{"@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/1390282680245410816.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11404/jsgcs.53.17"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"026036040"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/026036040"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I026036040"}},{"identifier":{"@type":"NAID","@value":"130004948460"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2015152267"}}],"dc:title":[{"@language":"ja","@value":"任意型胃Ｘ線検診における<I>H.pylori</I>感染状態の判定法の現状と課題―対策型検診への導入を目指して―"},{"@language":"en","@value":"Current status and issues of judging method of <I>Helicobacter pylori</I> infection status in opportunistic gastric cancer screening — Aiming for introduction of population-based screening —"},{"@value":"任意型胃X線検診におけるH.pylori感染状態の判定法の現状と課題 : 対策型検診への導入を目指して"},{"@language":"ja-Kana","@value":"ニンイガタ イ Xセン ケンシン ニ オケル H.pylori カンセン ジョウタイ ノ ハンテイホウ ノ ゲンジョウ ト カダイ : タイサクガタ ケンシン エ ノ ドウニュウ オ メザシテ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Since 2013, Takamatsu Hospital's Ningen Dock Center has determined the serum <I>H. pylori</I> antibody titer and measured pepsinogen levels in all individuals who undergo gastric cancer screening as part of a complete health examination. This screening is opportunistic. The Ningen Dock Center fully determines the individual's <I>H. pylori</I> infection status (current infection, past infection, or no previous infection). Analyzing background mucosa in stomach x-rays is the gold standard for determining <I>H. pylori</I> infection status. In 1,535 individuals, this technique had an accuracy of 91.4%, although it had a higher level of accuracy of 96.5% when not distinguishing between a current infection and a past infection. Dealing with an increase in uninfected individuals may present an issue in the future. This x-ray interpretation technique may also be suitable for population-based screening where only stomach x-rays are performed. When a screened individual is suspected of having <I>H. pylori</I> infection, eradication therapy should probably be considered for that individual. To promptly eliminate gastric cancer in the future, all gastric cancer screening systems need to be reconfigured to have <I>H. pylori</I>-associated Gastritis at their core."},{"@language":"ja","@value":"KKR高松病院人間ドックセンターでは, 平成25年度より, 任意型検診である人間ドックの胃がん検診において, 受診者全員の血清<I>H.pylori</I>(Hp)抗体価, pepsinogen(PG)値を測定し, 問診内容も参考の上で, 総合的に個々のHp感染状態(現感染・既感染・未感染)を判定している。これをgold standardとした際の, 胃X線(1,535名)の背景胃粘膜読影によるHp感染状態の正診率は91.4％であったが, 現感染と既感染を区別しなければ96.5％と良好であった。今後は未感染者増加への対応が課題と考えられた。この読影方法は胃X線検査のみ実施する対策型検診においても適用可能である。Hp感染が疑われる受診者は, 精検不要であっても感染診断後, 除菌治療が考慮されるべきであろう。胃がんの早期撲滅のためには, 今後すべての胃がん検診システムが「Hp感染胃炎」という新基軸をもとに再構築されていく必要があると考えられた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282680245410816","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283611934"}],"foaf:name":[{"@language":"ja","@value":"安田 貢"},{"@language":"en","@value":"YASUDA Mitsugi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Ningen Dock Center, Federation of Public Services and Affiliated Personnel Aid Associations, Takamatsu Hospital"},{"@language":"ja","@value":"KKR高松病院 人間ドックセンター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680245410818","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283611935"}],"foaf:name":[{"@language":"ja","@value":"前田 剛"},{"@language":"en","@value":"MAETA Tsuyoshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Gastroenterology, Federation of Public Services and Affiliated Personnel Aid Associations, Takamatsu Hospital"},{"@language":"ja","@value":"KKR高松病院 消化器内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680245410817","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283611936"}],"foaf:name":[{"@language":"ja","@value":"小林 三善"},{"@language":"en","@value":"KOBAYASHI Mitsuyoshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Gastroenterology, Federation of Public Services and Affiliated Personnel Aid Associations, Takamatsu Hospital"},{"@language":"ja","@value":"KKR高松病院 消化器内科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"18807666"},{"@type":"EISSN","@value":"21851190"},{"@type":"NDL_BIB_ID","@value":"000008024092"},{"@type":"ISSN","@value":"18807666"},{"@type":"LISSN","@value":"18807666"},{"@type":"NCID","@value":"AA12134881"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Shoukaki Gan Kenshin Gakkai zasshi"},{"@language":"ja","@value":"日本消化器がん検診学会雑誌"},{"@language":"en","@value":"Nihon Shoukaki Gan Kenshin Gakkai zasshi"},{"@language":"en","@value":"Journal of Gastroenterological Cancer Screening"},{"@language":"en","@value":"J Gastroenterol Cancer Screen"},{"@language":"ja","@value":"日消がん検診誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society of Gastrointestinal Cancer Screening"},{"@language":"ja","@value":"一般社団法人 日本消化器がん検診学会"}],"prism:publicationDate":"2015","prism:volume":"53","prism:number":"1","prism:startingPage":"17","prism:endingPage":"29"},"url":[{"@id":"http://id.ndl.go.jp/bib/026036040"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I026036040"},{"@id":"https://search.jamas.or.jp/link/ui/2015152267"}],"availableAt":"2015","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%83%EF%BC%B8%E7%B7%9A%E6%A4%9C%E8%A8%BA","dc:title":"胃Ｘ線検診"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%8C%E6%99%AF%E8%83%83%E7%B2%98%E8%86%9C","dc:title":"背景胃粘膜"},{"@id":"https://cir.nii.ac.jp/all?q=Hp%E6%84%9F%E6%9F%93%E7%8A%B6%E6%85%8B","dc:title":"Hp感染状態"},{"@id":"https://cir.nii.ac.jp/all?q=stomach%20X-ray%20examination","dc:title":"stomach X-ray examination"},{"@id":"https://cir.nii.ac.jp/all?q=gastric%20background%20mucosa","dc:title":"gastric background mucosa"},{"@id":"https://cir.nii.ac.jp/all?q=Hp%20infection%20status","dc:title":"Hp infection status"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000314535"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I026036040"},{"@type":"CIA","@value":"130004948460"}]}