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Okamoto R, Taniguchi M, Onishi Y, Kumagai N, Uraki J, Fujimoto N, Hotta Y, Sasaki K, Furuta N, Fujii E, Yano Y, Yamada N, Ogura T, Takei Y, Ito M. 5971Predictors of the results of the confirmatory tests for the diagnosis of primary hyperaldosteronism in hypertensive patients with an aldosterone-to-renin ratio greater than 20. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.5971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R Okamoto
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
| | - M Taniguchi
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
| | - Y Onishi
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - N Kumagai
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - J Uraki
- Mie University Graduate School of Medicine, Department of Radiology, Tsu, Japan
| | - N Fujimoto
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
| | - Y Hotta
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - K Sasaki
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - N Furuta
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - E Fujii
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
| | - Y Yano
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - N Yamada
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
| | - T Ogura
- Mie University Hospital, Clinical Research Support Center, Tsu, Japan
| | - Y Takei
- Mie University Graduate School of Medicine, Department of Diabetes, Metabolism and Endocrinology, Tsu, Japan
| | - M Ito
- Mie University Graduate School of Medicine, Department of Cardiology and Nephrology, Tsu, Japan
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Hasegawa T, Nakatsuka A, Uraki J, Yamanaka T, Fujimori M, Nakajima K, Sugino Y, Sakuma H, Yamakado K. Clinical utility of radiofrequency ablation for unresectable malignant adrenal neoplasms. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Fujimori M, Takaki H, Nakatsuka A, Uraki J, Yamanaka T, Hasegawa T, Shiraki K, Takei Y, Sakuma H, Yamakado K. Combination therapy of chemoembolization and radiofrequency ablation for the treatment of hepatocellular carcinoma: 10-year outcomes and prognostic factors. J Vasc Interv Radiol 2013. [DOI: 10.1016/j.jvir.2013.01.285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Yamao Y, Yamakado K, Takaki H, Yamada T, Kodama H, Nagasawa N, Nakatsuka A, Uraki J, Takeda K. CT-fluoroscopy in chest interventional radiology: sliding scale of imaging parameters based on radiation exposure dose and factors increasing radiation exposure dose. Clin Radiol 2012; 68:162-6. [PMID: 22906574 DOI: 10.1016/j.crad.2012.05.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Revised: 05/26/2012] [Accepted: 05/29/2012] [Indexed: 11/16/2022]
Abstract
AIM To verify the usefulness of a sliding scale of imaging parameters to reduce radiation exposure during chest interventional radiology (IR), and to identify factors that increase radiation exposure in order to obtain acceptable computed tomography (CT)-fluoroscopy image quality. MATERIALS AND METHODS The institutional review board approved this retrospective study, for which the need for informed consent was waived. Interventional radiologists determined the optimal CT-fluoroscopy imaging parameters using the sliding scale based on the radiation exposure dose. The imaging parameters were changed from those generating low radiation (120 kV/10 mA, 1.2 mGy/s) to others generating higher radiation exposure until acceptable image quality was obtained for each procedure. Validation of the imaging parameter sliding scale was done using regression analysis. Factors that increase radiation exposure were identified using multiple regression analysis. RESULTS In 125 patients, 217 procedures were performed, of which 72 procedures (33.2%, 72/217) were performed with imaging parameters of minimum radiation exposure, but increased radiation exposure was necessary in 145 (66.8%, 145/217). Significant correlation was found between the radiation exposure dose and the percentage achievement of acceptable image quality (R(2) = 0.98). Multivariate regression analysis showed that high body weight (p < 0.0001), long device passage (p < 0.0001), and lesions above the aortic arch (p = 0.04) were significant independent factors increasing radiation exposure. CONCLUSION Although increased radiation exposure dose might be necessary to obtain acceptable chest CT-fluoroscopy images depending on the patient, lesion, and procedure characteristics, a sliding scale of imaging parameters helps to reduce radiation exposure.
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Affiliation(s)
- Yoshikazu Yamao
- Department of Radiology, Mie University Hospital, Tsu, Japan.
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Fujimori M, Yamakado K, Takaki H, Nakatsuka A, Kashima M, Uraki J, Yamanaka T, Hasegawa T. Abstract No. 20: Hepatocellular carcinoma in the caudate lobe: radiofrequency ablation combined with chemoembolization under the real-time CT-fluoroscopic guidance. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2011.12.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Yamanaka T, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Takaki H, Fujimori M, Hasegawa T, Takeda K. Abstract No. 25: Radiofrequency ablation for liver metastasis from gastrointestinal stromal tumor. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2011.12.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Hasegawa T, Yamakado K, Takaki H, Nakatsuka A, Uraki J, Kashima M, Yamanaka T, Fujimori M. Abstract No. 15: Hyaluronic acid gel injection to protect adjacent gastro intestine in percutaneous liver radiofrequency ablation: initial experience. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2011.12.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Takaki H, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Fujimori M, Yamanaka T, Hasegawa T. Abstract No. 275: Radiofrequency ablation of renal cell carcinoma using a multiple electrode switching system: a phase-II clinical study. J Vasc Interv Radiol 2012. [DOI: 10.1016/j.jvir.2011.12.329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Ueda R, Nakatsuka A, Yamakado K, Yamanaka T, Kodama H, Takaki H, Kashima M, Uraki J, Inaba T, Takeda K. Abstract No. 198: Osteoporotic rabbit lumbar spine model following radiofrequency ablation: Evaluation of physical properties and micro CT-histopathologic correlation. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Takaki H, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Yamanaka T, Takeda K. Abstract No. 143: CT fluoroscopy-guided radiofrequency ablation following intra-arterial iodized-oil injection for hepatocellular carcinomas invisible on US images. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Hamada A, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Takaki H, Yamanaka T, Takeda K. Abstract No. 275: Prognositic factors after radiofrequency ablation for nonresectable colorectal cancer liver metastases. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Kogure S, Kodama H, Yamakado K, Yamada T, Takaki H, Kashima M, Uraki J, Nakatsuka A, Yamanaka T, Takeda K. Abstract No. 29: Lung radiofrequency ablation: Factors affecting ablative zone size. J Vasc Interv Radiol 2011. [DOI: 10.1016/j.jvir.2011.01.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Yamakado K, Takaki H, Uraki J, Nakatsuka A, Kashima M, Takeda K. Abstract No. 72: Long-Term Results of Radiofrequency Ablation in Colorectal Lung Metastases: Single Center Experience. J Vasc Interv Radiol 2009. [DOI: 10.1016/j.jvir.2008.12.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Takaki H, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Takeda K. Abstract No. 20: CT-Guided RF Ablation Combined with Chemoembolization for Subphrenic Hepatocellular Carcinomas. J Vasc Interv Radiol 2009. [DOI: 10.1016/j.jvir.2008.12.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Takaki H, Yamakado K, Nakatsuka A, Uraki J, Kashima M, Takeda K. Abstract No. 14: Featured Abstract. J Vasc Interv Radiol 2009. [DOI: 10.1016/j.jvir.2008.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Nakatsuka A, Yamakado K, Takaki H, Uraki J, Kashima M, Takeda K. Abstract No. 77: Radiofrequency Ablation in Ex Vivo Swine Spine; Evaluation of Micro Computed Tomography-Histopathologic Correlation. J Vasc Interv Radiol 2009. [DOI: 10.1016/j.jvir.2008.12.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Takaki H, Yamakado K, Nakatsuka A, Uraki J, Takeda K. Abstract No. 107: Radiofrequency Ablation Combined with Chemoembolization for the Treatment of Large Hepatocellular Carcinomas. J Vasc Interv Radiol 2008. [DOI: 10.1016/j.jvir.2007.12.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Nakatsuka A, Yamakado K, Makita M, Oshima F, Takaki H, Uraki J, Takeda K. Abstract No. 177: Physical Properties of Spine after Radiofrequency Ablation with and without Cement Injection; an Experimental Study. J Vasc Interv Radiol 2008. [DOI: 10.1016/j.jvir.2007.12.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Nakatsuka A, Yamakado K, Horikiri N, Takeda K, Tanaka N, Fujii A, Uraki J, Suenami Y, Hiramatsu Y. [Hepatic intra-arterial infusion chemotherapy using polymer-coated 2.9 Fr implantable catheter-port system--initial experience]. Gan To Kagaku Ryoho 2001; 28:1578-81. [PMID: 11707984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
We developed a new 2.9 Fr implantable catheter-port system (reservoir) to perform arterial infusion chemotherapy in patients with unresectable liver tumors. This study was undertaken to evaluate the feasibility of placing this new reservoir system in patients in whom placement of a 5 Fr-reservoir system would seem to be difficult because of severe stricture, tortuosity or angulation of the hepatic artery. A new reservoir system was successfully implanted in 25 patients during 27 sessions. After a side hole was opened, a 2.9 Fr catheter was inserted in the distal hepatic artery or in the gastroduodenal artery in 24 sessions. The catheter tip was then fixed with coils to prevent catheter dislocation. In the other 3 sessions, a 2.9 Fr catheter was inserted without catheter fixation in the replaced right hepatic artery and a small sized collateral artery towards the liver. Arterial infusion chemotherapy was done without any trouble after 20 sessions. Catheter dislocation was found after 2 sessions in which the catheter tip was not fixed or inadequately fixed. Early arterial occlusion was found after placing a 2.9 Fr catheter in the replaced hepatic artery and the small sized-collateral artery after 4 sessions. In conclusion, although sequellae should be evaluated over a long-term period, implantation of a new 2.9 Fr reservoir system is technically feasible and useful in performing arterial infusion chemotherapy.
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Affiliation(s)
- A Nakatsuka
- Dept. of Radiology, Mie University School of Medicine
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Kitagawa K, Yamakado K, Nakatsuka A, Tanaka N, Fujii A, Takano K, Uraki J, Matsumura K, Takeda K. Selective transcatheter hepatic arterial chemoembolization for hemobilia from hepatocellular carcinoma: report of three cases. J Vasc Interv Radiol 1999; 10:1357-60. [PMID: 10584651 DOI: 10.1016/s1051-0443(99)70243-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
MESH Headings
- Aged
- Angiography
- Carcinoma, Hepatocellular/complications
- Carcinoma, Hepatocellular/diagnostic imaging
- Carcinoma, Hepatocellular/therapy
- Catheterization, Peripheral
- Chemoembolization, Therapeutic
- Cholangiopancreatography, Endoscopic Retrograde
- Fatal Outcome
- Female
- Hemobilia/diagnostic imaging
- Hemobilia/etiology
- Hemobilia/therapy
- Hepatic Artery
- Humans
- Injections, Intra-Arterial
- Liver Neoplasms/complications
- Liver Neoplasms/diagnostic imaging
- Liver Neoplasms/therapy
- Male
- Middle Aged
- Neoplasm Invasiveness
- Neoplasm Recurrence, Local
- Rupture, Spontaneous
- Tomography, X-Ray Computed
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Affiliation(s)
- K Kitagawa
- Department of Radiology, Mie University School of Medicine, Tsu, Japan.
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Uraki J. [Diet therapy of gallbladder and bile duct diseases]. Nihon Rinsho 1966; 24:1260-2. [PMID: 6007629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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