Estimated functional renal parenchymal volume predicts the split renal function following renal surgery.

• Material Type: 博士論文
• ISSN: 0724-4983
• Title: Estimated functional renal parenchymal volume predicts the split renal function following renal surgery.
• Volume: 33 10
• Author/Editor: Mibu, Hisakazu; Tanaka, Nobumichi; Hosokawa, Yukinari; Kumamoto, Hiromi; Marugami, Nagaaki; Hirao, Yoshihiko; Fujimoto, Kiyohide
• Author Heading: Mibu, Hisakazu; Tanaka, Nobumichi; Hosokawa, Yukinari; Kumamoto, Hiromi; Marugami, Nagaaki; Hirao, Yoshihiko; Fujimoto, Kiyohide
• Publication, Distribution, etc.: Springer International
• Publication Date: 2015-10; 33 10
• Publication Date (W3CDTF): 2015-10
• Alternative Title: 機能的腎体積測定による術後分腎機能評価の検討
• Periodical title: World journal of urology Vol. No. p.
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2015-11-27
• Date Granted (W3CDTF): 2015-11-27
• Dissertation Number: 乙第1369号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第1369号
• Text Language Code: eng
• Subject Heading: Renal function; Renal volume; Nephrectomy; Nephron-sparing surgery; 3-D image reconstruction
• Target Audience: 一般
• Note (General): type:Thesis; PURPOSE:The change in functional renal volume (FRV) has an absolute influence on renal function after nephrectomy (Nx) or nephron-sparing surgery (NSS). In this study, we prospectively examined whether the postoperative renal function following Nx and NSS could be accurately predicted and assessed the reproducibility of our newly developed 3-D image reconstruction system (Kashihara) to measure the FRV.METHODS:We enrolled 98 patients who underwent Nx and 41 patients who underwent NSS from April 2006 to September 2009 to predict postoperative FRV and renal function. FRV was measured before and after (1 month and 1 year) renal surgery. The postoperative estimated glomerular filtration rate (eGFR) was predicted from the preoperative eGFR calculated from the serum creatinine (sCr) level and the ratio of the postoperative/preoperative FRV. To assess the reproducibility and accuracy of our newly developed 3-dimensional (3-D) image reconstruction system, FRV was measured by five examiners using images obtained by CT (five cases) and MRI (five cases).RESULTS:Significant correlation was found both for FRV and for renal function between the predictive values and the actually measured values at 1 month and 1 year after surgery, not only in the Nx group, but also in the NSS group. The accuracy and reproducibility could be confirmed both with CT and MRI studies.CONCLUSIONS:The postoperative FRV and renal function could be predicted preoperatively using a 3-D image reconstructive system, preoperative routine diagnostic imaging, and preoperative sCr level.; 博士（医学）・乙第1369号・平成27年11月27日; © Springer-Verlag Berlin Heidelberg 2015; The final publication is available at Springer via http://dx.doi.org/10.1007/s00345-014-1470-7; identifier:World journal of urology Vol.33 No.10 p.1571-1577 (2015.10); identifier:07244983; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3107; identifier:World journal of urology Vol. No. p., 33(10): 1571-1577
• DOI: info:doi/10.1007/s00345-014-1470-7; https://doi.org/info:doi/10.1007/s00345-014-1470-7
• Persistent ID (NDL): info:ndljp/pid/10402614; https://dl.ndl.go.jp/pid/10402614
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2017-08-02T04:31:34+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10564/3107
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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