RSNA2013「オススメ演題」について
堀川雅弘先生(Dotter Inverventional Institute/クオリティラドIVR)にお答えいただきました。
【IVR】
CODE: SSA23-01
Scientific Formal (Paper) Presentations
A Catheter to Curb your Appetite? A Novel Observation of Weight Loss Following Left Gastric Artery Embolization in Humans
Andrew J Gunn MD et al.
DATE:Sunday
TIME:10:45-10:55 AM
LOCATION:E350
PURPOSE:記載なし
【コメント】
IVR関連sessionの初日1発目の演題。何故かonlineでは抄録記載が一切無いが、別sourceによると左胃動脈出血例に対してのemboliを行った患者で3Mで7.9%の体重減少が得られたとの事。原疾患のせいと思われる所をいかに考察しているかに注目。Control群との割り付けが恣意的でなければ案外本当なのかもしれない。流石、減量手術がバンバン行われてる国。MGH発。
【IVR】
CODE: SSA24-06
Scientific Formal (Paper) Presentations
The Comparison of Balloon-occluded Retrograde Transvenous Obliteration for Gastric Varices Using Liquid and Foam Sclerosants
Jun Koizumi MD, PhD et al.
DATE:Sunday
TIME:10:45-10:55 AM
LOCATION:E352
PURPOSE：
Liquid ethanolamine oleate which has been used traditionally for balloon-occluded retrograde transvenous obliteration (BRTO) of the gastric varices (GV) may cause severe complications including hemolysis, allergy, etc. if overdosed. Thus, we introduced foam sclerotherapy to reduce the dose and compared the safety and efficacy of BRTO using liquid and foam sclerosants.
【コメント】
EOよりもPolydocanol foamでのBRTOがより安全だというstudy。EOが使えない海外でBRTOに対する注目が高まっており、ますますfoamが注目される事が予想される。東海大学小泉先生。
【IVR】
CODE:VSIO21-09
Series Courses
Panel Discussion: HCC in the World: How Do We Put All this Information Together? New International Staging System? Are Guidelines Really Useful?
Jean-Francois H Geschwind MD, Yasuaki Arai MD, Kensaku Mori MD et al.
DATE:Monday
TIME:1:30-6:00 PM
LOCATION:S405AB
PURPOSE：
Panel discussion about HCC in the world.
【コメント】
5時間半かけて各国のHCC managementを中心に発表があった後のpanel discussion. 表題の通り、世界のHCCに対するmanagementを標準化していく際に、どうしていくのか。日本からは国立がんセンター中央病院長 荒井先生、筑波大学 森先生が発表。
【Image Interpretation】
CODE:SPDL21
Special Courses
RSNA Diagnosis Live TM: Chest and Abdomen
Paul J Chang MD et al.
DATE:Monday
TIME:4:30-6:00 PM
LEARNING OBJECTIVES：
1) The participant will be introduced to a series of radiology case studies via an interactive team game approach designed to encourage “active” consumption of educational content. 2) The participant will be able to use their mobile wireless device (tablet, phone, laptop) to electronically respond to various imaging case challenges; participants will be able to monitor their individual and team performance in real time. 3) The attendee will receive a personalized self-assessment report via email that will review the case material presented during the session, along with individual and team performance. This interactive session will use RSNA Diagnosis Live TM. Please bring your charged mobile wireless device (phone, tablet or laptop) to participate.
【コメント】
予定調和の診断クイズよりも、時間制限のある中リアルタイムで、あらゆるresourceを駆使して問題に答えていくクイズ形式。
【IVR】
CODE:SPSC30
Special Courses
Controversy Session: Fibroid Therapy: UAE vs Focused US
Braian S Funaki MD, James B Spies MD, Alan H Matsumoto MD
DATE:Tuesday
TIME:7:15-8:15 AM
LOCATION:E350
LERANING OBJECTIVES：
Describe role of uterine artery embolization in the treatment of symptomatic uterine fibroids. 2) Explain the use of high-intensity focused ultrasound (HIFU) in treatment of uterine fibroids. 3) Describe one pitfall of HIFU in treatment of uterine fibroids.
【コメント】
子宮筋腫の治療に対するcontraversy session. 最早対決がUFE vs histerectomyでは無いのです。こんな早朝から大御所達が登場。
【Informatics】
CODE:MT302
RSNA Mobile Connect
From the Back of a Napkin to the App Store: How to Create and Submit an Educational iPad Application to the Apple App Store
John D Bisges MD
DATE:Tuesday
TIME:8:30-9:00 AM
LOCATION:Mobile Connect Theater
ABSTRACT：
This is a brief description of how one radiology resident successfully created a free, educational application with no prior programming experience. The steps of application development from concept and design to submitting and updating the application are discussed.
【コメント】
iPhone appの作り方。非常にRSNAらしい企画。こういう『幅』があるのがRSNA。
【Informatics】
CODE:RC327
Refresher/Informatics
Hot Topics in Malpractice Litigation 2013: Communication of Radiologic Findings and Common Medicolegal Issues in Body Imaging
Leonard Berlin MD, Jonathan W Berlin MD
DATE:Tuesday
TIME:8:30-10:00 AM
LOCATION:S403A
LEARNING OBJECTIVES：
1) Understand the importance of communicating radiologic findings to healthcare providers responsible for the care of patients. 2) Briefly review the American College of Radiology Communication Guidelines. 3) Review common medical legal pitfalls in body imaging, including suboptimal technique and search pattern.
【コメント】
腹部画像診断の訴訟問題update 2013。日本でも画像診断医が訴訟される時代になったら毎年こういうupdateをして啓蒙する時代が来るかもしれない。
【Informatics】
CODE:RC316
Refresher/Informatics
The Aging Radiologist: How to Cope, When to Quit (Sponsored by the RSNA Professionalism Committee) (An Interactive Session)
Donald M Bachman MD et al.
DATE:Tuesday
TIME:08:30-10:00 AM
LEARNING OBJECTIVES：
1) Identify physiological and psychological manifestation of aging specific to performance as a radiologist. 2) Institute non-prejudicial evaluation of function and performance of radiologists in their department as they age. 3) Understand economic, health, emotional and professional factors that stimulate radiologists to either continue working or retire. 4) Identify strategies for instituting meaningful and satisfying activities after retirement from active radiology practice.
【コメント】
引き際の美学を語る会(?)。
【Informatics】
CODE:RC354
Refresher/Informatics
Next-Generation Educational Content Creation: Screencasting and Video Editing (Hands-On)
George L Shih MD MS et al.
DATE:Tuesday
TIME:08:30-10:00 AM
LEARNING OBJECTIVES：
1) Assess the potential of online and mobile e-learning innovations to augment your residents’, medical students’, and staff’s educational curricula. 2) Acquire the domain knowledge to use already available content (eg, PowerPoint presentations) to both create video content and deploy e-learning courses on modern web-based and mobile platforms. 3) Acquire the domain knowledge to use already available content (eg, PowerPoint presentations) to electronic books (e-books), with or without digital rights management (DRM), and obtain an ISBN number for publishing.
【コメント】
電子教科書の作り方lecture。時代は変わり、そのうちiPad対応していない教科書は売れなくなるかもしれません。
【IVR】
CODE:LL-VIE-TU7A
Scientific Informal (Poster) Presentations
Sacroplasty: “A Remedy for Pains in the Butt?”
Malay Bhatt et al.
DATE:Tuesday
TIME:12:15-12:45 PM
LOCATION: Lakeside Learning Center
PURPOSE/AIM：
Sacral insufficiency fractures are often extremely painful and debilitating for patients, limiting ambulation and impairing quality-of-life during the recovery period. Sacroplasty, which involves injection of polymethylmethacrylate cement into these sacral fractures, has been used to decrease pain in these patients along with shortening the recovery period. The purpose of this exhibit is to educate our colleagues about this interventional technique and the pain relief our patients have experienced with this procedure.
【コメント】
Vertevroplastyならぬsacroplasty。セメント入れなくて良い骨穿孔術等で代替が利くなら手軽で流行るのではないかと思います。
【IVR】
CODE:SSK23-08
Scientific Informal (Poster) Presentations
The Apparent Diffusion Coefficient (ADC) Value of the Uterine Adenomyosis for the Prediction of the Potential Response to Uterine Artery Embolization (UAE)
Yaewon Park MD et al.
DATE:Wednesday
TIME:10:30-12:00 PM
LOCATION:E353A
PURPOSE：
To determine the utility of the apparent diffusion coefficient (ADC) value for the prediction of the potential response to uterine artery embolization (UAE) for symptomatic adenomyosis.
【コメント】
子宮腺筋症に対するUAEの効果予測をADCで行うstudy。欧米でも依然、適応自体がcontroversialな領域なだけに効果予測が出来れば有意義。
【IVR】
CODE:VSIR41-07
Scientific Informal (Poster) Presentations
Medium and Long Term Outcome of Prostatic Arterial Embolization to Treat Benign Prostatic Hyperplasia
Joao M Pisco MD et al.
DATE:Wednesday
TIME:10:10-10:20 AM
LOCATION:E352
PURPOSE:
To evaluate the medium and long term outcome of prostatic arterial embolization (PAE) to treat lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH)
【コメント】
前立腺肥大に対するembolization(PAE)の長期成績。有病率を考えると日本で保険適応になる事は難しい手技だとは思うが、そろそろ目を背ける事は出来ない手技だ思う。これらの成績から、TURに対してどのような位置づけが相応しいのかが大きな問題。
