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No 2 (2017)
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ORIGINAL RESEARCH

6-13 109
Abstract

The article is devoted to possibilities Computed Tomography in the diagnosis of iatrogenic injury and complications after surgery on organs of the urinary system. The study included 23 patients with injuries of the ureters. Patients underwent clinical, radiological, ultrasound and MSCT with contrast. Defined indicators of efficiency of MSCT in the diagnosis of these pathological conditions relative to data obtained intraoperatively (n = 14; 60,9 %) and during follow-up (n = 9; 39,1 %)

14-22 88
Abstract

СT is a one of major diagnostic modalities in work-up of patients with the lung cancer. Defining of lung cancer and its staging is an interdisciplinary process. Many patients with lung cancer have accompanying diseases of heart and great vessels. CT-angiography (CTA) is an effective diagnostic modality for timely detection of these anomalies and diseases. Results of CT-angiography in 85 patients were analyzed. In 52 of 85 (61 %) patients CTA detected coronary and in 50 (59 %) cases — aortic atherosclerosis. CTA found 9 (11 %) cases of congenital anomalies of systemic and pulmonary veins, in 8 (9,4 %) — aortic arch anomalies and in 4 (4,7 %) — congenital anomalies of pulmonary arteries and veins. In most cases these finding were incidental and had not any clinical significance, but in 3 (4 %) cases they were important for patient management. Technical progress in CT gives an opportunity to perform while-chest CTA with cardiac gating

23-33 76
Abstract

The aim of this study was to assess the impact CHD and surgical revascularization on parameters of strain (S) and strain rate (SR) longitudinal, circular and radial fibers of the LV. In 450 segments LV deformation (S and SR) longitudinal, circular and radial fibers was analyzed before and after surgical revascularization. The results demonstrated a decrease S and SR in 211 (46,8 %) segments of longitudinal, 232 (51,5 %) circular and 116 (25,7 %) of the radial fibers of the LV. The same 239 (53,2 %) segments of longitudinal, 218 (48,5 %) and circular 328 (72,8 %) segments of the radial fibers had normal and increased values of S and SR as well as with different options to change S or SR. After revascularization improved deformation properties of longitudinal and circular fibers of the left ventricle in the group with low values of S and SR. The increased number of segments with high or normal value of SR. Normal values of S and SR radial fibers observed in most segments (n = 254; 56,7 %). From the 5 patients at 6 months after revascularization showed improvement of strain properties of circular fibers, increasing the number of segments with normal S and SR of the longitudinal and radial fibers of the LV

34-46 83
Abstract

The purpose of this study is to evaluate the methodology for quantitative bone scan to assess the joint inflammation severity in different rheumatic diseases. The study included 300 people (164 patients with a diagnosed rheumatoid and psoriatic arthritis, ankylosing spondylitis, peripheral spondylitis, osteoarthritis,
chronic gouty arthritis and 136 control patients, including those with psoriasis without arthritis and chronic urinary infection). Bone scan was performed with sodium pyrophosphate labeled with 99mТс, three hours after its infusion. For each joint the radiopharma-ceutical accumulation ratio (AR) was calculated. For most of the joints are found statistically significant correlations of AR with clinical symptoms of the joint involvement, as well as the dynamics of AR values while changing clinical and laboratory disease activity. It is noted that in patients with active chronic urinary tract infections and skin psoriasis increase of radiotracer accumulation in joints was similar to those in peripheral spondylitis and psoriatic arthritis, respectively. Obtained data allows to conclude that the single-phase quantitative bone scan with labeled 99mТс pyrophosphate, is a promising technique for the quantification of inflammatory activity. This method may be used for an objective assessment of disease activity and changes the joint inflammation during treatment

CONTINUING MEDICAL EDUCATION

47-63 210
Abstract

Modern methods of neuroimaging deals not only with structural changes of CNS. They are also used for evaluating of cerebral blood flow (macro- and microcirculation), diffusion processes, cerebral metabolic processes, cerebral cortex functioning. In this article, we describe our own experience and review state of the art neuroimaging technics such as diffusion and perfusion methods (DWI, DTI, MR-tractography, CT/MR-perfusion), susceptibility-weighted imaging (SWI), functional MRI (including resting state fMRI), MRI-morphometry

64-74 73
Abstract

Visceral arteries aneurysms aren't widespread pathology, but they may be dangerous because of a spontaneous rupture or a rupture under the influence of the minimal injuring factor as well as any aneurysms, especially of large sizes. The review of literature includes the data of pathogenesis and diagnostics of visceral arteries aneurysms which is illustrated by case report of a rare form of the combined vascular pathology, the aneurysms of a. gastroduodenalis, a. lienalis, a thrombosis of a. hepatica propria dextra affected by a widespread atherosclerosis of visceral arteries which were diagnosed in an out-patient hospital by means of a CT. Results of CT after successful surgery are also presented

CLINICAL OBSERVATIONS AND BRIEF REPORTS

75-80 147
Abstract

Calcification of the vas deferens (VD) is a rare disease with unknown etiology and unclear clinical significance. A rare observation of calcification of SVP patient 57 years of age suffering from insulin dependent diabetes mellitus and secondary hyperparathyroidism is described. Calcification VD proceeded latent, combined with nephrocalcinosis and pankreatolithiasis and was found incidentally during a CT scan. The possibility of calcification of VD must be considered when conducting radiation studies of patients with diabetes mellitus and secondary hyperparathyroidism



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ISSN 2713-0118 (Online)