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Iwakoshi S, Dake MD, Irie Y, Katada Y, Sakaguchi S, Hongo N, Oji K, Fukuda T, Matsuda H, Kawasaki R, Taniguchi T, Motoki M, Hagihara M, Kurimoto Y, Morikage N, Nishimaki H, Sueyoshi E, Inoue K, Shimizu H, Ideta I, Higashigawa T, Ikeda O, Miyamoto N, Nakai M, Nakai T, Ichihashi S, Inoue T, Inoue T, Yamaguchi M, Tanaka R, Kichikawa K. Management of Renal Arteries in Conjunction with Thoracic Endovascular Aortic Repair for Complicated Stanford Type B Aortic Dissection: The Japanese Multicenter Study (J-Predictive Study). Radiology 2019; 294:455-463. [PMID: 31821120 DOI: 10.1148/radiol.2019190598] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Background Management of abdominal branches associated with Stanford type B aortic dissection is controversial without definite criteria for therapy after thoracic endovascular aortic repair (TEVAR). This is in part due to lack of data on natural history related to branch vessels and their relationship with the dissection flap, true lumen, and false lumen. Purpose To investigate the natural history of abdominal branches after TEVAR for type B aortic dissection and the relationship between renal artery anatomy and renal volume as a surrogate measure of perfusion. Materials and Methods This study included patients who underwent TEVAR for complicated type B dissection from January 2012 to March 2017 at 20 centers. Abdominal aortic branches were classified with following features: patency, branch vessel origin, and presence of extension of the aortic dissection into a branch (pattern 1, supplied by the true lumen without branch dissection; pattern 2, supplied by the true lumen with branch dissection, etc). The branch artery patterns before TEVAR were compared with those of the last follow-up CT (mean interval, 19.7 months) for spontaneous healing. Patients with one kidney supplied by pattern 1 and the other kidney by a different pattern were identified, and kidney volumes over the course were compared by using a simple linear regression model. Results Two hundred nine patients (mean age ± standard deviation, 66 years ± 13; 165 men and 44 women; median follow-up, 18 months) were included. Four hundred fifty-nine abdominal branches at the last follow-up were evaluable. Spontaneous healing of the dissected branch occurred in 63% (64 of 102) of pattern 2 branches. Regarding the other patterns, 6.5% (six of 93) of branches achieved spontaneous healing. In 79 patients, renal volumes decreased in kidneys with pattern 2 branches with more than 50% stenosis and branches supplied by the aortic false lumen (patterns 3 and 4) compared with contralateral kidneys supplied by pattern 1 (pattern 2 vs pattern 1: -16% ± 16 vs 0.10% ± 11, P = .002; patterns 3 and 4 vs pattern 1: -13% ± 14 vs 8.5% ± 14, P = .004). Conclusion Spontaneous healing occurs more frequently in dissected branches arising from the true lumen than in other branch patterns. Renal artery branches supplied by the aortic false lumen or a persistently dissected artery with greater than 50% stenosis are associated with significantly greater kidney volume loss. © RSNA, 2019 Online supplemental material is available for this article.
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Affiliation(s)
- Shinichi Iwakoshi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Michael D Dake
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Yoshihito Irie
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Yoshiaki Katada
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Shoji Sakaguchi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Norio Hongo
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Katsuki Oji
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Tetsuya Fukuda
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Hitoshi Matsuda
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Ryota Kawasaki
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Takanori Taniguchi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Manabu Motoki
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Makiyo Hagihara
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Yoshihiko Kurimoto
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Noriyasu Morikage
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Hiroshi Nishimaki
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Eijun Sueyoshi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Kyozo Inoue
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Hideyuki Shimizu
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Ichiro Ideta
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Takatoshi Higashigawa
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Osamu Ikeda
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Naokazu Miyamoto
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Motoki Nakai
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Takahiro Nakai
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Shigeo Ichihashi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Takeshi Inoue
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Takashi Inoue
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Masato Yamaguchi
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Ryoichi Tanaka
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
| | - Kimihiko Kichikawa
- From the Department of Radiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8521, Japan (S. Iwakoshi, T.N., S. Ichihashi, K.K.); University of Arizona Health Sciences, Tucson, Ariz (M.D.D.); Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan (Y.I., Y. Katada); Department of Radiology, Matsubara Tokusyukai Hospital, Matsubara, Japan (S.S.); Department of Radiology, Oita University Faculty of Medicine, Yufu, Japan (N.H., K.O.); Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan (T.F.); Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan (H.M.); Department of Radiology, Hyogo Brain and Heart Center, Himeji, Japan (R.K.); Department of Radiology, Tenri Hospital, Tenri, Japan (T.T.); Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan (M.M.); Department of Radiology, Aichi Medical University, Nagakute, Japan (M.H.); Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan (Y. Kurimoto); Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan (N. Morikage); Department of Cardiovascular Surgery, Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Japan (H.N.); Department of Radiological Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (E.S.); Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan (K.I.); Department of Cardiovascular Surgery, Keio University, Tokyo, Japan (H.S.); Department of Cardiovascular Medicine & Surgery, Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan (I.I.); Department of Radiology, Mie University Hospital, Tsu, Japan (T.H.); Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan (O.I.); Department of Radiology, Kita-Harima Medical Center, Ono, Japan (N. Miyamoto); Department of Radiology, Wakayama Medical University, Wakayama, Japan (M.N.); Department of Central Radiology, Nara Medical University, Kashihara, Japan (Takeshi Inoue); Institute for Clinical and Translational Science, Nara Medical University, Kashihara, Japan (Takashi Inoue); Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan (M.Y.); and Department of Radiology, Iwate Medical University, Morioka, Japan (K.K.)
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