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No 4 (2023)
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ORIGINAL RESEARCH

11-25 307
Abstract

The study is devoted to determining the effect of the level of glycemic status, on the X-ray picture in patients with type 2 diabetes mellitus. The X-ray archive of 82 patients with pulmonary tuberculosis and type 2 diabetes mellitus was analyzed. The evaluation of the radiological picture was carried out with the correlation of the level of glucose in the blood. In patients with fasting glucose values of 10 mmol/l and above, the X-ray picture of tuberculosis was characterized by extensive areas of lung tissue consolidation, with a 50 % frequency of localization in the lower sections, with the rapid formation of decay cavities. The course of tuberculosis with severe tuberculous intoxication was observed in patients with sharp jumps in the daily blood glucose index of more than 5 mmol/l, even in patients with an average glucose index of no more than 8 mmol/l. The X-ray picture was characterized by the presence of areas of consolidation in the lungs on both sides with many air cavities and dropout foci; the appearance of new areas of consolidation against the background of anti-tuberculosis therapy.

26-39 313
Abstract

Maxillofacial dysostoses are congenital malformations of organs of head and neck, developing from the I and II gill arches. It is important to carry out differential diagnostics based on a comprehensive basic and additional examination aimed at determining all intracranial and extracranial symptoms specific for concrete syndrome, which is possible with modern methods of radiological diagnostic — CBCT and MSCT. The purpose of the study is to determine key aspects of choosing the computed tomography technique for diagnostics of maxillofacial dysostoses. From 2009 to 2023 215 MSCT and 86 CBCT were performed in 211 patients aged from 2 to 18 years old with maxillofacial dysostoses for the purpose of differential diagnostics of pathology, indications for choosing the volume of radiological examination were determined.

40-51 396
Abstract

The article deals with the ultrasound diagnostics of the post radiation lung damage in 44 patients aged 32–73 years who received radiation therapy in the form of distance radiation therapy (DRT) for breast cancer. In all patients total focal dose (TFD) of radiation was 50 Gy with classical fractionation. The main types of subpleural post radiation injury, their intensity and prevalence were determined. The ultrasound findings were compared with CT images of patients six months after the start of DRT.

52-70 309
Abstract

For the timely detection of pathology, as well as in order to avoid overdiagnosis, it is important to create criteria for diagnosing the pathology of the craniovertebral zone in adults and children, taking into account their anatomical and physiological features. To date, the questions of the optimal method of radiodiagnosis of patients with pathology of the craniovertebral region are insufficiently voluminous and clearly defined. Despite the advantages, cone beam computed tomography is still not widely used in everyday clinical diagnostic practice for the study of the craniovertebral region in the population. The use of the technique of cone beam computed tomography could greatly facilitate radiological diagnosis for the detection of anomalies and pathological conditions of the craniovertebral region.

71-81 313
Abstract

The results of surgical treatment of 56 patients were analyzed. All patients were undergone on breast-conserving surgery with intraoperative X-ray control on a mammographic digital device.

The mean time to complete the study was 10 minutes, which did not significantly affect the duration of the operation.

Of the 56 studied preparations after breast-conserving surgery, a positive resection margin (R1) was found in 1 case during a planned histological examination, which is associated with a high X-ray density of the patient’s breast tissue. In 2 cases, positive resection margins (DCIS) were detected, additional excision made it possible to avoid repeated surgical intervention. In 1 case, a false positive result was obtained, which did not negatively affect the results of surgical treatment. There were no false negative results.

CLINICAL OBSERVATIONS AND BRIEF REPORTS

82-92 409
Abstract

Clinical monitoring of the parameters of high-resolution ultrasound and magnetic resonance imaging (MRI) in the diagnosis of edema after injection contour plastic. When fillers were detected, hypoechoic avascular structures were found in the soft tissues of the face with blurred contours against the background of infiltrative changes. On MRI the filler was more clearly visualized in the fat suppression mode as a signal section with clear, even contours of certain shapes subcutaneously and supraperiostal. Infiltration changes were characterized by signal amplification and contour blurring.

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ISSN 2713-0118 (Online)