                                        {"id":12669,"date":"2025-01-07T07:18:51","date_gmt":"2025-01-06T22:18:51","guid":{"rendered":"http:\/\/www.hs-kyoto.net\/?p=12669"},"modified":"2026-01-15T22:12:59","modified_gmt":"2026-01-15T13:12:59","slug":"12669","status":"publish","type":"post","link":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/?p=12669","title":{"rendered":"2024\u5e74\u5ea6; \u4fee\u58eb\u8ad6\u6587\u6982\u8981"},"content":{"rendered":"\n<p class=\"has-background\" style=\"background-color:#faf0c3\">30.\u3000Three-dimensional structure of the human midgut with mesentery and factors determining midgut loop formation<br>\u30d2\u30c8\u4e2d\u8178\u3068\u8178\u9593\u819c\u306e\u7d4c\u6642\u7684\u69cb\u9020\u5909\u5316\u304a\u3088\u3073\u4e2d\u8178\u30eb\u30fc\u30d7\u5f62\u6210\u3092\u6c7a\u5b9a\u3059\u308b\u8981\u56e0\u306e\u691c\u8a0e\u3000\u77f3\u7530 \u4e03\u5f69<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hs-kyoto.net\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22.png\" alt=\"\" class=\"wp-image-12722\" width=\"300\" height=\"357\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22.png 594w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22-252x300.png 252w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22-97x115.png 97w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22-126x150.png 126w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-07-7.13.22-400x475.png 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3010\u7b2c\u4e00\u7ae0:\u80cc\u666f\u3011\u80da\u5b50\u671f\u30fb\u80ce\u5150\u671f\u306e\u4e2d\u8178\u306f\u3001\u81cd\u5e2f\u5185\u3067\u8178\u7ba1\u30eb\u30fc\u30d7\u3092\u5897\u52a0\u3055\u305b\u305f\u5f8c\u3001\u8179\u8154\u5185 \u3078\u9084\u7d0d\u3059\u308b\u3002\u4e00\u9023\u306e\u7814\u7a76\u306f\u3001\u7d4c\u6642\u7684\u306a\u8178\u7ba1\u306e\u5f62\u614b\u5b66\u7684\u5909\u5316\u306e\u8a73\u7d30\u306a\u63cf\u51fa\u3001\u304a\u3088\u3073\u8178\u7ba1\u30eb\u30fc \u30d7\u306e\u5f62\u6210\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u8981\u56e0\u306e\u691c\u8a0e\u3092\u76ee\u7684\u3068\u3057\u305f\u3002 <br>\u3010\u7b2c\u4e8c\u7ae0\u3011\u4e2d\u8178\u30d8\u30eb\u30cb\u30a2\u671f\u306b\u304a\u3051\u308b\u4e2d\u8178\u3068\u8178\u9593\u819c\u306e\u7d4c\u6642\u7684\u69cb\u9020\u5909\u5316\u306e\u8a18\u8ff0\u3092\u76ee\u7684\u3068\u3057\u305f\u3002 \u4eac\u90fd\u5927\u5b66\u5148\u5929\u7570\u5e38\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u304c\u4fdd\u6709\u3059\u308b\u30d2\u30c8\u80da\u5b50&nbsp;47&nbsp;\u4f8b[\u30ab\u30fc\u30cd\u30ae\u30fc\u30b9\u30c6\u30fc\u30b8&nbsp;(CS) 16-23]\u3001\u80ce\u51502\u4f8b[\u982d\u6bbf\u9577&nbsp;(CRL):32.0, 36.5 mm]\u306e&nbsp;MR&nbsp;\u753b\u50cf\u304b\u3089\u3001\u4e2d\u8178\u3068\u8178\u9593\u819c\u3092\u4e09 \u6b21\u5143\u7684\u306b\u518d\u69cb\u7bc9\u3057\u3001\u5f62\u614b\u5b66\u7684\u5909\u5316\u3092\u89b3\u5bdf\u30fb\u89e3\u6790\u3057\u305f\u3002\u8178\u9593\u819c\u306e\u4e00\u8cab\u3057\u305f\u4f4d\u7f6e\u306b\u751f\u3058\u308b3\u3064 \u306e\u72ed\u7a84\u90e8&nbsp;(Nps)\u306b\u3088\u308a\u3001CS21&nbsp;\u4ee5\u964d\u304b\u3089\u3001\u5168\u3066\u306e\u6a19\u672c\u3067\u4e2d\u8178\u306f&nbsp;4&nbsp;\u3064\u306e\u30bb\u30b0\u30e1\u30f3\u30c8\u306b\u5206\u5272\u3055 \u308c\u305f\u3002\u81cd\u5e2f\u5185\u306e3\u3064\u306e\u30bb\u30b0\u30e1\u30f3\u30c8\u306f\u8907\u96d1\u306a\u9ad8\u6b21\u30eb\u30fc\u30d7\u3092\u5206\u5316\u3055\u305b\u305f\u3002\u3053\u306e3\u3064\u306e\u30bb\u30b0\u30e1\u30f3 \u30c8\u306f\u6025\u901f\u306b\u4f38\u9577\u3057\u3001\u4e00\u5b9a\u306e\u95be\u5024\u307e\u3067\u9577\u3055\u304c\u9054\u3059\u308b\u3068\u3001\u9ad8\u6b21\u30eb\u30fc\u30d7\u306e\u6570\u304c\u6bb5\u968e\u7684\u306b\u5897\u52a0\u3057\u305f\u3002 \u3053\u308c\u3089\u306e\u77e5\u898b\u306f\u3001\u4e8c\u6b21\u30eb\u30fc\u30d7\u306e\u4f4d\u7f6e\u306f\u907a\u4f1d\u7684\u306b\u6c7a\u5b9a\u3055\u308c\u308b\u90e8\u5206\u3082\u3042\u308b\u304c\u3001\u9ad8\u6b21\u30eb\u30fc\u30d7\u306f\u751f \u7269\u529b\u5b66\u7684\u306b\u767a\u9054\u3059\u308b\u3068\u3044\u3046\u4eee\u8aac\u3092\u652f\u6301\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002 <br>\u3010\u7b2c\u4e09\u7ae0\u3011\u6210\u9577\u306b\u4f34\u3046\u8178\u7ba1\u306e\u76f4\u5f84\u306e\u5909\u5316\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u3002\u4eac\u90fd\u5927\u5b66\u5148\u5929 \u7570\u5e38\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u304c\u4fdd\u6709\u3059\u308b\u30d2\u30c8\u80da\u5b50\u30fb\u80ce\u5150&nbsp;14&nbsp;\u4f8b[CRL:25.6-69.0 mm]\u306e&nbsp;MR&nbsp;\u753b\u50cf\u304b\u3089\u3001 \u4e2d\u8178\u3068\u8178\u9593\u819c\u306e\u4e09\u6b21\u5143\u7684\u518d\u69cb\u7bc9\u3001Nps&nbsp;\u306b\u3088\u308b\u30bb\u30b0\u30e1\u30f3\u30c8\u5206\u5272\u3001\u30eb\u30fc\u30d7\u3054\u3068\u306b\u8178\u7ba1\u306e\u76f4\u5f84\u306e \u8a08\u6e2c\u3092\u884c\u3063\u305f\u3002\u4e2d\u8178\u9818\u57df\u306e\u8178\u7ba1\u306e\u76f4\u5f84\u306f\u3001\u5341\u4e8c\u6307\u8178\u306e\u524d\u8178\u7531\u6765\u306e\u4e0a\u884c\u90e8\u3092\u9664\u304f\u3068\u3001\u543b\u5074\u304b \u3089\u809b\u9580\u5074\u306b\u304b\u3051\u3066\u7de9\u3084\u304b\u306b\u6f38\u6e1b\u3057\u3066\u3044\u3063\u305f\u3002\u81cd\u5e2f\u5185\u304b\u3089\u8179\u8154\u5185\u3078\u306e\u9084\u7d0d\u3084\u9ad8\u6b21\u8178\u7ba1\u30eb\u30fc\u30d7 \u306e\u5f62\u6210\u306e\u5f71\u97ff\u306f\u53d7\u3051\u306a\u304b\u3063\u305f\u3002\u8178\u7ba1\u306e\u76f4\u5f84\u306f\u3001\u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u52d5\u7684\u306a\u914d\u7f6e\u306e\u5909\u5316\u3068\u306f\u72ec\u7acb\u3057 \u305f\u3001\u8178\u7ba1\u306e\u767a\u9054\u3068\u5206\u5316\u306e\u6307\u6a19\u3068\u3057\u3066\u6709\u7528\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u308b\u3002 <br>\u3010\u7b2c\u56db\u7ae0\u3011\u81cd\u5e2f\u5185\u3068\u8179\u8154\u5185\u306b\u304a\u3044\u3066\u3001\u8178\u7ba1\u306e\u9577\u3055\u3068\u76f4\u5f84\u304c\u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u5f62\u6210\u306b\u4e0e\u3048\u308b\u5f71\u97ff \u3092\u691c\u8a0e\u3057\u305f\u3002\u4eac\u90fd\u5927\u5b66\u5148\u5929\u7570\u5e38\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u3068\u5cf6\u6839\u5927\u5b66\u304c\u4fdd\u6709\u3059\u308b\u30d2\u30c8\u80da\u5b50\u30fb\u80ce\u5150&nbsp;50&nbsp;\u4f8b \u306e&nbsp;MR&nbsp;\u753b\u50cf\u3068&nbsp;Blechschmidt Collection&nbsp;\u306e\u30d2\u30c8\u80ce\u5150\u9023\u7d9a\u7d44\u7e54\u5207\u72476\u4f8b\u304b\u3089\u3001\u4e2d\u8178\u3068\u8178\u9593\u819c \u306e\u4e09\u6b21\u5143\u7684\u518d\u69cb\u7bc9\u3001Nps&nbsp;\u306b\u3088\u308b\u30bb\u30b0\u30e1\u30f3\u30c8\u5206\u5272\u3001\u30bb\u30b0\u30e1\u30f3\u30c8\u3054\u3068\u306b\u8178\u7ba1\u306e\u9577\u3055\u3068\u76f4\u5f84\u306e\u8a08\u6e2c\u3092\u884c\u3063\u305f\u3002\u7dda\u5f62\u91cd\u56de\u5e30\u5206\u6790\u3092\u884c\u3044\u3001\u8178\u7ba1\u306e\u9577\u3055\u3068\u76f4\u5f84\u304c\u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u6570\u306b\u53ca\u307c\u3059\u5f71\u97ff\u306e\u3001\u81cd\u5e2f\u5185\u3068\u8179\u8154\u5185\u3067\u306e\u9055\u3044\u3092\u691c\u8a0e\u3057\u305f\u3002\u81cd\u5e2f\u5185\u3067\u306f\u8178\u7ba1\u306e\u9577\u3055\u306e\u5897\u52a0\u306b\u4f34\u3063\u3066\u30eb\u30fc\u30d7\u6570\u304c\u76f4 \u7dda\u7684\u306b\u5897\u52a0\u3057\u305f\u304c\u3001\u76f4\u5f84\u306f\u6709\u610f\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u304b\u3063\u305f\u3002\u8179\u8154\u5185\u3067\u306f\u3001\u8178\u7ba1\u306e\u76f4\u5f84\u306e\u5897\u5927 \u304c\u8178\u7ba1\u306e\u4f38\u9577\u3068\u62ee\u6297\u3059\u308b\u3053\u3068\u3067\u3001\u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u5897\u52a0\u304c\u6291\u5236\u3055\u308c\u305f\u3002\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u3001\u30d2\u30c8 \u306e\u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u5f62\u6210\u3092\u6291\u5236\u3059\u308b\u56e0\u5b50\u306b\u3064\u3044\u3066\u65b0\u3057\u3044\u77e5\u898b\u3092\u63d0\u4f9b\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002<br>\u3010\u7b2c\u4e94\u7ae0:\u7d50\u8ad6\u3011\u3053\u306e\u7814\u7a76\u3092\u901a\u3057\u3066\u8ad6\u3058\u3089\u308c\u3066\u3044\u308b\u8178\u7ba1\u30eb\u30fc\u30d7\u5f62\u6210\u306e\u904e\u7a0b\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067 \u3042\u308b\u3002(1)&nbsp;\u4e2d\u8178\u306e&nbsp;4&nbsp;\u3064\u306e\u4e8c\u6b21\u30eb\u30fc\u30d7\u306f\u3001\u90e8\u5206\u7684\u306b\u306f\u907a\u4f1d\u7684\u8981\u56e0\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u3002(2)&nbsp;\u4e09\u6b21 \u8178\u7ba1\u30eb\u30fc\u30d7\u306e\u69cb\u6210\u306f\u3001\u751f\u4f53\u529b\u5b66\u7684\u8981\u56e0\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u3063\u3066\u6c7a\u5b9a\u3055\u308c\u308b\u3002(3)\u8178\u7ba1\u306e\u4f38\u9577 \u306f\u30eb\u30fc\u30d7\u5f62\u6210\u3092\u4fc3\u9032\u3059\u308b\u56e0\u5b50\u3068\u3057\u3066\u3001\u8178\u7ba1\u5f84\u306e\u5897\u5927\u306f\u30eb\u30fc\u30d7\u5f62\u6210\u3092\u6291\u5236\u3059\u308b\u56e0\u5b50\u3068\u3057\u3066\u5f71 \u97ff\u3059\u308b\u3002<\/p>\n\n\n\n<p class=\"has-background\" style=\"background-color:#faf0c3\">29.\u3000Three-dimensional analysis of the human embryonic and early fetal lens<br>\u80da\u5b50\u671f\u30fb\u80ce\u5150\u671f\u521d\u671f\u306b\u304a\u3051\u308b\u30d2\u30c8\u6c34\u6676\u4f53\u306e\u4e09\u6b21\u5143\u89e3\u6790\u3000\u516b\u7530 \u6843\u4f73\u3000<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hs-kyoto.net\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-610x756.png\" alt=\"\" class=\"wp-image-12750\" width=\"300\" height=\"372\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-610x756.png 610w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-242x300.png 242w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-93x115.png 93w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-121x150.png 121w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16-400x495.png 400w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.30.16.png 620w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3010\u80cc\u666f\u3011\u6c34\u6676\u4f53\u306e\u767a\u751f\u306fCarnegie stage\uff08CS\uff0913\u3067\u773c\u80de\u304c\u8868\u76ae\u5916\u80da\u8449\u3068\u63a5\u3057\u305f\u5f8c\u3001\u8868\u76ae\u5916\u80da\u8449\u304c\u539a\u307f\u3092\u5897\u3057\u3066\u6c34\u6676\u4f53\u30d7\u30e9\u30b3\u30fc\u30c9\u3092\u5f62\u6210\u3059\u308b\u3053\u3068\u3067\u958b\u59cb\u3059\u308b\u3002CS15\u307e\u3067\u306b\u6c34\u6676\u4f53\u30d7\u30e9\u30b3\u30fc\u30c9\u306f\u8868\u76ae\u5916\u80da\u8449\u3068\u5206\u96e2\u3057\u3001\u57fa\u5e95\u819c\u3067\u56f2\u307e\u308c\u305f\u6c34\u6676\u4f53\u80de\u304c\u5f62\u6210\u3055\u308c\u308b\u3002\u6c34\u6676\u4f53\u80de\u306e\u524d\u58c1\u306f\u6c34\u6676\u4f53\u4e0a\u76ae\u306b\u306a\u308a\u3001\u5f8c\u58c1\u306e\u7d30\u80de\u306fCS16\u4ee5\u964d\u306b\u5206\u5316\u3057\u3066\u524d\u5f8c\u65b9\u5411\u306b\u4e00\u6b21\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u3092\u5f62\u6210\u3057\u3001\u305d\u306e\u5f8c\u65b0\u3057\u3044\u7dda\u7dad\u7d30\u80de\u3067\u3042\u308b\u4e8c\u6b21\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u304c\u4e00\u6b21\u6c34\u6676\u4f53\u7dda\u7dad\u306e\u5916\u5074\u306b\u8ffd\u52a0\u3055\u308c\u59cb\u3081\u308b\u3002\u3053\u306e\u4e8c\u6b21\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u306f\u80ce\u5150\u671f\u4ee5\u964d\u3001\u51fa\u751f\u5f8c\u306e\u6210\u4eba\u671f\u306b\u3082\u8ffd\u52a0\u3055\u308c\u7d9a\u3051\u308b\u304c\u8a73\u3057\u3044\u4f38\u9577\u65b9\u5411\u3084\u3001\u80ce\u5150\u671f\u4ee5\u964d\u306e\u6c34\u6676\u4f53\u306e\u5f62\u614b\u5909\u5316\u306b\u3064\u3044\u3066\u306f\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u306a\u3044\u3002\u4eca\u56de\u3001\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u306e\u914d\u5411\u6027\u3092\u89e3\u660e\u3059\u308b\u305f\u3081\u306b\u3001\u62e1\u6563\u30c6\u30f3\u30bd\u30eb\u753b\u50cf(DTI)\u3092\u7528\u3044\u3066\u89e3\u6790\u3092\u884c\u3063\u305f\u3002DTI\u306f\u6c34\u5206\u5b50\u306e\u62e1\u6563\u7570\u65b9\u6027\u306e\u53ef\u8996\u5316\u304c\u53ef\u80fd\u3067\u3042\u308a\u3001T1\u5f37\u8abf\u753b\u50cf\u3067\u306f\u78ba\u8a8d\u3059\u308b\u3053\u3068\u306e\u3067\u304d\u306a\u3044\u7dda\u7dad\u7d30\u80de\u306e\u914d\u5411\u6027\u306e\u89b3\u5bdf\u304c\u671f\u5f85\u3055\u308c\u308b\u3002&nbsp;<br>\u3010\u5bfe\u8c61\u3068\u65b9\u6cd5\u3011\u672c\u7814\u7a76\u3067\u306f\u4eac\u90fd\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u9644\u5c5e\u5148\u5929\u7570\u5e38\u6a19\u672c\u89e3\u6790\u30bb\u30f3\u30bf\u30fc\u304c\u4fdd\u6709\u3059\u308b\u4eac\u90fd\u30b3\u30ec\u30af\u30b7\u30e7\u30f3\u306e\u3046\u3061\u30d2\u30c8\u80da\u5b50\u6a19\u672c\uff08CS19\u304b\u3089CS23\u306e10\u4f8b\uff09\u3001\u5cf6\u6839\u5927\u5b66\u533b\u5b66\u90e8\u89e3\u5256\u5b66\u8b1b\u5ea7\u4fdd\u6709\u3059\u308b\u30d2\u30c8\u80ce\u5150\u6a19\u672c\uff08\u982d\u6bbf\u9577(CRL)33.5\u301c126 mm\u306e25\u4f8b\uff09\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3002\u9ad8\u89e3\u50cf\u5ea6MRI \u64ae\u50cf\u3092\u884c\u3063\u3066\u53d6\u5f97\u3057\u305fMRI\u30c7\u30fc\u30bf\uff0cDTI\u30c7\u30fc\u30bf\u3092\u7528\u3044\u3066\u3001\u773c\u7403\u3068\u6c34\u6676\u4f53\u3092\u518d\u69cb\u7bc9\u3057\u2460\u5f62\u614b\u5b66\u7684\u89b3\u5bdf\u3001\u2461DTI\u30c7\u30fc\u30bf\u304b\u3089\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u306e\u914d\u5411\u6027\u3092\u89b3\u5bdf\u3057\u305f\u3002&nbsp;<br>\u3010\u7d50\u679c\u3011\u2460\u6c34\u6676\u4f53\u306e\u5f62\u614b\uff1a\u9577\u3055(\u524d\u5f8c\u30fb\u5de6\u53f3\u30fb\u982d\u5c3e\u65b9\u5411)\u3001\u4f53\u7a4d\u306b\u3064\u3044\u3066\u3059\u3079\u3066\u6210\u9577\u306b\u4f34\u3044\u5897\u52a0\u3057\u3066\u3044\u305f\u3002\u80da\u5b50\u671f\u5f8c\u671f\u306f\u7403\u5f62\u3067\u3042\u3063\u305f\u304c\u3001\u80ce\u5150\u671f\u4ee5\u964d\u306f\u982d\u5c3e\u65b9\u5411\u30fb\u5de6\u53f3\u65b9\u5411\u306b\u524d\u5f8c\u65b9\u5411\u3088\u308a\u3082\u9577\u3055\u304c\u9577\u304f\u306a\u3063\u3066\u3044\u305f\u3002\u2461\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u306e\u914d\u5411\u6027\uff1aT1\u5f37\u8abf\u753b\u50cf\u3067\u306f\u89b3\u5bdf\u3067\u304d\u306a\u304b\u3063\u305f\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u3092\u53ef\u8996\u5316\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3002CS21\u301c22\u306b\u6c34\u6676\u4f53\u306e\u4e2d\u5fc3\u90e8\u5206\u306eFractional anisotropy(FA)\u5024\u304c\u6700\u3082\u9ad8\u5024\u306b\u306a\u308a\u3001\u80ce\u5150\u671f\u306b\u5165\u308b\u3068\u6c34\u6676\u4f53\u306e\u4e2d\u5fc3\u90e8\u306b\u6bd4\u3079\u3066\u8fba\u7e01\u90e8\u306eFA\u5024\u304c\u9ad8\u304f\u306a\u3063\u305f\u3002\u307e\u305f\u3001\u6c34\u6676\u4f53\u306e\u4f53\u8868\u5074\u3001\u4e2d\u9593\u90e8\u3001\u6df1\u90e8\u5074\u306b\u304a\u3051\u308b\u7dda\u7dad\u7d30\u80de\u306e\u8d70\u884c\u306f\u305d\u308c\u305e\u308c\u306e\u90e8\u4f4d\u306b\u3088\u3063\u3066\u7570\u306a\u308b\u3082\u306e\u3067\u3042\u3063\u305f\u3002\u4e2d\u9593\u90e8\u3067\u306f\u773c\u7403\u3068\u6c34\u6676\u4f53\u306e\u91cd\u5fc3\u3092\u7d50\u3076\u8996\u8ef8\u30d9\u30af\u30c8\u30eb\u306b\u5bfe\u3057\u3066\u5e73\u884c\u306a\u8d70\u884c\u304c\u591a\u304f\u89b3\u5bdf\u3055\u308c\u305f\u3002\u4f53\u8868\u5074\u3068\u6df1\u90e8\u5074\u3067\u306f\u4f53\u8868\u5074\u306e\u65b9\u304c\u30af\u30c8\u30eb\u306b\u5bfe\u3057\u3066\u89d2\u5ea6\u304c\u5927\u304d\u3044\u8d70\u884c\u304c\u89b3\u5bdf\u3055\u308c\u305f\u3002&nbsp;<br>\u3010\u7d50\u8ad6\u3011\u672c\u7814\u7a76\u3067\u306fDTI\u306b\u3088\u3063\u3066\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u3092\u53ef\u8996\u5316\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3002\u4e8c\u6b21\u6c34\u6676\u4f53\u7dda\u7dad\u7d30\u80de\u306e\u8ffd\u52a0\u306f\u51fa\u751f\u5f8c\u307e\u3067\u7d9a\u304f\u3053\u3068\u304b\u3089\u3001\u3088\u308a\u5927\u304d\u306a\u80ce\u5150\u3084\u6210\u4eba\u671f\u306e\u6c34\u6676\u4f53\u3092DTI\u3092\u7528\u3044\u3066\u64ae\u50cf\u3059\u308b\u3053\u3068\u3067\u7d4c\u6642\u7684\u306a\u5909\u5316\u3092\u89b3\u5bdf\u3059\u308b\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u308b\u3002<\/p>\n\n\n\n<p class=\"has-background\" style=\"background-color:#faf0c3\">28.\u3000Development of the tongue in the human embryonic and fetal period<br>\u80da\u5b50\u671f\u30fb\u80ce\u5150\u671f\u521d\u671f\u306b\u304a\u3051\u308b\u30d2\u30c8\u820c\u306e\u767a\u751f\u3000\u9808\u85e4 \u7d17\u5e06<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hs-kyoto.net\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-610x559.png\" alt=\"\" class=\"wp-image-12751\" width=\"300\" height=\"275\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-610x559.png 610w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-327x300.png 327w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-115x105.png 115w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-150x138.png 150w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26-400x367.png 400w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.25.26.png 696w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\"><br><\/figcaption><\/figure>\n<\/div>\n\n\n<p>\u3010\u80cc\u666f\u3011\u820c\u306f8\u3064\u306e\u7b4b\u8089\u304c\u8907\u96d1\u306b\u4ea4\u5dee\u3057\u305f\u69cb\u9020\u3067\u3042\u308a\u3001\u820c\u7b4b\u306e\u5f62\u6210\u904e\u7a0b\u3092\u628a\u63e1\u3059\u308b\u306b\u306f\u4e09\u6b21\u5143\u7684\u306a\u89e3\u6790\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u307e\u305f\u820c\u5f62\u6210\u306e\u89b3\u70b9\u304b\u3089\u982d\u84cb\u984e\u9854\u9762\u306e\u5f62\u6210\u904e\u7a0b\u3092\u5b9a\u91cf\u7684\u306b\u691c\u8a0e\u3057\u305f\u4f8b\u306f\u306a\u3044\u3002&nbsp;<br>\u3010\u5bfe\u8c61\u30fb\u65b9\u6cd5\u3011\u5bfe\u8c61\u306f\u3001\u4eac\u90fd\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u9644\u5c5e\u5148\u5929\u7570\u5e38\u6a19\u672c\u89e3\u6790\u30bb\u30f3\u30bf\u30fc\u304c\u6240\u6709\u3059\u308b\u30d2\u30c8\u80da\u5b50\u30fb\u80ce\u5150\u671f\u521d\u671f\u6a19\u672c48\u4f8b\u3001\u5cf6\u6839\u5927\u5b66\u533b\u5b66\u90e8\u89e3\u5256\u5b66\u8b1b\u5ea7\u304c\u6240\u6709\u3059\u308b\u30d2\u30c8\u80ce\u5150\u671f\u521d\u671f\u6a19\u672c37\u4f8b\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u7d44\u7e54\u5207\u7247\u304a\u3088\u3073MRI\u30c7\u30fc\u30bf\u3092\u3082\u3068\u306b\u3001\uff11\uff09\u820c\u304a\u3088\u3073\u53e3\u8154\u5e95\u306e\u7acb\u4f53\u5316\u3001\uff12\uff09\u820c\u7b4b\u306e\u7d44\u7e54\u5b66\u7684\u691c\u8a0e\u3001\uff13\uff09Diffusion Tensor Imaging\uff08DTI\uff09 Tractography\u306b\u3088\u308b\u820c\u7b4b\u306e\u89e3\u6790\u3001\uff14\uff09\u820c\u304a\u3088\u3073\u982d\u84cb\u984e\u9854\u9762\u306e\u5b9a\u91cf\u7684\u89e3\u6790\u3092\u884c\u3063\u305f\u3002 \u3010\u7d50\u679c\u3011\uff11\uff09\u820c\u304a\u3088\u3073\u53e3\u8154\u5e95\u306e\u7acb\u4f53\u5316\uff1aCarnegie Stage\uff08CS\uff0918\u304b\u3089CS23\u306b\u304b\u3051\u3066\u820c\u4e0a\u9762\u306f\u4e0a\u65b9\u306b\u6e7e\u66f2\u3057\u3001CS23\u4ee5\u964d\u5e73\u5766\u306a\u5f62\u614b\u306b\u306a\u3063\u305f\u3002CS21\u304b\u3089\u306f\u820c\u9aa8\u3082\u660e\u78ba\u306b\u8a8d\u3081\u3089\u308c\u305f\u3002\u820c\u4f53\u7a4d\u306f\u982d\u6bbf\u9577\uff08Crown-rump length\uff1bCRL\uff09\u306e3\u4e57\u3068\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u305f\uff08R\u00b2\uff1d0.97\uff09\u3002\uff12\uff09\u820c\u7b4b\u306e\u7d44\u7e54\u5b66\u7684\u691c\u8a0e\uff1aCS18\u3067\u306f\u7b4b\u82bd\u7d30\u80de\u3092\u8a8d\u3081\u3001CS19\u306b\u306a\u308b\u3068\u7b4b\u82bd\u7d30\u80de\u304c\u51dd\u96c6\u3057\u305f\u7b4b\u7ba1\u3092\u8a8d\u3081\u305f\u3002CS23\u3067\u3082\u7b4b\u7ba1\u3092\u8a8d\u3081\u305f\u304c\u3001\u6a2a\u7d0b\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002\uff13\uff09DTI Tractography\u306b\u3088\u308b\u820c\u7b4b\u306e\u89e3\u6790\uff1aCS18\u3067\u306f\u820c\u5185\u90e8\u306etracts\u306b\u898f\u5247\u6027\u306f\u306a\u304b\u3063\u305f\u304c\u3001CS19\u3067\u306f\u4e0a\u7e26\u820c\u7b4b\u3001\u6a2a\u820c\u7b4b\u3001\u30aa\u30c8\u30ac\u30a4\u820c\u7b4b\u3001\u984e\u820c\u9aa8\u7b4b\u3001\u80cc\u5074\u65b9\u5411\u306b\u8d70\u884c\u3059\u308b\u4e0b\u7e26\u820c\u7b4b\u3084\u820c\u9aa8\u820c\u7b4b\u3068\u8003\u3048\u3089\u308c\u308b\u8907\u5408\u7b4b\u306etracts\u3092\u8a8d\u3081\u305f\u3002CS23\u3067\u306f\u5782\u76f4\u820c\u7b4b\u304c\u51fa\u73fe\u3057\u3001\u80ce\u5150\u671f\u306b\u5165\u308b\u3068\u830e\u7a81\u820c\u7b4b\u3084\u820c\u9aa8\u820c\u7b4b\u3001\u30aa\u30c8\u30ac\u30a4\u820c\u9aa8\u7b4b\u3092\u660e\u77ad\u306b\u8a8d\u3081\u305f\u3002\u30aa\u30c8\u30ac\u30a4\u820c\u7b4b\u3001\u5782\u76f4\u820c\u7b4b\u30fb\u6a2a\u820c\u7b4b\u306etracts\u306e\u7dcf\u672c\u6570\u304a\u3088\u3073\u4f53\u7a4d\u5272\u5408\u306f\u3001CS23\u307e\u3067CRL\u306b\u4f34\u3044\u5897\u52a0\u3057\uff08\u30aa\u30c8\u30ac\u30a4\u820c\u7b4b\uff1aR\u00b2\uff1d0.84, 0.82\u3001\u5782\u76f4\u820c\u7b4b\u30fb\u6a2a\u820c\u7b4b\uff1aR\u00b2\uff1d0.66, 0.82\uff09\u3001\u305d\u306e\u5f8c\u9ad8\u6b62\u307e\u308a\u3057\u305f\u3002\uff14\uff09\u820c\u304a\u3088\u3073\u982d\u84cb\u984e\u9854\u9762\u306e\u5b9a\u91cf\u7684\u89e3\u6790\uff1a\u982d\u84cb\u984e\u9854\u9762\u306b\u5bfe\u3059\u308b\u820c\u8907\u5408\u4f53\u306e\u9762\u7a4d\u5272\u5408\u306f\u3001\u80da\u5b50\u671f\u3067\u306f\u6e1b\u5c11\u50be\u5411\u3060\u3063\u305f\u304c\u80ce\u5150\u671f\u306b\u5165\u308b\u3068\u5f90\u3005\u306b\u5897\u52a0\u3057\u305f\u3002\u4e3b\u6210\u5206\u5206\u6790\u3088\u308a\u3001\u7b2c\u4e00\u4e3b\u6210\u5206\u306e\u5bc4\u4e0e\u7387\u306f66.4 %\u3067\u3001\u982d\u84cb\u984e\u9854\u9762\u306e\u80cc\u5074\u3078\u306e\u56de\u8ee2\u79fb\u52d5\u3092\u793a\u3057\u305f\u3002\u7b2c\u4e8c\u4e3b\u6210\u5206\u306e\u5bc4\u4e0e\u7387\u306f12.6 \uff05\u3067\u3042\u308a\u3001\u820c\u8907\u5408\u4f53\u3068\u4e0b\u984e\u306e\u5f62\u614b\u5909\u5316\u3092\u793a\u3057\u305f\u3002&nbsp;<br>\u3010\u7d50\u8ad6\u3011\u7d44\u7e54\u5207\u7247\u3068DTI Tractography\u3092\u4f75\u7528\u3057\u820c\u7b4b\u7dda\u7dad\u306e\u5f62\u6210\u904e\u7a0b\u3092\u660e\u3089\u304b\u306b\u3057\u305f\u3002\u307e\u305f\u820c\u3068\u982d\u84cb\u984e\u9854\u9762\u306e\u8907\u96d1\u306a\u5f62\u614b\u5909\u5316\u304b\u3089\u4e3b\u6210\u5206\u5206\u6790\u306b\u3088\u308a\u3001\uff12\u3064\u306e\u4e3b\u6210\u5206\u3092\u62bd\u51fa\u3067\u304d\u305f\u3002<\/p>\n\n\n\n<p class=\"has-background\" style=\"background-color:#faf0c3\">27.\u3000Three-dimensional analysis of human fetal tarsal development\u3000<br>\u80ce\u5150\u671f\u306b\u304a\u3051\u308b\u30d2\u30c8\u8db3\u6839\u9aa8\u306e\u4e09\u6b21\u5143\u89e3\u6790\u3000\u7530\u6751\u7965\u592a\u90ce<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.hs-kyoto.net\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-610x389.png\" alt=\"\" class=\"wp-image-12752\" width=\"300\" height=\"191\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-610x389.png 610w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-400x255.png 400w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-115x73.png 115w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-768x490.png 768w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30-150x96.png 150w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2025-01-11-8.28.30.png 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n[\u5e8f\u8ad6]\u8db3\u6839\u9aa8\u306f 7 \u3064\u306e\u9aa8\u304b\u3089\u306a\u308a\u3001\u4e2d\u8db3\u9aa8\u3068\u5171\u306b\u8db3\u306e\u30a2\u30fc\u30c1\u5f62\u72b6\u3092\u5f62\u6210\u3057\u3066\u3044\u308b\u3002\u30d2\u30c8\u80ce \u5150\u306e\u8db3\u90e8\u306f\u3001\u53d7\u7cbe\u5f8c 8 \u9031\u76ee\u307e\u3066\u3099\u306b\u4e3b\u8981\u306a\u9aa8\u683c\u304b\u3099\u8edf\u9aa8\u3068\u3057\u3066\u3001\u6210\u4eba\u3068\u540c\u69d8\u306e\u4f4d\u7f6e\u306b\u63c3\u3046\u3068\u3055 \u308c\u308b\u3002\u80ce\u5150\u306e\u8db3\u6839\u9aa8\u306b\u95a2\u3059\u308b\u7814\u7a76\u306f\u5c11\u306a\u304f\u3001\u7279\u306b 3 \u6b21\u5143\u7684\u306a\u89e3\u6790\u3084\u3001\u8db3\u30a2\u30fc\u30c1\u306e\u767a\u9054\u306b\u3064 \u3044\u3066\u8abf\u3078\u3099\u305f\u7814\u7a76\u306f\u9650\u3089\u308c\u3066\u3044\u308b\u3002\u672c\u7814\u7a76\u3066\u3099\u306f\u3001\u30d2\u30c8\u80ce\u5150\u56fa\u5b9a\u6a19\u672c\u306e MR \u753b\u50cf\u304b\u3089 3 \u6b21\u5143 \u7acb\u4f53\u50cf\u3092\u69cb\u7bc9\u3057\u30013 \u3064\u306e\u95a2\u7bc0\u9762\u306e\u5b9a\u91cf\u7684\u8a55\u4fa1\u3001\u8db3\u30a2\u30fc\u30c1\u306e\u5b9a\u91cf\u7684\u8a55\u4fa1\u3001\u8db3\u6839\u9aa8\u306e\u6210\u9577\u3092\u30b7 \u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3057\u305f\u52d5\u753b\u306e\u4f5c\u6210\u3068\u5b9a\u6027\u7684\u306a\u89b3\u5bdf\u3092\u884c\u3063\u305f\u3002<br> [\u65b9\u6cd5]\u672c\u7814\u7a76\u3066\u3099\u306f\u3001\u30d2\u30c8\u80da\u5b50\u304a\u3088\u3072\u3099\u80ce\u5150\u306e\u56fa\u5b9a\u6a19\u672c 31 \u4f8b\u3092\u5206\u6790\u5bfe\u8c61\u3068\u3057\u305f\u3002MR \u753b\u50cf\u304b\u3089 \u53f3\u8db3\u306e\u8db3\u6839\u9aa8\u30fb\u4e2d\u8db3\u9aa8\u30fb\u811b\u9aa8\u30fb\u8153\u9aa8\u3092\u7acb\u4f53\u5316\u3057\u3001\u30e9\u30f3\u30c8\u3099\u30de\u30fc\u30af\u3092\u8a2d\u5b9a\u3057\u3066 3 \u6b21\u5143\u5ea7\u6a19\u7cfb\u3092 \u69cb\u7bc9\u3057\u305f\u3002\u3053\u306e\u5ea7\u6a19\u7cfb\u3092\u57fa\u306b\u4ee5\u4e0b\u306e\u89e3\u6790\u3092\u884c\u3063\u305f\u30021\u95a2\u7bc0\u9762\u89d2\u5ea6\u306e\u5b9a\u91cf\u5316\u3002Chopart \u95a2\u7bc0 (\u6a2a\u8db3\u6839\u95a2\u7bc0)\u3001Lisfranc \u95a2\u7bc0(\u8db3\u6839\u4e2d\u8db3\u95a2\u7bc0)\u3001\u304a\u3088\u3072\u3099 Talocalcaneal \u95a2\u7bc0(\u8ddd\u9aa8\u4e0b\u95a2\u7bc0) \u306e\u95a2\u7bc0\u9762\u3092\u5b9a\u7fa9\u3057\u3001\u4e3b\u6210\u5206\u5206\u6790\u3092\u7528\u3044\u3066\u95a2\u7bc0\u9762\u306e\u9577\u5f84\u65b9\u5411(\u7b2c\u4e00\u4e3b\u6210\u5206)\u304a\u3088\u3072\u3099\u6cd5\u7dda\u65b9\u5411 (\u7b2c\u4e09\u4e3b\u6210\u5206)\u3092\u7b97\u51fa\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u30d8\u3099\u30af\u30c8\u30eb\u306e\u89d2\u5ea6\u3092\u5ea7\u6a19\u8ef8\u306b\u57fa\u3064\u3099\u304d\u8a08\u6e2c\u3057\u305f\u30022\u8db3\u30a2 \u30fc\u30c1\u6307\u6a19\u306e\u5b9a\u91cf\u5316\u3002\u5185\u5074\u7e26\u30a2\u30fc\u30c1\u306e\u8a55\u4fa1\u3092\u884c\u3046\u305f\u3081\u3001\u7b2c\u4e00\u4e2d\u8db3\u9aa8\u63a5\u5730\u70b9\u30fb\u8e35\u9aa8\u63a5\u5730\u70b9\u3092\u901a \u308a\u3001\u8db3\u5e95\u9762\u3068\u5782\u76f4\u306a\u65ad\u9762\u306b\u304a\u3051\u308b Chopart \u95a2\u7bc0\u9ad8\u3001Lisfranc \u95a2\u7bc0\u9ad8\u3001\u8db3\u30a2\u30fc\u30c1\u306e\u9577\u3055\u3001\u8db3 \u4e0b\u90e8\u306e\u9762\u7a4d\u3092\u7b97\u51fa\u3057\u305f\u3002\u307e\u305f\u3001\u8db3\u4e0b\u90e8\u306b\u8907\u6570\u306e\u6e2c\u5b9a\u70b9\u3092\u8a2d\u5b9a\u3057\u3001\u305d\u306e\u5730\u9762\u304b\u3089\u306e\u9ad8\u3055\u3092\u8db3 \u30a2\u30fc\u30c1\u306e\u6307\u6a19\u3068\u3057\u3066\u7b97\u51fa\u3057\u305f\u30023\u8db3\u6839\u9aa8\u306e\u6210\u9577\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3002\u7acb\u4f53\u50cf\u306e\u8868\u9762\u304b\u3089\u8907 \u6570\u306e\u70b9\u3092\u30b5\u30f3\u30d5\u309a\u30ea\u30f3\u30af\u3099\u3057\u3001CRL \u3092\u8aac\u660e\u5909\u6570\u3001\u5404\u30b5\u30f3\u30d5\u309a\u30ea\u30f3\u30af\u3099\u70b9\u306e\u5ea7\u6a19\u3092\u76ee\u7684\u5909\u6570\u3068\u3057\u3066 3 \u6b21\u56de\u5e30\u3092\u884c\u3063\u305f\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6210\u9577\u6bb5\u968e(CRL \u306e\u5897\u52a0)\u306b\u5fdc\u3057\u3099\u305f\u8db3\u6839\u9aa8\u30fb\u4e2d\u8db3\u9aa8\u306e\u5f62\u72b6 \u306e\u5909\u5316\u3092\u4e88\u6e2c\u3057\u305f\u3002&nbsp;<br>[\u7d50\u679c]1\u95a2\u7bc0\u9762\u89d2\u5ea6\u306e\u5b9a\u91cf\u5316\u3002Chopart\u95a2\u7bc0\u9762\u306f\u3001lateral view\u3067\u306f\u3064\u307e\u5148\u5074\u306b\u5012\u308c\u308b\u3088\u3046 \u306b\u5909\u5316\u3057\u3001superior view \u3067\u306f\u53cd\u6642\u8a08\u56de\u308a\u306b\u3001posterior view \u3067\u306f\u5185\u5074\u304c\u6301\u3061\u4e0a\u304c\u308a\u6642\u8a08\u56de\u308a \u306b\u5909\u5316\u3057\u305f\u3002\u4e00\u65b9\u3001Lisfranc \u95a2\u7bc0\u9762\u3082\u540c\u69d8\u306e\u50be\u5411\u3092\u793a\u3057\u305f\u304c\u3001\u305d\u306e\u5909\u5316\u91cf\u306f Chopart \u95a2\u7bc0 \u9762\u3088\u308a\u3082\u5c0f\u3055\u304b\u3063\u305f\u3002Talocalcaneal \u95a2\u7bc0\u9762\u306f lateral view \u306b\u304a\u3044\u3066\u3001\u8db3\u5e95\u306b\u5bfe\u3057\u50be\u3044\u305f\u72b6\u614b \u304b\u3089\u3001\u8db3\u5e95\u3068\u6c34\u5e73\u306b\u306a\u308b\u307e\u3067\u5909\u5316\u3057\u305f\u3002\u307e\u305f\u3001lateral view \u306b\u304a\u3051\u308b Talocalcaneal \u95a2\u7bc0\u9762\u3068 Chopart \u95a2\u7bc0\u9762\u306e\u89d2\u5ea6\u5909\u5316\u306b\u306f\u5f37\u3044\u76f8\u95a2\u304c\u8a8d\u3081\u3089\u308c\u305f\u30022\u8db3\u30a2\u30fc\u30c1\u6307\u6a19\u306e\u5b9a\u91cf\u5316\u3002Lisfranc \u95a2\u7bc0\u9ad8\u3068 CRL \u3068\u306e\u76f8\u95a2\u306f\u5f31\u304b\u3063\u305f\u304c\u3001Chopart \u95a2\u7bc0\u9ad8\u3001\u8db3\u4e0b\u90e8\u306e\u9762\u7a4d\u3001\u8db3\u30a2\u30fc\u30c1\u306e\u9577\u3055\u306f CRL \u3068\u3084\u3084\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u305f\u30023\u8db3\u6839\u9aa8\u306e\u6210\u9577\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3002CRL \u304c\u5927\u304d\u304f\u306a\u308b \u306b\u3064\u308c\u3001\u8db3\u6839\u9aa8\u9593\u306e\u9699\u9593\u304c\u7e2e\u5c0f\u3057\u3001\u9aa8\u540c\u58eb\u304c\u5bc6\u96c6\u3059\u308b\u50be\u5411\u304c\u78ba\u8a8d\u3055\u308c\u305f\u3002\u307e\u305f\u3001\u8ddd\u9aa8\u3068\u8e35 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