result 1419 件
JaLCDOI | 10.18926/AMO/58270 |
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FullText URL | 74_2_123.pdf |
Author | Fukuhara, Ryuichiro| Shinya, Takayoshi| Fukuma, Shogo| Ogawa, Nanako| Masaoka, Yoshihisa| Tanaka, Takehiro| Marunaka, Hidenori| Arioka, Tadashi| Hiraki, Takao| Kaji, Mitsumasa| Kanazawa, Susumu| |
Abstract | The aim of this study was to evaluate the ability of pretreatment 90-min 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) to predict the extranodular spread of lymph node metastases in oral squamous cell carcinoma. We retrospectively reviewed the cases of 56 patients who underwent pretreatment 18F-FDG PET/CT and surgery with neck dissection. Maximum standardized uptake value, metabolic tumor volume, and total lesion glycolysis were measured for the 56 primary sites and maximum standardized uptake value was measured for 115 lymph node levels. Extranodular spread was present at 9 lymph node levels in 7 patients. Significant differences were found in metabolic tumor volume and total lesion glycolysis of the primary site, and in lymph node maximum standardized uptake value, between patients with and without extranodular spread (p<0.05). Combining primary site total lesion glycolysis and lymph node maximum standardized uptake volume at their respective optimal cutoffs, the sensitivity, specificity, and accuracy for predicting extranodular spread were 89%, 92%, and 92%, respectively. Pretreatment 18F-FDG PET/CT is useful for predicting extranodular spread in patients with oral squamous cell carcinoma. The combined use of primary site total lesion glycolysis and lymph node maximum standardized uptake value showed greater predictive value than either predictor singly. |
Keywords | 18F-fluorodeoxyglucose positron emission tomography/computed tomography extranodular spread metastasis oral squamous cell carcinoma |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-04 |
Volume | volume74 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 123 |
End Page | 128 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32341586 |
Web of Science KeyUT | 000528278500005 |
NAID | 120006839449 |
JaLCDOI | 10.18926/AMO/58266 |
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FullText URL | 74_2_95.pdf |
Author | Kuba, Sayaka| Yamanouchi, Kosho| Morita, Michi| Sakimura, Chika| Inamasu, Eiko| Hatachi, Toshiko| Otsubo, Ryota| Matsumoto, Megumi| Yano, Hiroshi| Miyamoto, Junya| Sato, Shuntaro| Nakagawa, Hiroo| Kanetaka, Kengo| Takatsuki, Mitsuhisa| Nagayasu, Takeshi| Eguchi, Susumu| |
Abstract | We assessed the usefulness of ChemoCalc, a software package for calculating drug costs, in helping patients understand these costs. We randomly assigned, in a 1 : 1 ratio, 20 women who had undergone surgery for early breast cancer to a group that discussed adjuvant treatment with their physicians using the ChemoCalc software (ChemoCalc group) or a group that discussed adjuvant treatment without ChemoCalc (Usual Explanation group). The participants completed a five-grade evaluation questionnaire after these discussions. The primary endpoint was the intergroup comparison of the questionnaire scores regarding participants’ understanding of their treatment-associated drug costs. Median age was not significantly different between the ChemoCalc group and Usual Explanation group (57 vs. 50, respectively; p=0.27). Patients in the ChemoCalc group had a significantly higher perceived level of understanding of the drug cost than those in the Usual Explanation group (5 [4-5] vs. 2.5 [1-5], respectively; p=0.002). Scores related to the patients’ perception that understanding drug costs is an important part of breast cancer treatment were also higher in the ChemoCalc group than the Usual Explanation group (5 [2-5] vs. 3 [1-5], respectively; p=0.049). ChemoCalc was found to be useful for understanding drug costs. |
Keywords | breast cancer drug costs ChemoCalc |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-04 |
Volume | volume74 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 95 |
End Page | 101 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32341582 |
Web of Science KeyUT | 000528278500001 |
NAID | 120006839445 |
FullText URL | fulltext.pdf |
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Author | Tanaka, Yoshihiro| Oita, Masataka| Inomata, Shinichiro| Fuse, Toshiaki| Akino, Yuichi| Shimomura, Kohei| |
Keywords | IGRT noncoplanar radiotherapy patient positioning uncertainty SRS SRT |
Published Date | 2020-01-20 |
Publication Title | Journal of Applied Clinical Medical Physics |
Volume | volume21 |
Issue | issue2 |
Publisher | Wiley |
Start Page | 89 |
End Page | 97 |
ISSN | 1526-9914 |
NCID | AA12034060 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2020 The Authors. |
File Version | publisher |
PubMed ID | 31957975 |
DOI | 10.1002/acm2.12820 |
Web of Science KeyUT | 000508029800001 |
Related Url | isVersionOf https://doi.org/10.1002/acm2.12820 |
FullText URL | fulltext.pdf |
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Author | Hagiwara, Kaito| Yano, Takatomi| Tanaka, Tomoyuki| Reen, Mandeep Singh| Das, Pretam Kumar| Lorenz, Sebastian| Ou, Iwa| Sudo, Takashi| Yamada, Yoshiyuki| Mori, Takaaki| Kayano, Tsubasa| Dhir, Rohit| Koshio, Yusuke| Sakuda, Makoto| Kimura, Atsushi| Nakamura, Shoji| Iwamoto, Nobuyuki| Harada, Hideo| Wurm, Michael| Focillon, William| Gonin, Michel| Ali, Ajmi| Collazuol, Gianmaria| |
Published Date | 2019-02-22 |
Publication Title | Progress of Theoretical and Experimental Physics |
Issue | issue2 |
Publisher | Oxford University Press |
Start Page | 023D01 |
ISSN | 2050-3911 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2019. |
File Version | publisher |
DOI | 10.1093/ptep/ptz002 |
Web of Science KeyUT | 000462589600008 |
Related Url | isVersionOf https://doi.org/10.1093/ptep/ptz002 |
JaLCDOI | 10.18926/AMO/57959 |
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FullText URL | 74_1_89.pdf |
Author | Kada, Akiko| Fukano, Reiji| Mori, Tetsuya| Kamei, Michi| Tanaka, Fumiko| Ueyama, Junichi| Sekimizu, Masahiro| Osumi, Tomoo| Mori, Takeshi| Koga, Yuhki| Ohki, Kentaro| Fujita, Naoto| Mitsui, Tetsuo| Saito, Akiko M.| Hashimoto, Hiroya| Kobayashi, Ryoji| |
Abstract | No standard treatment for relapsed or refractory anaplastic large-cell lymphoma (ALCL) has been established. This study is a multicenter, open-label trial to examine the effectiveness and safety of transplantation with reduced-intensity conditioning (RIC) for patients under 20 years old with relapsed or refractory ALCL. We defined RIC as the administration of fludarabine (30 mg/m2/day) for five days plus melphalan (70 mg/m2/day) for two days and total body irradiation at 4 Gy, followed by allogeneic hematopoietic stem cell transplantation. |
Keywords | anaplastic large-cell lymphoma relapsed/refractory fludarabine melphalan total body irradiation |
Amo Type | Clinical Study Protocol |
Publication Title | Acta Medica Okayama |
Published Date | 2020-02 |
Volume | volume74 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 89 |
End Page | 94 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32099255 |
Web of Science KeyUT | 000516606200014 |
NAID | 120006795626 |
JaLCDOI | 10.18926/AMO/57949 |
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FullText URL | 74_1_27.pdf |
Author | Toda, Kazukiyo| Yagata, Yukihisa| Kikuchi, Takeshi| Takigawa, Tomoyuki| Ito, Yasuo| |
Abstract | Pelvic fractures occur with high-energy trauma, and the patient’s clinical status is unstable. Although a number of surgical methods for unstable pelvic fractures are available, none can achieve strong fixation with minimal invasiveness. We describe a surgical transiliac rod and screw fixation (TIF) procedure that provides minimally invasive fixation using a spinal implant for unstable pelvic ring fractures, and we retrospectively analyzed the procedure’s outcomes in 27 patients with type B or C1 fractures (based on the AO/ATO classification system). Small skin incisions are made above the posterior superior iliac spines on both sides. The ilium is partially resected, and two iliac screws are inserted on each side. The spinous process of the sacral spine is then shaved, and the iliac screws are connected to 2 rods, one placed caudal to the other. Corrective manipulation is performed at the fracture site, and the rods are connected with connectors. Favorable fracture reduction, defined as a rating of ‘excellent’ or ‘good,’ was achieved in 77.8% of the patients. Transiliac rod and screw fixation (TIF) will be a useful therapeutic option for unstable pelvic ring fractures. |
Keywords | pelvic ring fractures sacral fracture transiliac rod and screw fixation spinal fixation system minimally invasive surgery |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-02 |
Volume | volume74 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 27 |
End Page | 32 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32099245 |
Web of Science KeyUT | 000516606200004 |
NAID | 120006795616 |
FullText URL | PJAB95_4_165.pdf |
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Author | Nakamura, Eizo| Kunihiro, Tak| Ota, Tsutomu| Sakaguchi, Chie| Tanaka, Ryoji| Kitagawa, Hiroshi| Kobayashi, Katsura| Yamanaka, Masahiro| Shimaki, Yuri| Bebout, Gray E.| Miura, Hitoshi| Yamamoto, Tetsuo| Malkovets, Vladimir| Grokhovsky, Victor| Koroleva, Olga| Litasov, Konstantin| |
Keywords | ordinary chondrite chronology geochemistry impact melting asteroid comet |
Published Date | 2019-04-11 |
Publication Title | Proceedings of the Japan Academy, Ser. B Physical and Biological Sciences |
Volume | volume95 |
Issue | issue4 |
Start Page | 165 |
End Page | 177 |
ISSN | 0386-2208 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2019 The Japan Academy |
File Version | publisher |
PubMed ID | 30971619 |
DOI | 10.2183/pjab.95.013 |
Web of Science KeyUT | 000470804000002 |
Related Url | isVersionOf https://doi.org/10.2183/pjab.95.013 |
FullText URL | JP60_8_1681.pdf |
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Author | Feyissa, Dejene Hailemariam| Kitagawa, Hiroshi| Bizuneh, Tesfaye Demissie| Tanaka, Ryoji| Kabeto, Kurkura| Nakamura, Eizo| |
Keywords | Ethiopian Plateau Ethiopian rift Afar depression mantle source mantle melting |
Published Date | 2019-09-12 |
Publication Title | Journal of Petrology |
Volume | volume60 |
Issue | issue8 |
Publisher | Oxford University Press |
Start Page | 1681 |
End Page | 1715 |
ISSN | 0022-3530 |
NCID | AA0070444X |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | author |
DOI | 10.1093/petrology/egz043 |
Web of Science KeyUT | 000509550500007 |
Related Url | isVersionOf https://doi.org/10.1093/petrology/egz043 |
FullText URL | JVMS81_8_1191.pdf |
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Author | Ogawa, Hirohito| Hirayama, Haruko| Tanaka, Satsuki| Yata, Norio| Namba, Hikaru| Yamashita, Nobuko| Yonemitsu, Kenzo| Maeda, Ken| Mominoki, Katsumi| Yamada, Masao| |
Keywords | animal experimental facility domestic pig hepatitis E virus zoonosis |
Published Date | 2019-08-24 |
Publication Title | Journal of Veterinary Medical Science |
Volume | volume81 |
Issue | issue8 |
Publisher | The Japanese Society of Veterinary Science |
Start Page | 1191 |
End Page | 1196 |
ISSN | 0916-7250 |
NCID | AA10796138 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | ©2019 The Japanese Society of Veterinary Science |
File Version | publisher |
PubMed ID | 31281141 |
DOI | 10.1292/jvms.19-0086 |
Web of Science KeyUT | 000492854900021 |
Related Url | isVersionOf https://doi.org/10.1292/jvms.19-0086 |
Author | Tanaka, Takashi| Huang, Yong| Marukawa, Yohei| Tsuboi, Yuka| Masaoka, Yoshihisa| Kojima, Katsuhide| Iguchi, Toshihiro| Hiraki, Takao| Gobara, Hideo| Yanai, Hiroyuki| Nasu, Yasutomo| Kanazawa, Susumu| |
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Keywords | MDCT artificial intelligence kidney neoplasms neural network models |
Published Date | 2020-01-08 |
Publication Title | American journal of roentgenology |
Publisher | American Roentgen Ray Society |
Start Page | 1 |
End Page | 8 |
ISSN | 0361-803X |
NCID | AA00521224 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | author |
PubMed ID | 31913072 |
DOI | 10.2214/AJR.19.22074 |
Related Url | isVersionOf https://doi.org/10.2214/AJR.19.22074 |
FullText URL | JCEH59_4_168.pdf |
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Author | Matsuo, Toshihiko| Tanaka, Takehiro| |
Keywords | Intraocular lymphoma central nervous system lymphoma CD5 vitrectomy cell block diffuse large B-cell lymphoma |
Published Date | 2019-12-22 |
Publication Title | Journal of Clinical and Experimental Hematopathology |
Volume | volume59 |
Issue | issue4 |
Publisher | Japanese Society for Lymphoratic Tissue Research |
Start Page | 168 |
End Page | 174 |
ISSN | 1346-4280 |
NCID | AA11556796 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2019 The Japanese Society for Lymphoreticular Tissue Research |
File Version | publisher |
PubMed ID | 31611509 |
DOI | 10.3960/jslrt.19019 |
Web of Science KeyUT | 000503881900003 |
Related Url | isVersionOf https://doi.org/10.3960/jslrt.19019 |
FullText URL | srfa_109_021_027.pdf |
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Author | Annah Khatenje Indeche| Yoshida, Yuichi| Miyaji, Daisuke| Goto, Tanjuro| Yasuba, Ken-ichiro| Tanaka, Yoshiyuki| |
Abstract | The objectives of this study were to (i) determine the optimum number of whole leaves to retain on a tomato plant for effective blossom-end rot (BER) management and (ii) explore the relationship between shoot calcium (Ca) and fruit Ca in non-defoliated plants in two different sized fruit cultivars, a large-fruited cultivar ‘Momotaro fight’ and a medium-fruited cultivar ‘Cindy sweet’. Treatments involved maintaining 18, 15 and 12 leaves on a plant. All lateral shoots were removed regularly throughout the growing period except the shoot closest to the flowering truss in the 18-leaf treatment. At the length of 10cm, these shoots were sampled for real time Ca determination using a hand held Ca2+ meter. In the plants defoliated to 18 leaves, BER was higher in ‘Momotaro fight’ at 10% compared to 2% in ‘Cindy sweet’. Fruit growth rate was significantly increased by defoliation in ‘Momotaro fight’, however no significant difference was observed among treatments in ‘Cindy sweet’. Defoliating to 12 leaves increased daily Ca transport rate by 59% and 37% in ‘Momotaro fight’ and ‘Cindy sweet’, respectively. Defoliating to 12 leaves increased the water-soluble Ca concentration in the distal part of fruit by 34% and 14% in ‘Momotaro fight’ and ‘Cindy sweet’, respectively. In the plants defoliated to 18 leaves where only old yellowish leaves were removed, a significant steady decrease was observed in the concentration of water soluble Ca in the distal part of fruit with increase in truss order. There was a significant linear relationship between water-soluble Ca concentration in the distal part of the fruit and Ca concentration in the lateral shoot of plants defoliated to 18 leaves. We conclude that under moderate water stress by root zone restriction and also certain other BER inductive conditions, defoliation to 12–15 leaves on a tomato plant should be a promising approach for decreasing BER incidence in susceptible large fruit cultivars. |
Keywords | BER management defoliation water-soluble Ca lateral shoot Ca root zone restriction |
Publication Title | Scientific Reports of the Faculty of Agriculture, Okayama University |
Published Date | 2020-02-01 |
Volume | volume109 |
Start Page | 21 |
End Page | 27 |
ISSN | 2186-7755 |
language | English |
File Version | publisher |
FullText URL | ST49_3_254.pdf |
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Author | Sugimoto, Seiichiro| Kurosaki, Takeshi| Otani, Shinji| Tanaka, Shin| Hikasa, Yukiko| Yamane, Masaomi| Toyooka, Shinichi| Kobayashi, Motomu| Oto, Takahiro| |
Keywords | Brain-dead donor Extended-criteria donor Lung transplantation Marginal donor Mechanical ventilation |
Published Date | 2018-10-27 |
Publication Title | Surgery Today |
Volume | volume49 |
Issue | issue3 |
Publisher | Springer |
Start Page | 254 |
End Page | 260 |
ISSN | 0941-1291 |
NCID | AA10824685 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | author |
PubMed ID | 30368607 |
DOI | 10.1007/s00595-018-1730-z |
Web of Science KeyUT | 000462246600010 |
Related Url | isVersionOf https://doi.org/10.1007/s00595-018-1730-z |
FullText URL | SR9_1_4633.pdf |
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Author | Morihiro, Toshiaki| Kuroda, Shinji| Kanaya, Nobuhiko| Kakiuchi, Yoshihiko| Kubota, Tetsushi| Aoyama, Katsuyuki| Tanaka, Takehiro| Kikuch, Satoru| Nagasaka, Takeshi| Nishizaki, Masahiko| Kagawa, Shunsuke| Tazawa, Hiroshi| Fujiwara, Toshiyoshi| |
Published Date | 2019-3-15 |
Publication Title | Scientific Reports |
Volume | volume9 |
Publisher | Nature Publishing Group |
Start Page | 4633 |
ISSN | 2045-2322 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2019 |
File Version | publisher |
PubMed ID | 30874607 |
DOI | 10.1038/s41598-019-41177-2 |
Web of Science KeyUT | 000461303000015 |
Related Url | isVersionOf https://doi.org/10.1038/s41598-019-41177-2 |
FullText URL | JIMHICR2019.pdf |
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Author | Matsuo, Toshihiko| Tanaka, Takehiro| Yamasaki, Osamu| |
Keywords | BRAF inhibitor BRAF mutation MEK inhibitor PET/CT dabrafenib lacrimal sac malignant melanoma trametinib |
Note | UNSP 2324709619888052| |
Published Date | 2019-11-20 |
Publication Title | Journal of Investigative Medicine High Impact Case Reports |
Volume | volume7 |
Publisher | Sage Publications |
Start Page | 1 |
End Page | 6 |
ISSN | 2324-7096 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | publisher |
PubMed ID | 31747798 |
DOI | 10.1177/2324709619888052 |
Web of Science KeyUT | 000498954100001 |
Related Url | isVersionOf https://doi.org/10.1177/2324709619888052 |
FullText URL | JMU46_4_449.pdf |
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Author | Takada, Saimon| Kato, Hironari| Saragai, Yosuke| Muro, Shinichiro| Uchida, Daisuke| Tomoda, Takeshi| Matsumoto, Kazuyuki| Horiguchi, Shigeru| Tanaka, Noriyuki| Okada, Hiroyuki| |
Keywords | Contrast-enhanced harmonic endoscopic ultrasound (CH-EUS) Pancreatic neuroendocrine neoplasm (PNEN) Time–intensity curve (TIC) analysis |
Note | This is a post-peer-review, pre-copyedit version of an article published in Journal of Medical Ultrasonics. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10396-019-00967-x.| |
Published Date | 2019-08-03 |
Publication Title | Journal of Medical Ultrasonics |
Volume | volume46 |
Issue | issue4 |
Publisher | Springer |
Start Page | 449 |
End Page | 458 |
ISSN | 1346-4523 |
NCID | AA11563281 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | author |
PubMed ID | 31377939 |
DOI | 10.1007/s10396-019-00967-x |
Web of Science KeyUT | 000487923000010 |
Related Url | isVersionOf https://doi.org/10.1007/s10396-019-00967-x |
FullText URL | ecancermedicalscience2019_933.pdf |
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Author | Iwamuro, Masaya| Tanaka, Takehiro| Nishida, Kenji| Kanzaki, Hiromitsu| Kawano, Seiji| Kawahara, Yoshiro| Yoshino, Tadashi| Okada, Hiroyuki| |
Keywords | follicular gastritis gastric neoplasms gastrointestinal endoscope mucosa-associated lymphoid tissue lymphoma nodular gastritis |
Published Date | 2019-06-03 |
Publication Title | ecancermedicalscience |
Volume | volume13 |
Publisher | CANCER INTELLIGENCE |
Start Page | 933 |
ISSN | 1754-6605 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © the authors |
File Version | publisher |
PubMed ID | 31281430 |
DOI | 10.3332/ecancer.2019.933 |
Web of Science KeyUT | 000472729000001 |
Related Url | isVersionOf https://doi.org/10.3332/ecancer.2019.933 |
FullText URL | GRP_8159072.pdf |
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Author | Iwamuro, Masaya| Aoyama, Yuki| Suzuki, Seiyuu| Kobayashi, Sayo| Toyokawa, Tatsuya| Moritou, Yuki| Hori, Shinichiro| Matsueda, Kazuhiro| Yoshioka, Masao| Tanaka, Takehiro| Okada, Hiroyuki| |
Published Date | 2019-09-08 |
Publication Title | Gastroenterology Research and Practice |
Publisher | Hindawi |
Start Page | 8159072 |
ISSN | 1687-6121 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | Copyright © 2019 Masaya Iwamuro et al. |
File Version | publisher |
PubMed ID | 31582972 |
DOI | 10.1155/2019/8159072 |
Web of Science KeyUT | 000487588000001 |
Related Url | isVersionOf https://doi.org/10.1016/bs.aiip.2019.01.001 |
JaLCDOI | 10.18926/AMO/57717 |
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FullText URL | 73_6_523.pdf |
Author | Hiranaka, Takaaki| Furumatsu, Takayuki| Okazaki, Yoshiki| Kamatsuki, Yusuke| Masuda, Shin| Okazaki, Yuki| Takihira, Shota| Miyazawa, Shinichi| Nakata, Eiji| Ozaki, Toshifumi| |
Abstract | The case of an individual with a bilateral anterior cruciate ligament (ACL) tear combined with a medial meniscus (MM) posterior root tear is described. A 34-year-old Japanese man with bilateral ACL rupture that occurred > 10 years earlier was diagnosed with bilateral ACL tear combined with MM posterior root tear (MMPRT). We performed a transtibial pullout repair of the MMPRT with ACL reconstruction. The tibial tunnels for the MM posterior root repair and ACL reconstruction were created separately. Postoperatively, a good clinical outcome and meniscal healing were obtained. Our surgical technique may thus contribute to anatomical MM posterior root repair and ACL reconstruction. |
Keywords | bilateral anterior cruciate ligament tear medial meniscus posterior root tear pullout repair case report |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 523 |
End Page | 528 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871335 |
Web of Science KeyUT | 000503431400008 |
JaLCDOI | 10.18926/AMO/57714 |
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FullText URL | 73_6_503.pdf |
Author | Kamatsuki, Yusuke| Furumatsu, Takayuki| Miyazawa, Shinichi| Kodama, Yuya| Hino, Tomohito| Okazaki, Yoshiki| Masuda, Shin| Okazaki, Yuki| Noda, Tomoyuki| Yamakawa, Yasuaki| Tetsunaga, Tomoko| Ozaki, Toshifumi| |
Abstract | Clinical studies have demonstrated that transtibial pullout repair led to favorable midterm outcomes in patients with medial meniscus posterior root tears (MMPRTs) although medial meniscal extrusion (MME) continued to be present. It has been unclear whether these residual postoperative MMEs existed after the pullout repair or had progressed at the very short-term evaluation after surgery. We sought to determine which characteristics of patients with MMPRTs influence the incidence of postoperative MME. The cases of 23 patients whose date of injury was known were analyzed. All patients underwent MMPRT pullout fixation. Preoperative and 3-month postoperative magnetic resonance imaging (MRI) examinations were performed. MME was retrospectively assessed on the mid-coronal plane of MRI scans. The preoperative and postoperative MME values were 4.2±1.2 mm and 4.3±1.5 mm, respectively (p=0.559). Pullout repair surgery was performed significantly earlier after the MMPRT-specific injury in patients whose postoperative MME improved compared to the patients whose MME did not improve (p<0.001). Our findings demonstrated that an early transtibial pullout repair of an MMPRT was more effective in reducing MME than a late repair. Surgeons should not miss the optimal timing for the pullout repair of an MMPRT, considering the period from the injury and the preoperative MME. |
Keywords | medial meniscus posterior root tear pullout repair medial meniscus extrusion magnetic resonance imaging |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 503 |
End Page | 510 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871332 |
Web of Science KeyUT | 000503431400005 |