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Shigeru Furui

Publications and source records attributed to Shigeru Furui.

26 records · Page 2Linked to original sources

Multidetector row helical CT of the pancreas: value of three-dimensional images, two-dimensional reformations, and contrast-enhanced multiphasic imaging.

Multidetector row helical computed tomography (MD-CT) scanning is performed for the evaluation of pancreatic tumors. Three-phase contrast study is performed using 2.5-mm collimation, and the images are reconstructed at 1.25-mm intervals. CT angiography and pancreatic duct images using two- or three-dimensional techniques are reconstructed from the volumetric data. MD-CT can perform multiphasic scanning rapidly with an optimal temporal window. CT angiography obtained with MD-CT can delineate peripancreatic vasculature with high spatial resolution and sufficient vascular enhancement. Pancreatic duct images can provide important information in assessing pancreatic disease. MD-CT has the potential to improve detection and preoperative assessment of pancreatic tumors.

Angiography↗

[A case of adenomyosis showing multiple large cysts on MR imaging].

Adenomyosis is a condition characterized by benign invasion of the endometrium into the myometrium associated with reactive hypertrophy of the surrounding musculature. The ectopic endometrium in adenomyosis is of the basalis type, and menstrual bleeding is less common than in endometriosis. We report a rare case of adenomyosis that had multiple, large, adenomyotic cysts. These cysts were located in the outer layer of adenomyosis on MR imaging. Pathologic features consisted of blood-filled cysts of 1 cm to 5 cm in maximum diameter of the functioning endometrial type.

Adult↗

CT and MR findings of basal cell adenoma of the parotid gland.

We report a case of basal cell adenoma in the left parotid gland. A 34-year-old woman presented with a non-tender mass in the left parotid gland. She had first noted it 7- years previously, and it had been gradually increasing in size. The tumor was well-circumscribed with a smooth contour. On noncontrast-enhanced CT, the tumor showed homogeneous soft tissue attenuation. No cystic portion or calcification was seen. The tumor showed homogeneous moderate enhancement on contrast-enhanced CT. Capsule-like ring enhancement was demonstrated. On T1-weighted MR imaging, the tumor was homogeneously hypointense to the surrounding parotid tissue and isointense to muscle. On T2-weighted imaging the tumor was homogeneously hyperintense to muscle but slightly hypointense to the surrounding parotid tissue. On Gd-enhanced T1-weighted imaging, the tumor demonstrated homogeneous moderate enhancement. Capsule-like ring enhancement was also demonstrated. Salivary (technetium-99m-pertechnetate) scintigraphy did not show any uptake in the tumor.

Adenoma↗

Brown tumor of the sphenoid sinus in a patient with secondary hyperparathyroidism: CT and MR imaging findings.

We present a case of brown tumor of the sphenoid sinus in a patient with secondary hyperparathyroidism. CT showed an expansile soft-tissue attenuation mass centered in the sphenoid sinus. CT at bone window setting demonstrated expansile, lytic change and remodeling of the surrounding bone. On MR imaging, the lesion showed iso-intensity to gray matter on T1-weighted images and heterogeneous hyperintensity on T2-weighted images, and showed intense enhancement. The extent of the lesion and its relationship to the surrounding structures were best evaluated by CT and MR imaging.

Bone Remodeling↗

Benign pleomorphic adenoma with extensive cystic degeneration: unusual MR findings in two cases.

Two cases of benign pleomorphic adenoma (PA) with extensive cystic degeneration are described. In both cases magnetic resonance (MR) imaging revealed entirely cystic tumors with an irregularity at the cyst wall. Some additional findings were observed: one case showed layering within the cyst contents caused by intratumoral hemorrhage, and the other had a small mural nodule at the cyst wall that showed very low intensity on both T1- and T2-weighted images and corresponded pathologically to the hyaline stroma. In both cases, preoperative diagnosis was difficult based on the MR findings alone. Benign PA should be included in the differential diagnosis of an entirely cystic parotid mass.

Adenoma, Pleomorphic↗