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1 PET ᰾✀ࡢ〇㐀࠿ࡽ౑⏝࡟࠾ࡅࡿởᰁ࠾ࡼࡧ⿕᭚పῶ໬࡬ࡢྲྀ⤌ࡳ ........ 42 ᣑᩓᆺࢧࣥࣉ࣮ࣛ࡟ࡼࡿ✵Ẽ୰ᨺᑕᛶⅣ⣲ࡢ⡆᫆ᤕ㞟ἲࡢ᳨ウ ................ 63 ⮬↛ᨺᑕᛶ≀㉁ࢆ⏝࠸ࡓ㠀ᐦᑒᨺᑕᛶྠ఩ඖ⣲ࡢᏳ඲ྲྀᢅᩍᮦࡢ㛤Ⓨ...... 7฼⏝⤫ィ ................................................................................................................ 8᪋タ฼⏝⪅(ᨺᑕ⥺ᴗົᚑ஦⪅)ࠊ◊✲ㄢ㢟........................................................ 8ཷධ㸦〇㐀㸧᰾✀ᩘ㔞ࡢ᥎⛣ ............................................................................ 8㮵⏣᪋タࢫࢱࢵࣇ࠾ࡼࡧጤဨ఍ጤဨ ..................................................................... 9᪋タࢫࢱࢵࣇ ..................................................................................................... 9ጤဨ఍ጤဨ ......................................................................................................... 9㐠Ⴀ᪥ㄅ .............................................................................................................. 11ኚ᭦ᢎㄆ⏦ㄳࠊ᪋タ᳨ᰝ➼グ㘓 .......................................................................... 13࠶࡜ࡀࡁ .............................................................................................................. 142ヰ㢟1 ኚ᭦ᢎㄆ⏦ㄳ࡟ࡘ࠸࡚ ᖹᡂ 26 ᖺᗘࡣ SPECT ᐊ࠾ࡼࡧ㛵㐃ᐇ㦂ᐊ࡟࠾ࡅࡿ 99m Tc ➼ࡢ౑⏝ᩘ㔞ࡢቑᙉࠊ᪂つ᰾✀࡜ࡋ࡚ 226Ra ࠾ࡼࡧࡑࡢᏊᏞ᰾✀ࠊ228Ra ࠾ࡼࡧࡑࡢᏊᏞ᰾✀ࡢ౑⏝ࢆ㛤ጞࡍࡿ⏦ㄳࢆ⾜࠸ᖹᡂ 26 ᖺ 9 ᭶ 24 ᪥ᢎㄆࡉࢀࡓࡲࡋࡓࠋᖹᡂ 27 ᖺᗘࡣ✵Ẽ୰⃰ᗘ࠾ࡼࡧ᤼Ẽཱྀ⃰ᗘ࡟㛵ࢃࡿィ⟬᪉ἲࡢኚ᭦㸦PET ᰾✀ࡢᖹᆒᏑᅾᩘ㔞ࢆ⃰ᗘィ⟬࡟࠾࠸࡚ࡣ⏝࠸࡞࠸㸧࡟క࠺ኚ᭦ᢎㄆ⏦ㄳࢆィ⏬ࡋ࡚࠸ࡲࡍࠋࡇࡢ⏦ㄳ࡛ࡣ୍᪥᭱኱౑⏝ᩘ㔞࡟ኚ᭦ࡣ࠶ࡾࡲࡏࢇࡀࠊ୍㐌㛫ࡲࡓࡣ 3 ࣨ᭶࠶ࡓࡾࡢPET ᰾✀ࡢ౑⏝ᩘ㔞ࢆῶࡌࡿᚲせࡀ࠶ࡾࡲࡍࠋ฼⏝⪅࡟ࡣࡈ㏞ᝨࢆ࠾࠿ࡅࡋࡲࡍࡀࡼࢁࡋࡃ࠾㢪࠸ࡋࡲࡍࠋ
2 X ⥺⿦⨨ࡢᏳ඲⟶⌮࡟ࡘ࠸࡚ X ⥺⿦⨨ࡢᏳ඲⟶⌮࡟㛵ࢃࡿᏛෆయไࡢᩚഛࡢࡓࡵ⤫ᣓᨺᑕ⥺Ᏻ඲⟶⌮୺௵⪅ࢆ୰ᚰ࡟Ꮫෆࡢ X ⥺⿦⨨ࡢ⌧ᆅㄪᰝࢆ⾜࠸ࡲࡋࡓࠋࡇࡢㄪᰝࡢ┠ⓗࡣᮏᏛ࡟࠾ࡅ
ࡿ X ⥺⿦⨨ࡢタ⨨ࠊ✌ാ≧ἣࢆᢕᥱࡋࠊ฼⏝ᙧែࢆどᐹࡍࡿࡇ࡜࡟ࡼࡾࠊᩚഛࡍ࡭ࡁᏳ඲⟶⌮యไࡢᵓ⠏ࡢࡓࡵࡢ㈨ᩱ࡜ࡍࡿࡇ࡜࡛ࡍࠋX ⥺⿦⨨࡟ࡣ⡆༢࡞ᒆࡅฟࡢࡳ࡛౑⏝࡛ࡁࡿࡶࡢ࠿ࡽࠊ⟶⌮༊ᇦࡢタ⨨ࠊ⿕᭚࣭೺ᗣ⟶⌮ࡢᚲせ࡞ࡶࡢࡲ࡛ከᵝ࡞ᶵჾࡀ࠶ࡾࡲࡍࠋࡇࢀࡽࡣ୍ᚊࡢつ๎࡛⟶⌮࡛ࡁࡿࡶࡢ࡛ࡣ࠶ࡾࡲࡏࢇࠋࡲࡓ฼⏝⪅࡟ࡣປാᏳ඲⾨⏕ἲࡢᑐ㇟࡜࡞ࡽ࡞࠸Ꮫ⏕ࡀᏑᅾࡋࡲࡍࠋ඲࡚ࡢ X ⥺⿦⨨ࡢ฼⏝⪅࡟ࡣᩍ⫱カ⦎ࡀ⩏ົ࡙ࡅࡽࢀ࡚࠸ࡲࡍࡀࠊࡇࢀࢆ࡝ࡢࡼ࠺࡟⾜࠺ࡢࡀྜ⌮ⓗ࠿ࡶ⪃࠼ࡿᚲせࡀ࠶ࡾࡲࡍࠋ௒ᚋࡣࡇࢀࡽࡢㄢ㢟࡟ࡘ࠸࡚ྜពᙧᡂࢆ⾜࠸ࠊᏛෆ⟶⌮యไࡢᩚഛࢆᅗࡗ࡚⾜ࡃࡇ࡜࡟࡞ࡾࡲࡍࠋ
3 26 ᖺᗘ෌ᩍ⫱ᩍ⫱カ⦎ㅮ⩦఍ㅮ₇ ᖹᡂ 26 ᖺᗘࡢ෌ᩍ⫱ᩍ⫱カ⦎ㅮ⩦఍࡛ࡣ㔠ἑ኱Ꮫࡢᰘ࿴ᘯඛ⏕࡟ࠗ63(&73(7⏝⬻⚄⤒ᶵ⬟ศᏊ࢖࣓࣮ࢪࣥࢢࣉ࣮ࣟࣈࡢ㛤Ⓨ࠘࡜ࡢ₇㢟࡛ࡈㅮ₇ࢆࡋ࡚࠸ࡓࡔࡁࡲࡋࡓࠋࡑࡢࡈ⦕࡛௒ྕࡢ㮵⏣᪋タࢽ࣮ࣗࢫࡢᕳ㢌ゝࢆࡈᇳ➹࠸ࡓࡔ࠸࡚࠸ࡲ
ࡍࠋㅮ₇࡛ࡣඛ⏕ࡢࡈᑓ㛛ࡢศᏊ࢖࣓࣮ࢪࣥࢢࣉ࣮ࣟࣈࡢ㛤Ⓨ࡟ࡘ࠸࡚ࠊ࢔ࣝࢶࣁ࢖࣐࣮⑓ࡢ᪩ᮇデ᩿࡜Ⓨ⑕ཎᅉࡢゎ᫂ࡢࡓࡵࡢศᏊ࢖࣓࣮ࢪࣥࢢࣉ࣮ࣟࣈࡢ㛤Ⓨ࡜㑇ఏᏊ἞⒪ࡢࣔࢽࢱࣜࣥࢢ⏝㑇ఏᏊⓎ⌧࢖࣓࣮ࢪࣥࢢࡢヰ㢟ࡀ࠶ࡾࡲࡋࡓࠋᏛ⏕ࡽ࡟ࡶ⌮ゎ࡛ࡁࡿࡼ࠺⫼ᬒ࠿ࡽ୎ᑀ࡟ࡈ⤂௓㡬ࡁ㠀ᖖ࡟᭷ព⩏࡞ㅮ₇࡛ࡋࡓࠋ㮵⏣᪋タ࡟࠾࠸࡚ࡶศᏊ࢖࣓࣮ࢪࣥࢢ㛵㐃ࡢ◊✲ࡀάⓎ࡟⾜ࢃࢀ࡚࠸ࡿࡇ࡜ࡶ࠶ࡾከᩘࡢཧຍ⪅ࢆᚓ࡚┒ἣ࡞ㅮ⩦఍࡜࡞ࡾࡲࡋࡓࠋ3◊✲⤂௓ 㮵⏣᪋タ࡟࠾ࡅࡿᨺᑕᛶᏳ඲⟶⌮࡟㛵ࢃࡿ◊✲㛤Ⓨ࡟ࡘ࠸࡚⤂௓ࡋࡲࡍࠋ㮵⏣᪋タࡢ⫋ဨࡣ᪋タࡢ㐠ႠࠊᏳ඲⟶⌮ࢆᢸࡗ࡚࠸ࡲࡍࡀࠊάືࡢ୍⎔࡜ࡋ࡚ᨺᑕᛶᏳ඲⟶⌮࡟㛵ࢃࡿ◊✲㛤Ⓨࢆ⾜ࡗ࡚࠸ࡲࡍࠋࡇࡢ㡯࡛ࡣࡑࢀࡽࡢάືࢆᗄࡘ࠿⤂௓ࡋࡲࡍࠋ
1 PET ᰾✀ࡢ〇㐀࠿ࡽ౑⏝࡟࠾ࡅࡿởᰁ࠾ࡼࡧ⿕᭚పῶ໬࡬ࡢྲྀ⤌ࡳ OMIC ✌ാ㛤ጞ௨㝆ࠊ᭷ព࡞⿕᭚⥺㔞ࢆグ㘓ࡍࡿᴗົᚑ஦⪅ࡀᛴቑࡋࠊởᰁ➼ࡶ㢖⦾࡟Ⓨ⏕ࡋࡓࡓࡵࠊࡑࡢᑐ⟇ࡀᚲせ࡜࡞ࡾࡲࡋࡓࠋࡇࡢሗ࿌ࡣࡑࡢࡓࡵ࡟⾜࡞ࡗࡓヲ⣽࡞ᐇែㄪᰝ࡜ࡋ࡚ 18F-FDG ࡢྜᡂ࠿ࡽ౑⏝ࠊᗫᲠࡲ࡛ࡢ඲㐣⛬࡟⟶⌮ᐊဨࡀ❧఍࠸グ㘓ࡋࡓࡶࡢ࡛ࡍࠋ❧఍࠸ᐇ㦂᫬ࡢᵝᏊࢆ෗┿ 1-4 ࡟♧ࡋࡲࡍࠋ෗
┿ࡢ(a)ࠥ(g)ࡣᅗ㸰ࡢసᴗᚑ஦⪅ࡢ఩⨨࡟ᑐᛂࡋ࡚࠸ࡲࡍࠋࡲࡓᅗ㸯ࡣసᴗᚑ஦⪅ࡢసᴗෆᐜ࡜⿕᭚⥺㔞ᴗᚑ஦⪅ࡢື⥺ࢆ♧ࡋ࡚࠸ࡲࡍࠋ4ᐃ್ࠊᅗ㸰ࡣྛᐇ㦂ᐊ࡟࠾ࡅࡿసᅗ㸯 18 F ࡢ〇㐀ࠊ 18 F-FDG ྜᡂ࠿ࡽ౑⏝ࠊᗫᲠࡲ࡛ࡢὶࢀᅗ㸰 ࣍ࢵࢺࣛ࣎ᐊࠊPET ࣓࢝ࣛᐊ࡟࠾ࡅࡿసᴗᚑ஦⪅ࡢື⥺❧఍࠸ࡢ⤖ᯝࡣᏳ඲ྲྀᢅἲࡢᇶᮏ࡜ࡋ࡚࠶ࡆࡽࢀ࡚࠸ࡿ஦㡯㸦㐽ⶸࠊࢥ࣮ࣝࢻࣛࣥࡢບ⾜ࠊ༢⊂౑⏝ࡢ⚗Ṇ࡞࡝㸧ࡢ㔜せᛶࢆ෌☜ㄆࡍࡿࡶࡢ࡛ࡋࡓࠋࡇࡢᡂᯝࡣ
ᖹᡂ 26 ᖺᗘ᪥ᮏᏳ඲⟶⌮Ꮫ఍➨ 13 ᅇᏛ⾡኱఍࡛Ⓨ⾲ࡋࡲࡋࡓ㸦኱࿴ᜨᏊࠊసᇣ⚽୍ࠊⰼᡣ┤ᚿࠊᑠ㔝ಇᮁ ᪥ᮏᏳ඲⟶⌮Ꮫ఍➨ 13 ᅇᏛ⾡኱఍ 2014㸧ࠋ

52 ᣑᩓᆺࢧࣥࣉ࣮ࣛ࡟ࡼࡿ✵Ẽ୰ᨺᑕᛶⅣ⣲ࡢ⡆᫆ᤕ㞟ἲࡢ᳨ウ సᴗ⎔ቃᐃ࡛ࡢ✵Ẽ୰⃰ᗘࡢᐃ࡟ࡣྲྀᢅసᴗ୰ࡢࢧࣥࣉࣜࣥࢢࡀ㔜せ࡛ࡍࡀࠊᣑᩓᆺࢧࣥࣉ࣮ࣛࢆ⏝࠸ࡿ࡜ࠊྠ᫬࡟ከᩘタ⨨ࡍࡿࡇ࡜࡟ࡼࡾ✵Ẽ୰ᨺᑕᛶྠ఩ඖ⣲ࡢྲྀᢅసᴗ୰ࡢࢧࣥࣉࣜࣥࢢࡀྍ⬟࡜࡞ࡾࡲࡍࠋࡇࡢ◊✲࡛ࡣ᪂ࡓ࡟ᣑᩓᆺࢧࣥࣉ࣮ࣛ㸦㮵⏣ࢧࣥࣉ࣮ࣛ㸧ࢆ㛤Ⓨࡋࠊࣔࢹࣝసᴗᐊࢆసᡂࡋ࡚ࠊࡑࡢᛶ⬟ࠊᤕ㞟ຠ⋡➼ࢆ᳨ウࡋࡲࡋࡓࠋᅗ㸯ࡣ㮵⏣ᘧࢧࣥࣉ࣮ࣛࡢᵓᡂᅗࠊᅗ㸰ࡣ 25mmȭࣇ࢕ࣝࢱ࣮ࢆ⿦╔ࡋࡓࢧࣥࣉ࣮ࣛࡀ㧗࠸ᤕ㞟ຠ⋡ࢆ᭷ࡍࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡲࡍࠋᅗ㸯 㮵⏣ᘧࢧࣥࣉ࣮ࣛᵓᡂᅗᅗ㸰 ᤕ㞟⏝ࣇ࢕ࣝࢱ࣮ᚄࡢᤕ㞟ຠ⋡࡬ࡢᙳ㡪ࡇࡢ◊✲ࡣᖹᡂ 25 ᖺᗘ᪥ᮏᏳ඲⟶⌮Ꮫ఍➨ 12 ᅇᏛ⾡኱఍࡛Ⓨ⾲ࡋࠊྠⱥᩥᏛ⾡ㄅ࡛ሗ࿌ࡋ࡚࠸ࡲࡍ㸦Nagamatsu T., Hanafusa T., and Ono T., Radiation
Safety Management 14(1), 9-14, 2015㸧ࠋሗ࿌࡛ࡣ㮵⏣ࢧࣥࣉ࣮ࣛࡣ᪤Ꮡࡢࢧࣥࣉ࣮ࣛ࡟ẚࡋ 3ࠥ4 ಸࡢᤕ㞟ຠ⋡ࡀ࠶ࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡲࡍࠋ
63 ⮬↛ᨺᑕᛶ≀㉁ࢆ⏝࠸ࡓ㠀ᐦᑒᨺᑕᛶྠ఩ඖ⣲ࡢᏳ඲ྲྀᢅᩍᮦࡢ㛤Ⓨ ἲ௧࡟ᐃࡵࡽࢀࡓᩍ⫱カ⦎ࡢᏳ඲ྲྀᢅἲࡢ㡯┠࡛ࡣㅮ⩏࡟ຍ࠼࡚ᐇ⩦ⓗෆᐜࢆ⾜࠺ࡇ࡜࡟ࡼࡾࡑࡢຠᯝࢆ㧗ࡵࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋࡑࡇ࡛ἲ௧ࡸᐇ᪋ሙᡤ࡟ไ⣙ࢆཷࡅ࡞࠸࡛ࠊ⌧ᅾ㮵⏣᪋タ࡛⾜ࡗ࡚࠸ࡿᏳ඲ྲྀᢅᐇ⩦࡜ྠ➼ࡢෆᐜࢆᐇ᪋࡛ࡁ࡞࠸࠿᳨ウࡋࡲࡋࡓࠋᅗ㸯࡟సᡂࡋࡓᶆ‽ヨᩱࠊᶍᨃᨺᑕ⥺※ࠊᶍᨃởᰁᯈࢆ♧ࡋࡲࡍࠋࡲࡓᅗ㸰࡛ࡣᐇ㝿࡟⾜ࡗࡓᏳ඲ྲྀᢅᐇ⩦ࡢᵝᏊࢆ♧ࡋࡲࡍࠋ(a) (b)(c)ᅗ㸯⮬↛ᨺᑕᛶ≀㉁ࢆ⏝࠸ࡓᶆ‽ヨᩱࠊᶍᨃᨺᑕ⥺※ (a)RbCl ᶆ‽ヨᩱ 0.5g ࡢ RbCl ࢆࣂ࢖࢔ࣝ⎼࡟ᑒධࡋ࡚࠶ࡿࠋࡇࢀࢆỈ࡛⁐ゎࡋᶆ‽ヨᩱ࡜ࡍࡿࠋ(b)༖┠≧࡟㓄⨨ࡉࢀࡓᶍᨃᨺᑕ⥺※ 㠀ᨺᑕᛶࡢ NaCl ࡟ຍ࠼ࠊKClࠊRbCl ࡢᶍᨃᨺᑕ⥺※ࡀ㓄⨨ࡉࢀ࡚࠸ࡿࠋ(c)RbCl ࡟ࡼࡿᶍᨃởᰁ㒊 5mm ᪉║ࡢ༖┠ࡢࣉࣛࢫࢳࢵࢡᯈୖ࡟ 5M RbCl 0.5ml ࢆࢫ࣏ࢵࢺࡋ஝⇱ࡉࡏ࡚࠸ࡿࠋᅗ㸰ᐇ᪋ࡋࡓᏳ඲ྲྀᢅᐇ⩦ࡢᵝᏊ ⟶⌮༊ᇦእ㸦ㅮ⩏ᐊ㸧࡛⾜࡞ࡗ࡚࠸ࡿࡓࡵ⛣ື➼ࡢᚲせࡶ࡞ࡃࠊཷㅮ⪅ࡣ✚ᴟⓗ࡟ᐇ⩦࡟ཧຍࡋ࡚࠸ࡿࠋࡇࡢ◊✲ࡣᖹᡂ 22 ᖺᗘ᪥ᮏᏳ඲⟶⌮Ꮫ఍➨ 9 ᅇᏛ⾡኱఍࡛Ⓨ⾲ࡋࠊྠⱥᩥᏛ⾡ㄅ࡛ሗ࿌ࡋ࡚࠸ࡲࡍ㸦Hanafusa T., Nagamatsu T., Toyota T., Kinnno I., andOno T., Radiation Safety Management 10(1), 8-13, 2011㸧ࠋሗ࿌࡛ࡣሷ໬ࣝࣅࢪ࣒࢘࡜ሷ໬࣒࢝ࣜ࢘ࢆ౑⏝ࡍࡿࡇ࡜࡟ࡼࡾࠊᨺᑕᛶྠ఩ඖ⣲ࡢᕼ㔘ศὀ᧯సࠊࢧ࣮࣋࢖ἲࡸࢫ࣑ࣖἲ࡟ࡼࡿởᰁ᳨ᰝࡢᐇ⩦ࡀ௦᭰ྍ⬟࡛࠶ࡿࡇ࡜ࢆ♧ࡋࡲࡋࡓࠋ

7฼⏝⤫ィ᪋タ฼⏝⪅(ᨺᑕ⥺ᴗົᚑ஦⪅)ࠊ◊✲ㄢ㢟ᖹᡂ  ᖺᗘ ᖹᡂ  ᖺᗘ ᖹᡂ  ᖺᗘᖹᡂ  ᖺᗘᖹᡂ  ᖺᗘ฼⏝⪅ᩘ ྡ ྡ ྡ ྡ ྡ◊✲ㄢ㢟ᩘ ௳ ௳ ௳ ௳ ௳ཷධ㸦〇㐀㸧᰾✀ᩘ㔞ࡢ᥎⛣ධᗜ᰾✀ᩘ㔞ࡢ᥎⛣㸦0%T㸧
P-32

H-3

C-14

 Cr-51

 I-125

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 I-131ᖹᡂ㸰㸰ᖺᗘ

905

294

27

1,259

152

39

380

ᖹᡂ㸰㸱ᖺᗘ

504

1729030339074

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379

92901554100

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31

55

2003083900

ᖹᡂ㸰㸴ᖺᗘ

389

68

00269

41

360

 Cs-137

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 Tc-99m

 I-123ᖹᡂ㸰㸰ᖺᗘ

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120

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485

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࣏ࢪࢺࣟࣥ᰾✀ࡢ〇㐀ᩘ㔞㸦0%T㸧
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C-11

N-13

F-18

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ᖹᡂ㸰㸱ᖺᗘ

538,520

43,530329,010

165,000

26,5100ᖹᡂ㸰㸲ᖺᗘ

94,4000372,895

3,570

22,5500ᖹᡂ㸰㸳ᖺᗘ

105,4000

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 8㮵⏣᪋タࢫࢱࢵࣇ࠾ࡼࡧጤဨ఍ጤဨ᪋タࢫࢱࢵࣇ㒊㛛㛗᪋タ㛗 ᑠ 㔝 ಇ ᮁᩍᤵᑠ 㔝 ಇ ᮁ෸ᩍᤵ ⰼ ᡣ ┤ ᚿຓᩍ㛗 ⏣ ┤ அᢏ⾡ᑓ㛛ဨ㔠 㔝 㑳 㞝ᢏ⾡ᑓ㛛⫋ဨỌ ᯇ ▱ ὒᢏ⾡⫋ဨస ᇣ ⚽ ୍ᢏ⾡⫋ဨᕤ ⸨ ೺ ୍஦ົ⿵బဨᑎ ⏣ ㍤ Ꮚጤဨ఍ጤဨ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ㐠Ⴀ఍㆟᪋タ㛗 ᩍᤵᑠ 㔝 ಇ ᮁ་Ꮫ㒊 ᩍᤵᒣ ᒸ ⪷ ඾ṑᏛ㒊 ᩍᤵὸ ᾏ ῟ ୍኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ᩍᤵ㔠 ⃝   ྑ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ᩍᤵ㧗 ᶫ   ༟⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮෸ᩍᤵ ⰼ ᡣ ┤ ᚿ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タᨺᑕ⥺㞀ᐖ㜵Ṇጤဨ఍᪋タ㛗 ᩍᤵᑠ 㔝 ಇ ᮁ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮෸ᩍᤵ ⰼ ᡣ ┤ ᚿ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ᢏ⾡ᑓ㛛⫋ဨỌ ᯇ ▱ ὒᩍ⫱Ꮫ㒊ᩍᤵఀ ⸨ Ṋ ᙪ⌮Ꮫ㒊 ෸ᩍᤵ ෠ Ọ   ᫭་Ꮫ㒊 ຓᩍⰼ ඖ ඞ ᕭṑᏛ㒊 ຓᩍ༑ ᕝ ༓ ᫓⸆Ꮫ㒊 ෸ᩍᤵ ୖ ⏣ ┿ ྐ9ᕤᏛ㒊 ຓᩍ᳃   ග ୍⎔ቃ⌮ᕤᏛ㒊ᩍᤵᮌ ᮧ ᖾ ᩗ㎰Ꮫ㒊 ෸ᩍᤵ ⏣ ᮧ   㝯኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ຓᩍⓒ ⏣ 㱟 ㍜㈨※᳜≀⛉Ꮫ◊✲ᡤᩍᤵ๓ ᕝ 㞞 ᙪᒸᒣ኱Ꮫ⑓㝔ᩍᤵ㔠 ⃝   ྑ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ຓᩍ

ᒸ ᮏ   ᓫ⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮

෸ᩍᤵ ᐑ ᆅ Ꮥ ᫂10㐠Ⴀ᪥ㄅ
ᖹᡂ 26 ᖺ4 ᭶ 14 ᪥᪥ᮏ࢔࢖ࢯࢺ࣮ࣉ༠఍ᨺᑕ⥺Ᏻ඲ྲྀᢅ㒊఍௻⏬ᑓ㛛ጤဨ఍㸦ᮾி㸧

ᖹᡂ 26 ᖺ 4 ᭶ 1 ᪥㹼ಖ೺Ꮫ⛉ᨺᑕ⥺ᢏ⾡⛉Ꮫᑓᨷࡢ 3 ᖺ⏕  39 ྡᖹᡂ 27 ᖺ 1 ᭶ 31 ᪥ᨺᑕ⥺ィ

4 ᭶ 23 ᪥➨ 14 ᅇⱥㄒ࡟ࡼࡿ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 7 ྡ

4 ᭶ 21 ᪥࣭24 ᪥➨ 133.134 ᅇ඲Ꮫ୍ᣓ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧Ꮫᐇ㦂ϩ࣭ᨺᑕ⥺Ᏻ඲⟶⌮Ꮫᐇ㦂ཷㅮ⪅ᩘ 44 ྡ (4/21͐36 ྡ 4/24㸸8 ྡ )➨ 109.110 ᅇග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ᪂つᩍ⫱カ⦎ཷㅮ⪅ᩘ 26 ྡ (4/21͐22 ྡ 4/24͐4 ྡ)
4 ᭶ 22 ᪥࣭25 ᪥➨ 133.134 ᅇ᪂つᩍ⫱カ⦎Ᏻ඲ྲྀᢅᐇ⩦㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 37 ྡ (4/23͐25 ྡ 4/25͐3 ྡ)

4 ᭶ 25 ᪥་Ꮫ⛉ 2 ᖺ⏕ᇶ♏ᨺᑕ⥺Ꮫᐇ⩦ 58 ྡ

5᭶2᪥

་Ꮫ⛉ 2 ᖺ⏕ᇶ♏ᨺᑕ⥺Ꮫᐇ⩦ 62 ྡ

5 ᭶ 29 ᪥᪥ᮏ࢔࢖ࢯࢺ࣮ࣉ༠఍ᮏ㒊㐠Ⴀጤဨ఍㸦ᮾி㸧

6 ᭶ 17 ᪥➨ 136 ᅇ඲Ꮫ୍ᣓ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 28 ྡ

6 ᭶ 17 ᪥➨ 111 ᅇග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ᪂つᩍ⫱カ⦎ ཷㅮ⪅ᩘ 21 ྡ

6 ᭶ 18 ᪥➨ 136 ᅇ᪂つᩍ⫱カ⦎Ᏻ඲ྲྀᢅᐇ⩦㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 21 ྡ

6 ᭶ 19࣭20 ᪥

SPECT-CT ㅮ⩦఍ 17 ྡ
19 ᪥༗๓ 6 ྡ࣭༗ᚋ 6 ྡ 20 ᪥༗๓ 4 ྡ࣭༗ᚋ 3 ྡ㸦ෆᏛእ⪅ 1 ྡ㸧7᭶2᪥ᖹᡂ 26 ᖺᗘ➨ 1 ᅇ➨㸯✀సᴗ⎔ቃ

7 ᭶ 23 ᪥㮵⏣᪋タ㐠Ⴀ఍㆟

8 ᭶ 26 ᪥኱Ꮫ➼ᨺᑕ⥺᪋タ༠㆟఍㸦ᮾி኱Ꮫ࣭Ᏻ⏣ㅮᇽ㸧

8 ᭶ 27 ᪥OMIC ⮫᫬ᩍ⫱カ⦎

9᭶4᪥➨ 137 ᅇ඲Ꮫ୍ᣓ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧ᐃኈ㐃⤡఍ཷㅮ⪅ᩘ 56 ྡ㸦ෆಖ೺Ꮫ⛉ 39 ྡ/OMIC6 ྡ㸧➨ 112 ᅇග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ᪂つᩍ⫱カ⦎ཷㅮ⪅ᩘ 51 ྡ㸦ෆಖ೺Ꮫ⛉ 39 ྡ/OMIC6 ྡ㸧
9᭶5᪥➨ 137 ᅇ᪂つᩍ⫱カ⦎Ᏻ඲ྲྀᢅᐇ⩦㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 14 ྡ㸦ෆ OMIC5 ྡ㸧

9 ᭶ 17 ᪥

ཎᏊຊつไᗇᨺᑕ⥺10 ᭶ 30 ᪥᪥ᮏ࢔࢖ࢯࢺ࣮ࣉ༠఍ᮏ㒊㐠Ⴀጤဨ఍㸦ᮐᖠ㸧

ᖹᡂ 26 ᖺ 10 ᭶ 1 ᪥㹼ಖ೺Ꮫ⛉ᨺᑕ⥺ᢏ⾡⛉Ꮫᑓᨷࡢ 2 ᖺ⏕ 39 ྡᖹᡂ 27 ᖺ 1 ᭶ 31 ᪥ᨺᑕ໬Ꮫᐇ㦂

11 ᭶ 10 ᪥➨ 139 ᅇ඲Ꮫ୍ᣓ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 15 ྡ 㸦ෆ 3 ྡᏛእ⪅㸧ᐃᐊኚ᭦⏦ㄳࣄ࢔ࣜࣥࢢ

➨ 113 ᅇග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ᪂つᩍ⫱カ⦎ ཷㅮ⪅ᩘ 12 ྡ 㸦ෆ 3 ྡᏛእ⪅㸧

11

11 ᭶ 11 ᪥

➨ 139 ᅇ᪂つᩍ⫱カ⦎Ᏻ඲ྲྀᢅᐇ⩦㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ

11 ᭶ 12 ᪥➨ 15 ᅇⱥㄒ࡟ࡼࡿ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ

11 ᭶ 13 ᪥ᨺᑕᛶᗫᲠ≀ฎ⌮(㮵⏣᪋タ)ྍ⇞≀ 8 ᮏࠊ㞴⇞≀ 23 ᮏࠊ୙⇞≀ 5 ᮏࠊື≀10 ྡ (ෆ 4 ྡᏛእ⪅)5ྡ11 ᮏ

↝༷ᆺ࣊ࣃࣇ࢕ࣝࢱ 109 㺶㺍㺢㺷7㏻ᖖᆺࣉࣞࣇ࢕ࣝࢱ 130 㺶㺍㺢㺷1 ㏻ᖖᆺ࣊ࣃࣇ࢕ࣝࢱ 0 㺶㺍㺢㺷ᨺᑕᛶᗫᲠ≀ฎ⌮(OMIC 㛵ಀ)ྍ⇞≀ 7 ᮏࠊ㞴⇞≀ 11 ᮏࠊ୙⇞≀ 2 ᮏࠊື≀ 6 ᮏ↝༷ᆺ࣊ࣃࣇ࢕ࣝࢱ 109 㺶㺍㺢㺷4↝༷ᆺࣉࣞࣇ࢕ࣝࢱ  56 㺶㺍㺢㺷1 ㏻ᖖᆺ࣊ࣃࣇ࢕ࣝࢱ 0 㺶㺍㺢㺷
12 ᭶ 11 ᪥ィ⏬೵㟁❧ධ⪅஦๓ᩍ⫱カ⦎

12 ᭶ 18 ᪥ᒸᒣ⌮⛉኱Ꮫ⏕≀໬Ꮫ⛉Ꮫ⏕ ᪋タぢᏛ 51 ྡ(ᘬ⋡ 1 ྡ࣭Ꮫ⏕ 50 ྡ)ᖹᡂ 27 ᖺ1᭶6᪥⮬↛⏕࿨⛉Ꮫ◊✲ᨭ᥼ࢭࣥࢱ࣮ࢥ࣒ࣟ࢟࢘ ཧຍ⪅ 44 ྡ

1᭶7᪥OMIC ⮫᫬ᩍ⫱カ⦎1 ᭶ 13 ᪥

OMIC ⮫᫬ᩍ⫱カ⦎1 ᭶ 15 ᪥➨ 140 ᅇ඲Ꮫ୍ᣓ᪂つᩍ⫱カ⦎㸦㮵⏣ᆅ༊㸧 ཷㅮ⪅ᩘ 32 ྡ
➨ 114 ᅇග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ᪂つᩍ⫱カ⦎ ཷㅮ⪅ᩘ 26 ྡ1 ᭶ 16 ᪥➨ 140 ᅇ᪂つᩍ⫱カ⦎Ᏻ඲ྲྀᢅᐇ⩦㸦㮵⏣ᆅ༊㸧ཷㅮ⪅ᩘ 24 ྡ2 ᭶ 23 ᪥ᖹᡂ 26 ᖺᗘ➨ 2 ᅇ➨㸯✀సᴗ⎔ቃ

ᖹᡂ 27 ᖺ 3 ᭶ 3 ᪥

ᖹᡂ 26 ᖺᗘᨺᑕ⥺ᴗົᚑ஦⪅෌ᩍ⫱カ⦎ ཷㅮ⪅ᩘ 96 ྡ (ෆࠊಖ೺Ꮫ⛉Ꮫ⏕ 36 ྡ)

ᐃኈ㐃⤡఍ㅮ₇ ග࣭ᨺᑕ⥺᝟ሗゎᯒ㒊㛛㮵⏣᪋タ ᑠ㔝 ಇᮁࠗᨺᑕ⥺ࡢᏳ඲ྲྀᢅ࠸ࡢせⅬ ᨺᑕ⥺Ⓨ⏕⿦⨨࡜ X ⥺⿦⨨࠘3 ᭶4᪥

ᖹᡂ 26 ᖺᗘᨺᑕ⥺ᴗົᚑ஦⪅෌ᩍ⫱カ⦎ ཷㅮ⪅ᩘ 144 ྡ (ෆࠊಖ೺Ꮫ⛉Ꮫ⏕ 47 ྡ)
ㅮ₇ 㔠ἑ኱ᏛᏛ㝿⛉Ꮫᐇ㦂ࢭࣥࢱ࣮  ᰘ ࿴ᘯᩍᤵࠗSPECT/PET ⏝⬻⚄⤒ᶵ⬟ศᏊ࢖࣓࣮ࢪࣥࢢࣉ࣮ࣟࣈࡢ㛤Ⓨ࠘

3 ᭶ 10ࠥ13, 16 ᪥ᖹᡂ 26 ᖺᗘᨺᑕ⥺ᴗົᚑ஦⪅෌ᩍ⫱カ⦎㸦ࣅࢹ࢜ㅮ⩦㸧ཷㅮ⪅ᩘ 44 ྡ

3 ᭶ 17㹼31 ᪥

ᖹᡂ 26 ᖺᗘᨺᑕ⥺ᴗົᚑ஦⪅෌ᩍ⫱カ⦎㸦ࣅࢹ࢜ㅮ⩦㸧ཷㅮ⪅ᩘ 8 ྡ
㸦4/1㹼6/30 11 ྡ㸧

3 ᭶ 25 ᪥᪥ᮏ࢔࢖ࢯࢺ࣮ࣉ༠఍ᮏ㒊㐠Ⴀጤဨ఍㸦ᮾி㸧

12ኚ᭦ᢎㄆ⏦ㄳࠊ᪋タ᳨ᰝ➼グ㘓୺࡞ᢎㄆ⏦ㄳᖹᡂ 㸳ᖺ 㸰᭶ 㸰᪥࢔࢖ࢯࢺ࣮ࣉ⥲ྜࢭࣥࢱ࣮タ⨨ᢎㄆᖹᡂ 㸶ᖺ 㸱᭶㸯㸰᪥↝༷ᐇ㦂Ჷࡢタ⨨ᢎㄆᖹᡂ㸯㸮ᖺ 㸯᭶㸰㸯᪥ᆅୗ㈓ⶶᐊࡢタ⨨ᢎㄆᖹᡂ㸯㸰ᖺ㸯㸰᭶ 㸰᪥㈓ⶶ⬟ຊࡢኚ᭦ࠊᐦᑒ⥺※ࡢ౑⏝ไ㝈➼ᖹᡂ㸯㸴ᖺ 㸱᭶ 㸶᪥㈓ⶶ⬟ຊ࣭᰾✀࣭ᩘ㔞࣭౑⏝ሙᡤࡢኚ᭦➼ᖹᡂ㸯㸴ᖺ 㸳᭶㸰㸶᪥౑⏝᰾✀ࠊᩘ㔞ࡢኚ᭦➼ᖹᡂ㸯㸶ᖺ㸯㸰᭶㸯㸶᪥㸰㝵⟶⌮༊ᇦࡢゎ㝖ᖹᡂ㸰㸰ᖺ 㸳᭶㸯㸷᪥↝༷◊✲ᲷࡢᗫṆࠊᆅୗ㒊ศࡢ⟶⌮༊ᇦࡢ୍㒊ゎ㝖ᖹᡂ㸰㸱ᖺ 㸰᭶㸰㸯᪥ࢧ࢖ࢡࣟࢺࣟࣥࡢタ⨨ᢎㄆᖹᡂ㸰㸱ᖺ 㸶᭶㸰㸳᪥᤼Ẽࠊ᤼Ỉタഛࡢ୍㒊ኚ᭦ᖹᡂ㸰㸲ᖺ 㸷᭶ 㸳᪥౑⏝᰾✀ࠊᩘ㔞ࡢኚ᭦ࠊ⟶⌮༊ᇦࡢ୍㒊ᣑ኱ࠊ㐽࡬࠸యࡢ㏣ຍᖹᡂ㸰㸴ᖺ 㸯᭶ 㸵᪥⣽⬊⑓⌮ᐇ㦂ᐊ࡟࠾ࡅࡿ PET ᰾✀ SPECT ᰾✀ࡢ౑⏝ᖹᡂ㸰㸴ᖺ 㸷᭶㸰㸲᪥

SPECT ᰾✀ࡢ౑⏝ᩘ㔞ࡢቑᙉࠊࣛࢪ࣒࢘➼ࡢ౑⏝㛤ጞ❧ධ᳨ᰝࠊ᪋タ᳨ᰝ㸦ᐃᮇ᳨ᰝ㸧ᖹᡂ 㸳ᖺ 㸱᭶㸱㸯᪥ ᪋タ᳨ᰝ㸦㸲᭶㸯㸷᪥ྜ᱁㸧ᖹᡂ 㸶ᖺ 㸳᭶㸯㸱᪥ ↝༷ᐇ㦂Ჷࡢタ⨨࡟ಀࡿ᪋タ᳨ᰝ㸦㸳᭶㸰㸰᪥ྜ᱁㸧ᖹᡂ㸯㸯ᖺ 㸲᭶㸰㸰᪥ ⛉Ꮫᢏ⾡ᗇ❧ධ᳨ᰝᖹᡂ㸯㸱ᖺ 㸳᭶㸯㸶᪥ ᪋タ᳨ᰝ㸦㸴᭶㸰㸷᪥ྜ᱁㸧ᖹᡂ㸯㸴ᖺ 㸳᭶㸯㸲᪥ ᐃᮇ᳨ᰝ㸦㸴᭶㸯㸲᪥ྜ᱁㸧ᖹᡂ㸰㸮ᖺ 㸲᭶㸯㸵᪥ ᩥ⛉┬❧ධ᳨ᰝᖹᡂ㸰㸱ᖺ 㸱᭶㸯㸳᪥ ᪋タ᳨ᰝ㸦㸱᭶㸯㸶᪥ྜ᱁㸧ᖹᡂ㸰㸱ᖺ㸯㸯᭶㸯㸵᪥ ᪋タ᳨ᰝ㸦㸯㸯᭶㸰㸯᪥ྜ᱁㸧ᖹᡂ㸰㸳ᖺ 㸱᭶ 㸵᪥ ᪋タ᳨ᰝ㸦ᖹᡂ㸰㸳ᖺ㸱᭶㸶᪥ྜ᱁㸧ᖹᡂ㸰㸳ᖺ㸯㸮᭶㸯㸵᪥ ᐃᮇ᳨ᰝ࣭ᐃᮇ☜ㄆ㸦ᖹᡂ㸰㸳ᖺ㸯㸯᭶㸯㸯᪥ྜ᱁㸧

13࠶࡜ࡀࡁ ᖹᡂ 26 ᖺᗘࡢ㮵⏣᪋タࢽ࣮ࣗࢫ No.10 ࢆ࠾ᒆࡅࡋࡲࡍࠋ➨ 10 ྕࡢᕳ㢌ゝࡣ㔠ἑ኱ᏛᏛ㝿⛉Ꮫᐇ㦂ࢭࣥࢱ࣮㛗ࡢᰘ ࿴ᘯඛ⏕࡟࠾㢪࠸ࡋࡲࡓࠋᰘඛ⏕࡟ࡣࡲࡓ
26 ᖺᗘࡢ෌ᩍ⫱ᩍ⫱カ⦎ㅮ⩦఍ࡢㅮᖌࡶ࠾㢪࠸ࡋ࡚࠾ࡾ኱ኚ࠾ୡヰ࡟࡞ࡾࡲࡋࡓࠋᕳ㢌ゝ࡛ࡣ኱Ꮫ࡟࠾ࡅࡿᨺᑕ⥺ᩍ⫱࡜࠸࠺ࢸ࣮࣐࡛ࢭࣥࢱ࣮ࡢ࠶ࡾ᪉࠿ࡽ᪉ྥᛶࡲ࡛ࢆྵࡵ࡚㈗㔜࡞ᥦゝࢆ㡬࠸࡚࠸ࡲࡍࠋ27 ᖺᗘ࠿ࡽ᪂ࡓ࡟ຓᩍࡢ㛗⏣ ┤அ࡜ᢏ⾡⫋ဨࡢᕤ⸨ ೺୍ࡀ᪂ࡋ࠸ࢫࢱࢵࣇ࡜ࡋ࡚ຍࢃࡾࡲࡋࡓࠋ2 ྡࡢ᪂ᡓຊࢆຍ࠼ࠊ㮵⏣᪋タඹࠎຊࢆྜࢃࡏ࡚᪋タ฼⏝⪅ࡢᨭ᥼ࢆ⾜ࡗ࡚࠸ࡁࡓ࠸࡜ᛮ࠸ࡲࡍࠋࡼࢁࡋࡃ࠾㢪࠸ࡋࡲࡍࠋ

14