Publications by authors named "K Seiji"

Article Synopsis
  • This study highlights the critical role of radiologists in diagnosing and managing adrenal lesions, particularly focusing on primary aldosteronism (PA) and secondary hypertension prevalent in Japan.
  • It emphasizes the importance of advanced imaging techniques like CT and MRI for differentiating between various benign and malignant adrenal conditions, and details the significance of adrenal venous sampling (AVS) for accurate diagnosis when imaging is inconclusive.
  • The paper also discusses the advanced method of segmental adrenal venous sampling (SAVS) for better diagnosis and the role of radiologists in treating conditions like unilateral PA, advocating for a collaborative approach in patient care involving multiple medical departments.
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Purpose: To assess the diagnostic performance of carbon dioxide (CO) and intraprocedural unenhanced computed tomography (CT) for adrenal venous sampling (AVS) (CO-intraprocedural unenhanced CT-AVS) in patients with primary aldosteronism (PA) and a history of iodine contrast medium allergy.

Materials And Methods: CO-intraprocedural unenhanced CT-AVS was performed in 18 patients with iodine contrast media allergies at the authors' hospital between December 2015 and January 2021. CT and noncontrast magnetic resonance angiography were used to evaluate the preoperative adrenal vein anatomy.

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Laparoscopic adrenalectomy is currently the standard treatment modality for unilateral aldosterone-producing adenoma (APA); however, a less-invasive treatment is needed for its treatment. A new bipolar ablation system that poses a lower risk of complications has been recently developed. This study aimed to evaluate the safety and performance of a novel bipolar radiofrequency ablation (RFA) system for the treatment of APAs.

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Evaluation of feasibility and safety of percutaneous radiofrequency ablation using bipolar radiofrequency devices in a prospective multicenter cohort of patients with benign aldosterone-producing adenoma. A total of five institutions participated. CT-guided percutaneous RFA was performed for patients diagnosed as APA.

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