{"_buckets": {"deposit": "85a4d01b-30c6-4df4-831a-4bc73b90c468"}, "_deposit": {"id": "20726", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "20726"}, "status": "published"}, "_oai": {"id": "oai:soar-ir.repo.nii.ac.jp:00020726", "sets": []}, "author_link": ["108062"], "item_14_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2018-03-31", "bibliographicIssueDateType": "Issued"}}]}, "item_14_date_granted_8": {"attribute_name": "学位授与年月日", "attribute_value_mlt": [{"subitem_dategranted": "2018-03-31"}]}, "item_14_degree_grantor_10": {"attribute_name": "学位授与機関", "attribute_value_mlt": [{"subitem_degreegrantor": [{"subitem_degreegrantor_name": "信州大学(Shinshu university)"}], "subitem_degreegrantor_identifier": [{"subitem_degreegrantor_identifier_name": "13601", "subitem_degreegrantor_identifier_scheme": "kakenhi"}]}]}, "item_14_degree_name_9": {"attribute_name": "学位名", "attribute_value_mlt": [{"subitem_degreename": "博士（医学）"}]}, "item_14_description_26": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "雑誌に発表。RESPIROLOGY. 23(11):1049-1054 (2018); doi:10.1111/resp.13377.", "subitem_description_type": "Other"}]}, "item_14_description_37": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Thesis", "subitem_description_type": "Other"}]}, "item_14_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "加藤　あかね. Virtual bronchoscopic navigation as an aid to computed tomography-guided transbronchial biopsy improves the diagnostic yield for small peripheral pulmonary lesions（バーチャルナビゲーションによる、CTガイド下経気管支肺生検における末梢肺小病変の診断率の向上）. 信州大学, 2018, 博士論文.", "subitem_description_type": "Other"}]}, "item_14_dissertation_number_7": {"attribute_name": "学位授与番号", "attribute_value_mlt": [{"subitem_dissertationnumber": "13601甲第1143号"}]}, "item_14_link_74": {"attribute_name": "WoS", "attribute_value_mlt": [{"subitem_link_text": "Web of Science", "subitem_link_url": "http://gateway.isiknowledge.com/gateway/Gateway.cgi?\u0026GWVersion=2\u0026SrcAuth=ShinshuUniv\u0026SrcApp=ShinshuUniv\u0026DestLinkType=FullRecord\u0026DestApp=WOS\u0026KeyUT=000447309100015"}]}, "item_14_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州大学"}]}, "item_14_relation_54": {"attribute_name": "PubMed", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "30084517"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://pubmed.ncbi.nlm.nih.gov/30084517/", "subitem_relation_type_select": "PMID"}}]}, "item_14_relation_55": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "10.1111/resp.13377"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1111/resp.13377", "subitem_relation_type_select": "DOI"}}]}, "item_14_rights_69": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© 2018 Asian Pacific Society of Respirology"}]}, "item_14_select_71": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "ETD"}]}, "item_14_text_11": {"attribute_name": "学位の区分", "attribute_value_mlt": [{"subitem_text_value": "doctoral"}]}, "item_14_text_12": {"attribute_name": "学位の分野", "attribute_value_mlt": [{"subitem_text_value": "医学"}]}, "item_14_text_13": {"attribute_name": "学位の報告番号", "attribute_value_mlt": [{"subitem_text_value": "甲第1143号"}]}, "item_14_text_76": {"attribute_name": "wosonly authkey", "attribute_value_mlt": [{"subitem_text_value": "bronchoscopy and interventional techniques; clinical trials; histology; cytology; lung cancer; radiology and other imaging"}]}, "item_14_text_77": {"attribute_name": "wosonly keywords", "attribute_value_mlt": [{"subitem_text_value": "TRANSTHORACIC NEEDLE-BIOPSY; LUNG-CANCER; ENDOBRONCHIAL ULTRASOUND; COMPUTED-TOMOGRAPHY; RANDOMIZED-TRIAL; BRONCHUS SIGN; NODULES; SHEATH; ASPIRATION; ULTRASONOGRAPHY"}]}, "item_14_textarea_75": {"attribute_name": "wosonly abstract", "attribute_value_mlt": [{"subitem_textarea_value": "Background and objective Virtual bronchoscopic navigation (VBN) entails the provision of a virtual display of the bronchial routes that lead to small peripheral pulmonary lesions (PPL). It has been predicted that a combination of computed tomography (CT)-guided transbronchial biopsy (CT-TBB) with VBN might improve the diagnostic yield for small PPL. This study sought to investigate that prediction. MethodsResultsA total of 100 patients with small PPL (\u003c20mm) were enrolled for CT-TBB and randomly allocated to either a VBN+ or VBN- group (50 subjects per group). Group results were then compared in terms of diagnostic yield, whole procedure time, times at which the first CT scan and biopsy were taken and the number of lung biopsy specimens retrieved. The diagnostic yield for small PPL was significantly higher in the VBN+ group versus VBN- group (84% vs 58%, respectively (P=0.013)), with no significant difference in (whole) examination time between groups (VBN+: 32:53 (32min and 53s)12:01 vs VBN-: 33:0610:08 (P=NS)). However, the time periods between commencing the examination and either the first CT scan or first biopsy were significantly shorter for the VBN+ group, while the net biopsy time tended to be longer for this group with a significantly higher number of specimens collected (VBN+: 3.541.07 specimens vs VBN-: 2.98 +/- 1.06 specimens (P=0.01)). ConclusionCombining VBN with CT-TBB significantly improved the diagnostic yield for small PPL. See Computed tomography (CT)-guided transbronchial biopsy (CT-TBB) is one of the several procedures used to diagnose small peripheral pulmonary lesions (PPL), although its diagnostic yield is unsatisfying. We now report that a combined approach in which virtual bronchoscopic navigation (VBN) is used to assist CT-TBB improves the diagnostic yield for small PPL."}]}, "item_1627890986942": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_be7fb7dd8ff6fe43", "subitem_version_type": "NA"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "加藤, あかね", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "108062", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-06-13"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "14MH014F_yoshi.pdf", "filesize": [{"value": "143.4 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 143400.0, "url": {"label": "内容の要旨", "url": "https://soar-ir.repo.nii.ac.jp/record/20726/files/14MH014F_yoshi.pdf"}, "version_id": "5df4d7c3-625a-4bb2-a84e-fc021b53ce76"}, {"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-06-13"}], "displaytype": "detail", "download_preview_message": "", "file_order": 1, "filename": "14MH014F_shinsa.pdf", "filesize": [{"value": "245.0 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 245000.0, "url": {"label": "審査結果の要旨", "url": "https://soar-ir.repo.nii.ac.jp/record/20726/files/14MH014F_shinsa.pdf"}, "version_id": "9f239acd-b4d7-43e4-8721-bc10e59cbbde"}, {"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-07"}], "displaytype": "detail", "download_preview_message": "", "file_order": 2, "filename": "14MH014F_ronbun.pdf", "filesize": [{"value": "586.9 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensefree": "© 2018 Asian Pacific Society of Respirology", "licensetype": "license_note", "mimetype": "application/pdf", "size": 586900.0, "url": {"label": "博士論文の全文", "objectType": "fulltext", "url": "https://soar-ir.repo.nii.ac.jp/record/20726/files/14MH014F_ronbun.pdf"}, "version_id": "1510b521-1469-4366-9023-19fba181c6f3"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "doctoral thesis", "resourceuri": "http://purl.org/coar/resource_type/c_db06"}]}, "item_title": "Virtual bronchoscopic navigation as an aid to computed tomography-guided transbronchial biopsy improves the diagnostic yield for small peripheral pulmonary lesions（バーチャルナビゲーションによる、CTガイド下経気管支肺生検における末梢肺小病変の診断率の向上）", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Virtual bronchoscopic navigation as an aid to computed tomography-guided transbronchial biopsy improves the diagnostic yield for small peripheral pulmonary lesions（バーチャルナビゲーションによる、CTガイド下経気管支肺生検における末梢肺小病変の診断率の向上）", "subitem_title_language": "en"}]}, "item_type_id": "14", "owner": "1", "path": ["849"], "permalink_uri": "http://hdl.handle.net/10091/00021484", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2019-06-14"}, "publish_date": "2019-06-14", "publish_status": "0", "recid": "20726", "relation": {}, "relation_version_is_last": true, "title": ["Virtual bronchoscopic navigation as an aid to computed tomography-guided transbronchial biopsy improves the diagnostic yield for small peripheral pulmonary lesions（バーチャルナビゲーションによる、CTガイド下経気管支肺生検における末梢肺小病変の診断率の向上）"], "weko_shared_id": -1}