{"created":"2023-06-19T10:29:34.741995+00:00","id":1685,"links":{},"metadata":{"_buckets":{"deposit":"29eaaec9-a776-4e87-86c2-e2e0388802e0"},"_deposit":{"created_by":31,"id":"1685","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1685"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001685","sets":["1709617079800:35:325:565"]},"author_link":["110901","110902","110903","110904","110905","110906","110907","110908","110909","110910","110911","110912","110913","110914","110915","110916","110917","110918","110919","110920","110921","110922","110923","110924","110925","110926","110927","110928","110929","110930","110931","110932","110933","110934","110935","110936","110937","110938","110939","110940","110941","110942","110943","110944"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"23","bibliographicPageStart":"15","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki 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of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Iwamoto Medical Clinic"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Chikuba Hospital for Proctological and Gastrointestinal Diseases"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Endoscopy and Ultrasound, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gastroenterology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Clinical Nutrition, Kawasaki University of Medical Welfare・Department of General Internal Medicine 2, Kawasaki Medical School"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"大腸がん検診におけるスクリーニング検査としての大腸CT(CT colonography: CTC)検査の有用性を検討するために,当院における便潜血陽性者に対するCTCと大腸内視鏡検査の精度比較を行った.2009年7月から2014年1月までに川崎医科大学附属病院で施行されたCTC検査673件中,スクリーニング目的で行われた411件の中で便潜血陽性者に対して行われた183名を対象とした.全例CTC検査と同日に全大腸内視鏡検査も行った.対象とする病変は内視鏡観察あるいは病理組織学的に腺腫,がんと診断されたものとした.CTCの前処置は,経口腸管洗浄剤に水溶性造影剤による標識(タギング)を付けて行った.CT装置は16列Multi-slice CT(MSCT),腸管拡張は自動炭酸ガス注入器を使用した.CTC読影は,まず仮想内視鏡(3D)で行い,後に多断面再構成像(Multi-planar reconstruction: MPR 像(2D))を行う3D primary 法で行った.183名(男性98名,女性85名,年齢40～86歳,平均年齢62.1歳±0.8歳)のうち,病変を認めなかったのは87名(47.5%)であり,病変を認めたのは96名(53%)であった.総病変数は191個であり,うち6mm以上の病変は77個(40%)で,そのうち10mm以上のものは46個(24%)であった.大腸癌は25例(全病変中13%)で,うち腺腫内癌16例(全病変中8%)であった.側方発育型腫瘍は8例(4%)(大きさ平均17mm)であった.病変のうち,内視鏡的切除が行われたものは34病変であり,手術が行われたものは22病変であった.病変形態別による描出率は隆起型病変80%で,平坦型病変65%であった.病変サイズ別の精度は10mm以上の病変(n=46)で感度96%,陽性適中率98%であり,6mm以上の病変(n=77)で感度83%,陽性適中率79%であった.CTCは便潜血陽性者において良好な精度を示し,大腸がんスクリーニング法としての可能性がある."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"The purpose of this study was to estimate the sensitivity and specificity of CT colonography (CTC) for colorectal cancer screeing following positive fecal occult blood test (FOBT) in Japan. To compare detection rates of colorectal cancer and adenoma between CTC and optical total colonoscopy (TCS). This study included 183 patients with positive result of FOBT in Japanese colorectal cancer screening program. The patients had both CTC and TCS on the same day. 96 patients (53%) had colorectal lesions, on the other hand 87 patients had no lesions. The total number of lesions was 191, including 77 lesions 6 mm in maximum diameter and larger, including 46 lesions 10 mm and larger."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大澤, 元保","creatorNameLang":"ja"},{"creatorName":"オオサワ, モトヤス","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 啓志","creatorNameLang":"ja"},{"creatorName":"マツモト, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"葉, 祥元","creatorNameLang":"ja"},{"creatorName":"ヨウ, ショウゲン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福嶋, 真弥","creatorNameLang":"ja"},{"creatorName":"フクシマ, シンヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 伸典","creatorNameLang":"ja"},{"creatorName":"ヒライ, シンスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩本, 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Japan","subitem_title_language":"en"}]},"item_type_id":"3","owner":"31","path":["565"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"1685","relation_version_is_last":true,"title":["当院における便潜血陽性者に対する大腸CT(CTコロノグラフィー)検査の有用性:大腸がん検診への導入と課題"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2023-10-10T07:51:41.361804+00:00"}