{"@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/1390282679729423872.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.18907/jjsre.28.8_566"}},{"identifier":{"@type":"NAID","@value":"110006224448"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2007152977"}}],"dc:title":[{"@language":"ja","@value":"1-3 CTガイド下肺針生検(<特集>第29回日本呼吸器内視鏡学会総会)"},{"@language":"en","@value":"CT-guided Needle Lung Biopsy"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Purpose and Materials. We evaluated more than 700 CT-guided needle lung biopsy (CT-NB) during the past 25-year period to clarify the sphere of CT-NB indications. Methods. We analysed the relationships between the hitting rate or positive diagnostic rate and the size or location of the lung lesions. Results. Hitting rate of CT-NB were mainly affected by both the size and location of the lesions. The lesions that located at (1) deep in the lung, (2) just below the rib, (3) lateral, and (4) subpleural lung field were often difficult to be hit. Larger than 2 cm in caliber lesion could be hit in 2-3 times of needle insertions if it was not located at above (1)-(4) areas. It was often difficult to get enough specimen from the small lesions that were too hard to insert the needle or of poor cellularity. In 1992 we developed a new method in order to overcome these limitations. This new method consists of needle biopsy to get core specimen using biopsy gun before needle aspiration biopsy (NAB) by coaxial method. By this new method both the improvement of the positive rate for malignant lesions and the diagnostic rate for benign lesions were achieved(75%→95%,25→81%sequentially). (JJSRE. 2006;28:566-571)"},{"@language":"ja","@value":"目的.肺野末梢病変の確定診断法におけるCTガイド下肺針生検法(CT-NB)の有用性を述べ,その適応と守備範囲を明らかにする.方法.1983年から25年間に著者が経験したCT-NB700件以上の命中率,陽性卒などの成績に影響を与えた要因につき検討した.結果.CT-NBの命中卒は主に病変の径と穿刺距離の影響を受けた.径が2cm以上の病変であれば穿刺距離が10cmと深い場合でも2〜3回までの穿刺で命中可能であった.存在部位につき,(1)肺内深部(2)肋骨直下(3)外側胸膜直下(4)横隔膜直上などの場合で命中が困難であった.上記の(1)〜(4)に相当する以外の場合は,病変の径が2cm以上であればCT-NBで十分命中できると考えられた.一方,病変が「固い」「細胞成分が少ない」などの場合,充分量の良好な標本を採取することはCT-NABのみでは困難であった.病変の径が2cm以上の場合には吸引細胞診(CT-NAB)のみでなく,自動生検針を用いたCT-NBを併用することで,悪性病変の陽性率は75%から95%に向上し,良性病変の特異的診断率も25%から81%に向上した.(気管支学. 2006;28:566-571)"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204749452032","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000014507641"}],"foaf:name":[{"@language":"ja","@value":"篠原 義智"},{"@language":"en","@value":"Shinohara Yoshitomo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Radiology, Tama Nambu Regional Hospital"},{"@language":"ja","@value":"(財)東京都保健医療公社多摩南部地域病院放射線科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"02872137"},{"@type":"LISSN","@value":"02872137"},{"@type":"EISSN","@value":"21860149"},{"@type":"NCID","@value":"AN00357687"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of the Japan Society for Respiratory Endoscopy"},{"@language":"ja","@value":"気管支学"},{"@language":"en","@value":"J. Jpn. Soc. Respir. Endoscopy"},{"@language":"en","@value":"J. Jpn. Soc. Bronchol."},{"@language":"en","@value":"J. Jpn. Soc. Resp. Endoscopy"},{"@language":"en","@value":"JJSB"},{"@language":"en","@value":"JJSRE"}],"dc:publisher":[{"@language":"en","@value":"The Japan Society for Respiratory Endoscopy"},{"@language":"ja","@value":"日本呼吸器内視鏡学会"}],"prism:publicationDate":"2006","prism:volume":"28","prism:number":"8","prism:startingPage":"566","prism:endingPage":"571"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2007152977"}],"availableAt":"2006","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=CT%E3%82%AC%E3%82%A4%E3%83%89","dc:title":"CTガイド"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%87%9D%E7%94%9F%E6%A4%9C","dc:title":"針生検"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E7%99%8C","dc:title":"肺癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%81%A9%E5%BF%9C","dc:title":"適応"},{"@id":"https://cir.nii.ac.jp/all?q=CT-guidance","dc:title":"CT-guidance"},{"@id":"https://cir.nii.ac.jp/all?q=Needle%20biopsy","dc:title":"Needle biopsy"},{"@id":"https://cir.nii.ac.jp/all?q=Lung%20cancer","dc:title":"Lung cancer"},{"@id":"https://cir.nii.ac.jp/all?q=Indication","dc:title":"Indication"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390282679716898048","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"日本における気管支ファイバースコープ検査の現状 : 特に合併症について"},{"@language":"en","@value":"A Survey on Flexible Bronchofiberscopy in Japan with an Emphasis on Complications"}]},{"@id":"https://cir.nii.ac.jp/crid/1570291225212212992","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"CTガイド下肺針生検-特にその適応と \"Tandem\" 変法について-"}]},{"@id":"https://cir.nii.ac.jp/crid/1573668925333166976","@type":"Article","relationType":["cites"]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001470545"},{"@type":"CIA","@value":"110006224448"}]}