{"id":1573,"date":"2026-09-24T10:18:56","date_gmt":"2026-09-24T01:18:56","guid":{"rendered":"https:\/\/ito-pain.com\/blog\/?p=1573"},"modified":"2026-09-24T10:23:46","modified_gmt":"2026-09-24T01:23:46","slug":"post-1573","status":"publish","type":"post","link":"https:\/\/ito-pain.com\/blog\/post-1573\/","title":{"rendered":"\u690e\u9593\u677f\u6027\u8170\u75db MRI\u691c\u67fb\u3067\u690e\u9593\u677f\u306b\u8a8d\u3081\u3089\u308c\u308b\u9ad8\u4fe1\u53f7\u9818\u57dfHIZ\uff08High signal intensity zone\uff09\u306b\u3064\u3044\u3066"},"content":{"rendered":"
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\"\"<\/figure>\n<\/div>\n\n\n

\u8170\u75db\u306e\u539f\u56e0\u306f\u3044\u308d\u3044\u308d\u3042\u308a\u307e\u3059\u304c\u3001\u751f\u6d3b\u306eQOL\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3088\u3046\u306a\u539f\u56e0\u304c\u306f\u3063\u304d\u308a\u3057\u306a\u3044\u60a9\u307e\u3057\u3044\u8170\u90e8\u75db\u3092\u62b1\u3048\u3089\u308c\u3066\u3044\u308b\u65b9\u3082\u591a\u304f\u304a\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u3044\u3068\u3046\u30da\u30a4\u30f3\u30af\u30ea\u30cb\u30c3\u30af\u9662\u9577\u306e\u4f0a\u85e4\u3067\u3059\u3002\u8170\u75db\u306e\u7cbe\u67fb\u3067MRI\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u305f\u969b\u306b\u3001T2\u5f37\u8abf\u753b\u50cf\u306b\u3066\u3001\u9ad8\u4fe1\u53f7\u9818\u57df\u3067\u3042\u308bHIZ\uff08high\u3000signal\u3000intensity\u3000zone\uff1a\u4ee5\u4e0b\u3001HIZ\uff09\u306a\u308b\u50cf\u304c\u690e\u9593\u677f\u5185\u306b\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u4eca\u56de\u306f\u3001\u690e\u9593\u677f\u5185\u306b\u8a8d\u3081\u3089\u308c\u308b\u3053\u306e\u9ad8\u4fe1\u53f7\u9818\u57dfHIZ\u306b\u3064\u3044\u3066\u306e\u8a71\u3067\u3059\u3002<\/p>\n\n\n\n

\u690e\u9593\u677f\u6027\u8170\u75db<\/h2>\n\n\n\n

\u690e\u9593\u677f\u6027\u8170\u75db\u306f\u3001\u80cc\u9aa8\uff08\u690e\u4f53\uff09\u306e\u9593\u306b\u631f\u307e\u308c\u305f\u690e\u9593\u677f\u306e\u5909\u6027\u3084\u640d\u50b7\u304c\u75db\u307f\u306e\u539f\u56e0\u3068\u306a\u308b\u8170\u75db\u306e\u3053\u3068\u3067\u3059\u3002\u75db\u307f\u306e\u539f\u56e0\u306f\u3001\u690e\u9593\u677f\u5185\u3084\u5468\u56f2\u3067\u767a\u751f\u3057\u305f\u708e\u75c7\u53cd\u5fdc\u3084\u795e\u7d4c\u3078\u306e\u523a\u6fc0\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u524d\u304b\u304c\u307f\u3001\u5ea7\u308a\u7d9a\u3051\u308b\u52d5\u4f5c\u3001\u4f53\u3092\u8d77\u3053\u3059\u52d5\u304d\u3067\u75db\u307f\u304c\u5f37\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u57fa\u672c\u306f\u4fdd\u5b58\u7684\u6cbb\u7642\u3067\u3059\u3002<\/p>\n\n\n\n

HIZ\u306f\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u3092\u7591\u3046\u6240\u898b\uff1f<\/h2>\n\n\n\n

\u8170\u75db\u8a3a\u7642\u306b\u304a\u3044\u3066\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u3082\u8170\u75db\u306e\u539f\u56e0\u3068\u3057\u3066\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u304c\u3001\u8a3a\u65ad\u306f\u3001\u5bb9\u6613\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u690e\u9593\u677f\u6027\u8170\u75db\u3092\u7591\u3046\u6240\u898b\u3068\u3057\u3066\u306f\u3001\u8eab\u4f53\u6240\u898b\u306b\u52a0\u3048\u3066\u3001 MRI\u691c\u67fb\u3001\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u3068\u305d\u306e\u5f8c\u306eCT\u691c\u67fb\u306e\u5b9f\u65bd\u304c\u91cd\u8981\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

MRI\u691c\u67fb\u3001\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u3068CT\u691c\u67fb\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n

MRI\u691c\u67fb\u306b\u304a\u3051\u308bHIZ\u753b\u50cf<\/h3>\n\n\n\n

\u8170\u75db\u75c7\u306e\u7cbe\u67fb\u306e\u70ba\u306b\u5b9f\u65bd\u3055\u308c\u308bMRI\u691c\u67fb\u306f\u3001\u4fb5\u8972\u6027\u304c\u306a\u304f\u3001\u795e\u7d4c\u3084\u9771\u5e2f\u306a\u3069\u306e\u8edf\u90e8\u7d44\u7e54\u3084\u708e\u75c7\u75c7\u72b6\u306e\u6709\u7121\u63cf\u51fa\u306b\u512a\u308c\u305f\u691c\u67fb\u3067\u3059\u3002MRI\u691c\u67fb\u306b\u304a\u3044\u3066\u3001T2\u5f37\u8abf\u753b\u50cf\u4e0a\u3001\u690e\u9593\u677f\u7dda\u7dad\u8f2a\u5f8c\u65b9\u90e8\u5206\u306b\u9ad8\u8f1d\u5ea6\u5909\u5316\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u9ad8\u8f1d\u5ea6\u5909\u5316\u90e8\u5206\u3092\u3001HIZ\uff08high\u3000signal\u3000intensity\u3000zone\uff09\u3068\u3044\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u6240\u898b\u306f\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u3092\u793a\u5506\u3059\u308b\u6240\u898b\u3068\u3057\u3066\u8003\u3048\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3064\u3044\u3066\u306f\u30011992\u5e74\u306bAprill\u3068Bogduk\u304c\u3001MRI\u306eT2\u5f37\u8abf\u753b\u50cf\u3067\u8a8d\u3081\u3089\u308c\u308bHIZ\u3068\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u95a2\u4fc2\u306b\u3064\u3044\u3066\u6700\u521d\u306b\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\u6587\u732e\uff11\uff09<\/p>\n\n\n\n

\u8170\u690eMRI\u30fbT2\u5f37\u8abf\u753b\u50cf\u3000\u690e\u9593\u677f\u7dda\u7dad\u8f2a\u306e\u5f8c\u65b9\u90e8\u5206\u306b\u307f\u3068\u3081\u3089\u308c\u308bHIZ\u306b\u3064\u3044\u3066\u3001\u53c2\u8003\u753b\u50cf\u3092\u4e0b\u306b\u793a\u3057\u3066\u3044\u307e\u3059\uff08\u77e2\u72b6\u65ad\uff09\u3002\u3000<\/p>\n\n\n

\n
\"\"
\u9bae\u660e\u306aHIZ\uff08\u5de6\u56f3\uff09\u4e0d\u9bae\u660e\u306aHIZ\u753b\u50cf\uff08\u53f3\u56f3\uff09<\/figcaption><\/figure>\n<\/div>\n\n\n

\u6587\u732e\uff08\uff11\uff09Br J Radiol. 1992 May;65(773):361-9. doi: 10.1259\/0007-1285-65-773-361.<\/p>\n\n\n\n

High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging<\/p>\n\n\n\n

C Aprill , N Bogduk\u3088\u308a\u629c\u7c8b\u8a18\u8f09<\/p>\n\n\n\n

\u8170\u690eMRI\u30fbT2\u5f37\u8abf\u753b\u50cf\u306e\u690e\u9593\u677f\u7dda\u7dad\u8f2a\u3000\u5f8c\u65b9\u90e8\u5206\u306b\u307f\u3068\u3081\u3089\u308c\u308bHIZ\u306b\u3064\u3044\u3066\u3001\u53c2\u8003\u753b\u50cf\u3092\u4e0b\u306b\u793a\u3057\u3066\u3044\u307e\u3059\uff08\u6a2a\u65ad\u50cf\uff09\u3002\u3000<\/p>\n\n\n\n

\n
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\u8170\u690eMRI\u30fbT2\u5f37\u8abf\u50cf\u6a2a\u65ad\u50cfL3\/\uff14\u3000<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n
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\u8170\u690eMRI\u30fbT2\u5f37\u8abf\u50cf\u6a2a\u65ad\u50cfL\uff14\/\uff15<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n

\u6587\u732e\uff12\uff09\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66\uff1aVol\uff0e37\uff0c\u3000No\uff0e9\uff082020\uff0d9\uff09High\u3000signal\u3000intensity zone\u3068Toxic\u3000annular\u3000tear\u3000\u624b\u675f\u6587\u5a01\uff0c\u9ad8\u7530\u6d0b\u4e00\u90ce\uff0c\u897f\u826f\u6d69\u4e00\u3000\u3088\u308a\u629c\u7c8b\u4e00\u90e8\u5909\u66f4<\/p>\n\n\n\n

HIZ\u306e\u5b9a\u7fa9\u306b\u3064\u3044\u3066\u306f\u3001\u7dda\u7dad\u8f2a\u5916\u306b\u307f\u3089\u308c\u308b\u540c\u69d8\u306e\u9ad8\u8f1d\u5ea6\u9818\u57df\u3082HIZ\u306b\u542b\u3080\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3057\u3001\u8f1d\u5ea6\u5909\u5316\u306e\u7a0b\u5ea6\u306e\u5dee\u3092\u8003\u616e\u3057\u305f\u3082\u306e\u306a\u3069\u3001\u5b9a\u7fa9\u304c\u5831\u544a\u306b\u3088\u308a\u7570\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u79c1\u81ea\u8eab\u306f\u3001HIZ\u3068\u306f\u3001MRI \u306eT2\u5f37\u8abf\u753b\u50cf\u306b\u304a\u3044\u3066\u307f\u3068\u3081\u3089\u308c\u308b\u690e\u9593\u677f\u7dda\u7dad\u8f2a\u5185\u306e\u5f8c\u65b9\u307e\u305f\u306f\u5f8c\u5074\u65b9\u90e8\u5206\u306b\u5468\u56f2\u306e\u4f4e\u8f1d\u5ea6\u3068\u533a\u5225\u3067\u304d\u308b\u9ad8\u8f1d\u5ea6\u9818\u57df\u3067\u3042\u308b\u3068\u7406\u89e3\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u53c2\u8003\u6587\u732e\uff08\uff11\uff09<\/p>\n\n\n\n

Br J Radiol. 1992 May;65(773):361-9. doi: 10.1259\/0007-1285-65-773-361.<\/p>\n\n\n\n

High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging<\/p>\n\n\n\n

C Aprill , N Bogduk<\/p>\n\n\n\n

\u690e\u9593\u677f\u306e\u69cb\u9020\u306b\u3064\u3044\u3066<\/h3>\n\n\n\n

\u8170\u690e\u690e\u9593\u677f\u306f\u7dda\u7dad\u8f2a\u3068\u9ac4\u6838\u3068\u3044\u30462\u5c64\u304b\u3089\u306a\u308a\uff0c\u690e\u4f53\u3068\u690e\u4f53\u306e\u9593\u306e\u885d\u6483\u3092\u5438\u53ce\u3059\u308b\u69cb\u9020\u3068\u3057\u3066\u6a5f\u80fd\u3057\u3066\u3044\u307e\u3059\u3002\u6b63\u5e38\u306a\u690e\u9593\u677f\u306f\u3001\u5143\u3005\u3001\u8840\u6d41\u3084\u795e\u7d4c\u306a\u3069\u304c\u4e4f\u3057\u3044\u69cb\u9020\u3067\u75bc\u75db\u3092\u611f\u3058\u306b\u304f\u3044\u7279\u5fb4\u3092\u6709\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n

\n
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\u56f3\u3000\u6574\u5f62\u5916\u79d1\u770b\u8b77 2025 vol.30 no.1\u300013\uff0d14\u9577\u8c37\u5ddd\u88d5\u4e00\u3088\u308a\u629c\u7c8b<\/figcaption><\/figure>\n<\/div>\n\n\n

\u690e\u9593\u677f\u306e\u5909\u6027\u306b\u3064\u3044\u3066<\/h3>\n\n\n\n

\u690e\u9593\u677f\u306f\u52a0\u9f62\u3084\u6a5f\u68b0\u7684\u306a\u8ca0\u8377\u306e\u5897\u5927\u3084\u7e70\u308a\u8fd4\u3057\u306b\u3088\u3063\u3066\u3001\u4e2d\u5fc3\u90e8\u5206\u306e\u9ac4\u6838\u306e\u6c34\u5206\u3068\u5f3e\u6027\u304c\u5931\u308f\u308c\u3001\u7dda\u7dad\u8f2a\u306b\u304a\u3044\u3066\u306f\u4e80\u88c2\u3084\u65ad\u88c2\u306b\u3088\u308b\u5909\u6027\u304c\u9032\u884c\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u65ad\u88c2\u3057\u305f\u5916\u5074\u90e8\u5206\u306e\u7dda\u7dad\u8f2a\u306f\u3001\u4fee\u5fa9\u904e\u7a0b\u306b\u304a\u3044\u3066\u3001\u708e\u75c7\u6027\u306e\u8089\u82bd\u7d44\u7e54\u3092\u5f62\u6210\u3057\u3001\u540c\u90e8\u4f4d\u3078\u306e\u795e\u7d4c\u7dda\u7dad\u306e\u4fb5\u5165\u306a\u3069\u306b\u3088\u308a\u75be\u75db\u3092\u81ea\u899a\u3057\u3084\u3059\u3044\u690e\u9593\u677f\u306b\u306a\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

MB\u3000Orthop\uff0e36\uff089\uff09\uff1a17\uff0d24\uff0c2023\u300017\uff0d24\u3000\u7279\u96c6\u3000\u5b9f\u5730\u533b\u5bb6\u306f\u8170\u80cc\u90e8\u75db\u3092\u3069\u3046\u8a3a\u308b\u304b<\/p>\n\n\n\n

\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u3000\u9752\u6728\u3000\u4fdd\u89aa\u3000\u3088\u308a\u629c\u7c8b<\/p>\n\n\n\n

\u690e\u9593\u677f\u5468\u56f2\u306e\u89e3\u5256\u56f3\u3000<\/h3>\n\n\n
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\"\"<\/figure>\n<\/div>\n\n\n

\u53c2\u8003\u3000Pain Pract.  2025 Sep;25(7):e70062. doi: 10.1111\/papr.70062.14. Discogenic Low Back Pain\u3000Wouter K M van Os , Ricardo Alvarez-Jimenez , Steven P Cohen , Milan P Stojanovic , Ricardo Ruiz-Lopez , Jan Van Zundert , Jan Willem Kallewaard\u3000\u3088\u308a\u753b\u50cf\u629c\u7c8b\u3057\u5185\u5bb9\u5909\u66f4\u3057\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u8a3a\u65ad\u306e\u305f\u3081\u306e\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb<\/h2>\n\n\n\n

\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb<\/h3>\n\n\n\n

\u690e\u9593\u677f\u6027\u75bc\u75db\u304c\u3001\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u308b\u690e\u9593\u677f\u3067\u767a\u751f\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3001\u78ba\u8a8d\u3068\u3057\u3066\u5b9f\u65bd\u3055\u308c\u308b\u691c\u67fb\u3067\u3059\u3002\u9020\u5f71\u5264\u3092\u690e\u9593\u677f\u306b\u5165\u308c\u3066\u3001\u75db\u307f\u306e\u518d\u73fe\u3092\u307f\u307e\u3059\u3002\u307e\u305f\u3001\u6ce8\u5165\u3057\u305f\u9020\u5f71\u5264\u306e\u5e83\u304c\u308a\u304b\u3089\u690e\u9593\u677f\u306e\u5909\u6027\u3082\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u691c\u67fb\u306e\u624b\u9806\u306b\u3064\u3044\u3066\uff08\uff11\u4f8b\uff1a\u4ee5\u524d\u52e4\u3081\u3066\u3044\u305f\u65bd\u8a2d\u3067\u306e\u65b9\u6cd5\uff09<\/h3>\n\n\n\n

\u4e8b\u524d\u306bMRI\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u3001\u814e\u81d3\u306a\u3069\u306e\u91cd\u8981\u81d3\u5668\u306e\u4f4d\u7f6e\u3068\u523a\u5165\u89d2\u5ea6\u3001\u523a\u5165\u90e8\u4f4d\u306b\u3064\u3044\u3066\u306e\u30c1\u30a7\u30c3\u30af\u3092\u5b9f\u65bd\u3057\u307e\u3059\u3002\u691c\u67fb\u5f53\u65e5\u306b\u306f\u3001\u70b9\u6ef4\u3092\u7559\u7f6e\u3057\u3001\u691c\u67fb\u524d\u306b\u6297\u751f\u5264\u306e\u6295\u4e0e\u3092\u884c\u3044\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306b\u306f\u3001\u691c\u67fb\u53f0\u4e0a\u3067\u5074\u81e5\u4f4d\u306b\u306a\u3063\u3066\u3082\u3089\u3044\u3001\u900f\u8996\u753b\u50cf\u3067\u523a\u5165\u90e8\u306e\u4f4d\u7f6e\u306b\u76ee\u5370\u3092\u3057\u307e\u3059\u3002\u305d\u306e\u5f8c\u3001\u523a\u5165\u90e8\u3092\u6d88\u6bd2\u3057\u3001\u6e05\u6f54\u64cd\u4f5c\u306e\u3082\u3068\u3067\u690e\u9593\u677f\u306b\u5411\u304b\u3063\u3066\u80cc\u5074\u3088\u308a\u7d4c\u76ae\u7684\u306b\u9577\u91dd\u3092\u523a\u5165\u3057\uff08\u76ae\u819a\u304b\u3089\u91dd\u3092\u523a\u3057\uff09\u3001\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u306e\u900f\u8996\u753b\u50cf\u3067\u91dd\u306e\u9032\u884c\u65b9\u5411\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u690e\u9593\u677f\u5185\u306e\u9069\u6b63\u90e8\u4f4d\u307e\u3067\u91dd\u306e\u5148\u7aef\u3092\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002\u305d\u306e\u5f8c\u3001\u900f\u8996\u753b\u50cf\u3067\u78ba\u8a8d\u3057\u306a\u304c\u3089\u9020\u5f71\u5264\u3092\u690e\u9593\u677f\u5185\u306b\u5c11\u3057\u305a\u3064\u614e\u91cd\u306b\u6295\u4e0e\u3057\u307e\u3059\u3002\u305d\u306e\u969b\u3001\u75db\u307f\u306e\u8a98\u767a\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u690e\u9593\u677f\u5185\u306b\u5c40\u6240\u9ebb\u9154\u85ac\u3092\u6295\u4e0e\u3057\u3066\u3001\u75db\u307f\u306e\u6d88\u5931\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6b63\u9762\u3068\u5074\u9762\u306e\u30ec\u30f3\u30c8\u30b2\u30f3\u5199\u771f\u3092\u4fdd\u5b58\u3057\u307e\u3059\u3002\u691c\u67fb\u306e\u969b\u306f\u3001\u60a3\u8005\u3055\u3093\u306f\u3001\u610f\u8b58\u306e\u3042\u308b\u72b6\u614b\u3067\u3059\u3002\u75db\u307f\u306e\u8a98\u767a\u3084\u4f53\u8abf\u4e0d\u826f\u304c\u306a\u3044\u304b\u78ba\u8a8d\u3057\u306a\u304c\u3089\u5b9f\u65bd\u3057\u307e\u3059\u3002\u305d\u306e\u5f8c\u3001CT\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u3066\u691c\u67fb\u306f\u7d42\u4e86\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u4e0b\u306e\u753b\u50cf\u306f\u3001\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u3067\u9020\u5f71\u3055\u308c\u305f\u690e\u9593\u677f\u306e\u6b63\u9762\u3068\u5074\u9762\u306e\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u3059\u3002<\/p>\n\n\n\n

\n
\n
\"\"
\u9020\u5f71\u5f8c\u30ec\u30f3\u30c8\u30b2\u30f3\u6b63\u9762\u50cf<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n
\n
\"\"
\u3000\u9020\u5f71\u5f8c\u30ec\u30f3\u30c8\u30b2\u30f3\u5074\u9762\u50cf<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n

\u5199\u771f\u3000\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66\uff1aVol\uff0e37\uff0c\u3000No\uff0e9\uff082020\uff0d9\uff09High\u3000signal\u3000intensity zone\u3068Toxic\u3000annular\u3000tear\u3000\u624b\u675f\u6587\u5a01\uff0c\u9ad8\u7530\u6d0b\u4e00\u90ce\uff0c\u897f\u826f\u6d69\u4e00\u3000\u3088\u308a\u629c\u7c8b\u63b2\u8f09<\/p>\n\n\n\n

\u4e0a\u306e\u6b63\u9762\u50cf\u304b\u3089\u306f\u30012\u304b\u6240\uff08L4\uff0f5\u30fbL5\uff0fS\uff11\uff09\u306e\u690e\u9593\u677f\u5185\u306b\u9020\u5f71\u5264\u304c\u6620\u308a\u8fbc\u3093\u3067\u3044\u308b\u306e\u304c\u307f\u3048\u307e\u3059\u304c\u3001\u690e\u9593\u677f\u5f8c\u65b9\u3078\u306e\u9020\u5f71\u5264\u306e\u6f0f\u51fa\u304c\u3001\u5074\u9762\u50cf\u306b\u3066\uff2c5\/\uff33\uff11\u690e\u9593\u677f\u5185\u306b\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u3092\u5b9f\u65bd\u3059\u308b\u5834\u5408\u306f\u3001\u666e\u6bb5\u306e\u8170\u75db\u3068\u985e\u4f3c\u3057\u305f\u75c7\u72b6\uff08\u518d\u73fe\u75db\uff09\u3067\u3042\u308b\u304b\u3069\u3046\u304b\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u307e\u305f\u3001\u9020\u5f71\u5f8c\u306b\u5c40\u6240\u9ebb\u9154\u85ac\u3092\u6ce8\u5165\u3057\u3001\u690e\u9593\u677f\u30d6\u30ed\u30c3\u30af\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u8170\u75db\u306e\u6d88\u5931\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3082\u690e\u9593\u677f\u6027\u8170\u75db\u304c\u539f\u56e0\u3068\u8003\u3048\u308b\u306e\u306b\u6709\u529b\u306a\u8a3c\u62e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u88dc\u8db3\uff1a\u3000\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u306e\u30c7\u30e1\u30ea\u30c3\u30c8\u30fb\u30fb\u30fb\u4fb5\u8972\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/h3>\n\n\n\n

\u672c\u6765\u8840\u6d41\u306e\u4e4f\u3057\u3044\u690e\u9593\u677f\u3078\u306e\u91dd\u306e\u7a7f\u523a\u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u611f\u67d3\u306e\u5371\u967a\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u9020\u5f71\u5264\u306e\u6295\u4e0e\u306f\u3001\u8170\u75db\u3092\u4e00\u6642\u7684\u306b\u60aa\u5316\u3055\u305b\u308b\u5371\u967a\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u5165\u9662\u65bd\u8a2d\u306e\u3042\u308b\u74b0\u5883\u3067\u306e\u5b9f\u65bd\u304c\u5fc5\u8981\u3060\u3068\u8003\u3048\u307e\u3059\u3002\u307e\u305f\u3001\u7a7f\u523a\u306b\u304a\u3044\u3066\u306f\u3001\u304b\u306a\u308a\u9577\u3044\u91dd\u3092\u4f7f\u7528\u3057\u307e\u3059\u306e\u3067\u3001\u814e\u81d3\u3084\u5927\u52d5\u8108\u3092\u542b\u3081\u305f\u7d44\u7e54\u640d\u50b7\u304c\u304a\u3053\u308a\u3048\u307e\u3059\u3002<\/p>\n\n\n\n

\u624b\u6280\u7684\u306b\u96e3\u3057\u3044\u691c\u67fb\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u4e8b\u524d\u306eMRI\u306b\u3088\u308b\u7a7f\u523a\u90e8\u4f4d\u306e\u6c7a\u5b9a\u3084\u3001\u4e8b\u524d\u306e\u6297\u751f\u5264\u6295\u4e0e\u306b\u3088\u308b\u611f\u67d3\u75c7\u4e88\u9632\u3001\u60aa\u5316\u3057\u305f\u969b\u306e\u5bfe\u5fdc\u304c\u53ef\u80fd\u306a\u3069\u3001\u8a2d\u5099\u304c\u6574\u3063\u305f\u4e2d\u3067\u306e\u691c\u67fb\u304c\u5b89\u5168\u3067\u3059\u3002\u30af\u30ea\u30cb\u30c3\u30af\u5358\u4f4d\u3067\u6c17\u8efd\u306b\u5b9f\u65bd\u3059\u308b\u691c\u67fb\u3067\u306f\u306a\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u5fc5\u8981\u306a\u5834\u5408\u306f\u3001\u8fd1\u96a3\u306b\u3066\u5b9f\u65bd\u53ef\u80fd\u65bd\u8a2d\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u5b9f\u65bd\u5f8c\u306eCT\u64ae\u5f71<\/h3>\n\n\n\n

\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u306e\u5f8c\u306b\u5b9f\u65bd\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

CT\u691c\u67fb\u306f\u3001\u9aa8\u306e\u5f62\u3084\u5909\u5f62\u3001\u77f3\u7070\u5316\u306a\u3069\u69cb\u9020\u3092\u8a73\u3057\u304f\u307f\u308b\u691c\u67fb\u3067\u3059\u304c\u3001\u6ce8\u5165\u3055\u308c\u305f\u9020\u5f71\u5264\u306b\u3088\u3063\u3066\u3001\u8a73\u7d30\u306b\u690e\u9593\u677f\u306e\u5909\u6027\u3092\u307f\u308b\u3053\u3068\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

MRI\u691c\u67fb T2\u5f37\u8abf\u753b\u50cf\u3067\u8a8d\u3081\u3089\u308c\u305fHIZ\u90e8\u5206\u306b\u5bfe\u5fdc\u3059\u308b\u690e\u9593\u677f\u9020\u5f71\u5f8cCT\u691c\u67fb\u3067\u306e\u7dda\u7dad\u8f2a\u65ad\u88c2\u50cf\u3092\u4ee5\u4e0b\u306b\u793a\u3057\u307e\u3059\u3002<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

\u5199\u771f\u3000\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66\uff1aVol\uff0e37\uff0c\u3000No\uff0e9\uff082020\uff0d9\uff09High\u3000signal\u3000intensity zone\u3068Toxic\u3000annular\u3000tear\u3000\u624b\u675f\u6587\u5a01\uff0c\u9ad8\u7530\u6d0b\u4e00\u90ce\uff0c\u897f\u826f\u6d69\u4e00\u3000\u3088\u308a\u629c\u7c8b\u4e00\u90e8\u5909\u66f4<\/p>\n\n\n\n

MRI T2\u5f37\u8abf\u753b\u50cf\u3067HIZ\u304c\u307f\u3089\u308c\u308b\u9ec4\u8272\u7dda\u56f2\u3044\u90e8\u5206\u3068\u4e00\u81f4\u3059\u308b\u90e8\u5206\u306b\u3001\u690e\u9593\u677f\u5185\u306b\u7a7f\u523a\u91dd\u3067\u6295\u4e0e\u3057\u305f\u9020\u5f71\u5264\u306e\u6f0f\u51fa\u50cf\u304c\u5411\u304b\u3063\u3066\u3044\u308b\uff08\u9ed2\u77e2\u5370\uff09\u306e\u304c\u8a8d\u3081\u3089\u308c\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u690e\u9593\u677f\u5185\u306e\u8089\u4e0b\u7d44\u7e54\u306b\u3064\u3044\u3066<\/h3>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

\u753b\u50cf\u3000\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66 39(3): 272-276, 2022.272\uff0d276 \u690e\u9593\u677f\u6027\u8170\u75db\u306e\u653e\u5c04\u7dda\u5b66\u7684\u7279\u5fb4 – toxic annular tear\u3068high signal intensity zone  \u624b\u675f\u6587\u5a01\u3000\u3088\u308a\u629c\u7c8b\u4e00\u90e8\u5909\u66f4<\/p>\n\n\n\n

\u690e\u9593\u677f\u624b\u8853\u304c\u5b9f\u65bd\u3055\u308c\u305f\u75c7\u4f8b\u3092\u307f\u308b\u3068\u3001\u690e\u9593\u677f\u9020\u5f71\u5f8c\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u5074\u9762\u50cf\u306b\u3066\u690e\u9593\u677f\u306e\u5f8c\u65b9\u3078\u306e\u9020\u5f71\u5264\u306e\u6f0f\u51fa\u304c\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002\u9020\u5f71\u5f8cCT\u691c\u67fb\u306e\u6a2a\u65ad\u50cf\u3067\u306f\u3001\u5f8c\u65b9\u306e\u7dda\u7dad\u8f2a\u65ad\u88c2\u50cf\u304c\u306f\u3063\u304d\u308a\u3068\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u540c\u90e8\u4f4d\u306e\u690e\u9593\u677f\u5909\u6027\u90e8\u5206\u306e\u8853\u4e2d\u5185\u8996\u93e1\u306e\u5199\u771f\u304b\u3089\u306f\u3001\u767a\u8d64\u3057\u305f\u708e\u75c7\u6027\u8089\u82bd\u7d44\u7e54\u304c\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

HIZ\u3068\u9020\u5f71\u5f8cCT\u64ae\u5f71\u306b\u3088\u308b\u7dda\u7dad\u8f2a\u65ad\u88c2\u50cf\u306e\u4e00\u81f4\u5ea6\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n

\u6587\u732e\uff08\uff14\uff09\u3088\u308a\u5831\u544a\u3055\u308c\u305f\u5185\u5bb9\u3092\u3082\u3068\u306b\u8a71\u3092\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u5831\u544a\u5185\u5bb9<\/h3>\n\n\n\n

2014\uff5e2020\u5e74\u306e\u9593\u3067\u3001\u65bd\u8a2d\u5185\u3067\u690e\u9593\u677f\u6027\u8170\u75db\u3068\u8a3a\u65ad\u3055\u308c\u3001\u5c40\u6240\u9ebb\u9154\u4e0b\u306b\u5168\u5185\u8996\u93e1\u4e0bthermal annuloplasty\u304c\u5b9f\u65bd\u3055\u308c\u305f\u60a3\u800523\u540d\uff08\u7537\u602717\u540d\uff0c\u5973\u60276\u540d\uff09\u3001\u5408\u8a0838\u690e\u9593\u30c7\u30fc\u30bf\u3092\u3082\u3068\u306b\u3001HIZ\u753b\u50cf\u3068\u9020\u5f71\u5f8cCT\u691c\u67fb\u306e\u9020\u5f71\u5264\u306e\u6f0f\u51fa\u306e\u4ed5\u65b9\uff08\uff13\u5206\u985e\uff09\u3068\u306e\u9593\u3067\u306e\u4e00\u81f4\u5ea6\u306b\u3064\u3044\u3066\u8abf\u3079\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u306f\u3058\u3081\u306b<\/h3>\n\n\n\n

\u9020\u5f71\u5f8cCT\u691c\u67fb\u306e\u9020\u5f71\u5264\u306e\u6f0f\u51fa\u306e\u4ed5\u65b9\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u65ad\u88c2\u50cf\u30923\u3064\u306b\u5206\u3051\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u9020\u5f71\u5f8cCT\u691c\u67fb\u306b\u3088\u308b\u7dda\u7dad\u8f2a\u65ad\u88c2\u50cf\u5206\u985e\u306b\u3064\u3044\u3066<\/h3>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

\u5199\u771f\u3000\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66 39(3): 272-276, 2022.272\uff0d276 \u690e\u9593\u677f\u6027\u8170\u75db\u306e\u653e\u5c04\u7dda\u5b66\u7684\u7279\u5fb4 – toxic annular tear\u3068high signal intensity zone  \u624b\u675f\u6587\u5a01\u3000\u3088\u308a\u629c\u7c8b<\/p>\n\n\n\n

\u672c\u6587\u4e2d\u306b\u306f3\u5206\u985e\u3067\u5206\u3051\u305f\u3068\u3057\u304b\u8a18\u8f09\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002diffuse\u3000type\u306b\u3064\u3044\u3066\u306f\u3001\u967d\u6027\u3068\u306f\u307f\u306a\u3055\u305a\u3001toxic\u3000tear type \u3068combined type\u306b\u9650\u3063\u3066\u967d\u6027\u3068\u8a55\u4fa1\u3059\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u4e00\u822c\u306b\u3001\u690e\u9593\u677f\u306e\u5909\u6027\u304c\u9ad8\u5ea6\u306b\u9032\u3093\u3060\u3068\u3055\u308c\u308b\u3088\u3046\u306adiffuse  type\u306e\u3088\u3046\u306a\u30bf\u30a4\u30d7\u306f\u3001\u9020\u5f71\u5264\u306e\u5f8c\u90e8\u3078\u306e\u6f0f\u51fa\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u660e\u3089\u304b\u306b\u690e\u9593\u677f\u5185\u306e\u5909\u6027\u304c\u9ad8\u5ea6\u3067\u3042\u308a\u3001\u9020\u5f71\u5264\u3067\u52a0\u5727\u3057\u3066\u3082\u690e\u9593\u677f\u5185\u3067\u306e\u5727\u304c\u304b\u304b\u3089\u305a\u3001\u75bc\u75db\u306e\u8a98\u767a\u3082\u4e4f\u3057\u3044\u3068\u63a8\u5bdf\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u708e\u75c7\u6027\u53cd\u5fdc\u305d\u306e\u3082\u306e\u3082\u6c88\u9759\u5316\u3057\u3066\u3044\u308b\u3068\u63a8\u5bdf\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u4e00\u65b9\u3001toxic\u3000tear type\u306f\u3001\u5f8c\u65b9\u90e8\u5206\u306e\u4e00\u90e8\u5909\u6027\u90e8\u306b\u9020\u5f71\u5264\u304c\u7dda\u3092\u306a\u3057\u3066\u6f0f\u51fa\u3057\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u304c\u3001\u690e\u9593\u677f\u5185\u69cb\u9020\u304c\u307e\u3060\u4fdd\u305f\u308c\u3066\u304a\u308a\u3001\u9020\u5f71\u5264\u6ce8\u5165\u6642\u306b\u3001\u5f8c\u65b9\u306e\u690e\u9593\u677f\u5074\u306b\u5727\u304c\u5341\u5206\u304b\u304b\u3063\u3066\u3044\u307e\u3059\u3002combined type\u306f\u3001\u3073\u307e\u3093\u6027\u306b\u690e\u9593\u677f\u5185\u304c\u9020\u5f71\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u4e2d\u592e\u5f8c\u65b9\u90e8\u5206\u306b\u7dda\u72b6\u306b\u9020\u5f71\u5264\u304c\u6f0f\u308c\u3066\u3044\u308b\u30bf\u30a4\u30d7\u3067\u3059\u3002\u3053\u308c\u306f\u3001toxic tear type \u306b\u6bd4\u3079\u3001\u5f8c\u65b9\u690e\u9593\u677f\u3078\u306e\u9020\u5f71\u5264\u6295\u4e0e\u6642\u306e\u5727\u306f\u304b\u304b\u308a\u306b\u304f\u3044\u3068\u306f\u601d\u3044\u307e\u3059\u304c\u3001\u3084\u306f\u308a\u9020\u5f71\u5264\u6295\u4e0e\u306e\u969b\u306b\u3001\u690e\u9593\u677f\u306e\u5f8c\u65b9\u90e8\u5206\u306b\u5727\u304c\u304b\u304b\u308a\u3001\u8170\u75db\u8a98\u767a\u306e\u6709\u7121\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u305d\u3046\u3067\u3059\u3002<\/p>\n\n\n\n

\u3053\u308c\u3089\u306e\u70b9\u304b\u3089\u3001\u967d\u6027\u3068\u9670\u6027\u3068\u533a\u5225\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3068\u8003\u3048\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u6ce8\u610f\uff1a\u3053\u306e\u7814\u7a76\u3067\u7528\u3044\u3089\u308c\u305f\u5206\u985e\u65b9\u6cd5\u3067\u3042\u308a\u3001\u9020\u5f71\u691c\u67fb\u7d50\u679c\u3092\u3059\u3079\u3066\u3053\u306e\u3088\u3046\u306b3\u3064\u306b\u5206\u985e\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

\u7d50\u679c<\/h3>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

MRI\uff08T2\u5f37\u8abf\u753b\u50cf\uff09\u306b\u3088\u308bHIZ\u6709\u306e29\u690e\u9593\u4e2d\u3001\u9020\u5f71\u5f8cCT\u306726\u690e\u9593\u304c\u967d\u6027\u3067\u3057\u305f\u3002\u4e00\u81f4\u7387\u306f\u3001\uff18\uff19\uff0e\uff17%\u3067\u3057\u305f\u3002\u4e00\u65b9\u3001HIZ\u7121\u306e9\u4f8b\u4e2d\u3001\u9020\u5f71\u5f8cCT\u3067\u9670\u6027\u3068\u306a\u3063\u305f\u306e\u306f\uff18\u690e\u9593\u3067\u3001\u4e00\u81f4\u5ea6\u306f\u3001\uff18\uff18\uff0e\uff19\uff05\u3067\u3057\u305f\u3002HIZ\u306e\u6709\u7121\u306f\u3001\u9020\u5f71\u5f8cCT\u691c\u67fb\u7d50\u679c\u3068\u9ad8\u3044\u4e00\u81f4\u7387\u3092\u793a\u3059\u7d50\u679c\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u4fb5\u8972\u6027\u306e\u9ad8\u3044\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u306a\u304f\u3068\u3082\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u308b\u9020\u5f71\u5f8c\u306e\u6f0f\u51fa\u30bf\u30a4\u30d7\u304c\u3042\u308b\u7a0b\u5ea6\u63a8\u6e2c\u3067\u304d\u308b\u7d50\u679c\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u4ed6\u306e\u7814\u7a76\u3067\u306f\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u60a3\u8005\u306e\u8a3a\u65ad\u306b\u304a\u3044\u3066\u3001HIZ\u967d\u6027\u60a3\u8005\u306e\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u306f\u8170\u75db \u51fa\u73fe\u306e\u7279\u7570\u5ea6\u304c\u9ad8\u304f\u3001\u967d\u6027\u7684\u4e2d\u5ea6\u306f 86\uff05\u3067\u3042\u3063\u305f\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002\u6587\u732e\uff15\uff09\u3057\u304b\u3057\u3001\u7121\u75c7\u5019\u6027\u60a3\u8005\u306b\u3082HIZ\u304c\u3042\u308b\u7a0b\u5ea6\u306e\u983b\u5ea6\u3067\u307f\u3089\u308c\u308b\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002\u8170\u75db\u306e\u3042\u308b\u7fa4\u3067HIZ\u3092\u8a8d\u3081\u308b\u690e \u9593\u677f\u306e72\uff0e7\uff05\u306b\u690e\u9593\u677f\u9020\u5f71\u3067\u518d\u73fe\u75db\u3092\u8a8d\u3081\u3001\u4e00 \u65b9\u3067\u3001\u8170\u75db\u306e\u306a\u3044\u7fa4\u306eHIZ\u3092\u8a8d\u3081\u308b\u690e\u9593\u677f\u306e69\uff0e2\uff05 \u306b\u304a\u3044\u3066\u3082\u690e\u9593\u677f\u9020\u5f71\u3067\u518d\u73fe\u75db\u3092\u8a8d\u3081\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u6587\u732e6)<\/p>\n\n\n\n

\u88dc\u8db3\u30fb\u30fb\u30fb\u967d\u6027\u7684\u4e2d\u5ea6\u3068\u306f\u3001\u967d\u6027\u3068\u51fa\u305f\u4eba\u306e\u4e2d\u3067\u3001\u672c\u5f53\u306b\u75c5\u6c17\u3084\u7570\u5e38\u304c\u3042\u308b\u4eba\u306e\u5272\u5408\u3067\u3059\u3002<\/p>\n\n\n\n

\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u691c\u67fb\u3068\u306f\u3001\u75c5\u6c17\u304c\u306a\u3044\u306e\u306b\u967d\u6027\u3068\u51fa\u308b\u3053\u3068\uff08\u507d\u967d\u6027\uff09\u304c\u5c11\u306a\u3044\u3053\u3068\u3092\u8868\u3057\u307e\u3059\u3002\u7279\u7570\u5ea6\u304c\uff11\uff10\uff10%\u306e\u691c\u67fb\u306e\u5834\u5408\u3001\u691c\u67fb\u3067\u967d\u6027\u3068\u51fa\u305f\u5834\u5408\u306f\u3001\uff11\uff10\uff10%\u967d\u6027\u3068\u65ad\u5b9a\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u9662\u9577\u306eHIZ\u306b\u5bfe\u3059\u308b\u3068\u3089\u3048\u65b9\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n

\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u8a3a\u65ad\u306f\u96e3\u3057\u3044\u3067\u3059\u3002\u690e\u9593\u677f\u6027\u8170\u75db\u3092\u7591\u3063\u3066\u5b9f\u65bd\u3055\u308c\u308b\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u306f\u3001\u4fb5\u8972\u6027\u306e\u3042\u308b\u691c\u67fb\u3067\u3001\u30af\u30ea\u30cb\u30c3\u30af\u3067\u7c21\u5358\u306b\u5b9f\u65bd\u3067\u304d\u308b\u691c\u67fb\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u4fb5\u8972\u6027\u304c\u306a\u3044\u5206\u3001MRI\u691c\u67fb\u306f\u3001\u5b9f\u65bd\u306b\u5bfe\u3059\u308b\u30cf\u30fc\u30c9\u30eb\u306f\u4f4e\u304f\u306a\u308a\u307e\u3059\u3002\u30d6\u30ed\u30c3\u30af\u3084\u5185\u670d\u85ac\u306e\u6cbb\u7642\u306b\u62b5\u6297\u6027\u3067\u3042\u3063\u305f\u5834\u5408\u3001\u690e\u9593\u677f\u6027\u8170\u75db\u3092\u7591\u3063\u3066\u624b\u8853\u53ef\u5426\u306b\u3064\u3044\u3066\u8fd1\u96a3\u75c5\u9662\u306b\u7d39\u4ecb\u3059\u308b\u304b\u5426\u304b\u3092\u8003\u616e\u3059\u308b\u969b\u306b\u3001T2\u5f37\u8abf\u753b\u50cf\u4e0a\u306eHIZ\u306e\u6709\u7121\u306f\u3001\u610f\u5473\u306e\u3042\u308b\u6240\u898b\u306e\uff11\u3064\u3067\u3042\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u8ffd\u8a18<\/h3>\n\n\n\n

\u5fc5\u305a\u3057\u3082HIZ\u304c\u8a8d\u3081\u3089\u308c\u305f\u5834\u5408\u306f\u3001\u5168\u3066\u690e\u9593\u677f\u6027\u8170\u75db\u3068\u3044\u3048\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u8aa4\u89e3\u306e\u306a\u3044\u3088\u3046\u304a\u9858\u3044\u3057\u307e\u3059\u3002\u690e\u9593\u677f\u6027\u8170\u75db\u306e\u8a3a\u65ad\u306b\u3088\u308b\u690e\u9593\u677f\u624b\u8853\u3092\u5b9f\u65bd\u3059\u308b\u969b\u306b\u306f\u3001\u690e\u9593\u677f\u9020\u5f71\u691c\u67fb\u306b\u3088\u308b\u75bc\u75db\u8a98\u767a\u8a66\u9a13\u3068\u9020\u5f71CT\u691c\u67fb\u306b\u3088\u308b\u69cb\u9020\u306e\u78ba\u8a8d\u304c\u5fc5\u8981\u3060\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u3053\u3053\u3067\u3082\u75bc\u75db\u518d\u73fe\u6027\u304c\u3042\u3063\u305f\u304b\u3089\u3068\u3044\u3063\u3066\u78ba\u5b9a\u3068\u306f\u306a\u3089\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n

\uff11\uff09Br J Radiol. 1992 May;65(773):361-9. doi: 10.1259\/0007-1285-65-773-361.<\/p>\n\n\n\n

High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging<\/p>\n\n\n\n

C Aprill , N Bogduk<\/p>\n\n\n\n

\uff12\uff09\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66\uff1aVol\uff0e37\uff0c\u3000No\uff0e9\uff082020\uff0d9\uff09High\u3000signal\u3000intensity zone\u3068Toxic\u3000annular\u3000tear\u3000\u624b\u675f\u6587\u5a01\uff0c\u9ad8\u7530\u6d0b\u4e00\u90ce\uff0c\u897f\u826f\u6d69\u4e00<\/p>\n\n\n\n

\uff13\uff09Clin Radiol . 2014 Jun;69(6):551-8. doi: 10.1016\/j.crad.2013.12.012. Epub 2014 Mar 7.<\/p>\n\n\n\n

The lumbar high-intensity zone: 20 years on I Khan , R Hargunani , A Saifuddin<\/p>\n\n\n\n

\uff14\uff09\u81e8\u5e8a\u30b9\u30dd\u30fc\u30c4\u533b\u5b66 39(3): 272-276, 2022.272\uff0d276 \u690e\u9593\u677f\u6027\u8170\u75db\u306e\u653e\u5c04\u7dda\u5b66\u7684\u7279\u5fb4 – toxic annular tear\u3068high signal intensity zone  \u624b\u675f\u6587\u5a01<\/p>\n\n\n\n

\uff15\uff09Br J Radiol. 1992 May;65(773):361-9. doi: 10.1259\/0007-1285-65-773-361.High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging C Aprill , N Bogduk<\/p>\n\n\n\n

6) Spine (Phila Pa 1976). 2000 Dec 1;25(23):2987-92. doi: 10.1097\/00007632-200012010-00005.2000 Volvo Award winner in clinical studies: Lumbar high-intensity zone and discography in subjects without low back problems E J Carragee , S J Paragioudakis, S Khurana<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

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