症例の予後改善のための,電子ビームCT,4列～320列CTを用いた循環器領域の新しい臨床診断学の開発への貢献

Abstract

I went to the Stanford University Department of Radiology\u27s three-dimensional (3D) imaging laboratory from 1996 to 1999 to study a novel 3D image processing technique using electron beam computed tomography (CT). When I returned to Japan, I found that multi-slice CT had been available in daily practice since 1998. We have published a total of 152 peer-reviewed papers on diagnostic images in the field of cardiovascular disease. In 2003, when 16-slice CT was available for use in general hospitals, we successfully developed a prototype 256-slice cone-beam CT at the National Institute of Radiological Sciences. We produced several papers discussing the utilities of this prototype CT in both animal and phantom experiments, the concepts and ideas that were currently used for cardiac perfusion and myocardium characteristic study. In 2010, our paper was used as a reference in the American College of Cardiology Foundation Expert Consensus Guideline. The our current topics presented include coronary artery stenosis, coronary arterial plaques, the characteristics of the myocardium, the anatomy of structural and congenital heart disease, and the cardiac function, all using 16-320 slice CT with reduced radiation exposure in CT acquisition. Furthermore, we are now performing novel clinical CT studies combined magnetic resonance imaging (MRI), positron emission tomography, and echocardiography. Using previous image data, we analyzed an epidemiology study using CT findings to predict the occurrence of major cardiovascular adverse events over long-term follow-up periods of more than 100 months (median), one of the longest follow-up periods documented in the literature. We also need to obtain accurate diagnoses for subjects with cardiac failure or fatal arrhythmia of unknown origin, allowing them to receive specific effective therapy for their possible cardiac amyloidosis, cardiac sarcoidosis, or Fabry\u27s disease. Of course, in all CT imaging techniques used for evaluation and monitoring of cardiovascular risk