主訴に沿う—俯瞰し収束する画像診断の目

Think! According to the Chief Complaint, and with The Neuroradiologists' Bird's Eye

「主訴に沿う—俯瞰し収束する画像診断の目」と題し，「①ふるえる」「②頭が痛い」「③二重に見える」「④人が見える」「⑤お腹が痛い」の5項目にわたり，現在の画像診断技術を駆使することによって，どこまで「主訴」の背景にある病態に迫れるか，を特集した。この総論では，各論を読むことで立ちのぼってくる著者らの真摯な日常を読者諸氏にお伝えし，「画像所見にできるだけ沿い，患者さんの困っていることに近づきたい」画像診断医の思いを伝えたいと考える。

Abstract

The remarkable progress of imaging diagnostic technology has nearly reached the point of determining the causative agent of neurodegenerative diseases, and it is becoming possible to capture detailed images that can reflect macro pathology. However, images are just images. In order to accomplish accurate image diagnosis in accordance with the chief complaint encountered in clinical practice, we must leave the chief complaint as the chief complaint, reevaluate the image on its own merits, and approach the disease condition from this new perspective. In this special feature, I would like to select the appropriate image examination based on the chief complaint of each patient, and furthermore to make use the imaging diagnostic technology to approach the disease condition, from the perspective of the experts of the neuroradiology whom I admire from the bottom of my heart.