{"id":118,"date":"2012-04-17T22:53:54","date_gmt":"2012-04-17T13:53:54","guid":{"rendered":"\/sawamura\/wp\/?p=118"},"modified":"2025-11-04T12:50:31","modified_gmt":"2025-11-04T03:50:31","slug":"meta","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/meta\/","title":{"rendered":"\u8ee2\u79fb\u6027\u8133\u816b\u760d brain metastasis"},"content":{"rendered":"<div class=\"setumei\">\n<h5>\u8eab\u4f53\u306e\u3069\u3053\u304b\u306b\u3067\u304d\u305f\u30ac\u30f3\u304c\uff0c\u8133\u306b\u8ee2\u79fb\u3057\u305f\u72b6\u614b\u3092\u3044\u3044\u307e\u3059<\/h5>\n<h4>\u5927\u5207\u306a\u3053\u3068<\/h4>\n<ul>\n<li>\u30ac\u30f3\u60a3\u8005\u3055\u3093\u306e10-20\uff05\u306b\u8133\u8ee2\u79fb\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u65e5\u672c\u3067\u306f\u5e74\u9593\uff0c\u6570\u4e07\u4eba\u304c\u30ac\u30f3\u306e\u8133\u8ee2\u79fb\u3092\u751f\u3058\u3066\u3044\u307e\u3059<\/li>\n<li>\u8133\u816b\u760d\u306e\u4e2d\u3067\u306f\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u3060\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u8fd1\u5e74\u306f\u65e9\u671f\u30ac\u30f3\u8a3a\u65ad\u306e\u767a\u9054\u3068\u3068\u3082\u306b\uff0c\u8a3a\u65ad\u6642\u306e\u8133\u8ee2\u79fb\u983b\u5ea6\u306f\u4f4e\u4e0b\u50be\u5411\u3067\u3059<\/li>\n<li>\u9006\u306b\uff0c\u65e9\u671f\u30ac\u30f3\u306f\u304c\u3093\u767b\u9332\u304c\u306a\u3055\u308c\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3057MRI\u8a3a\u65ad\u306e\u5411\u4e0a\u304b\u3089\uff0c\u30ac\u30f3\u3068\u8a3a\u65ad\u3055\u308c\u6cbb\u7642\u3092\u53d7\u3051\u3066\u304b\u3089\u8133\u8ee2\u79fb\u304c\u751f\u3058\u308b\u60a3\u8005\u3055\u3093\u306e\u983b\u5ea6\u306f\u5897\u3048\u3066\u3044\u307e\u3059\uff0c\u7406\u7531\u306f\u9577\u671f\u751f\u5b58\u4f8b\u304c\u5897\u3048\u3066\u3044\u308b\u304b\u3089\u3067\u3059<\/li>\n<li>\u8133\u8ee2\u79fb\u304c\u3042\u308b\u3068\u672b\u671f\u3068\u8a00\u308f\u308c\u305f\u6642\u4ee3\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u3044\u307e\u306f\u9055\u3044\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u6cbb\u7642\u306f\u91cd\u8981\u6027\u304c\u5897\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u539f\u767a\u5de3\u306f\uff0c<span style=\"color: #000080;\"><strong>\u80ba\u30ac\u30f3<\/strong><\/span>\u304c\u6700\u3082\u591a\u304f\u3066\uff0c\u6b21\u3044\u3067<strong><span style=\"color: #000080;\">\u4e73\u764c<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u30da\u30c3\u30c8\u8a3a\u65ad (PDG-PET)\u3067\u306f\u8133\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306f\u308f\u304b\u3089\u306a\u3044\u304b\u3089\u3001\u5fc5\u305aMRI\u3092\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u8133\u5916\u79d1\u3067\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3092\u6cbb\u7642\u3059\u308b\u3053\u3068\u306f\u5c11\u306a\u304f\u306a\u308a\u307e\u3057\u305f<\/strong><\/span><\/li>\n<li>\u7406\u7531\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/span>\u306e\u767a\u9054\u3067\u3059<\/li>\n<li>\u8133\u5916\u79d1\u3067\u8ee2\u79fb\u6027\u80fd\u816b\u760d\u304c\u7591\u308f\u308c\u3066\u958b\u982d\u624b\u8853\u3092\u3057\u3088\u3046\u3068\u63d0\u6848\u3055\u308c\u305f\u5834\u5408\u306b\u306f\uff0c\u5c11\u3057\u614e\u91cd\u306b\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\uff0c\u306a\u305c\u982d\u3092\u958b\u3051\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u304b\uff1f\uff1f<\/li>\n<li>\u3067\u3082\u9006\u306b\uff0c<span style=\"color: #000080;\"><strong>\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3057\u305f\u65b9\u304c\u3044\u3044\u306e\u306b\uff0c\u5185\u79d1\u533b\u3060\u3051\u306e\u5224\u65ad\u3067\u305d\u306e\u30c1\u30e3\u30f3\u30b9\u304c\u5931\u308f\u308c\u308b<\/strong><\/span>\u60a3\u8005\u3055\u3093\u3082\u3044\u307e\u3059<\/li>\n<li>\u5168\u90e8\u306e\u8133\u306b\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b<strong><span style=\"color: #000080;\">\u5168\u8133\u7167\u5c04\u306f\u7528\u3044\u3089\u308c\u306a\u304f\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/span><\/strong><\/li>\n<\/ul>\n<\/div>\n<h4><span style=\"color: #000080;\">\u304a\u304a\u307e\u304b\u306a\u3053\u3068<\/span><\/h4>\n<div class=\"setumei\">\n<ul>\n<li>\u539f\u767a\u5de3\uff08\u6700\u521d\u306b\u764c\u304c\u3067\u304d\u305f\u5834\u6240\uff09\u3068\u3057\u3066\u306f\uff0c<strong><span style=\"color: #ff0000;\">\u80ba\u764c\u304c\u7d0450\uff05\u304f\u3089\u3044\u3067\uff0c\u6b21\u3044\u3067\u4e73\u764c20%<\/span><\/strong><span style=\"color: #333333;\">\uff0c\u5927\u8178\u764c\uff0c<\/span>\u7d50\u8178\u764c\uff0c\u982d\u9838\u90e8\u764c\uff0c\u5b50\u5bae\u764c\u306e\u9806\u3068\u306a\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u80ba\u764c\u60a3\u8005\u3055\u3093\u306e40%\u306b\u8133\u8ee2\u79fb<\/span><\/strong>\u304c\u751f\u3058\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">HER-2\u967d\u6027<\/span><\/strong><span style=\"color: #333333;\">\u3042\u308b\u3044\u306f<\/span><strong><span style=\"color: #000080;\">triple-negative\u306e\u4e73\u304c\u3093\u3067\u306f30\uff05\u304f\u3089\u3044\u3067\u8133\u8ee2\u79fb\u304c\u751f\u3058\u308b<\/span><\/strong>\u306a\u3069\u907a\u4f1d\u5b50\u8a3a\u65ad\u3067\u8133\u8ee2\u79fb\u306e\u30ea\u30b9\u30af\u3082\u89e3\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u3067\u3059\u304b\u3089\u3001\u80ba\u304c\u3093\u3084\u4e73\u304c\u3093\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3089\u3001\u75c7\u72b6\u304c\u306a\u304f\u3066\u3082\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37MRI\u691c\u67fb\u3092\u3059\u308b\u306e\u304c\u5e38\u8b58\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u8133\u8ee2\u79fb\u3092\u751f\u3058\u3084\u3059\u3044\u30ac\u30f3\u3067\u306f\uff0c\u5b9a\u671f\u7684\u306b\u8133\u306eMRI\u3092\u3057\u3066\u65e9\u671f\u767a\u898b\u3092\u3057\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u306f\u8133\u306e\u3069\u306e\u5834\u6240\u3078\u3082\u8d77\u3053\u308a\u307e\u3059<\/li>\n<li>\u30ac\u30f3\u539f\u767a\u5de3\u306b\u306a\u306b\u3082\u75c7\u72b6\u304c\u306a\u304f\u3066\u3082\uff0c\u8133\u8ee2\u79fb\u304c\u6700\u521d\u306b\u75c7\u72b6\u3092\u51fa\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7279\u306b\u80ba\u764c\u3067\u306f\uff0c\u6700\u521d\u306b\u8133\u306e\u75c7\u72b6\u304c\u51fa\u3066\uff0c\u8133\u8ee2\u79fb\u304c\u898b\u3064\u304b\u3063\u3066\u304b\u3089\uff0c\u539f\u767a\u5de3\u3092\u63a2\u3057\u3066\u307f\u308b\u3068\u80ba\u306b\u30ac\u30f3\u304c\u3042\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7cbe\u5ea6\u306e\u9ad8\u3044MRI\u691c\u67fb\u3092\u3059\u308b\u3068\uff0c\u5358\u767a\uff08\u4e00\u3064\u3060\u3051\u306e\u8ee2\u79fb\uff09\u3088\u308a\u3082<span style=\"color: #ff0000;\"><strong>\u591a\u767a\u6027\u306e\u3082\u306e\u306e\u307b\u3046\u304c\u591a\u3044<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u8840\u884c\u6027\u8ee2\u79fb\u3067\u3059\uff0c\u52d5\u8108\u304b\u3089\u8133\u306b\u5165\u308a\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<ul>\n<li>\u8ee2\u79fb\u306e\u5834\u6240\u3068\u3057\u3066\u306f\uff0c\u5927\u8133\u306e\u76ae\u8cea\u3068\u767d\u8cea\u306e\u5883\u754c\u90e8 watershed regions \u306b\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #333333;\">\u306e\u3046\u80de\uff08\u6c34\u305f\u307e\u308a\u306e\u888b\u307f\u305f\u3044\u306a\u306e\u3082\u306e\uff09\u3092\u4f34\u3046\u3082\u306e\u3092\u56a2\u80de\u6027\u816b\u760d\u3068\u3044\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u817a\u764c\u306e\u8ee2\u79fb\u306b\u591a\u3044\u3082\u306e\u3067\u3059<\/span><\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u307e\u308f\u308a\u306e\u8133\u306b\u306f\u8133\u6d6e\u816b\uff08\u8133\u306e\u306f\u308c\uff09\u3092\u751f\u3058\u308b<\/span><\/strong>\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3057\uff0c\u3053\u308c\u304c\u75c7\u72b6\u3092\u51fa\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u764c\u7d30\u80de\u306f\u5468\u56f2\u306e\u8133\u7d44\u7e54\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u304b\u3089\u624b\u8853\u3060\u3051\u3067\u5b8c\u5168\u306b\u3068\u308a\u304d\u308c\u308b\u30c1\u30e3\u30f3\u30b9\u306f\u5c11\u306a\u3044\u3067\u3059<\/li>\n<li>\u75c5\u7406\u6240\u898b\u3067\u306f\uff0c\u8ee2\u79fb\u306e\u3042\u308b\u90e8\u4f4d\u306b\u8fd1\u3044\u8133\u306e\u5c0f\u8840\u7ba1\u5468\u56f2\u3042\u308b\u3044\u306f\u304f\u3082\u819c\u4e0b\u8154\u306b\u6cbf\u3063\u305f\u304c\u3093\u7d30\u80de\u306e\u6d78\u6f64\u3092\u307f\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u7279\u6b8a\u306a\u8ee2\u79fb\u3068\u3057\u3066\uff0c<span style=\"color: #000080;\"><strong>\u764c\u6027\u9ac4\u819c\u708e<\/strong><\/span>\uff08\u9ac4\u819c\u304c\u3093\u816b\u75c7 leptomeningeal carcinomatosis\uff1a\u8133\u810a\u9ac4\u306e\u81f3\u308b\u6240\u306b\u304c\u3093\u7d30\u80de\u304c\u5e83\u304c\u308b\uff09\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f\uff0c\u304c\u3093\u7d30\u80de\u304c\u8133\u810a\u9ac4\u306e\u304f\u3082\u819c\u4e0b\u8154\u306b\u5e83\u304c\u3063\u3066\u5897\u6b96\u3059\u308b\u3082\u306e\u3067\uff0c\u6c34\u982d\u75c7\u3092\u4f75\u767a\u3057\u307e\u3059<\/li>\n<li>\u4e73\u304c\u3093\u60a3\u8005\u3055\u3093\u306e20-25%\u304f\u3089\u3044\u3067\uff0c\u764c\u6027\u9ac4\u819c\u708e\u3092\u4f75\u767a\u3059\u308b\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u4e73\u764c\u306a\u3069\u3067\u306f\uff0c\u6cbb\u3063\u305f\u3068\u601d\u3063\u306610\u5e74\u304f\u3089\u3044\u7d4c\u3063\u305f\u5f8c\u306b\u8133\u8ee2\u79fb\u304c\u751f\u3058\u3066\u518d\u767a\u3059\u308b<\/strong><\/span>\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u305d\u308c\u3067\u3082\u6cbb\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u518d\u767a\u3067\u3059\u304b\u3089\u3042\u304d\u3089\u3081\u306a\u3044<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u3053\u3068\u304c\u591a\u3044\u3067\u3059\uff0c\u8a2d\u5099\u304c\u6574\u3063\u3066\u3044\u308b\u75c5\u9662\u3067\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u3087\u3046<\/li>\n<li>\u8133\u8ee2\u79fb\u306b\u6709\u52b9\u306a\u5316\u5b66\u7642\u6cd5\u304c\u767a\u9054\u3057\u3066\uff0c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3068\u306e\u7d44\u307f\u5408\u308f\u305b\u6cbb\u7642\u304c\u6a21\u7d22\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u8fd1\u5e74\u306f\u8133\u8ee2\u79fb\u306b\u6709\u52b9\u306a\u514d\u75ab\u5316\u5b66\u7642\u6cd5\u3082\u767a\u5c55\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u306a\u3063\u305f\u306e\u3061\u306b\u514d\u75ab\u5316\u5b66\u7642\u6cd5\u3092\u52a0\u3048\u308b\u3068\u3044\u3046\u9078\u629e\u80a2\u304c\u51fa\u3066\u304d\u307e\u3057\u305f<\/li>\n<\/ul>\n<h4><span style=\"color: #000080;\">\u75c7\u72b6<\/span><\/h4>\n<ul>\n<li>MRI\u8a3a\u65ad\u306e\u666e\u53ca\u3068\u3068\u3082\u306b\u7121\u75c7\u72b6\u3067\u767a\u898b\u3055\u308c\u308b\u8133\u8ee2\u79fb\u304c\u5897\u3048\u3066\u3044\u307e\u3059<\/li>\n<li>\u764c\u306e\u60a3\u8005\u3055\u3093\u304c\u795e\u7d4c\u75c7\u72b6\u3084\u982d\u75db\u30fb\u5614\u5410\u306a\u3069\u3092\u751f\u3058\u305f\u3068\u304d\u306b\u306f\u307e\u305a\u8133\u8ee2\u79fb\u3092\u7591\u3044\u307e\u3059<\/li>\n<li><a href=\"\/sawamura\/braintumors\/epilepsy\/\"><span style=\"color: #000080;\"><strong>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong><\/span><\/a>\uff08\u3051\u3044\u308c\u3093\u767a\u4f5c\uff09\u306f\u591a\u304f\uff0c2 &#8211; 3\u5272\u306e\u60a3\u8005\u3055\u3093\u3067\u751f\u3058\u307e\u3059<\/li>\n<li>\u8133\u8ee2\u79fb\u306b\u3088\u308b\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u3068\u8a00\u3044\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u3067\u304d\u305f\u5834\u6240\u306b\u5fdc\u3058\u3066\uff0c\u3055\u307e\u3056\u307e\u306a\u5c40\u6240\u795e\u7d4c\u75c7\u72b6\u304c\u51fa\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u9ebb\u75fa\uff0c\u3075\u3089\u3064\u304d\uff0c\u5931\u8a9e\u75c7\uff0c\u8907\u8996\uff0c\u4eba\u683c\u5909\u5316\uff0c\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\uff0c\u8996\u529b\u8996\u91ce\u969c\u5bb3<\/span><\/strong>\u306a\u3069\u306a\u3093\u3067\u3082\u8d77\u3053\u308a\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u8ee2\u79fb\u3042\u308b\u3044\u306f\u6570\u591a\u3044\u8ee2\u79fb\u3067\u3059\u3068\uff0c\u8133\u6d6e\u816b\u306b\u3088\u308b<span style=\"color: #000080;\"><strong>\u982d\u75db\u30fb\u5614\u5410<\/strong><\/span>\u306a\u3069\u306e\u982d\u84cb\u5185\u5727\u4ea2\u9032\u75c7\u72b6\u304c\u3067\u307e\u3059<\/li>\n<li>\u75c7\u72b6\u306f\u6570\u9031\u9593\u306e\u671f\u9593\u306b\u9032\u884c\u3059\u308b\u5834\u5408\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u5614\u5410\u306a\u3069\u304c\u5f37\u304f\u306a\u3063\u3066\u653e\u7f6e\u3059\u308c\u3070\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u8d77\u3053\u3057\u3066\u610f\u8b58\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u816b\u760d\u306e\u5185\u90e8\u3067\u51fa\u8840\u3092\u8d77\u3053\u3057\u3066\u6025\u6fc0\u306b\u75c7\u72b6\u304c\u9032\u884c\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u982d\u84cb\u5e95\u90e8\u306b\u75c5\u5909\u304c\u5b58\u5728\u3059\u308c\u3070\uff0c\u8907\u6570\u306e\u8133\u795e\u7d4c\u3092\u4fb5\u3057\u3066\u591a\u767a\u6027\u8133\u795e\u7d4c\u9ebb\u75fa\u3092\u8d77\u3053\u3057\u3066\u304f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u304c\u3093\u816b\u75c7\u3067\u306f\uff0c\u982d\u75db\u3084\u5614\u5410\u306a\u3069\u306e\u9ac4\u819c\u523a\u6fc0\u75c7\u72b6\u3092\u8a8d\u3081\u307e\u3059<\/li>\n<li>\u7279\u306b\u6b69\u884c\u6642\u306e\u3075\u3089\u3064\u304d\u3084\u5f37\u3044\u982d\u75db\u3067\u767a\u75c7\u3059\u308b<span style=\"color: #ff0000;\"><strong>\u5c0f\u8133\u8ee2\u79fb\u306f\uff0c\u6025\u6fc0\u306a\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u751f\u3058\u3084\u3059\u3044<\/strong><\/span>\u306e\u3067\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u306a\u3044\u3067\u7a4d\u6975\u7684\u306b\u958b\u982d\u624b\u8853\u3057\u305f\u65b9\u304c\u3088\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u75c7\u72b6\u304c\u3042\u3063\u3066\u3082\u306a\u304f\u3066\u3082\uff0c\u8133\u8ee2\u79fb\u304c\u767a\u898b\u3055\u308c\u305f\u5834\u5408\u306b\u306f\u3059\u3050\u306b\u6cbb\u7642\u3092\u8003\u3048\u3066\uff0c\u3050\u305a\u3050\u305a\u3057\u3066\u3044\u3066\u306f\u3044\u3051\u307e\u305b\u3093<\/strong><\/span><\/li>\n<\/ul>\n<h5>\u8133\u8ee2\u79fb\u304c\u306a\u304f\u3066\u3082\u8133\u306e\u75c7\u72b6\u304c\u3042\u308b\u3068\u304d<\/h5>\n<p>\u304c\u3093\u60a3\u8005\u3055\u3093\u3067\uff0c\u3086\u3063\u304f\u308a\u9032\u884c\u3059\u308b\u5909\u308f\u3063\u305f\u8133\u75c7\u72b6\u304c\u51fa\u3066\uff0cMRI\u3067\u8133\u8ee2\u79fb\u304c\u307f\u3089\u308c\u306a\u3044\u5834\u5408\u306b\u306f\uff0c\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c5\u614b\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u305e\u308c\uff0c\u7279\u5fb4\u7684\u306aMRI\u6240\u898b\u304c\u3042\u308a\u307e\u3059\u304b\u3089\u8a3a\u65ad\u306f\u3064\u304d\u307e\u3059\u3002<\/p>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u9032\u884c\u6027\u591a\u5de3\u6027\u767d\u8cea\u8133\u75c7<\/strong><\/span>\u00a0PML<\/li>\n<li><span style=\"color: #000080;\"><strong>\u508d\u816b\u760d\u6027\u75c7\u5019\u7fa4<\/strong>\u00a0<\/span>paraneoplastic syndrome\uff08<span style=\"color: #000080;\"><strong>\u4e9c\u6025\u6027\u5c0f\u8133\u5909\u6027\u75c7<\/strong><span style=\"color: #000000;\"> subacute cerebellar degeneration\u00a0<\/span><\/span>\u3084<span style=\"color: #000080;\"><strong>\u8fba\u7e01\u7cfb\u8133\u708e<\/strong><\/span>\u00a0limbic encephalitis\uff09<\/li>\n<li><span style=\"color: #000080;\"><strong>\u53ef\u9006\u6027\u5f8c\u982d\u8449<strong>\u767d\u8cea\u8133\u75c7<\/strong><\/strong><span style=\"color: #000000;\"> posterior reversible encephalopathy syndrome (PRES)\uff1a\u6297\u30ac\u30f3\u5264\u306e\u526f\u4f5c\u7528<\/span><\/span><\/li>\n<\/ul>\n<h4><span style=\"color: #000080;\">\u691c\u67fb\uff08\u8133\u75c5\u5909\u306e\u307f\u306b\u95a2\u3057\u3066\uff09<\/span><\/h4>\n<ul>\n<li>MRI\u306f\u975e\u5e38\u306b\u5c0f\u3055\u306a\u8ee2\u79fb\u5de3\uff082mm\u304f\u3089\u3044\uff09\u3082\u767a\u898b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u305f\u3081\u306b\u6b63\u78ba\u306a\u6570\u3092\u628a\u63e1<\/strong><\/span>\u3057\u3088\u3046\u3068\u3059\u308b\u3068\u304d\u306b\u306f<strong><span style=\"color: #ff0000;\">MRI\u306f\u7d76\u5bfe\u5fc5\u8981<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u7279\u306b\u91cd\u8981\u306a\u306e\u304c\u5358\u767a\u8ee2\u79fb\uff08\u4e00\u3064\u3060\u3051\uff09\u304b\u591a\u767a\u8ee2\u79fb\uff08\u305f\u304f\u3055\u3093\u3067\u304d\u3066\u308b\uff09\u306e\u533a\u5225\u3067\u3059<\/li>\n<li>MRI\u3067\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306f\uff0c\u4f4e\u4fe1\u53f7\u304b\u3089\u9ad8\u4fe1\u53f7\u3092\u793a\u3059\u3082\u306e\u307e\u3067\u3044\u308d\u3044\u308d\u3067\u3059<\/li>\n<li>\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3067\u5897\u5f37\u3055\u308c\u3066\u304f\u3063\u304d\u308a\u5199\u308a\u307e\u3059<\/li>\n<li>\u816b\u760d\u4e2d\u5fc3\u58ca\u6b7b\u306e\u305f\u3081\u30ea\u30f3\u30b0\u72b6\u306b\u5897\u5f37\u3055\u308c\u308b\u3068\u81a0\u82bd\u816b\u3068\u306e\u9451\u5225\u304c\u96e3\u3057\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5468\u8fba\u8133\u6d6e\u816b\uff08\u816b\u760d\u306e\u5468\u56f2\u306e\u8133\u304c\u816b\u308c\u3066\u3044\u308b\uff09\u304c\u7279\u5fb4\u3067\u3059<\/li>\n<li>\u30b7\u30f3\u30c1\u3084\u30da\u30c3\u30c8PET\u3092\u4f7f\u3063\u3066\u8a3a\u65ad\u3059\u308b\u3068\u8133\u8ee2\u79fb\u304c\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u7a00\u306b\u3042\u308a\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u304c\u5148\u306b\u767a\u898b\u3055\u308c\u3066\uff0c\u539f\u767a\u5de3\u3092\u63a2\u3059\u3053\u3068\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u4f8b\u3067\u306f\uff0c\u8ee2\u79fb\u5185\u90e8\u3067\u51fa\u8840\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u304c\u3093\u816b\u75c7\u3067\u306f\u6c34\u982d\u75c7\u304c\u307f\u3089\u308c\uff0c\u8133\u810a\u9ac4\u9ac4\u6db2\u306e\u7d30\u80de\u8a3a\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u8133\u8ee2\u79fb\u304b\u3089\u8133\u51fa\u8840\u3059\u308b\u3053\u3068\u306f\u3081\u305a\u3089\u3057\u304f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8133\u8ee2\u79fb\u304c\u3042\u308b\u3068\u540c\u6642\u306b\u5168\u8eab\u306e\u4ed6\u306e\u81d3\u5668\u306b\u3082\u8ee2\u79fb\u304c\u3042\u308b<\/strong><\/span>\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<h5>\u5178\u578b\u7684\u306a\u8ee2\u79fb\u6027\u8133\u816b\u760d\uff08\u5358\u767a\uff09\u306eMRI<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikt1gd2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5231\" title=\"metaikt1gd\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikt1gd2-292x300.jpg\" alt=\"\" width=\"292\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikt1gd2-292x300.jpg 292w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikt1gd2.jpg 440w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflair1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5232\" title=\"metaikflair\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflair1-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflair1-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflair1.jpg 499w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><\/p>\n<p>\u817a\u764c\u306e\u5de6\u524d\u982d\u8449\u8ee2\u79fb\u3067\u3059\u3002\u5de6\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3092\u4f7f\u3063\u305f\u753b\u50cf\u3067\u306f\u816b\u760d\u304c\u767d\u304f\u5199\u3063\u3066\u3044\u307e\u3059\u3002\u816b\u760d\u306e\u5185\u90e8\u304c\u4e00\u90e8\u58ca\u6b7b\u3057\u3066\u3044\u308b\u306e\u3067\u9ed2\u3063\u307d\u304f\u898b\u3048\u307e\u3059\u3002\u53f3\u306f\u30d5\u30ec\u30a2\u753b\u50cf\u3067\u3059\u3002\u816b\u760d\u306e\u5468\u56f2\u306e\u8133\u304c\u816b\u308c\u3066<span style=\"color: #ff0000;\"><strong>\u8133\u6d6e\u816b<\/strong><\/span>\uff08\u767d\u304f\u6ef2\u3080\u3088\u3046\u306a\u3068\u3053\u308d\uff09\u3092\u751f\u3058\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikpost.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5233\" title=\"metaikpost\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikpost-288x300.jpg\" alt=\"\" width=\"288\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikpost-288x300.jpg 288w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikpost-550x572.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikpost.jpg 572w\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflairpost.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5234\" title=\"metaikflairpost\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflairpost-279x300.jpg\" alt=\"\" width=\"279\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflairpost-279x300.jpg 279w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metaikflairpost.jpg 537w\" sizes=\"auto, (max-width: 279px) 100vw, 279px\" \/><\/a><\/p>\n<p>\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3057\u305f\u534a\u5e74\u5f8c\u306e\u753b\u50cf\u3067\u3059\u3002\u816b\u760d\u306f\u518d\u767a\u3057\u3066\u3044\u306a\u304f\u3066\uff0c\u8133\u306e\u816b\u308c\u3082\u5f15\u3044\u3066\u3044\u307e\u3059\u3002\u8ee2\u79fb\u304c\u767a\u898b\u3055\u308c\u305f\u6642\u306b\u306f\uff0c\u898b\u5f53\u8b58\u969c\u5bb3\u306a\u3069\u306e\u5de6\u524d\u982d\u8449\u75c7\u72b6\u304c\u5f37\u304b\u3063\u305f\u3057\uff0c\u6458\u51fa\u304c\u3068\u3066\u3082\u7c21\u5358\u306a\u5834\u6240\u3060\u3063\u305f\u306e\u3067\u624b\u8853\u3057\u307e\u3057\u305f\u3002\u7dda\u72b6\u76ae\u819a\u5207\u958b\u30fb\u5c0f\u958b\u982d\u3067\u3059\u304b\u30891\u6642\u9593\u304f\u3089\u3044\u306e\u7c21\u5358\u306a\u624b\u8853\u3067\u3059\u3002\u3067\u3082\uff0c26mm\u304f\u3089\u3044\u3067\u3057\u305f\u304b\u3089\uff0c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3082\u53ef\u80fd\u306a\u3082\u306e\u3067\u3057\u305f\u3002\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u5e78\u3044\u306a\u3053\u3068\u306b\u534a\u5e74\u3067\u518d\u767a\u3057\u3066\u3044\u307e\u305b\u3093\u304c\uff0c\u958b\u982d\u624b\u8853\u306b\u3088\u308b\u6458\u51fa\u3060\u3051\u3060\u3068\u540c\u3058\u5834\u6240\u304b\u3089\u307e\u305f\u518d\u767a\u3059\u308b\u3053\u3068\u3082\u3042\u308a\uff0c\u305d\u308c\u304b\u3089\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u500b\u3005\u306e\u5224\u65ad\u306f\u96e3\u3057\u3044\u306e\u3067\u3059\u304c\uff0c<strong><span style=\"color: #000080;\">\u57fa\u672c\u7684\u306b\u306f\u958b\u982d\u624b\u8853\u3088\u308a\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u307b\u3046\u304c\u3044\u3044<\/span><\/strong>\u3068\u8003\u3048\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<h5>Modern cancer medicine is personalised medicine.<\/h5>\n<ul>\n<li>\u73fe\u4ee3\u306e\u764c\u6cbb\u7642\u306f\uff0c\u4e00\u4eba\u3072\u3068\u308a\u5225\u500b\u306e\u6cbb\u7642\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u4e00\u62ec\u306e\u6cbb\u7642\u3068\u3044\u3046\u306e\u306f\u96e3\u3057\u304f\u306a\u308a\u307e\u3057\u305f<\/li>\n<li>\u540c\u3058\u4e73\u304c\u3093\u3067\u3082\u764c\u907a\u4f1d\u5b50\u306e\u7570\u5e38\u306b\u3088\u3063\u3066\u306f\u85ac\u7269\u6cbb\u7642\u304c\u6709\u52b9\u306a\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u4f8b\u3048\u3070\uff0c\u30e1\u30e9\u30ce\u30fc\u30de\u306e\u8133\u8ee2\u79fb\u306f\u534a\u6570\u4ee5\u4e0a\u304c\u514d\u75ab\u6cbb\u7642\u3067\u6cbb\u308b\u6642\u4ee3\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<h4><span style=\"color: #000080;\">\u6cbb\u7642\uff1a\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/h4>\n<ul>\n<li>\u8133\u8ee2\u79fb\u306e\u591a\u304f\u306f<span style=\"color: #ff0000;\"><strong>\u5b9a\u4f4d\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642 fSRT\u00a0<\/strong><\/span>\u304b<strong><span style=\"color: #ff0000;\">\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 SRS<\/span><\/strong>\uff08\u30e9\u30b8\u30aa\u30b5\u30fc\u30b8\u30a7\u30ea\u30fc\uff09\u3067\u6cbb\u7642\u3067\u304d\u307e\u3059<\/li>\n<li>1\u56de\u7167\u5c04 (single-fraction SRS) \u304b\u3089\uff15\u56de\u7167\u5c04 (multiple session, fractionated SRS) \u304f\u3089\u3044\u306e\u3082\u306e\u3092SRS\u3068\u8a00\u3044\u307e\u3059\uff0c\u305d\u308c\u4ee5\u4e0a\u306e\u56de\u6570\u3060\u3068fSRT\u3067\u3059<\/li>\n<li>\u6cbb\u7642\u6210\u7e3e\u3082\u826f\u3044\u306e\u3067\uff0c\u624b\u8853\u3088\u308a\u3082\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u512a\u5148\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306f\uff0c<span style=\"color: #000080;\"><strong>\u30ea\u30cb\u30a2\u30c3\u30af\u30e1\u30b9\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30c8\u30e2\u30c6\u30e9\u30d4\u30fc<\/strong><\/span>\u306a\u3069\u306e\u88c5\u7f6e\u304c\u5229\u7528\u3055\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u591a\u304f\u306e\u5834\u5408\u306f\uff0c1\u56de\u3060\u3051\u306e\u7167\u5c04\u3067\u6e08\u3080\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 SRS<\/strong><span style=\"color: #333333;\">\u3092\u7528\u3044\u307e\u3059<\/span><\/span><\/li>\n<li>\u5206\u5272\u7167\u5c04\u306f\uff0c\u8133\u5e79\u90e8\u3084\u8996\u795e\u7d4c\uff0c\u8996\u5e8a\u4e0b\u90e8\u306a\u3069\u306e\u653e\u5c04\u7dda\u969c\u5bb3\u304c\u51fa\u3084\u3059\u3044\u8106\u5f31\u306a\u90e8\u4f4d\u306b\u7528\u3044\u307e\u3059<\/li>\n<li>\u5b9a\u4f4d\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u3067\u304d\u306a\u3044\u5927\u304d\u306a\u3082\u306e\u306f\u8133\u5916\u79d1\u3067\u624b\u8853\u3057\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u5927\u304d\u3055\u304c <span style=\"color: #000080;\"><strong>2.5-3cm\u304f\u3089\u3044\u304c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u9650\u754c\u3067\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #333333;\">SRS \u306e\u5165\u9662\u306f1\u65e5\u3068\u304b3\u65e5\u3068\u304b\u306e\u77ed\u671f\u9593\u3067\u6e08\u307f\u307e\u3059\u304c\uff0c\u624b\u8853\u3068\u306a\u308b\u3068\u6700\u4f4e\u3067\u3082\uff12\u9031\u9593\u304f\u3089\u3044\u3067\u3057\u3087\u3046<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #333333;\">\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306b\u5bfe\u3059\u308b\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6210\u7e3e\u306f\u5e74\u3005\u5411\u4e0a\u3057\u3066\u3044\u307e\u3059<\/span><\/li>\n<li><span style=\"color: #333333;\">\u4e00\u56de\u7167\u5c04\u306b\u3088\u308b\u653e\u5c04\u7dda\u5916\u79d1\u306e\u816b\u760d\u5c40\u6240\u5236\u5fa1\u7387\u306f80%\u3092\u8d8a\u3048\u307e\u3059<\/span><\/li>\n<li>\u5b9a\u4f4d\u7167\u5c04\u3067\uff0c1\u5e74\u9593\u5236\u5fa1\u3067\u304d\u308b\u78ba\u7387\u306f70%\u3068\u308290\uff05\u3068\u3082\u8a00\u308f\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>4\u500b\u4ee5\u5185\u306e\u591a\u767a\u8ee2\u79fb\u4f8b\u3067\u3042\u308c\u3070\u653e\u5c04\u7dda\u5916\u79d1 SRS\u00a0<\/strong><\/span>\u3060\u3051\u3067\u5bdb\u89e3\u3092\u5f97\u3089\u308c\u308b\u3053\u3068\u306f\u591a\u3044\u3067\u3059<\/li>\n<\/ul>\n<h4>\u6cbb\u7642\uff1a\u5168\u8133\u7167\u5c04<\/h4>\n<ul>\n<li><span style=\"color: #ff0000;\"><strong>\u5168\u8133\u7167\u5c04\u306f\u8133\u306e\u5168\u90e8\u306b\u653e\u5c04\u7dda\u3092\u5f53\u3066\u308b<\/strong><\/span>\u3053\u3068\u3092\u3044\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u591a\u767a\u8ee2\u79fb\uff085\u500b\u4ee5\u4e0a\uff09\u306e\u5834\u5408\u306f\uff0c\u6642\u306b\u306f\u5168\u8133\u7167\u5c04\u304c\u5fc5\u8981\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>5\u500b\u4ee5\u4e0a\u306e\u8ee2\u79fb\u3067\u306f\u5168\u8133\u7167\u5c04\u304c\u6a19\u6e96\u6cbb\u7642\u3067\u3057\u305f\u304c\uff0c2022\u5e74\u306e\u50be\u5411\u306f\u305d\u3046\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u500b\u5225\u306e\u5224\u65ad\u304c\u96e3\u3057\u3044\u306e\u3067\u3059\u304c\uff0c8\u500b\u3068\u304b\u3067\u3082\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642SRS\u3067\u5236\u5fa1\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5168\u8133\u7167\u5c04 \uff0830\u30b0\u30ec\u30a410\u5206\u5272\uff09\u306f\u5e83\u7bc4\u56f2\u5206\u5272\u7167\u5c04\uff08\u30ea\u30cb\u30a2\u30c3\u30af\u306a\u3069\uff09\u3092\u5229\u7528\u3057\u307e\u3059\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3084\u30ce\u30d0\u30ea\u30b9\u3067\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u304b\u3064\u3066\u306f\uff0c\u5168\u8133\u7167\u5c04\u3057\u306a\u3044\u3068\u3059\u3050\u306b\u6b21\u306e\u8133\u8ee2\u79fb\u304c\u767a\u751f\u3059\u308b\u3068\u3044\u3046\u8003\u3048\u304c\u4e2d\u5fc3\u3067\u3057\u305f\u304c\uff0c\u3044\u307e\u306f\u8133MRI\u3092\u983b\u56de\u306b\u884c\u3046\u3053\u3068\u306b\u3088\u3063\u3066\u65b0\u305f\u306a\u65e9\u671f\u767a\u898b\u304c\u3067\u304d\u308b\u306e\u3059\uff08surveillance\u306e\u5411\u4e0a\uff09<\/li>\n<li>\u5168\u8133\u7167\u5c04\u306f\uff0c\u751f\u547d\u4e88\u5f8c\u306e\u77ed\u3044\u60a3\u8005\u3055\u3093\u306e\u5165\u9662\u3092\u9577\u671f\u5316\u3055\u305b\uff0c\u3055\u3089\u306b<span style=\"color: #ff0000;\"><strong>\u6b63\u5e38\u8133\u306b\u5bfe\u3059\u308b\u969c\u5bb3\uff08\u8a8d\u77e5\u75c7\u306e\u767a\u751f\u306b\u3088\u308bQOL\u306e\u4f4e\u4e0b<\/strong><\/span><span style=\"color: #ff0000;\"><strong>\uff09<\/strong><\/span>\u304c\u3042\u308b\u306e\u3067\uff0c\u3067\u304d\u308c\u3070\u5168\u8133\u7167\u5c04\u306f\u907f\u3051\u307e\u3059<\/li>\n<li>\u6d77\u99ac\u3092\u3055\u3051\u308b\u3088\u3046\u306a\u9ad8\u5ea6\u306a\u6280\u8853\uff08<span style=\"color: #000080;\"><strong>\u6d77\u99ac\u7dda\u91cf\u4f4e\u6e1b\u5168\u8133\u7167\u5c04<\/strong><\/span>\uff09\u3092\u7528\u3044\u305f\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3048\u3070\u3042\u308b\u7a0b\u5ea6\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u306f\u907f\u3051\u3089\u308c\u307e\u3059<\/li>\n<li>\u80ba\u5c0f\u7d30\u80de\u764c SCLC\u3067\u306f\u5168\u8133\u7167\u5c04\uff0825\u30b0\u30ec\u30a410\u5206\u5272\uff09\u3092\u9078\u629e\u3057\u307e\u3059\uff0c\u5b9a\u4f4d\u7167\u5c04\u3067\u306f\u3059\u3050\u306b\u65b0\u3057\u3044\u8133\u8ee2\u79fb\u304c\u3067\u3066\u3057\u307e\u3046\u305f\u3081\u3067\u3059<\/li>\n<li>SCLC\u306b\u306f\u8133\u8ee2\u79fb\u304c\u306a\u3044\u72b6\u614b\u3067\u4e88\u9632\u7684\u5168\u8133\u7167\u5c04 PRT\u3082\u7528\u3044\u3089\u308c\u307e\u3059<\/li>\n<\/ul>\n<h4>\u5168\u8133\u7167\u5c04\u3067\u6d77\u99ac\u3060\u3051\u907f\u3051\u308c\u3070\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u306f\u8efd\u6e1b\u3059\u308b<br \/>\n<span style=\"color: #ff0000;\">\u6d77\u99ac\u7dda\u91cf\u4f4e\u6e1b\u5168\u8133\u7167\u5c04 hippocampal avoidance using IMRT<\/span><\/h4>\n<p><span style=\"color: #333333; font-size: 16.00160026550293px;\">2018\u5e74ASTRO\u3067\uff0c518\u4eba\u306e\u60a3\u8005\u3055\u3093\u306e\u81e8\u5e8a\u7b2c3\u76f8\u8a66\u9a13\u306e\u6cbb\u7642\u6210\u7e3e\u304c\u767a\u8868\u3055\u308c\u307e\u3057\u305f\u3002\u6d77\u99ac\u3092\u907f\u3051\u308b\u3053\u3068\u3067\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u309226%\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u305f\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>IMRT\u3068\u3044\u3046\u7167\u5c04\u6cd5<\/strong><\/span>\u3092\u7528\u3044\u307e\u3059\u3002\u8a8d\u77e5\u75c7\u306e\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u305f\u3081\u306b\uff0c\u3055\u3089\u306b<span style=\"color: #ff0000;\"><strong>\u30e1\u30de\u30f3\u30c1\u30f3<\/strong><\/span>\uff08\u30e1\u30de\u30ea\u30fc\uff0c\u8a8d\u77e5\u75c7\u6cbb\u7642\u85ac\uff09\u3068\u3044\u3046\u85ac\u5264\u304c\u540c\u6642\u4f75\u7528\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u7167\u5c04\u6cd5\u3092<span style=\"color: #ff0000;\"><strong>HA-WBRT<\/strong><\/span> (Hippocampal avoidance using IMRT during WBRT)\u3068\u7565\u3057\u307e\u3059\u3002<\/span><\/p>\n<h5>\u308f\u304b\u308a\u306b\u304f\u3044\u7528\u8a9e\uff1a\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306eSRS\u3068SRT\u306e\u9055\u3044<\/h5>\n<div>\n<ul>\n<li><span style=\"color: #ff0000;\"><strong>\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u00a0SRS<\/strong><\/span> stereotactic radiosurgery \u3068\u306f\uff0c\u539f\u5247\u306f1\u56de\u3060\u3051\u306e\u7167\u5c04\u3067\u6cbb\u7642\u3059\u308b\u3053\u3068\u3067\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u304c\u4ee3\u8868\u7684\u306a\u3082\u306e\u3067\u3059\u304c\u4ed6\u306b\u3082\u3044\u308d\u3044\u308d\u3042\u308a\u307e\u3059\uff0c\u8fba\u7e01\u7dda\u91cf 8\u30b0\u30ec\u30a4\u304f\u3089\u3044\u304c\u7528\u3044\u3089\u308c\u307e\u3059\uff0c2\u22125\u56de\u306e\u5206\u5272\u3082SRS\u3068\u547c\u3070\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u5b9a\u4f4d\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642\u00a0SRT<\/strong><\/span> stereotactic radiation therapy\u3068\u306f\uff0c5\u304b\u308910\u56de\u304f\u3089\u3044\u306b\u5206\u5272\u3057\u3066\u5b9a\u4f4d\u7167\u5c04\u3092\u884c\u306a\u3046\u3053\u3068\u3067\uff0cfSRT fractionated stereotactic radiation therapy \u00a0<span style=\"color: #ff0000;\"><strong>\u5b9a\u4f4d\u5206\u5272\u7167\u5c04<\/strong><\/span>\u3068\u3082\u3044\u3044\u307e\u3059\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30ce\u30d0\u30ea\u30b9\u306a\u3069\u3067\u884c\u3044\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<h4>\u5c40\u6240\u7167\u5c04\uff08\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\uff09\u304b\u5168\u8133\u7167\u5c04\u3068\u3044\u308f\u308c\u305f\u3089<\/h4>\n<div>\n<ul>\n<li><span style=\"color: #ff0000;\"><strong>\u591a\u767a\u8ee2\u79fb\u3067\u3042\u3063\u3066\u3082\u5168\u8133\u7167\u5c04\u3092\u907f\u3051\u308b<\/strong><\/span>\u306e\u304c\u6a19\u6e96\u7684\u306a\u8003\u3048\u65b9\u306b\u306a\u3063\u3066\u304d\u305f\u3068\u8a00\u3048\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u8133\u8ee2\u79fb\u304c4\u500b\u4ee5\u4e0a\uff0c\u3042\u308b\u3044\u306f\u305d\u308c\u4ee5\u4e0a\u3042\u308b\u5834\u5408\u306b\uff0c\u5168\u8133\u7167\u5c04\u3068\u3044\u3046\u6cbb\u7642\u6cd5\u3092\u63d0\u6848\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u80ba\u306e\u5c0f\u7d30\u80de\u764c\u306e\u8ee2\u79fb\u306a\u3069\uff0cMRI\u3067\u306f\u898b\u3048\u306a\u3044\u3088\u3046\u306a\u7121\u6570\u306e\u8133\u8ee2\u79fb\u304c\u4e88\u6e2c\u3055\u308c\u308b\u3082\u306e\u306b\u306f\u5168\u8133\u7167\u5c04\u3092\u7528\u3044\u307e\u3059<\/li>\n<li>\u5168\u8133\u7167\u5c04\u306f\uff0c\u8133\u306e\u5168\u4f53\u306b\u5927\u91cf\u306e\u653e\u5c04\u7dda\u3092\u304b\u3051\u308b\u6cbb\u7642\u3067\u3059<\/li>\n<li>\u901a\u5e38\u306f\uff0c40\u30b0\u30ec\u30a4\u309220\u56de\u306b\u5206\u3051\u3066\u304b\u3051\u308b\u304b\uff0c30\u30b0\u30ec\u30a4\u309210\u56de\u306b\u5206\u3051\u3066\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u653e\u5c04\u7dda\u969c\u5bb3\u304c\u5f37\u304f\u51fa\u307e\u3059\u304c\uff0c\u500b\u4eba\u5dee\u304c\u3068\u3066\u3082\u5927\u304d\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u6570\u30f6\u6708\u5f8c\u306b\u8a8d\u77e5\u969c\u5bb3\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044<\/strong><\/span>\u3068\u8003\u3048\u3066\u304a\u3044\u305f\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u7c21\u5358\u306b\u3044\u3048\u3070\uff0c\u77e5\u80fd\u304c\u843d\u3061\u3066\uff0c\u3072\u3069\u3044\u5834\u5408\u306b\u306f\u81ea\u5206\u306e\u3053\u3068\u304c\u3088\u304f\u308f\u304b\u3089\u306a\u304f\u306a\u308b\u3053\u3068\u3067\u3059<\/li>\n<li>\u3067\u3082\uff0c\u3053\u306e\u6cbb\u7642\u3092\u3057\u306a\u3044\u3068\u751f\u304d\u5ef6\u3073\u3089\u308c\u306a\u3044\u72b6\u614b\u3067\u3059<\/li>\n<li>\u300c\u5168\u8133\u7167\u5c04\u3092\u3057\u3066\u3082\u8a8d\u77e5\u6a5f\u80fd\u304c\u843d\u3061\u308b\u3068\u3044\u3046\u79d1\u5b66\u7684\u306a\u8a3c\u62e0\u304c\u306a\u3044\u300d\u3068\u3044\u3046\u653e\u5c04\u7dda\u6cbb\u7642\u533b\u306e\u5148\u751f\u304c\u3044\u307e\u3059\u304c\u305d\u308c\u306f\u8aa4\u308a\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<h4>\u6cbb\u7642\uff1a\u8133\u795e\u7d4c\u5916\u79d1\u3067\u306e\u958b\u982d\u624b\u8853<\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>2.5-3cm\u4ee5\u4e0a\u306e\u5927\u304d\u306a\u8ee2\u79fb\u3067\uff0c\u8133\u6d6e\u816b\u306e\u8efd\u6e1b\uff0c\u75c7\u72b6\u3092\u6539\u5584\u3059\u308b\uff0c\u8133\u5727\u3092\u4e0b\u3052\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u307e\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u304c\u826f\u597d\uff0c\u304b\u3064\u6570\u30ab\u6708\u4ee5\u4e0a\u306e\u751f\u547d\u4e88\u5f8c\u304c\u671f\u5f85\u3067\u304d\u308c\u3070\uff0c\u958b\u982d\u624b\u8853<\/strong><\/span>\u306b\u3088\u308b\u6458\u51fa\u8853\u306e\u9069\u5fdc\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u80ba\u5c0f\u7d30\u80de\u764c\uff0c\u30ea\u30f3\u30d1\u816b\uff0c\u767d\u8840\u75c5\u306a\u3069\u306f\u751f\u691c\u624b\u8853\u4ee5\u5916\u306f\u884c\u3044\u307e\u305b\u3093<\/li>\n<li>\u591a\u767a\u3067\u3042\u3063\u3066\u3082\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u6709\u610f\u306a\u751f\u5b58\u671f\u9593\u3092\u660e\u3089\u304b\u306b\u5ef6\u9577\u3067\u304d\u308b\u3068\u78ba\u4fe1\u3067\u304d\u308c\u3070\uff0c\u5927\u304d\u306a\u3082\u306e\u3060\u3051\u3092\u624b\u8853\u6458\u51fa\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u5206\u5b50\u8a3a\u65ad\u3067\u30ac\u30f3\u306e\u907a\u4f1d\u5b50\u7570\u5e38\u3092\u8abf\u3079\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f<\/li>\n<li>\u539f\u767a\u5de3\u304c\u4e0d\u660e\u3067\uff0c\u75c5\u7406\u907a\u4f1d\u5b50\u8a3a\u65ad\u3092\u5f97\u305f\u3044\u6642\uff0c\u4f4e\u4fb5\u8972\u3067\u3042\u308c\u3070\u5c0f\u3055\u306a\u75c5\u5de3\u3092\u6458\u51fa\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5c0f\u8133\u8ee2\u79fb\u306f\u6025\u901f\u306b\u6c34\u982d\u75c7\u3084\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u751f\u3058\u3084\u3059\u3044<\/strong><\/span>\u306e\u3067\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u524d\u306b\u6458\u51fa\u3092\u8003\u616e\u3057\u307e\u3059<\/li>\n<li>\u6458\u51fa\u8853\u306e\u307f\u3067\u306e\u5c40\u6240\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u56f0\u96e3\u3067\u3059\u304b\u3089\uff0c\u624b\u8853\u9069\u5fdc\u306e\u6c7a\u5b9a\u306f\u304d\u308f\u3081\u3066\u614e\u91cd\u3067\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u6761\u4ef6\u306f\u96e3\u3057\u3044\u306e\u3067\u3059\u304c\uff0c\u624b\u8853\u524d\u306bSRS \u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3092\u52a0\u3048\u3066\uff0c\u305d\u306e\u76f4\u5f8c\u306b\u6458\u51fa\u3059\u308b\u3068\uff0c\u5c40\u6240\u518d\u767a\u3084\u9ac4\u819c\u75c5\u5909\u304c\u6e1b\u308b\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059 (JAMA 2023)<\/li>\n<li>\u5185\u79d1\u533b\u306e\u5148\u751f\u306f\uff0c\u5927\u304d\u306a\u8133\u6d6e\u816b\u304c\u5f37\u3044\u8133\u8ee2\u79fb\u306f\uff0c\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3057\u305f\u307b\u3046\u304c\u826f\u3044\u3068\u3044\u3046\u4e8b\u5b9f\u3082\u5fd8\u308c\u3066\u306f\u306a\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4>\u6cbb\u7642\uff1a\u5316\u5b66\u7642\u6cd5\uff08\u5236\u304c\u3093\u5264\uff09<\/h4>\n<ul>\n<li>\u5316\u5b66\u7642\u6cd5\u306f\u539f\u767a\u5de3\u306e\u7d44\u7e54\u3067\u6c7a\u307e\u308a\u307e\u3059\u304b\u3089\uff0c\u8133\u5916\u79d1\u3067\u306f\u3057\u307e\u305b\u3093<\/li>\n<li>\u3067\u3082\u6b8b\u5ff5\u306a\u304c\u3089\uff0c<strong><span style=\"color: #000080;\">\u8133\u8ee2\u79fb\u306b\u306f\u5236\u304c\u3093\u5264\uff08\u5316\u5b66\u7642\u6cd5\uff09\u304c\u52b9\u304b\u306a\u3044\u3053\u3068\u304c\u591a\u3044<\/span><\/strong>\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5316\u5b66\u7642\u6cd5\u3084\u5185\u5206\u6ccc\u7642\u6cd5\u306b\u611f\u53d7\u6027\u306e\u764c\u306b\u5bfe\u3057\u3066\u306f\uff0c\u4f4e\u7dda\u91cf\u653e\u5c04\u7dda\u6cbb\u7642\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u6cbb\u7642<\/strong><\/span>\u304c\u306a\u3055\u308c\u307e\u3059<\/li>\n<li>\u816b\u760d\u5185\u79d1\uff0c\u816b\u760d\u5916\u79d1\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u79d1\uff0c\u8133\u5916\u79d1\u306a\u3069\u306e\u30c1\u30fc\u30e0\u533b\u7642\u3067\u8a3a\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u3087\u3046<\/li>\n<li>\u3067\u304d\u308c\u3070\u5730\u57df\u306e\u304c\u3093\u30bb\u30f3\u30bf\u30fc\u3084\u764c\u3092\u305f\u304f\u3055\u3093\u6271\u3046\u75c5\u9662\u3078\u884c\u304f\u3079\u304d\u3067\u3059<\/li>\n<li>\u4eca\u306f\uff0c\u8907\u6570\u306e<span style=\"color: #000080;\"><strong>\u8133\u8ee2\u79fb\u304c\u8d77\u3053\u3063\u3066\u3082\uff0c\u6cbb\u7642\u3092\u3042\u304d\u3089\u3081\u308b\u6642\u4ee3\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u3042\u308b\u7a2e\u306e\u30ea\u30f3\u30d1\u816b\uff0c\u80da\u7d30\u80de\u816b\u760d\uff0c\u814e\u764c\uff0c\u4e73\u764c\uff0c\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u3067\u306f\u5316\u5b66\u7642\u6cd5\u304c\u6642\u306b\u6709\u52b9\u3067\u3059<\/li>\n<li>\u5316\u5b66\u7642\u6cd5\u306f\u65e5\u9032\u6708\u6b69\u3067\u3059\u304b\u3089\uff0c\u305d\u308c\u305e\u308c\u306e\u764c\u816b\u306b\u8a73\u3057\u3044\u5c02\u9580\u533b\u306b\u3082\u76f8\u8ac7\u3057\u307e\u3057\u3087\u3046<\/li>\n<li>\u304c\u3093\u306e\u5206\u5b50\u8a3a\u65ad\u3067\u8133\u8ee2\u79fb\u306e\u6cbb\u7642\u9069\u5fdc\u304c\u5224\u65ad\u3055\u308c\u308b\u6642\u4ee3\u3067\u3059<\/li>\n<li>\u4f8b\u3048\u3070\uff0c<span style=\"color: #000080;\"><strong>\u975e\u5c0f\u7d30\u80de\u80ba\u304c\u3093\u306b\u306f\u30a2\u30ec\u30af\u30c1\u30cb\u30d6\uff0c\u30d6\u30ea\u30ac\u30c1\u30cb\u30d6\uff0c\u30aa\u30b7\u30e1\u30eb\u30c1\u30cb\u30d6\uff0c\u30a4\u30d4\u30ea\u30e0\u30de\u30d6\uff0c\u30cb\u30dc\u30eb\u30de\u30d6<\/strong><\/span>\u306a\u3069\u304c\uff0c<strong><span style=\"color: #000080;\">HER-2\u967d\u6027\u4e73\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306b<\/span><\/strong><strong><span style=\"color: #000080;\">\u30c4\u30ab\u30c1\u30cb\u30d6\u3084trastuzumab emtansine (T-DM1)\u304c\u6709\u52b9<\/span><\/strong>\u3068\u3044\u3046\u5831\u544a\u306a\u3069\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u80ba\u817a\u764c ALK\/EGFR\u5909\u7570<\/strong><\/span>\u306e\u3042\u308b\u3082\u306e\u3067\u306f\u7a4d\u6975\u7684\u306a\u6cbb\u7642\u304c\u6709\u52b9\u3067\u3059\u304b\u3089\uff0c\u958b\u982d\u624b\u8853\u3067\u306e\u6458\u51fa\u3082\u52e7\u3081\u3089\u308c\u307e\u3059<\/li>\n<\/ul>\n<div class=\"setumei\">\n<div>\n<h4>\u8133\u306e\u816b\u308c\u3092\u53d6\u308b\u6cbb\u7642\u3068\u7de9\u548c\u30b1\u30a2<\/h4>\n<ul>\n<li>\u539f\u767a\u5de3\u3084\u591a\u81d3\u5668\u306e\u72b6\u614b\u304c\u60aa\u3044\u60a3\u8005\u3055\u3093\u306e\u591a\u767a\u8133\u8ee2\u79fb\u3067\u306f\uff0c\u5bfe\u75c7\u7684\u6cbb\u7642\u3068\u3057\u3066\u526f\u814e\u76ae\u8cea\u30b9\u30c6\u30ed\u30a4\u30c9\u5264\u3084\u30b0\u30ea\u30bb\u30ed\u30fc\u30eb\u70b9\u6ef4\u3092\u6295\u4e0e\u3057\u3066\u8133\u6d6e\u816b\u3092\u6cbb\u7642\u3057\u307e\u3059<\/li>\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u306f\u7d4c\u53e3\u85ac\u3067\uff0c\u30c7\u30ad\u30b5\u30e1\u30b5\u30be\u30f3 dexamethasone\uff0c\u30d9\u30bf\u30e1\u30b5\u30be\u30f3\uff08\u30ea\u30f3\u30c7\u30ed\u30f3\uff09betamethasone \u304c\u4f7f\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u6709\u52b9\u6027\u304c\u3042\u308b\u3068\u5224\u65ad\u3055\u308c\u308b\u6cbb\u7642\u6cd5\u304c\u306a\u3044\u6642\u306b\u306f\u7de9\u548c\u30b1\u30a2\uff08\u7de9\u548c\u7642\u6cd5\uff0c\u652f\u6301\u7642\u6cd5\uff0c\u5bfe\u75c7\u7642\u6cd5<\/span><\/strong><strong><span style=\"color: #000080;\">\uff09supportive care\u00a0<\/span><\/strong>\u306e\u307f\u3092\u3057\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<h4><span style=\"color: #000080;\"><strong>\u4e88\u5f8c<\/strong><\/span><\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u6570\u500b\u4ee5\u5185\u306e\u8133\u8ee2\u79fb\u306a\u3089\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u6b8b\u5ff5\u306a\u304c\u3089\u6cbb\u7652\u3092\u671f\u5f85\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u8133\u8ee2\u79fb\u304c\u751f\u3058\u3066\u3057\u307e\u3063\u305f\u60a3\u8005\u3055\u3093\u306e<span style=\"color: #000080;\"><strong>\u751f\u547d\u4e88\u5f8c\uff08\u4f59\u547d\uff09\u306f10-12\u30f6\u6708<\/strong><\/span>\u3068\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u8133\u8ee2\u79fb\u306e\u6cbb\u7642\u306f\u57fa\u672c\u7684\u306b<span style=\"color: #000080;\"><strong>\u5bdb\u89e3\u5c0e\u5165<\/strong><\/span>\u3042\u308b\u3044\u306f<span style=\"color: #000080;\"><strong>\u7de9\u548c\u7642\u6cd5<\/strong><\/span>\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\uff0c\u4e73\u304c\u3093\u3084\u80ba\u304c\u3093\u306e\u591a\u767a\u8133\u8ee2\u79fb\u3067\u3082\uff0c\u6cbb\u3063\u3066\u3057\u307e\u3063\u306610\u5e74\u4ee5\u4e0a\u5143\u6c17\u306a\u4eba\u3082\u3044\u307e\u3059<\/li>\n<li>\u304b\u3064\u3066\u306f\uff0c\u8133\u8ee2\u79fb\u3092\u751f\u3058\u305f\u304c\u3093\u60a3\u8005\u3055\u3093\u306e\u5e73\u5747\u4f59\u547d\u306f\u534a\u5e74\u304f\u3089\u3044\u3068\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u304c\uff0c\u9006\u306b\u4eca\u306f\u305f\u304f\u3055\u3093\u306e\u60a3\u8005\u3055\u3093\u304c\u8133\u8ee2\u79fb\u304b\u3089\u52a9\u304b\u308b\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u3042\u304d\u3089\u3081\u3066\u306f\u3044\u3051\u307e\u305b\u3093<\/li>\n<li>\u751f\u547d\u4e88\u5f8c\u304c\u77ed\u3044\u3068\u4e88\u60f3\u3055\u308c\u308b\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u306f\uff0c\u8133\u795e\u7d4c\u5916\u79d1\u3067\u306e\u904e\u5ea6\u306e\u7a4d\u6975\u7684\u6cbb\u7642\u306f\u907f\u3051\u3089\u308c\u308b\u3079\u304d\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<hr \/>\n<h4><strong><a title=\"\u653e\u5c04\u7dda\u8133\u58ca\u6b7b radiation necrosis\" href=\"\/sawamura\/braintumors\/radiationnecrosis\/\">\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u6709\u52b9\u3060\u3063\u305f\u5b9f\u4f8b\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u898b\u3048\u307e\u3059\uff09<\/a><\/strong><\/h4>\n<div>\u3000\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u6709\u52b9\u3067\uff0c\u305d\u306e\u5f8c\u306b\u653e\u5c04\u7dda\u58ca\u6b7b\u3068\u3044\u3046\u526f\u4f5c\u7528\u304c\u51fa\u305f\u4f8b\u3092\u898b\u308c\u307e\u3059\u3002<\/div>\n<div>\n<hr \/>\n<\/div>\n<h4><strong>\u4e73\u764c\u306e\u591a\u767a\u8133\u8ee2\u79fb\u306e\u4f8b<\/strong><\/h4>\n<div style=\"padding-left: 40px;\">2\u5e74\u524d\u306b\u4e73\u764c\u3092\u624b\u8853\u3057\u3066\u5316\u5b66\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u305f\u5973\u6027\u304c\u982d\u75db\u3068\u3081\u307e\u3044\u3092\u8a34\u3048\u307e\u3057\u305f\u3002MRI\u3067\u306f\u5de6\u306e\u5c0f\u8133\u306b3cm\u4ee5\u4e0a\u306e\u5927\u304d\u306a\u8133\u8ee2\u79fb\uff08\u53f3\u5074\u306e\u5199\u771f\uff09\u3068\uff0c\u5de6\u306e\u982d\u9802\u90e8\u306b2cm\u304f\u3089\u3044\u306e\u8133\u8ee2\u79fb\u304c\u307f\u3064\u304b\u308a\u307e\u3057\u305f\u3002<strong><span style=\"color: #ff0000;\">\u5c0f\u8133\u8ee2\u79fb\u306f\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u751f\u3058\u3066\u91cd\u7be4\u306a\u72b6\u614b\u306b\u9665\u308b\u3053\u3068\u304c\u591a\u3044<\/span><\/strong>\u306e\u3067\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u6b8b\u3063\u305f\u982d\u9802\u90e8\u75c5\u5de3\uff08\u5de6\u5074\u306e\u5199\u771f\uff09\u306b\u306f\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3092\u3059\u308b\u65b9\u6cd5\u3068\uff0c\u5168\u8133\u7167\u5c04\u3092\u3059\u308b\u9078\u629e\u80a2\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u306e\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u306f\u5168\u8133\u7167\u5c04 30\u30b0\u30ec\u30a4\/10\u5206\u5272\u3092\u884c\u3044\u307e\u3057\u305f\u3002<\/div>\n<div style=\"padding-left: 40px;\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-2651\" title=\"metabreast1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast1-550x308.jpg\" alt=\"\" width=\"550\" height=\"308\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast1-550x308.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast1-300x168.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast1.jpg 662w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a>\u5168\u8133\u7167\u5c043\u30f6\u6708\u5f8c\u306eMRI\u3067\u3059\u3002\u5de6\u306e\u982d\u9802\u8449\u306e\u8ee2\u79fb\u5de3\u306f\u6d88\u5931\u3057\u3066\u3044\u307e\u3059\u3057\uff0c\u5de6\u306e\u5c0f\u8133\u8ee2\u79fb\u306f\u624b\u8853\u6458\u51fa\u3067\u304d\u3066\u3044\u3066\u518d\u767a\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u3088\u3046\u306b\u4e73\u764c\u306f\uff0c\u591a\u767a\u8ee2\u79fb\u3067\u3042\u3063\u3066\u3082\u6bd4\u8f03\u7684\u306b\u5236\u5fa1\u3057\u3084\u3059\u3044\u3082\u306e\u3067\u3059\u3002\u3057\u304b\u3057\uff0c\u4e00\u5ea6\u6d88\u3048\u305f\u75c5\u5de3\u304c\u518d\u767a\u3057\u305f\u308a\uff0c\u307e\u305f\u65b0\u305f\u306a\u3068\u3053\u308d\u306b\u8133\u8ee2\u79fb\u304c\u751f\u3058\u308b\u3068\u3044\u3046\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002<\/div>\n<div><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-2652\" title=\"metabreast2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast2-550x296.jpg\" alt=\"\" width=\"550\" height=\"296\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast2-550x296.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast2-300x161.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metabreast2.jpg 666w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/div>\n<div style=\"padding-left: 40px;\">2020\u5e74\uff0c\u591a\u767a\u6027\u8133\u8ee2\u79fb\u3092\u751f\u3058\u305f\u4e73\u304c\u3093\u3078\u306e\u5316\u5b66\u7642\u6cd5\u304c\u4fdd\u967a\u8a3a\u7642\u3067\u8a8d\u3081\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/div>\n<div><\/div>\n<h5>\u9ac4\u819c\u764c\u816b\u75c7\uff08\u764c\u6027\u9ac4\u819c\u708e\uff09<br \/>\nleptomeningeal carcinomatosis, carcinomatous meningitis<\/h5>\n<div><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-19313 size-large\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningealcarcinomatosis-550x539.jpg\" alt=\"\" width=\"550\" height=\"539\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningealcarcinomatosis-550x539.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningealcarcinomatosis-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningealcarcinomatosis-768x753.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningealcarcinomatosis.jpg 850w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><br \/>\n\u8133\u3068\u810a\u9ac4\u306e\u8868\u9762\u306b\u304c\u3093\u7d30\u80de\u304c\u5e83\u7bc4\u306b\u5e83\u304c\u3063\u3066\u5897\u6b96\u3057\u307e\u3059\u3002MRI\u3067\u306f\uff0c\u77e2\u5370\u306e\u3088\u3046\u306b\u8133\u6e9d sulci\u306e\u4e2d\u306b\u764c\u306e\u5897\u6b96\u304c\u898b\u3089\u308c\u307e\u3059\u3002T1\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3067\uff0c\u8133\u6e9d\u3084\u8133\u306e\u8868\u9762\u304c\u767d\u3044\u7dda\u306e\u3088\u3046\u306b\u63cf\u51fa\u3055\u308c\u307e\u3059\uff0c\u8133\u8840\u7ba1\u3068\u306f\u9055\u3046\u306e\u3067\u308f\u304b\u308a\u307e\u3059\u3002<\/div>\n<div><\/div>\n<div>\n<ul>\n<li>\u304c\u3093\u7d30\u80de\u304c\u9ac4\u6db2\u306e\u4e2d\u306b\u5e83\u304c\u308b\u3053\u3068\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u4e73\u304c\u3093\u306e\u60a3\u8005\u3055\u3093<\/strong><\/span>\u3067\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u9ac4\u6db2\u5438\u53ce\u969c\u5bb3\u306b\u306a\u3063\u3066\u6c34\u982d\u75c7\uff08\u982d\u306e\u4e2d\u306b\u6c34\u304c\u305f\u307e\u3063\u3066\u982d\u75db\u3084\u5614\u5410\u3092\u3060\u3059\uff09\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u9ac4\u6db2\u7d30\u80de\u8a3a\uff08\u8133\u810a\u9ac4\u6db2\u3092\u63a1\u53d6\u3057\u3066\u691c\u67fb\u3059\u308b\uff09\u3067\u306f\u304c\u3093\u7d30\u80de\u304c\u9ac4\u6db2\u306e\u4e2d\u306b\u6d6e\u3044\u3066\u3044\u308b\u306e\u304c\u8a3c\u660e\u3055\u308c\u307e\u3059<\/li>\n<li>\u751f\u547d\u4e88\u5f8c\u306f2 &#8211; 5\u30f6\u6708\u306e\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u5168\u8eab\u72b6\u614b\u304c\u4e0d\u826f\u3067\u3042\u3063\u305f\u308a\uff0c\u795e\u7d4c\u969c\u5bb3\u304c\u91cd\u7be4\u3067\u3042\u3063\u305f\u308a\uff0c\u8133\u3084\u810a\u9ac4\u306b\u816b\u7624\u75c5\u5909\u304c\u591a\u767a\u3059\u308b\u5834\u5408\u306b\u306f\u6cbb\u7642\u3092\u3057\u306a\u3044\u3067\uff0c<span style=\"color: #000080;\"><strong>\u7de9\u548c\u30b1\u30a2\uff08best suportive care)\u3060\u3051\u3057\u305f\u307b\u3046\u304c\u3044\u3044<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u9006\u306b\uff0c\u795e\u7d4c\u75c7\u72b6\u304c\u8efd\u304f\uff0c\u4ed6\u306e\u81d3\u5668\u306b\u91cd\u7be4\u306a\u8ee2\u79fb\u304c\u306a\u304f\uff0c\u5168\u8eab\u7684\u306a\u6cbb\u7642\u304c\u7d99\u7d9a\u3067\u304d\u3066\u3044\u308b\u6642\u306b\u306f\uff0c\u5168\u8eab\u7684\u306a\u5316\u5b66\u7642\u6cd5\u3092\u7d9a\u3051\u306a\u304c\u3089\uff0c\u5168\u8133\u7167\u5c04\u3092\u3057\u305f\u308a\uff0c\u9ac4\u6db2\u5185\u5316\u5b66\u7642\u6cd5\uff08\u30e1\u30bd\u30c8\u30ec\u30ad\u30bb\u30fc\u30c8\u306e\u9ac4\u6ce8\uff09\u306a\u3069\u3092\u884c\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u75c7\u72b6\u3092\u51fa\u3057\u3066\u3044\u308b\u8133\u810a\u9ac4\u306e\u8ee2\u79fb\u5de3\u306b\u5c40\u6240\u7167\u5c04\u3092\u52a0\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3044\u305a\u308c\u306b\u3057\u3066\u3082\uff0c\u6570\u9031\u9593\u304b\u30892\u30f6\u6708\u304f\u3089\u3044\u306e\u7de9\u548c\u671f\u9593\u304c\u5f97\u3089\u308c\u308b\u304f\u3089\u3044\u306a\u306e\u3067\uff0c<span style=\"color: #000080;\"><strong>\u7121\u7406\u306a\u6cbb\u7642\u306f\u3057\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u6c34\u982d\u75c7\u306b\u5bfe\u3059\u308b\u30b7\u30e3\u30f3\u30c8\u624b\u8853\u306f\u6ec5\u591a\u306b\u3057\u307e\u305b\u3093\uff0c\u304c\u3093\u7d30\u80de\u304c\u8179\u8154\u306b\u8ee2\u79fb\u3057\u3066\u3057\u307e\u3063\u3066\u3088\u308a\u82e6\u3057\u3044\u72b6\u614b\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308b\u304b\u3089\u3067\u3059<\/li>\n<li>\u77ed\u671f\u9593\u306e\u51e6\u7f6e\u3068\u3057\u3066\uff0c\u9577\u671f\u7559\u7f6e\u578b\u306e\u5916\u30c9\u30ec\u30ca\u30fc\u30b8\u3068\u3044\u3046\u65b9\u6cd5\u3067\u9ac4\u6db2\u3092\u6392\u51fa\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\u6c34\u982d\u75c7\u306f\u982d\u75db\u3084\u5614\u5410\u3067\u82e6\u3057\u3044\u306e\u3067\uff0c\u60a3\u8005\u3055\u3093\u304c\u671b\u3081\u3070\uff0c\u8133\u5ba4\u8179\u8154\u77ed\u7d61\u8853\uff08\u30b7\u30e3\u30f3\u30c8\uff09\u3092\u7de9\u548c\u6cbb\u7642\u3068\u3057\u3066\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u80ba\u5c0f\u7d30\u80de\u764c\u306e\u8ee2\u79fb \u00a0multiple metastases of lung small cell cancer<\/h4>\n<\/div>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9915 size-medium\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1-298x300.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell1.jpg 709w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9916 size-medium\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell2-283x300.jpg\" alt=\"\" width=\"283\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell2-283x300.jpg 283w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell2-550x583.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/smallcell2.jpg 709w\" sizes=\"auto, (max-width: 283px) 100vw, 283px\" \/><\/a><\/p>\n<p>\u5de6\u306eMRI\u306f\uff0c\u80ba\u5c0f\u7d30\u80de\u764c\u306e\u60a3\u8005\u3055\u3093\u306b\u8133\u8ee2\u79fb\u304c\u7121\u3044\u304b\u78ba\u304b\u3081\u308b\u305f\u3081\u306b\u64ae\u5f71\u3055\u308c\u305f\u3082\u306e\u3067\u3059\u3002\u8ee2\u79fb\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u53f3\u5074\u306eMRI\u306f\uff0c\u305d\u306e\u308f\u305a\u304b3\u9031\u9593\u5f8c\u306b\u64ae\u5f71\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u6570\u5341\u500b\u306e\u8133\u8ee2\u79fb\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u80ba\u5c0f\u7d30\u80de\u764c\u3067\u306f\u77ed\u671f\u9593\u306e\u9593\u306b\u7121\u6570\u306e\u8133\u8ee2\u79fb\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u304b\u3064\u3066\u306f\u8133\u8ee2\u79fb\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306e\u4e88\u9632\u7684\u5168\u8133\u7167\u5c04\u3068\u3044\u3046\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u3044\u305f\u304f\u3089\u3044\u3067\u3059\u3002<\/p>\n<div>\n<h5>\u3044\u308d\u3044\u308d\u306a\u77e5\u8b58<\/h5>\n<h4>\u653e\u5c04\u7dda\u5916\u79d1 SRS\u306e\u5f8c\u3067\u307e\u305f\u518d\u71c3\u3057\u305f\u308a\u65b0\u305f\u306a\u8133\u8ee2\u79fb\u304c\u3067\u304d\u305f\u3089<\/h4>\n<div>\n<ul>\n<li>\u65b0\u75c5\u5909\u304c\u524d\u3068\u9055\u3046\u5834\u6240\u306a\u3089\u307e\u305fSRS\u3067\u6cbb\u7642\u3067\u304d\u307e\u3059<\/li>\n<li>\u540c\u3058\u5834\u6240\u306b\u518d\u5897\u5927\u3057\u3066\u3082\uff0c\u66f4\u306b\u52a0\u3048\u3066SRS\u3067\u518d\u7167\u5c04\u3067\u304d\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u3066\u3044\u306a\u3051\u308c\u3070\uff0c\u591a\u6570\u306e\u65b0\u305f\u306a\u8ee2\u79fb\u304c\u751f\u3058\u305f\u5834\u5408\u306b\u306f\u5168\u8133\u7167\u5c04\u3092\u305d\u306e\u6642\u70b9\u3067\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u540c\u3058\u5834\u6240\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u308b\u3068\u653e\u5c04\u7dda\u306b\u3088\u308b\u8133\u58ca\u6b7b\u306e\u53ef\u80fd\u6027\u304c\u304b\u306a\u308a\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u71c3\u3084\u8133\u58ca\u6b7b\u306b\u5bfe\u3059\u308b\u8133\u5916\u79d1\u624b\u8853<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16385\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2-300x289.jpg\" alt=\"\" width=\"300\" height=\"289\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2-300x289.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2-550x530.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2-768x740.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyst2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16386\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd-298x300.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd-550x555.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd-768x774.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystgd.jpg 850w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><\/p>\n<p>\u5de6\u5074\u982d\u8449\u3078\u306e\u814e\u764c\u306e\u5358\u767a\u8ee2\u79fb\u3067\u3059\u3002\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\uff08\u5931\u8a9e\u75c7\u767a\u4f5c\uff09\u3067\u767a\u898b\u3055\u308c\uff0c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u306e\u3067\u3059\u304c\uff0c\u6570\u30f6\u6708\u5f8c\u306b\u8133\u6d6e\u816b\u304c\u9ad8\u5ea6\u3068\u306a\u308a\u5931\u8a9e\u75c7\u304c\u60aa\u5316\u3057\u307e\u3057\u305f\u3002\u30b3\u30a2\u306b\u306a\u3063\u3066\u3044\u308b\u5186\u5f62\u306e\u8ee2\u79fb\u816b\u760d\u306e\u5468\u56f2\u306b\u653e\u5c04\u7dda\u306b\u3088\u308b\u8133\u58ca\u6b7b\u3092\u7591\u3044\u307e\u3057\u305f\u3002\uff12\u6642\u9593\u307b\u3069\u306e\u958b\u982d\u624b\u8853\u3067\uff0c\u53f3\u5074\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u3066\u3044\u308b\u3068\u3053\u308d\u3060\u3051\u3092\u6458\u51fa\u3057\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16396\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2-300x269.jpg\" alt=\"\" width=\"300\" height=\"269\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2-300x269.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2-550x494.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2-768x689.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u816b\u760d\u4e2d\u5fc3\u306e\u58ca\u6b7b\u306e\u90e8\u5206\u3067\u3059\u3002\u816b\u760d\u7d30\u80de\u304c\u6b7b\u6ec5\u3057\u3066\u51dd\u56fa\u58ca\u6b7b\u306e\u50cf\u3067\u3059\u3002\u8840\u7ba1\u306f\u30d2\u30a2\u30ea\u30f3\u5316\u3057\u3066\u9589\u585e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-16397\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystpas.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-16399\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystpas-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystmib.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-16398\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisystmib-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u816b\u760d\u306e\u8fba\u7e01\u90e8\u3067\u624b\u8853\u4e2d\u306b\u8840\u7ba1\u304c\u767a\u9054\u3057\u3066\u51fa\u8840\u304c\u3042\u3063\u305f\u90e8\u5206\u3067\u3059\u3002\u816b\u760d\u7d30\u80de clear cell carcinoma \u304c\u65b0\u751f\u8840\u7ba1\u5468\u56f2\u306b\u5897\u6b96\u3057\u3066\u3044\u307e\u3059\u3002\u771f\u3093\u4e2d\u306fPAS\u67d3\u8272\uff0c\u53f3\u5074\u306fMIB-1\u67d3\u8272\u306713%\u304f\u3089\u3044\u306e\u9ad8\u3044\u967d\u6027\u7387\u3067\u3059\u3002\u3053\u308c\u306f\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u816b\u760d\u304c\u5168\u90e8\u6b7b\u6ec5\u3057\u3066\u3044\u306a\u304f\u3066\u4e00\u90e8\u3067\u306f\u518d\u767a\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u307e\u3059\u3002<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16400\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe3-300x278.jpg\" alt=\"\" width=\"300\" height=\"278\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe3-300x278.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe3-550x509.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe3-768x711.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisysthe3.jpg 840w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\u3055\u3089\u306b\u5468\u8fba\u3068\u6b63\u5e38\u8133\u3068\u306e\u5883\u754c\u90e8\u4f4d\u3067\u3059\u3002\u8133\u7d44\u7e54\u304c\u58ca\u6b7b\u306b\u306a\u3063\u3066\u3044\u3066\u307e\u3059\u3002\u653e\u5c04\u7dda\u8133\u58ca\u6b7b\u304c\u5468\u56f2\u306b\u3042\u3063\u3066\uff0c\u9ad8\u5ea6\u306e\u8133\u6d6e\u816b\u3092\u751f\u3058\u3066\u3044\u305f\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u3053\u306e\u4f8b\u306f\uff0c\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\uff0c1) \u30ac\u30f3\u7d44\u7e54\u304c\u58ca\u6b7b\u306b\u306a\u3063\u3066\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u308b\uff0c2) \u30ac\u30f3\u8ee2\u79fb\u306e\u518d\u767a\u304c\u3042\u308b\uff0c3) \u653e\u5c04\u7dda\u8133\u58ca\u6b7b\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\uff0c\u3068\u3044\u30463\u3064\u306e\u4e8b\u8c61\u304c\u6df7\u3058\u3063\u3066\u751f\u3058\u3066\u3044\u308b\u3082\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0cPET\u3084MRS\u306a\u3069\u3067\u624b\u8853\u306e\u524d\u306e\u753b\u50cf\u8a3a\u65ad\u3092\u9811\u5f35\u3063\u3066\u307f\u3066\u3082\uff0c\u8a3a\u65ad\u304c\u3064\u304f\u306f\u305a\u304c\u306a\u3044\u306e\u3067\u3059\u3002\u75c5\u7406\u8a3a\u65ad\u3057\u304b\u624b\u6bb5\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyspost.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-16388\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyspost-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-16389\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisyspost2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><br \/>\n\u624b\u88531\u5e74\u534a\u5f8c\u306e\u753b\u50cf\u3067\u3059\u3002\u75c7\u72b6\u306f\u306a\u304f\u3066\u5143\u6c17\u306b\u304a\u66ae\u3089\u3057\u3067\u3057\u305f\u3002\u65b0\u305f\u306a\u8133\u8ee2\u79fb\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u5e78\u904b\u306a\u65b9\u3068\u3044\u3048\u307e\u3059\u3002\u30ac\u30f3\u3092\u898b\u308b\u5185\u79d1\u306e\u5148\u751f\u306b\u77e5\u3063\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u306e\u3067\u3059\u304c\uff0c\u4eca\u3067\u3082\u8133\u795e\u7d4c\u5916\u79d1\u306e\u624b\u8853\u306f\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u6cbb\u7642\u306b\u5f79\u306b\u7acb\u3064\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<div>\n<h4>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u30a4\u30e1\u30fc\u30b8\uff1a\u30d4\u30f3\u30dd\u30a4\u30f3\u30c8\u3068\u306f\u3044\u3048\u306a\u3044<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11884\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11885 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metadouble2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n\u8fd1\u63a5\u3059\u308b\uff12\u3064\u306e\u8ee2\u79fb\u5de3\u3078\u306e\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u3059\u3002\u53f3\u5074\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u8a08\u753b\u306e\u7b49\u7dda\u91cf\u66f2\u7dda\u3068\u3044\u3044\u307e\u3059\u3002\uff15\u56de\u306b\u5206\u3051\u306625\u30b0\u30ec\u30a4\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306f\uff0c\u753b\u50cf\u3067\u898b\u3048\u3066\u3044\u308b\u3068\u3053\u308d\u3088\u308a\u3082\u5c11\u3057\u5468\u56f2\u306e\u8133\u3078\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3067\u3082\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3067\u3082\u30ea\u30cb\u30a2\u30c3\u30af\u3067\u3082\uff0c\u898b\u3048\u3066\u3044\u308b\u816b\u760d GTV\u3088\u308a\u3082\uff0cPTV\u304c\u3084\u3084\u5e83\u3081\u306b\u306a\u308a\u307e\u3059\u3002\u3069\u3046\u3044\u3046\u3053\u3068\u304b\u3068\u3044\u3046\u3068\uff0c\u8133\u8ee2\u79fb\u306b\u30d4\u30f3\u30dd\u30a4\u30f3\u30c8\u3067\u653e\u5c04\u7dda\u3092\u304b\u3051\u308b\u3068\u3044\u3046\u306e\u306f\uff0c\u3042\u308b\u610f\u5473\u3067\u306f\u300c\u30a6\u30bd\u300d\u3067\uff0c\u5468\u56f2\u306e\u8133\u306f\u5fc5\u305a\u88ab\u66dd\u3057\u307e\u3059\u3002\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3067\u3082\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3067\u3082\u540c\u3058\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>\u6297\u3066\u3093\u304b\u3093\u85ac<\/h4>\n<p>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3067<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/epilepsy\/\">\u75c7\u5019\u6027\u3066\u3093\u304b\u3093<\/a>\uff08\u3051\u3044\u308c\u3093\u767a\u4f5c\uff09\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6297\u3066\u3093\u304b\u3093\u85ac\u3068\u3044\u3046\u85ac\u3067\u767a\u4f5c\u3092\u4e88\u9632\u3059\u308b\u306e\u3067\u3059\u304c\uff0c\u305d\u306e\u85ac\u306e\u305f\u3081\u306b\u6297\u304c\u3093\u5264\u306e\u52b9\u679c\u304c\u843d\u3061\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u30c1\u30c8\u30af\u30ed\u30fc\u30e0P450\u3068\u3044\u3046\u9175\u7d20\u3092\u8a98\u5c0e\u3059\u308b\uff0c\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\uff0c\u30d5\u30a7\u30cb\u30c8\u30a4\u30f3\uff0c\u30d5\u30a7\u30ce\u30d0\u30eb\u30d3\u30bf\u30fc\u30eb\u306f\u4f7f\u7528\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0\uff08\u30a4\u30fc\u30b1\u30d7\u30e9\uff09\u3092\u4f7f\u3063\u305f\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<\/div>\n<h4>\u60aa\u6027\u30b0\u30ea\u30aa\u30fc\u30de\u3068\u533a\u5225\u3057\u3065\u3089\u3044<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12809\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12811\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk1-1-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk1-1-300x291.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk1-1-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/metastasisnk1-1.jpg 698w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5de6\u306fT2\u5f37\u8abf\u753b\u50cf\u3067\u3059\u3002\u5185\u90e8\u306f\u58ca\u6b7b\u306b\u307f\u3048\u307e\u3059\u304c\uff0c\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u7279\u5fb4\u3067\u3042\u308b\u5468\u8fba\u8133\u6d6e\u816b\u304c\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002\u53f3\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3067\u306f\u5468\u56f2\u304c\u4e0d\u898f\u5247\u306b\u9020\u5f71\u3055\u308c\u307e\u3059\u3002\u80ba\u817a\u764c\u306b\u7279\u5fb4\u7684\u306a\u753b\u50cf\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\uff0c\u81a0\u82bd\u816b\u3068\u306e\u533a\u5225\u304c\u96e3\u3057\u304f\uff0c\u539f\u767a\u5de3\u3082\u308f\u304b\u3089\u305a\u5358\u767a\u3067\u3059\u3068\u751f\u691c\u8853\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002FDG\u3067\u3082Met-PET\u3067\u3082\u8133\u816b\u760d\u81ea\u4f53\u306f\u9451\u5225\u306f\u3067\u304d\u307e\u305b\u3093\u3002FDG-PET\u3067\u4ed6\u306e\u81d3\u5668\u306b\u75c5\u5de3\u304c\u3042\u308b\u3068\u8ee2\u79fb\u3068\u3057\u3066\u3044\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<h5><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/clinical-trial\/\">\u65b0\u3057\u3044\u6cbb\u7642\u306e\u6cbb\u9a13\u306b\u3064\u3044\u3066\uff08<\/a>\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09by \u7af9\u672c\u88d5\u7f8e<\/span><\/h5>\n<p>\u4fdd\u967a\u8a3a\u7642\u3067\u304d\u306a\u3044\u65b0\u3057\u3044\u6cbb\u7642\u306b\u53c2\u52a0\u3059\u308b\u3053\u3068\u3067\u3059<\/p>\n<h5><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/carenursing\/\">\u8ee2<span style=\"color: #000080;\">\u79fb\u6027\u8133\u816b\u760d\u306e\u5728\u5b85\u7642\u990a\uff0c\u7de9\u548c\u30b1\u30a2\uff0c\u8a2a\u554f\u770b\u8b77<\/span><\/a><a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/carenursing\/\">\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u8a73\u3057\u304f\u8aad\u3081\u307e\u3059\uff09<\/a>by\u00a0\u7af9\u672c\u88d5\u7f8e<\/span><\/h5>\n<ul>\n<li>\u4f53\u8abf\u304c\u60aa\u304f\u306a\u3063\u3066\u65e5\u5e38\u751f\u6d3b\u3092\u3069\u3046\u9001\u308d\u3046\u304b\u3068\u60a9\u3080\u60a3\u8005\u3055\u3093\u306e\u305f\u3081\u306e\u53c2\u8003\u3067\u3059<\/li>\n<li>Best Supportive Care BSC\u3000\u7de9\u548c\u30b1\u30a2\u3068\u306f\uff0c\u764c\u306e\u8133\u8ee2\u79fb\u3092\u6cbb\u7642\u3057\u3066\uff0c\u5ef6\u547d\u3092\u306f\u304b\u3063\u305f\u308a\u75c7\u72b6\u306e\u6539\u5584\u3092\u3082\u3068\u3081\u308b\u7a4d\u6975\u7684\u306a\u6cbb\u7642\u3068\u306f\u7570\u306a\u308b\u8003\u3048\u65b9\u3067\u3059<\/li>\n<li>\u624b\u8853\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\uff0c\u5316\u5b66\u7642\u6cd5\u306e\u6709\u52b9\u6027\u304c\u671f\u5f85\u3067\u304d\u306a\u304f\u306a\u3063\u305f\u6642\u306b\uff0c\u75db\u307f\u3084\u5410\u304d\u6c17\u3092\u8efd\u6e1b\u3059\u308b\u3068\u304b\uff0c\u7cbe\u795e\u7684\u306a\u82e6\u60a9\u3092\u7de9\u548c\u3059\u308b\u3068\u304b\uff0c\u770b\u53d6\u308a\u3068\u4ecb\u8b77\u652f\u63f4\u306b\u91cd\u70b9\u3092\u7f6e\u304f\u3053\u3068\u3092\u8a00\u3044\u307e\u3059<\/li>\n<li>\u60a3\u8005\u3055\u3093\u306e\u5e0c\u671b\u306b\u3088\u308b\u5834\u5408\uff0c\u533b\u5e2b\u3068\u60a3\u8005\u3055\u3093\u306e\u8a71\u3057\u5408\u3044\u3067\u9078\u629e\u3059\u308b\u5834\u5408\uff0c\u533b\u5e2b\u304b\u3089\u60a3\u8005\u3055\u3093\u3068\u5bb6\u65cf\u306b\u305d\u308c\u3092\u52e7\u3081\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u6587\u732e\u60c5\u5831\uff08\u3053\u3053\u304b\u3089\u4e0b\u306f\u96e3\u3057\u3044\u3067\u3059\uff09<\/h5>\n<h4>SRS \u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u5f8c\u306b\u624b\u8853\u6458\u51fa\u3057\u305f\u307b\u3046\u304c\uff0c\u8853\u5f8c\u306bSRS\u3092\u52a0\u3048\u308b\u3088\u308a\uff0c\u6210\u7e3e\u304c\u3088\u3044<\/h4>\n<p class=\"heading-title\">Prabhu RS: Risk Factors for Progression and Toxic Effects After Preoperative Stereotactic Radiosurgery for Patients With Resected Brain Metastases&gt; JAMA Oncol 2023<br \/>\n\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306f\uff0c\u624b\u8853\u6458\u51fa\u3059\u308b\u5834\u5408\u306b\u306f\uff0c\u624b\u8853\u5f8c\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u54a5\u3048\u3089\u308c\u308b\u306e\u304c\u901a\u5e38\u3067\u3059\u3002\u3053\u306e\u8ad6\u6587\u306f\uff0c\u624b\u8853\u524d\u306bSRS\u3092\u884c\u3063\u3066\u304b\u3089\u624b\u8853\u6458\u51fa\u3057\u305f\u307b\u3046\u304c\u4e88\u5f8c\u304c\u826f\u3044\u3068\u3044\u3046\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u524d\u65e5\u304b\u30894\u65e5\u524d\u306b\uff0c15\u30b0\u30ec\u30a4\uff11\u56de\u3082\u3057\u304f\u306f24\u30b0\u30ec\u30a43\u5206\u5272\u306e\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u3002\u5e74\u9f62\u4e2d\u592e\u502460.6\u6b73\uff0c418\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u5bfe\u8c61\u3067\u3059\u3002\u3053\u306e\u624b\u6cd5\u3060\u3068\uff0c\u5c40\u6240\u518d\u767a\uff0c\u653e\u5c04\u7dda\u6709\u5bb3\u4e8b\u8c61\uff0c\u9ac4\u819c\u75c5\u5909\u304c\u5c11\u306a\u304b\u3063\u305f\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\u306f\u306a\u3044\u306e\u3067\u306a\u3093\u3068\u3082\u8a00\u3048\u307e\u305b\u3093\u3002<\/p>\n<h4>ASCO-SNO-ASTRO\u306e\u8133\u8ee2\u79fb\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/h4>\n<p class=\"chaptertitle\">Vogelbaum MA:\u00a0Treatment for Brain Metastases: ASCO-SNO-ASTRO Guideline. J Clin Oncol. 2022<br \/>\n\u591a\u767a\u8133\u8ee2\u79fb\u3068\u5236\u5fa1\u4e0d\u80fd\u306a\u5168\u8eab\u8ee2\u79fb\u304c\u306a\u3044\u5834\u5408\uff0c\u5927\u304d\u306a\u8133\u8ee2\u79fb\u306f\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3059\u308b\u3053\u3068\u306b\u5229\u70b9\u304c\u3042\u308a\u307e\u3059\u3002\u5c40\u6240\u75c7\u72b6\u304c\u3042\u308b\u8133\u8ee2\u79fb\u306b\u306f\uff0csystemic therapy\u304c\u306a\u3093\u3067\u3042\u308c\uff0c\u8133\u5c40\u6240\u6cbb\u7642\uff08\u624b\u8853\u3042\u308b\u3044\u306f\u653e\u5c04\u7dda\u6cbb\u7642\uff09\u3092\u9078\u629e\u3057\u307e\u3059\u3002\u7121\u75c7\u72b6\u3067\u3042\u3063\u3066\u3082\u8133\u8ee2\u79fb\u304c\u3042\u308c\u3070\uff0c\u7279\u5225\u306a\u7406\u7531\u304c\u306a\u3044\u9650\u308a\u305d\u306e\u6cbb\u7642\u3092\u5ef6\u671f\u3059\u308b\u3079\u304d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5c40\u6240\u6cbb\u7642\u304c\u6709\u5bb3\u3068\u306a\u308b\u5834\u5408\u3084\u4ed6\u306e\u6709\u529b\u306a\u4ee3\u66ff\u6cbb\u7642\u304c\u3042\u308b\u5834\u5408\u3092\u9664\u3044\u3066\uff0c\u3082\u3057\u8133\u8ee2\u79fb\u306e\u5c40\u6240\u6cbb\u7642\u3092\u9045\u5ef6\u3055\u305b\u308b\u5834\u5408\u306b\u306f\uff0c\u816b\u760d\u5185\u79d1\uff0c\u653e\u5c04\u7dda\u79d1\uff0c\u8133\u5916\u79d1\u306a\u3069\u3067\u306e\u5408\u540c\u8b70\u8ad6\u304c\u5fc5\u8981\u3067\u3059\u3002\u975e\u5c0f\u7d30\u80de\u80ba\u304c\u3093\uff0c\u4e73\u304c\u3093\uff0c\u30e1\u30e9\u30ce\u30fc\u30de\u306a\u3069\u306e\u8133\u8ee2\u79fb\u306b\u5bfe\u3057\u3066\u306f\u65b0\u305f\u306a\u63a8\u5968\u6cbb\u7642\u6cd5 regimen\u304c\u3042\u308a\u307e\u3059\u30021\u500b\u304b\u30894\u500b\u307e\u3067\u306e\u7121\u75c7\u5019\u6027\u8133\u8ee2\u79fb\u3067\uff0c\u7279\u5225\u306a\u5168\u8eab\u7642\u6cd5\u306e\u9069\u5fdc\u304c\u306a\u3044\u5834\u5408\u306b\u306f\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 SRS \u306e\u307f\u304c\u63d0\u6848\u3055\u308c\u307e\u3059\u3002\u305f\u3060\u3057\uff0c\u5c0f\u7d30\u80de\u80ba\u764c\u306b\u306fSRS\u306e\u9069\u5fdc\u306f\u3042\u308a\u307e\u305b\u3093\u3002\uff11\u3042\u308b\u3044\u306f\uff12\u7b87\u6240\u306e\u5916\u79d1\u6458\u51fa\u8154(\u90e8\u4f4d)\u306b\u5bfe\u3059\u308bSRS\u306e\u9069\u5fdc\u306f\u3042\u308a\u307e\u3059\u3002SRS\u3068\u5916\u79d1\u624b\u8853\u306e\u9069\u5fdc\u304c\u306a\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\uff0c\u5168\u8133\u7167\u5c04\u3068SRS\u3042\u308b\u3044\u306f\u4ed6\u306e\u6cbb\u7642\u6cd5\u306e\u7d44\u307f\u5408\u308f\u305b\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u5168\u8133\u7167\u5c04\u3067\u306f\uff0c\u6d77\u99ac\u3092\u907f\u3051\u305f\u7dda\u91cf\u8a08\u753b\u3068\u30e1\u30de\u30f3\u30c1\u30f3\u6295\u4e0e\u304c\u63d0\u6848\u3055\u308c\u308b\u3079\u304d\u3067\u3059\u3002\u3053\u308c\u306f\uff0c\u6d77\u99ac\u306b\u8ee2\u79fb\u304c\u306a\u3044\u3042\u308b\u3044\u306f4\u30f6\u6708\u4ee5\u4e0a\u306e\u751f\u547d\u4e88\u5f8c\u304c\u671f\u5f85\u3067\u304d\u308b\u5834\u5408\u3068\u306a\u308a\u307e\u3059\u3002KFS 50%\u4ee5\u4e0b\u306e\u72b6\u614b\u306e\u60aa\u3044\u60a3\u8005\u3055\u3093\u3084KFS 70&amp;\u672a\u6e80\u3067\u5168\u8eab\u6cbb\u7642\u306e\u9069\u5fdc\u304c\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u982d\u84cb\u7167\u5c04\u306b\u5229\u70b9\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u30cb\u30dc\u30eb\u30de\u30d6\u3068\u30a4\u30d4\u30ea\u30e0\u30de\u30d6\u306e\u4f75\u7528\u306f\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306b\u6709\u52b9<\/h4>\n<p><span class=\"docsum-authors full-authors\">Paz-Ares L:\u00a0<\/span>First-line nivolumab plus ipilimumab combined with two cycles of chemotherapy in patients with non-small-cell lung cancer (CheckMate 9LA): an international, randomised, open-label, phase 3 trial. Lancet Oncol 2021<br \/>\n\u30b9\u30c6\u30fc\u30b84\u3042\u308b\u3044\u306f\u518d\u767a\u3057\u305f\u80ba\u304c\u3093\u306e\u60a3\u8005\u3055\u3093719\u4eba\u306b\u5bfe\u3057\u3066\uff0c\uff13\u9031\u9593\u6bce\u306e\u30cb\u30dc\u30eb\u30de\u30d6\uff08\u30aa\u30d6\u30b8\u30fc\u30dc\uff09\u3068\uff16\u9031\u9593\u6bce\u306e\u30a4\u30d4\u30ea\u30e0\u30de\u30d6\uff08\u30e4\u30fc\u30dc\u30a4\uff09\uff0c\uff12\u30b3\u30fc\u30b9\u306e\u30d7\u30e9\u30c1\u30ca\u30d9\u30fc\u30b9\u306e\u5316\u5b66\u7642\u6cd5\u304c\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u3002\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4(10.7\u30f6\u6708\uff09\u306b\u6bd4\u3079\u3066\uff0c\u514d\u75ab\u7642\u6cd5\u7fa4\u3067\u306f14.1\u30f6\u6708\u3068\u6709\u610f\u306a\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u5168\u751f\u5b58\u671f\u9593\u30823.5\u30f6\u6708\u306e\u5ef6\u9577\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n<h4>\u5c40\u6240\u518d\u767a\u3057\u305f\u8133\u8ee2\u79fb\u306b\u306f\u518d\u958b\u982d\u3067\u6458\u51fa\u3059\u308b\u3053\u3068\u3082\u3042\u308b<\/h4>\n<p><span class=\"authors-list-item \">Hulsbergen AFC:\u00a0<\/span>Neurosurgical resection for locally recurrent brain metastasis. Neuro Oncol 2021<br \/>\n\u6cbb\u7642\u5f8c\u307e\u305f\u5c40\u6240\u518d\u767a\u3057\u305f\u8133\u8ee2\u79fb\u3092\u958b\u982d\u624b\u8853\u3067\u518d\u6458\u51fa\u3057\u305f\u60a3\u8005\u3055\u3093\u306e\u5831\u544a\u3067\u3059\u3002\u751f\u5b58\u671f\u9593\u4e2d\u592e\u5024\u306f13.8\u30f6\u6708\u3067\u3057\u305f\u3002\u80ba\u817a\u304c\u3093ALK\/EGFR+\uff0c\u4e73\u304c\u3093HER2+\u3067\u306f24\u30f6\u6708\u4ee5\u4e0a\u306e\u751f\u5b58\u671f\u9593\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u6cbb\u7642\u53cd\u5fdc\u6027\u306e\u826f\u3044\u907a\u4f1d\u5b50\u7570\u5e38\u3092\u6709\u3059\u308b\u764c\u816b\uff0c\u82e5\u3044\u60a3\u8005\u3055\u3093\u306a\u3069\u4e88\u60f3\u3055\u308c\u308b\u4e88\u5f8c\u304c\u3088\u3055\u305d\u3046\u306a\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u518d\u958b\u982d\u3067\u518d\u6458\u51fa\u3059\u308b\u3053\u3068\u3082\u8003\u616e\u3057\u3066\u826f\u3044\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u30e8\u30fc\u30ed\u30c3\u30d1\u306e\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 2021\u5e74<\/h4>\n<p>Le Rhun E: EANO\u2013ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up of patients with brain metastasis from solid tumours. Ann Oncol 2021<br \/>\n\u5185\u5bb9\u304c\u591a\u69d8\u306a\u306e\u3067\u307e\u3068\u3081\u3089\u308c\u307e\u305b\u3093\uff0c\u539f\u8457\u3092\u8aad\u3093\u3067\u304f\u3060\u3055\u3044\u3002\u65e5\u672c\u3067\u306f\u5c11\u306a\u3044\u30e1\u30e9\u30ce\u30fc\u30de\u306e\u8133\u8ee2\u79fb\u304c\u5236\u5fa1\u3067\u304d\u308b\uff0c\u7279\u5b9a\u306e\u764c\u907a\u4f1d\u5b50\u306b\u5909\u7570\u304c\u3042\u308b\u30bf\u30a4\u30d7\u3067\u306f\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u5f79\u3067\u8133\u8ee2\u79fb\u304c\u5236\u5fa1\u3067\u304d\u308b\u6642\u4ee3\u306b\u306a\u3063\u305f\u3053\u3068\u3042\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u6d77\u99ac\u7dda\u91cf\u4f4e\u6e1b\u5168\u8133\u7167\u5c04\u306b\u30e1\u30de\u30f3\u30c1\u30f3\u3092\u4f75\u7528\u3059\u308b<\/h4>\n<p><span class=\"authors-list-item \">Brown PD:\u00a0<\/span>Hippocampal Avoidance During Whole-Brain Radiotherapy Plus Memantine for Patients With Brain Metastases: Phase III Trial NRG Oncology CC001. J Clin Oncol 2020<br \/>\n2015-2018\u5e74\u306b518\u4eba\u306e\u8133\u8ee2\u79fb\u306e\u60a3\u8005\u3055\u3093\u306b\u5168\u8133\u7167\u5c04\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u5168\u3066\u306e\u60a3\u8005\u3055\u3093\u306b\u30e1\u30de\u30f3\u30c1\u30f3\u6295\u4e0e\u304c\u4f75\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6d77\u99ac\u3092\u907f\u3051\u305f\u5168\u8133\u7167\u5c04\u3068\u30e1\u30de\u30f3\u30c1\u30f3\u6295\u4e0e\u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u3067\u306f\uff0c6\u30f6\u6708\u5f8c\u304f\u3089\u3044\u3067\u306e\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u6709\u610f\u306b\u5c11\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002\u6d77\u99ac\u306b\u8133\u8ee2\u79fb\u306e\u306a\u3044\u60a3\u8005\u3055\u3093\u3078\u306f\u6d77\u99ac\u7dda\u91cf\u4f4e\u6e1b\u5168\u8133\u7167\u5c04\u3092\u884c\u3046\u3079\u304d\u306a\u306e\u3067\u3057\u3087\u3046\u3002<\/p>\n<h4>HER2\u967d\u6027\u4e73\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306bT-DM1\u304c\u6709\u52b9<\/h4>\n<p><span class=\"authors-list-item \">Montemurro F:\u00a0<\/span>Trastuzumab emtansine (T-DM1) in patients with HER2-positive metastatic breast cancer and brain metastases: exploratory final analysis of cohort 1 from KAMILLA, a single-arm phase IIIb clinical trial.Ann Oncol 2020<br \/>\n398\u4eba\u306e\u8133\u8ee2\u79fb\u3092\u751f\u3058\u305f\u4e73\u304c\u3093\u60a3\u8005\u3055\u3093\u3067\u306e\u81e8\u5e8a\u7b2c\uff13\u76f8\u8a66\u9a13\u3067\u3059\u3002trastuzumab emtansine (T-DM1) (\u6297\u304c\u3093\u5264\u3092\u6297\u4f53\u306b\u3064\u3051\u305f\u3082\u306e\uff09\u304c\uff0cHER2\u967d\u6027\u4e73\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306b\u6709\u52b9\u3067\u3042\u3063\u305f\u3068\u306e\u5831\u544a\u3067\u3059\u3002398\u4eba\u306e\u60a3\u8005\u3055\u3093\u306b\u8a66\u9a13\u304c\u306a\u3055\u308c\uff0c\u8133\u8ee2\u79fb\u306e\u3042\u3063\u305f21.4%\u3067\u6709\u52b9\u6027\u304c\u8a8d\u3081\u3089\u308c\u305f\u3053\u3068\u3067\u3059\u3002\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u4e2d\u592e\u5024\u306f5.5\u30f6\u6708\u3067\u3059\u3002<\/p>\n<h4>\u80ba\u5c0f\u7d30\u80de\u764c SCLC \u306e\u8133\u8ee2\u79fb<br \/>\n\u5b9a\u4f4d\u653e\u5c04\u7dda\u5916\u79d1 SRS\u3068\u5168\u8133\u7167\u5c04 WBRT \u3067\u306f\u751f\u5b58\u671f\u9593\u306b\u5dee\u306f\u306a\u3044<\/h4>\n<p><span class=\"authors-list-item \">Rusthoven CG:\u00a0<\/span>Evaluation of First-line Radiosurgery vs Whole-Brain Radiotherapy for Small Cell Lung Cancer Brain Metastases: The FIRE-SCLC Cohort Study. JAMA Oncol 2020<br \/>\n\u80ba\u5c0f\u7d30\u80de\u764c small cell lung cancer\u306f\u77ed\u671f\u9593\u306b\u591a\u6570\u306e\u8133\u8ee2\u79fb\u304c\u767a\u751f\u3059\u308b\u306e\u3067\uff0c\u3044\u3061\u3044\u3061\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u305f\u305f\u304f\u3053\u3068\u306f\u3067\u304d\u306a\u3044\uff0c\u6700\u521d\u304b\u3089\u5168\u90e8\u306e\u8133\u306b\u653e\u5c04\u7dda\u6cbb\u7642 whole brain radiotherapy\u3059\u308b\u306e\u304c\u6a19\u6e96\u6cbb\u7642\u3060\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u30022017\u5e74\u304b\u30892019\u5e74\u307e\u3067\uff0c\u5c0f\u7d30\u80de\u764c\u306e\u8133\u8ee2\u79fb\u3092\u6709\u3059\u308b710\u4eba\u304c\u8abf\u67fb\u3055\u308c\u307e\u3057\u305f\u3002SRS\uff08\u5b9a\u4f4d\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\uff09\u3068\u5168\u8133\u7167\u5c04 WBRT \u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u3067\uff0c\u751f\u5b58\u306b\u5dee\u304c\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3067\u3082\u8133\u8ee2\u79fb\u304c\u306a\u3044\u60a3\u8005\u3055\u3093\u3067\uff0c\u4e88\u9632\u7684\u5168\u8133\u7167\u5c04 prophylactic WBRT\u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u3067\u5c11\u3057\u3060\u3051\u751f\u5b58\u671f\u9593\u304c\u9577\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3082\u3061\u308d\u3093\uff0c\u6700\u521d\u304b\u3089\u6570\u500b\u4ee5\u4e0a\u306e\u591a\u767a\u8ee2\u79fb\u304c\u767a\u898b\u3055\u308c\u305f\u5834\u5408\u306f\uff0c\u4eca\u307e\u3067\u3069\u304a\u308a\u5168\u8133\u7167\u5c04\u3057\u304b\u9078\u629e\u80a2\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/h4>\n<p><span class=\"authors-list-item \">Wolpert F:\u00a0<\/span>Risk factors for the development of epilepsy in patients with brain metastases. Neuro Oncol 2020<br \/>\n799\u4eba\u306e\u8133\u8ee2\u79fb\u306e\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\uff0c226\u4eba (<span style=\"color: #000080;\"><strong>28%)<\/strong><\/span> \u304c\u3066\u3093\u304b\u3093\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u5358\u767a\u8ee2\u79fb\uff0c\u816b\u760d\u5185\u51fa\u8840\uff0c\u624b\u8853\u3092\u53cd\u5fa9\u3057\u305f\u60a3\u8005\u3055\u3093\u3067\u767a\u4f5c\u304c\u591a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u8133\u8ee2\u79fb\u304c\u3042\u308b\u30684\u4eba\u306b\u4e00\u4eba\u304f\u3089\u3044\u304c\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>HER2\u967d\u6027\u306e\u4e73\u304c\u3093\u8133\u8ee2\u79fb\u306b\u30c4\u30ab\u30c1\u30cb\u30d6\u304c\u6709\u52b9<\/h4>\n<p>Murthy RK: Tucatinib, Trastuzumab, and Capecitabine for HER2-Positive Metastatic Breast Cancer.\u00a0<span class=\"jrnl\" title=\"The New England journal of medicine\">N Engl J Med<\/span>. 2020<br \/>\n\u5168\u8eab\u8ee2\u79fb\u3092\u751f\u3058\u305fHER-2\u967d\u6027\u4e73\u304c\u3093\u60a3\u8005612\u4eba\u306b\uff0cTrastuzumab\uff08\u30cf\u30fc\u30bb\u30d7\u30c1\u30f3\uff09\u3068Capecitabine\uff08\u30bc\u30ed\u30fc\u30c0\uff09\u304c\u6295\u4e0e\u3055\u308c\uff0c\u30c4\u30ab\u30c1\u30cb\u30d6\uff08HER-2\u963b\u5bb3\u5264\uff09\u304c\u52a0\u3048\u3089\u308c\u305f\u7fa4\u3068\u30d7\u30e9\u30bb\u30dc\u306e\u9593\u3067\u7121\u4f5c\u70ba\u8a66\u9a13\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u30021\u5e74\u7121\u5897\u60aa\u751f\u5b58\u5272\u5408 PFS \u306f\uff0c\u30c4\u30ab\u30c1\u30cb\u30d6\u3092\u52a0\u3048\u305f\u7fa4\u3067\u306f33%\uff0c\u52a0\u3048\u306a\u3044\u7fa4\u3067\u306f12%\u3067\u3057\u305f\u30022\u5e74\u5168\u751f\u5b58\u5272\u5408\u306f\u30c4\u30ab\u30c1\u30cb\u30d6\u3092\u4f7f\u7528\u3057\u305f\u7fa4\u306745%\uff0c\u4f7f\u7528\u3057\u306a\u3044\u306827%\u3067\u3057\u305f\u3002\u7279\u306b<span style=\"color: #000080;\"><strong>\u8133\u8ee2\u79fb\u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306e1\u5e74\u7121\u5897\u60aa\u751f\u5b58\u5272\u5408\u306f\uff0c\u30c4\u30ab\u30c1\u30cb\u30d6\u306725%\u3067\uff0c\u4f7f\u7528\u3057\u306a\u3044\u30680%\u3068\u3044\u3046\u5927\u304d\u306a\u958b\u304d\u304c\u3042\u308a\u307e\u3057\u305f<\/strong><\/span>\u3002<br \/>\n2020\u5e744\u6708\u306b\u30a2\u30e1\u30ea\u30ab\u306eFDA\u304c\u4fdd\u967a\u8a3a\u7642\u3067\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u8a8d\u3081\u307e\u3057\u305f\u3002<\/p>\n<h4>\u591a\u767a\u8133\u8ee2\u79fb\u306b\u5bfe\u3059\u308b\u7c73\u56fd\u8133\u795e\u7d4c\u5916\u79d1\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32019<\/h4>\n<p><span style=\"color: #000080;\"><strong>\u63a8\u5968\u30ec\u30d9\u30eb1\u304c\u6700\u3082\u4fe1\u983c\u5ea6\u304c\u9ad8\u3044<\/strong><\/span>\u3082\u306e\u3067\u3059\u3002<br \/>\n\u30ec\u30d9\u30eb2\uff1a\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u306b\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u308b\u3053\u3068\u306f\u3067\u304d\u308b\u304c\uff0c\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u5ff5\u982d\u306b\u7f6e\u304f\u3079\u304d\u3067\u3042\u308b\u3002\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u306f\u5b9a\u304b\u3067\u306f\u306a\u3044\u3002<br \/>\n\u30ec\u30d9\u30eb\uff11\uff1a2\u2212\uff13\u500b\u306e\u8ee2\u79fb\u306b\u5bfe\u3057\u3066\u5168\u8133\u7167\u5c04\u3092\u3057\u305f\u4e0a\u306b\uff0c\u3055\u3089\u306b\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3092\u52a0\u3048\u308b\u3053\u3068\u306f\u63a8\u5968\u3055\u308c\u306a\u3044\u3002<br \/>\n\u30ec\u30d9\u30eb\uff13\uff1a5\u3064\u4ee5\u4e0a\uff0c\u5408\u8a08\u4f53\u7a4d7cc\u4ee5\u5185\u306e\u591a\u767a\u8ee2\u79fb\u306b\u5bfe\u3057\u3066\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u306f\u63a8\u5968\u3055\u308c\u308b\uff0c\u5168\u751f\u5b58\u671f\u9593\u306e\u6539\u5584\u304c\u30425<br \/>\n\u30ec\u30d9\u30eb\uff13\uff1a\u5168\u8eab\u7684\u306a\u30ac\u30f3\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u3055\u308c\u3066\u3044\u3066\uff0c\u591a\u767a\u8ee2\u79fb\u306e\u5185\u306e\u3042\u308b\u8ee2\u79fb\u75c5\u5de3\u306emass effect\u306e\u305f\u3081\u306b\u75c7\u72b6\u304c\u3042\u308a\uff0c\u304b\u3064\u624b\u8853\u5408\u4f75\u75c7\u304c\u3067\u306a\u3044\u3068\u4e88\u60f3\u3055\u308c\u308b\u3082\u306e\u306b\u95a2\u3057\u3066\u306f\uff0c\u5916\u79d1\u6458\u51fa\u306e\u9069\u5fdc\u304c\u3042\u308b<br \/>\n\u30ec\u30d9\u30eb\uff11\uff1a\u5168\u8133\u7167\u5c04\u306f\u884c\u3046\u3068\u3059\u308c\u3070\uff0c30\u30b0\u30ec\u30a410\u5206\u5272\u3067\u884c\u3046\u3079\u304d\u3067\u3042\u308b<br \/>\n\u30ec\u30d9\u30eb\uff13\uff1a\u3088\u308a\u9ad8\u3044\u7dda\u91cf\uff0820\u30b0\u30ec\u30a45\u5206\u5272\uff09\u306f\uff0c\u72b6\u614b\u306e\u60aa\u3044\u60a3\u8005\u3055\u3093\u306b\u306e\u307f\u7528\u3044\u308b\u3079\u304d\u3067\u3042\u308b<br \/>\n\u30ec\u30d9\u30eb\uff13\uff1a5\u500b\u4ee5\u4e0a\u306e\u8ee2\u79fb\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u3092\u5ef6\u9577\u3059\u308b\u305f\u3081\u306b\u5168\u8133\u7167\u5c04\u306e\u63a8\u5968\u3092\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b<br \/>\n\u30ec\u30d9\u30eb\uff12\uff1a4\u500b\u4ee5\u5185\u306e\u591a\u767a\u8ee2\u79fb\u306b\u5bfe\u3057\u3066\u306f\uff0c\u5168\u8133\u7167\u5c04\u3092\u305b\u305a\u306b\u653e\u5c04\u7dda\u5916\u79d1\u3082\u3057\u304f\u306f\u5916\u79d1\u6458\u51fa\u304c\u8003\u616e\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b<br \/>\n\u30ec\u30d9\u30eb\uff12\uff1a\u3082\u3057\u80ba\u5c0f\u7d30\u80de\u764c SCLC\u306b\u4e88\u9632\u7684\u306a\u982d\u84cb\u7167\u5c04\u3092\u884c\u3046\u306e\u3067\u3042\u308c\u3070\uff0c25\u30b0\u30ec\u30a410\u5206\u5272\u304c\u63a8\u5968\u3055\u308c\u308b\u3002\u3053\u306e\u7dda\u91cf\u3067\u3082\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u8aac\u660e\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u3002<br \/>\n\u30ec\u30d9\u30eb\uff13\uff1a\u5168\u8133\u7167\u5c04\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306b\uff0c\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306b\u30e1\u30de\u30f3\u30c1\u30f3\u306e\u6295\u4e0e\u304c\u63a8\u5968\u3055\u308c\u308b<br \/>\n\u30ec\u30d9\u30eb\uff12\uff1a4\u500b\u4ee5\u5185\u306e\u8ee2\u79fb\u3067WHO PS\u304c0\u304b\u30892\u306e\u72b6\u614b\u306e\u826f\u3044\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u5168\u8133\u7167\u5c04\u306f\u63a8\u5968\u3055\u308c\u306a\u3044\uff0c\u884c\u3063\u3066\u3082\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u304c\u306a\u3044\u304b\u3089\u3067\u3042\u308b<br \/>\n\u30ec\u30d9\u30eb\uff12\uff1a\u9006\u306b\uff0c\u5c40\u6240\u7642\u6cd5\uff08\u653e\u5c04\u7dda\u5916\u79d1\u3042\u308b\u3044\u306f\u5916\u79d1\u6458\u51fa\uff09\u304c\u63a8\u5968\u3055\u308c\u308b<\/p>\n<h4>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u85ac\u7269\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/h4>\n<p>Camidge DR, et al: Clinical\u00a0trial\u00a0design\u00a0for\u00a0systemic\u00a0agents\u00a0in\u00a0patients\u00a0with\u00a0brain\u00a0metastases\u00a0from\u00a0solid\u00a0tumours: a\u00a0guideline\u00a0by the Response Assessment in Neuro-Oncology\u00a0Brain\u00a0Metastases\u00a0working group.\u00a0Lancet Oncol.\u00a02018<br \/>\n\u4f1d\u7d71\u7684\u306b\u8133\u8ee2\u79fb\u3092\u6709\u3059\u308b\u60a3\u8005\u3055\u3093\u306f\uff0c\u65b0\u3057\u3044\u85ac\u5264\u306e\u8a66\u9a13\u304b\u3089\u9664\u5916\u3055\u308c\u308b\u50be\u5411\u306b\u3042\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u6700\u8fd1\u3067\u306f\u8133\u8ee2\u79fb\u306b\u85ac\u5264\u304c\u6709\u52b9\u304b\u7121\u52b9\u304b\u3068\u3044\u3046\u5224\u65ad\u304c\u52a0\u3048\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<h4>\u30aa\u30b7\u30e1\u30eb\u30c1\u30cb\u30d6\u306f\u3042\u308b\u7a2e\u306e\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u306b\u6709\u52b9<\/h4>\n<p>Wu YL:\u00a0CNS Efficacy of Osimertinib in Patients With T790M-Positive Advanced Non-Small-Cell Lung Cancer: Data From a Randomized Phase III Trial (AURA3).\u00a0<span class=\"jrnl\" title=\"Journal of clinical oncology : official journal of the American Society of Clinical Oncology\">J Clin Oncol<\/span>. 2018<br \/>\nEGFR\u30c1\u30ed\u30b7\u30f3\u30ad\u30ca\u30fc\u30bc\u963b\u5bb3\u5264\uff08TKI\uff09\u30aa\u30b7\u30e1\u30eb\u30c1\u30cb\u30d6\u304c\uff0cEGFR\u5909\u7570\u306e\u3042\u308b\u975e\u5c0f\u7d30\u80de\u80ba\u764c\u306b\u6295\u4e0e\u3055\u308c\uff0c\u8133\u8ee2\u79fb\u767a\u751f\u306e\u6291\u5236\u3042\u308b\u3044\u306f\u8133\u8ee2\u79fb\u306e\u5236\u5fa1\u306b\u52b9\u679c\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n<h4>\u8133\u8ee2\u79fb\u306f\u7a4d\u6975\u7684\u306b\u691c\u67fb\u3057\u3066\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3067\u6cbb\u7642\u3059\u308b\u3079\u304d<\/h4>\n<p><span class=\"highlight\">Wolf A, et al.:\u00a0<\/span>Toward the complete control of brain metastases using surveillance screening and stereotactic radiosurgery.\u00a0<span role=\"menubar\">J Neurosurg.<\/span> 2018<br \/>\n\u304b\u306a\u308a\u7a4d\u6975\u7684\u306b\u8133\u8ee2\u79fb\u3092\u691c\u67fb\u3057\u3066\uff0c\u5c0f\u3055\u306a\u8ee2\u79fb\u5de3\u306bSRS\u3092\u884c\u306a\u3063\u305f\u5831\u544a\u3067\u3059\u30022\u5e74\u5236\u5fa1\u5272\u5408\u306f93%\u306b\u9054\u3057\u307e\u3057\u305f\u30026mm\u4ee5\u4e0b\u306e\u3082\u306e\u3067\u3042\u308c\u3070\u307b\u307c100%\u5c40\u6240\u5236\u5fa1\u3067\u304d\u308b\u3068\u306e\u3053\u3068\u3067\u3059\u300210mm\u4ee5\u4e0b\u306e\u8ee2\u79fb\u5de3\u3067\u3042\u308c\u3070\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u3082\u5f97\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<div class=\"page\" title=\"Page 493\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h4>\u30a2\u30ec\u30af\u30c1\u30cb\u30d6\u306f\u80ba\u304c\u3093\u306e\u8133\u8ee2\u79fb\u3092\u4e88\u9632\u3059\u308b<\/h4>\n<p>de Castro J, et. al.: CNS efficacy results from the phase III ALUR study of alectinib vs chemotherapy in previously treated ALK1 NSCLC. ESMO, 2017<br \/>\n\u30a2\u30ec\u30af\u30c1\u30cb\u30d6\u306e\u6295\u4e0e\u3067\u975e\u5c0f\u7d30\u80de\u80ba\u304c\u3093 (ALK+ NSCLC) \u306e\u8133\u8ee2\u79fb\u3092\u4e88\u9632\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3066\uff0c\u8133\u8ee2\u79fb\u304c\u3059\u3067\u306b\u751f\u3058\u3066\u3044\u3066\u308260%\u304f\u3089\u3044\u3067\u9032\u884c\u3092\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u306e\u5831\u544a\u3067\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4>10\u500b\u306e\u8ee2\u79fb\u304c\u3042\u3063\u3066\u3082SRS \u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3067\u3088\u3044<\/h4>\n<p>Jing\u00a0Li , et al.: The Diminishing Role of Whole-Brain Radiation Therapy in the Treatment of Brain Metastases. JAMA Oncol, 2017<br \/>\n\u591a\u767a\u8ee2\u79fb\u3067\u5168\u8133\u7167\u5c04\u304c\u5fdc\u7528\u3055\u308c\u308b\u3053\u3068\u306f\u5c11\u306a\u304f\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u7406\u7531\u306e\u4e00\u3064\u306b\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u3092\u542b\u3081\u305f\u5316\u5b66\u7642\u6cd5\u306e\u767a\u9054\u304c\u3042\u308a\u307e\u3059\u3002\u304b\u3064\u3066\u5316\u5b66\u7642\u6cd5\u5264\u306f\u8133\u306b\u5c4a\u304b\u306a\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u304c\uff0cMRI\u3067\u898b\u3048\u306a\u3044\u3088\u3046\u306a\u5fae\u5c0f\u8ee2\u79fb\u306f\u5316\u5b66\u7642\u6cd5\u3067\u6291\u5236\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u5168\u8133\u7167\u5c04\u306e\u6cbb\u7642\u671f\u9593\u4e2d\u306b\u5316\u5b66\u7642\u6cd5\u3092\u4e2d\u65ad\u3059\u308b\u3068\uff0cMRI\u3067\u307f\u3048\u3066\u3044\u306a\u3044\u5fae\u5c0f\u8133\u8ee2\u79fb\u304c\u5927\u304d\u304f\u306a\u3063\u305f\u308a\u65b0\u305f\u306a\u8133\u8ee2\u79fb\u304c\u751f\u3058\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u8133\u8ee2\u79fb\u306e\u6cbb\u7642\u671f\u9593\u4e2d\u306b\u3082\u5316\u5b66\u7642\u6cd5\u3092\u7d99\u7d9a\u3059\u308b\u305f\u3081\u306b\uff0cSRS\u3067\u306f\u6cbb\u7642\u671f\u9593\u3092\u77ed\u304f\u3059\u308b\u5229\u70b9\u304c\u3042\u308a\u307e\u3059\u300210\u500b\u307e\u3067\u306e\u8133\u8ee2\u79fb\u3092SRS\u3067\u6cbb\u7642\u3059\u308b\u3068\u3044\u3046\u6bb5\u968e\u304c\u7d42\u308f\u308a\uff0c\u3055\u3089\u306b15\u500b\u307e\u3067\u3092SRS\u3067\u6cbb\u7642\u3059\u308b\u3068\u3044\u3046\u7b2c\uff13\u76f8\u8a66\u9a13\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002<\/p>\n<h4>\uff13\u500b\u307e\u3067\u306e\u8ee2\u79fb\u3067\u3042\u308c\u3070 SRS \u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u304c\u826f\u3044<\/h4>\n<p>Brown PD, et al.: Effect of Radiosurgery Alone vs Radiosurgery With Whole Brain Radiation Therapy on Cognitive Function in Patients With 1 to 3 Brain Metastases: A Randomized Clinical Trial. JAMA 316:401-9, 2016<br \/>\n\u5168\u8133\u7167\u5c04\u3084\u8907\u6570\u56de\u5c40\u6240\u5206\u5272\u7167\u5c04\u3067\u306f\uff0c\u8133\u8ee2\u79fb\u306f\u6291\u3048\u3089\u308c\u3066\u3082\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u304c\u751f\u3058\u3066\u3057\u307e\u3044\u307e\u3059\u3002213\u540d\u306e\u60a3\u8005\u3055\u3093\u304c\u5168\u8133\u7167\u5c04\u3068SRS\uff08\uff11\u56de\u7167\u5c04\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\uff09\u3067\u7121\u4f5c\u70ba\u306b\u6bd4\u8f03\u3055\u308c\u307e\u3057\u305f\u3002\u7167\u5c04\u5f8c3\u30f6\u6708\u3067\uff0c\u5168\u8133\u7167\u5c04\u306e\u60a3\u8005\u3055\u3093\u306e91.7%\u3067\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u751f\u3058\u307e\u3057\u305f\u304c\uff0cSRS\u3067\u306f63.5%\u3067\u3057\u305f\u3002QOL\u3082SRS\u306e\u60a3\u8005\u3055\u3093\u306e\u65b9\u304c\u512a\u308a\u307e\u3059\u3002\u5168\u751f\u5b58\u671f\u9593\u306b\u6709\u610f\u306a\u5dee\u304c\u306a\u3044\u306e\u3067\uff0c<span style=\"color: #000080;\"><strong>\u8133\u8ee2\u79fb\u304c\uff11\u500b\u304b\u3089\uff13\u500b\u307e\u3067\u3067\u3042\u308c\u3070SRS\u3067\u6cbb\u7642\u3092\u3059\u308b\u3079\u304d<\/strong><\/span>\u3060\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u6458\u51fa\u8853\u5f8c\u306e\u4e88\u9632\u7167\u5c04\u306b\u3082\u5168\u8133\u7167\u5c04\u306f\u4f7f\u308f\u306a\u3044<\/h4>\n<p>Post-operative stereotactic radiosurgery a new standard of care for patients with resected brain metastases. ASTRO 2016<br \/>\n\u624b\u8853\u6458\u51fa\u3057\u3066\u3082\u305d\u306e\u90e8\u4f4d\u304b\u3089\u307e\u305f\u518d\u767a\u3057\u3066\u3057\u307e\u3046\u306e\u3067\uff0c\u6458\u51fa\u8154 surgical cavity \u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002\u304b\u3064\u3066\u306f\u5168\u8133\u7167\u5c04\u304c\u6a19\u6e96\u6cbb\u7642\u3067\u3057\u305f\u304c\uff0c\u3053\u308c\u3082\u5b9a\u4f4d\u7167\u5c04\u3078\u3068\u5909\u308f\u308a\u307e\u3057\u305f\u3002\u30e1\u30a4\u30e8\u30af\u30ea\u30cb\u30c3\u30af\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u306e\u307b\u3046\u304c\u6cbb\u7642\u5f8c\u306eQOL\u3082\u8a8d\u77e5\u6a5f\u80fd\u3082\u4fdd\u305f\u308c\u308b\u3053\u3068\u3092\u660e\u3089\u304b\u306b\u3057\u307e\u3057\u305f\u3002\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u3082\u5168\u8133\u306b\u52a3\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u624b\u8853\u3068\u5b9a\u4f4d\u7167\u5c04\u306e\u9069\u5fdc\u3068\u306a\u3089\u306a\u3044\u80ba\u304c\u3093\u8133\u8ee2\u79fb\u306b\u5bfe\u3057\u3066\u5168\u8133\u7167\u5c04\u3092\u3059\u308b\u304b\uff1f<\/h4>\n<p>Mulvenna P,: et al. Dexamethasone and supportive care with or without whole brain radiotherapy in treating patients with non-small cell lung cancer with brain metastases unsuitable for resection or stereotactic radiotherapy (QUARTZ): results from a phase 3, non-inferiority, randomized trial. Lancet. 2016<br \/>\n\u8133\u8ee2\u79fb\u306e\u3042\u308b\u80ba\u304c\u3093\u60a3\u8005\u3055\u3093538\u4eba\u306e\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\u3059\u3002\u30b9\u30c6\u30ed\u30a4\u30c9 dexamethasone\u3068\u5bfe\u75c7\u7642\u6cd5 supportive care\u3060\u3051\u884c\u3046\u304b\uff0c\u5168\u8133\u7167\u5c04\u3092\u3059\u308b\u304b\u306e\u6bd4\u8f03\u304c\u3055\u308c\u307e\u3057\u305f\u3002\u5143\u6c17\u306b\u751f\u6d3b\u3067\u304d\u308b\u4f59\u547d quality-adjusted life-years (QALYs) \u306f\uff0c\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u3066\u3082\u4f38\u3073\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<h4><strong>\u6d77\u99ac\u3092\u907f\u3051\u3066\u5168\u8133\u7167\u5c04 IMRT \u3059\u308b\u3068\u8a18\u61b6\u529b\u304c\u5b88\u308c\u308b<\/strong><\/h4>\n<p>Gondi V, et al.: Preservation of memory with conformal avoidance of the hippocampal neural stem-cell compartment during whole-brain radiotherapy for brain metastases (RTOG 0933): a phase II multi-institutional trial. J Clin Oncol 32: 3810-3816, 2015<br \/>\n113\u4eba\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u60a3\u8005\u3055\u3093\u304c30\u30b0\u30ec\u30a4\/10\u5206\u5272\u306e\u6d77\u99ac\u3092\u907f\u3051\u305f\u5168\u8133\u7167\u5c04\u3067\u6cbb\u7642\u3055\u308c\uff0c\u6cbb\u76424\u30f6\u6708\u5f8c\u306b42\u4eba\u3067\u5206\u6790\u304c\u53ef\u80fd\u3067\u3057\u305f\u3002\u901a\u5e38\u306e\u5168\u8133\u7167\u5c04\u3067\u306f\uff0cHopkins Verbal Learning Test-DR\u306730\uff05\u307b\u3069\u306e\u4f4e\u4e0b\u304c\u751f\u3058\u308b\u306e\u3067\u3059\u304c\uff0c<span style=\"color: #ff0000;\"><strong>\u6d77\u99ac\u3092\u7167\u5c04\u91ce\u304b\u3089\u9664\u3044\u305fIMRT\u5168\u8133\u7167\u5c04<\/strong><\/span>\u3067\u306f7%\u306e\u4f4e\u4e0b\u3067\u3059\u3093\u3060\u305d\u3046\u3067\u3059\u3002\u307e\u305fQOL\u306e\u4f4e\u4e0b\u306f\u751f\u3058\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u6d77\u99ac\u306e\u795e\u7d4c\u7d30\u80de\u306f\u653e\u5c04\u7dda\u306b\u5bfe\u3057\u3066\u8106\u5f31\u3067\u3059\u304b\u3089\u3053\u306e\u90e8\u5206\u3092\u907f\u3051\u308b\u5168\u8133\u7167\u5c04\u3067\u5c11\u3057\u3067\u3082\u8a8d\u77e5\u6a5f\u80fd\u3092\u5b88\u308d\u3046\u3068\u3044\u3046\u65b0\u305f\u306a\u65b9\u5411\u6027\u3067\u3059\u3002<\/p>\n<h4>\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3059\u308b\u3068\u9ac4\u6db2\u64ad\u7a2e\u3092\u8a98\u767a\u3059\u308b\u304b<\/h4>\n<p align=\"left\">Ahn JH et al.: Risk for leptomeningeal seeding after resection for brain metastases: implication of tumor location with mode of resection. J Neurosurg 116: 984-993, 2012<br \/>\n\u97d3\u56fd\u304b\u3089\u306e\u8ad6\u6587\u3067\u3059\u3002242\u4eba\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u60a3\u8005\u3055\u3093\u304c\u624b\u8853\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u300239\u4eba(16%)\u306e\u60a3\u8005\u3055\u3093\u304c\u8853\u5f8c\uff16\u30f6\u6708\u307b\u3069(1-42\u30f6\u6708)\u3067\u9ac4\u6db2\u64ad\u7a2e\uff08\u8133\u810a\u9ac4\u6db2\u306e\u4e2d\u306b\u60aa\u6027\u816b\u760d\u7d30\u80de\u304c\u30d0\u30e9\u307e\u304b\u308c\u3066\u3044\u308b\u72b6\u614b\uff09\u3092\u751f\u3058\u307e\u3057\u305f\u3002<br \/>\n\u816b\u760d\u3092\u4e00\u584a\u306b\u3057\u3066\u6458\u51fa\u3057\u305f\u6642\u3088\u308a\uff0c\u816b\u760d\u3092\u7d30\u304b\u304f\u7815\u3044\u3066\u6458\u51fa\u3057\u305f\u5834\u5408\u306b\u9ac4\u6db2\u64ad\u7a2e\u304c\u591a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059(4.08 hazard rasio, p&lt;0.01)\u3002CUSA\u3068\u3044\u3046\u8d85\u97f3\u6ce2\u5438\u5f15\u5668\uff08\u816b\u760d\u7834\u7815\u5668\uff09\u3067\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u3068\u9ac4\u6db2\u64ad\u7a2e\u306e\u78ba\u7387\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059(2.64 hazard rasio, p&lt;0.01)\u3002\u9ac4\u6db2\u8154\u306b\u63a5\u3057\u305f\u5834\u6240\u306b\u3042\u308b\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3092\u7815\u3044\u3066\u6458\u51fa\u3059\u308b\u3068\u9ac4\u6db2\u64ad\u7a2e\u306e\u78ba\u7387\u304c\u9ad8\u304f\u306a\u308a\u307e\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u7d50\u679c\u306f\u5f53\u305f\u308a\u524d\u306e\u3053\u3068\u306a\u306e\u3067\u3059\u304c\uff0c \u8d85\u97f3\u6ce2\u5438\u5f15\u5668\u3067\u60aa\u6027\u816b\u760d\u3092\u30d0\u30e9\u30d0\u30e9\u306b\u7834\u7815\u3057\u306a\u304c\u3089\u6458\u51fa\u3059\u308c\u3070\u60aa\u6027\u816b\u760d\u306e\u7d30\u80de\u306f\u305d\u3053\u3089\u4e2d\u306b\u307e\u304d\u6563\u3089\u3055\u308c\u3066\u9ac4\u6db2\u64ad\u7a2e\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u305d\u308c\u3092\u3057\u3063\u304b\u308a\u3068\u3057\u305f\u30c7\u30fc\u30bf\u3067\u767a\u8868\u3057\u305f\u3053\u3068\u306b\u4fa1\u5024\u304c\u3042\u308b\u8ad6\u6587\u3067\u3059\u3002<\/p>\n<h4 align=\"left\">\u653e\u5c04\u7dda\u5916\u79d1\u3042\u308b\u3044\u306f\u958b\u982d\u6458\u51fa\u8853\u306e\u5f8c\u3067\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u308b\u610f\u7fa9\u304c\u3042\u308b\u304b<\/h4>\n<p align=\"left\">Kocher M, et al.: Adjuvant whole-brain radiotherapy versus observation after radiosurgery or surgical resection of one to three cerebral metastases: results of the EORTC 22952-26001 study. J Clin Oncol 29: 134-141, 2011<br \/>\nSoffieti R, et al.: A Europian organization for research and treatment of cancer phase \u2162 trial of adjuvant whole-brain radiotherapy versus observation in patients with one to three brain metastases from solid tumors after surgical resection or radiotherapy: Quality-of-lice results. J Clin Oncol 31: 65-72, 2011<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u884c\u308f\u308c\u305f\u5927\u898f\u6a21\u7814\u7a76\u3067\u3059\u3002\uff11\u500b\u304b2\u500b\u304b\uff13\u500b\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u304c\u751f\u3058\u305f\u5168\u8eab\u72b6\u614b\u306e\u826f\u3044359\u4eba\u306e\u60a3\u8005\u3055\u3093(stable systemic disease or asymptomatic primary tumors and PS of 0 to 2)\u304c\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f\u3002PS 2\u3088\u308a\u72b6\u614b\u304c\u60aa\u304f\u306a\u308b\u307e\u3067\u306e\u671f\u9593\u306f\uff0c\u7d4c\u904e\u89b3\u5bdf\u7fa4\u306710\u30f6\u6708\uff0c\u5168\u8133\u7167\u5c04\u7fa4\u30679.5\u30f6\u6708\u3067\u3057\u305f\u3002\u5168\u751f\u5b58\u671f\u9593\u306f\uff0c\u305d\u308c\u305e\u308c10.7\u30f6\u6708\u306810.9\u30f6\u6708\u3067\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u8ee2\u79fb\u5de3\u306e\u518d\u71c3\u3042\u308b\u3044\u306f\u65b0\u305f\u306a\u8ee2\u79fb\u5de3\u306e\u767a\u751f\u306f\uff0c\u5168\u8133\u7167\u5c04\u3092\u3057\u305f\u307b\u3046\u304c\u5c11\u306a\u304f\u306a\u308a\uff0c\u6458\u51fa\u8853\u3068\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u306e\u5834\u5408\u306b\u518d\u6cbb\u7642\u306e\u5fc5\u8981\u304c\u5897\u3048\u307e\u3059\u3002\u307e\u305f\u8133\u75c5\u5909\u3067\u306e\u6b7b\u4ea1\u7387\u306f\u5168\u8133\u7167\u5c04\u3092\u3057\u305f\u65b9\u304c\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u5168\u8133\u7167\u5c04\u3092\u884c\u306a\u3046\u3068\u8eab\u4f53\u6a5f\u80fd\u306f8\u9031\u9593\u3067\uff0c\u8a8d\u77e5\u6a5f\u80fd\u306f12\u30f6\u6708\u3067\u6709\u610f\u306b\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u3066\u3082\u751f\u5b58\u671f\u9593\u306f\u5ef6\u3073\u307e\u305b\u3093\u3057\uff0c\u5168\u8133\u7167\u5c04\u3092\u3057\u306a\u3044\u65b9\u304c\u6a5f\u80fd\u7684\u81ea\u7acb\u304c\u4fdd\u3066\u308b\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<span style=\"color: #ff0000;\"><strong>\u5c11\u6570\u306e\u8133\u8ee2\u79fb\u306e\u5834\u5408\u3067\uff0c\u5916\u79d1\u6458\u51fa\u8853\u304b\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3067\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u3068\u5224\u65ad\u3055\u308c\u308b\u5834\u5408\u306b\u306f\uff0c\u5168\u8133\u7167\u5c04\u304c\u6a19\u6e96\u6cbb\u7642\u3067\u306f\u306a\u304f\u306a\u3063\u305f<\/strong><\/span>\u3068\u8a00\u3048\u308b\u7d50\u8ad6\u3067\u3059\u3002<strong><span style=\"color: #ff0000;\">QOL\u3092\u8003\u3048\u308b\u306a\u3089\u5168\u8133\u7167\u5c04\u3092\u884c\u306a\u308f\u305a\u306b\u983b\u56de\u306eMRI\u691c\u67fb<\/span><\/strong>\u3067\u7d4c\u904e\u89b3\u5bdf\u3092\u3059\u308b\u306e\u3082\u9593\u9055\u3044\u3067\u306f\u306a\u3044\u3068\u3082\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4 align=\"left\">\u653e\u5c04\u7dda\u5916\u79d1 SRS \u5f8c\u306e\u5168\u8133\u7167\u5c04 WBRT \u306f\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3092\u62db\u304f\u304b<\/h4>\n<p align=\"left\">Chang EL, et al.: Neurocognition in patients with brain metastases treated with radiosurgery or radiosurgery plus whole-brain irradiation: a randomised controlled trial. Lancet Oncol.10:1037-1044, 2009<br \/>\n3\u500b\u4ee5\u4e0b\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u60a3\u8005\u3055\u3093\u3067\u306e\u81e8\u5e8a\u7814\u7a76\u3067\u3059\u3002SRS \u653e\u5c04\u7dda\u5916\u79d1\u306b\u5168\u8133\u7167\u5c04\u3092\u52a0\u3048\u308b\u3068\uff0c4\u30f6\u6708\u5f8c\u306b\u5b66\u7fd2\u80fd\u529b\u3068\u8a18\u61b6\u529b\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u306e\u7d50\u8ad6\u3067\u3059\u30021\u5e74\u5f8c\u306b\u8133\u75c5\u5909\u304c\u7121\u3044\u5272\u5408\u306f\uff0cSRS\u5358\u72ec\u3067\u306f27\uff05\u306b\u5bfe\u3057\u3066\uff0cSRS\u3068\u5168\u8133\u7167\u5c04\u3067\u306f73% \u3067\u3057\u305f\u3002\u7d50\u8ad6\u3068\u3057\u3066\uff0c<strong><span style=\"color: #ff0000;\">SRS\u5358\u72ec\u3067\u6cbb\u7642\u3057\u3066\uff0cMRI\u3067\u614e\u91cd\u306b\u7d4c\u904e\u89b3\u5bdf\u3092\u3059\u308b\u3079\u304d<\/span><\/strong>\u3067\u304d\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u3053\u3067\u306f\uff0c\u8133\u75c5\u5909\u306e\u518d\u767a\u78ba\u7387\u306f\u9ad8\u3044\u3051\u308c\u3069\u3082\u8a8d\u77e5\u6a5f\u80fd\u3092\u5b88\u308b\u305f\u3081\u306b\u5168\u8133\u7167\u5c04\u306f\u521d\u671f\u6cbb\u7642\u3067\u306f\u907f\u3051\u308b\u3079\u304d\u3067\u3042\u308b\u3068\u306e\u8003\u3048\u304c\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4 align=\"left\">\u5168\u8133\u7167\u5c04\u306b\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3092\u52a0\u3048\u308b\u3053\u3068\u306b\u610f\u7fa9\u304c\u3042\u308b\u304b<\/h4>\n<p align=\"left\">Andrews DW, et al.: Whole brain radiation therapy with or without stereotactic radiosurgery boost for patients with one to three brain metastases: phase III results of the RTOG 9508 randomised trial. Lancet 363: 1665-1672, 2004<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u306e55\u65bd\u8a2d\u3067\uff0c\uff11\u500b\u304b2\u500b\u304b\uff13\u500b\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u304c\u751f\u3058\u305f\u60a3\u8005\u3055\u3093\u304c\u5168\u8133\u7167\u5c04 WBRT \u3067\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002164\u4eba\u306f\u5168\u8133\u7167\u5c04\u306e\u307f\uff0c167\u4eba\u306f\u305d\u308c\u306b\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\uff08\uff11\u56de\u7167\u5c04\u306e\u653e\u5c04\u7dda\u5916\u79d1\uff09\u304c\u52a0\u3048\u3089\u308c\u307e\u3057\u305f\u3002\u7d50\u679c\uff0c\uff11\u500b\u3060\u3051\u8ee2\u79fb\u306e\u3042\u3063\u305f\u60a3\u8005\u3055\u3093\u3067\u306f\u5168\u8133\u7167\u5c04\u306b\u653e\u5c04\u7dda\u5916\u79d1\u3092\u52a0\u3048\u305f\u6642\u306b\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u304c\u3042\u308a\u307e\u3057\u305f (6.5 vs 4.9 months, p=0.0393)\u3002\u6cbb\u7642\u5f8c\uff16\u30f6\u6708\u306e\u6642\u70b9\u3067\u306f\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u3092\u52a0\u3048\u305f\u60a3\u8005\u3055\u3093\u306e\u65b9\u304cKPS\uff08\u4e00\u822c\u72b6\u614b\uff09\u304c\u826f\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u7d50\u8ad6\u3068\u3057\u3066\uff0c\u5916\u79d1\u7684\u306b\u5207\u9664\u4e0d\u80fd\u306a\uff11\u500b\u3060\u3051\u306e\u8133\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\u306b\u306f\u5168\u8133\u7167\u5c04\u306b\u653e\u5c04\u7dda\u5916\u79d1\u3092\u52a0\u3048\u308b\u3079\u304d\u3060\u3068\u3055\u308c\u307e\u3057\u305f\u30022\u500b\u304b\uff13\u500b\u306e\u5834\u5408\u306f\u8003\u3048\u3066\u307f\u308b\u3002<br \/>\n\u300c\u89e3\u8aac\u300d1996\u5e74\u304b\u30892001\u5e74\u306b\u304b\u3051\u3066\u306a\u3055\u308c\u305f\u5927\u898f\u6a21\u7814\u7a76\u3067\u3059\u3002\u7d50\u8ad6\u306f\u7d0d\u5f97\u306a\u306e\u3067\u3059\u304c\uff0c\u57fa\u672c\u3068\u306a\u308b\u306e\u304c\u5168\u4f8b\u306b\u5168\u8133\u7167\u5c04\u3068\u3044\u3046\u9078\u629e\u80a2\u304b\u3089\u5165\u3063\u3066\u3044\u308b\u3053\u3068\u3067\u3059\u30022013\u5e74\u6642\u70b9\u3067\u306f\u3053\u306e\u524d\u63d0\u3068\u306a\u308b\u5168\u8133\u7167\u5c04\u305d\u306e\u3082\u306e\u304c\u5168\u4f8b\u306b\u306f\u53d7\u3051\u5165\u308c\u3089\u308c\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<h4 align=\"left\">\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u624b\u8853\u3068\u75c5\u7406\u8a3a\u65ad\u306e\u610f\u7fa9<\/h4>\n<p align=\"left\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4467\" title=\"adenocarci2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci21-300x257.jpg\" alt=\"\" width=\"300\" height=\"257\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci21-300x257.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci21-550x472.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci21.jpg 742w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4468\" title=\"adenocarci1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci1-300x272.jpg\" alt=\"\" width=\"300\" height=\"272\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci1-300x272.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci1-550x498.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/adenocarci1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p align=\"left\">\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u6458\u51fa\u6a19\u672c\u3067\u3059\u3002\u7c98\u6db2\u7523\u751f\u3082\u3042\u308a\u4e2d\u5206\u5316\u578b\u7ba1\u72b6\u817a\u764c tublar adenocarcinoma\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002\u304a\u305d\u3089\u304f\u5927\u8178\u764c\u304b\u3089\u306e\u8ee2\u79fb\u3068\u3044\u3046\u3053\u3068\u306f\u4e88\u60f3\u3067\u304d\u307e\u3059\u304c\uff0c\u6b63\u78ba\u306a\u81d3\u5668\u304c\u89e3\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u304b\u3064\u3066\u306f\uff0c\u75c5\u7406\u8a3a\u65ad\u3092\u3059\u308b\u305f\u3081\u306b\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3092\u751f\u691c\u3059\u308b\u3053\u3068\u306a\u3069\u3082\u3042\u308a\u307e\u3057\u305f\u304c\uff0c\u30da\u30c3\u30c8 PET\u306a\u3069\u306e\u8a3a\u65ad\u65b9\u6cd5\u304c\u767a\u9054\u3057\u305f\u8fd1\u5e74\u3067\u306f\uff0c\u8a3a\u65ad\u306e\u305f\u3081\u306e\u8ee2\u79fb\u6027\u8133\u816b\u760d\u306e\u624b\u8853\u304c\u306a\u3055\u308c\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<p style=\"text-align: center;\" align=\"left\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/icicle1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-5221\" title=\"icicle\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/icicle1-550x373.jpg\" alt=\"\" width=\"550\" height=\"373\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/icicle1-550x373.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/icicle1-300x203.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/icicle1.jpg 992w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><a href=\"\/sawamura\/braintumors\/meta\/attachment\/icicle\/\" rel=\"attachment wp-att-5220\"><br \/>\n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u8eab\u4f53\u306e\u3069\u3053\u304b\u306b\u3067\u304d\u305f\u30ac\u30f3\u304c\uff0c\u8133\u306b\u8ee2\u79fb\u3057\u305f\u72b6\u614b\u3092\u3044\u3044\u307e\u3059 \u5927\u5207\u306a\u3053\u3068 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-118","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/118","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=118"}],"version-history":[{"count":166,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/118\/revisions"}],"predecessor-version":[{"id":23743,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/118\/revisions\/23743"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}