{"created":"2023-06-19T09:12:40.490870+00:00","id":24540,"links":{},"metadata":{"_buckets":{"deposit":"5d86f97b-d253-42d6-bfd3-fc66c25c96dc"},"_deposit":{"created_by":12,"id":"24540","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"24540"},"status":"published"},"_oai":{"id":"oai:kumadai.repo.nii.ac.jp:00024540","sets":["413:414","585:610:1246"]},"author_link":["158952","158953","159043","158955"],"item_15_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1997-03-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"31","bibliographicPageStart":"25","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"熊本大学医療技術短期大学部紀要","bibliographic_titleLang":"ja"}]}]},"item_15_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"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。","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"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.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_15_publisher_36":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"熊本大学","subitem_publisher_language":"ja"}]},"item_15_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0918-1512","subitem_source_identifier_type":"PISSN"}]},"item_15_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10401515","subitem_source_identifier_type":"NCID"}]},"item_15_subject_20":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"492.1","subitem_subject_scheme":"NDC"}]},"item_15_version_type_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佛坂, 博正","creatorNameLang":"ja"},{"creatorName":"ブッサカ, ヒロマサ","creatorNameLang":"ja-Kana"},{"creatorName":"Bussaka, Hiromasa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"158952","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"島村, 正道","creatorNameLang":"ja"},{"creatorName":"シマムラ, マサミチ","creatorNameLang":"ja-Kana"},{"creatorName":"Shimamura, Masamichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"158953","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"尾道, 三一","creatorNameLang":"ja"},{"creatorName":"オノミチ, ミツカズ","creatorNameLang":"ja-Kana"},{"creatorName":"Onomichi, Mitsukazu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"159043","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 睦正","creatorNameLang":"ja"},{"creatorName":"タカハシ, ミツマサ","creatorNameLang":"ja-Kana"},{"creatorName":"Takahashi, Mutsumasa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"158955","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-03-02"}],"displaytype":"detail","filename":"MT0007_025-031.pdf","filesize":[{"value":"3.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"MT0007_025-031.pdf","url":"https://kumadai.repo.nii.ac.jp/record/24540/files/MT0007_025-031.pdf"},"version_id":"3cbf4dd7-71bb-47aa-8a6a-8bcb276234fd"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"liver iron overload","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"CT","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"MRI","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hemosiderosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hemochromatosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"肝臓の鉄過剰沈着症のCTとMRI","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"肝臓の鉄過剰沈着症のCTとMRI","subitem_title_language":"ja"},{"subitem_title":"カンゾウ ノ テツ カジョウ チンチャク ショウ ノ CT ト MRI","subitem_title_language":"ja-Kana"},{"subitem_title":"CT and MRI of Liver Iron Overload","subitem_title_language":"en"}]},"item_type_id":"15","owner":"12","path":["414","1246"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-02-14"},"publish_date":"2011-02-14","publish_status":"0","recid":"24540","relation_version_is_last":true,"title":["肝臓の鉄過剰沈着症のCTとMRI"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-10-19T04:44:46.988594+00:00"}