{"created":"2025-01-09T05:34:47.208833+00:00","id":2003379,"links":{},"metadata":{"_buckets":{"deposit":"028428e9-e115-473b-ab91-5e711f435c4d"},"_deposit":{"created_by":25,"id":"2003379","owner":"25","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"2003379"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:02003379","sets":["4:71","4:71:1709270345492","4:71:1709270345492:1736232811823"]},"author_link":["4191","4195","3652","4199"],"item_10002_biblio_info_7":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-12-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicNumberOfPages":"6","bibliographicPageEnd":"540","bibliographicPageStart":"535","bibliographicVolumeNumber":"75","bibliographic_titles":[{"bibliographic_title":"横浜医学","bibliographic_titleLang":"ja"},{"bibliographic_title":"YOKOHAMA MEDICAL JOURNAL","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"［背景］肺癌の胸膜浸潤の評価は手術計画のために重要である．画像での術前胸膜浸潤の診断基準は確立されていない．肺癌術前の壁側胸膜浸潤の評価に，呼吸をさせながら撮像する4DCTが有用であることが報告されている．［目的］Vitrea Workstation胸膜癒着解析ソフト（癒着ソフト）が，肺癌の胸膜浸潤/癒着を自動で正しく評価できるか検討した．［材料と方法］対象は術前に4DCTを撮影し，当院で手術を行い，CTで胸膜と接していた肺癌の連続症例16名である．4DCTの画像を2名の放射線科医が肉眼で評価した結果，および癒着ソフトの結果を，後ろ向きに手術所見や病理所見と比較検討した．［結果］放射線科医による4DCTの腫瘍の胸膜浸潤評価では，放射線科医Aでは16名中11名（感度66.7％，特異度70.0％）で，放射線科医Bでは16名中13名（感度83.3％，特異度80. 0 ％）で病理所見と一致していた．癒着ソフトでは，16名中9名で自動解析でき，そのうち8名で腫瘍の胸膜浸潤評価は病理所見と一致し（感度75.0％，特異度100％），これら8名では放射線科医の判定とも一致していた．自動解析が可能であった9名と解析できなかった7名との比較で，解析できなかった7名は腫瘍がやや大きく，腫瘍と胸膜の接する部分の長さが大きい傾向はあったが有意差はなかった．［結語］4DCTの癒着ソフトによる解析で，肺癌の胸膜浸潤の評価が可能であった．胸膜癒着解析ソフトは，現時点では解析できない症例もあり，さらに改良が必要である．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_full_name_3":{"attribute_name":"著者（英）","attribute_value_mlt":[{"names":[{"name":"Mariko 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