@article{oai:jichi-ir.repo.nii.ac.jp:00000532,
 author = {Endo, Takeshi and Ishikawa, Yukiko and Matsumura, Masami},
 journal = {自治医科大学紀要, Jichi Medical University Journal},
 month = {Mar},
 note = {A 59-year-old man presented with sudden onset of severe epigastric pain at the emergency room of a rural hospital. The emergency physician ordered abdominal computed tomography （CT）, and a radiographer （non-physician） notified the physician that the Hounsfield units in the lumen of the superior mesenteric artery（ SMA） were elevated. A contrast-enhanced CT study was then added and revealed SMA dissection. The patient was transferred to a tertiary hospital. On the same day, rupture of the middle colic artery occurred. Massive blood transfusion and emergent surgery were life-saving. Appropriate transfer of a seriously ill patient to the referral hospital based on a correct diagnosis is crucial in rural medicine. In Japan, CT is deployed even in rural areas, although remote image interpretation systems are not yet functioning sufficiently. The real-time interpretation of CT images by the radiographer can contribute to the diagnosis of critical disorders, especially in emergencies occurring in rural area.},
 pages = {41--45},
 title = {Diagnostic contribution by the radiographer：A case of superior mesenteric artery dissection in a rural hospital},
 volume = {41},
 year = {2019}
}