{"created":"2023-06-20T16:46:10.842875+00:00","id":17618,"links":{},"metadata":{"_buckets":{"deposit":"167ccb64-4ad6-4cda-9b4b-87f1bc090744"},"_deposit":{"created_by":29,"id":"17618","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"17618"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:00017618","sets":["14:923:1477:4269"]},"author_link":["29683","29688","29682","29691","29686","29685","29689","29693","29684","29692","29690","29687"],"item_2_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-06-23","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1-2","bibliographicPageEnd":"38","bibliographicPageStart":"27","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"近畿大学医学雑誌"},{"bibliographic_title":"Medical Journal of Kindai University","bibliographic_titleLang":"en"}]}]},"item_2_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"切除困難な局所進行食道癌cT4（大動脈）も化学療法（ChT)/化学放射線療法（CRT）の進歩に伴い治癒切除率が向上し，より精度の高い深達度診断が求められている．我々は通常の仰臥位CTでのcT4診断（Picus角（PA)≧90度）に加え，重力差を利用した腹臥位CTとの比較による動的評価法を考案し，その有用性を検討した．対象は初診時仰臥位造影CTでcT3以深の食道癌22例（cT3/T4＝17/5）35測定．全例ChT/CRTを先行し18例で手術を施行．腫瘍―大動脈壁間距離（T-A D）とPAを仰/腹CTで測定し，最終深達度（fT4＝R1,2，fT3.5＝R0and著明な瘢痕化（＋），fT3＝R0and瘢痕化（－），非手術例はEUS所見）と比較した．全35測定の平均後縦隔前後径（下縦隔）は仰/腹の順に12.3/26.0mmで，PA＜60度（21測定）の平均T-A DとPAは3.0/4.4mm，23.2/16度と腹臥位で距離は延長し角度は縮小した（p ＜0.05）．治療前PA≧60度の10例はfT3/T3.5/T4＝5/2/3．fT3は腹臥位で全例PAは減少しT-A Dも3/5例で延長，fT3.5はいずれかが不変，fT4は両方不変であった．以上より，仰/腹CTにおけるT-A D/PAの比較はT3（両方変化），T3.5（いずれか不変），T4（両方不変）を鑑別できる可能性が示唆された．","subitem_description_type":"Abstract"}]},"item_2_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_publisher_14":{"attribute_name":"出版者 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Takamichi"},{"subitem_text_language":"en","subitem_text_value":"Okuno, Kiyotaka"},{"subitem_text_language":"en","subitem_text_value":"Yasuda, Takushi"}]},"item_2_text_8":{"attribute_name":"著者 所属","attribute_value_mlt":[{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部放射線医学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部放射線医学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"},{"subitem_text_value":"近畿大学医学部外科学教室"}]},"item_2_text_9":{"attribute_name":"著者所属(翻訳)","attribute_value_mlt":[{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"}]},"item_2_version_type_12":{"attribute_name":"版","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田中, 裕美子"},{"creatorName":"タナカ, ユミコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白石, 治"},{"creatorName":"シライシ, オサム","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"熊野, 正士"},{"creatorName":"クマノ, セイシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"曽我部, 俊介"},{"creatorName":"ソガベ, 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タクシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-07-29"}],"displaytype":"detail","filename":"AN00063584-20160623-0027.pdf","filesize":[{"value":"2.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN00063584-20160623-0027.pdf","url":"https://kindai.repo.nii.ac.jp/record/17618/files/AN00063584-20160623-0027.pdf"},"version_id":"9eb88470-e1b8-4046-ac08-7ad9e2853655"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"食道癌","subitem_subject_scheme":"Other"},{"subitem_subject":"大動脈浸潤","subitem_subject_scheme":"Other"},{"subitem_subject":"腹臥位CT","subitem_subject_scheme":"Other"},{"subitem_subject":"Picus角","subitem_subject_scheme":"Other"},{"subitem_subject":"T4診断","subitem_subject_scheme":"Other"},{"subitem_subject":"T-A 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