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Image quality improvement and radiation dose reduction in ultrahigh-resolution CT with iterative reconstruction

Research Project

Project/Area Number 18K07643
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52040:Radiological sciences-related
Research InstitutionTokyo Women's Medical University (2021-2023)
Kyorin University (2018-2020)

Principal Investigator

Machida Haruhiko  東京女子医科大学, 医学部, 教授 (70439834)

Co-Investigator(Kenkyū-buntansha) 横山 健一  杏林大学, 医学部, 教授 (20383680)
Project Period (FY) 2018-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords超高精細CT / 逐次近似再構成 / 深層学習再構成 / 高空間分解能 / 被ばく低減 / 造影剤減量
Outline of Final Research Achievements

Increased spatial resolution by ultrahigh-resolution CT (UHRCT) improved the delineation of fine structures in the middle and inner ears at CT of the temporal bones and peripheral bronchi at CT virtual bronchoscopy. UHRCT with iterative reconstruction improved the delineation of small vessels, such as perforating arteries of the brain, at CT angiography. UHRCT with deep learning reconstruction, compared with iterative reconstruction, improved subjective acceptance by radiologists to accurately detect fine recurrent, disseminated, and/or metastatic lesions while reducing the doses of ionizing radiation and contrast medium and preserving image quality at contrast-enhanced body CT for oncologic follow-up.

Academic Significance and Societal Importance of the Research Achievements

本研究により、超高精細CTは中耳・内耳、肺・気管支などの画像コントラストが高い領域だけでなく、逐次近似再構成法や深層学習再構成法を適宜併用することでコントラストが低い領域でも十分な画質を維持しつつ空間分解能を向上し、微細な構造・病変の描出を改善できることが判明した。よって、超高精細CTは従来CTより様々な領域で診断能を改善し、侵襲的な検査を省略可能である。逐次近似再構成法や深層学習再構成法を併用することで、被ばくや造影剤量も低減しうるため、臨床的に大変有用と考えられる。

Report

(7 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (114 results)

All 2024 2023 2022 2021 2020 2019 2018

All Journal Article (36 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 27 results,  Open Access: 7 results) Presentation (74 results) (of which Int'l Joint Research: 19 results,  Invited: 36 results) Book (4 results)

  • [Journal Article] CT Fistulography Documented Colocutaneous Fistula Secondary to Diverticulitis2024

    • Author(s)
      Kariyasu Toshiya、Nishikawa Makiko、Yamaguchi Hidenori、Machida Haruhiko
    • Journal Title

      Internal Medicine

      Volume: 63 Issue: 17 Pages: 2469-2470

    • DOI

      10.2169/internalmedicine.3140-23

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2024-09-01
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Direct Extension of IgG4-Related Periarteritis of the Coronary Artery to the Adjacent Myocardium Demonstrated Using Dual-Energy Cardiac Computed Tomography2024

    • Author(s)
      Yoshino Yuichi、Goda Ayumi、Shimizu Yuta、Mohri Takato、Takeuchi Shinsuke、Koyama Kohei、Machida Haruhiko、Yokoyama Kenichi、Soejima Kyoko、Kohno Takashi
    • Journal Title

      Circulation Journal

      Volume: 88 Issue: 3 Pages: 434

    • DOI

      10.1253/circj.CJ-23-0849

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2024-02-22
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Renal arteriovenous malformation treated using glue embolization under inflow and outflow control by balloon occlusion2024

    • Author(s)
      Suzuki Tensei、Yamaguchi Hidenori、Kojima Mitsuaki、Kariyasu Toshiya、Nakamoto Raira、Nishikawa Makiko、Machida Haruhiko、Shoko Tomohisa
    • Journal Title

      Radiology Case Reports

      Volume: 19 Issue: 5 Pages: 2035-2038

    • DOI

      10.1016/j.radcr.2024.02.032

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Comparison of the diagnostic and prognostic abilities of flexible laryngoscopy and dynamic digital radiography for vocal cord paralysis: A prospective observational study2024

    • Author(s)
      Shibuya Yukimi、Hirano Koichi、Miyamoto Makoto、Mitsuma Tomoya、Nakazato Yoko、Matsutani Noritsugu、Tanaka Ryota、Machida Haruhiko、Kondo Haruhiko
    • Journal Title

      Head Neck

      Volume: 46 Issue: 6 Pages: 1280-1293

    • DOI

      10.1002/hed.27756

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Image quality of coronary CT angiography at ultra low tube voltage reconstructed with a deep-learning image reconstruction algorithm in patients of different weight2023

    • Author(s)
      Zhu Lijuan、Ha Ruoshui、Machida Haruhiko、Shi Xiaomeng、Wang Fang、Chen Kemin、Chen Dazhi、Cao Yongpei、Shen Yun、Yang Lili
    • Journal Title

      Quantitative Imaging in Medicine and Surgery

      Volume: 13 Issue: 6 Pages: 3891-3901

    • DOI

      10.21037/qims-22-1141

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] High-risk imaging characteristics in left ventricular apex for the life-threatening arrhythmic events in Japanese hypertrophic cardiomyopathy patients2023

    • Author(s)
      Hen Yasuki、Otaki Yuka、Iguchi Nobuo、Takara Ayako、Takada Kaori、Kanisawa Mitsuru、Machida Haruhiko、Inoue Kanki、Takamisawa Itaru、Takayama Morimasa
    • Journal Title

      Heart and Vessels

      Volume: 38 Issue: 12 Pages: 1442-1450

    • DOI

      10.1007/s00380-023-02295-0

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of an Ultrahigh b Value of 3000 s/mm<sup>2</sup> and the Minimal Echo-time on Image Quality and the T2 Shine-through Effect in Diffusion-weighted Imaging of the Liver at 3T: Phantom and Clinical Pilot Studies2023

    • Author(s)
      Fukushima Keita、Sano Katsuhiro、Machida Haruhiko、Kariyasu Toshiya、Yoshioka Tatsuya、Takahashi Sanae、Nakanishi Akihito、Kusahara Hiroshi、Yokoyama Kenichi
    • Journal Title

      Magnetic Resonance in Medical Sciences

      Volume: 22 Issue: 2 Pages: 232-240

    • DOI

      10.2463/mrms.mp.2021-0077

    • ISSN
      1347-3182, 1880-2206
    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Proposal for a New Vesical Imaging-Reporting and Data System (VI-RADS)-Based Algorithm for the Management of Bladder Cancer: A Paradigm Shift From the Current Transurethral Resection of Bladder Tumor (TURBT)-Dependent Practice2022

    • Author(s)
      Taguchi Satoru、Watanabe Masanaka、Tambo Mitsuhiro、Machida Haruhiko、Yokoyama Kenichi、Fukuhara Hiroshi
    • Journal Title

      Clinical Genitourinary Cancer

      Volume: 20 Issue: 4 Pages: e291-e295

    • DOI

      10.1016/j.clgc.2022.03.002

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical validity of non-contrast-enhanced VI-RADS: prospective study using 3-T MRI with high-gradient magnetic field2022

    • Author(s)
      Watanabe Masanaka、Taguchi Satoru、Machida Haruhiko、Tambo Mitsuhiro、Takeshita Yuhei、Kariyasu Toshiya、Fukushima Keita、Shimizu Yuta、Okegawa Takatsugu、Fukuhara Hiroshi、Yokoyama Kenichi
    • Journal Title

      European Radiology

      Volume: 32 Issue: 11 Pages: 7513-7521

    • DOI

      10.1007/s00330-022-08813-4

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pulmonary infarction associated with Takayasu arteritis that initially manifested as refractory pneumonia2022

    • Author(s)
      Kariyasu Toshiya、Yamaguchi Hidenori、Nishikawa Makiko、Machida Haruhiko
    • Journal Title

      European Heart Journal - Cardiovascular Imaging

      Volume: 23 Issue: 9 Pages: e323-e323

    • DOI

      10.1093/ehjci/jeac097

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bilateral recurrent laryngeal nerve paralysis diagnosed using dynamic digital radiography during the COVID‐19 pandemic2022

    • Author(s)
      Shibuya Yukimi、Hirano Koichi、Machida Haruhiko、Miyamoto Makoto、Watabe Kozue、Mitsuma Tomoya、Nakazato Yoko、Tachibana Keisei、Tanaka Ryota、Kondo Haruhiko
    • Journal Title

      Clinical Case Reports

      Volume: 10 Issue: 7

    • DOI

      10.1002/ccr3.6124

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Acute myocardial infarction identified by dual-energy cardiac computed tomography without additional contrast media injection immediately following catheter coronary angiography2022

    • Author(s)
      Kariyasu Toshiya、Yamaguchi Hidenori、Nishikawa Makiko、Machida Haruhiko
    • Journal Title

      European Heart Journal - Case Reports

      Volume: 6 Issue: 7

    • DOI

      10.1093/ehjcr/ytac299

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Denoising using deep-learning-based reconstruction for whole-heart coronary MRA with sub-millimeter isotropic resolution at 3T: a volunteer study2022

    • Author(s)
      Toshiya Kariyasu, Haruhiko Machida, Sanae Takahashi, Keita Fukushima, Tatsuya Yoshioka, Kenichi Yokoyama
    • Journal Title

      Diagn Interv Radiol

      Volume: - Issue: 5 Pages: 470-477

    • DOI

      10.5152/dir.2022.21291

    • Related Report
      2022 Research-status Report 2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Correlation between CT Value on Lung Subtraction CT and Radioactive Count on Perfusion Lung Single Photon Emission CT in Chronic Thromboembolic Pulmonary Hypertension2022

    • Author(s)
      Kariyasu Toshiya、Machida Haruhiko、Yamashiro Tsuneo、Fukushima Keita、Koyanagi Masamichi、Yokoyama Kenichi、Nishikawa Makiko、Satoh Toru
    • Journal Title

      Diagnostics

      Volume: 12 Issue: 11 Pages: 2895-2895

    • DOI

      10.3390/diagnostics12112895

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Deep learning-based age estimation from chest X-rays indicates cardiovascular prognosis2022

    • Author(s)
      Ieki Hirotaka、Ito Kaoru、Saji Mike、Kawakami Rei、Nagatomo Yuji、Takada Kaori、Kariyasu Toshiya、Machida Haruhiko、Koyama Satoshi、Yoshida Hiroki、Kurosawa Ryo、Matsunaga Hiroshi、Miyazawa Kazuo、Ozaki Kouichi、Onouchi Yoshihiro、Katsushika Susumu
    • Journal Title

      Communications Medicine

      Volume: 2 Issue: 1 Pages: 159-159

    • DOI

      10.1038/s43856-022-00220-6

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 私が考えるCTの臨床的価値2022

    • Author(s)
      町田治彦
    • Journal Title

      インナービジョン

      Volume: 37 Pages: 38-43

    • Related Report
      2022 Research-status Report
  • [Journal Article] Pulmonary Artery Aneurysm Diagnosed by Dynamic Digital Chest Radiography2022

    • Author(s)
      Shibuya Yukimi、Machida Haruhiko、Yoshiike Shinya、Suda Kazuharu、Tanaka Ryota、Fujiwara Masachika、Yokoyama Kenichi、Kondo Haruhiko
    • Journal Title

      The Annals of Thoracic Surgery

      Volume: 113 Issue: 2 Pages: e87-e90

    • DOI

      10.1016/j.athoracsur.2021.04.091

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] 最新CT技術の臨床応用 ─超高精細CTとスペクトラルCTの臨床的有用性─2021

    • Author(s)
      町田 治彦、志賀 久恵、大原 有紗、五明 美穂、横山 健一、西川 真木子、苅安 俊哉、安達 卓哉、清水 裕太、新井 隆弘、福島 啓太、山村 亘、小柳 正道
    • Journal Title

      JOURNAL OF THE KYORIN MEDICAL SOCIETY

      Volume: 52 Issue: 3 Pages: 123-132

    • DOI

      10.11434/kyorinmed.52.123

    • NAID

      130008093641

    • ISSN
      0368-5829, 1349-886X
    • Year and Date
      2021-09-29
    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] 高性能3テスラMRIの最新技術と臨床応用2021

    • Author(s)
      福島 啓太、横山 健一、町田 治彦、苅安 俊哉、渡邉 正中、五明 美穂、高橋 沙奈江、齋藤 駿、吉岡 達也、中西 章仁
    • Journal Title

      JOURNAL OF THE KYORIN MEDICAL SOCIETY

      Volume: 52 Issue: 3 Pages: 133-140

    • DOI

      10.11434/kyorinmed.52.133

    • NAID

      130008093640

    • ISSN
      0368-5829, 1349-886X
    • Year and Date
      2021-09-29
    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Image quality and radiologists’ subjective acceptance using model-based iterative and deep learning reconstructions as adjuncts to ultrahigh-resolution CT in low-dose contrast-enhanced abdominopelvic CT: phantom and clinical pilot studies2021

    • Author(s)
      Nishikawa Makiko、Machida Haruhiko、Shimizu Yuta、Kariyasu Toshiya、Morisaka Hiroyuki、Adachi Takuya、Nakai Takehiro、Sakaguchi Kosuke、Saito Shun、Matsumoto Saki、Koyanagi Masamichi、Yokoyama Kenichi
    • Journal Title

      Abdominal Radiology

      Volume: 47 Issue: 2 Pages: 891-902

    • DOI

      10.1007/s00261-021-03373-5

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Emergent transcatheter arterial embolization to control critical blood pressure fluctuation associated with hypercatecholaminemic crisis in a patient with an unruptured retroperitoneal paraganglioma2021

    • Author(s)
      Kariyasu Toshiya、Machida Haruhiko、Nishina Yoshio、Tambo Mitsuhiro、Miyagawa Shogo、Rakue Takayuki、Sumitani Yoshikazu、Yasuda Kazuki、Shibahara Junji、Yokoyama Kenichi
    • Journal Title

      Radiology Case Reports

      Volume: 16 Issue: 8 Pages: 2065-2071

    • DOI

      10.1016/j.radcr.2021.05.018

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Novel diagnostic and therapeutic approaches to pulmonary hypertension due to the unilateral absence of a pulmonary artery2021

    • Author(s)
      Nagamatsu Yuki、Goda Ayumi、Ito Junnosuke、Takeuchi Kaori、Kikuchi Hanako、Kariyasu Toshiya、Machida Haruhiko、Inami Takumi、Kohno Takashi、Soejima Kyoko、Satoh Toru
    • Journal Title

      ESC Heart Failure

      Volume: 8 Issue: 4 Pages: 3427-3430

    • DOI

      10.1002/ehf2.13459

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] VI-RADSの基本と最新MRI装置による新たな撮像法2021

    • Author(s)
      渡邉正中, 町田治彦, 田口慧, 多武保光宏, 苅安俊哉, 竹下祐平, 福島啓太, 斎藤駿, 福原浩, 横山健一
    • Journal Title

      映像情報Medical

      Volume: 53 Pages: 14-20

    • Related Report
      2021 Research-status Report
  • [Journal Article] Prospective Validation of Vesical Imaging-Reporting and Data System Using a Next-Generation Magnetic Resonance Imaging Scanner?Is Denoising Deep Learning Reconstruction Useful?2021

    • Author(s)
      Taguchi Satoru、Tambo Mitsuhiro、Watanabe Masanaka、Machida Haruhiko、Kariyasu Toshiya、Fukushima Keita、Shimizu Yuta、Okegawa Takatsugu、Yokoyama Kenichi、Fukuhara Hiroshi
    • Journal Title

      Journal of Urology

      Volume: 205 Issue: 3 Pages: 686-692

    • DOI

      10.1097/ju.0000000000001373

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Improved delineation of CT virtual bronchoscopy by ultrahigh-resolution CT: comparison among different reconstruction parameters2020

    • Author(s)
      Adachi Takuya、Machida Haruhiko、Nishikawa Makiko、Arai Takahiro、Kariyasu Toshiya、Koyanagi Masamichi、Yokoyama Kenichi
    • Journal Title

      Japanese Journal of Radiology

      Volume: - Issue: 9 Pages: 884-889

    • DOI

      10.1007/s11604-020-00972-y

    • NAID

      50014592600

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Improved image quality of temporal bone CT with an ultrahigh-resolution CT scanner: clinical pilot studies2020

    • Author(s)
      Ohara Arisa、Machida Haruhiko、Shiga Hisae、Yamamura Wataru、Yokoyama Kenichi
    • Journal Title

      Japanese Journal of Radiology

      Volume: - Issue: 9 Pages: 878-883

    • DOI

      10.1007/s11604-020-00987-5

    • NAID

      50014592599

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical applications of digital angiography with the harmonization function in body interventional radiology2020

    • Author(s)
      Tateishi Hidekatsu、Kuroki Kazunori、Machida Haruhiko、Iwamoto Toshihiko、Kariyasu Toshiya、Kinoshita Yuusuke、Watanabe Masanaka、Shiga Hisae、Yuda Saori、Yokoyama Kenichi
    • Journal Title

      Japanese Journal of Radiology

      Volume: - Issue: 10 Pages: 922-933

    • DOI

      10.1007/s11604-020-00990-w

    • NAID

      50014626216

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of Ultra High-Resolution Computed Tomography and Model-Based Iterative Reconstruction on Detectability of Simulated Submillimeter Artery2020

    • Author(s)
      Morisaka Hiroyuki、Shimizu Yuta、Adachi Takuya、Fukushima Keita、Arai Takahiro、Yamamura Wataru、Koyanagi Masamichi、Kariyasu Toshiya、Machida Haruhiko、Sano Katsuhiro、Yokoyama Kenichi、Ichikawa Tomoaki
    • Journal Title

      Journal of Computer Assisted Tomography

      Volume: 44 Issue: 1 Pages: 32-36

    • DOI

      10.1097/rct.0000000000000963

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 杏林大学医学部付属病院におけるSpectral CT臨床活用の実際2020

    • Author(s)
      町田治彦、西川真木子、志賀久恵、苅安俊哉、横山健一、清水裕太、安達卓哉、松島紗織、小柳正道、中西章仁
    • Journal Title

      インナービジョン

      Volume: 35 Pages: 22-26

    • Related Report
      2019 Research-status Report
  • [Journal Article] 大動脈-CTによる大動脈瘤・大動脈解離の経過観察のポイント-2020

    • Author(s)
      沈金花、町田治彦、志賀久恵、横山健一
    • Journal Title

      臨床画像

      Volume: 36 Pages: 622-632

    • Related Report
      2019 Research-status Report
  • [Journal Article] マルチモダリティによる心臓画像診断のトレンド2019

    • Author(s)
      町田治彦
    • Journal Title

      インナービジョン

      Volume: 34 Pages: 3-5

    • Related Report
      2019 Research-status Report
  • [Journal Article] 胸部X線写真 心大血管病変2019

    • Author(s)
      西川真木子、町田治彦、渡邉正中、立石秀勝、苅安俊哉、横山健一、辺泰樹
    • Journal Title

      臨床画像

      Volume: 35 Pages: 50-64

    • Related Report
      2019 Research-status Report
  • [Journal Article] 心大血管病変 辺縁に注目する2019

    • Author(s)
      奥田俊、町田治彦、西川真木子、苅安俊哉、横山 健一
    • Journal Title

      臨床画像

      Volume: 35 Pages: 1420-1431

    • Related Report
      2019 Research-status Report
  • [Journal Article] 心疾患の包括的評価2019

    • Author(s)
      志賀久恵、町田治彦、辺泰樹、横山健一
    • Journal Title

      胸部外科

      Volume: 72 Pages: 946-953

    • Related Report
      2019 Research-status Report
  • [Journal Article] Clinical impact of visceral-to-subcutaneous fat ratio in patients with acute aortic dissection2019

    • Author(s)
      Miura Yusuke、Higuchi Satoshi、Matsushita Kenichi、Kariyasu Toshiya、Machida Haruhiko、Yokoyama Kenichi、Soejima Kyoko、Satoh Toru
    • Journal Title

      PLOS ONE

      Volume: 14 Issue: 12 Pages: e0226642-e0226642

    • DOI

      10.1371/journal.pone.0226642

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] マルチモダリティによる心臓画像診断のトレンド-非侵襲的にどこまで迫れるか.2019

    • Author(s)
      町田治彦
    • Journal Title

      インナービジョン

      Volume: 34 Pages: 3-5

    • Related Report
      2018 Research-status Report
  • [Presentation] CTの価値を考える2023

    • Author(s)
      町田治彦
    • Organizer
      第7回Tsukiji RT Conference
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Radiation Dose and Image Quality at Coronary CT Angiography Using a 256-detector Scanner at Different Heart Rates2023

    • Author(s)
      Rika Fukui, Haruhiko Machida, Shingo Harashima, Wakana Samejima, Isao Tanaka, Hitoshi Takeuchi, Toshiya Kariyasu, Makiko Nishikawa, Hidenori Yamaguchi, Yun Shen, Yuta Hirose
    • Organizer
      Radiology Society of North America (RSNA) 2023
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Clinical usefulness of the latest 256-detector CT scanner with 3D anti-scatter system and multi-material artifact reduction algorithm to reduce pseudoenhancement of renal cysts in abdominal contrast-enhanced CT2023

    • Author(s)
      Shingo Harashima, Haruhiko Machida, Rika Fukui, Wakana Samejima, Toshiya Kariyasu, Makiko Nishikawa, Hidenori Yamaguchi, Isao Tanaka, Yun Shen
    • Organizer
      Radiology Society of North America (RSNA) 2023
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Can material density imaging improve detection of healthy-appearing bone metastases at contrast-enhanced dual-energy CT?2023

    • Author(s)
      Hitoshi Takeuchi, Shingo Harashima, Rika Fukui, Wakana Samejima, Makiko Nishikawa, Hidenori Yamaguchi, Toshiya Kariyasu, Yun Shen, Haruhiko Machida
    • Organizer
      Radiology Society of North America (RSNA) 2023
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Optimal Acquisition and Reconstruction Techniques of Coronary CT Angiography: Current Status and Trends over the Past Decade2023

    • Author(s)
      Rika Fukui, Haruhiko Machida, Shingo Harashima, Wakana Samejima, Isao Tanaka, Hitoshi Takeuchi, Toshiya Kariyasu, Makiko Nishikawa, Hidenori Yamaguchi, Yun Shen, Yuka Otaki, Junji Mochizuki, Yuta Shimizu
    • Organizer
      Radiology Society of North America (RSNA) 2023
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Low kVp or Low keV, That Is the Question: What the Radiologist and Radiology Technologist Need to Know in Contrast-Enhanced Body CT with Current and Novel Technologies2023

    • Author(s)
      Shingo Harashima, Rika Fukui, Haruhiko Machida, Toshiya Kariyasu, Makiko Nishikawa, Hidenori Yamaguchi, Hitoshi Takeuchi, Isao Tanaka, Yun Shen, Wakana Samejima
    • Organizer
      Radiology Society of North America (RSNA) 2023
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 心血管CTを臨床に活かす -心臓CTを中心に-2023

    • Author(s)
      町田治彦
    • Organizer
      第6回日本X線CT専門技師認定機構主催講習会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 循環器CT・MRIの基礎を見直す:心臓MRI読影の基本 -心筋疾患を中心に-2023

    • Author(s)
      町田治彦
    • Organizer
      第42回日本画像医学会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 救急IVR時の体幹部DSA撮影における末梢血管用背景圧縮処理の有用性2023

    • Author(s)
      町田治彦、山口英宣、苅安俊哉、山本雄三、佐藤弘樹、原嶋真吾、油原俊之、太田慎史、西川真木子、谷垣光司
    • Organizer
      第36回足立医学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 実践!Dual Energy CT読影2022

    • Author(s)
      町田治彦
    • Organizer
      第81回日本医学放射線学会総会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTで冠動脈を診る2022

    • Author(s)
      町田治彦
    • Organizer
      第32回日本心血管画像動態学会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 最新CT技術の臨床応用の現状2022

    • Author(s)
      町田治彦
    • Organizer
      第14回東京CTテクノロジーセミナー学術集会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 私が考えるCTの臨床的価値2022

    • Author(s)
      町田治彦
    • Organizer
      第25回CTサミット
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 造影CT検査の読影に役立つポイント -全身の最先端イメージング 胸痛を中心に-2022

    • Author(s)
      町田治彦
    • Organizer
      第58回日本医学放射線学会秋季臨床大会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTの臨床応用の現状2022

    • Author(s)
      町田治彦
    • Organizer
      第58回日本医学放射線学会秋季臨床大会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Routine Body Applications of Advanced Gemstone Spectral Imaging: What the Radiologist Need to Know2022

    • Author(s)
      Harashima Shingo, Machida Haruhiko, Fukui Rika, Kariyasu Toshiya, Nishikawa Makiko, Yamaguchi Hidenori, Tanaka Isao, Shen Yun, Samejima Wakana
    • Organizer
      Radiology Society of North America (RSNA) 2022
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Image quality of virtual monochromatic imaging of half-iodine-load contrast-enhanced abdomen-pelvis CT by Gemstone Spectral Imaging with deep learning reconstruction2022

    • Author(s)
      Harashima Shingo, Machida Haruhiko, Fukui Rika, Kariyasu Toshiya, Nishikawa Makiko, Yamaguchi Hidenori, Tanaka Isao, Shen Yun, Samejima Wakana
    • Organizer
      Radiology Society of North America (RSNA) 2022
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Quality Comparison of Single-Energy CT at Low Tube Voltages and Virtual Monochromatic Imaging at Low Energies by Dual-Energy CT With Deep Learning Reconstruction2022

    • Author(s)
      Harashima Shingo, Machida Haruhiko, Fukui Rika, Samejima Wakana, Kariyasu Toshiya, Nishikawa Makiko, Yamaguchi Hidenori, Tanaka Isao, Shen Yun
    • Organizer
      Radiology Society of North America (RSNA) 2022
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 全身におけるDual Energy CTの臨床応用2021

    • Author(s)
      町田治彦
    • Organizer
      Cyber DECT 3rd Conference
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTの臨床応用2021

    • Author(s)
      町田治彦
    • Organizer
      第57回日本医学放射線学会秋季臨床大会
    • Related Report
      2021 Research-status Report
  • [Presentation] Cardiac CT for percutaneous left atrial appendage closure2021

    • Author(s)
      Haruhiko Machida
    • Organizer
      77th Korean Congress of Radiology
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Cardiac CT for transcatheter mitral valve intervention2021

    • Author(s)
      Haruhiko Machida
    • Organizer
      77th Korean Congress of Radiology
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Spectral CTの現状と臨床応用2021

    • Author(s)
      町田治彦
    • Organizer
      第80回日本医学放射線学会総会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] The ABC of coronary CTA interpretation2021

    • Author(s)
      町田治彦
    • Organizer
      第80回日本医学放射線学会総会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 心筋T1およびT2マッピングの臨床的有用性2021

    • Author(s)
      町田治彦
    • Organizer
      第31回日本心血管画像動態学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] Clinical feasibility assessment of model-based iterative and deep learning reconstructions on quality and subjective acceptance of low-dose postcontrast abdomen-pelvis CT by ultrahigh-resolution CT2020

    • Author(s)
      Nishikawa M, Machida H, Kariyasu T, Shimizu Y, Koyanagi M, Yokoyama K
    • Organizer
      The Annual Meeting of the European Congress of Radiology 2020
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Spectral CTの精度と臨床における初期経験2020

    • Author(s)
      清水裕太
    • Organizer
      第1回Rise up CT Conference
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 循環器領域におけるスペクトラルCTの臨床的有用性 GE社・キヤノン社Dual-energy CTの使用経験より2020

    • Author(s)
      町田治彦
    • Organizer
      第12回九州・山口循環器画像研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 基本からの心筋疾患のMRI診断2020

    • Author(s)
      町田治彦
    • Organizer
      第362回循環器画像技術研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTの臨床的メリット2020

    • Author(s)
      町田治彦
    • Organizer
      第43回福山レントゲンアーベントの会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Ultra-high-resolution CT with model-based iterative reconstruction improves delineation of the hepatic arteries, pancreaticoduodenal arcade, and biliary and pancreatic ducts2019

    • Author(s)
      Nishikawa M, Machida H, Sano K, Kariyasu T, Katase S, Tateishi H, Yokoyama K
    • Organizer
      The 78th Annual Meeting of the Japan Radiological Society 2019
    • Related Report
      2019 Research-status Report
  • [Presentation] 超高精細CTの特性を活かした中枢神経領域での当院での取り組み -臨床応用を中心に-2019

    • Author(s)
      五明美穂
    • Organizer
      第39回神経放射線ワークショップ
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 超高精細CTの有用性2019

    • Author(s)
      五明美穂
    • Organizer
      第31回つきじ放射線研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] AIがもたらすインパクト Deep Learningで変わる?神経放射線の未来2019

    • Author(s)
      五明美穂
    • Organizer
      静岡Neuroimaging Conference
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Improved Delineation of Brain Perforating Arteries in Brain CTA by Ultra High-Resolution CT: What the Radiologist and Radiology Technologist Need to Know2019

    • Author(s)
      Shimizu Y, Machida H, Gomyo M, Kariyasu T, Adachi T, Arai T, Yamamura W, KoyanagiM, Nakanisi A, Yokoyama K
    • Organizer
      Radiology Society of North Amerika (RSNA) 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Comparison of Image Quality and Subjective Acceptance in Abdominal CT By Ultrahigh-resolution CT at Different Radiation Doses Between Model-based Iterative and Deep Learning Reconstructions: Phantom and Clinical Pilot Studies2019

    • Author(s)
      Shimizu Y, Machida H, Nisihikawa M, Morisaka H, Adachi T, Kariyasu T, Sano K, Saito S, Nakai T, Sakaguchi K, Matsumoto S, Koyanagi M, Nakanishi A, Yokoyama K
    • Organizer
      Radiology Society of North Amerika (RSNA) 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 超高精細CTにおけるヘリカルスキャンとボリュームスキャンの基礎的検討と 逐次近似再構成を用いた側頭骨CTの画質評価2019

    • Author(s)
      山村恒
    • Organizer
      2019年度 関東甲信越診療放射線技師学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] CT Perfusionを用いた急性期脳梗塞診断におけるベイズ推定法による虚血コア体積計測精度の初期検討2019

    • Author(s)
      藤田裕次郎
    • Organizer
      第47回日本放射線技術学会秋季学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 超高精細CTでの肝動脈、膵十二指腸アーケード枝の描出に対するDeep Learning Reconstruction の臨床的有用性2019

    • Author(s)
      斎藤駿
    • Organizer
      第47回日本放射線技術学会秋季学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 超高精細CTにおけるDeep Learning Reconstructionを併用した腹部領域における線量低減への基礎的検討2019

    • Author(s)
      坂口幸翼
    • Organizer
      第47回日本放射線技術学会秋季学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 超高精細CTにおける脳腫瘍手術支援画像での脳表静脈描出能の検討2019

    • Author(s)
      小柳正道
    • Organizer
      第37回日本脳腫瘍学会
    • Related Report
      2019 Research-status Report
  • [Presentation] CT装置の特性を活かした画像支援2019

    • Author(s)
      小柳正道
    • Organizer
      第26回埼玉画像フォーラム
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 基本からの心筋疾患のMRI診断2019

    • Author(s)
      町田治彦
    • Organizer
      第3回先天性心疾患MRI & Echo勉強会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTの心疾患への応用2019

    • Author(s)
      町田治彦
    • Organizer
      第19回循環器MDCT研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 新しいDual Energy CT(Spectral CT)の初期経験から探る臨床的ポテンシャル2019

    • Author(s)
      町田治彦
    • Organizer
      第55回日本医学放射線学会秋季臨床大会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTの基本と全身における臨床活用2019

    • Author(s)
      町田治彦
    • Organizer
      第28回山形CT MRI研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 心臓dual-energy CTの可能性2019

    • Author(s)
      町田治彦
    • Organizer
      循環器CTセミナー2019
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Dual-energy CTは臨床に何をもたらすか2019

    • Author(s)
      町田治彦
    • Organizer
      第10回静岡CT研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] Dual-energy CTの臨床的ポテンシャル2019

    • Author(s)
      町田治彦
    • Organizer
      Advanced Imaging Seminar 2019
    • Related Report
      2019 Research-status Report
  • [Presentation] 超高精細CTを用いた頭部3D-CTAにおける2048 matrix画像のトリミング再構成法の有用性.2019

    • Author(s)
      新井隆弘,五明美穂,土屋一洋,小柳正道,安達卓哉,清水裕太,中西章仁,横山健一.
    • Organizer
      第42回日本脳神経CI学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] ここがポイント!下肢イメージング「高精細CTで下肢血管イメージングは変わるか?」2019

    • Author(s)
      小柳正道
    • Organizer
      JET2019(Japan Endovascular Treatment Conference 2019)
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Advanced image reconstruction algorithms for ultra-high-resolution CT images: clinical usefulness of model-based iterative reconstruction and deep learning reconstruction.2019

    • Author(s)
      Nakai T, Machida H, Kariyasu T, Koyanagi M, Takaku H, Okuda S, Katase S, Nakanishi A, Yokoyama K.
    • Organizer
      第25回欧州放射線学会(ECR 2019)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Current imaging techniques and clinical applications of CT angiography of the lower extremities: what the radiologist and radiographer need to know.2019

    • Author(s)
      Takaku H, Machida H, Kariyasu T, Koyanagi M, Nakai T, Okuda S, Katase S, Nakanishi A, Yokoyama K.
    • Organizer
      第25回欧州放射線学会(ECR 2019)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 胸痛の画像診断2018

    • Author(s)
      町田治彦
    • Organizer
      吉祥寺画像診断セミナー
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 最近の心臓CT・MRIでわかること2018

    • Author(s)
      町田治彦
    • Organizer
      狛江市医師会学術講演会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Improved three-dimensional CT image quality of high contrast anatomies with an ultra-high-resolution CT scanner: initial clinical experience.2018

    • Author(s)
      Machida H, Kuroki K, Adachi T, Yamamura W, Shiga H, Ohara A, Yokoyama K.
    • Organizer
      Progress in Radiology 2018 (The 12th Symposium of the Japanese Scandinavian Radiological Society & the 15th Nordic Japan PACS Symposium)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Demonstration of perforating arteries by ultra-high-resolution CT angiography.2018

    • Author(s)
      Gomyo M, Tsuchiya K, Machida H, Katase S, Ohara A, Tateishi H, Koyanagi M, Adachi T, Arai T, Yokoyama K.
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Temporal Bone CT Evaluation of Middle Ear Cholesteatoma Using Ultra-high-resolution CT.2018

    • Author(s)
      Ohara A, Machida H, Shiga H, Yamamura W, Arai T, Adachi T, Koyanagi M, Gomyo M, Hayashi M, Yokoyama K.
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Clinical Usefulness of Ultra-high-resolution CT and Iterative Reconstruction for CT Virtual Bronchoscopy.2018

    • Author(s)
      Nishikawa M, Machida H, Adachi T, Arai T, Yamamura W, Koyanagi M, Oda M, Kariyasu Y, Nitatori T, Yokoyama K.
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Usefulness of Ultra-high-resolution CT for Improving Image Quality in Temporal Bone CT.2018

    • Author(s)
      Shiga H,Machida H,Ohara A,Gomyo M,Kinoshita Y,Yamamura W,Arai T,Adachi T,Koyanagi M,Yokoyama K.
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 体幹部 MRI におけるdeep learning reconstruction (DLR)の役割.2018

    • Author(s)
      苅安俊哉
    • Organizer
      第37回東京MRI研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 超高精細CTの特性を活かした中枢神経領域における当院での取り組みと臨床応用.2018

    • Author(s)
      五明美穂
    • Organizer
      Global Standard CT Symposium 2018
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Lung Subtraction Imaging by Single-energy CT for Evaluation of Chronic Thromboembolic Pulmonary Hypertension Before and After Balloon Pulmonary Angioplasty.2018

    • Author(s)
      Kariyasu T, Machida H, Koyanagi M, Fukushima K, Nishikawa M, Yamamura W, Arai T, Takahashi S, Shimizu Y, Shimomiya Y, Tsuboi M, Satoh T, Yokoyama K.
    • Organizer
      第104回北米放射線学会(RSNA 2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Fundamental study of scan and reconstruction condition of brain CT angiography by U-HRCT2018

    • Author(s)
      清水裕太, 安達卓哉,福島啓太,新井隆弘,山村恒,小柳正道,中西章仁.
    • Organizer
      第74回日本放射線技術学会総会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 高精細CTを用いた頭部3D-CTA 『穿通枝を極める!!』2018

    • Author(s)
      清水裕太
    • Organizer
      第2回 東京地区キヤノンCTユーザー会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 超高精細CTを用いた頭部3D-CTAにおける穿通枝描出のための再構成法の検討.2018

    • Author(s)
      清水裕太
    • Organizer
      第2回 超高精細CT研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Real World Opened by State-of-the-art 2048-matrix CT2018

    • Author(s)
      Koyanagi M, Kariyasu T, Machida H, Yamamura W, Adachi T, Shimizu Y, Fukushima K, Nakanishi A, Yokoyama K.
    • Organizer
      第104回北米放射線学会(RSNA 2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Clinical Investigation of Iterative Reconstruction in CT Virtual Bronchoscopy by Ultra-high-resolution CT.2018

    • Author(s)
      安達卓哉, 新井隆弘,山村亘,清水裕太, 福島啓太,小柳正道,中西章仁.
    • Organizer
      第74回日本放射線技術学会総会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 超高精細CTによる心臓CTへの可能性2018

    • Author(s)
      安達卓哉
    • Organizer
      第346回 循環器画像技術研究会 定例会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Clinical usefulness of combined use of ultra-high-resolution CT and iterative reconstruction in CT virtual bronchoscopy.2018

    • Author(s)
      Adachi T, Machida H, Nishikawa M, Arai T, Yamamura W, Koyanagi M, Shimizu Y, Nakai T, Kariyasu T, Nakanishi A, Yokoyama K.
    • Organizer
      第104回北米放射線学会(RSNA 2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Image Quality Assessment of Temporal Bone CT by Ultra-high-resolution CT Using Iterative Reconstruction.2018

    • Author(s)
      山村恒, 安達卓哉, 福島啓太, 清水裕太, 新井隆弘, 小柳正道, 中西章仁.
    • Organizer
      第74回日本放射線技術学会総会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 超高精細CTにおける逐次近似再構成を使用した側頭骨CTの画質評価:画像スライス厚および撮影線量1/2の検討.2018

    • Author(s)
      山村恒, 安達卓哉, 白川佑也, 中井健裕, 山下晃司, 首藤淳, 中西章仁.
    • Organizer
      第34回日本診療放射線技師学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 超高精細CTにおける逐次近似画像再構成法を用いた模擬冠動脈描出能評価.2018

    • Author(s)
      福島啓太, 安達卓哉, 清水裕太, 新井隆弘, 山村恒, 小柳正道, 中西章仁.
    • Organizer
      第74回日本放射線技術学会総会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] Clinical Impacts of Ultra-high-resolution CT Combined with Iterative Reconstruction Algorithm.2018

    • Author(s)
      Kinoshita Y, Machida H, Koyanagi M, Kariyasu T, Tateishi H, Gomyo M, Ohara A, Hayashi M, Katase S, Yokoyama K.
    • Organizer
      第77回日本医学放射線学会総会
    • Related Report
      2018 Research-status Report
  • [Book] 心臓・大血管 画像診断の勘ドコロNEO2021

    • Author(s)
      横山 健一
    • Total Pages
      292
    • Publisher
      メジカルビュー社
    • ISBN
      9784758316156
    • Related Report
      2021 Research-status Report
  • [Book] ここから始める循環器疾患のCT・MRI2020

    • Author(s)
      町田治彦、西川真木子、横山健一
    • Total Pages
      2
    • Publisher
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    • Related Report
      2020 Research-status Report
  • [Book] ここから始める循環器疾患のCT・MRI2020

    • Author(s)
      7町田治彦、黒木一典、横山健一
    • Total Pages
      2
    • Publisher
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    • Related Report
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  • [Book] ここから始める循環器疾患のCT・MRI2020

    • Author(s)
      似鳥俊明、横山健一
    • Total Pages
      260
    • Publisher
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    • ISBN
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    • Related Report
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Published: 2018-04-23   Modified: 2025-01-30  

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