X-ray and MSCT-differential diagnostics between neurogenic arthropathy, diabetic osteoneuroarthropathy (DONAP), complicated by osteomyelitis and chronic osteomyelitis, has not been studied enough.

The purpose of the study was to study the MSCT semiotics of various variants of neurogenic arthropathy, DONAP complicated by osteomyelitis and chronic post-traumatic osteomyelitis in order to substantiate etiopathogenetic treatment. In 44 patients with neurogenic arthropathy, DONAP, complicated by osteomyelitis and chronic osteomyelitis, the results of polypositional radiography, MSCT were studied before treatment for the purpose of differential diagnosis. Single center retrospective study. MSCT and x-ray revealed differential diagnostics differences between neurogenic arthropathy, DONAP, complicated by osteomyelitis and chronic osteomyelitis. They are manifested by the localization of destructive processes, characteristic changes in the angles of the foot and a violation of the architectonics of the bones, concomitant changes in blood vessels and soft tissues. Neurogenic arthropathy is characterized by disorganization of the joints, bone resorption, giving the impression of surgical amputation, sharpening of the ends of the metatarsal bones, a symptom of «pestle in a mortar», a violation of the structure of spongy bones. DONAP is manifested by pronounced destructive changes in the midfoot, collapse of the tarsal bones with defects, fragmentation, vascular calcifications (Menckeberg), a «pathological» reference line, an increase in the Meary angle, a decrease in the angle of the calcaneus, and a «rocking foot», increased density of the calcaneus. Chronic osteomyelitis is characterized by an isolated lesion of one or more bones; the presence of a fistulous tract, focal disorders of the trabecular pattern, a decrease in the density of adjacent bones, the presence of isolated foci of sclerosis.

The objective of this study is to assess the criteria for metastatic involvement of the LN (MLN) according to magnetic resonance imaging (MRI) and to identify the most prognostically significant. The MRI data of 159 removed LN were compared with the results of a morphological study of the resected preparations. ROC- analysis (Receiver Operating Characteristic curve) was used to determine the diagnostic performance of threshold values. The test performance was evaluated depending on the area under the ROC curve — the AUC parameter (Area Under Curve). In order to evaluate the prognostic significance of MRI predictors for metastatic involvement of the LN, uni-and multivariate regression logistic analyses were performed. According to the results of multivariate analysis, the configuration index is less than or equal to 1.65, the absence of a signal from the fatty tissue of the hilum of LN, and perinodular edema are the most prognostically significant criteria for metastatic involvement of the LN (p < 0.05).

The distinct growth of cardiovascular diseases (CVD) and aortic diseases in the world requires accurate diagnostic methods for their early prediction. In modern research, more and more attention is paid to biomechanics and numerical models of accurate quantitative calculations. The assessment of aortic pathology using magnetic resonance imaging (MRI) acquires great clinical significance, since it makes it possible to simultaneously assess the anatomical topography and physical properties of the aorta. A broad study of changing biomechanical processes will complement the existing ideas about the basics of aneurysm formation and aortic dissection. MRI is a modern non-invasive method that provides the necessary data to as-sess the physical properties of the wall and directional flows in the aorta.

Intravascular ultrasound examination (ICSI) allows to assess the nature of atherosclerotic plaque, the degree of significance and extent of stenosis, as well as to monitor the position of the stent in the lumen of the coronary artery. Insufficient opening of the stent, unrecognized during angiographic control, can lead to thrombosis or restenosis in the early or long term. The clinical case presented in the publication demonstrates the difference between the results of fluoroscopycontrolled stenting and ICSI-controlled stenting during percutaneous coronary intervention (PCI) in a high-risk surgical patient with significant concomitant pathology.

Pseudoaneurysm (PA) of the hepatic artery is a rare complication of abdominal trauma, iatrogenic injuries (biopsy, endoscopic cholecystectomy, liver transplantation), infections, tumors, vasculitis, acute and chronic pancreatitis. This case report presents a life-threatening complications in a patient who underwent surgery for liver lesion. Due to the use of CT angiography, it was possible to determine the cause of bleeding from the upper gastrointestinal tract, evaluation the localization of pseudoaneurysm and treated with elective management.

A clinical example is presented that demonstrates the capabilities of magnetic resonance imaging (MRI) in the diagnosis of a subchondral insufficiency fracture of the medial femoral condyle. An MR study protocol has been demonstrated that allows ensure successful diagnosis of this type of fracture.