I am Suqi,

A first-year PhD student of Radiology Department of KPUM. Graduated from Nanjing Medical University in 2015, I have obtained over 5 years clinic experience, which includes a three-year Radiology Resident Rotation in China.

I am supervised by Prof. Yamada and Assoc. Prof. Sakai. Prof. Yamada gave me so much support to help me study in Japan. That's why I have the opportunity to come here. Assoc. Prof. Sakai taught me how to start my research and how to find inspiration from the papers. They spared no effort in helping me, although I am a freshman in scientific research field. Here the professors and doctors are also very kind. Prof. Tamaki selected some papers about Alzheimer's Disease for me and also shared his opinions with me. Dr. Akazawa and Dr. Goto gave me some advice in study and life which made me adapt to life abroad quickly. Dr. Miura also showed me around in the IVR center and shared his knowledge with me.

The study atmosphere here is very good. Prof. Yamada provided many chances of attending international meetings for us and often invited some professors and doctors to give lectures. What's more, daily conference which is hold every afternoon always make me acquire a lot . Although there still are points that confuse me when conversations are conducted in Japanese, it does not hinder a single bit from Daily Conference becoming my favourite part in our department. I am especially grateful to those patient and nice staffs who are always willing to explain to me in details.

Sadly, COVID-19 is affecting daily life in a significant way. Online meetings and lectures are replacing face-to-face style and cancellations are being seen in every public activity. I hope that the epidemic will pass soon and will no longer affect our study and life.

Written by Suqi

I am Bartu

I am Bartu, 2nd year master student from Maastricht University, Netherlands. I am following the double degree program between Maastricht and Kyoto prefectural University of Medicine, in Biomedical Sciences. Performing my internship at the Radiology department. Supervised by prof. Yamada and Assoc. Prof. Sakai on the topic of glioma and AI.

During the months I stayed there I got challenge myself with MRI. I got to understand the process of how the staff works with these images and as well how those images are diagnosed. Developing ideas to quicken the process and provide more information with the use of radiomics.

As this was my first time in Japan, I got the chance of experiencing both in and out the hospital. In the hospital I got to meet and see medical staff working and learned many things from them while giving them some English practice in return. Out of the hospital I got to meet and see the culture and history of Kyoto with the guidance of the staff. Giving me insight into the Japanese way of life and the scientific community. Leading to the 8 months full of work, stories and memories.

Sadly, my time was cut short due to the COVID pandemic. Nonetheless, I had a wonderful experience which led me to grow personally and professionally. I am dearly grateful for everyone at the department of radiology.

written by Bartu Hezer

Kyoto International Study Adventure »

I am Bárbara, Portuguese and Dutch

Biomedical Sciences Master student from Maastricht University in the Netherlands. I am following a Double Degree program between my home University and Kyoto Prefectural University of Medicine (KPUM), in Medical Sciences. At the same time I am also working on my master thesis internship at the Radiology department under the supervision of Prof. Kei Yamada and Assoc. Prof. Koji Sakai.

During the nine-month period of internship I will be working on radiomics analysis of glioma tumors using multi-modal MRI. Our goal is to explore the different opportunities texture and fractal analysis have to offer on how to differentiate between the different types of tumors and link our quantitative imaging findings to its genetic and biological counterparts. At the same time we want to investigate how procedures such as ROI delineation can influence the results deriving from this type of work.

Although my job mostly consists of data processing and image analysis, I have the chance to directly work and learn from the medical staff. In this way I cannot only understand in a more profound level the current challenges of diagnostic radiology, but also directly work and collaborate with the physicians who have the most experience in the medical cases.

Moreover, I have been having the remarkable opportunity to attend medical meetings where my knowledge of general diagnostic radiology can be expanded and its current challenges better understood and perhaps be incorporated for future research.

The overall experience at the Radiology Department of the University Hospital of KPUM has been unexpectedly rich and rewarding for personal and professional development and growth, to which I am dearly grateful.

written by Bárbara

I am the second year neuroimaging fellow in department of radiology,

faculty of medicine, Siriraj hospital, Bangkok, Thailand. It was the third time being in Japan. But this time was different because I came to study.

It was a great opportunity to have elective program in Kyoto Prefectural University of Medicine(KPUM), Kyoto, Japan. Even it was just 2 weeks, I have learned a lot not only just the knowledge in radiology but also a life experience. They taught me that it was not just a film, it was patient’s life, if It was your mother’s film, what would you do, that impressed me a lot.
Moreover, There were many interesting cases which almost all have pathological diagnosis, very suitable for studying. There were many sequential scans of CT/MRI, so that we could see the progression/nature of the disease, which help me understand the pathophysiology of the disease.

Japanese people are kind and generous. Not only the people but the scenic nature and culture, I do love Japan. I really have a great moment here.
At last, I feel sincerely thankful to Professor Yamada, Assistant Professor Shimizu, all KPUM staffs and residents. All experiences and cases I have learned, I will try my best to take a good care of my patients, I do promise.

written by Natthawut Jarunnarumol, MD

I am 2nd year fellowship neuroimaging in the department of radiology, Siriraj hospital, Bangkok, Thailand.

I am 2nd year fellowship neuroimaging in the department of radiology, Siriraj hospital, Bangkok, Thailand.

I want to say thank you for giving me the oppotunity to visit at the Department of Radiology, Kyoto Prefectural University of Medicine. Professor Yamada, Assistant professor Shimizu and all staffs are very kind. Eventhough it was just only 2 weeks staying here, I have learned a lot of nice cases and I am very greatful for how comfortable you make me feel.

Furthermore, Kyoto is the ancient capital city of Japan where it has wonderful weather with the colorful autumn leaves. There are many historical temples and shrines to visit. This is the wonderful moment!!!

I will always keep the impressive experiences and valuable knowledge I have gained during stay in Kyoto in my memory.

written by Niyada Anusasnee, MD

I am a second year neuroimaging fellowship from department of radiology of Siriraj Hospital

Thailand. I spent 2 weeks period (8-19 October 2018) at department of radiology of Kyoto Prefectural University of Medicine. Your radiology residents and attending staffs have taken good care of us. They have shared their knowledge and experiences. I have learned many new things here. You showed us many nice neuro cases. Your daily conferences are awesome. Prof.Tamaki gave us the excellent lecture about how to publish good papers. It’s my first time to see cryoablation therapy. It’s a good opportunity to see how you learn and practice here for making my self-improvement.

Furthermore, I enjoyed sightseeing, dining and shopping in Kyoto. Visiting Kyoto Prefectural University of Medicine is recommended.

Special thanks to;
Prof. Yamada for providing us the opportunity to be here and great case discussion
Prof. Tamaki for showing us your nuclear medicine department and translating daily conference
Dr.Shimizu for your guidances and preparing our schedules
Dr.Tazoe and Dr.Aita for showing, teaching and discussing many nice neurocases
Dr.Miura for teaching and showing IR case (Cryoablation for renal tumor)
Dr.Akazawa, Dr.Goto, Dr.Matsushima, Dr.Masui for showing the nice cases discussion

written by Kritdipha N.

Reflective report of my elective in KPUM

I am a 2nd year neuroradiologist fellow from Siriraj hospital, Thailand.

I have a great opportunity of visiting at KPUM about 2 weeks(8-19 October 2018). Although It was a short period, It was a quality time. I gained many experiences. Staffs and residents are welcoming, friendly and helpful. They tried to teach and show many interesting cases. I learned different aspect of thinking and approaching. The communication is not a big problem.

Finally, I have special thanks to Prof. Yamada for giving me a great chance and excellent case discussion, Prof. Tamaki for translating the everyday conferences and a wonderful lecture
Dr. Shimizu for your advices and guidances
Dr. Tazoe and Dr.Aita for showing many nice cases
Dr.Miura, Dr. Akazawa, Dr. Matsushima, Dr. Goto, Dr. Kotai, Dr. Masui, Dr. Nishimura for sharing their knowledge

written by Sarimon Wattanapituxpong

My reflection for KPUM

I've spent two weeks doing electives in radiology department. This may be a short time. However, I have learned a lot.

Before arriving here, I thought language barriers may cause some obstacle. But it's definitely not.
The staffs and residents kindly dedicated their time and effort to understand us, taught us for case approach, explained and discussed their bunch of fascinating cases to us. Many cases are beautiful as if they come form the textbook and many cases I have never seen or known before.

Moreover, not only radio-diagnostic cases, but also in the nuclear medicine, radiotherapy, and interventional rotations are also well provided for us to participate. I'm very impressed by the cancer center which is so innovative, altogether with the first time experience in cryotherapy.

Finally, I would like to thank everyone who has been involved in this valuable and inspiring moment in KPUM, especially, Prof. Yamada for giving us a chance to be here and challenging case discussion in neuroimaging, Dr.Shimizu for kind guidance, Prof. Tamaki for pleasant nuclear section and daily conference, Dr.Miura for perspicuous explanation in cryotherapy, Dr. Akazawa, Dr. Tazoe, and Dr.Aita for many interesting neuroimaging cases. Visiting KPUM is definitely an inspiring and memorable time in my life.

written by Thitipan Sawangthap, MD

Siriraj Hospital, Thailand

My best two months of experience at KPUM in Japan

We were recommended to undertake the clinical elective program at Kyoto Perfectural University of Medicine(KPUM), from our senior neuroradiology fellow in King Chulalongkorn Memorial Hospital. Prior to our elective program, We had an opportunity to attended the “1st annual MRI meeting by Siriraj hospital” where Prof. Kei Yamada participated as a guest speaker and we were impressed with his words since.

After we arrived KPUM, Dr. Shimizu kindly took care of us, and introduced us to all staffs in KPUM radiology department and guided us through directory of the hospital. With Dr.Shimizu's amazing guidance, anyone who would like to gain experience at KPUM will never have to worry about getting lost here at this hospital.

During our time in KPUM, we have expanded our knowledge from an educational perspective as we had a chance to review and discuss several cases of MRI brain with the fellow and Prof. Yamada. Dr. Yamada allowed us to freely ask as many questions as we would like, providing one of the best learning environment for us. Furthermore, at this hospital, they had a daily conference, which was held every evening. Although they generally had a discussion in Japanese, there were lots of people kindly assisted us with translation the conversation into English for us. Moreover, there were friendly people everywhere at KPUM, including Dr. Chisa Bamba who kindly taught us how to utilize their PACS system.

Regarding radiotherapy department, we have learnt radiation therapy technique used for cervical cancer treatment called interstitial brachytherapy from Dr. Shimizu. We had an opportunity to visit New Proton beam machine which was particularly an amazing method and have not yet been used here in Thailand.

In nuclear medicine department, Prof. Nagara Tamaki and his co-workers kindly taught us about PET/CT, scintigraphy and willingly introduced their workflow in the department to us.

And the last, but not least, Dr. Yoshiaki Ota tremendously assisted us by guiding us around and showing us various attractions and restaurants, leaving us with enjoyable time filled with happiness in Kyoto.

In conclusion, we were impressed by hospitality of all the people in radiology department of KPUM and we would strongly recommend this site to the other radiology residents/fellows to take part of the elective program here. We would like to give the warmest gratitude and to say thank you here again to give us a chance to visit KPUM.

Thank you so much.

written by　Sakanya, Sirikarn, Sarunya

Diagnostic radiology residents from KCMH, Thailand.

My best two months of experience at KPUM in Japan

I am Bayarbaatar Bold, a Mongolian and study in Radiology residency program at Faculty of Medicine Siriraj hospital of Mahidol University in Thailand. I have done a visiting fellowship program for two months at Radiology department, KPUM. I had rotations in Diagnostic radiology where I have been mostly, Nuclear medicine, Radiotherapy and Body Interventional Radiology. I kicked off my day one with friendly and helpful staffs in Radiotherapy unit at KPUM. At the unit, I got to know more about radiotherapy treatment planning and brand-new applications such as interstitial brachytherapy for cervical cancer. In the second week, I studied at Nuclear medicine unit where I had some bone scan and PET-CT scan (FDG 18 uptakes) interpretations with attending staffs. It was not only nice to recall what I learnt in Thailand but also learn new things. In the third week, I spent an exciting week at Body interventional radiology. I was able to interpret images and observe some procedures such as transarterial chemoembolization (TACE), cryoablation and lipiodol marking for the pre-operative patient. From week four till I complete the program, I stayed in Diagnostic Imaging unit mostly. Every day, I was able to work on a variety of cases and imaging studies. As I pursue to be experienced in Body Imaging, I spent a lot of time on interpreting acute abdominal cases, thoracic as well as gynaecology cases.

Moreover, I really liked Wednesday than usual because we had Neuroimaging case reviews with a senior professor. I got to present and interpret challenging cases, ranging from brain tumours to neurodegenerative diseases. The most exciting part was the discussion. The professor would ask thought-provoking questions about the cases I presented. Those questions were difficult to answer but it helped me organize my knowledge in order from basics to conclusions. The professor’s key message tried to give by asking challenging questions was that how to think is important than what to think. Logical thinking.

In addition, during my program, I was asked to present two presentations. First one was about the higher medical education system in Mongolia. I definitely think it is a good idea to discover other health care systems in developing countries. While preparing the presentation about my country, I realized the problems we have and the challenges we face by comparing facts to Japan and Thailand. My second presentation was on the differentiation of papillary type renal cell carcinoma from lipid-poor angiomyolipoma, under the supervision of an attending staff.

To sum up, I had unforgettable and eye-opening 2 months in Japan. I learnt a lot not only about Radiology but also about health care system in Japan. I hope the experience I acquired at KPUM would help me reach my big goals in the future. Special thanks to everyone who supported and took care of me during the program. written by Bayarbaatar Bold

written by Bayarbaatar Bold

今まで京都府立医科大学放射線科で研修修練を受けられた方、他学から国内留学でお越しになった先生方の声を紹介いたします。

2017年4月から2018年3月まで1年間、聖マリアンナ医科大学より国内留学として京都府立医科大学でお世話になりました。私がこちらでお世話になったのは放射線科診断専門医を受ける年、医師としては8年目の年でありました。聖マリでは、早くから自分のsubspeciality を決める流れがあるなか、私は学位を胸部領域で取得しているということで、一応胸部がsubspeciality ではありましたが、目指すところはジェネラルに読影できる放射線科医でした。私の同期は7人と豊作の年でしたが、なかでも最も大学にいない人間でして、大学本院で学んだのは入局した最初の年の1年間のみで、それ以降は関連病院など外病院を転々として参りました。大学本院にいる期間が短く、しっかりとトレーニングを積んでいない領域も多々あり、それらを1から学びたいとの思いから、国内留学を希望させて頂く運びとなりました。京都に来る前に決めていたことがありまして、それは、①診断は特にNeuro、Brestを学ぶ、IVRは腎凍結療法をはじめ聖マリとは異なった手技を特に学ぶ、核医学をローテーションさせて頂く、②京都ライフを楽しむ、の2点でありました。言うまでもなく、京都府立は、私は治療はローテーションしなかったものの非常にバランスよい研修・トレーニングを積むことのできる環境であり、診断・IVR・核医学とバランスよく勉強させて頂きました。恥かしながら今回の留学で初めてMRI perfusionやFA画像、MRSに触れ、その読影を学ばせて頂きました。市中病院での勤務の多かった私には無知なところからのスタートでありましたが、1年間でも毎日触れることで、読影のkey pointは理解したつもりです。現在勤務している関連病院では今までMRI perfusion は行われていなかったのですが、4月より積極的に行うようにプロトコールをさっそく変更させて頂きました。IVRでは多くの発表の機会を頂き、御指導して下さった先生方には感謝の気持ち出いっぱいです。今年、IVRと核医学の専門医試験を受ける予定でありますが、それも京都府立で学ばせて頂いた経験があってのことだと思っております。京都府立は聖マリに比べ若い先生が多く、国外からも常に留学生を受け入れており、エネルギッシュでオープンな雰囲気に羨ましさを感じました。私みたいにすぐにマンネリしてしまい、常に刺激がないと勉強意欲が低下してしまうタイプの人間には、京都府立は魅力的で、刺激を受けるには十分の環境でありました。この機会でせっかく上がったモチベーションのまま、次は自分の不得意な骨軟部領域も今後勉強していきたいなと新たな目標を見つけたところです。 私生活では、妻と生後2ヶ月の子供と3人で京都に来たわけですが、子供のあっと言う間の成長に日々驚きながら、京都の多くの観光名所に足を運びました。京都に来てから知ったのですが、京都市は全国1位のパンの消費量であるようで、あちこちにパン屋を見かけました。家の周りにも多くのパン屋やカフェを見つけ、休日には決まって甘味屋、パン屋、カフェのいずれかを巡っていました。秋には紅葉を巡り、２月には人生で初めてフルマラソン(京都マラソン)にチャレンジしました。どれも楽しい思い出です。ちなみにマラソンの楽しさを知り、今年10月の横浜マラソンにもさっそく応募しました。関東に戻って数ヶ月しか経っていませんが、この間学会・勉強会などで京都府立の先生方にお会いする機会があり、何度か一緒にお食事をさせて頂きました。留学しなければ知り合い得なかった先生方と、こうしてその後も関係を維持できることは留学の何よりもの宝物だと思っております。山田教授をはじめ京都府立医科大学放射線科の先生方、医局秘書の方々、今回の留学を温かく受け入れて頂き誠にありがとうございました。
written by Saruya

今まで京都府立医科大学放射線科で研修修練を受けられた方、他学から国内留学でお越しになった先生方の声を紹介いたします。

Unbelievable, how time flies! Someone said “time flies so fast when you are having fun” that I absolutely agree with. Going out of one’s safety zone is not easy. Anyway, my journey has been accomplished with your courteous support. First of all, I would like to express my gratitude to Yamada sensei for giving me a great chance to be here. I am really lucky to learn from an excellent professor in person with a couple of wonderful partners, Chisa sensei, Saryu sensei and Toyotsuji sensei. You have taught us not only in term of academic knowledge but also how to be a valuable and responsible radiologist. I will keep them in mind and pass what I have learned to my students.
Sakai sensei, Akazawa sensei and Tamaki sensei, you are more than a teacher, but a supporter, brother, father and translator as well. I appreciate all of your kindness.
Mariko, Chisa, Nagano and Yasuchiyo, thank you very much for being my best friends. Your careful mind makes me feel warm and realize that I am not alone in this big world, far away from my home.
Finally, thank you all, the medical staffs, residents and secretary team to fulfill my wonderful moments in the Radiology Department, Kyoto Prefectural University of Medicine. The greatest gift of life is friendship, and indeed I have received it here. I hope I could have a chance to welcome you to my country. Thank you very much!
written by Nuttha Sanghan

1年間の留学生活を振り返って
私は2011年3月に島根大学を卒業し、2013年より聖マリアンナ医科大学およびその関連施設で3年間放射線科医見習いとして研修した後、2016年4月より2017年3月まで国内留学生として京都府立医科大学放射線科で勉強させて頂きました。当時は卒後6年目であり、放射線科専門医（旧認定医）試験が目前に迫っていましたが、6年目どころか昨日まで学生だったんじゃないかというほど薄っぺらな知識しか持ち合わせておりませんでした。そんな自分が国内留学の話に飛びついたのは自分のスキルアップなどと言った高尚な理由ではなく、ただただ無知ゆえの好奇心に任せただけでした。
そんないい加減な気持ちでやって来た放射線科見習い以下の自分にも関わらず、１年を通して、同学年や後輩の専攻医の先生方、上級医の先生方、そして放射線部のスタッフや他科の臨床医の先生方には大変親切に接して貰ったと実感しております。全く見知らぬ組織でここまで伸び伸びと楽しく仕事が出来たのは、周りの先生方やスタッフの方々への強い信頼感があったからだと改めて思います。一方、強く感銘を受けた事として、放射線科に求められるあるいは放射線科内で要求される読影レポートの質の高さが挙げられます。日々の読影やカンファレンスの度に、ここまで精密に読影するのか！と驚かされたと同時に、それまで読影の速さばかりを求めてきた自分が大変恥ずかしくなってしまいました。まだ読影を始めたばかりの前期専攻医の先生達もマンツーマンの指導や他科とのカンファレンスを経験していく中で、知識と同時に質の良い読影を目指す為の高い意識を教えられていく姿を見、組織の力や理念は人から人へ直接受け継がれてこそ確立されていくものと改めて実感しました。自分で学び使った知識こそが最終的に自身の力となるというのが私の持論ですが、それが実現されるのは強い信頼と高い意識を持ったチームの中での繋がりがあってこそという事を多くの先生方に教えて頂きました。
また山田教授のご厚意のおかげで、この1年間で京都府立医大の枠を超えて大阪大学核医学診療科の先生方、海外からの留学生の方々など多くの人に関わると同時に多く経験が出来、（難しい知識がさっぱり身につけられなかった自分には）今回の留学での最高の成果だったと思います。今回の留学の切っ掛けが山田教授と聖マリアンナ医科大学の縁であったとすれば、この１年で自分が頂いた縁が同じように自身の後輩達や他の誰かに新たな縁を生む切っ掛けとなる事を切に願っております。
取り留めのない文となってしまいましたが、充実した1年を与えて下さった山田教授をはじめ放射線科の先生方、そして放射線部のスタッフの方々にはこの場を借りて厚く御礼申し上げます。
written by Oide

I am Hsiu-Ling Chen, a neuroradiologist coming from Kaohsiung Chang Gung Memorial Hospital, Taiwan. It is an amazing journey in my life to be a visiting fellow in Department of Radiology, Hospital of Kyoto Prefectural Medical University (KPUM). I had the plan to visit KPUM from March to June for the purpose of research in the last October. Here I was taken care of by everyone and had learned a lot, such as the research method, attitude, thinking process, and son on. Words are not enough to express my gratitude for Professor Yamada’s kindness to give me the chance, and I also thank Sakai sensei very much to look after me and teach me the knowledge about MRI science. I particularly appreciate the assistance and tolerance from every doctor and staff for me who am not good in Japanese. During this time period, I also had the better comprehension of the charming ancient capital Kyoto than before. The flowers, rocks, mountains, and rivers here exist with a form of unique aesthetics and they are worth to be felt with heart. These days living here would be the most precious memory for me.
written by Hsiu-Ling Chen

今まで京都府立医科大学放射線科で研修修練を受けられた方、他学から国内留学でお越しになった先生方の声を紹介いたします。

I am a senior resident in the department of Radiology, Maharaj Nakorn Chiang Mai Hospital, Thailand. The elective training in Kyoto was such an unforgettable experience for me. Last year, the conference was held at my department and Professor Yamada was invited as a special guest. At the welcome party, it was the first time I met him. Professor Yamada was very kind and he gave me and my friend an opportunity to learn in KPUM. During this 2- week elective training, we have met many good hearted persons who taught us many things and shared a lot of their interesting experiences not only about radiology but also about sightseeings. We went to 4 prefectures, many shopping streets, a lot of delicious restaurants, 13 temples, and 1 shrine in autumn when the beauty of the fall foliage was at its peak! We enjoyed the very warm welcome and gracious hospitality given to us by all staffs, residents, and Japanese people outside of the hospital. I am especially grateful to Professor Yamada and Associate Professor Sakai sensei for taking good care of us. The knowledge we have gained during the stay in Japan was priceless for my future career. And all good experiences during the stay in Japan was way beyond my expectation and will forever be remembered.
written by Nawanwat

I decided to choose KPUM to be my elective on November 2016 and that was the best thing I had ever done! Although it was just only 2 weeks, I have to say that there are many precious memories to keep. It was the second time for me in Japan but not the last time, I promise. Actually, I already had a plan for Japan trip after I finish the board examination on May 2017, but who knows, sometimes things just come to you. I do thank you all for the best things for me and my colleague. I had a chance to learn many new things not only in KPUM but also other interesting things in Kyoto such as culture, heath system, training system etc. Moreover, physics MRI with Sakai sensei was so good! That was the best part either, haha. Another big surprise was meeting and group shot photo with Prof. Denis Le Bihan, whom is my idol, before I came back to Thailand. Amazing! Thank you again for the warm welcome and everything in Kyoto. Have you ever heard that everything happens for a reason and I also believe that it's true among us. Hope to see you soon.
written by Sujitra, MD

今まで京都府立医科大学放射線科で研修修練を受けられた方、他学から国内留学でお越しになった先生方の声を紹介いたします。

Joining the exchange fellowship program of “Far East Neuroradiogy Forum”, a one-week visit in the Department of Radiology in Hospital of Kyoto Prefectural Medical University during the season of autumn leaves in 2015 made me a wonderful experience. The organized and efficient way to work, cooperate and solve clinical problems as Japanese style in KPUM was impressed. Undoubtedly, the knowledgeable and enthusiastic radiology fellow and residents reflected the high quality of training and teaching program in the institution. The kindness and warm hosts from Professor Yamada and all the staffs in the KPUM is deeply appreciated.
written by HanJui Lee

Being a visiting fellow in the Department of Radiology of Kyoto Prefectural University of Medicine, it undoubtedly is an awesome journey to me. Not only the extraordinary expertise in the field of radiology, but also the warmness and the hospitality of staff that inspired me. Seated aside the elegant river Kamogawa, the KPUM cultivates many outstanding scholars through this years and keeps going. Accompanied with red maple leafs, I enjoyed the Japanese friendship and food in every kinds. I appreciate the opportunity to visit the KPUM in the autumn, and to learn from Prof Yamada which made this visiting colorful and unforgettable. written by I-Hsiao Yang M.D Department of Diagnostic Radiology of Kaohsiung Chang Gung Memorial Hospital, Taiwan

Dear Kyoto Prefectural University of Medicine. This is Ha Youn Kim, from Samsung Medical Center, Seoul, South Korea. Time spent at Kyoto Prefectural University of Medicine have had to leave really unforgettable happy memories for me. Also three days of time spent with professor Yamada, other neuroradiology part people and residents would be the foundation for me in the future as neuroradiologist. Pleasant reception and dinner remains a good memory, too. I will keep the certificate awarded which I got from KPUM forever. A pity it did not come with a longer time at KPUM.
I hope and I believe we would meet again in Kyoto or elsewhere.
written by Ha Youn Kim.

To everyone in the radiology department, Kyoto Prefectural University Hospital, My name is Doctor MONTHANEE PEUNGPHONG. I am radiologist from Vajira hospital, located in Bangkok, Thailand. My hospital is operated under BMA (BANGKOK metropolitan administration). I would like to express my sincere appreciation for your warm wishes on my visiting for about 3 month. First, the reasons why I would like to visiting your department, because of there are many resembles of your country as on the disease as in my country as well as the your beautiful and charming country.While I were visiting in the radiology department, I have gained must experience and knowledge about radiological aspect and techniques in body MRI sections as in MRI liver, MRI breasts and MRI pelvis. It's very useful for my patient in my hospital. And finally I will share this experience to my colleagues in Vajira hospital.Thank you for your opportunity for let me to see the work and learning a lot of thing about radiology in your hospital.I truly appreciate all of your kindness.
Written by Dr. Monthanee Puengphong

Very thankfully, I had a wonderful chance to stay in KPUM for two weeks. It was the loveliest experience I ever had during my residency course. Everybody in KPUM was quiet, polite, and diligent. Although I could not speak nor understand Japanese, I could feel that everybody had a scholastic spirit, because everybody was very active during the daily conference, with many questions and discussions. And the in-depth discussion of image interpretation between radiologists was also very interesting.
It was surprising to see the well-controlled number of CT examinations according to strict clinical criteria. In this way, there were no superfluous examinations. And the MRI sequences were delicate and well-planned, such as having a routine DTI on every brain MRI. During my short stay, everybody was very generous and took their time to care for me and kindly answered hundreds of my questions. Despite the constant pain I have given them (by speaking English), I hope my existence was not too much a nuisance to them. :D　Overall, I had one of the greatest times of my life in KPUM. I thank you again for the hospitality in KPUM. I will never forget the beauty of peaceful Kyoto city and kind, warm KPUM radiologists. :)　 今までありがとうございました．
Written by Dr.Yae Won Park

University Hospital, Kyoto Prefectural University of Medicine, is one of my favourite hospital that I’ve visited. In addition to it’s location in the most beautiful and fascinating city in Japan, the outstanding expertise in the field of radiology, and the warmness and kindness of the staff were all unforgettable to me. The warm-hearted staff took me to local restaurants and the fabulous cherry-blossom, which were wonderful experiences. I really appreciate Prof Yamada to give me the chance to visit the hospital, and made my stay great.
written by Chih-Chun Wu

千葉大学放射線科から参りました、横田です。京都府立で１年少々の期間、過ごさせて頂きました。 国内留学にするに当たってのメリットや困難についてはJCRニュースに書かせて頂きましたので、お読み頂ければ幸いです。 千葉大から京都府立医大への国内留学の１例(JCRニュース)
そこでは主に先輩方から学ばせて頂いたことを書かせて頂いたので、同年代そして後輩についてを補足させて頂きます。 府立医大は同年代の先生が多く所属されており、業務時間内・後を含めて、多くの時間を共有することができました。 放射線科医としてどう成長し、何に悩み、どうなっていきたいかを語り合うことができたのは、私にとっては大きな財産です。 また、志の高い若者と多く出会えたのも幸運でした。 府立の、ひいては日本の放射線科の為に、成長し、羽ばたいていくことと存じます。 あっという間に時は流れてしまいましたが、お別れという感覚はなく、新たな関係の始まりとさえ思っております。 どうぞ、今後とも宜しくお願い致します。
written by Yokota

久留米大学放射線科の楠元正志と申します。 私は平成26年４月～10月の約半年間、CT下肺生検をはじめとしたIVR全般を学びに 国内留学をさせて頂きました。 生まれてから九州を出た事がなく京都に来る前は非常に心配でしたが、山田教授、竹内先生をはじめ非常に皆さん暖かく迎えて頂き楽しい半年を過ごさせていただきました。 自分は久留米大学でIVRを専攻していましたが、場所が変わると仕事内容や症例、手技法や考え方も違う所があり４月当初は驚きと戸惑いの連続でしたが、新しい分野の勉強や自分が知らない手技法を体験でき非常に勉強になりました。国内留学の6ヶ月の間で竹内先生をはじめとして、幅広い症例とアカデミック・ダイナミックかつ繊細な手技を数多く見る事が出来ました。関西IVR地方会にも参加しましたが学会に参加している先生の熱さ、濃さに圧倒され、関西の力を思い知らされました。 また、京都府立医科大学では読影をはじめとした教育システムが非常に構築されており、レクチャーやカンファレンスも多くIVR以外の読影分野でも非常に勉強になりました。自分より下の先生が難しい症例をすらすらと答える度に焦りと自分の勉強不足を感じましたが非常に良い刺激になりました。 6ヶ月という短い期間でしたが新たな経験と多くの刺激を数多く得る事ができ非常に有意義な半年間でした。最後に、今回の国内留学を引き受けて頂きました山田教授をはじめ、今回の国内留学中に御指導・御鞭撻を頂いた先生方、誠にありがとうございました。
written by Kusumoto

二年目研修医の岩谷です。放射線科志望ということでなんと８か月も回らせて頂くことになりました。今は２か月目の半ばでようやく各部門を一通り見てまわったところなのですが、簡単にローテート中のプログラムを紹介いたしますと、２か月の間に読影５週間・核医学１週間・IVR一週間・放射線治療１週間をローテートします。読影以外の時間が少ないようにも思いますが、毎日全体カンファ（全ての部門が集まってその日の興味深い症例や困った症例を共有しあうカンファ）があり、自分が経験していない症例も体験することができるようになっています。
放射線科にいると毎日新たな発見があります。ワケのわからない画像を見て色々想像を巡らせるのも、他の人の読影を聞くのも楽しいし、自分の診断が当たった時の爽快感はまた格別です。こんな面白いことをして給料が発生するとはなんて素晴らしいんだろうと思いながら毎日を過ごしています。
放射線科志望でなくても、臨床をする以上ある程度の読影力はどうしても必要になってくると思いますので、興味をもたれたかたはローテートするのを是非おすすめします。
written by Iwaya

3ヶ月間という短い期間ですが大変お世話になりました、ありがとうございます。
関西に住むのは初めてだったため、関西のノリについていけるかをかなり心配していましたが皆様によくしていただいたおかげで杞憂に終わりました(笑)。
府立医大では主に神経放射線の勉強をさせていただきました。山田先生の読影を横で拝見させていただくと、如何に私が普段から視ていない箇所が多いかに気づかされました。また、画面を一瞥しただけで画面の端にある小さな病変を指摘されたことが度々ありました。どのように読影をしているのか伺ったところ、病変が自然に飛び込んでくるとのことで、私がその域に達するのには相当な時間がかかるであろうことを感じました。また読影における思考過程も詳細に解説していただき、自分の読影の大きな糧になったと思います。MRIの知識が乏しいことも否応なしに自覚させられ、読影を行うにあたりMRIの原理や撮影の理解は避けて通れないものであると痛感させられました。
京都での生活もとても刺激に満ちたものでした。食事をするのにも美味しいところが多く、また値段が安い店も外れがあまりないため関西の方は安くても美味しい食事を求めるというのは本当なのだな、と感心しました。
心残りは一条先生に教えていただいた和食の店にあまり行けなかったことですが、三条の野菜の店や錦市場の八百屋の一階の店は良かったです。佐野先生にうかがった宝泉堂も、静かな趣のある庭で和菓子をいただくことができ落ち着くカフェでした。田添先生とはもっとご一緒したかったです(笑)。
観光も有名な寺社仏閣以外にも、知恩寺や上加茂神社の手作り市のような地元密着型のイベントも楽しかったです。六条通や悪王子町、天使突抜町などの珍しい場所や面白い地名の場所にも行きましたが、京都の長い歴史を感じさせるもので趣深いです。いずれも京都の奥深さを感じずにはいられませんでした。
後藤先生、西田先生、越野先生にいただいた金平糖はとても上品な味で、お茶請けにぴったりです、ありがとうございます。
山田先生や医局長の田中先生、赤澤先生をはじめ、その他医局の多くの先生のおかげでとても意義深い3ヶ月であったと思います。私の家内も気に入っておりましたので、医局が許せばまた勉強をさせていただきたいと思っております。
written by Suzuki

聖マリアンナ医科大学放射線医学教室の中地俊介と申します。
私は現在大学院3年生なのですが、当科の大学院生に与えられる留学期間を利用して一月からの3ヶ月間、京都府立医科大学にお世話になることとなりました。主に中枢神経系の画像診断やfiber trackingなど新しい技術と臨床応用について、この分野のエキスパートでいらっしゃる山田先生に御教授いただいております。
東京育ちの私にとって京都は完全なアウェーでした。関東私大出身の自分が果たして受け入れてもらえるのか、最初かなりビビッていましたが、スタイリッシュかつ笑いの絶えない読影室はとても雰囲気が良く、京都の街も過し易くてすっかり居心地が良くなってしまいました。時期的に紅葉も桜も見られないのは本当に残念です。
京都に滞在してまだ１ヶ月足らずですが、他の大学（病院）における放射線科の雰囲気、臨床における役割や位置付け、アカデミックワークの取り組み方を見知り、また新たな交流が生まれたことは何よりも大きな収穫であると実感しています。快く受け入れていただいた西村教授、山田先生、温かく迎えて下さった医局員の皆様に感謝申し上げます。限られた時間内にできるだけ多くの知識や技術を吸収していきたいと思っています。
written by Nakaji

神戸大学放射線科の小西淳也と申します。中枢神経MRIに関して、山田惠先生に御指導を頂いております。他大学の私が、研究の御指導を頂くのは図々しいと自分でも思っているのですが、西村教授、山田先生の深い御理解を頂き大変感謝しております。
私は、拡散テンソル画像、特にトラクトグラフィの臨床応用について研究を行っています。トラクトグラフィは、生体脳の神経線維路を描出することができ、その将来性が期待されています。研究の成果の１つとして、脳梗塞と錐体路に関して報告することができました。今後さらに新しい研究を続けていきたいと思っています。
山田先生の熱心な指導と笑いによって、研究とは楽しくないといいものにはならないということを学びました。また、研究する環境も大事なのですが、京都府立大学放射線治療診断学の先生方は臨床はもちろんですが、研究にも非常に熱心であり、私も置いていかれないよう努力しているところです。
written by Konishi

2ヶ月間、ご教授いただきありがとうございました。将来心臓外科に進むことが決定しているため、画像と真剣に向き合える良い機会でした。年末・年始を挟み、その間読影できなかったのは残念ですが、その分、集中して読影することができました。
最初は大変な時に来てしまったと思いましたが、比較的楽しく過ごさせていただきました。この2ヶ月でやってきたことをレポート代わりに綴りたいと思います。
私の当初の目標は、?胸腹部の解剖・CTを理解する　?単純Xpを読影できるようになる　?救急疾患の画像を読影できるようになるでした。
実際、私のしたことは、最初の1ヶ月でmajor疾患の胸腹部のCTを読み、できるだけあらゆる疾患に挑戦させていただきました。新しい疾患を読影する前に必ず同じ疾患を検索して読影所見を10件以上見ることにしました。それは見るポイントがずれないためにも不可欠だと思います。最初、読影する際はあらかじめ疾患がわかってるのを選びました。病変部がわかっている分、正常解剖が理解しやすかったです。慣れてきたところで鑑別が必要な読影までさせてもらいましたが、これは専門知識が必要なのと、膨大な経験が必要だと思いました。よって、そこにはあまり手を出さず、その代わりに救急疾患の画像を勉強をしました。「ここまでわかる急性腹症のCT」を読みながら、その疾患を検索して実際にみて勉強させていただきました。正常解剖の画像を理解する上で「DIAGNOSTIC AND SURGICAL IMAGING ANATOMY」は最高に良かったです。
残り1ヶ月でしたことは、主に頭部MRI・頸部CT・腹部MRI・心臓MRI及びCTを読影させていただきました。頭部MRIは脳血管障害を中心に読影しました。その際、山田先生のミニレクチャーはすごくためになり、山田先生のアメリカナイズされた考え方は刺激的でした。頚部は解剖が大変面白く、読影すればするほど勉強になりました。頭部MRIも腹部MRIもあらゆる撮り方の方法があり、それぞれ何を見たらいいかはっきりしているため、MRIの読影は大変面白かったです。心臓関係は後藤先生に大変お世話になりました。
またCT・MRIを読影しながら単純Xpを数多く読むことに徹しました。単純Xp用の教科書を2冊ぐらい読んで、あとはひたすら読影して結縁先生の鋭い指摘を受けて少しはわかるようになったと思います。研修医が三人だったので、CT・MRI番が頻回にありましたが、2ヶ月でできることをやりきったと思います。
ティーチングファイルは頭頸部だけ大変勉強になりほとんど見させていただきました。ちなみに2007年4月までのは普通に見れますが、それ以前のを見るのは面倒臭いです。
最後に放射線科は他科の医師を影で操るかのように言葉巧みに所見を書き、治療の方向性を決めているすごい科だと思いました。
written by Morimoto