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		<h1 class="catchCopy">助産師も！学び直しの医師も！基礎を学んで超音波診断装置を使いこなす！</h1>
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					著：馬場一憲（埼玉医科大学総合医療センター客員教授）
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">やさしく原理に触れながら，装置使用の実際をボタン１つから懇切丁寧に解説．細かい操作手順と実際のエコー画像の比較で仕上がりの違いがよくわかる．アーチファクトもなぜ出るかが分かれば，すぐに対処可能！ありがちなトラブルには「こんなときどうする？」でお悩み解決．多数の著作で定評のあるDr.Babaのレクチャーを受ければ，あなたの超音波画像が，明日から変わります！</section><section class="indexes">Ⅰ．超音波断層法 <br>　●超音波断層法の基礎 <br>　　①超音波診断装置の超音波 <br>　　②超音波診断装置はどうやって断層像を表示する？ <br>　　③超音波の安全性 <br>　　〔Dr.Babaの深掘りレクチャー〕 超音波の生体作用　TIとMI <br>　●経腹プローブの操作法 <br>　　①経腹プローブの持ちかた <br>　　②経腹プローブの当てかた <br>　　③胎児の左右 <br>　　〔Dr.Babaの深掘りレクチャー〕 表示の向きの決まり <br>　●超音波診断装置のつまみ・ボタンの使いかた <br>　　①深度（Depth） <br>　　②ズーム（Zoom） <br>　　③ゲイン（Gain） <br>　　④周波数 <br>　　⑤ハーモニックイメージング <br>　　⑥フォーカス <br>　　〔Dr.Babaの深掘りレクチャー〕 フォーカスの仕組み <br>　　⑦走査角 <br>　　⑧コントラスト <br>　　⑨プリセット <br>　　⑩フリーズ <br>　　⑪巻き戻し再生 <br>　　⑫距離計測 <br>　　⑬胎児計測 <br>　　〔Dr.Babaの深掘りレクチャー〕 胎児計測の方法 <br>　●超音波断層法のピットフォール <br>　　①超音波の進行方向と反射面の角度による影響 <br>　　②アーチファクト <br><br>Ⅱ．Mモード法 <br>　●Mモード法 <br>　　①Mモード法の原理 <br>　　②Mモード法の使いかた <br><br>Ⅲ．3次元超音波 <br>　●3次元超音波の基礎 <br>　　①3次元超音波とは <br>　　②3次元像表示までのプロセス <br>　　③3次元超音波の安全性 <br>　　〔Dr.Babaの深掘りレクチャー〕 3次元データセットの操作 <br>　●3次元像表示までの基礎的操作法 <br>　　①3次元超音波への切り替え <br>　　②断層像で3次元走査するところを探す <br>　　③3次元走査 <br>　　④ROIの設定 <br>　　⑤閾値の設定 <br>　　〔Dr.Babaの深掘りレクチャー〕 閾値 <br>　●3次元像のブラッシュアップ <br>　　①3次元像画質選択（3次元走査速度選択） <br>　　②ROIの合わせかた <br>　　③3次元像の回転 <br>　　④不要部分の削除 <br>　　⑤光源の位置の調整 <br>　　⑥シルエットモード <br>　　⑦ブラッシュアップのまとめ <br><br>Ⅳ．カラードプラ法 <br>　●カラードプラ法の基礎 <br>　　①カラードプラ法とパワードプラ法 <br>　　②カラードプラ法でどうやって血流を検出しているのか？ <br>　　③カラー表示領域とフレームレート <br>　　④WMFとPRF <br>　　〔Dr.Babaの深掘りレクチャー〕 血流をカラー表示する原理 <br>　●カラードプラ法のつまみ・ボタンの使いかた <br>　　①カラードプラ法選択とカラーゲイン <br>　　②カラー表示領域の設定 <br>　　③WMFとPRF <br>　　〔Dr.Babaの深掘りレクチャー〕 折り返し現象が起こる理由 <br>　●カラードプラ法のピットフォール <br>　　①血流があるのにカラー表示されない <br>　　②血流の方向を示す色が逆方向の色に表示される <br>　　③血流のない部位がカラー表示される <br><br>Ⅴ．パルスドプラ法 <br>　●パルスドプラ法の基礎 <br>　　①パルスドプラ法の原理 <br>　　②血流の評価法 <br>　　③RIとPIの意味 <br>　　④実際の血流速度の計測 <br>　　〔Dr.Babaの深掘りレクチャー〕 血流速度波形と実際の血流速度 <br>　●パルスドプラ法のつまみ・ボタンの使いかたと血流計測 <br>　　①パルスドプラ法の選択 <br>　　②サンプルボリュームの設定 <br>　　③ベースライン <br>　　④PRFとWMF <br>　　⑤パルスドプラのゲイン <br>　　⑥血流計測 <br>　　⑦角度補正 <br>　　⑧2画面表示法の選択 <br>　　⑨掃引スピード <br>　　⑩ドプラ音の音量 <br>　　〔Dr.Babaの深掘りレクチャー〕 血流計測に関する疑問 <br><br>Ⅵ．経腟法 <br>　●経腟法の基礎 <br>　　①経腟プローブ <br>　　②経腟法のメリットとデメリット <br>　　③経腟法と経腹法の使い分け <br>　●経腟プローブの操作法とつまみやボタンの使いかた <br>　　①経腟プローブの持ちかた <br>　　②表示の向き <br>　　③卵巣の見つけかた <br>　　④経腟法でのつまみやボタンの使いかた <br>　●経腟法のピットフォール <br>　　〔Dr.Babaの深掘りレクチャー〕経腟法のコツ <br><br>■こんなときどうする？<br>　産科<br>　　【経腹法】<br>　　　CASE ① 妊娠初期の胎児がよく見えない． <br>　　　CASE ② 母体腹壁が厚くてよく見えない． <br>　　　CASE ③ 胎児が縦になっていて見えにくい． <br>　　【3次元超音波】<br>　　　CASE ④ 胎児と子宮筋や胎盤との間に十分なスペース（羊水）がない． <br>　　　CASE ⑤ 胎児が取込領域から外れてしまう． <br>　　　CASE ⑥ 3次元像の上下を逆にしたい． <br>　　　CASE ⑦ 回転しても胎児が隠れていて削除線が引けない． <br>　　　CASE ⑧ 間違って必要な部分を削除してしまった． <br>　　　CASE ⑨ 腕が異常に太く見える． <br>　　　CASE ⑩ 3次元像の一部が暗い. <br>　　　CASE ⑪  不要部分が多すぎて胎児がよく見えない． <br>　　【パルスドプラ法】<br>　　　CASE ⑫ 血流速度波形が安定してとれない． <br><br>　婦人科<br>　　【経腹法】<br>　　　CASE ①  経腹法で子宮全体の横断面が観察できない．  <br>　　　CASE ② 卵巣か腸管か区別がつきにくい．<br>　　【経腟法】<br>　　　CASE ③ ゲインを上げても遠くが見えない．<br>　　　CASE ④ 経腟法で子宮が縦になっていて子宮内腔が不明瞭． <br>　　　CASE ⑤ 子宮から発生した腫瘍かどうかはっきりさせたい． <br>　　　CASE ⑥ 経腟法で卵巣が見つからない． <br>　　　CASE ⑦ 経腟プローブを回転すると見えていた対象物が見えなくなる． <br>　　　CASE ⑧ 異所性妊娠が疑われるが子宮外に胎囊が見つからない． <br>　　　CASE ⑨ 黄体か子宮外の胎囊かの判断に迷う． <br>　　　CASE ⑩  囊胞内のエコーが強すぎて充実部分の有無がわかりにくい． <br><br>索引 <br></section></article>
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