c12 MIX
4Pages

Vascular Usefulness of Trinias C12 MiX package in Abdominal Region Toshiyuki Konishi, M.D., Ph.D. Kofu-Kyoritsu Hospital Toshiyuki Konishi 1. Introduction of Kofu-Kyoritsu Hospital Since first established as Kofu Clinic in 1955, KofuKyoritsu Hospital has developed alongside the local community based on the idea that the importance of human life should not be swayed by wealth disparities. After bankruptcy in 1983, the hospital was rebuilt with the support of the local community and today, Kofu-Kyoritsu Hospital has 233 general beds and 50 community-based integrated care beds, and carries out acute medical care and community health care (Fig. 1). Our hospital receives approximately 20 % of all emergency transport cases in Kofu, and a total of 3568 emergency vehicle visits during 2014. The gastroenterological medicine and cardiovascular medicine departments are also designated among final destination hospitals for Yamanashi Prefecture according to "Standards related to acceptance and conveyance of the sick and wounded." Elderly people represent over 30 % of the population in the area around our hospital, and over 40 % of hospital inpatients are 70 years or older. In response to this aging local population, we actively engage in mobile care, coordination between hospitals and clinics, coordination with nursing facilities, have operated a community-based integrated care ward since 2016, and are expanding our coordination with the local community. As poverty and wealth disparities become more prevalent, and more sick people are unable to afford the price of becoming a patient, our hospital acts in support of the human right to health care. The hospital plays the role of last refuge for patients in financial difficulties by collecting no special bed fees from the patient and providing free and low price medical care. Our hospital emphasized early clinical training of doctors before clinical training systems became compulsory, and has maintained this emphasis for over 30 years. Audited by the Japan Council for Evaluation of Postgraduate Clinical Training in 2014, the hospital was also the first hospital in Yamanashi Prefecture to receive a 4-year certification. As the only municipal hospital in Yamanashi Prefecture that is also an internal medicine training hospital, Kofu-Kyoritsu Hospital also focuses on education for internal medicine doctors. 2. Background to Obtaining Trinias C12 MiX package Kofu-Kyoritsu Hospital has 5 gastroenterologists who provide wide-ranging medical care, from matters of the gastrointestinal tract to the liver, pancreas, and biliary tract. The gastroenterological department has a dedicated angiography room where approximately 120 angiography examinations or treatments and approximately 50 percutaneous cystic or biliary duct treatments are performed each year.

The previous angiography system we obtained in 2001 was aging and difficult to maintain, so with a view to obtaining a new system we compared options from several companies. Based on its ability to capture high quality radiographic and fluoroscopic images at low radiation doses due to its latest SCORE PRO Advance image processing software and highly original image guidance application, in September 2015, the hospital obtained a ceiling-mounted Trinias C12 MiX package angiography system (Fig. 2). • 12 × 12 inch FPD compatible with full body IVR • Switches between 5 fields of view...

4.2 SCORE RSM The image quality of normal DSA is well known, and SCORE RSM is acknowledged to produce excellent images through use of DSA technology. SCORE RSM performs DSA without the need to acquire mask images, a feature not available with conventional DSA. The images produced resemble DA images with bones present, though signals from non-vascular structures like bones and intestines are compressed by a method of frequency subtraction that enhances blood vessels in the obtained image. SCORE RSM is also of enormous benefit for patients unable to hold their breath, as it is not affected by...

Fig.7 76-Year-Old Man ‌ Findings: Staining of a 30-mm area confirmed in S8. After inserting a micro catheter to the target position, anticancer drugs and a Lipiodol emulsion were injected and TACE was performed with Gelpart. a) taining of a 30-mm tumor in S8 found by preoperative CT S ‌ b) umor staining in S8 confirmed by DSA T ‌ c) Tumor staining of same size and in same location as on ‌ preoperative CT confirmed by SCORE CT ‌ • ‌ ontrast media injection conditions: 3 mL/sec, total volume C 42 mL (diluted 50 %), delay 4.0 seconds d) ‌ lood stream determined using VR display B e) ‌ 8 (red...