{"title":"[Comparison of Procedural Parameters and Efficiency between Angio FFR and Wire-based FFR for Functional Severity Assessment].","authors":"Hirotaka Itai, Daichi Ideguchi, Toshihisa Kawasaki","doi":"10.6009/jjrt.26-1665","DOIUrl":"https://doi.org/10.6009/jjrt.26-1665","url":null,"abstract":"<p><strong>Purpose: </strong>Angio FFR has attracted attention as a method for assessing the functional severity of intermediate coronary artery stenosis. However, detailed comparisons with wire-based FFR in terms of radiation dose and procedural efficiency remain limited. This study aimed to compare examination-related parameters and procedural efficiency between the two methods and to evaluate the clinical utility of angio FFR.</p><p><strong>Methods: </strong>This retrospective clinical study included patients who underwent functional assessment of coronary artery stenosis using either angio FFR or wire-based FFR during cardiac catheterization. The evaluated parameters were reference-point air kerma at the patient entrance reference point (K<sub>a,r</sub>), air kerma-area product (P<sub>KA</sub>), fluoroscopy time, contrast volume, number of images, and angiography room stay time. Continuous variables were compared using median values and interquartile ranges.</p><p><strong>Results: </strong>Compared with the wire-based FFR group, the angio FFR group showed significantly lower K<sub>a,r</sub>, fluoroscopy time, contrast volume, and angiography room stay time (p<0.05). No significant differences were observed in P<sub>KA</sub> (p=0.95) or the number of images (p=0.27).</p><p><strong>Conclusion: </strong>Angio FFR was associated with lower K<sub>a,r</sub> and improved procedural efficiency compared with wire-based FFR, suggesting its potential utility in functional assessment of coronary artery stenosis.</p>","PeriodicalId":74309,"journal":{"name":"Nihon Hoshasen Gijutsu Gakkai zasshi","volume":"82 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Measurement of Defect Areas in Lead Aprons Using Click-prompt-based Semi-automatic Region Extraction with the Segment Anything Model].","authors":"Masato Takahashi, Hiraku Fuse, Koichi Hanada, Manamu Kimura, Kenji Yasue, Shin Miyakawa, Hiroki Nosaka, Norikazu Koori","doi":"10.6009/jjrt.26-1705","DOIUrl":"https://doi.org/10.6009/jjrt.26-1705","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a click-prompt-style semi-automatic defect segmentation method using Segment Anything Model 2 (SAM2) with Low-Rank Adaptation (LoRA) for fluoroscopic images of lead aprons and to evaluate its quantitative performance and usefulness.</p><p><strong>Methods: </strong>Twenty-four fluoroscopic images acquired from 19 lead aprons were divided into training/validation (n=14) and test datasets (n=10). Two radiological technologists independently annotated the test images and established Consensus GT masks after reviewing discrepancies. Four radiological technologists performed manual and click-prompt-based segmentation using SAM2 Original and SAM2-LoRA (r=8, 16, and 32). All methods were evaluated against the Consensus GT.</p><p><strong>Results: </strong>Inter-annotator agreement between the two independent GT masks was ICC(2,1)=0.982 for area, with a Dice coefficient of 0.802 and IoU of 0.674. Mean Dice coefficients against the Consensus GT were 0.708 for manual segmentation, 0.426 for SAM2 Original, and 0.752, 0.774, and 0.759 for SAM2-LoRA with r=8, 16, and 32, respectively. The r=16 setting showed the smallest mean absolute area error among the models (69.7 mm<sup>2</sup>).</p><p><strong>Conclusion: </strong>Under the conditions of this small single-center study, click-prompt-based SAM2-LoRA may support measurement of candidate defect areas in fluoroscopic images of lead aprons. External validation is required before use for automated rejection decisions.</p>","PeriodicalId":74309,"journal":{"name":"Nihon Hoshasen Gijutsu Gakkai zasshi","volume":"82 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[9. High-sensitivity in vivo Imaging of <sup>211</sup>At using XCam-CdTe].","authors":"Shin'ichiro Takeda","doi":"10.6009/jjrt.26-0108","DOIUrl":"https://doi.org/10.6009/jjrt.26-0108","url":null,"abstract":"","PeriodicalId":74309,"journal":{"name":"Nihon Hoshasen Gijutsu Gakkai zasshi","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The Current State of PACS and the Future of Medical Digital Transformation Using the Cloud].","authors":"Masahito Uesugi","doi":"10.6009/jjrt.26-0501","DOIUrl":"https://doi.org/10.6009/jjrt.26-0501","url":null,"abstract":"","PeriodicalId":74309,"journal":{"name":"Nihon Hoshasen Gijutsu Gakkai zasshi","volume":"82 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}