{"id":10477,"date":"2018-03-05T12:27:29","date_gmt":"2018-03-05T03:27:29","guid":{"rendered":"http:\/\/plaza.umin.ac.jp\/sawamura\/?p=10477"},"modified":"2023-11-28T12:26:29","modified_gmt":"2023-11-28T03:26:29","slug":"intraoperativeimaging","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/glioma\/intraoperativeimaging\/","title":{"rendered":"\u30b0\u30ea\u30aa\u30fc\u30de\u6458\u51fa\u306e\u8853\u4e2d\u30a4\u30e1\u30fc\u30b8\u30fb\u30c6\u30af\u30ce\u30ed\u30b8\u30fc"},"content":{"rendered":"<ul>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u8133\u306e\u4e2d\u306b\u6d78\u307f\u8fbc\u3093\u3067\u3044\u3066\u3044\u3066\u53d6\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u816b\u760d\u3067\u3059<\/li>\n<li>\u5916\u79d1\u533b\u500b\u4eba\u306e\u7d4c\u9a13\u5024\u306b\u3082\u3068\u3065\u304f\u6280\u8853\u304c\u3082\u3063\u3068\u3082\u5927\u5207\u3067\u3059<\/li>\n<li>\u305d\u308c\u3092\u88dc\u3046\u305f\u3081\u306b\u624b\u8853\u4e2d\u306b\u86cd\u5149\u767a\u8272\u3084\u753b\u50cf\u30a4\u30e1\u30fc\u30b8\u3092\u5229\u7528\u3059\u308b\u30c6\u30af\u30cb\u30c3\u30af\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong><span style=\"color: #000080;\">\u8853\u4e2dMRI\uff0c5-ALA (\u30a2\u30e9\u30d9\u30eb),<\/span> \u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3<\/strong><\/span>\u306a\u3069\u3067\uff0c<span style=\"color: #000080;\"><strong>\u30a4\u30e1\u30fc\u30b8\u30ac\u30a4\u30c9\u624b\u8853<\/strong><\/span>\u3068\u547c\u3070\u308c\u307e\u3059<\/li>\n<li>\u8853\u4e2dMRI\u306f\u6570\u5c11\u306a\u3044\u65bd\u8a2d\u3067\u5229\u7528\u304c\u53ef\u80fd\u3067\u3059\u304c\uff0c\u4ed6\u306e\u3082\u306e\u306f\u3069\u3053\u306e\u75c5\u9662\u3067\u3082\u3067\u304d\u307e\u3059<\/li>\n<li>\u3053\u308c\u3089\u3092\u4f7f\u7528\u3057\u3066\uff0c\u679c\u305f\u3057\u3066\u60a3\u8005\u3055\u3093\u306e\u751f\u5b58\u671f\u9593\u3084\u751f\u5b58\u306e\u8cea\u304c\u307b\u3093\u3068\u3046\u306b\u6539\u5584\u3055\u308c\u308b\u306e\u304b\u3069\u3046\u304b\u306f\uff0c2023\u5e74\u6642\u70b9\u3067\u306f\u4e0d\u660e\u3067\u3059<\/li>\n<\/ul>\n<h5>\u8853\u4e2d\u30a4\u30e1\u30fc\u30b8\u306e\u8a55\u4fa1\uff1a<strong>\u3044\u3065\u308c\u306e\u65b9\u6cd5\u3082\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u306f\u4f4e\u3044<\/strong><\/h5>\n<p>Jenkinson MD, et. al. Intraoperative imaging technology to maximize extent of resection for glioma. Cochrane Database of Systemic Reviews, 2018<br \/>\n\u30a4\u30e1\u30fc\u30b8\u30ac\u30a4\u30c9\u624b\u8853\u3092\u5229\u7528\u3059\u308b\u3068\u3088\u308a\u591a\u304f\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u7d44\u7e54\u304c\u6458\u51fa\u3067\u304d\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002\u8457\u8005\u306f4\u3064\u306e\u7121\u4f5c\u70ba\u8a66\u9a13\u306e\u7d50\u679c\u3092\u7dcf\u62ec\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u5831\u544a\u306e\u4e2d\u306e\u6458\u51fa\u7387 extent of resection\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u306f\uff0c\u4f4e\u3044\u3042\u308b\u3044\u306f\u304b\u306a\u308a\u4f4e\u3044\u3068\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3044\u305a\u308c\u306e\u30c8\u30e9\u30a4\u30a2\u30eb\u3067\u3082\uff0c\u5168\u751f\u5b58\u671f\u9593\uff0c\u75c5\u52e2\u306e\u9032\u884c\u307e\u3067\u306e\u671f\u9593\uff0c\u751f\u5b58\u306e\u8cea\u3092\u8a55\u4fa1\u3057\u3046\u308b\u30c7\u30fc\u30bf\u306f\u306a\u3044\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5>\u624b\u8853\u3067\u6700\u5927\u5207\u9664\u3092\u3081\u3056\u3059\u65b9\u6cd5<\/h5>\n<h1>\u624b\u8853\u4e2d\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3<\/h1>\n<ul>\n<li>\u30ab\u30fc\u30ca\u30d3\u3068\u540c\u3058\u539f\u7406\u3067\u3059<\/li>\n<li>\u624b\u8853\u4e2d\u306b\u816b\u760d\u304c\u3069\u3053\u306b\u3042\u3063\u3066\uff0c\u8133\u306e\u3069\u306e\u90e8\u4f4d\u3092\u64cd\u4f5c\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059<\/li>\n<li>\u5229\u70b9\u3068\u3057\u3066\u306f\uff0c\u958b\u982d\u306e\u4f4d\u7f6e\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3057\u3066\u958b\u982d\u7bc4\u56f2\u3092\u5fc5\u8981\u6700\u5c0f\u9650\u306b\u3067\u304d\u308b<\/li>\n<li>\u8133\u6df1\u90e8\u306b\u3042\u308b\u30b0\u30ea\u30aa\u30fc\u30de\u306b\u5bfe\u3057\u3066\u6700\u77ed\u306e\u30eb\u30fc\u30c8 tragectory\u3067\u5165\u308b\u306e\u3067\u8133\u640d\u50b7\u3092\u6700\u4f4e\u9650\u306b\u3067\u304d\u308b<\/li>\n<li>\u540c\u6642\u306b\u6df1\u90e8\u767d\u8cea\u306e\u91cd\u8981\u306a\u795e\u7d4c\u8def\u3092\u9078\u629e\u7684\u306b\u907f\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3053\u3068\u306a\u3069\u3067\u3059<\/li>\n<li>\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u624b\u8853\u524d\u306e\u753b\u50cf\u3092\u7528\u3044\u308b\u306e\u3067\u816b\u760d\u6458\u51fa\u306b\u4f34\u3063\u3066\u5f62\u614b\u304c\u5909\u308f\u308a\u4f4d\u7f6e\u304c\u305a\u308c\u3066\u304f\u308b\u3053\u3068<\/li>\n<li>\u9ac4\u6db2\u6392\u51fa\u306a\u3069\u3067\u8133\u5168\u4f53\u306e\u4f4d\u7f6e\u304c\u52d5\u3044\u3066\u8853\u524d\u753b\u50cf\u3068\u306e\u305a\u308c\u304c\u751f\u3058\u308b\u305f\u3081\u306b\u30ca\u30d3\u3092\u4fe1\u3058\u3059\u304e\u308b\u3068\u8aa4\u3063\u305f\u90e8\u4f4d\u306e\u8133\u3092\u640d\u50b7\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3053\u3068\u3067\u3059<\/li>\n<li>\u3053\u306e\u6b20\u70b9\u3092\u88dc\u6b63\u3059\u308b\u305f\u3081\u306b\uff0c\u624b\u8853\u524dMRI\u306b\u305f\u3088\u308b\u306e\u3067\u306f\u306a\u304f\uff0c\u624b\u8853\u4e2d\u306b\u624b\u8853\u5ba4\u5185\u3067MRI\u3092\u64ae\u5f71\u3057\u306a\u304c\u3089\u624b\u8853\u3092\u9032\u3081\u3066\u3044\u304f\u65b9\u6cd5\u304c\u5e83\u304c\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<\/ul>\n<h1><span style=\"color: #000080;\">\u8853\u4e2dMRI intraoperative MRI<\/span><\/h1>\n<ul>\n<li>\u816b\u760d\u304c\u624b\u8853\u3067\u3068\u308c\u3066\u3044\u308b\u304b\u3069\u3046\u304b\uff0c\u624b\u8853\u4e2d\u306b\u78ba\u8a8d\u3057\u307e\u3059<\/li>\n<li>\u5168\u8eab\u9ebb\u9154\u3067\u958b\u982d\u624b\u8853\u3057\u3066\u3044\u308b\u6700\u4e2d\u306bMRI\u3092\u64ae\u5f71\u3059\u308b\u3053\u3068\u3067\u3059<\/li>\n<li>\u624b\u8853\u5ba4\u3068MRI\u5ba4\u304c\u4f75\u8a2d\u3055\u308c\u3066\u3044\u308b\u9650\u3089\u308c\u305f\u65bd\u8a2d\u3057\u304b\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u3068\u304f\u306b\uff0c\u8133\u3068\u816b\u760d\u3068\u306e\u5883\u754c\u304c\u308f\u304b\u3089\u306a\u3044\uff0c\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u624b\u8853\u3067\u6709\u52b9\u3067\u3059<\/li>\n<li>\u6b20\u70b9\u306f\uff0cMRI\u306f\u8d85\u5f37\u529b\u306a\u78c1\u77f3\u3067\u3059\u304b\u3089\uff0c\u78c1\u6027\u4f53\uff08\u9244\u3068\u304b\uff09\u306e\u91d1\u5c5e\u985e\u304c\u6301\u3061\u8fbc\u3081\u306a\u3044\u306e\u3067\uff0c\u624b\u8853\u9053\u5177\u306b\u5236\u9650\u304c\u3067\u305f\u308a\u3057\u307e\u3059<\/li>\n<li>MRI\u88c5\u7f6e\u306e\u4e2d\u306b\u60a3\u8005\u3055\u3093\u306e\u982d\u90e8\u3092\u5165\u308c\u308b\u306e\u3067\uff0c\u624b\u8853\u30d9\u30c3\u30c9\u306e\u79fb\u52d5\u3068\u304b\u3068\u3066\u3082\u9762\u5012\u3067\uff0c\u624b\u8853\u6642\u9593\u3082\u9577\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u4e2d\u306b\u958b\u982d\u3057\u305f\u307e\u307e\u306e\u72b6\u614b\u3067\u60a3\u8005\u3055\u3093\u3092MRI\u306b\u5165\u308c\u308b\u3068\u3044\u3046\u7169\u96d1\u3055\u3068\u4e8b\u6545\u306e\u53ef\u80fd\u6027\uff0c\u533b\u7642\u8cbb\u30fb\u7d4c\u8cbb\u30fb\u8a2d\u5099\u6295\u8cc7\u304c\u304b\u306a\u308a\u9ad8\u984d\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u3089\u306e\u6b20\u70b9\u306e\u305f\u3081\u8853\u4e2dMRI\u306e\u5c0e\u5165\u306b\u95a2\u3057\u3066\u5426\u5b9a\u7684\u306a\u610f\u898b\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u307e\u305f\uff0c2023\u5e745-ALA\u3068\u306e\u6bd4\u8f03\u8a66\u9a13\u304c\u767a\u8868\u3055\u308c\uff0c5-ALA\u306b\u5bfe\u3059\u308b\u8853\u4e2diMRI\u306e\u512a\u4f4d\u6027\u304c\u5426\u5b9a\u3055\u308c\u307e\u3057\u305f<\/li>\n<\/ul>\n<h4>\u899a\u9192\u4e0b\u624b\u8853\u3068\u8853\u4e2dMRI\u3067\u75c7\u72b6\u304c\u51fa\u3084\u3059\u3044\u9818\u57df\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u6458\u51fa\u3059\u308b<\/h4>\n<p>Motomura K, et al.: Surgical benefits of combined awake craniotomy and\u00a0intraoperative\u00a0magnetic resonance imaging for gliomas associated with eloquent areas.\u00a0J Neurosurg.\u00a02017<br \/>\n\u540d\u53e4\u5c4b\u5927\u5b66\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002&#8221;eloquent area \u3082\u306e\u3092\u8a00\u3046\u9818\u57df&#8221;\uff08\u76ee\u7acb\u3064\u75c7\u72b6\u304c\u51fa\u3066\u3057\u307e\u3046\u8133\u306e\u90e8\u5206\uff09\u306b\u3067\u304d\u305f\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u60a3\u8005\u3055\u309325\u4eba\u3092\uff0c\u899a\u9192\u4e0b\u624b\u8853\u3068\u8853\u4e2dMRI\u3092\u5fdc\u7528\u3057\u3066\u624b\u8853\u3057\u307e\u3057\u305f\u30029\u4f8b\u3067MRI\u306e\u524d\u306b\u816b\u760d\u304c\u6458\u51fa\u3067\u304d\u3066\u3044\u3066\uff0c16\u4f8b\u3067\u306fMRI\u3067\u6b8b\u5b58\u816b\u760d\u304c\u307f\u3089\u308c\u305f\u305f\u3081\u306b\u8ffd\u52a0\u5207\u9664\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u3002\u3053\u306e16\u4f8b\u4e2d\u306e7\u4f8b\u3067\u306f\uff0cEOR\uff08\u5207\u9664\u5272\u5408\uff09\u304c15%\u5897\u3048\u307e\u3057\u305f\u3002\u8853\u4e2dMRI\u306f\uff0c\u5cf6\u8449\u30b0\u30ea\u30aa\u30fc\u30de insular glioma\u3067\u7279\u306b\u6709\u7528\u3060\u3063\u305f\u305d\u3046\u3067\u3059\u3002<\/p>\n<h4>\u8853\u4e2dMRI\u3067\u6458\u51fa\u5272\u5408\u304c\u4e0a\u304c\u308b<\/h4>\n<p>Olubiyi OI, et al.: Intraoperative\u00a0Magnetic Resonance Imaging\u00a0in Intracranial\u00a0Glioma\u00a0Resection: A Single-Center, Retrospective Blinded Volumetric Study. World Neurosurg 2015<br \/>\n\u30cf\u30fc\u30d0\u30fc\u30c9\u5927\u5b66\u306e\u95a2\u9023\u65bd\u8a2d\u30672\u4eba\u306e\u57f7\u5200\u533b\u304c164\u4f8b\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u624b\u8853\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u6458\u51fa\u5272\u5408\u306fMRI\u3092\u7528\u3044\u308b\u306897%\uff0c\u7528\u3044\u306a\u3044\u306890%\u3067\u3057\u305f\u3002\u5168\u6458\u5272\u5408\u306f\uff0c\u305d\u308c\u305e\u308c49%\u306821% \u3067\u3057\u305f\u30025\u5e74\u751f\u5b58\u5272\u5408\u304c\u6539\u5584\u3057\u305f\u3068\u3044\u3046\u306e\u3067\u3059\u304c\uff0c\u3044\u308d\u3044\u308d\u306a\u7d44\u7e54\u578b\u306e\u6df7\u3058\u3063\u305f\u5f8c\u65b9\u8996\u7684\u89e3\u6790\u3067\u3059\u304b\u3089\u5206\u6790\u7d50\u679c\u306e\u7d71\u8a08\u89e3\u6790\u306f\u3042\u3066\u306b\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u624b\u8853\u4e2d\u306bMRI\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068<\/h4>\n<p align=\"left\">Mohammadi AM, et al.: Use of high-field intraoperative magnetic resonance imaging to enhance the extent of resection of enhancing and nonenhancing gliomas. Neurosurgery 74: 339-348, 2014<br \/>\n\u624b\u8853\u4e2d\u306b1.5\u30c6\u30b9\u30e9MRI\u3092\u7528\u3044\u3066102\u4eba\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u60a3\u8005\u3055\u3093\u306e\u624b\u8853\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u624b\u8853\u4e2d\u306eMRI\u306e\u6240\u898b\u3067\u7d04\u534a\u6570\u306e\u60a3\u8005\u3055\u3093\u3067\u8ffd\u52a0\u5207\u9664\u3092\u884c\u3063\u305f\u3068\u3042\u308a\u307e\u3059\u3002\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u306a\u3044T2\u5f37\u8abf\u753b\u50cf\u3067\u307f\u3048\u308b\u30b0\u30ea\u30aa\u30fc\u30de\u3067MRI\u306e\u4f7f\u7528\u306b\u3088\u3063\u3066\u5207\u9664\u7387\u304c\u4e0a\u304c\u3063\u305f\u3068\u306e\u5831\u544a\u3067\u3059\u3002\u4e00\u822c\u7684\u306b\uff0c\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de low-grade glioma\u3067\u306e\u6709\u7528\u6027\u304c\u9ad8\u3044\u3068\u8a00\u3048\u307e\u3059\u3002\u3057\u304b\u3057\u554f\u984c\u306f\uff0clow-grade glioma\u306f\u6a5f\u80fd\u3092\u6709\u3057\u3066\u3044\u308b\u8133\u306b\u6d78\u6f64\u3059\u308b\u306e\u3067\uff0cT2\u5f37\u8abf\u753b\u50cf\u3067\u898b\u3048\u308b\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u8133\u306e\u6a5f\u80fd\u3092\u640d\u50b7\u3057\u306a\u304c\u3089\u624b\u8853\u3092\u9042\u884c\u3059\u308b\u3068\u3044\u3046\u5927\u304d\u306a\u77db\u76fe\u3092\u306f\u3089\u3080\u3053\u3068\u3067\u3059\u3002\u8853\u5f8c\u306e\u753b\u50cf\u304c\u304d\u308c\u3044\u3067\u3082\uff0c\u60a3\u8005\u3055\u3093\u306e\u9ad8\u6b21\u8133\u6a5f\u80fd\u304c\u6e29\u5b58\u3067\u304d\u308b\u304b\u3068\u3044\u3046\u4e8c\u5f8b\u80cc\u53cd\u304c\u65e7\u6765\u304b\u3089\u306e\u547d\u984c\u3068\u3057\u3066\u6b8b\u308a\u307e\u3059\u3002<\/p>\n<hr \/>\n<p align=\"left\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9944\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko-768x576.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2017\/08\/yagishirionko.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<h5 align=\"left\">\u3082\u3068\u3082\u3068\u8133\u306e\u89e3\u5256\u3092\u719f\u77e5\u3059\u308b\u7d4c\u9a13\u3042\u308b\u8133\u795e\u7d4c\u5916\u79d1\u533b\u3068\uff0c\u624b\u8853\u4e2dMRI\u306e\uff0c\u3069\u3061\u3089\u304c\u6709\u7528\u3060\u3068\u3044\u3046\u8b70\u8ad6\u306f\uff0c\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3088\u3046\u306a\uff0c\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3088\u3046\u306a \u00a0 (;\uffe2_\uffe2)<\/h5>\n<h1>\u96fb\u6c17\u751f\u7406\u5b66\u7684\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3068\u8133\u6a5f\u80fd\u30de\u30c3\u30d4\u30f3\u30b0 ISM<\/h1>\n<ul>\n<li>ISM intraoperative stimulation mapping \u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u624b\u8853\u4e2d\u306b\u8133\u8868\u9762\u3092\u523a\u6fc0\u3057\u3066\u4e00\u6b21\u904b\u52d5\u91ce\uff08\u624b\u8db3\u306e\u52d5\u304d\u3092MEP\u3067\u307f\u308b\uff09\u3084\u611f\u899a\u91ce\uff08\u624b\u8db3\u306e\u611f\u899a\u3092SEP\u3067\u307f\u308b\uff09\u306e\u4f4d\u7f6e\u3092\u628a\u63e1\u3059\u308b\u3068\u3044\u3046\u65b9\u6cd5\u306f\u5e83\u304f\u5fdc\u7528\u3055\u308c\u3044\u3066\u3044\u307e\u3059<\/li>\n<li>\u6df1\u90e8\u306e\u76ae\u8cea\u810a\u9ac4\u8def corticospinal tract \u3084\u810a\u9ac4\u8996\u5e8a\u8def spinothalamic tract \u306e\u4f4d\u7f6e\u3082\u6349\u3048\u308b\u3053\u3068\u304c\u3067\u304d\uff0c\u624b\u8853\u5f8c\u306e\u9ebb\u75fa\u3084\u611f\u899a\u7570\u5e38\u3092\u907f\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u899a\u9192\u4e0b\u624b\u8853 awake surgery\u00a0<\/strong><\/span>\u306f\uff0c\u8133\u816b\u760d\u5b66\u3068\u8a8d\u77e5\u6a5f\u80fd\u795e\u7d4c\u79d1\u5b66 cognitive neuroscience\u306e\u878d\u5408\u3067\u751f\u307e\u308c\u305f\u624b\u8853\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u8133\u306b\u306f<span style=\"color: #000080;\"><strong>eloquent area<\/strong><\/span> \uff08\u30e2\u30ce\u3092\u8a00\u3046\u9818\u57df\uff0c\u91cd\u3044\u5f8c\u907a\u75c7\u3092\u51fa\u3059\u9818\u57df\uff09\u3068\u547c\u3070\u308c\u308b\u90e8\u5206\u304c\u3042\u308a\u307e\u3059\uff0c\u4f8b\u3048\u3070\u4e00\u6b21\u904b\u52d5\u91ce\uff08\u624b\u8db3\u3092\u52d5\u304b\u3059\uff09\u3084\u8a00\u8a9e\u91ce\uff08\u8a00\u8449\u3092\u8a71\u3059\u8133\u9818\u57df\uff09\u306a\u3069\u3067\u3059\uff0c\u305d\u306e\u90e8\u5206\u306f\u500b\u4eba\u500b\u4eba\u3067\u5fae\u5999\u306b\u7570\u306a\u308b\u4f4d\u7f6e\u306b\u3042\u308b\u306e\u3067\uff0c\u305d\u308c\u3092\u624b\u8853\u4e2d\u306b\u78ba\u8a8d\u3057\u306a\u304c\u3089\u8133\u3092\u5207\u9664\u3059\u308b\u3068\u3044\u3046\u8003\u3048\u3067\u3059<\/li>\n<li>\u816b\u760d\u6458\u51fa\u4e2d\u306b\u60a3\u8005\u3055\u3093\u306e\u610f\u8b58\u3092\u899a\u307e\u3057\u3066\uff0c\u610f\u601d\u758e\u901a\u304c\u3067\u304d\u308b\u72b6\u614b\u3067\u795e\u7d4c\u5b66\u7684\u306a\u691c\u67fb\u3092\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\uff0c\u904b\u52d5\u9310\u4f53\u8def\uff0c\u8a00\u8a9e\u767a\u8a9e\u3068\u7406\u89e3\u529b, \u8996\u899a\u6a5f\u80fd\uff0c\u4ed6\u306e\u9ad8\u6b21\u8133\u6a5f\u80fd\u306a\u3069\u3092\u30e2\u30cb\u30bf\u30fc\u3057\u306a\u304c\u3089\u816b\u760d\u6458\u51fa\u3092\u3057\u3066\u5f8c\u907a\u75c7\u3092\u907f\u3051\u307e\u3059<\/li>\n<li>\u76ee\u7684\u306f\uff0c\u751f\u6d3b\u306e\u8cea OoL\u3092\u843d\u3068\u3059\u3088\u3046\u306a\u5f8c\u907a\u75c7\u3092\u51fa\u3055\u306a\u3044\u3067\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u8133\u3068\u4e00\u7dd2\u306b\u6458\u51fa\u3059\u308b\u3053\u3068\u3067\u3059<\/li>\n<li>\u3053\u306e\u899a\u9192\u4e0b\u624b\u8853\u306b\u306f\u53cd\u8ad6\u3082\u3042\u308a\u307e\u3059\uff0c\u305d\u3053\u307e\u3067\u3057\u3066\uff0c\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u60a3\u8005\u3055\u3093\u306e\u751f\u5b58\u671f\u9593\u304c\u5ef6\u3073\u305f\u3068\u3044\u3046\u30c7\u30fc\u30bf\u304c\u306a\u3044\u3053\u3068\u3067\u3059<\/li>\n<li>\u4f8b\u3048\u3070\uff0c\u4e4f\u7a81\u8d77\u81a0\u816b\u3067\uff0c\u65e7\u6765\u306e\u65b9\u6cd5\u306730\uff05\u6458\u51fa\u3057\u3066\u3082\uff0c\u899a\u9192\u4e0b\u624b\u8853\u306760\uff05\u6458\u51fa\u3057\u3066\u3082\u751f\u5b58\u671f\u9593\u306f\u5909\u308f\u308a\u307e\u305b\u3093\uff0c<span style=\"color: #000080;\"><strong>\u500d\u306e\u91cf\u53d6\u308c\u3066\u3044\u308b\u3068\u3044\u3046\u624b\u8853\u7d50\u679c\u304c\u6b8b\u308b\u3060\u3051<\/strong><\/span>\u3067\u3059<\/li>\n<\/ul>\n<h1><strong>\u62e1\u6563\u30c6\u30f3\u30bd\u30eb\u753b\u50cf \u00a0DTI tractography<\/strong><\/h1>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17857\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2-298x300.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2-768x773.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg2.jpg 850w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17858\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1-550x550.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1-768x768.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/03\/tractg1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u795e\u7d4c\u8def\uff08\u767d\u8cea\u8def\uff09\u3092MRI\u753b\u50cf\u306b\u6295\u5c04\u3057\u3066\u53ef\u8996\u5316\u3057\u305f\u753b\u50cf\u3067\u3059\u3002\u7dd1\u306f\u8996\u8def optic tract \u00a0(pathway) \u3067\u3059\u3002\u9752\u3084\u8d64\u306f\u76ae\u8cea\u810a\u9ac4\u8def corticospinal tract \u3067\u3059\u3002\u8133\u306e\u3069\u306e\u90e8\u5206\u3092\u5207\u9664\u3059\u308b\u3068\u3069\u3046\u3044\u3046\u6a5f\u80fd\u304c\u5931\u308f\u308c\u3066\u3057\u307e\u3046\u306e\u304b\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u624b\u8853\u4e2d\u306e\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u306b\u5fdc\u7528\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u958b\u982d\u624b\u8853\u3067\u53c2\u8003\u306b\u3057\u307e\u3059\u3002\u53f3\u306e\u753b\u50cf\u3067\u306f\u9310\u4f53\u8def\u30ae\u30ea\u30ae\u30ea\u3067\u816b\u760d\u304c\u5207\u9664\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u3082\u3046\u5c11\u3057\u8e0f\u307f\u8fbc\u3080\u3068\u5b8c\u5168\u306a\u5de6\u7247\u9ebb\u75fa\u306b\u306a\u308b\u624b\u8853\u3067\u3057\u305f\u3002<\/p>\n<h4>ISM\u3092\u4f7f\u7528\u3059\u308b\u3068\u6458\u51fa\u5272\u5408\u304c\u4e0a\u304c\u308a\uff0c\u8853\u5f8c\u969c\u5bb3\u304c\u5c11\u306a\u3044<\/h4>\n<p>De Witt Hamer: Impact of intraoperative stimulation brain mapping on glioma surgery outcome: a meta-analysis. J Clin Oncol,\u00a02012<br \/>\nISM\u306b\u306f\u7121\u4f5c\u70ba\u8a66\u9a13\u304c\u3067\u304d\u306a\u3044\u306e\u3067\uff0c\u30e1\u30bf\u30a2\u30ca\u30e9\u30a4\u30b7\u30b9\u3067\u89e3\u6790\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u30022010\u5e74\u307e\u3067\u306b\u5831\u544a\u3055\u308c\u305f8,000\u4f8b\u307b\u3069\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u624b\u8853\u304c\u5bfe\u8c61\u3067\u3059\u3002\u91cd\u3044\u795e\u7d4c\u75c7\u72b6\u306f\uff0cISM\u3092\u4f7f\u7528\u3057\u305f\u7fa4\u3067\u00a03.4%\uff0c\u4f7f\u7528\u3057\u306a\u304b\u3063\u305f\u7fa4\u3067\u00a08.2%\u751f\u3058\u307e\u3057\u305f\u3002\u8853\u5f8c\u306e\u753b\u50cf\u3067\u5168\u6458\u51fa gross total\u3067\u304d\u3066\u3044\u305f\u5272\u5408\u306f\uff0cISM\u306775%\uff0c\u4f7f\u7528\u3057\u306a\u304b\u3063\u305f\u308958% \u3067\u3057\u305f\u3002\u899a\u9192\u4e0b\u624b\u8853\u3067\u306e\u8a00\u8a9e\u3068\u8a8d\u77e5\u6a5f\u80fd\u306e\u30e2\u30cb\u30bf\u30fc\u3082\u6709\u7528\u3067\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h1>5-ALA \u86cd\u5149\u30de\u30fc\u30ab\u30fc\u3067\u306e\u53ef\u8996\u5316<\/h1>\n<h5>\u624b\u8853\u4e2d\u306b\u8d64\u5916\u7dda\u30ec\u30b6\u30fc\u3092\u7528\u3044\u3066\u884c\u3046\u6cbb\u7642\u88dc\u52a9\u624b\u6bb5\u3067\u3059<\/h5>\n<h4><span style=\"color: #000080;\"><strong>\u5149\u7dda\u529b\u5b66\u7684\u8a3a\u65ad\u6cd5\u3000PDD photodynamic diagnosis<br \/>\n<\/strong><\/span><span style=\"color: #000080;\"><strong>\u8853\u4e2d\u86cd\u5149\u8a3a\u65ad\u00a0(\u30a2\u30df\u30ce\u30ec\u30d6\u30ea\u30f3\u9178 5-ALA \u306b\u3088\u308b\u53ef\u8996\u5316)<\/strong><\/span><\/h4>\n<ul>\n<li>40\u5e74\u304f\u3089\u3044\u524d\u304b\u3089\u81e8\u5e8a\u5fdc\u7528\u304c\u3055\u308c\u3066\u3044\u3066\u65b0\u3057\u3044\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u3067\u304d\u308b\u3060\u3051\u591a\u304f\u6458\u51fa\u3059\u308b\u305f\u3081\u306b\u958b\u767a\u3055\u308c\u305f\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u6cbb\u3059\u529b\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li><strong style=\"color: #000080;\">\u624b\u8853\u306e\u76f4\u524d\u306b\u30a2\u30df\u30ce\u30ec\u30d6\u30ea\u30f3\u9178 5-ALA\u3092\u98f2\u307f\u307e\u3059<\/strong><\/li>\n<li>5-ALA\u306f\uff0c\u30b0\u30ea\u30aa\u30fc\u30de\u816b\u760d\u7d30\u80de\u306b\u53d6\u308a\u8fbc\u307e\u308c\u3066\uff0c\u6b63\u5e38\u306e\u8133\u306e\u7d30\u80de\u306b\u306f\u53d6\u308a\u8fbc\u307e\u308c\u306a\u3044\u3068\u3044\u3046\u6027\u8cea\u3092\u5229\u7528\u3057\u307e\u3059<\/li>\n<li>5-ALA\u306f\u4f53\u5185\u3067<span style=\"color: #333333;\">\u30d7\u30ed\u30c8\u30dd\u30eb\u30d5\u30a3\u30ea\u30f3IX (PPIX) <\/span>\u306b\u5909\u5316\u3057\u3066\uff0c\u5897\u6b96\u306e\u65fa\u76db\u306a\u816b\u760d\u7d30\u80de\u306b\u84c4\u7a4d\u3057\u307e\u3059<\/li>\n<li>PPIX\u306e\u305f\u307e\u3063\u3066\u3044\u308b\u816b\u760d\u7d30\u80de\u306b\uff0c\u9752\u8272\u5149\u7dda 400-410nm \u3092\u3042\u3066\u308b\u3068\uff0c\u816b\u760d\u306e\u90e8\u5206\u3060\u3051\u304c<span style=\"color: #ff0000;\"><strong>\u8d64\u8272\u86cd\u5149\u3092\u767a\u3057\u307e\u3059<\/strong><\/span>\uff08\u898b\u3048\u306b\u304f\u3044\u60aa\u6027\u816b\u760d\u306e\u53ef\u8996\u5316\u3068\u3044\u3044\u307e\u3059\uff09<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u624b\u8853\u524d\u306b\u60a3\u8005\u3055\u3093\u306b\u30a2\u30df\u30ce\u30ec\u30d6\u30ea\u30f3\u9178\u3092\u6295\u4e0e\u3057\u3066\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u4e2d\u306b\u8d64\u304f\u5149\u3063\u3066\u3044\u308b\u90e8\u5206\uff08\u30b0\u30ea\u30aa\u30fc\u30de\u7d30\u80de\uff09<\/strong><\/span>\u3092\u6458\u51fa\u3059\u308c\u3070\u816b\u760d\u304c\u78ba\u5b9f\u306b\u3068\u308c\u308b\u3068\u3044\u3046\u3082\u304f\u308d\u307f\u3067\u3059<\/li>\n<li>\u60aa\u6027\u5ea6\u306e\u9ad8\u3044\u3082\u306e\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u71c3\u3048\u3066\u3044\u308b\u6728\u70ad\u306e\u3088\u3046<\/strong><\/span>\u306b\u8d64\u304f\u86cd\u5149\u767a\u8272\u3057\u307e\u3059<\/li>\n<li>\u3067\u3082\uff0c\u305d\u306e\u3088\u3046\u306a\u90e8\u5206\u306f\u624b\u8853\u9855\u5fae\u93e1\u3067\u898b\u3066\u3082\u660e\u3089\u304b\u306b\u60aa\u6027\u30b0\u30ea\u30aa\u30fc\u30de\u3068\u5224\u5225\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5b9f\u969b\u306f\uff0c\u6de1\u304f\u8d64\u304f\u5149\u308b\u3060\u3051\u3067\uff0c\u6b63\u5e38\u7d44\u7e54\u3068\u306e\u5883\u754c\u304c\u306f\u3063\u304d\u308a\u898b\u3048\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u307e\u305f\uff0c\u3082\u3068\u3082\u3068\u30b0\u30ea\u30aa\u30fc\u30de\u7d30\u80de\u306f\u6b63\u5e38\u8133\u7d44\u7e54\u306e\u4e2d\u306b\u3057\u307f\u8fbc\u3080\u69d8\u306b\u5165\u308a\u8fbc\u3080\u306e\u3067\uff0c\u5b9f\u969b\u306b\u306f\u8d64\u304f\u5149\u3063\u3066\u3044\u305f\u3068\u3057\u3066\u3082\uff0c\u3069\u3053\u307e\u3067\u6458\u51fa\u3057\u3066\u3088\u3044\u3082\u306e\u304b\u533a\u5225\u304c\u3064\u304b\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u624b\u8853\u4e2d\u306b\u86cd\u5149\u3067\u307c\u3093\u3084\u308a\u5149\u308b\u3068\u3053\u3068\u3092\u6458\u51fa\u3059\u308b\u304b\u3069\u3046\u304b\u8ff7\u3044\u307e\u3059<\/li>\n<li>\u7d50\u8ad6\u7684\u306b\uff0c\u3059\u3054\u304f\u5f79\u306b\u7acb\u3064\u3068\u306f\u8a00\u3048\u307e\u305b\u3093\u304c\uff0c<span style=\"color: #333333;\">\u6fa4\u6751\u3082\u5b9f\u969b\u306b\u306f\u5e38\u306b\u4f7f\u7528\u3057\u3066\u3044\u307e\u3059<\/span><\/li>\n<\/ul>\n<ul>\n<li>\u7d4c\u9a13\u306e\u6d45\u3044\u8853\u8005\u307b\u3069\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u5883\u754c\u304c\u308f\u304b\u3089\u306a\u3044\u3068\u3044\u3046\u4e0d\u5b89\u3082\u3042\u308a\uff0c\u8d64\u304f\u5149\u308b\u3068\u816b\u760d\u3060\u3051\u304c\u306f\u3063\u304d\u308a\u898b\u3048\u308b\u3088\u3046\u3067<span style=\"color: #000080;\"><strong>\u8853\u8005\u306f\u306a\u3093\u3068\u306a\u304f\u5b89\u5fc3\u3057\u307e\u3059\uff0c\u3053\u308c\u304c\u4f7f\u7528\u3055\u308c\u308b\u6700\u5927\u306e\u7406\u7531\u304b\u3082<\/strong><\/span><\/li>\n<li>\u3068\u3066\u3082\u6c17\u3092\u4ed8\u3051\u306a\u3051\u308c\u3070\u306a\u3089\u3044\u4e8b\u306f\uff0c\u8d64\u304f\u5149\u3063\u3066\u3044\u308b\u304b\u3089\u816b\u760d\u304c\u6b8b\u3063\u3066\u3044\u308b\u3068\u5224\u65ad\u3057\u3066\uff0c\u5207\u9664\u7bc4\u56f2\u3092\u5927\u304d\u304f\u3057\u3066\u3057\u307e\u3046\u4e8b\u3067\u3059\uff0c\u6b63\u5e38\u8133\u3092\u4e00\u7dd2\u306b\u6458\u51fa\u3059\u308b\u3053\u3068\u306b\u306a\u308a\uff0c\u8853\u5f8c\u306b\u91cd\u3044\u5f8c\u907a\u75c7\u3092\u51fa\u3057\u3066\u3057\u307e\u3046\u3068\u3044\u3046\u30ea\u30b9\u30af\u304c\u3042\u308b\u3053\u3068\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8d64\u304f\u767a\u5149\u3057\u3066\u3044\u308b\uff0c\u8133\u6df1\u90e8\u306e\u767d\u8cea\u3092\u5b89\u6613\u306b\u6458\u51fa\u3057\u306a\u3044!!<\/strong><\/span><\/li>\n<li>5-ALA\u306f\u3092\u5fdc\u7528\u3059\u308b\u306b\u3057\u3066\u3082\u7d4c\u9a13\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u6163\u308c\u305f\u8853\u8005\u3068\u3044\u3046\u524d\u63d0\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u4e2dMRI\u3088\u308aALA\u306e\u307b\u3046\u304c\u6709\u7528<\/strong><\/span>\u3067\u3059<\/li>\n<\/ul>\n<h5>\u4f7f\u3044\u304b\u305f<\/h5>\n<ul>\n<li>\u65e5\u672c\u3067\u3082\u4fdd\u967a\u8a3a\u7642\u3067\u4f7f\u7528\u3067\u304d\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u30a2\u30e9\u30d9\u30eb<\/span><\/strong>\u3084<strong><span style=\"color: #ff0000;\">\u30a2\u30e9\u30b0\u30ea\u30aa<\/span><\/strong>\u3068\u3044\u3046\u304a\u85ac (20mg\/kg) \u3092\uff0c\u6458\u51fa\u624b\u8853\u306e2-4\u6642\u9593\u524d\u306b\u670d\u7528\u3057\u3066\u304b\u3089\u624b\u8853\u5ba4\u306b\u884c\u304d\u307e\u3059<\/li>\n<li>\u4f53\u91cd50kg\u306e\u60a3\u8005\u3055\u3093\u30671g\u3067\u3059<\/li>\n<li>\u5149\u306b\u5bfe\u3057\u3066\u306e\u76ae\u819a\u708e\uff0c\u65e5\u713c\u3051\u304c\u526f\u4f5c\u7528\u3067\u3059\u304b\u3089\uff0c\u60a3\u8005\u3055\u3093\u306e\u3044\u308b\u90e8\u5c4b\u306e\u96fb\u6c17\u3092\u6d88\u3057\u3066\u6697\u304f\u3057\u307e\u3059<\/li>\n<li>\u624b\u8853\u4e2d\u306b\u7279\u6b8a\u306a\u5149\u3092\u5f53\u3066\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u88c5\u7f6e\u3092\u6301\u3063\u3066\u3044\u308b\u8133\u5916\u79d1\u75c5\u9662\u306f\u5c11\u306a\u3044\u3067\u3059<\/li>\n<li>\u624b\u8853\u5f8c\u3082\u60a3\u8005\u3055\u3093\u306e\u5468\u56f2\u3092\u906e\u5149\u3057\u307e\u3059<\/li>\n<li>\u4ed6\u306e\u526f\u4f5c\u7528\u306f\u60aa\u5bd2\uff0c\u60aa\u5fc3\uff0c\u5614\u5410\uff0c\u767a\u71b1\uff0c\u809d\u6a5f\u80fd\u7570\u5e38\u306a\u3069\u3067\u3059\u304c\uff0c\u91cd\u7be4\u306a\u3082\u306e\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4 class=\"chaptertitle\">\u81a0\u82bd\u816b\u306e\u624b\u8853\u3067\uff0c\u8853\u4e2dMRI\u3088\u308a5-ALA\u306e\u307b\u3046\u304c\u6709\u7528\u3067\u3042\u308b<\/h4>\n<p class=\"chaptertitle\">Roder C: Intraoperative MRI-Guided Resection Is Not Superior to 5-Aminolevulinic Acid Guidance in Newly Diagnosed Glioblastoma: A Prospective Controlled Multicenter Clinical Trial. J Clin Oncol 2023<br \/>\n\u30c9\u30a4\u30c4\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002\u81a0\u82bd\u816b\u306e\u624b\u8853\u306b\u304a\u3044\u3066\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u308b\u90e8\u5206\u306e\u5168\u6458\u51fa\u306b\u306f\u3069\u3061\u3089\u306e\u624b\u6cd5\u304c\u6709\u7528\u306a\u306e\u304b\u304c\u524d\u5411\u304d\u8a66\u9a13\u3055\u308c\u307e\u3057\u305f\u3002\u5bfe\u8c61\u306f5-ALA 127\u4eba\u306e\u3046\u306190\u4eba (78%)\uff0ciMRI 150\u4eba\u306e\u3046\u3061115\u4eba (81%)\u3067\u5168\u6458\u51fa complete resection\uff08\u5897\u5f37\u90e8\u5206\u306e\u6458\u51fa\uff09\u304c\u53ef\u80fd\u3067\u3057\u305f\u3002\u751f\u5b58\u5272\u5408\u306b\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u5927\u304d\u306a\u5dee\u306f\uff0cincision-suture times \u958b\u9589\u7b49\u6642\u9593\u3067\uff0ciMRI 316\u5206\u3068ALA 215\u5206\u3067\u3057\u305f\u3002\u624b\u304c\u304b\u304b\u3063\u3066\u9762\u5012\u3067\u7d4c\u8cbb\u3082\u304b\u304b\u308b\u306e\u304c\u624b\u8853\u4e2d\u306eMRI\u3067\u3059\u3002<\/p>\n<h4>\u9ad8\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u6458\u51fa\u7387\u304c\u4e0a\u6607\u3059\u308b<\/h4>\n<p class=\"c-article-title\" data-test=\"article-title\">Intraoperative 5-ALA fluorescence-guided resection of high-grade glioma leads to greater extent of resection with better outcomes: a systematic review. J Nemuro Once 2022<br \/>\n\u5f8c\u65b9\u8996\u7684\u306a\u6587\u732e\u691c\u7d22\u7d50\u679c\u3067\u3059\u3002ALA\u306f\u6458\u51fa\u7387\u3092\u4e0a\u3052\u3066\u751f\u5b58\u5272\u5408\u3092\u4e0a\u6607\u3055\u305b\u308b\u3089\u3057\u3044\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3067\u3082\u7d71\u8a08\u5b66\u7684\u306b\u512a\u4f4d\u306a\u5dee\u306f\u306a\u306b\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u767d\u8272\u5149\u7dda\u3088\u308aALA\u767a\u5149\u304c\uff0c\u8853\u5f8c\u5f8c\u907a\u75c7\u3092\u52d8\u6848\u3057\u3066\u3082\u512a\u4f4d\u306a\u4e88\u5f8c\u6539\u5584\u3068\u306a\u308b\u304b\u3069\u3046\u304b\u306f\u307e\u3060\u4e0d\u660e\u3067\u3059\u3002<\/p>\n<h4>\u751f\u691c\u8853\u3067ALA\u3092\u5fdc\u7528\u3059\u308b<\/h4>\n<p>Millesi M: Is intraoperative pathology needed if 5-aminolevulinic-acid-induced tissue fluorescence is found in stereotactic brain tumor biopsy? Neurosurgery 2020<br \/>\n\u5b9a\u4f4d\u8133\u624b\u8853\u3067\u7d44\u7e54\u751f\u691c\u3092\u884c\u3046\u3068\u304d\uff0c\u816b\u760d\u90e8\u5206\u3092\u78ba\u5b9f\u306b\u3068\u308b\u305f\u3081\u306b\u591a\u304f\u306e\u30b5\u30f3\u30d7\u30eb\u3092\u63a1\u53d6\u3057\u305f\u308a\uff0c\u624b\u8853\u4e2d\u306b\u75c5\u7406\u7d44\u7e54\u3092\u78ba\u8a8d\u3059\u308b\u3068\u624b\u8853\u6642\u9593\u304c\u9577\u304f\u306a\u308a\u307e\u3059\u3002\u305d\u3053\u3067\uff0c5-ALA\u3092\u5fdc\u7528\u3057\u3066\u816b\u760d\u7d44\u7e54\u3092\u78ba\u5b9f\u306b\u63a1\u53d6\u3059\u308b\u65b9\u6cd5\u304c\u8a66\u3055\u308c\u307e\u3057\u305f\u3002\u86cd\u5149\u3067\u8d64\u304f\u767a\u8272\u3059\u308b\u7d44\u7e54\u304c\u63a1\u53d6\u3067\u304d\u305f\u3089\u305d\u3053\u3067\u751f\u691c\u8853\u3092\u4e2d\u6b62\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u306f\u3063\u304d\u308a\u767a\u8272\u3059\u308b\u7d44\u7e54\u304c\u3068\u308c\u306a\u3044\u3068\u304d\u306f\uff0c\u751f\u691c\u3092\u7d99\u7d9a\u3057\u3066\u3055\u3089\u306b\u4f55\u7b87\u6240\u304b\u3089\u306e\u7d44\u7e54\u63a1\u53d6\u3092\u7d9a\u3051\u307e\u3059\u3002\u8981\u306f\uff0c5-ALA\u3092\u5229\u7528\u3059\u308b\u3053\u3068\u306780%\u304f\u3089\u3044\u306e\u30b1\u30fc\u30b9\u3067\u816b\u760d\u7d44\u7e54\u304c\u78ba\u5b9f\u306b\u63a1\u53d6\u3067\u304d\u305f\u3068\u3044\u3046\u3053\u3068\u304c\u624b\u8853\u4e2d\u306b\u308f\u304b\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u3002<\/p>\n<h4>PDD \u30b0\u30ea\u30aa\u30fc\u30de\u306e\u53ef\u8996\u5316\u306b\u95a2\u3059\u308b\u5927\u898f\u6a21\u7814\u7a76<\/h4>\n<p>2017\u5e74\u306eFDA\u306e\u516c\u5f0f\u30da\u30fc\u30b8\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u524d\u306b\u30b0\u30ec\u30fc\u30c9\uff13\u3042\u308b\u3044\u306f\u30b0\u30ec\u30fc\u30c9\uff14\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u3068\u4e88\u6e2c\u8a3a\u65ad\u3055\u308c\u305f\uff0c349\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u5bfe\u8c61\u306e\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\u3059\u3002Percentage of patients who had \u201ccompleteness\u201d of resection was 64% in the ALA arm and\u00a038% in the control arm, with the difference of 26% (95% CI: 16%, 36%).\u3068\u8a18\u8f09\u3055\u308c\u3044\u3066\u307e\u3059\u3002ALA\u3092\u6295\u4e0e\u3059\u308c\u307064\uff05\u306e\u60a3\u8005\u3055\u3093\u3067\u5341\u5206\u306a\u6458\u51fa\u304c\u3067\u304d\u308b\u3051\u308c\u3069\uff0cALA\u3092\u6295\u4e0e\u3057\u306a\u3044\u9855\u5fae\u93e1\u4e0b\u624b\u8853\u3067\u306f38%\u3067\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u3053\u306ecompleteness\u3068\u3044\u3046\u306e\u306f\u8033\u6163\u308c\u306a\u3044\u7528\u8a9e\u3067\u3059\u3002\u4f7f\u7528\u3057\u305f\u65b9\u304c\u3088\u308a\u591a\u304f\u306e\u60aa\u6027\u30b0\u30ea\u30aa\u30fc\u30de\u304c\u6458\u51fa\u3067\u304d\u308b\u3068\u3044\u3046\u7d50\u8ad6\u306a\u306e\u3067\u3059\u304c\uff0c\u305d\u308c\u304c\u60a3\u8005\u3055\u3093\u5168\u4f53\u306e\u751f\u547d\u4e88\u5f8c\u306e\u6539\u5584\u3068\u6a5f\u80fd\u4e88\u5f8c\u306e\u4fdd\u6301\u306b\u6709\u7528\u306a\u306e\u304b\u3069\u3046\u304b\u306f\u307e\u305f\u5225\u554f\u984c\u3067\u3059\u3002\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u624b\u8853\u306b\u3068\u3066\u3082\u6163\u308c\u3066\u3044\u308b\u8133\u5916\u79d1\u533b\u304c\u57f7\u5200\u3059\u308b\u3068\uff0cALA\u3092\u4f7f\u7528\u3057\u3066\u3082\u4f7f\u7528\u3057\u306a\u304f\u3066\u3082\u3042\u307e\u308a\u5927\u304d\u306a\u5dee\u304c\u51fa\u306a\u3044\u3068\u3082\u8a00\u3048\u307e\u3059\u3002\u65e5\u672c\u3067\u306fALA\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u65bd\u8a2d\u306e\u307b\u3046\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u6163\u308c\u3066\u3044\u306a\u3044\u8853\u8005\u306f\u4f7f\u7528\u3057\u305f\u65b9\u304c\u3044\u3044\u306e\u3067\u3057\u3087\u3046\u3002<\/p>\n<h4>ALA\u306e\u81e8\u5e8a\u7814\u7a76<\/h4>\n<p>Pichlmeier U, et al. ALA Glioma Study Group: Resection and survival in glioblastoma multiforme: an RTOG recursive partitioning analysis of ALA study patients. Neuro Oncol. 10:1025-1034, 2008<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u3067243\u4eba\u306e\u81a0\u82bd\u816b\u306e\u60a3\u8005\u3055\u3093\u306b\u3053\u306e\u6cbb\u7642\u65b9\u6cd5\u304c\u8a66\u3055\u308c\u307e\u3057\u305f\u3002\u7d50\u679c\u7684\u306b\uff0c\u30a2\u30df\u30ce\u30ec\u30d6\u30ea\u30f3\u9178\u3067\u53ef\u8996\u5316\u3092\u884c\u306a\u3063\u3066\u624b\u8853\u3057\u3066\u3082\uff0c\u305d\u3046\u3057\u306a\u304f\u3066\u3082\u751f\u5b58\u5272\u5408\u306b\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3053\u306e\u7814\u7a76\u306e\u5f8c\u3067\u81e8\u5e8a\u5fdc\u7528\u306f\u4e0b\u706b\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<h4>\u5927\u898f\u6a21\u81e8\u5e8a\u7814\u7a76\u3000\u7b2c\uff13\u76f8\u8a66\u9a13<\/h4>\n<p>Stummer W, et al. Fluorescence-guided surgery with 5-aminolevulinic acid for re-section of malignant glioma: a randomized controlled multicentre phase III trial. Lancet Oncol. 2006<br \/>\n\u60aa\u6027\u795e\u7d4c\u81a0\u816b\u306e\u624b\u8853\u3067\uff0cALA\u3092\u7528\u3044\u308b\u3068\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u308b\u816b\u760d\u90e8\u5206\u306e\u5b8c\u5168\u6458\u51fa\u304c65%\u3067\u53ef\u80fd\u3068\u306a\u308a\uff0c\u4f7f\u7528\u3057\u306a\u304436%\u3088\u308a\u6458\u51fa\u5272\u5408\u304c\u4e0a\u304c\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u60a3\u8005\u3055\u3093\u306e\u751f\u5b58\u671f\u9593\u306b\u306f\u5909\u308f\u308a\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9870 size-medium\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset1-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset1-300x200.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset1-768x512.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset1-550x367.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\u3053\u3093\u306a\u98a8\u666f\u306e\u3088\u3046\u306b\u5149\u308a\u307e\u3059<\/p>\n<p>&nbsp;<\/p>\n<h1><span style=\"color: #000080;\"><strong>\u5149\u7dda\u529b\u5b66\u7642\u6cd5\u306b\u3088\u308b\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u6cbb\u7642 PDT photodynamic therapy<\/strong><\/span><\/h1>\n<ul>\n<li>\u539f\u7406\u306fALA\u306b\u3088\u308b\u53ef\u8996\u5316\u3068\u304a\u306a\u3058\u3067\u3059<\/li>\n<li>\u65e5\u672c\u3067\u306f\uff0c\u30bf\u30e9\u30dd\u30eb\u30d5\u30a3\u30f3\u30ca\u30c8\u30ea\u30a6\u30e0\uff08\u30ec\u30b6\u30d5\u30a3\u30ea\u30f3\uff09\u3068\u3044\u3046\u85ac\u5264\u304c\u539f\u767a\u6027\u60aa\u6027\u8133\u816b\u760d\u306e\u4fdd\u967a\u8a3a\u7642\u3067\u4f7f\u7528\u3067\u304d\u307e\u3059<\/li>\n<li>\u5149\u611f\u53d7\u6027\u7269\u8cea\u304c\u30b0\u30ea\u30aa\u30fc\u30de\u7d30\u80de\u306b\u53d6\u308a\u8fbc\u307e\u308c\u305f\u3068\u3053\u308d\u3067\uff0c\u30ec\u30fc\u30b6\u5149\u3092\u5f53\u3066\u308b\u3068\u816b\u760d\u7d30\u80de\u304c\u6b7b\u6ec5\u3059\u308b\u3068\u3044\u3046\u539f\u7406\u3092\u5fdc\u7528\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u30ec\u30b6\u30d5\u30a3\u30ea\u30f3\u309222\u304b\u308926\u6642\u9593\u524d\u306b\u9759\u8108\u5185\u6295\u4e0e (40mgm2) \u3057\u3066\u304a\u3044\u3066\uff0c\u624b\u8853\u4e2d\u306b\u816b\u760d\u6458\u51fa\u3092\u3057\u305f\u90e8\u4f4d\u306b\u30ec\u30fc\u30b6\u5149 (\u6ce2\u9577664nm\uff0c\u7167\u5c04\u30d1\u30ef\u30fc\u5bc6\u5ea6150mW\/cm<sup>2\uff0c<\/sup>\u7167\u5c04\u30a8\u30cd\u30eb\u30ae\u30fc\u5bc6\u5ea627J\/cm<sup>2)\u00a0<\/sup>\u3092\u5f53\u3066\u307e\u3059<\/li>\n<li>\u9650\u3089\u308c\u305f\u65bd\u8a2d\u306e\u5c11\u6570\u4f8b\u5831\u544a\u3067\u6709\u52b9\u3068\u3055\u308c\u308b\u306e\u307f\u3067\u3059\uff0c\u7814\u7a76\u6bb5\u968e\u306e\u6cbb\u7642\u6cd5\u3067\u3059<\/li>\n<li>\u3053\u308c\u3067\u5ef6\u547d\u52b9\u679c\uff08\u5168\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\uff09\u304c\u5f97\u3089\u308c\u308b\u3068\u3044\u3046\u78ba\u5b9f\u306a\u8a3c\u62e0\u3068\u306a\u308b\u81e8\u5e8a\u7814\u7a76\uff08\u79d1\u5b66\u7684\u6839\u62e0\uff09\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u7406\u8ad6\u4e0a\u306e\u6709\u52b9\u6027\u306b\u3068\u3069\u307e\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u304b\u3089\uff0c\u6a19\u6e96\u6cbb\u7642\u3067\u306f\u7528\u3044\u307e\u305b\u3093<\/li>\n<li>\u6700\u5927\u306e\u969c\u5bb3\u306f\uff0c1980\u5e74\u4ee3\u5f8c\u534a\uff0825\u5e74\u304f\u3089\u3044\u524d\uff09\u306b\u306a\u3055\u308c\u305f\u7814\u7a76\u306b\u3051\u308a\u304c\u3064\u3044\u3066\u3044\u306a\u3044\u3053\u3068\u3067\u3059<\/li>\n<li>\u300c\u8133\u816b\u760d\u306e\u7d30\u80de\u3060\u3051\u306b\u5149\u611f\u53d7\u6027\u7269\u8cea\u304c\u6cbb\u7642\u306b\u6709\u52b9\u306a\u5341\u5206\u91cf\u304c\u53d6\u308a\u8fbc\u307e\u308c\u3066\u3044\u308b\u304b\u300d\u3068\u3044\u3046\u3053\u3068\u3067\uff0c\u3053\u308c\u304c\u305d\u3082\u305d\u3082\u89e3\u3063\u3066\u3044\u307e\u305b\u3093\u304b\u3089\uff0c\u7406\u8ad6\u7684\u6839\u62e0\u306e\u6839\u5e79\u304c\u306a\u3044\u306e\u3067\u3059<\/li>\n<li>\u307e\u305f\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u8133\u306e\u6df1\u3044\u6240\u306b\u6d78\u6f64\u3057\u307e\u3059\u304c\uff0c\u305d\u3053\u307e\u3067\u30ec\u30fc\u30b6\u304c\u3068\u3069\u304b\u306a\u3044\u3068\u3044\u3046\u81f4\u547d\u7684\u306a\u6b20\u70b9\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9871 size-medium\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset2-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset2-300x200.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset2-768x512.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset2-550x367.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/05\/sunset2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<h5>\u6587\u732e<\/h5>\n<ul>\n<li>Duffau H: Mapping the connectome in awake surgery for gliomas: an update. J Neurosurg Sci. 2017<\/li>\n<li>Engel AK: Invasive recordings from the human brain: clinical insights and beyond. Nat Rev Neurosci. 2005<\/li>\n<li>Ojemann G: Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients. 1989. J Neurosurg. 2008<\/li>\n<li>Sanai N: Functional outcome after language mapping for glioma resection. N Engl J Med. 2008<\/li>\n<li>Southwell DG: Language outcomes after resection of dominant inferior parietal lobule gliomas. J Neurosurg. 2017<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u8133\u306e\u4e2d\u306b\u6d78\u307f\u8fbc\u3093\u3067\u3044\u3066\u3044\u3066\u53d6\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u816b\u760d\u3067\u3059 \u5916\u79d1\u533b\u500b\u4eba\u306e\u7d4c\u9a13\u5024\u306b\u3082\u3068\u3065\u304f\u6280\u8853\u304c\u3082\u3063\u3068\u3082\u5927\u5207\u3067\u3059 \u305d\u308c\u3092\u88dc\u3046\u305f\u3081\u306b\u624b\u8853\u4e2d\u306b\u86cd\u5149\u767a\u8272\u3084\u753b\u50cf\u30a4\u30e1\u30fc\u30b8\u3092\u5229\u7528\u3059\u308b\u30c6\u30af\u30cb\u30c3\u30af\u304c\u3042\u308a\u307e\u3059 \u8853\u4e2dMRI\uff0c5-ALA ( [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-10477","post","type-post","status-publish","format-standard","hentry","category-glioma"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10477","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=10477"}],"version-history":[{"count":22,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10477\/revisions"}],"predecessor-version":[{"id":10479,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/10477\/revisions\/10479"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=10477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=10477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=10477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}