The advantages of microfocus X-ray photography image magnification compared to shooting with contact in those regions of where the power microfocus apparatus sufficient to show-through concrete bodies. It is shown that microfocus devices for main parameters and characteristics (spatial resolution, depth of focus, suppression of scattered radiation, dynamic modes) that provides image quality superior to devices for pin shooting

The analysis of radiodiagnosis of 61 patients with abdominal trauma arrived in Kavalerovo central district hospital and Vladivostok clinical hospital № 2 during 2011–2015 is carried out. To survey victims applied two algorithms — the first using abdominal plan radiography and ultrasound investigation, the second algorithm included ultrasound and multidetector computer tomography. Сomparison of the results showed, what using first algorithm given higher percentage of diagnostic mistake, as a result 17,9 % of patients underwent unavailing surgery. The second algorithm allowed avoid unavailing laparotomy, complications and unfavorable outcome.

The aim of the study was to determine the possibilities of diffusion-weighted magnetic resonance imaging (DW MRI) in the study protocol of patients with suspected recurrent ovarian cancer, as well as the definition of DW MRI diagnostic efficiency based on a comparison with the results of postoperative morphological study. Examination included 28 patients, who have passed a specialized anti-cancer treatment for primary ovarian cancer with suspected recurrence according to the results of US or the tumor marker CA-125 level. All patients performed magnetic-resonance imaging of pelvis in 2 stages: using a standard protocol, including the following sequences: Sg T2, Ax T2, Cor T2 FatSat, Obl-Ax T2, Obl-Cor T2 и Co T1, and then with the application of DWI. After MRI analysis of both phases results was made, followed by the comparison with histological examination data. Parameters of diagnostic efficiency of MRI according to standard protocol were: accuracy — 50 %, sensitivity — 48 % and specificity — 64 %, positive predictive value (PPV) — 48 %, negative predictive value (NPV) — 67 %. When using DW MRI technique these figures had risen to: accuracy — 89 %, sensitivity — 88 % and specificity — 100 %, PPV — 88 %, NPV — 100 %. The results of the research show the effectiveness of DWI, that is why it can be recommended as the part of standard study protocol for patients with suspected recurrent ovarian cancer.

Internal carotid and vertebral arteries dissection has become increasingly recognized as a cause of stroke especially in young and middle aged individuals. Accurate and prompt diagnosis of this condition is crucial because timely and appropriate therapy can significantly reduce the risk of stroke and long-term sequelae. Because of the great diversity in the clinical features of internal carotid and vertebral artery dissection, imaging plays a primary role in its diagnosis. The purpose of this article is to evaluate the possibilities of magnetic resonance tomography and angiography in the diagnosis of this pathology. Special attention is paid to MRI and MR-angiographic pathologic features of dissection, their changes in dynamics, potential pitfalls in image interpretation, the differential diagnosis with other steno-occlusive lesions of the arteries. In conclusion, we offer MRI-protocol patients with suspected spontaneous dissection of the internal carotid and vertebral arteries.

Juxtaglomerular tumor cells kidney (reninoma) is an uncommon, mostly benign tumor, characterized by excess secretion of renin, causing a secondary hypertension. The tumor rather seldom meets. In 50 years from the moment of its first description a little more than 100 similar tumors are described in literature. The uncontrollable hypertension leads to endotelial damage and to complications on heart, kidneys and the central nervous system which can be life-threatening. Reception of hypotensive preparations leads to temporary effect. The hypertension is treated by tumor resection or nephrektomy. Clinical case of the women of 29 years old with a juxtaglomerular tumor with the clinical picture of high blood pressure to 160–180 mm Hg within 10 years are presented. Possibilities of ultrasonography (B-mode, duplex scanning, contrast enhancement) at detection of this tumor and the importance of anamnestic data in the differential diagnosis of kidney tumors are shown.

In this article, we highlight the most interesting stages in the development of ultrasound diagnosis in trauma and orthopedics of the first to use the time-of R. Graf (1981) to the latest innovative techniques such as CAOS (Computer Assisted Orthopedic Surgery). Currently, there are a number of papers on the use of ultrasound in the diagnosis of dysplasia of the hip joints, tendon injuries and various fractures, osteomyelitis and foreign bodies. But in addition to the diagnosis, it should be noted the use of ultrasound in the perioperative period for trauma and orthopedic patients. High safety and quality polypositional visualization, with simultaneous assessment of how the vascular component and peripheral nerves contributes to the wider application of ultrasound in acute trauma surgery and orthopedics.

Presented clinical observation of successful minimally invasive treatment of abscesses of the right kidney arising from the obstruction of the right ureter stone. The diagnosis of acute purulent right-sided pyelonephritis, stones of the right kidney and the stone right ureter confirmed by ultrasound and computed tomography. Based on the data of radiation surveys conducted manipulation to restore the flow of urine and elimination of purulent foci under radiation control. After the acute inflammatory process performed endoscopic removal of stone right ureter and right kidney stones. Dynamic radiation monitoring confirmed the efficacy of minimally invasive treatment.

A rare clinical observation: common iliac vein’s aneurysm as a reason of recurrent pulmonary thromboembolism in a 64-year-old female is presented. After setting of IVC-filter episodes of thromboembolism stopped.

Fetal midgut volvulus is quite rare, and most cases are associated with abnormalities of intestinal rotation or fixation. Our case is a rare presentation with the occurrence of volvulus without malrotation. Very few cases have been reported describing the ultrasound findings of the same. This 3,7 kg, 39-wk infant was born via a spontaneous vaginal delivery. Prenatal ultrasound didn’t showed any abnormalities. The patient had presentation with a distended abdomen showing bluish skin discoloration. Postnatal ultrasound showed dilated bowel loops with the appearance of a whirpool-sign without Doppler coloration a mesenterial vessels and a atypical coffee bean sign. An emergency laparotomy revealed an ilial volvulus with and a 60 cm ischemic necrotic region of terminal ileum. The results of the sonography and the short review of the literature is present.