{"id":10082,"date":"2017-10-13T09:44:16","date_gmt":"2017-10-13T00:44:16","guid":{"rendered":"http:\/\/plaza.umin.ac.jp\/sawamura\/?p=10082"},"modified":"2022-12-24T11:12:48","modified_gmt":"2022-12-24T02:12:48","slug":"radiationchild","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/radiationchild\/","title":{"rendered":"\u5c0f\u5150\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u5f71\u97ff"},"content":{"rendered":"<h5>\u304a\u304a\u307e\u304b\u306a\u3053\u3068<\/h5>\n<ul>\n<li>\u5e74\u9f62\u304c\u4f4e\u3044\u307b\u3069\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u526f\u4f5c\u7528\u304c\u5f37\u304f\u51fa\u307e\u3059<\/li>\n<li>\u6700\u3082\u5927\u304d\u306a\u554f\u984c\u306f\uff0c\u8a8d\u77e5\u6a5f\u80fd\u306e\u767a\u9054\u306e\u9045\u308c\u3067\u3059\uff0c\u4e4b\u304c\u70ba\u306b\u793e\u4f1a\u751f\u6d3b\u304c\u3067\u304d\u306a\u304f\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li>\u4ed6\u306b\u3082\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\uff0c\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\uff0c\u4e8c\u6b21\u816b\u760d\u306e\u767a\u751f\uff0c\u8133\u8840\u7ba1\u969c\u5bb3\uff08\u82e5\u5e74\u671f\u306e\u8133\u6897\u585e\uff09\uff0c\u96e3\u6cbb\u6027\u3066\u3093\u304b\u3093\u306e\u767a\u751f\u306a\u3069\u306a\u3069\u3068\u3066\u3082\u591a\u304f\u306e\u9045\u767a\u6027\u969c\u5bb3\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5e74\u9f62\u3068\u816b\u760d\u306e\u7a2e\u985e\uff0c\u5834\u6240\u306b\u3088\u3063\u3066\u3055\u307e\u3056\u307e\u306a\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6210\u4eba\u3067\u306f1\u65e5\u7dda\u91cf2\u30b0\u30ec\u30a4\u304c\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u5c0f\u5150\u3067\u306f1.6-1.8\u30b0\u30ec\u30a4\u304c\u4e00\u822c\u7684\u3067\u3059<\/li>\n<li>1\u6b73\u5150\u3067\u306f\u307b\u3068\u3093\u3069\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u7de9\u548c\u7684\u306a\u6cbb\u7642\u3092\u9078\u629e\u3059\u308b\u6642\u306b1\u56de\u7dda\u91cf\u30671\u30b0\u30ec\u30a4\u3068\u3044\u3046\u7167\u5c04\u3092\u304a\u3053\u306a\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<hr \/>\n<h1>\u5168\u8133\u7167\u5c04\u5f8c\u306e\u8133\u58ca\u6b7b\u3068\u767d\u8cea\u8133\u75c7<\/h1>\n<h5>brain necrosis and leukoencephalopathy after whole brain irradiation (craniospinal irradiation)<\/h5>\n<ul>\n<li>\u5150\u306e\u8133\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u30c0\u30e1\u30fc\u30b8\u3092\u53d7\u3051\u3084\u3059\u3044\u3067\u3059\uff0c\u540c\u3058\u91cf\u306e\u653e\u5c04\u7dda\u3092\u3042\u3066\u3066\u3082\u4e88\u60f3\u5916\u306e\u7d50\u679c\u304c\u751f\u3058\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5e83\u7bc4\u56f2\u306e\u8133\u306b\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/span>\u304c\u884c\u306a\u308f\u308c\u305f\u5f8c\u306b\u751f\u3058\u307e\u3059<\/li>\n<li><a title=\"\u653e\u5c04\u7dda\u8133\u58ca\u6b7b radiation necrosis\" href=\"\/sawamura\/braintumors\/radiationnecrosis\/\">\u9ad8\u7dda\u91cf\u306e\u5c40\u6240\u7167\u5c04 local \/ focal radiation therapy\u3084\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u306b\u3088\u308b\u5c40\u6240\u306e\u8133\u58ca\u6b7b<\/a>\u3068\u306f\u7570\u306a\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u8133\u810a\u9ac4\u3042\u308b\u3044\u306f\u5168\u8133\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u306a\u3046\u3068\uff0c<strong><span style=\"color: #000080;\">\u8133\u5168\u4f53\u304c\u840e\u7e2e<\/span><\/strong>\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0c\u4e00\u90e8\u306e\u8133\u7d44\u7e54\u304c\u58ca\u6b7b\uff08\u8133\u8edf\u5316\uff09\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u540c\u3058\u653e\u5c04\u7dda\u91cf\u3067\u3082\uff0c<span style=\"color: #000080;\"><strong>\u5c0f\u3055\u306a\u5b50\u3069\u3082\u307b\u3069\u8d77\u3053\u308a\u3084\u3059\u304f<\/strong><\/span>\u3066\uff0c\u6210\u4eba\u3067\u306f\u5c11\u306a\u304f\u3066\uff0c\u9ad8\u9f62\u8005\u3067\u306f\u307e\u305f\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u4e9c\u6025\u6027\u3068\u3044\u3063\u3066\u7167\u5c043\u304b\u30896\u30f6\u6708\u5f8c\u304f\u3089\u3044\u306b\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u9045\u767a\u6027\u30675\u5e74\u5f8c\u3068\u304b10\u5e74\u304b\u304b\u3063\u3066\u8d77\u3053\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u7279\u6b8a\u306a\u4e8b\u60c5\u306b\u3088\u3063\u3066\u304b\u306a\u308a\u306e\u9ad8\u7dda\u91cf\u304c\u810a\u9ac4\u306b\u5165\u3089\u306a\u3044\u9650\u308a\uff0c\u5b9f\u969b\u306b\u306f\u810a\u9ac4\u75c7\u72b6\u304c\u51fa\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u601d\u6625\u671f\u4ee5\u964d\uff0c\u6210\u4eba\u3067\u306f\uff0c30\u30b0\u30ec\u30a4\uff0815\u5206\u5272\uff09\u304f\u3089\u3044\u304b\u3089\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u304c\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u3067\u3066\u304d\u307e\u3059<\/li>\n<li>30\u30b0\u30ec\u30a4\uff0810\u5206\u5272\uff09\u5168\u8133\u7167\u5c04\u3067\u306f\u304b\u306a\u308a\u76ee\u7acb\u3063\u305f\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u751f\u3058\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u304c\u76ee\u7acb\u3063\u3066\u304f\u308b<\/strong><\/span>\u3068\u8133\u5168\u822c\u306e\u840e\u7e2e\u50cf\u304c\u307f\u3089\u308c\u307e\u3059<\/li>\n<li>\u5b50\u3069\u3082\u306e\u5834\u5408\u306b\u306f\u3053\u308c\u4ee5\u4e0b\u306e\u7dda\u91cf\u3067\u3082\u751f\u3058\u307e\u3059<\/li>\n<li>\u5e74\u9f62\u3068\u7167\u5c04\u7dda\u91cf\u306f\u500b\u4eba\u5dee\u304c\u5927\u304d\u3044\u3067\u3059<\/li>\n<li>\u4f8b\u3048\u3070\uff0c10\u6b73\u5150\u3067\u5168\u8133\u7167\u5c0423.4\u30b0\u30ec\u30a4\uff0813\u5206\u5272\uff09\u304f\u3089\u3044\u3067\u3059\u3068\u591a\u304f\u306e\u5b50\u3069\u3082\u305f\u3061\u304c\u8010\u3048\u307e\u3059\u3057\uff0c\u5b66\u7fd2\u969c\u5bb3\uff08\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\uff0c\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff09\u3092\u751f\u3058\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u3067\u3082\uff0c<strong><span style=\"color: #000080;\">7\u6b73\u5150\u304f\u3089\u3044\u3067\u5168\u8133\u7167\u5c0423.4\u30b0\u30ec\u30a4\uff0813\u5206\u5272\uff09\u3092\u53d7\u3051\u308b\u3068\u5b66\u6821\u306e\u52c9\u5f37\u306b\u3064\u3044\u3066\u3044\u3051\u306a\u304f\u306a\u308b\u5b50<\/span><\/strong>\u304c\u591a\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>4\u6b73\u5150\u304f\u3089\u3044\u3067\u5168\u8133\u7167\u5c0423.4\u30b0\u30ec\u30a4\uff0813\u5206\u5272\uff09\u3092\u53d7\u3051\u308b\u3068\u591a\u304f\u306e\u5b50\u3069\u3082\u304c\u666e\u901a\u306e\u30af\u30e9\u30b9\u3067\u52c9\u5f37\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">2\u6b73\u5150\u3067\u3059\u3068\u91cd\u3044\u7cbe\u795e\u767a\u9054\u9045\u6ede<\/span><\/strong>\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>MRI\u691c\u67fb\u3067\u306f\uff0c\u8133\u306e\u840e\u7e2e\uff08\u9699\u9593\u304c\u591a\u304f\u306a\u308b\uff09\uff0cT2\u5f37\u8abf\u753b\u50cf\u3084\u30d5\u30ec\u30a2\u753b\u50cf\u3067\u767d\u8cea\u304c\u9ad8\u4fe1\u53f7\u306b\u306a\u308b\uff08\u767d\u304f\u5199\u308b\uff09\u3068\u3044\u3046\u6240\u898b\u304c\u898b\u3089\u308c\u307e\u3059<\/li>\n<li>\u58ca\u6b7b\uff08\u8133\u8edf\u5316\uff09\u3059\u308b\u3068\u8133\u306e\u4e2d\u306b\u7a74\u304c\u958b\u3044\u305f\u3088\u3046\u306a\u6240\u898b\u306b\u306a\u308a\u307e\u3059\uff0c\u306e\u3046\u80de\u6027\u8edf\u5316 cystic malacia\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u3053\u306e\u30bf\u30a4\u30d7\u306e\u653e\u5c04\u7dda\u8133\u969c\u5bb3\u3067\u306f\u8133\u6d6e\u816b\u306f\u751f\u3058\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4><strong>3\u6b73\u306e\u5b50\u3069\u3082\u306e\u9ac4\u82bd\u816b\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u751f\u3058\u305f\u8133\u840e\u7e2e<\/strong><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7730\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm31-200x200.jpg\" alt=\"medullonm3\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7731\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm4-200x200.jpg\" alt=\"medullonm4\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7732\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm10-200x200.jpg\" alt=\"medullonm10\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>3\u6b73\u306e\u9ac4\u82bd\u816b\u3067\u3059\u3002\u767a\u75c7\u6642\u304b\u3089\u5c0f\u8133\u8868\u9762\u3084\u5c0f\u8133\u6a4b\u89d2\u90e8\u3092\u542b\u3081\u3066\u8ee2\u79fb\u304c\u3042\u308a\u307e\u3057\u305f stage M2\u3002\u5316\u5b66\u7642\u6cd5\u3067\u816b\u760d\u306f\u304b\u306a\u308a\u7e2e\u5c0f\u3057\u3066\uff0c3\u6b737\u30f6\u6708\u307e\u3067\u9811\u5f35\u3063\u3066\u304b\u3089\uff0c\u5f8c\u982d\u7aa9\u7167\u5c04\u00a025.2\u30b0\u30ec\u30a414\u5206\u5272\u3068\u8133\u810a\u9ac4\u7167\u5c04 CSI 28.8\u30b0\u30ec\u30a416\u5206\u5272\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3057\u305f\u3002\u5f53\u6642\u3053\u306e\u3088\u3046\u306a\u4f8b\u3067\u306f\uff0c\u8133\u810a\u9ac4\u7167\u5c04 36\u30b0\u30ec\u30a4\u304c\u6a19\u6e96\u6cbb\u7642\u3067\u3057\u305f\u304b\u3089\uff0c\u3053\u308c\u3067\u3082\u304b\u306a\u308a\u7dda\u91cf\u3092\u843d\u3068\u3057\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7734\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm11-300x287.jpg\" alt=\"medullonm11\" width=\"300\" height=\"287\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm11-300x287.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm11-550x527.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm11.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7733\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm12-291x300.jpg\" alt=\"medullonm12\" width=\"291\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm12-291x300.jpg 291w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm12-550x566.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/medullonm12.jpg 850w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><\/p>\n<p>\u5de6\u5074\u306e\u753b\u50cf\u306f\u7167\u5c04\u5f8c4\u30f6\u6708\u76ee\u3067\u3059\u3002\u5ef6\u9ac4\u306e\u5de6\u5074\u306b\u653e\u5c04\u7dda\u58ca\u6b7b\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u6570\u30f6\u6708\u304b\u304b\u3063\u3066\u3086\u3063\u304f\u308a\u6d88\u892a\u3057\u307e\u3057\u305f\u3002\u53f3\u5074\u306e\u753b\u50cf\u306f\u7167\u5c04\u5f8c\uff11\u5e74\u304f\u3089\u3044\u306e\u3082\u306e\u3067\u3059\u3002\u5927\u8133\u767d\u8cea\u306b\u3073\u307e\u3093\u6027\u306b\u840e\u7e2e\u6027\u5909\u5316\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u5178\u578b\u7684\u306a\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3088\u308b\u767d\u8cea\u840e\u7e2e\u3067\u3059\u3002\u3053\u306e\u7a0b\u5ea6\u306e\u7dda\u91cf\u3067\u3082\u8133\u58ca\u6b7b\u3084\u5168\u8133\u840e\u7e2e\u3092\u751f\u3058\u306a\u3044\u5b50\u3069\u3082\u3082\u3044\u307e\u3059\u3002<\/p>\n<h5>\u653e\u5c04\u7dda\u306e\u526f\u4f5c\u7528\u306f\u540c\u3058\u7dda\u91cf\u3067\u3082\u500b\u4eba\u5dee\u304c\u3068\u3066\u3082\u5927\u304d\u3044\u3067\u3059 idiosyncrasy<\/h5>\n<h4><strong><span style=\"color: #000080;\">\u5c40\u6240\u7167\u5c04\u5f8c\u306e\u767d\u8cea\u5909\u6027\uff0c\u8133\u8cea\u58c1\u306e\u767d\u8cea\u5909\u6027<\/span><\/strong><\/h4>\n<p>\u5168\u8133\u7167\u5c04\u3067\u306a\u304f\u3066\u3082\u5c40\u6240\u7167\u5c04\u3067\u3082\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u306f\u767d\u8cea\u5909\u6027\u304c\u751f\u3058\u307e\u3059\u3002\u7121\u75c7\u72b6\u306e\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\uff0c\u7167\u5c04\u91ce\u5185\u306e\u8133\u840e\u7e2e\u306a\u3069\u3092\u4f34\u3046\u3068\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\u306a\u3069\u306e\u75c7\u72b6\u3092\u3060\u3059\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-3958\" title=\"astrommcorpusax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax-550x547.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpusax.jpg 620w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpuscor.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-3959\" title=\"astrommcorpuscor\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpuscor-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpussag1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-3961\" title=\"astrommcorpussag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/astrommcorpussag1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u53f3\u524d\u982d\u8449\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306b46\u30b0\u30ec\u30a423\u5206\u5272\u3068\u3044\u3046\u4f4e\u3044\u7dda\u91cf\u306e\u5c40\u6240\u7167\u5c04\u3092\u3057\u307e\u3057\u305f\u3002\u653e\u5c04\u7dda\u6cbb\u76428\u5e74\u5f8c\u306eMRI FLAIR\u753b\u50cf\u3067\u3059\u3002\u816b\u760d\u306e\u518d\u71c3\u306f\u306a\u304f\uff0c\u8133\u5ba4\u5468\u56f2\u306e\u767d\u8cea\u304c\u9ad8\u4fe1\u53f7\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u8133\u6881\u3084\u900f\u660e\u4e2d\u9694\u306e\u767d\u8cea\u7d44\u7e54\u3082\u9ad8\u4fe1\u53f7\u306b\u306a\u308a\uff0c\u975e\u5e38\u306b\u8efd\u5ea6\u306e\u767d\u8cea\u5909\u6027\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3082\uff0c\u4f55\u306e\u75c7\u72b6\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u3053\u306e\u6240\u898b\u3092\u661f\u7d30\u80de\u816b\u306e\u518d\u767a\u3042\u308b\u3044\u306f\u9032\u884c\u3068\u6349\u3048\u3066\u4f59\u5206\u306a\u6cbb\u7642\u3092\u3057\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u3068\u304f\u306b\u30b0\u30ec\u30fc\u30c92\u306e\u661f\u7d30\u80de\u816b\u3068\u4e4f\u7a81\u8d77\u81a0\u816b\u306e\u6642\u306b\u554f\u984c\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h4><b>\u591a\u623f\u6027\u767d\u8cea\u58ca\u6b7b\u3000multicystic white matter malacia<\/b><\/h4>\n<p>\u653e\u5c04\u7dda\u306b\u3088\u308a\u8133\u306e<span style=\"color: #000080;\"><strong>\u9ac4\u9798\u3092\u5f62\u6210\u3059\u308b\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de \u30aa\u30ea\u30b4\u30c7\u30f3\u30c9\u30ed\u30b5\u30a4\u30c8oligodendrocyte \uff08\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de\uff09<\/strong><\/span><span style=\"color: #000080;\"><strong>\u304c\u969c\u5bb3<\/strong><\/span>\u3092\u53d7\u3051\uff0c\u8131\u9ac4 demyelinaiton \u304c\u751f\u3058\u3066\u767d\u8cea\u8133\u75c7\u3068\u306a\u308a\u307e\u3059\u3002\u4e0a\u8a18\u306e\u4f8b\u306f\u305d\u306e\u75c5\u7406\u50cf\u3092\u53cd\u6620\u3059\u308bMRI\u6240\u898b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/germinomahase.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-4521\" title=\"germinomahase\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/germinomahase.jpg\" alt=\"\" width=\"140\" height=\"148\" \/><\/a>\u00a0\u00a0<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/cysticmalacia.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-4522\" title=\"cysticmalacia\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/cysticmalacia.jpg\" alt=\"\" width=\"265\" height=\"284\" \/><\/a><\/p>\n<p>\u8133\u5fae\u5c0f\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u306e\u653e\u5c04\u7dda\u969c\u5bb3\u306b\u3088\u3063\u3066\u767d\u8cea\u304c\u5c0f\u3055\u306a\u865a\u8840\u6027\u6897\u585e\u3068\u306a\u308a\uff0c<strong><span style=\"color: #000080;\">\u767d\u8cea\u58ca\u6b7b white matter necrosis<\/span><\/strong>\u3068\u3044\u3046\u91cd\u3044\u767d\u8cea\u8133\u75c7\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u5834\u5408\u306f\u753b\u50cf\u3067\u8133\u306e\u5185\u90e8\u306b\u7a74\u306e\u958b\u3044\u305f\u3088\u3046\u306a\u50cf\uff08\u8edf\u5316\u5de3\uff09\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u4e0a\u306e\u753b\u50cf\u306f\uff0c35\u30b0\u30ec\u30a4\u306e\u5168\u8133\u7167\u5c04\u3092\u53d7\u3051\u305f5\u6b73\u306e\u5b50\u3069\u3082\u306e\u3082\u306e\u3067\u3059\u3002\u5de6\u5074\u304c\u978d\u4e0a\u90e8\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306e\u6cbb\u7642\u524d\u306e\u3082\u306e\uff0c\u53f3\u5074\u306f\u653e\u5c04\u7dda\u6cbb\u76422\u5e74\u5f8c\u306e\u3082\u306e\u3067\u3059\u3002\u8133\u306e\u4e2d\u306b\u305f\u304f\u3055\u3093\u306e\u7a74\u304c\u958b\u3044\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3092\u306e\u3046\u80de\u6027\u8edf\u5316\u5de3\u00a0cystic malacia \u3068\u3044\u3044\u307e\u3059\u3002\u767d\u8cea\u8133\u75c7\u306e\u6700\u3082\u91cd\u3044\u304b\u305f\u3061\u306e\u3082\u306e\u3067\u3059\u3002<\/p>\n<h4><a href=\"\/sawamura\/braintumors\/radiation-induced-tumor\/\">\u4e8c\u6b21\u816b\u760d\u30fb\u653e\u5c04\u7dda\u8a98\u767a\u816b\u760d\uff1a\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><br \/>\nsecondary tumor, secondary cancer, radiation-induced tumor<\/h4>\n<p>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u305f\u305f\u3081\u306b\u4f55\u5e74\u3082\u3042\u3068\u306b\u306a\u3063\u3066\u816b\u760d\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h1>\u5c0f\u5150\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u751f\u3058\u305f\u73cd\u3057\u3044\u4e8b\u4f8b<\/h1>\n<h4>\u9ac4\u82bd\u816b\u6cbb\u7642\u5f8c17\u5e74\u76ee\uff0c\u653e\u5c04\u7dda\u8a98\u767a\u8840\u7ba1\u816b\u304b\u3089\u306e\u8133\u5e79\u90e8\u51fa\u8840<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9828\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1-550x547.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks1.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n1\u6b735\u30f6\u6708\u3067\u5de6\u5c0f\u8133\u534a\u7403\u306e\u9ac4\u82bd\u816b\u306b\u306a\u308a\u624b\u8853\u3068\u5316\u5b66\u7642\u6cd5\u3057\u3066\uff0c3\u6b73\u306b\u306a\u3063\u3066\u304b\u3089\u8133\u810a\u9ac4\u7167\u5c04\u3092\u3057\u307e\u3057\u305f\u3002\u8133\u810a\u9ac418\u30b0\u30ec\u30a4\uff0c\u5c40\u624048\u30b0\u30ec\u30a4\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u300218\u6b73\u306e\u5b66\u751f\u306e\u6642\u306eMRI\u3067\uff0c\u5de6\u5c0f\u8133\u840e\u7e2e\u304c\u3042\u308a\u307e\u3059\u304c\u666e\u901a\u306e\u751f\u6d3b\u304c\u3067\u304d\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9830\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9831\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>18\u6b73\u306e\u6642\u306b\u7a81\u7136\uff0c\u5de6\u4e0a\u4e0b\u80a2\u306e\u75fa\u308c\u3068\u8131\u529b\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u5ef6\u9ac4\u4e0b\u7aef\u304b\u3089\u810a\u9ac4\u306b\u5c0f\u3055\u306a\u51fa\u8840\u304c\u3042\u308a\u307e\u3059\u3002\u69d8\u5b50\u3092\u898b\u3066\u3044\u305f\u3089\u75c7\u72b6\u306f\u3088\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9832\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks4-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9836\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6-550x551.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks6.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u305d\u306e\u5f8c\u6570\u65e5\u306e\u9593\u306b\uff0c\u5c0f\u3055\u306a\u51fa\u8840\u3092\u7e70\u308a\u8fd4\u3057\u3066\uff0c\u56a5\u4e0b\u969c\u5bb3\uff0c\u3057\u3083\u3063\u304f\u308a\uff0c\u982d\u75db\uff0c\u56db\u80a2\u306e\u3057\u3073\u308c\u306a\u3069\u304c\u51fa\u307e\u3057\u305f\u3002\u624b\u8853\u3092\u3057\u306a\u3044\u3067\u7d4c\u904e\u3092\u898b\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9834\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks7-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks7-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks7-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9835\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks8-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks8-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloks8-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n7\u5e74\u5f8c\u306eMRI\u3067\u3059\u3002\u5ef6\u9ac4\u810a\u9ac4\u79fb\u884c\u90e8\uff08\u304a\u305d\u3089\u304fC1\uff09\u306b\u51fa\u8840\u75d5\u304c\u6b8b\u3063\u3066\u3044\u307e\u3059\u3002\u653e\u5c04\u7dda\u8a98\u767a\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u3044\u308f\u308c\u308b\u3082\u306e\u306e\u753b\u50cf\u6240\u898b\u3067\u3059\u304c\uff0c\u307b\u3093\u3068\u306e\u3068\u3053\u308d\u306f\u9759\u8108\u9589\u585e\u306b\u3088\u308b\u3046\u3063\u8840\u75c7\u72b6\u3068\u9b31\u8840\u6027\u306e\u51fa\u8840\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u75c7\u72b6\u306f\u3059\u3079\u3066\u826f\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u4eca\u306f\u5b66\u6821\u3092\u5352\u696d\u3057\u3066\uff0c\u5143\u6c17\u306b\u50cd\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u5168\u8133\u7167\u5c04\u5f8c\u306e\u8133\u5185\u77f3\u7070\u5316\uff08\u5e7c\u5150\u4f8b\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medulccs.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" title=\"medulccs\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medulccs-249x300.jpg\" alt=\"\" width=\"249\" height=\"300\" \/><\/a>20\u5e74\u4ee5\u4e0a\u524d\u306e\u3053\u3068\u3067\u3059\u304c\uff0c\u9ac4\u82bd\u816b\u306e1\u6b736\u30f6\u6708\u306e\u5b50\u3069\u3082\u306b25\u30b0\u30ec\u30a4\u306e\u5168\u8133\u7167\u5c04\u3092\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306f15\u5e74\u5f8c\u306eCT\u3067\u3059\u3002<br \/>\n\u8133\u306e\u840e\u7e2e\u306f\u76ee\u7acb\u3061\u307e\u305b\u3093\u3002\u8a8d\u77e5\u6a5f\u80fd\u306f\u4f4e\u3044\u306e\u3067\u3059\u304c\u652f\u63f4\u3092\u53d7\u3051\u3066\u5b66\u6821\u3078\u884c\u3051\u3066\u3044\u307e\u3059\u3002\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u4f4e\u4e0b\u3057\u3066\u6210\u9577\u30db\u30eb\u30e2\u30f3\u306a\u3069\u306e\u88dc\u5145\u3092\u3057\u3066\u666e\u901a\u306b\u66ae\u3089\u305b\u3066\u3044\u307e\u3059\u3002<br \/>\nCT\u3067\uff0c\u4e21\u5074\u306e\u5927\u8133\u57fa\u5e95\u6838\uff08\u88ab\u6bbb\u3068\u6de1\u84bc\u7403\uff09\u3068\u8996\u5e8a\u5f8c\u90e8\u306b\u77f3\u7070\u5316\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u4e73\u5e7c\u5150\u671f\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u306b\u898b\u3089\u308c\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<h4>\u5168\u8133\u7167\u5c04\u5f8c\u306e\u8133\u5185\u77f3\u7070\u5316\uff08\u9752\u5e74\u671f\u4f8b\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-5250\" title=\"radiationinjuryht2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-5251\" title=\"radiationinjuryht1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-5252\" title=\"radiationinjuryht3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/radiationinjuryht3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>1985\u5e74\uff0c17\u624d\u306e\u3068\u304d\u306b\u677e\u679c\u4f53\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3067\u5168\u8133\u7167\u5c0445\u30b0\u30ec\u30a4\uff0c18\u5206\u5272\uff0c1\u56de2.5\u30b0\u30ec\u30a4\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u7167\u5c04\u5f8c\u306e\u6570\u5e74\u306f\u666e\u901a\u306b\u793e\u4f1a\u5fa9\u5e30\u304c\u3067\u304d\u3066\u3044\u305f\u3068\u3044\u3046\u3053\u3068\u3067\uff0c\u5927\u5b66\u3092\u5352\u696d\u3057\uff0c\u5c31\u8077\u3082\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c20\u4ee3\u5f8c\u534a\u304f\u3089\u3044\u304b\u3089\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\uff08\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\uff09\u304c\u76ee\u7acb\u3064\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u300241\u624d\u3067\u8133\u5e79\u90e8\u6897\u585e\u306b\u306a\u308a\u307e\u3057\u305f\u304c\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u539f\u56e0\u306e\u8133\u8840\u7ba1\u969c\u5bb3\u3067\u3057\u305f\u3002\u5927\u8133\u306b\u3082\u5c0f\u8133\u306b\u3082\u5e83\u7bc4\u56f2\u306b\u8133\u5185\u77f3\u7070\u5316\u304c\u6563\u3089\u3070\u3063\u3066\u3044\u307e\u3059\uff08\u767d\u3044\u70b9\u72b6\u306b\u898b\u3048\u308b\u3082\u306e\u5168\u3066\uff09\u300230\u4ee3\u304b\u3089\u3055\u3089\u306b\u9032\u884c\u60aa\u5316\u3057\u307e\u3057\u305f\u3002\u8133\u306e\u840e\u7e2e\u306f\u76ee\u7acb\u3061\u307e\u305b\u3093\u304c\uff0cMRI\u3067\u306f\uff0c\u5927\u8133\u57fa\u5e95\u6838\u306e\u591a\u6570\u306e\u30e9\u30af\u30ca\u6897\u585e\uff0c\u591a\u6570\u306e\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\uff0c\u4e2d\u5927\u8133\u52d5\u8108\u306e\u58c1\u4e0d\u6574\u3068\u72ed\u7a84\u3082\u307f\u3089\u308c\u307e\u3057\u305f\u300245\u624d\u3067\u4ecb\u8b77\u65bd\u8a2d\u306b\u5165\u6240\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u6240\u898b\u306f\uff0c1\u65e5\u7dda\u91cf2.5\u30b0\u30ec\u30a4\u3092\u7528\u3044\u3066\u3044\u305f\u9803\u306e\u5c0f\u5150\u60a3\u8005\u3055\u3093\u3067\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<h4>\u5168\u8133\u7167\u5c04\u5f8c\u306e\u982d\u84cb\u9aa8\u306e\u90e8\u5206\u7684\u767a\u80b2\u4e0d\u5168<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"medullook1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook2.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"medullook2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook3.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"medullook3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/medullook3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>2\u6b73\u304f\u3089\u3044\u3067\u5168\u8133\u7167\u5c04\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u304c15\u6b73\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u524d\u982d\u9aa8\u3060\u3051\u306e\u767a\u80b2\u304c\u60aa\u304f\u3066\u984d\u306e\u9593\u304c\u3068\u3066\u3082\u72ed\u304f\u3066\uff0c\u30b3\u30e1\u30ab\u30df\u306e\u51f9\u307f\u304c\u76ee\u7acb\u3064\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u4e21\u5074\u306e\u5074\u982d\u90e8\u306b\u30c1\u30bf\u30f3\u30d7\u30ec\u30fc\u30c8\u3092\u5165\u308c\u3066\u984d\u3092\u5e83\u304f\u3057\u3066\u982d\u84cb\u5f62\u6210\u3092\u3057\u3066\uff0c\u898b\u6804\u3048\u306f\u3068\u3066\u3082\u826f\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u624b\u8853\u3092\u6574\u5bb9\u7684\u982d\u84cb\u5f62\u6210\u8853\u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n<h4>\u4e73\u5150\u306e\u9ac4\u82bd\u816b\u306e\u6cbb\u7642\u5f8c\u306e\u786c\u819c\u8840\u7ba1\u816b<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9131\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath2-200x200.jpg\" alt=\"medulloangiomath2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9132\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath1-200x200.jpg\" alt=\"medulloangiomath1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/medulloangiomath1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u751f\u5f8c8\u30f6\u6708\u3067\u9ac4\u82bd\u816b\u3092\u767a\u75c7\u3057\u3066\uff0c\u624b\u8853\u5f8c\u306b8\u30b3\u30fc\u30b9\u306e\u5316\u5b66\u7642\u6cd5\u3057\u3066\uff0c\u6b8b\u5b58\u816b\u760d\u304c\u3042\u3063\u305f\u305f\u3081\u306b2\u6b73\u534a\u3067\u8133\u810a\u9ac4\u7167\u5c0418\u30b0\u30ec\u30a4\u3068\u5f8c\u982d\u7aa9\u5c40\u6240\u7167\u5c0421.6\u30b0\u30ec\u30a4\u3092\u3057\u307e\u3057\u305f\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c2\u5e74\u3067\u898b\u3064\u304b\u3063\u305f\u5de6\u524d\u982d\u90e8\u816b\u760d\u3067\u3059\u3002\u3066\u3063\u304d\u308a\u8133\u8868\u64ad\u7a2e\u518d\u767a\u304b\u3068\u601d\u3044\u307e\u3057\u305f\u304c\uff0c\u826f\u6027\u306e\u786c\u819c\u8840\u7ba1\u816b\u3067\u3057\u305f\u3002\u3053\u306e\u5b50\u306f20\u6b73\u3068\u306a\u308a\u518d\u767a\u3082\u306a\u304f\u5143\u6c17\u3067\u3059\u3002\u5e7c\u5150\u671f\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3042\u308b\u3044\u306f\u5316\u5b66\u7642\u6cd5\u306f\uff0c\u4e88\u60f3\u3088\u308a\u65e9\u671f\u306b\uff0c\u73cd\u3057\u3044\uff12\u6b21\u816b\u760d\u3092\u8a98\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3068\u8003\u3048\u305f\u307b\u3046\u304c\u3044\u3044\u306e\u3067\u3057\u3087\u3046\u3002\u3053\u306e\u816b\u760d\u306e\u90e8\u4f4d\u306b\u306f\uff11\u65e5\u7dda\u91cf1.8\u30b0\u30ec\u30a4\u306718\u30b0\u30ec\u30a4\u3057\u304b\u7167\u5c04\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<h5>\u6587\u732e\u60c5\u5831<\/h5>\n<h4>\u539f\u4f53\u7167\u5c04\u3084\u5b9a\u4f4d\u7167\u5c04\u306e\u65b9\u304c\uff0c\u65e7\u6765\u306e\u5916\u7167\u5c04\u3088\u308a\u77e5\u80fd\u4f4e\u4e0b\u306e\u7a0b\u5ea6\u304c\u8efd\u3044<\/h4>\n<p>Jalali R, et al.: Efficacy\u00a0of\u00a0Stereotactic\u00a0Conformal\u00a0Radiotherapy\u00a0vs\u00a0Conventional\u00a0Radiotherapy\u00a0on\u00a0Benign\u00a0and\u00a0Low-Grade\u00a0Brain\u00a0Tumors: A\u00a0Randomized\u00a0Clinical\u00a0Trial. JAMA Oncol.\u00a02017<br \/>\n\u30a4\u30f3\u30c9\u30fb\u30e0\u30f3\u30d0\u30a4\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u30022001\u5e74\u304b\u308912\u5e74\u306b\u304b\u3051\u3066\u884c\u308f\u308c\u305f\u7121\u4f5c\u70ba\u8a66\u9a13\u306e\u7d50\u679c\u5831\u544a\u3067\u3059\u3002\u826f\u6027\u5c0f\u5150\u8133\u816b\u760d\uff08\u4e2d\u592e\u502413\u6b73\uff1a3-25\u6b73\uff09200\u4f8b\u304c\u653e\u5c04\u7dda (54 Gy in 30 fractions over 6 weeks)\u3067\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002\u539f\u4f53\u7167\u5c04\uff0f\u5b9a\u4f4d\u7167\u5c04\u304c104\u4f8b\uff0c\u65e7\u6765\u306e\u5206\u5272\u7167\u5c04\u304c96\u4f8b\u3067\u3059\u3002FIQ\u3068PIQ\u306e\u4f4e\u4e0b\u7387\u306b\u306f\u6709\u610f\u5dee\u304c\u3042\u308a\uff0cFIQ\u3068PIQ\u3067\u306fdifference in slope 1.48\u30681.64\u306e\u5dee\u304c\u3042\u308a\uff0c<strong><span style=\"color: #000080;\">\u539f\u4f53\u7167\u5c04\u306e\u307b\u3046\u304c\u4f4e\u4e0b\u7387\u304c\u4f4e\u304b\u3063\u305f<\/span><\/strong>\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002\u308f\u304b\u308a\u3084\u3059\u304f\u8a00\u3046\u3068\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u524d\u306b\u77e5\u80fd\u6307\u6570\u304c100\u3042\u3063\u305f\u3068\u3057\u3066\uff0c\u65e7\u6765\u306e\u65b9\u6cd5\u3067\u306f5\u5e74\u5f8c\u306b85\u307e\u3067\u4e0b\u304c\u3063\u305f\u3068\u3059\u308c\u3070\uff0c\u539f\u4f53\u7167\u5c04\u306a\u308992\u307e\u3067\u306e\u4f4e\u4e0b\u3067\u3059\u3080\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u5185\u5206\u6ccc\u6a5f\u80fd\uff08\u30db\u30eb\u30e2\u30f3\uff09\u306e\u4f4e\u4e0b\u306f\uff0c\u65e7\u6765\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u306f51%\u306b\u3067\u307e\u3057\u305f\u304c\uff0c\u539f\u4f53\u7167\u5c04\u3067\u306f31%\u3067\u3057\u305f\u3002\u7279\u306b\uff0c<span style=\"color: #000080;\"><strong>9-17\u6b73\u306e\u5e74\u9f62\u5c64\u3067\u5e73\u5747\u7684\u306aIQ\u5024\u304c\u4fdd\u6301\u3055\u308c\u305f<\/strong><\/span>\u305d\u3046\u3067\u3059\u30025\u5e74\u5168\u751f\u5b58\u5272\u5408\u306f\uff0c\u65e7\u6765\u306e\u65b9\u6cd5\u3067\u306f91%\uff0c\u539f\u4f53\u7167\u5c04\u3067\u306f86%\u3067\u3057\u305f\u3002<\/p>\n<div class=\"setumei\">\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6669\u671f\u969c\u5bb3\u3068\u3057\u3066\u306e\u8133\u5352\u4e2d\u306e\u8ad6\u6587<\/h4>\n<\/div>\n<div class=\"setumei\">\n<p>Bowers DC et al.: Late-occurring stroke among long-term survivors of childhood leukemia and brain tumors: a report from the childhood cancer survivor study. J Clin Oncol 24: 5277-5282, 2006<\/p>\n<ul>\n<li>\uff15\u5e74\u4ee5\u4e0a\u751f\u5b58\u3057\u305f\u8133\u816b\u760d\u306e\u5b50\u4f9b1,871\u4eba\u306e\u8ffd\u8de1\u8abf\u67fb\u3067\u3059\u3002\u6cbb\u7642\u3055\u308c\u305f\u3068\u304d\u306e\u5e73\u5747\u5e74\u9f62\u306f7.7\u6b73\u3067\u3059\u3002<\/li>\n<li>63\u540d\u306e\u751f\u5b58\u8005\u306b\u8133\u5352\u4e2d\u304c\u751f\u3058\u307e\u3057\u305f\u3002<\/li>\n<li>\u6cbb\u7642\u5f8c14\u5e74\u524d\u5f8c\u3067\u8133\u8840\u7ba1\u969c\u5bb3\u304c\u751f\u3058\u3066\u3044\u307e\u3059\u304b\u3089\uff0c\u60a3\u8005\u3055\u3093\u304c22\u6b73\u304f\u3089\u3044\u306e\u6642\u3067\u3059\u3002<\/li>\n<li>\u6cbb\u7642\u5f8c25\u5e74\u3067\u306e\u5371\u967a\u7387\u306f5.58%\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<li>\u6b63\u5e38\u5bfe\u8c61\u3068\u3055\u308c\u305f\u4eba\u3068\u6bd4\u3079\u308b\u306829\u500d\u306e\u5371\u967a\u7387\u3067\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/li>\n<li>\u8133\u816b\u760d\u306e\u6cbb\u7642\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u308b\u306820\u4eba\u306b\u4e00\u4eba\u304f\u3089\u3044\u82e5\u3044\u3068\u304d\u306b\u8133\u5352\u4e2d\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/li>\n<li>30\u30b0\u30ec\u30a4\u4ee5\u4e0a\u306e\u7167\u5c04\u7dda\u91cf\u3067\u5f8c\u3005\u306e\u8133\u8840\u7ba1\u969c\u5bb3\u306e\u5371\u967a\u7387\u304c\u5897\u3057\u307e\u3059\u3002<\/li>\n<li>50\u30b0\u30ec\u30a4\u304b\u304b\u3063\u3066\u3044\u308b\u3068\u76f8\u5f53\u306b\u9ad8\u3044\u983b\u5ea6\u306b\u306a\u308b\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/li>\n<li>\u5168\u8133\u810a\u9ac4\u7167\u5c04\u3092\u3057\u3066\u3044\u308b\u3068\uff13\u500d\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u8133\u816b\u760d\u306e\u518d\u767a\u304c\u3042\u3063\u305f\u5b50\u4f9b\u306b\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308b\u306e\u306f\u653e\u5c04\u7dda\u91cf\u304c\u591a\u304f\u306a\u308b\u304b\u3089\u3067\u3059\u3002<\/li>\n<li>\u30a2\u30eb\u30ad\u30eb\u5316\u5264\u3068\u3044\u3046\u5316\u5b66\u7642\u6cd5\u3092\u540c\u6642\u306b\u4f7f\u3063\u3066\u3044\u308b\u3068\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>\u4f4e\u7dda\u91cf\u653e\u5c04\u7dda\u304c\u4e73\u5150\u306e\u8a8d\u77e5\u6a5f\u80fd\u767a\u9054\u306b\u4e0e\u3048\u308b\u5f71\u97ff<\/h4>\n<p>Hall P: Effect of low doses of ionising radiation in infancy on cognitive\u00a0function in adulthood: Swedish population based cohort study. BMJ 2004<br \/>\n\u53e4\u3044\u6642\u4ee3\u3067\u3059\u304c1930\u5e74\u304b\u30891959\u5e74\u307e\u3067\u306b\uff0c\u751f\u5f8c18\u30f6\u6708\u4ee5\u5185\u306b\u982d\u76ae\u306e\u8840\u7ba1\u816b\u306b\u5bfe\u3057\u3066\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u4f7f\u7528\u3055\u308c\u307e\u3057\u305f\u30023,094\u4eba\u306e\u7537\u5150\u304c\u5bfe\u8c61\u3067\uff0c18\u221219\u6b73\u306e\u6642\u306b\u8a8d\u77e5\u6a5f\u80fd\u30c6\u30b9\u30c8\u304c\u884c\u308f\u308c\u305f\u7d50\u679c\u3067\u3059\u3002\u524d\u982d\u90e8\u3068\u5f8c\u982d\u90e8\u306b\u7167\u5c04\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u4f8b\u3067\u306f32%\uff0c250mGy\u4ee5\u4e0a\u3092\u53d7\u3051\u305f\u4f8b\u3067\u306f17%\u304c\u9ad8\u6821\u3078\u9032\u5b66\u3067\u304d\u3066\u3044\u307e\u3057\u305f\u3002\u7167\u5c04\u3092\u53d7\u3051\u305f\u4f8b\u3067\u306f\uff0clearning ability and logical reasoning\u306e\u4f4e\u4e0b\u304c\u3042\u3063\u305f\u305d\u3046\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d1Gy\u4ee5\u4e0a\u306eionizing radiation\u304c\u4e73\u5150\u306e\u8a8d\u77e5\u6a5f\u80fd\u767a\u9054\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u306f\u77e5\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u306e\u8ad6\u6587\u3067\u306f\uff0cCT\u691c\u67fb\u306a\u3069\u306e\u3082\u306e\u3059\u3054\u304f\u4f4e\u3044\u7dda\u91cf\u306e\u653e\u5c04\u7dda\u306e\u76c8\u865a\u3092\u8abf\u3079\u3066\u3044\u307e\u3059\u3002\u4e73\u5150\u304c\u982d\u90e8CT\u691c\u67fb\u3092\u53d7\u3051\u308b\u3068120mGy\u306e\u982d\u90e8\u88ab\u66dd\u304c\u751f\u3058\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u7d50\u8ad6\u3068\u3057\u3066\uff0c2\u5ea6CT\u3092\u53d7\u3051\u308b\u3068\u5c06\u6765\u306e\u77e5\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3044\u3048\u307e\u3059 \u00a0(;\uffe2_\uffe2)<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"setumei\">\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u304a\u304a\u307e\u304b\u306a\u3053\u3068 \u5e74\u9f62\u304c\u4f4e\u3044\u307b\u3069\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u526f\u4f5c\u7528\u304c\u5f37\u304f\u51fa\u307e\u3059 \u6700\u3082\u5927\u304d\u306a\u554f\u984c\u306f\uff0c\u8a8d\u77e5\u6a5f\u80fd\u306e\u767a\u9054\u306e\u9045\u308c\u3067\u3059\uff0c\u4e4b\u304c\u70ba\u306b\u793e\u4f1a\u751f\u6d3b\u304c\u3067\u304d\u306a\u304f\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002 \u4ed6\u306b\u3082\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\uff0c\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\uff0c\u4e8c\u6b21\u816b\u760d\u306e\u767a\u751f\uff0c\u8133\u8840\u7ba1\u969c\u5bb3 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-10082","post","type-post","status-publish","format-standard","hentry","category-pediattumor"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10082","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=10082"}],"version-history":[{"count":14,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10082\/revisions"}],"predecessor-version":[{"id":10084,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10082\/revisions\/10084"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=10082"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=10082"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=10082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}