u3073 CHOP 3 \u30b3\u30fc\u30b9\u5f8c\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3000\u25cb<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>99.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1ac,e<\/p>\n<ul>\n<li>a \u4f4e\u30ea\u30b9\u30af\u7fa4\u3067\u306f\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3092\u4f75\u7528\u3059\u308b\u3002\u00d7\u3000\u9ad8\u30ea\u30b9\u30af\u7fa4\u306b\u884c\u3046\u3002<\/li>\n<li>b \u8853\u5f8c\u306e PSA \u518d\u767a\u306b\u5bfe\u3057\u3066\u306f\u5168\u9aa8\u76e4\u7167\u5c04\u3092\u884c\u3046\u3002\u00d7\u8ee2\u79fb\u304c\u306a\u3044\u5834\u5408\u306f\u524d\u7acb\u817a\u5e8a\u306b65-70Gy\u7a0b\u5ea6\u7167\u5c04\u3059\u308b\u3002<\/li>\n<li>c \u6cbb\u7642\u306b\u95a2\u9023\u3057\u305f\u5c3f\u5931\u7981\u306e\u983b\u5ea6\u306f 5\uff05 \u4ee5\u4e0b\u3067\u3042\u308b\u3002\u25cb<\/li>\n<li>d \u9ad8\u30ea\u30b9\u30af\u7fa4\u306f I-125 \u6c38\u4e45\u633f\u5165\u7642\u6cd5\u306e\u826f\u3044\u9069\u5fdc\u3067\u3042\u308b\u3002\u00d7\u3000\u826f\u3044\u9069\u5fdc\u3067\u306f\u306a\u3044\u3002\u4f4e\u30ea\u30b9\u30af\u306b\u884c\u3046\u3002<\/li>\n<li>e I-125 \u6c38\u4e45\u633f\u5165\u7642\u6cd5\u5f8c 1 \u5e74\u4ee5\u5185\u306b\u6b7b\u4ea1\u3057\u305f\u5834\u5408\u306b\u306f\u524d\u7acb\u817a\u3092\u6458\u51fa\u3059\u308b\u3002\u25cb\u3000\u3089\u3057\u3044\u3002\u534a\u6e1b\u671f\u306f\uff16\uff10\u65e5\u3060\u3051\u3069\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>100.<\/strong><\/span><\/p>\n<p>\u89e3\u7b54\uff1aa,d<\/p>\n<ul>\n<li>a \u75bc\u75db\u6539\u5584\u7387\u306f 70\uff5e80\uff05 \u7a0b\u5ea6\u3067\u3042\u308b\u3002\u25cb\u300080\u301c90\uff05<\/li>\n<li>b \u75bc\u75db\u7de9\u548c\u52b9\u679c\u304c\u6700\u5927\u3068\u306a\u308b\u306e\u306f\u7167\u5c04\u76f4\u5f8c\u3067\u3042\u308b\u3002\u00d7\uff14\u9031\u4ee5\u964d\u3002<\/li>\n<li>c \u653e\u5c04\u7dda\u62b5\u6297\u6027\u306e\u816b\u760d\u306e\u9aa8\u8ee2\u79fb\u3067\u306f\u9069\u5fdc\u306b\u306a\u3089\u306a\u3044\u3002\u00d7<\/li>\n<li>d \u6eb6\u9aa8\u6027\u75c5\u5909\u306e\u9aa8\u518d\u751f\u306b\u306f\u6cbb\u7642\u7d42\u4e86\u5f8c\u6570\u30f6\u6708\u4ee5\u4e0a\u5fc5\u8981\u3067\u3042\u308b\u3002\u25cb2\u22126\u30f6\u6708\u3002<\/li>\n<li>e 8 Gy1 \u56de\u7167\u5c04\u306f 30 Gy10 \u56de\u7167\u5c04\u3068\u6bd4\u8f03\u3057\u3066\u75bc\u75db\u7de9\u548c\u52b9\u679c\u306b\u52a3\u308b\u3002\u300020Gy5\u56de\u306e3\u901a\u308a\u3042\u308b\u304c\u3001\u52b9\u679c\u306f\u540c\u3058\u3002<\/li>\n<\/ul>\n<div class=\"66b8270f4e7c971ce580a3f37f4facc2\" data-index=\"1\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n\u2192<a href=\"https:\/\/radiology-exam.com\/?page_id=527\" target=\"_blank\" rel=\"noopener\">2026\u5e74\u653e\u5c04\u7dda\u5c02\u9580\u533b\u3001\u8a3a\u65ad\u5c02\u9580\u533b\u8a66\u9a13\u306b\u3064\u3044\u3066\u8a9e\u308b\u30c1\u30e3\u30c3\u30c8<\/a>\n<\/div>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>\u57fa\u790e(1-15) 1. \u89e3\u7b54\uff1ad a \u5897\u6b96\u6b7b\u3068\u9593\u671f\u6b7b\u3068\u306b\u5206\u985e\u3055\u308c\u308b\u3002\u25cb b \u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\u3068\u30cd\u30af\u30ed\u30fc\u30b7\u30b9\u3068\u306b\u5206\u985e\u3055\u308c\u308b\u3002\u25cb c \u5897\u6b96\u6b7b(=\u5206\u88c2\u6b7b)\u3067\u306f\u5de8\u7d30\u80de\u5f62\u6210\u3084\u7d30\u80de\u878d\u5408\u304c\u307f\u3089\u308c\u308b\u3002\u25cb\u7167\u5c04\u5f8c\u6570\u56de\u306e\u7d30\u80de\u5206\u88c2\u5f8c\u306b\u6b7b\u306b\u81f3\u308b\u306e\u304c\u5897 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"tags":[],"class_list":["post-70","page","type-page","status-publish"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/pages\/70","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radiology-exam.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=70"}],"version-history":[{"count":2,"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions"}],"predecessor-version":[{"id":417,"href":"https:\/\/radiology-exam.com\/index.php?rest_route=\/wp\/v2\/pages\/70\/revisions\/417"}],"wp:attachment":[{"href":"https:\/\/radiology-exam.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=70"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiology-exam.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=70"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}