論文 - 陣崎　雅弘

充実性腎腫瘤に対する超音波診断の新展開―Bモードとパワードプラの有用性の検討―

陣崎雅弘

慶應医学 75 （ 6 ） 441-452 1998年11月

研究論文（学術雑誌）, 単著

腎動静脈

中原理紀，大熊潔，陣崎雅弘，平松京一

臨床放射線 43 （ 11 ） 1510-1516 1998年10月

研究論文（学術雑誌）, 共著

腎のびまん性疾患

田波穣，大熊潔，陣崎雅弘，中原理紀，平松京一

臨床放射線 43 （ 11 ） 1496-1502 1998年10月

研究論文（学術雑誌）, 共著

腎の腫瘤性疾患

陣崎雅弘，大熊潔，田村良子，田波穣，中原理紀，平松京一

臨床放射線 43 （ 11 ） 1503-1509 1998年10月

研究論文（学術雑誌）, 共著

Small renal cell carcinoma: MRI with pathologic correlation

Shinmoto Hiroshi, Yuasa Yuji, Tanimoto Akihiro, Narimatsu Yoshiaki, Jinzaki Masahiro, Hiramatsu Kyoichi, Mukai Makio

Journal of Magnetic Resonance Imaging 8 （ 3 ） 690 - 694 1998年05月

研究論文（学術雑誌）, 共著,  ISSN  1053-1807

　概要を見る

<p>The MRI features of small renal cell carcinomas (RCCs) were retrospectively reviewed and correlated with histology in 24 patients. MRI features on both T1- and T2-weighted images were classified into hypointensity, isointensity, and hyperintensity. Each tumor was pathologically classified into four types: alveolar, papillary, tubular, and cystic. These findings were correlated with MR signal intensities. Alveolar tumors showed hypointensity to isointensity on T1-weighted image and isointensity to hyperintensity on T2-weighted image. In contrast, all papillary tumors showed hypointensity on T2-weighted image. Four of six tumors with hypointensity on T2-weighted image were caused by hemosiderin deposition, hemorrhage, and necrosis. However, there were two papillary RCCs that showed hypointensity on T2-weighted image despite no hemosiderin deposition and no hemorrhage. We conclude that papillary RCC is associated with T2-hypointense appearance as well as hemosiderin deposition, hemorrhage, and necrosis.</p>

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A case of retroperitoneal angiomyolipoma

Tamura Y., Jinzaki M., Narimatsu Y., Tanimoto A., Ohkuma K., Hiramatsu K., Murai M., Mukai M.

Japanese Journal of Clinical Radiology 43 （ 10 ） 1179 - 1182 1998年

研究論文（学術雑誌）, 共著,  ISSN  0009-9252

　概要を見る

<p>A 63-year-old male was admitted to the hospital on suspicion of right renal tumor. Although angiomyolipoma was highly suspected on CT, US, MRI, and angiography, liposarcoma could not be ruled out. Tumorectomy revealed it was retroperitoneal angiomyolipoma. We reported this rare case with a review of previous literature.</p>

Performance of Gd-EOB-DTPA and superparamagnetic iron oxide particles in the detection of primary liver cancer

Tanimoto A., Satoh Y., Yuasa Y., Jinzaki M., Hiramatsu K.

Journal of Magnetic Resonance Imaging 7 （ 1 ） 120 - 124 1997年

研究論文（学術雑誌）, 共著,  ISSN  1053-1807

　概要を見る

<p>The performance of gadolinium-ethoxybenzyl- diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) and superparamagnetic iron oxide (SPIO) particles in detecting liver cancer was compared using alternative free-response receiver operating characteristic (AFROC) analysis, which allowed observers to indicate both the confidence level and the location of all perceived abnormalities. Axial T1-weighted MR images (1.5 T) pre/post Gd-EOB-DTPA (25 μmol/kg) injection were obtained for 12 rats with chemically induced liver tumors (64 tumors). T2-weighted images (T2WI) were obtained pre/post SPIO (10 μmol/kg) injection for the same animal. Liver signal-to-noise ratio (SNR), tumor liver contrast-to-noise ratio (CNR), and histopathologic sections corresponding to MR images were obtained. In AFROC, the location and the confidence level for each tumor were indicated independently on MR images by four radiologists. By plotting true-positive fraction and probability of false-positive per image, the area under the AFROC curve (A₁) was estimated and statistically analyzed between each sequence. Either drug significantly improved tumor-liver CNR (P &lt; .001) and tumor detection (diameter ≤ 6 mm; P &lt; .05). Gd-EOB-DTPA significantly (P &lt; .05) improved the A₁ in T1W1. There was no A₁ difference between T2WI + SPIO and T1WI + Gd-EOB-DTPA. Gd-EOB-DTPA-enhanced T1WI showed the same performance as SPIO-enhanced T2WI in detecting liver tumors.</p>

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Angiomyolipomas : Imaging findings in lesions with minimal fat

Jinzaki Masahiro, Tanimoto Akihiro, Narimatsu Yoshiaki, Ohkuma Kiyoshi, Kurata Tadayoshi, Shinmoto Hiroshi, Hiramatsu Kyoichi, Mukai Makio

Radiology 205 （ 11 ） 497-502 1997年

研究論文（学術雑誌）, 共著

Liver metastases from colon cancer with intra-bile duct tumor growth

Jinzaki Masahiro, Tanimoto Akihiro, Suzuki Koji, Seki Tatsuo, Satoh Yoshinori, Hiramatsu Kyoichi, Mukai Makio, Nakanishi Izumi

Journal of Computer Assisted Tomography 21 （ 4 ） 656 - 660 1997年

研究論文（学術雑誌）, 共著,  ISSN  0363-8715

　概要を見る

<p>Purpose: Our goal was to characterize the radiologic features of liver metastases from colon cancer with intrahepatic bile duct (IHBD) dilatation. Method: Radiologic findings of liver metastases from colon cancer with IHBD dilatation of four patients were compared with pathologic findings. Results: The cause of bile duct dilatation in all cases was due to papillary tumor growth in the bile duct. In two patients, intra-bile duct tumor growth (IBDTG) was observed on imaging. In the other two patients, IBDTG was not observed, but a nontapered abrupt obstruction of a dilated bile duct was seen, corresponding to the microscopically proven papillary tumor growth in the ductal lumen. In three patients who underwent an extensive hepatic resection, there has been no recurrence. In one patient who had a nonanatomic limited resection, a recurrence was seen 1 year after surgery. Conclusion: When liver tumor with IBDTG is suspected on imaging, liver metastases should be considered in the differential diagnosis besides hepatocellular carcinoma or cholangiocellular carcinoma. Careful preoperative assessment for IBDTG by imaging is essential to determine the extent of surgical resection.</p>

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血管造影上腫瘍の流出静脈を認めた早期再発肝癌の1例

陣崎雅弘，井戸邦雄，成松芳明，橋本統，大熊潔，竹田利明，谷本伸弘，平松京一

Liver Cancer 2 （ 2 ） 115-119 1996年10月

研究論文（学術雑誌）, 共著

Large diffuse arteriovenous malformation affecting the right cerebral and cerebellar hemispheres: case report

Sagoh M, Kodaki K, Ichikizaki K, Izumi C, Satoh T, Shiga H

Surg Neurol 46 （ 2 ） 122-128 1996年08月

研究論文（学術雑誌）, 共著

Can We Know the Frequency of True Late Adverse Reactions to Nonionic Contrast Media?

Jinzaki Masahiro, Ido Kunio, Ogawa Kenji, Hiramatsu Kyoichi

Nippon Acta Radiologica 56 （ 7 ） 520 - 522 1996年06月

研究論文（学術雑誌）, 共著,  ISSN  0048-0428

　概要を見る

<p>We investigated the frequency and causative factors of symptoms unrelated to contrast media (false late adverse reactions) among patients who were evaluated as having late adverse reactions to contrast media. The nature and frequency of complaints stated by each 200 of patients who underwent plain CT scans and enhanced CT scans were evaluated. In the plain CT group, three patients showed false late adverse reactions. The frequency was 2.6% among respondents and 1.5% in the population. These symptoms encompassed psychological effects and diseases that developed after CT scanning. It is difficult to detect only true late adverse reactions, because of survey bias.</p>

上部尿路系のMRI診断

谷本伸弘，湯浅祐二，陣崎雅弘，平松京一

画像診断 16 （ 2 ） 134-145 1996年02月

研究論文（学術雑誌）, 共著

Problems in surveying the incidence of delayed adverse reactions to contrast media

Jinzaki M., Hiramatsu K.

European Radiology 6 （ SUPPL. 3 ）  1996年

研究論文（学術雑誌）, 共著,  ISSN  0938-7994

Advantages of intravascular ultrasound--preliminary experience in patients with peripheral and renal vascular disease

Jinzaki M., Ido K., Shinmoto H., Nakatsuka S., Hiramatsu K.

Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica 53 （ 4 ） 478 - 480 1993年04月

研究論文（学術雑誌）, 共著,  ISSN  0048-0428

　概要を見る

<p>Intravascular ultrasound (IVUS) is a new method in which endovascular images are obtained from a catheter inserted into an artery. We uses IVUS during PTA of iliac and renal artery, and examined its effectiveness. Three layers are well defined in normal arterial wall. Calcified deposits are recognized as a combination of strong echo and acoustic shadow. The absolute cross sectional area of patent lumen and atherosclerotic plaque can be calculated. IVUS is very effective for the assessment of PTA. The increased caliber of arteries following PTA is caused by the over stretching of the media rather than the compression of atheroma.</p>

Comparative study between ultrasonographic and pathohistological findings of small renal cell carcinoma

Jinzaki M., Hisa N., Fujikura Y., Ohkuma K., Tashiro Y., Sugiura H.

Japanese Journal of Medical Ultrasonics 17 （ 3 ） 280 - 287 1990年

研究論文（学術雑誌）, 共著,  ISSN  0287-0592

　概要を見る

<p>We evaluated 12 cases of small renal cell carcinoma without necrosis or hemorrhage, especially concerning their echogenicity in relation to cell types, grading of cellular atypia, amount of stroma, and architectural arrangement. Among the twelve cases, 4 cases were hyperechoic and 8 cases were isoechoic. No hypoechoic lesion was found in this series. There were no meaningful differences in cell types or in the grading of cellular atypia between the hyperechoic type and the isoechoic type. In regard to the amount of stroma, all cases were of the medullary type, so this factor did not contribute to the difference of echogenicity in this series. Concerning the architectural arrangement the isoechoic types consisted of only the alveolar type, while the hyperechoic types were of the tubular type, the papillary type or the alveolar type coexisting with the diffusely scattered cytic type. It is suggested that the alveolar types would be isoechoic, while the tubular, papillary or cystic types would be hyperechoic. These results suggest that cellular factors such as cell types or the grading of cellular atypia may not affect the echogenicity of renal cell carcinoma, but that structural factors such as the architectural arrangement may affect it. Cavitary components of approximately 30-60 μ in diameter were found to be common in the structure of the hyperechoic types. We propose that a standard classification of echogenicity should be determined to facilitate discussion of the relation between echogenicity and pathohistological findings.</p>