{"id":32,"date":"2020-11-19T15:52:33","date_gmt":"2020-11-19T06:52:33","guid":{"rendered":"http:\/\/ketsuryukai.com\/?page_id=32"},"modified":"2026-04-21T15:43:28","modified_gmt":"2026-04-21T06:43:28","slug":"%e4%bb%a3%e8%a1%a8%e4%b8%96%e8%a9%b1%e4%ba%ba%e6%8c%a8%e6%8b%b6","status":"publish","type":"page","link":"https:\/\/ketsuryukai.com\/?page_id=32","title":{"rendered":"\u6328\u62f6"},"content":{"rendered":"\n
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\u3000\u9806\u5929\u5802\u5927\u5b66 \u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\u00a0<\/strong>
\u3000\u677f\u8c37 \u6176\u4e00<\/a>\u3000<\/strong><\/p>\n<\/div><\/div>\n\n\n\n

\u6628\u4eca\u306e\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30fc\u6280\u8853\u306e\u98db\u8e8d\u7684\u306a\u9032\u6b69\u306b\u4f34\u3044\u3001\u591a\u304f\u306e\u7523\u696d\u5206\u91ce\u3068\u3068\u3082\u306b\u5fc3\u81d3\u30fb\u8840\u7ba1\u7cfb\u306e\u753b\u50cf\u8a3a\u65ad\u9818\u57df\u306b\u304a\u3044\u3066\u3082\u3001\u591a\u5927\u306a\u6280\u8853\u9769\u65b0\u304c\u3082\u305f\u3089\u3055\u308c\u3066\u3044\u308b\u3068\u3044\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u305d\u306e\u6280\u8853\u9769\u65b0\u306f\u5f93\u6765\u306e\u767d\u9ed2\u9759\u6b62\u753b\u50cf\u3067\u8a3a\u65ad\u3057\u30ec\u30dd\u30fc\u30c8\u3092\u66f8\u304f\u6642\u4ee3\u304b\u3089\u30ab\u30e9\u30fc\u52d5\u753b\u3092\u898b\u306a\u304c\u3089\u8a3a\u7642\u30ab\u30f3\u30d5\u30a1\u30ec\u30f3\u30b9\u3092\u884c\u3046\u6642\u4ee3\u3078\u3068\u5909\u5bb9\u3092\u3082\u305f\u3089\u3057\u3001\u6a5f\u80fd\u8a3a\u65ad\u3092\u5fc5\u8981\u4e0d\u53ef\u6b20\u3068\u3059\u308b\u5faa\u74b0\u5668\u8a3a\u7642\u306b\u304a\u3044\u3066\u306f\u3001\u5358\u306b\u60c5\u5831\u51e6\u7406\u901f\u5ea6\u3092\u5411\u4e0a\u3057\u305f\u3068\u3044\u3046\u3053\u3068\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u8a3a\u7642\u306e\u8cea\u3092\u5411\u4e0a\u3055\u305b\u308b\u3088\u3046\u306a\u5909\u9769\u3092\u3082\u305f\u3089\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u305d\u306e\u3088\u3046\u306a\u6642\u4ee3\u306e\u4e2d\u3001\u8fd1\u5e74\u8840\u6d41\u3068\u3044\u3046\u751f\u4f53\u73fe\u8c61\u3092\u69d8\u3005\u306a\u65b9\u6cd5\u3067\u53ef\u8996\u5316\u3059\u308b\u6280\u8853\u304c\u53f0\u982d\u3057\u3064\u3064\u3042\u308a\u307e\u3059\u3002\u8840\u6d41\u8a08\u6e2c\u306f\u53e4\u304f\u304b\u3089\u78ba\u7acb\u3055\u308c\u305f\u65b9\u6cd5\u3068\u3057\u3066\u306f\u8d85\u97f3\u6ce2\u30ab\u30e9\u30fc\u30c9\u30d7\u30e9\u6cd5\u3068PC (phase contrast) MRI\u6cd5\u3067\u3059\u304c\u3001\u4f8b\u3048\u3070MRI\u8840\u6d41\u8a08\u6e2c\u306b\u95a2\u3057\u3066\u306fPC\u6cd5\u3092\u65ad\u9762\u901a\u904e(through plane)\u65b9\u5411\u306e\u307f\u306a\u3089\u305a\u9762\u5185\u6d41\u308c(in plane)\u306e\u8840\u6d41\u901f\u5ea6\u5206\u5e03\u8a08\u6e2c\u306b\u3082\u9069\u7528\u3057\u305fphase velocity mapping\u306b\u57fa\u3065\u3044\u3066\u8a08\u6e2c\u65ad\u9762\u5185\u3067\uff13\u6b21\u5143\u306e\u8840\u6d41\u901f\u5ea6\u3092\u8a08\u6e2c\u30fb\u53ef\u8996\u5316\u3059\u308b\u3088\u3046\u306a\u6280\u8853\u3084\u3001\u3055\u3089\u306b\u306f\uff13\u6b21\u5143\u7684\u306a\u7a7a\u9593\u901f\u5ea6\u60c5\u5831\u306b\u6642\u9593\u7684\u5909\u5316\u3092\u52a0\u5473\u3057\u305f4D MRI (3D cine PC MRI)\u304c\u53f0\u982d\u3057\u3001\u30b7\u30fc\u30b1\u30f3\u30b9\u305d\u306e\u3082\u306e\u306f\u4e00\u822c\u8a3a\u7642\u3067\u4f7f\u7528\u53ef\u80fd\u306a\u88c5\u7f6e\u306e\u4e00\u90e8\u306b\u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u6d41\u308c\u306e\u53ef\u8996\u5316\u6cd5\u306e\u4e00\u3064\u3068\u3057\u3066\u5e83\u304f\u77e5\u3089\u308c\u308b\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30fc\u3092\u7528\u3044\u305f\u6d41\u4f53\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3(CFD: computational fluid dynamics)\u306f\u6c17\u4f53\u3084\u6db2\u4f53\u306e\u6d41\u308c\u3092\u4eee\u60f3\u7684\u306b\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3059\u308b\u65b9\u6cd5\u3068\u3057\u3066\u5929\u6c17\u4e88\u5831\u304b\u3089\u81ea\u52d5\u8eca\u306e\u30a8\u30f3\u30b8\u30f3\u306e\u8a2d\u8a08\u307e\u3067\u5e45\u5e83\u304f\u5de5\u696d\u7684\u306b\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u624b\u6cd5\u3067\u3059\u304c\u30011990\u5e74\u4ee3\u3088\u308a\u5358\u7d14\u306a\u8840\u7ba1\u5f62\u72b6\u5185\u3067\u306e\u8840\u6d41\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u306b\u4f7f\u7528\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u4eca\u4e16\u7d00\u521d\u982d\u304b\u3089\u306f\u30b9\u30fc\u30d1\u30fc\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30fc\u3092\u7528\u3044\u305f\u5fc3\u7b4b\u58c1\u904b\u52d5\u3068\u9023\u52d5\u3055\u305b\u305f\u5fc3\u5185\u8840\u6d41\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u304c\u5831\u544a\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u307e\u305f\u8fd1\u5e74\u3067\u306f\u533b\u7642\u7528DICOM\u753b\u50cf\u306b\u57fa\u3065\u304f\u500b\u3005\u306e\u60a3\u8005\u306e\u8840\u7ba1\u5f62\u72b6\u306b\u5408\u308f\u305b\u305f\u6570\u5024\u30e2\u30c7\u30eb(patient-specific model)\u304c\u5148\u9032\u56fd\u3092\u4e2d\u5fc3\u306b\u591a\u304f\u306e\u7814\u7a76\u65bd\u8a2d\u3067\u666e\u53ca\u3059\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u8d85\u97f3\u6ce2\u8840\u6d41\u53ef\u8996\u5316\u306b\u95a2\u3059\u308b\u3053\u306e10\u5e74\u9593\u306e\u9032\u6b69\u3068\u3057\u3066\u3001\u8d85\u97f3\u6ce2\u3092\u7528\u3044\u305f\u5fc3\u5185\u8840\u6d41\u53ef\u8996\u5316\u6cd5\u3068\u3057\u3066Ehco-PIV (particle imaging velocimetry)\u6cd5\u3084VFM(vector flow mapping)\u6cd5\u304c\u958b\u767a\u3055\u308c\u3001\u8d85\u97f3\u6ce2\u30d3\u30fc\u30e0\u30e9\u30a4\u30f3\u65b9\u5411\u306b\u5236\u9650\u3055\u308c\u306a\u3044\u8840\u6d41\u901f\u5ea6\u3092\u30d9\u30af\u30c8\u30eb\u3068\u3057\u3066\u53ef\u8996\u5316\u3057\u3001\u5fc3\u5ba4\u5185\u6e26\u6d41\u3092\u5b9a\u91cf\u3057\u3001\u305d\u3053\u304b\u3089\u751f\u7406\u5b66\u7684\u306a\u3042\u308b\u3044\u306f\u75c5\u614b\u751f\u7406\u5b66\u7684\u306a\u610f\u7fa9\u3092\u898b\u51fa\u305d\u3046\u3068\u3044\u3046\u8a66\u307f\u304c\u306a\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

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\u3082\u3046\u4e00\u3064\u306e\u554f\u984c\u70b9\u306f\u3088\u308a\u91cd\u8981\u306a\u3082\u306e\u3067\u3001\u65b0\u3057\u3044\u6280\u8853\u306e\u81e8\u5e8a\u5fdc\u7528\u306e\u65b9\u6cd5\u306b\u95a2\u3059\u308b\u554f\u984c\u3067\u3059\u3002\u4f8b\u3048\u3070\u300c\u5fc3\u5ba4\u5185\u306e\u6e26\u6d41\u304c\u898b\u3048\u308b\u3068\u3057\u3066\u3001\u305d\u308c\u3092\u3069\u3046\u89e3\u91c8\u3057\u305f\u3089\u3088\u3044\u306e\u304b\u300d\u3068\u3044\u3063\u305f\u3053\u3068\u3084\u300cshear stress\u306e\u30ab\u30e9\u30fc\u5206\u5e03\u304c\u308f\u304b\u308b\u3068\u3057\u3066\u305d\u308c\u304c\u9ad8\u3044\u3053\u3068\u306a\u3044\u3057\u4f4e\u3044\u3053\u3068\u304c\u5185\u76ae\u306b\u3069\u306e\u3088\u3046\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u3001\u8840\u7ba1\u75c5\u306eoutcome\u306b\u3069\u306e\u3088\u3046\u306b\u304b\u304b\u308f\u308b\u306e\u304b\u300d\u3068\u3044\u3063\u305f\u985e\u306e\u554f\u984c\u3067\u3059\u3002\u6700\u5148\u7aef\u6280\u8853\u306b\u632f\u308a\u56de\u3055\u308c\u305a\u3001\u3088\u3044\u6280\u8853\u3092\u4f7f\u3044\u3053\u306a\u3059\u306b\u306f\u3069\u3046\u3059\u308c\u3070\u3088\u3044\u306e\u304b\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u65e5\u5e38\u8a3a\u7642\u306e\u4e2d\u3067\u5bb9\u6613\u306b\u306f\u89e3\u6c7a\u3057\u306b\u304f\u3044\u4e8b\u67c4\u306b\u5bfe\u3057\u3066\u3058\u3063\u304f\u308a\u3068\u5411\u304d\u5408\u3046\u3053\u3068\u3068\u540c\u6642\u306b\u3001\u8996\u91ce\u3092\u5e83\u304f\u6301\u3064\u3053\u3068\u304c\u89e3\u6c7a\u306e\u7cf8\u53e3\u306b\u306a\u308a\u3046\u308b\u3053\u3068\u306f\u3057\u3070\u3057\u3070\u3042\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u81e8\u5e8a\u73fe\u5834\u306e\u5074\u304b\u3089\u306e\u554f\u984c\u63d0\u8d77\u30fb\u8981\u6c42\u3092\u7684\u78ba\u306b\u4f1d\u3048\u5171\u6709\u3057\u3001\u89e3\u6c7a\u306b\u76f4\u7d50\u3059\u308b\u6280\u8853\u3092\u63a2\u3057\u6c42\u3081\u308b\u3068\u3044\u3046\u65b9\u5411\u6027\u3068\u65b0\u3057\u3044\u6280\u8853\u30fb\u65b0\u3057\u3044\u6307\u6a19\u304c\u958b\u767a\u3055\u308c\u305d\u308c\u3092\u7a2e\u3005\u306e\u81e8\u5e8a\u7684\u8ab2\u984c\u306e\u4e2d\u3067\u3088\u304f\u9069\u7528\u3055\u308c\u308b\u7cfb\u3092\u898b\u3064\u3051\u308b\u3068\u3044\u3046\u65b9\u5411\u6027\u3068\u306e\u4e21\u65b9\u304c\u76f8\u307e\u3063\u3066\u306a\u3055\u308c\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

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