ババ ヤスタカ
BABA Yasutaka
馬場 康貴 所属 埼玉医科大学 医学部 国際医療センター 放射線科(放射線腫瘍科、画像診断、核医学科) 職種 教授 |
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論文種別 | 学術雑誌(原著) |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Comparison of adrenal vein sampling value between aldosterone producing adrenal adenoma and non-functioning adrenal adenoma: Evaluation using receiver operating characteristic analysis |
掲載誌名 | 正式名:ACTA RADIOLOGICA ISSNコード:02841851 |
出版社 | TAYLOR&FRANCIS LTD |
巻・号・頁 | 46(7),750-755頁 |
著者・共著者 | Y Baba,H Hokotate,M Nakajo |
発行年月 | 2005/11 |
概要 | Purpose: To evaluate adequate criteria for adrenal vein sampling values in patients with aldosterone producing adrenal adenoma (APA), retrospectively.Material and Methods: Between 1988 and 2002, 59 hypertensive patients (15 M and 44 F, aged 47.58 +/- 9.45 years) were referred to our hospital and diagnosed with APA based on established criteria. During the same period, 23 patients with non-functioning adrenal adenoma (11 M and 12 F aged 53.56 +/- 11.76 years) were diagnosed based on computed tomography and laboratory data.Results: All 82 patients were enrolled in the present study. Bilateral adrenal vein sampling (AVS) for measurement of plasma aldosterone (A) and cortisol (C) was performed, and a receiver operating characteristics (ROC) analysis was conducted to establish the best criteria from the AVS-derived index in patients with APA. A (APA side)/A (contralateral side) was confirmed to provide the best diagnostic accuracy {(>2.5: right APA, sensitivity 83.3%, specificity 79.5%), (> 3: left APA, sensitivity 84.2%, specificity 76.9)}. The Az values for A (APA side)/A (contralateral side) were 0.8948 and 0.9260 for right and left APA, respectively.Conclusion: The A (APA s |
DOI | 10.1080/02841850500215568 |