Publications by authors named "Akihiko Tabuchi"

We performed a non-electrocardiogram-gated and non-contrast-enhanced magnetic resonance angiography (MRA) of the lower limb arteries using three-dimensional multishot T-weighted fast-field echo-echo planar imaging (3D multishot T-FFE-EPI), and it was optimized the protocol. The image distortion for the change in the EPI factor was calculated using 3.0 T-MRI and MRI phantom.

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Hypermagnesemia is a rare disorder and commonly occurs in patients with renal dysfunction. Supportive therapy for hypermagnesemia consists of administration of high-volume fluids, calcium preparation, diuretics, and, in severe cases, hemodialysis. Few reports have described severe hypermagnesemia patients with normal renal function who improved without hemodialysis.

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Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails.

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Background: Several reports have assessed group B (GBS) infections in non-pregnant cohorts, especially in immunocompromised hosts and patients with severe disease, including diabetes mellitus.

Case Presentation: We report a rare case of large GBS associated tricuspid valve infective endocarditis (IE) complicated with septic knee arthritis and s.c.

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Case: Making a precise diagnosis of type A acute aortic dissection (AAD) presenting with atypical symptoms might be challenging for clinicians. Misdiagnosis and misuse of thrombolytic therapy can have devastating consequences.

Outcome: Herein, we report a case of painless type A AAD complicated by transient leg paresthesia, which was successfully treated with surgery.

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Background: A pelvic circumferential compression device (PCCD) is a belt that is wrapped around a fractured pelvis and tightened with a closing mechanism. The SAM Sling® is one of the most common PCCDs used for trauma management. Although the use of the SAM Sling® for reduction and stabilization of unstable pelvic ring fracture has become the standard of care in most relevant trauma scenarios, it is not usually used for stopping continuous hemorrhage of the peripheral soft tissue of the pelvis without unstable pelvic ring fractures.

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We present a case of superficial femoral artery laceration that was identified on computed tomographic angiography. The patient was a 25-year-old man who injured his right proximal thigh while using a wood sanding machine and was transferred to our emergency department in a state of hemorrhagic shock. Following resuscitation, preoperative computed tomographic angiography helped predict the arterial injury and aided us in prompt diagnosis and decisive management.

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Radiochromic film dosimeters have a disadvantage in comparison with an ionization chamber in that the dosimetry process is time-consuming for creating a density-absorbed dose calibration curve. The purpose of this study was the development of a simplified method of creating a density-absorbed dose calibration curve from radiochromic film within a short time. This simplified method was performed using Gafchromic EBT3 film with a low energy dependence and step-shaped Al filter.

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Transfusion-related acute lung injury (TRALI) is known to be the leading cause of transfusion-related mortality. A nearly fatal case of postoperative TRALI, successfully managed with extracorporeal membrane oxygenation (ECMO), is reported. The patient was a 70-year-old woman for whom laparoscopic nephrectomy was planned.

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Recently developed radiochromic films can easily be used to measure absorbed doses because they do not need development processing and indicate a density change that depends on the absorbed dose. However, in GAFCHROMIC EBT2 dosimetry (GAF-EBT2) as a radiochromic film, the precision of the measurement was compromised, because of non-uniformity problems caused by image acquisition using a flat-bed scanner with a transmission mode. The purpose of this study was to improve the precision of the measurement using a flat-bed scanner with a reflection mode at the low absorbed dose dynamic range of GAF-EBT2.

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Purpose: During acquisition of rapid high resolution (HR) T2 weighted (T2W) liver magnetic resonance (MR) images using a 1.0-Tesla (T) scanner, the liver is segmented into odd and even sections that are acquired at two different times using the multi-breath-hold (MBH) strategy. Misalignment between the two breath-hold (B-H) images may result in the occurrence of a blind area and a decrease in diagnostic accuracy.

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Purpose: In dynamic liver magnetic resonance imaging (MRI) studies, there are problems with misregistration when subtraction images are processed. For reduction of the misregistration, a functional residual capacity (FRC) phase breath-hold (FRC B-H) method was used.

Material And Methods: Sixty patients (32 males and 28 females, aged 33-85 years, median age 69 years) were examined.

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Background: The safety and efficiency of off-pump coronary artery bypass grafting (OPCAB) are still controversial. The purpose of this study was to evaluate this approach in comparison with the conventional cardiopulmonary bypass technique (cCABG).

Methods: A retrospective review of patients who had undergone coronary artery bypass grafting independently without other operations between January 1, 1999 and September 30, 2001 was performed.

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Background: The purpose of this investigation was to determine whether elimination of premedication before general anesthesia affects preoperative anxiety.

Methods: Subjects were assigned to one of two groups: a sedative group (0.5 mg midazolam i.

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