{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679386897280.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.7887/jcns.19.133"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jcns/19/2/19_KJ00006065089/_pdf"}},{"identifier":{"@type":"NAID","@value":"110007539858"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2010107708"}}],"dc:title":[{"@language":"ja","@value":"脳動脈瘤クリッピング術の術前画像検査と戦術上重要な術中所見(<特集>脳動脈瘤治療のトピックス)"},{"@language":"en","@value":"Preoperative Image Assessment of Cerebral Aneurysms and the Management of Critical Intraoperative Findings(<SPECIAL ISSUE>Topics of Therapy for Cerebral Aneurysms)"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Digital subtraction angiography (DSA) has been the main technique used for the detection and characterization of intracranial aneurysms and still remains the gold standard. However, DSA is invasive and time consuming, and carries a risk of both neurological and non-neurological complications. In addition, DSA may increase the risk of rebleeding when examining acute stage subarachnoid hemorrhage. It has been demonstrated that three-dimensional (3D) CT can reliably detect intracranial aneurysms. Therefore, a review of the recent literature concerning the diagnostic values of 3D-CT for preoperative aneurysm assessment was performed. Employing even the most advanced technology, intraoperative findings are not always well or fully depicted before surgery. Among them, the vessel wall findings including arterioscrelosis, condition of the perforators, and the status of the aneurysm occlusion are critical to the surgical outcome. Therefore, the detection and management of these important intraoperative findings were also illustrated."},{"@language":"ja","@value":"脳血管撮影は,現在でもその解像度の高さより脳血管障害の画像診断のgolden standardと考えられている.しかし,その侵襲性などを考慮すると,脳動脈瘤の外科治療においては,最適の検査とはいい難い.3D-CTは,近年の工学技術の発展に伴い診断の精度が著しく向上しており,動脈瘤の部位と形状診断においても優れた感度と特異度を有し,DSAと比べて遜色のない検査法となっている.この点について文献的に考察した.また脳動脈瘤クリッピング術においては,術中所見を正確に把握したうえで適切に治療を行わなければならない.しかし,3D-CTを含む術前の画像検査では,術中所見の詳細を術前に予知するまでには至っていない.そこで,脳動脈瘤クリッピング術の成績向上の観点から,術前には確認しにくい所見である母血管やネックの血管壁の性状,穿通枝の血流動態,動脈瘤の閉塞状態について,術中確認とその対処方法を提示し解説した."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679386897280","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002650672"}],"foaf:name":[{"@language":"ja","@value":"木内 博之"},{"@language":"en","@value":"Kinouchi Hiroyuki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, University of Yamanashi, Faculty of Medicine"},{"@language":"ja","@value":"山梨大学医学部脳神経外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"0917950X"},{"@type":"LISSN","@value":"0917950X"},{"@type":"EISSN","@value":"21873100"},{"@type":"NCID","@value":"AN10380506"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Neurosurgery"},{"@value":"脳神経外科ジャーナル"},{"@language":"en","@value":"Jpn J Neurosurg"},{"@value":"脳外誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Congress of Neurological Surgeons"},{"@language":"ja","@value":"一般社団法人日本脳神経外科コングレス"}],"prism:publicationDate":"2010","prism:volume":"19","prism:number":"2","prism:startingPage":"133","prism:endingPage":"140"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://www.jstage.jst.go.jp/article/jcns/19/2/19_KJ00006065089/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2010107708"}],"availableAt":"2010","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=angiography","dc:title":"angiography"},{"@id":"https://cir.nii.ac.jp/all?q=cerebral%20aneurysm","dc:title":"cerebral aneurysm"},{"@id":"https://cir.nii.ac.jp/all?q=CT","dc:title":"CT"},{"@id":"https://cir.nii.ac.jp/all?q=digital%20subtraction","dc:title":"digital subtraction"},{"@id":"https://cir.nii.ac.jp/all?q=DSA","dc:title":"DSA"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011145264882176","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prospective evaluation of surgical microscope—integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145301942656","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Selective cerebral intraarterial DSA"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574096116589056","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"RESULTS OF A PROSPECTIVE PROTOCOL OF COMPUTED TOMOGRAPHIC ANGIOGRAPHY IN PLACE OF CATHETER ANGIOGRAPHY AS THE ONLY DIAGNOSTIC AND PRETREATMENT PLANNING STUDY FOR CEREBRAL ANEURYSMS BY A COMBINED NEUROVASCULAR TEAM"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855570537850368","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Rebleeding of ruptured intracranial aneurysms in the acute 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Complication rate and control of risk factors"}]},{"@id":"https://cir.nii.ac.jp/crid/1573950400806323200","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Risk of cerebral angiography in patients with subarachnoid hemorrhage, cerebral aneurysm, and arteriovenous malformation : A meta-analysis"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2002475422"},{"@type":"CROSSREF","@value":"10.7887/jcns.19.133"},{"@type":"CIA","@value":"110007539858"},{"@type":"OPENAIRE","@value":"doi_dedup___::086b48107e0250f7ee7acd792c6af69e"}]}