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タイトル: | 経カテーテル的動脈塞栓術にSPECT-CTを用いた機能的腎マッピングが有用であった両側腎血管筋脂肪腫の1例 |
その他のタイトル: | A Case of Bilateral Angiomyolipoma Accompanied by Tuberous Sclerosis Complex Successfully Treated with Transcatheter Arterial Embolization Using Functional Kidney Mapping Images Consisting of SPECT-CT and Contrast Enhanced CT Images |
著者: | 山道, 岳 阿部, 豊文 石津谷, 祐 藤田, 和利 植村, 元秀 木内, 寛 今村, 亮一 宮川, 康 小野, 祐介 東原, 大樹 大須賀, 慶悟 野々村, 祝夫 |
著者名の別形: | Yamamichi, Gaku Abe, Toyofumi Ishizuya, Yu Fujita, Kazutoshi Uemura, Motohide Kiuchi, Hiroshi Imamura, Ryoichi Miyagawa, Yasushi Ono, Yusuke Higashihara, Hiroki Osuga, Keigo Nonomura, Norio |
キーワード: | Angiomyolipoma Tuberous sclerosis complex Renal aneurysm Functional kidney mapping image |
発行日: | 28-Feb-2018 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 64 |
号: | 2 |
開始ページ: | 49 |
終了ページ: | 53 |
抄録: | Renal angiomyolipoma (AML) and aneurysm are common in tuberous sclerosis complex (TSC) and represent the main causes of morbidity in adults with TSC. Herein, we report a 22-year-old woman with TSC-associated AMLs and renal aneurysms. She was referred to our hospital for the treatment of multiple renal aneurysms larger than 5 mm in diameter. The previous hospital considered that transcatheter arterial embolization (TAE) of bilateral renal aneurysms would cause deterioration of renal function. To estimate the impact of TAE on renal function, we superimposed contrast enhanced computed tomography (CT) over single-photon emission CT (SPECT)-CT. This fusion image, referred to as functional kidney mapping image, revealed the location of renal arteries and aneurysms, and normal renal parenchyma simultaneously. Functional kidney mapping image was useful to distinguish the AML region from the normal renal parenchyma, and revealed that the planned embolization site was a non-functioning parenchyma. Therefore, TAE for her multiple renal aneurysms was successfully performed without deterioration of her renal function. |
著作権等: | 許諾条件により本文は2019/03/01に公開 |
DOI: | 10.14989/ActaUrolJap_64_2_49 |
URI: | http://hdl.handle.net/2433/230886 |
PubMed ID: | 29684949 |
出現コレクション: | Vol.64 No.2 |
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