Hideo Onitsuka

Intrahepatic peripheral cholangiocarcinoma: two-phased dynamic incremental CT and pathologic correlation.

To elucidate the characteristic CT findings of intrahepatic peripheral Cholangiocarcinoma, two-phased dynamic incremental CT scans of 20 cholangiocarcinomas in 16 patients were carefully analyzed. Dynamic incremental CT scanning was performed after intravenous administration of 100 ml iodinated contrast medium at a rate of 2 ml/s using a power injector. The CT scans (8–16 sections) were obtained during 45–110 s (early phase) and 6–7 min (delayed phase) after commencement of the injection of the contrast medium. On CT, 55% (11 of 20) of intrahepatic peripheral cholangiocarcinomas appeared hypo-dense in both phases. Most of the tumors (80%) appeared hypodense in the early phase and had increased CT numbers in their delayed images. Lymphadenopathy was observed in 69% (11 of 16) of patients whose main tumors exceeded 3 cm in diameter. All tumors appeared irregular or indistinct. Twenty percent (4 of 20) of the cholangiocarcinomas were difficult to distinguish from hepatocellular carcinomas or hemangiomas.

Roentgenologic Aspects of Bone Islands

A review of radiographs of 143 Adult Health Study and 46 non-sample subjects made over a period of 23 years established sites, sizes, ages at detection, and prevalence of 209 bone islands in 189 subjects. Except for 18 new bone islands, all appeared during the period of observation. Twenty-six of them changed: of these, 21 enlarged, 4 became smaller, and 1 disappeared. There was no association with atomic bomb radiation dose. Bone islands were more frequent in the pelvis and femora but often occurred in the ribs. Five bone islands in adolescents enlarged proportionally to bone growth, suggesting that they often participate metabolically in the normal osseous system. Bone islands must be differentiated from osteoblastic metastases.

Fitz-Hugh-Curtis syndrome. Radiologic manifestation.

Objectives To clarify radiologic findings of Fitz-Hugh-Curtis syndrome (FHCS). Methods Thirteen women with right upper abdominal pain who were clinically diagnosed with FHCS were included. Biphasic helical computed tomography (CT) of the abdomen was performed in all patients. Posttherapeutic follow-up CT was available in 7 patients. Ultrasonography (US) was also performed in 12 patients. These imaging findings were reviewed retrospectively. Results On enhanced CT, hepatic and splenic capsular enhancement was identified in 13 and 4 patients, respectively. Hepatic capsular enhancement on the early phase, which was detected in all patients, disappeared after treatment. No adhesive band or fluid collection around the liver was evident. No enhancement of the “bare area” of the liver and spleen was seen. No definite abnormality of the liver or perihepatic region was detected by US. Conclusions Hepatic and splenic capsular enhancement on abdominal enhanced CT may be characteristic of FHCS. Enhanced CT may be a useful and noninvasive modality to help a diagnosis of FHCS, especially in young women with right upper abdominal pain without significant findings on US and gastrointestinal endoscopy.

Characteristic findings of hepatocellular carcinoma : an evaluation with comparative study of US, CT, and MRI

The sensitivity, specificity, and accuracy of ultrasonography (US), dynamic incremented computed tomography (CT) with delayed phase imaging, and magnetic resonance imaging (MRI) with or without Gd-DTPA were studied for detecting the characteristic appearances of hepatocellular carcinomas (HCC): fibrous capsules, fibrous septa, and mosaic appearances. Results were prospectively evaluated in 30 patients who subsequently underwent hepatic lobectomies or segmentectomies. Pathologic evaluations of the resected liver specimens demonstrated fibrous capsules in 20 tumors (66.7%), fibrous septa in 13 tumors (43.3%), and mosaic appearances in 19 tumors (63.3%). The accuracies for fibrous capsules were 71.4% (20 of 28) for US, 81.5% (22 of 27) for CT, and 92.3% (24 of 26) for MRI. The accuracies for fibrous septa were 57.1% (16 of 28) for US, 59.3% (16 of 27) for CT, and 73.1% (19 of 26) for MRI. The accuracies for mosaic appearances were 71.4% (20 of 28) for US, 51.9% (14 of 27) for CT, and 69.2% (18 of 26) for MRI. Gd-DTPA administrated MRI showed higher accuracies than did conventional MRI for all manifestations. In conclusion, the fibrous capsules of HCCs were readily detected by CT and MRI. Gd-DTPA administration demonstrated an advantage in clarifying fibrous capsules, as well as fibrous septa and mosaic appearances.

MRI of bronchogenic cysts.

The MR appearance of eight bronchogenic cysts is reported. All the cysts appeared homogeneous and were of very high signal intensity, approximating that of CSF on spin-echo T2-weighted imaging, and of relatively high intensity, between that of muscle and subcutaneous fat on T1-weighted imaging. The cysts were round or ovoid and were well demarcated. These findings are consistent with the fluid-containing properties of cysts.

Renal arteriovenous malformations: CT features.

The CT and clinical features of six patients with congenital renal arteriovenous malformation (RAVM) were reviewed to determine the characteristics of this condition. The most common symptom was hematuria. The CT images were characterized by masses of vascular density located in the renal sinus and surrounding the pelvicaliceal system with or without dilated renal veins. The exact size of the RAVM and the relation to the pelvicaliceal system were well demonstrated by delayed images or drip infusion technique, whereas the bolus injection technique was essential to document the vascular nature. The potential pitfalls in diagnosis that can occur if only an infusion study is performed are discussed.

Treatment of desmoid tumors in Gardner's syndrome. Report of a case.

Aggressive desmoid tumors present difficult problems among patients with Gardners syndrome. Recently, attention has been directed toward metabolic or hormonal manipulation of these tumors. A 21-year-old woman with Gardners syndrome was admitted because of recurrent abdominal wall tumors. She was treated with nonsteroidal anti-inflammatory drugs, tamoxifen, and ascorbate for seven months. During this therapy, CT scan showed a gradual increase in size of the tumors. Subsequent resection of the abdominal tumors and the colon was performed. Although these three types of drugs were administered to prevent postoperative recurrence, an abdominal wall desmoid tumor that invaded the mesentery developed within nine months. The known treatments, that is, chemotherapy, irradiation, and surgical resection are discussed in view of this experience.

Differentiation of central lung tumor from postobstructive lobar collapse by rapid sequence computed tomography

When central lung tumor is associated with lobar collapse, discrimination of tumor from atelectasis is important for determining operability or for field planning should radiation therapy be utilized. Because tumor and collapsed lung have similar attenuation values, they cannot always be distinguished with usual contrast-enhanced CT. The article describes separation of tumor from collapsed lung by means of RSCT with bolus injection of nonionic contrast medium. With this technique collapsed lung is appreciably enhanced, but tumor enhancement is slow and minimal. The difference is most marked from 40 seconds to 2 minutes after scanning begins. This phenomenon is probably related to the marked increase in blood flow per unit area of collapsed lung due to crowding of relatively large pulmonary arteries compared to tumor blood supply through small bronchial arteries. Tumor can also be delineated from atelectasis by differences in internal structure with this technique.

MRI of primary spleen angiosarcoma with iron accumulation.

A case of splenic angiosarcoma with siderotic nodules is reported. The tumor was hyperechoic on ultrasound and had high density on CT and very low intensity on MR. Gandy-Gamna nodules (siderotic nodules) were demonstrated histopathogically.

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IV, Science reports 2017-03-23 1984766584 23749 10.1016/S1063-4584(11)60456-1 Journal 429 vitamin d effect on molecules associated to osteoarthritis progression induced in rats 429 VITAMIN D EFFECT ON MOLECULES ASSOCIATED TO OSTEOARTHRITIS PROGRESSION INDUCED IN RATS 2011 2011-09-01 Elsevier 13054843 19 0 0 0 Osteoarthritis and Cartilage 2016-06-24 2048138487 23661 10.1016/j.ijcard.2011.08.599 Journal epidemiology study on hypertension in kazakh from the pasture area of fukang in xinjiang Epidemiology study on hypertension in Kazakh from the pasture area of Fukang in Xinjiang 2011 2011-10-01 Elsevier 13342628 152 0 0 0 International Journal of Cardiology 2016-06-24 2063111729 21601 10.1016/j.foreco.2013.09.010 Journal exclusion of large herbivores long term changes within the plant community Exclusion of large herbivores: Long-term changes within the plant community 2014 2014-06-01 Elsevier 195255895 321 136 144 64 8 8 Forest Ecology and Management 2016-06-24 2107333380 21259 10.1016/j.knosys.2004.10.009 Journal exploiting causal independence in large bayesian networks Exploiting causal independence in large Bayesian networks 2005 2005-08-01 Springer London 10169007 18 4 153 162 11 9 9 Knowledge Based Systems 2016-06-24 2093239660 21700 10.1093/imrn/rnp026 Journal on colored turaev viro invariants for links in arbitrary 3 manifolds On colored Turaev-Viro invariants for links in arbitrary 3-manifolds 2009 2009-03-23 Oxford University Press 111381568 2009 14 2547 2587 21 4 4 International Mathematics Research Notices 2016-06-24 2596569404 25102 a new hope in education susa zakat foundation of america zakat calculator muslim charity muslim aid A New Hope in Education: SUSA | Zakat Foundation of America | Zakat Calculator | Muslim Charity | Muslim Aid 2010 2010-01-01 Zakat Foundation of America 0 0 0 2017-03-23 1984766586 27871 10.1002/tl.37219800308 Journal the next agenda practical reasoning and action The next agenda: Practical reasoning and action 1980 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Objective The “CT angiogram sign” in dynamic pulmonary CT consists of enhanced branching pulmonary vessels in a homogeneous hypoattenuating consolidation of lung parenchyma and is reportedly useful for diagnosing lobar bronchioloalveolar cell carcinomas. Materials and Methods To identify cases exhibiting the CT angiogram sign, we retrospectively reviewed the reports of 5,500 dynamic incremental CT examinations of the chest. Results We identified the CT angiogram sign in five patients with obstructive pneumonitis due to lung tumors and four patients with pneumonias. Conclusion The CT angiogram sign can be observed in pulmonary consolidation of varying etiologies.