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  1. 医学
  2. 紀要論文(医学系)
  1. 掲載誌一覧
  2. 熊本大学医療技術短期大学部紀要
  3. Vol.7

肝臓の鉄過剰沈着症のCTとMRI

http://hdl.handle.net/2298/17980
http://hdl.handle.net/2298/17980
31b2372b-a7d4-4ead-adf2-1442178b22a1
名前 / ファイル ライセンス アクション
MT0007_025-031.pdf MT0007_025-031.pdf (3.6 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2011-02-14
タイトル
言語 ja
タイトル 肝臓の鉄過剰沈着症のCTとMRI
タイトル
言語 ja-Kana
タイトル カンゾウ ノ テツ カジョウ チンチャク ショウ ノ CT ト MRI
タイトル
言語 en
タイトル CT and MRI of Liver Iron Overload
言語
言語 jpn
キーワード
主題 liver iron overload, CT, MRI, hemosiderosis, hemochromatosis
資源タイプ
資源タイプ departmental bulletin paper
著者 佛坂, 博正

× 佛坂, 博正

WEKO 158952

ja 佛坂, 博正

ja-Kana ブッサカ, ヒロマサ

en Bussaka, Hiromasa

Search repository
島村, 正道

× 島村, 正道

WEKO 158953

ja 島村, 正道

ja-Kana シマムラ, マサミチ

en Shimamura, Masamichi

Search repository
尾道, 三一

× 尾道, 三一

WEKO 159043

ja 尾道, 三一

ja-Kana オノミチ, ミツカズ

en Onomichi, Mitsukazu

Search repository
高橋, 睦正

× 高橋, 睦正

WEKO 158955

ja 高橋, 睦正

ja-Kana タカハシ, ミツマサ

en Takahashi, Mutsumasa

Search repository
内容記述
内容記述 肝臓の鉄過剰沈着症には、ヘモクロマトーシスとヘモジデローシスとがある。ヘモクロマトーシスは、肝細胞に鉄が過剰に沈着して肝細胞障害や肝細胞癌などを起こすので、早期発見と早期治療が必要である。しかし、ヘモジデローシスは網内系細胞に過剰の鉄沈着を観察するが、肝機能障害の発生は少ないので、両者の鑑別は重要である。従来は、血清中の鉄とフェリチンの値およびCT検査を参考に鉄過剰沈着症の診断がなされる場合が多かった。しかし、最近は鉄沈着の検出に優れているMRIを利用した報告が散見されるようになった。今回は、肝臓の過剰沈着症と診断された16症例について、CTとMRIを比較検討したので、若干の基礎的検討を加えて報告する。
内容記述
内容記述 Liver iron overload is suspected when the levels of serum iron and ferritin are high. High density of the liver and CT attenuation more than 70 supports the diagnosis. MRI is more sensitive for iron deposition than CT. Therefore, we compared CT and MRI for the detection of liver iron overload and for the differential deagnosis. Experimental study showed high sensitivity of MRI on T2 weighted image in comparison to CT for the detection of iron. Clinical study was performed on 16 cases;five cases with hemochromatosis and eleven cases with hemosiderosis. Computed tomography was useful for the cases of hemochromatosis with high density and CT value more than 70, but was not useful for hemosiderosis. MRI was useful for the detection of hemochromatiosis and hemosiderosis, but differential diagnosis was difficult in spite of high sensitivity.
書誌情報 ja : 熊本大学医療技術短期大学部紀要

巻 7, p. 25-31, 発行年 1997-03-01
ISSN
収録物識別子 0918-1512
NCID
収録物識別子 AN10401515
著者版フラグ
出版タイプ VoR
日本十進分類法
主題 492.1
出版者
言語 ja
出版者 熊本大学
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