Yoshitomo Sato

Successful Surgical Management of Complete Tracheal Disruption due to Penetrating Injury

Successful management of penetrating injury to the trachea is rare, especially in Japan. A 32-year-old female attempted suicide by stabbing herself in the throat with a knife, and at operation the trachea was found to be completely disrupted. A median sternotomy made possible end-to-end anastomosis of the trachea. All other important organs including the great vessels, esophagus, and lungs were intact, but the pleura was open on the right side. The patient was managed under heavy sedation and with controlled ventilation for more than a week postoperatively, because of her suspected mental condition. She was extubated on postoperative day 13 and transferred to a mental hospital on day 16. We concluded that early diagnosis and surgical repair were important for the successful management of this patient with tracheal disruption.

Development of compact Compton camera for 3D image reconstruction of radioactive contamination

The Fukushima Daiichi Nuclear Power Station (FDNPS), operated by Tokyo Electric Power Company Holdings, Inc., went into meltdown after the large tsunami caused by the Great East Japan Earthquake of March 11, 2011. Very large amounts of radionuclides were released from the damaged plant. Radiation distribution measurements inside FDNPS buildings are indispensable to execute decommissioning tasks in the reactor buildings. We have developed a compact Compton camera to measure the distribution of radioactive contamination inside the FDNPS buildings three-dimensionally (3D). The total weight of the Compton camera is lower than 1.0 kg. The gamma-ray sensor of the Compton camera employs Ce-doped GAGG (Gd3Al2Ga3O12) scintillators coupled with a multi-pixel photon counter. Angular correction of the detection efficiency of the Compton camera was conducted. Moreover, we developed a 3D back-projection method using the multi-angle data measured with the Compton camera. We successfully observed 3D radiation images resulting from the two 137Cs radioactive sources, and the image of the 9.2 MBq source appeared stronger than that of the 2.7 MBq source.