{"created":"2023-06-20T15:49:11.126358+00:00","id":3753,"links":{},"metadata":{"_buckets":{"deposit":"09bdd8fa-04c9-4b6d-8280-0299a5230bc7"},"_deposit":{"created_by":4,"id":"3753","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3753"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003753","sets":["2:15:17"]},"author_link":["11046"],"control_number":"3753","item_5_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"脊椎手術の定量化　神経根減圧脊椎低侵襲内視鏡手術のための有限要素法","subitem_alternative_title_language":"ja"}]},"item_5_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03-16","bibliographicIssueDateType":"Issued"}}]},"item_5_date_granted_17":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2021-03-16"}]},"item_5_degree_grantor_15":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"浜松医科大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"13802","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_12":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（光医工学）","subitem_degreename_language":"ja"}]},"item_5_description_13":{"attribute_name":"学位の区分","attribute_value_mlt":[{"subitem_description":"doctoral","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_description_14":{"attribute_name":"学位の分野","attribute_value_mlt":[{"subitem_description":"医学系研究科","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Introduction: Diagnosis is the key to improving spinal surgical outcomes. Full endoscopic spinal surgery (FESS) can create new indications when the diagnosis of radiculopathy is improved. We assessed the finite element method (FEM) to visualize and digitize lesions not detected by conventional diagnostic imaging.\nMethods: The lumbar patient was a 67-year-old woman with a history of rheumatoid arthritis, and with osteoporosis and pulmonary fibrosis. She had left L3 radiculopathy due to an L3 vertebral fracture. The cervical patient was a 61-year-old woman with left C6 radiculopathy due to C5-6 disc herniation. We performed full endoscopic foraminotomy on the patient’s request. Based on CT DICOM data of 0.5-mm slices preoperatively and postoperatively, 3D imaging data were reproduced by Mechanical Finder®, and kinetic simulation of FEM was performed.\nResults: Postoperatively, their radiculopathy disappeared, improving their activities of daily living, and enabling them to walk and work. The total contact area and maximum contact pressure of the nerve tissue decreased to 30%-80% and 33%-67%, respectively, postoperatively.\nConclusions: FEM can be a new method for perioperative evaluation and simulation to visualize and digitize the conditions of the lesion causing radiculopathy. FEM that can overcome both time and economic constraints in routine clinical practice is needed.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_5_dissertation_number_18":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第881号"}]},"item_5_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"北浜, 義博","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"11046","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-08-20"}],"displaytype":"detail","filename":"DT_881ronbun.pdf","filesize":[{"value":"365.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"論文本文","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3753/files/DT_881ronbun.pdf"},"version_id":"7f33b6bf-866e-4e1c-923c-8d3e7c3d75ea"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"finite element method","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"foraminotomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"full endoscopic spine surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Quantification of spine surgery　Finite element method for nerve root decompression spine minimally invasive endoscopic surgery","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Quantification of spine surgery　Finite element method for nerve root decompression spine minimally invasive endoscopic surgery","subitem_title_language":"en"}]},"item_type_id":"5","owner":"4","path":["17"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-08-20"},"publish_date":"2021-08-20","publish_status":"0","recid":"3753","relation_version_is_last":true,"title":["Quantification of spine surgery　Finite element method for nerve root decompression spine minimally invasive endoscopic surgery"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-03-12T07:44:47.041994+00:00"}