帝京大学ちば総合医療センター－診療科・担当医紹介

診療科・担当医紹介

IVRセンター

IVR はインターベンショナルラジオロジー（Interventional Radiology）の略でX線透視やCT、超音波などの画像診断装置で体の中を透かして見ながら、医療器具（カテーテルや針等）を用いて行う治療法であり「画像下治療」と訳されます。多くの手技が局所麻酔で行うことができることから、外科的な手術と比べ患者さんのからだへの負担が軽い（低侵襲である）のが特徴です。そのため、高齢の患者さんも安心して治療を受けられます。また、迅速性が高く、かつリアルタイムに体内の状態を観察しながら治療を行いますので治療効果がすぐに現れるのも特徴のひとつです。

IVR-CT装置

全国IVR症例登録事業参加

担当医

教授　村田智
	出身大学	鹿児島大学　1989年卒　医学博士
	専門分野	インターベンショナルラジオロジー（IVR）放射線診断学
	専門医等	日本IVR学会専門医（理事）日本IVR学会指導医日本医学会（評議員）日本血管造影　インターベンション専門診療放射線技師機構（理事）日本医学放射線学会診断専門医日本腹部救急医学会教育医・認定医（評議員）日本がん治療学会認定医・指導責任者 PET認定医日本医学放射線学会研修指導者日本IVR関東地方会（幹事・世話人）肝動脈塞栓療法研究会（世話人）日本血管内治療学会（評議員）日本救急放射線研究会（代議員） Japanese Scandinavian Radiological Society (board member） International Association of Surgeons Gastroenternologists and Oncologists (IASGO): (Faculty: International Coordinator Interventional Radiology)

救急科・IVRセンター兼務准教授　横井　健人
	出身大学	千葉大学　2000年卒　医学博士
	専門分野	インターベンショナルナルラジオロジー（IVR）放射線診断学救急・集中治療医学
	専門医等	IVR専門医（日本IVR学会代議員）放射線診断専門医救急科専門医集中治療科専門医日本DMAT隊員

非常勤医師　北村　真樹
	出身大学	帝京大学　2001年卒　医学博士
	専門分野	救急医学血管内治療一般外科外傷外科学
	専門医等	救急科専門医外科専門医
	所属学会	日本IVR学会日本医学放射線学会日本外科学会救急医学会　他

非常勤医師　鈴木利直
	出身大学	千葉大学 2011年度卒
	専門分野	救急医学血管内治療外傷学集中治療病院前診療
	専門医等	救急科専門医 ICLSディレクター JPTECインストラクター
	所属学会	日本IVR学会日本医学放射線学会救急医学会日本集中治療学会　他

非常勤医師　髙野隼
	出身大学	東京大学 2018年度卒
	専門分野	救急医学集中治療
	専門医等	救急科専門医
	所属学会	救急医学会日本集中治療学会

施設認定
日本IVR学会専門医修練施設
日本腹部救急医学会認定施設

研究について

A. 英語論文 (2016～)
Mine T, Murata S, Yasui D, Yokota H, Tajima H, Kumita S. Glue embolization of a blunt traumatic hepatic arteriovenous fistula under inflow and outflow control. J Nippon Med Sch. 83(1):27-30, 2016.
Onozawa S, Murata S, Mine T, Sugihara F, Yasui D, Kumita SI. Amplatzer vascular plug anchoring technique to stabilize the delivery system for microcoil embolization. Cardiovasc Intervent Radiol. 39(5):756-60, 2016.
Kimura T, Murata S, Onozawa S, et al. Combination therapy of interventional radiology and surgery for infarction of the small intestine caused by portal vein and mesenteric vein thrombosis: A patient report. Yonago Acta Med. 12;59(3):237-240, 2016.
Sugihara F, Murata S, Uchiyama F, Watari J, Tajima H, Kumita SI. Successful coil embolization of an aneurysm in the arc of Bühler. J Nippon Med Sch. 2016;83(5):196-198.
Kawano Y, Murata S, Taniai N, et al. Interventional treatment of severe portal vein thrombosis after living-donor liver transplantation. J Nippon Med Sch. 2016;83(5):206-210.
Onozawa S, Murata S, Yamaguchi H, et al. Can an enhanced thin-slice computed tomography delineate the right adrenal vein and improve the success rate? Jpn J Radiol. 34(9):611-9, 2016.
Onozawa S, Murata S, Kimura T, et al. Diaphragm height varies with arm position: comparison between angiography and CT. Diaphragm height varies with arm position: comparison between angiography and CT. Jpn J Radiol. 34(11):724-729, 2016.
Adachi A, Komine M, Murata S, et al. Case of mixed form primary cutaneous mucinous carcinoma with the initial lesion exhibiting similar histopathological features to those of syringomatous carcinoma. J Dermatol. 2016 Nov;43(11):1364-1365.
Moriya A, Yamamoto M, Kobayashi S, Nagamine T, Takeichi-Hattori N, Nagao M, Harada T, Tanimura-Inagaki K, Onozawa S, Murata S, et al. ACTH stimulation test and computed tomography are useful for differentiating the subtype of primary aldosteronism. Endocr J. 30;64(1):65-73, 2017.
Sugihara F, Murata S, Ueda T, et al. Haemodynamic changes in hepatocellular carcinoma and liver parenchyma under balloon occlusion of the hepatic artery. Eur Radiol. 27(6), 2474-2481, 2017.
Ueda T, Murata S, Miki I, et al. Endovascular treatment strategy using catheter-directed thrombolysis, percutaneous aspiration thromboembolectomy, and angioplasty for acute upper limb ischemia. Cardiovasc Intervent Radiol. 40(7):978-986, 2017.
Ueda T, Tajima H, Murata S, Takagi R, Yokota H, Kumita SI. Chopstick injury: successful stent-graft therapy for traumatic left subclavian artery aneurysm. J Nippon Med Sch. 84(1):41-44, 2017.
Yasui D, Murata S, Ueda T, et al. Novel treatment strategy for advanced hepatocellular carcinoma: combination of conventional transcatheter arterial chemoembolization and modified method with portal vein occlusion for cases with arterioportal shunt: a preliminary study. Acta Radiol. 59(3):266-274, 2017.
Miki I, Murata S, Uchiyama F, et al. Evaluation of the relationship between hepatocellular carcinoma location and transarterial chemoembolization efficacy. World J Gastroenterol. 21;23(35):6437-6447, 2017.
Tajima H, Kaneshiro T, Takenoshita N, Ichikawa T, Isshiki S, Murata S, et al. Endovenous Treatment for Acute Massive Pulmonary Thromboembolism. Ann Vasc Dis. 2017 10(4):338-344.
Murata S, Onozawa S, Yasui D, Ueda T, Sugihara F, Shimizu A, Suzuki K, Satake M. Evaluating the Feasibility of Isolated Pancreatic Perfusion for Chemotherapy Using Computed Tomography: an experimental study in pig models. Cardiovasc Intervent Radiol. 41(7):1081-1088, 2018
Yanagi M, Suzuki Y, Hamasaki T, Mizunuma K, Arai M, Yokota H, Murata S, Kondo Y, Nishimura T. Early Transcatheter Arterial Embolization for the American Association for the Surgery of Trauma Grade 4 Blunt Renal Trauma in Two Institutions. J Nippon Med Sch. 2018;85(4):204-207.
Yamaguchi H, Murata S, Onozawa S, Sugihara F, Hayashi K, Kumita S. Strategy for the treatment of spontaneous isolated visceral artery dissection. European Journal of Radiology Open. doi.org/10.1016/j.ejro.2018.11.003
Yamaguchi H, Murata S, Onozawa S, Sugihara F, Saito H, Kumita SI. Coil embolization using microballoon assistance combined with the double-catheter technique for a large superior mesenteric arterial pseudoaneurysm and fistula secondary to acute pancreatitis. J Vasc Surg Cases Innov Tech. 4(2):152-155, 2018.
Ueda T, Tajima H, Murata S, Iwata K, Saitou H, Miki I, Yasui D, Sugihara F, Onozawa S, Morota T, Kumita SI. An Extremely Rare Complication: Abdominal Aortic Aneurysm Rupture Caused by Migration of a Zenith Main Body Years After Repair of the Suprarenal Stent Separation. J Endovasc Ther. 2019 Apr;26(2):269-272.
Suzuki T, Murata S, Tsunoyama T, Kitamura M. Recanalization using direct stenting before bowel resection for acute-on-chronic superior mesenteric artery occlusion: A case report. Int J Surg Case Rep. 2020 Feb 21;68:92-95.
B. 灌流療法関連の英語論文
Murata S, Itai Y, Asato M, et al. Effect of temporary occlusion of the hepatic vein on dual blood in the liver: evaluation with spiral CT. Radiology. 197(2):351-6, 1995.
Murata S, Itai Y, Satake M, et al. Changes in contrast enhancement of hepatocellular carcinoma and liver: effect of temporary occlusion of a hepatic vein evaluated with spiral CT. Radiology. 202(3):715-20, 1997.
Murata S, Tajima H, Abe Y, et al. Temporary occlusion of two hepatic veins for chemoembolization of hepatocellular carcinoma with arteriohepatic vein shunts. AJR Am J Roentgenol. 184(2):415-7, 2005.
Murata S, Tajima H, Kusakai G, et al. Reduction of drug leakage by negative-balance isolated pelvic perfusion: correlation between leakage and in-out flow rate in a pig model. J Cancer Res Clin Oncol. 131(9):575-80, 2005.
Murata S, Tajima H, Abe Y, et al. Changes in pelvic and systemic platinum concentrations during negative-balance isolated pelvic perfusion: correlation between platinum concentration and method of administration in a pig model. J Cancer Res Clin Oncol. 133(7):417-22, 2007.
Murata S, Tajima H, Onozawa S, et al. Pilot study of transcatheter arterial ethanol embolization under closed renal circuit for large renal cell carcinomas. Eur Radiol. 18(7):1464-72, 2008.
Onozawa S, Murata S, Shimizu A, et al. Comparative study of transcatheter renal arterial embolization with and without closed renal circuit: pharmacokinetic and histologic assessment in pigs. Radiology. 250(3):714-720, 2009.
Murata S, Tajima H, Nakazawa K, et al. Initial experience of transcatheter arterial chemoembolization during portal vein occlusion for unresectable hepatocellular carcinoma with marked arterioportal shunts. Eur Radiol. 19(8):2016-23, 2009.
Murata S, Onozawa S, Oda T, et al. Pharmacologic Advantages of Negative-Balance Isolated Pelvic Perfusion: Achievement of Intensive Exposure of the Pelvis to Platinum without Systemic Leakage. Radiology. 262 (2): 503-10, 2012.
Murata S, Jeppsson B, Lunderquist A, Ivancev K. Hemodynamics in rat liver tumor model during retrograde-outflow isolated hepatic perfusion with aspiration from the portal vein: angiography and in vivo microscopy. Acta Radiol 55(6): 737-744, 2014.
Murata S, Onozawa S, Kim C, et al. Negative-balance isolated pelvic perfusion in patients with incurable symptomatic rectal cancer: results and drug dose correlation to adverse events. Acta Radiol 55(7):793-801, 2014.
Murata S, Mine T, Sugihara F, et al. Interventional treatment for unresectable hepatocellular carcinoma. World J Gastroenterol. 20(37): 13453-13465, 2014.
Murata S, Onozawa S, Mine T, et al. Retrograde-outflow percutaneous isolated hepatic perfusion using cisplatin: A pilot study on pharmacokinetics and feasibility. Eur Radiol. 25(6):1631-1638, 2015.
Murata S, Onozawa S, Mine T, et al. Minimizing systemic leakage of cisplatin during percutaneous isolated pancreas perfusion chemotherapy: A pilot study. Radiology 276(1): 102-109, 2015.
Murata S, Onozawa S, Sugihara F, et al. Feasibility and safety of negative-balance isolated pelvic perfusion in patients with pretreated recurrent or persistent uterine cervical cancer. Ann Surg Oncol. 22(12): 3981-3989, 2015.
Murata S, Onozawa S, Yasui D, et al. Evaluating the feasibility of isolated pancreatic perfusion for chemotherapy using computed tomography: an experimental study in pig models. Cardiovasc Intervent Radiol. 2018 (Epub ahead of print)
C. 灌流療法関連の特許取得
村田智、隈崎達夫：骨盤内抗癌剤灌流療法および骨盤内抗癌剤装置。(日本国特許取得2008年10月8日、日本国特許番号：4024506)
Satoru Murata, Tatsuo Kumazaki: Intrapelvic perfusion therapy with cancer therapeutic agent and apparatus for intrapelvic perfusion with cancer therapeutic agent. (米国特許取得2011年3月29日、米国特許番号：7914478)
隈崎達夫、村田智：傍大動脈リンパ節腫瘍への薬剤灌流設備。(日本国特許取得2012年4月20日、特許番号：4977340)
村田智：膵灌流装置及びその制御方法。(日本国特許取得2016年8月26日、特許番号：5992385)
Satoru Murata： Pancreas perfusion apparatus, method for controlling same, and method for pancreas perfusion.（米国特許取得2018年7月24日、米国特許番号：10029078)
村田智：灌流装置及びその作動方法（日本国特許取得2018年12月21日、日本国特許番号：6452761）

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