{"created":"2023-05-18T10:12:02.625580+00:00","id":3908,"links":{},"metadata":{"_buckets":{"deposit":"8c0756bb-0172-415e-99d7-d62113fef8f1"},"_deposit":{"created_by":5,"id":"3908","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"3908"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003908","sets":["205:357:370"]},"author_link":[],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"21","bibliographicPageStart":"17","bibliographicVolumeNumber":"20","bibliographic_titles":[{"bibliographic_title":"山梨肺癌研究会会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Yamanashi Society for Lung Cancer","bibliographic_titleLang":"en"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"加藤, 聡","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"宮澤, 伸彦","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"篠原, 豊明","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"南部, 敦史","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"斉藤, 彰俊","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"石亀, 慶一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"松本, 敬子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"佐藤, 葉子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"荒木, 力","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"遠山, 敬司","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"野方, 容子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"曹, 博信","creatorNameLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"【目的】FDG-PETを用いた非小細胞肺癌のリンパ節転移診断に関して、delayed scan の有用性について検討した。【対象】2004年12月～2006年8月の間に手術が施行された非小細胞肺癌58症例(腺癌37症例、扁平上皮癌18症例、他3症例)(N2 14症例、N1 15症例、N0 29症例)を対象とし、病理にてリンパ節転移の有無が診断された計348領域のリンパ節(縦隔 180領域、肺門部 168領域)について検討を行った。【方法】対象のうち、46領域(縦隔 17領域、肺門部 29領域)で転移が確認された。PET-CTによる撮像をFDG投与後1時間(早期相)で行い、胸部に関しては投与後2時間(後期相)で再度撮像した。各リンパ節領域のSUV maxを早期相、後期相でそれぞれ計測し、視覚的に集積が認識できるリンパ節領域(今回の検討では早期 SUV max が1.5以上のものを対象とした)に関しては、早期相から後期相へのSUV max の増加率を算出した。さらにSUV max と増加率を用いて、リンパ節転移の検出能を検討した。【結果】SUV max の増加率の平均は、縦隔において転移ありのリンパ節領域 18.69%、転移なしのリンパ節領域 -0.49%。肺門部において転移ありのリンパ節領域 15.95%、転移なしのリンパ節領域 1.62%であった。リンパ節転移の有無でSUV max の増加率にそれぞれ有意差を認めた。SUV max 2.5、2.0をカットオフ値として、感度、特異度、正診率を算出すると、それぞれ32.6%, 94.7%, 86.5%、50.0%, 82.8%, 78.4%であった。これに増加率>10%を組み合わせると、それぞれ31.0%, 98.0%, 88.8%、47.8%, 95.7%, 89.4%となり、正診率の向上を認めた。【結論】非小細胞肺癌のリンパ節転移診断で、転移リンパ節では後期相FDGの集積が有意に増加し、診断の一助になると考えられた。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003901","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨肺癌研究会","subitem_publisher_language":"ja"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10355815"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-7053"}]},"item_10001_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_language":"ja-Kana","subitem_text_value":"ヒショウサイボウハイガン ノ リンパセツ テンイ シンダン ニ オケル FDG-PET Delayed scan ノ ユウヨウセイ ノ ケントウ"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-27"}],"displaytype":"detail","filename":"KJ00004680695.pdf","filesize":[{"value":"567.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004680695.pdf","objectType":"fulltext","url":"https://yamanashi.repo.nii.ac.jp/record/3908/files/KJ00004680695.pdf"},"version_id":"9232608e-e82d-4488-9018-837d35dec2a5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"FDG","subitem_subject_language":"en"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"非小細胞肺癌のリンパ節転移診断におけるFDG-PET Delayed scan の有用性の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"非小細胞肺癌のリンパ節転移診断におけるFDG-PET Delayed scan の有用性の検討","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"5","path":["370"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-03-13"},"publish_date":"2009-03-13","publish_status":"0","recid":"3908","relation_version_is_last":true,"title":["非小細胞肺癌のリンパ節転移診断におけるFDG-PET Delayed scan の有用性の検討"],"weko_creator_id":"5","weko_shared_id":-1},"updated":"2023-10-11T07:51:02.268587+00:00"}