第2回肝炎・免疫研究 ... - kanen.ncgm.go.jp

1 2 TACE IVR IVR 2 KEN SAISEIKAI HOSPITAL TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL Interventional RadiologyInterventional Radiology Vascular Intervention TACE Non-vascular Intervention RFA MCT PEIT PAIT 2 FUKUI KEN SAISEIKAI HOSPITAL 2009 * B 65 C * A,B , A 2 FUKUI KEN SAISEIKAI HOSPITAL 1 4 TACE 26 TACE 2 FUKUI KEN SAISEIKAI HOSPITAL Transcatheter arterial chemoembolization 20 25 75 80 or TACE Transcatheter arterial chemoembolization 2 FUKUI KEN SAISEIKAI HOSPITALIVR X TVERCP X Gy 1Gy 1000 Gy IVR TACEX 2 FUKUI KEN SAISEIKAI HOSPITAL

2 350 370mg/ml 300mg/ml 1)Cigarroa RG. et al.: Am J Med. 86:649-652(1989) [ 5ml/Kg (Kg)] (mg/dL) 300mL TACE 3 1 40 1 2 FUKUI KEN SAISEIKAI HOSPITAL CT TACE 2 FUKUI KEN SAISEIKAI HOSPITAL Pre1 w5 mo1 y 5 mo1 w (W/L )5 mo (W/L ) follow-up 2 FUKUI KEN SAISEIKAI HOSPITAL 2 FUKUI KEN SAISEIKAI HOSPITAL ( )

3 TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL CT MRI X-P TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE 2007 9 TACE 2008 2 FUKUI KEN SAISEIKAI HOSPITAL 2 FUKUI KEN SAISEIKAI HOSPITAL IVR TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL IVR IVR IVR 2 FUKUI KEN SAISEIKAI HOSPITAL

4 2 FUKUI KEN SAISEIKAI HOSPITAL 5 3L/min ( ) 2 FUKUI KEN SAISEIKAI HOSPITAL 2 FUKUI KEN SAISEIKAI HOSPITAL TACE ( ) ( ) 2 FUKUI KEN SAISEIKAI HOSPITALTACE 2 FUKUI KEN SAISEIKAI HOSPITAL Fr 25cm )

5 TACE CBCT CTAP CBCT cone-beam CT CT CTAP CT DSA Digital Subtraction Angiography 2 FUKUI KEN SAISEIKAI HOSPITALTACE CBCT CTAP DSA DSA 2 FUKUI KEN SAISEIKAI HOSPITALCBCT cone-beam CT CT CTAP CT DSA Digital Subtraction Angiography TACE ( ) (Ultraselective TACE) TACEA6 2 FUKUI KEN SAISEIKAI HOSPITALTACE Cathetertip 2 FUKUI KEN SAISEIKAI HOSPITAL TACE 10ml 2 FUKUI KEN SAISEIKAI HOSPITALTACE 2 (15mg)

6 TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE up 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITALTACE (Ultraselective)TACE TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITALTACE 10 IVR TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL

7 TACE 4 4 ( ) TACE 2 FUKUI KEN SAISEIKAI HOSPITALTACE TACE 2 2 FUKUI KEN SAISEIKAI HOSPITAL 3Gy 1Gy 1 2 IVR TACE PCI IVR IVR 2 FUKUI KEN SAISEIKAI

8 HOSPITAL 1 CT TACE IVR 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL 2 FUKUI KEN SAISEIKAI HOSPITAL 1 2 FUKUI KEN SAISEIKAI HOSPITAL 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE X TACE 2 FUKUI KEN SAISEIKAI HOSPITAL TACE TACE 2 FUKUI KEN SAISEIKAI HOSPITAL

9 2 FUKUI KEN SAISEIKAI HOSPITAL