65 Cone beam CTタဳSPECT/CTⵝ⟎䈱ᬌ⸛ 㨪ๆᱜ䈍䉋䈶↹⟎ว䉒䈞䈱♖ᐲ䈮䈧䈇䈩㨪 ᄢ㒋Ꮢ┙ᄢቇකቇㇱ㒝ዻ∛㒮 䂾၂ ᒾ䊶 ጊ ⼾䊶ဈᧄ ⌀ℂሶ䊶ጊ᳗ 㓉ผ䊶 ወ㑆 ඳਯ䊶ᄢ ᒄ䊶ਅ ᩣᑼળ␠ ᣣ┙䊜䊂䉞䉮 ਃᅢ ᳗ື䊶ᣂ↰ ᶈ৻ ᷹ቯ%6୯ 6CDNGᓇࡕ࠼ߣᓇ᧦ઙ .QECNK\CVKQP .QECNK\CVKQP (CUV 5NQY ࿁ォㅦᐲ UGETQV :✢⊒↢ ᣇᑼ ㅪ⛯ ࡄ࡞ࠬ ࡄ࡞ࠬ RTQLGEVKQP ᢙ ਥߥㆡᔕ ᐙㇱ 㗡ㇱ྾⢇ ᔃ⤳ .QECNK\CVKQP(CUV ٌ .QECNK\CVKQP 5NQY ֤#%5NQY ℂᗐ%6୯ (KIℂᗐ%6୯ߣ᷹ቯ%6୯ߩ⋥✢ᕈ .QECNK\CVKQP(CUV ٌ .QECNK\CVKQP 5NQY ֤#%5NQY ᷹ቯ%6୯ (KI᷹ቯ%6୯ߣ#%OCRߩFKIKVCN୯ߩ㑐ଥ %6୯ .QECNK\CVKQP(CUV .QECNK\CVKQP 5NQY #%5NQY FKIKVCN୯ .QECNK\CVKQP(CUV .QECNK\CVKQP 5NQY #%5NQY (KI%6↹ߣ#%OCRߦ߅ߌࠆࡊࡠࡈࠔࠗ࡞ࠞࡉ Ბ㧦%6↹㧘ਅᲑ㧦#%OCR #%5NQY ▤㔚ᵹ O# FKIKVCN୯ ޣ⢛᥊߅ࠃ߮⋡⊛ޤ (NCV2CPGN&GVGEVQT(2& ࠍタߒߚ52'%6%6ⵝ⟎$4+)*68+'9 :YKVJ:%6 2JKNKRU߇ዉߐࠇߚ㧚ᧄⵝ⟎ߪ%QPG$GCO %6%$%6 ߦࠃࠅๆᱜ߅ࠃ߮↹⟎วࠊߖࠍⴕ߁㧚%$%6ߩ↹߇ๆ ᱜࡑ࠶ࡊ #VVGPWCVKQP%QTTGEVKQPOCR#%OCRߦਈ߃ࠆᓇ㗀߅ࠃ ߮⟎ߕࠇߦࠃࠆๆᱜߩᓇ㗀ࠍᬌ⸽ߒߚ㧚 ޣᣇᴺޤ #%OCRߩᲧセ ࡈࠔࡦ࠻ࡓߪ4/+ )COOGZ߅ࠃ߮%CVRJCP ᧲ᵗࡔ࠺ࠖ࠶ࠢࠍ ↪㧘6CDNGߦ␜ߔᓇࡕ࠼ߦߡᓇߒߚ㧚4/+ߢߪ%6↹ ߆ࠄ%6୯ߩ⋥✢ᕈ㧘߅ࠃ߮#% OCRᄌ឵ᓟߩFKIKVCN୯ࠍᲧセߒߚ㧚 %CVRJCPߩUQNKFYCVGTㇱಽߩ%6↹߅ࠃ߮#%OCRߩࡊࡠࡈࠔࠗ࡞ ࠞࡉߦࠃࠅဋ৻ᕈࠍᲧセߒߚ㧚 ↹⟎วࠊߖߩ♖ᐲ (WUKQP♖ᐲ⹏ଔ↪ࡈࠔࡦ࠻ࡓࠍ↪㧘ട㊀ߥߒ㧘ട㊀ࠅߩ 52'%6↹ߣ%6↹ߩ⟎ߕࠇࠍὐߩ)F✢Ḯߩ㊀ᔃ߆ࠄ⸘᷹ߒߚ㧚 ⚿ޣᨐޤ ฦᓇࡕ࠼ߩ%6୯ߩ⋥✢ᕈߪ⋥✢ㄭૃߦࠃࠆ߈ߩᄌേߪዊߐ ߊ㧘ㄭૃ⋥✢ߩ⋧㑐ଥᢙ߽㜞ߎߣ߆ࠄᄌേ߇ዊߐ߆ߞߚ㧚 (KI㧘 6CDNG㧚4/+ߩ#% OCRᄌ឵ᓟߩFKIKVCN୯ࠍ(KIߦ␜ߔ㧚᷹ቯ %6୯߇એਅߣએߢ߈ߩ⇣ߥࠆ⋥✢ߢㄭૃߒߚ㧚ฦᓇࡕ࠼ 㑆ߩᄌേߪዊߐ߆ߞߚ㧚%CVRJCPߩ%6↹߅ࠃ߮#% OCRߩࡊࡠࡈࠔ ࠗ࡞ࠞࡉࠍ(KIߦ␜ߔ㧚%6↹ߢߪਛᄩઃㄭߩ%6୯߇㜞ߊߥࠆ ะ߇ߞߚ߇㧘#% OCRᄌ឵ᓟߢߪဋ৻ߣߥࠅฦᓇࡕ࠼ߢห৻ ߩࡊࡠࡈࠔࠗ࡞ࠞࡉࠍ␜ߒߚ㧚 6CDNGߦ52'%6↹ߣ%6↹ߩ⟎ߕࠇࠍ␜ߔ㧚ട㊀ߩήߦࠃ ࠄߕ⟎ߕࠇߪዊߐ߆ߞߚ㧚 ޣ⠨ኤޤ %6୯ߪㆊᄢ⹏ଔߐࠇࠆะߦߞߚ߇㧘%6୯ߩ⋥✢ᕈߪᓇࡕ ࠼ߦ㑐ࠊࠄߕᜂߐࠇߡߚ㧚ㆊᄢ⹏ଔߐࠇߚ%6୯ߦᔕߓߚᄌ឵ ࠹ࡉ࡞ࠍߔࠆߎߣߢ#% OCR߳ߩᓇ㗀ߪዊߐߊߥߞߚߣ⠨߃ࠄࠇ ࠆ㧚ਛᔃㇱ%6୯߇㜞ߊߥࠆ%$%6ߩࠕ࠴ࡈࠔࠢ࠻߽#%OCRᄌ឵ᓟߦ ߪᓇ㗀߇ࠄࠇߥ߆ߞߚ㧚 52'%6ᬌེߣ(2&߇ห৻ᐔ㕙ߦ㈩⟎ߐࠇࠆߎߣߢኢบߩ⒖േߪᦨ ዊ㒢ߣߥࠅട㊀ߦࠃࠆ⟎ߕࠇߪዊߐߊߥߞߚߣ⠨߃ࠄࠇࠆ㧚 ޤ⺰⚿ޣ ᧄⵝ⟎ߪๆᱜ߅ࠃ߮↹⟎วࠊߖࠍ㜞♖ᐲߢⴕ߁ߎߣ߇ ߢ߈ࠆߎߣ߇␜ໂߐࠇߚ㧚 6CDNGㄭૃ⋥✢ߩ߈ߣ⋧㑐ଥᢙ ᓇࡕ࠼ .QECNK\CVKQP (CUV .QECNK\CVKQP 5NQY #%5NQY ― 122 ― ߈ ⋧㑐ଥᢙ 6CDNG52'%6↹ߣ%6↹ߩ⟎ߕࠇ ᦨᄢ୯ ᐔဋ୯ ട㊀ࠅ OO OO ട㊀ߥߒ OO OO
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