岡山医学会Acta Medica Okayama0030-155813112019平成30年度岡山医学会賞が決まる6566ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019一般財団法人津山慈風会 津山中央記念病5556ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019第49回 岡山リウマチ研究会6164ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019第28回日本医療薬学会年会報告5960ENToshiakiSendoDepartment of Pharmacy, Okayama University HospitalNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019第46回日本関節病学会報告5758ENToshifumiOzakiDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019免疫チェックポイント阻害薬の効果を左右する腫瘍微小環境5153ENKazuya NishiiDepartment of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kadoaki Ohashi Department of Respiratory Medicine, Okayama University Hospital Katsuyuki KiuraDepartment of Respiratory Medicine, Okayama University HospitalNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019薬物相互作用（44―関節リウマチの分子標的治療薬）4750ENAkinoriMaruoDepartment of Pharmacy, Okayama University Hospital Satoru EsumiDepartment of Pharmacy, Okayama University HospitalYoshihisaKitamuraDepartment of Pharmacy, Okayama University Hospital ToshiakiSendoDepartment of Pharmacy, Okayama University Hospital No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019Ｑ28・Ｑ29・Ｑ304546ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019本邦におけるがんゲノム医療の展開と 岡山大学病院での取り組み4143ENShinichiToyookaGeneral Thoracic Surgery, Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesShutaTomidaCenter for Comprehensive Genomic Medicine, Okayama University Hospital No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019Ventralight ST®を用いて腹腔鏡下手術で修復した Morgagni 孔ヘルニアの1例3539ENTakayoshi Murakami Department of Surgery, Kurashiki Medical CenterYoshimi Fujimoto Department of Surgery, Kurashiki Medical CenterNobutaka Murashima Department of Surgery, Kurashiki Medical CenterTakuya NishinaDepartment of Surgery, Kurashiki Medical CenterKumiSugiuDepartment of Surgery, Kurashiki Medical CenterTakamasa MatsumotoDepartment of Surgery, Kurashiki Medical CenterA 78-year-old Japanese woman was referred to our hospital because of fecal occult blood. Barium enema and CT colonography revealed the herniation of the transverse colon and the greater omentum into the right hemithorax through a retrosternal defect. We diagnosed a Morgagni hernia, and we performed a laparoscopic hernia repair with a three-port approach. The invaginated transverse colon and omentum were easily reduced into the abdominal cavity. The size of the hernial orifice was estimated to be approx. 2.5×4 cm. We placed Ventralight ST® mesh over the hernial orifice without hernial sac resection, and we used the double-crown technique to fix the mesh with a hernia stapler. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day with no complications. There has been no recurrence at 2 years after the surgery. Laparoscopic repair is a safe, less-invasive and useful method for repairing a Morgagni hernia. No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019内科におけるコンピュータ利用診断支援システムによる診断改善2934ENYutakaKuriyamaOkayama University Medical SchoolYumiSota Okayama University Medical SchoolAikaYanoOkayama University Medical School HidekiYasudaYasuda Clinic of Internal MedicineOsamuIshiiTorigoe-iinTakeoSaio Health Management Office, SMBC Nikko Securities IncKeijiroTorigoeTorigoe-iinTakeshi UedaEmergency and General Internal Medicine, Rakuwakai Marutamachi HospitalTarou Shimizu Department of Diagnostic and Generalist Medicine, Dokkyo Medical UniversityYasuharuTokudaMuribushi Okinawa for Teaching HospitalsThe recent application of artificial intelligence（AI）to clinical medicine has confirmed the usefulness of AI for diagnostic imaging, histopathological examinations, and dermatologic screening. Clinical decision support systems are another promising area to which AI could contribute toward better clinical decisions. We have developed computer-assisted diagnostic support systems to reduce human diagnostic errors such as delayed diagnoses, misdiagnoses, and overdiagnoses. Our three Diagnosis Reminder（DR）systems include two AI systems that use machine learning in their diagnosis algorithms. Here, we compared the diagnostic accuracy of a DR-supported group with that of an unassisted physicians group, using three difficult patient cases provided by experts in general medicine.
Our analyses revealed that the three AI diagnostic systems could not provide accurate differential diagnoses up to top 10 in all three patient cases because of incomplete data inputs for machine learning. However, the first DR system, which was developed by an experienced diagnostician over the last 35 years, showed very useful performance in reducing human diagnostic errors when it was used by an expert physician. The use of AI diagnostic systems by knowledgeable physicians will lead to better diagnostic performance. We also discuss the current scenario, future challenges, and prospects for AI diagnostic systems herein. No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019自律神経系による体温調節と循環調節2328ENAtsunoriKamiyaDepartment of Cellular Physiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019アトピー性皮膚炎と表皮角化細胞産生カリクレイン関連ペプチダーゼ1721ENShin MorizaneDepartment of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019平成29年度岡山医学会賞 総合研究奨励賞（結城賞）1315ENTetsuyaTakedaDepartment of Biochemistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019平成29年度岡山医学会賞 総合研究奨励賞（結城賞）911ENEriKatsuyamaDepartment of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019平成29年度岡山医学会賞 がん研究奨励賞（林原賞・山田賞）57ENHiroyukiSakaeDepartment of Gastroenterology and Hepatology, Okayama University HospitalNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155813112019平成29年度岡山医学会賞 脳神経研究奨励賞（新見賞）13ENLiFuDepartment of Pharmacology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesNo potential conflict of interest relevant to this article was reported.