Vestnik rentgenologii i radiologii最新文献

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Skeletal Scintigraphy in Assesing the Response of Prostate Cancer Metastases to Androgen Deprivation Therapy 骨骼闪烁成像评估癌症前列腺转移对雄激素剥夺治疗的反应
Vestnik rentgenologii i radiologii Pub Date : 2021-09-15 DOI: 10.20862/0042-4676-2021-102-4-232-239
S. Mironov, E. I. Vasilenko, P. M. Cholak, V. Masenko, M. Shariya, D. Ustyuzhanin, V. Sergienko
{"title":"Skeletal Scintigraphy in Assesing the Response of Prostate Cancer Metastases to Androgen Deprivation Therapy","authors":"S. Mironov, E. I. Vasilenko, P. M. Cholak, V. Masenko, M. Shariya, D. Ustyuzhanin, V. Sergienko","doi":"10.20862/0042-4676-2021-102-4-232-239","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-4-232-239","url":null,"abstract":"Androgen deprivation therapy (ADT) with luteinizing hormone-releasing hormone agonists is the basis for drug treatment in patients with metastatic prostate cancer (PC). An accurate assessment of the response of the tumor and its metastases is of primary importance for making a clinical decision regarding the continuation of treatment, changing the line of drugs or the nature of therapy. The presented clinical case illustrates the possibilities of 99mTc-pyrophosphate skeletal scintigraphy for monitoring the response of PC bone metastases to ADT. The efficiency of hormone therapy with Triptorelin has been confirmed by positive changes in the visual and quantitative scintigraphic signs that manifest the metabolic activity of bone tissue in the area of a metastatic lesion. This was manifested by a marked decrease in the intensity of 99mTc-pyrophosphate accumulation in the foci of bone pathology, by a reduction in the number of visualized hot foci, and by a gradual normalization of the scintigraphic pattern. This variant of the metabolic response of bone metastases to ADT correlated with the positive changes in laboratory parameters, as well as with the signs of reversal of the tumor and its metastases, as evidenced by magnetic resonance imaging.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48245613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiation Methods in the Diagnosis and Determination of Surgical Treatment Tactics for Primary Multiple Lung Carcinoid 放射方法在原发性多发性类肺癌的诊断及手术治疗策略的确定
Vestnik rentgenologii i radiologii Pub Date : 2021-09-15 DOI: 10.20862/0042-4676-2021-102-4-227-231
N. Nudnov, V. D. Сhkhikvadze, D. S. Kontorovich
{"title":"Radiation Methods in the Diagnosis and Determination of Surgical Treatment Tactics for Primary Multiple Lung Carcinoid","authors":"N. Nudnov, V. D. Сhkhikvadze, D. S. Kontorovich","doi":"10.20862/0042-4676-2021-102-4-227-231","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-4-227-231","url":null,"abstract":"The early and complete diagnosis of lung carcinoid tumors is of great interest in clinical oncology, since this is the basis for the possibility of using options for organ-sparing surgical treatment. According to the 2015 WHO classification, carcinoids belong to the group of neuroendocrine tumors and are divided into two types: a typical carcinoid and an atypical one. Based on the data available in the literature, there are from 0.2 to 2 cases per 100,000 population. The paper considers the possibilities of radiation studies in the early diagnosis of this tumor, as well as those of determining the tactics, type, and scope of surgical treatment.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43863940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparsion of Liver and Spleen Elastometry Features 肝脾弹性测量特征比较
Vestnik rentgenologii i radiologii Pub Date : 2021-09-15 DOI: 10.20862/0042-4676-2021-102-4-247-254
S. Morozov, V. Izranov
{"title":"Comparsion of Liver and Spleen Elastometry Features","authors":"S. Morozov, V. Izranov","doi":"10.20862/0042-4676-2021-102-4-247-254","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-4-247-254","url":null,"abstract":"The review presents data on the comparison of the features of liver and spleen stiffness measurements and those on the impact of various conditions on the measurement results (the type of a sensor used, food intake, number of measurements, patient position, breathing phase, etc.). Literature has been sought in the PubMed and eLibrary databases. In particular, the liver and spleen stiffness values vary differently at the height of inspiration and expiration. This is due to organ engorgement with a change in intrathoracic and intraabdominal pressures, as well as to a reduction in splenic arterial flow during exhalation. The review gives published data on liver and spleen stiffness values in healthy volunteers. The spleen is a stiffer organ than the liver. The different liver and spleen stiffness is explained by the features of blood supply (the spleen receives the most blood supply from the intensive-flow artery; the liver does from the portal vein). The reasons for increasing the stiffness of these organs in both health and disease are described. Estimation of liver stiffness can be used to diagnose cirrhosis and portal hypertension. That of spleen stiffness can help in the diagnosis of portal hypertension and in the indirect diagnosis of the presence of esophageal varices and the nature of a splenic lesion.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43757629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FLASH Radiotherapy: a Promising Direction in the Fight Against Cancer 闪光放疗:抗癌的一个有前途的方向
Vestnik rentgenologii i radiologii Pub Date : 2021-09-15 DOI: 10.20862/0042-4676-2021-102-4-240-246
Аrtem V. Каrtashev, Тatiana N. Bochkareva, Аnastasiya S. Anokhina
{"title":"FLASH Radiotherapy: a Promising Direction in the Fight Against Cancer","authors":"Аrtem V. Каrtashev, Тatiana N. Bochkareva, Аnastasiya S. Anokhina","doi":"10.20862/0042-4676-2021-102-4-240-246","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-4-240-246","url":null,"abstract":"At the present stage of scientific and technological progress, high-dose radiotherapy has become a common way to combat severe cancers. However, this treatment option is limited by normal tissues radiosensitivity. The developed technology of ultrashort pulse delivery of a dose of ionizing radiation to the zone of interest (FLASH radiotherapy) can achieve a high local control over tumor growth while sparing healthy tissues. This review summarizes the experimental findings supporting the possibility of transitioning to clinical studies of FLASH radiotherapy.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46001288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Topical Issues of Rational Use of Iodine-Containing Contrast Agents in X-Ray Diagnostics 含碘造影剂在x射线诊断中的合理应用
Vestnik rentgenologii i radiologii Pub Date : 2021-09-15 DOI: 10.20862/0042-4676-2021-102-4-255-262
N. Shimanovskiy
{"title":"Topical Issues of Rational Use of Iodine-Containing Contrast Agents in X-Ray Diagnostics","authors":"N. Shimanovskiy","doi":"10.20862/0042-4676-2021-102-4-255-262","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-4-255-262","url":null,"abstract":"The possibilities of rational use of iodine radiopaque agents in computed tomography and percutaneous coronary interventions are considered, taking into account the route, method of their administration and the viscosity of their solutions. When fixing the rate of iodine administration and the temperature of the injected solution, the required injection pressure of the contrast media is determined by the solution viscosity.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67729342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CT Diagnosis of Complications Arising from the Natural History and Treatment of COVID-19 新冠肺炎自然病史并发症的CT诊断及治疗
Vestnik rentgenologii i radiologii Pub Date : 2021-07-23 DOI: 10.20862/0042-4676-2021-102-3-183-195
S. V. Yadrentseva, N. Nudnov, E. G. Gasymov, E. V. Pron’kina
{"title":"CT Diagnosis of Complications Arising from the Natural History and Treatment of COVID-19","authors":"S. V. Yadrentseva, N. Nudnov, E. G. Gasymov, E. V. Pron’kina","doi":"10.20862/0042-4676-2021-102-3-183-195","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-3-183-195","url":null,"abstract":"Computed tomography for coronavirus infection (COVID-19) is effective not only in making a diagnosis, but also in timely and accurately detecting some complications of this disease in different organs and systems. The paper shows various complications of coronavirus infection that a radiologist may face in practice, which develop both in the natural course and due to therapy for COVID-19, including hemorrhagic and thrombotic events in coagulopathy, pneumothorax, and pneumomediastinum as a result of the direct cytotoxic effect of SARS-CoV-2 on pneumocytes, and barotrauma during mechanical ventilation, as well as pathological fractures due to osteoporosis, including steroid osteoporosis that has developed during therapy with glucocorticosteroids. It considers the main causes and pathogenesis of various complications of coronavirus infection.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48124392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Breast Vascular Calcifications as a Predictor for Coronary Artery Calcification 评价乳腺血管钙化作为冠状动脉钙化的预测因子
Vestnik rentgenologii i radiologii Pub Date : 2021-07-23 DOI: 10.20862/0042-4676-2021-102-3-196-202
D. A. Bazhenova, O. Puchkova, E. Mershina, V. Sinitsyn
{"title":"Evaluation of Breast Vascular Calcifications as a Predictor for Coronary Artery Calcification","authors":"D. A. Bazhenova, O. Puchkova, E. Mershina, V. Sinitsyn","doi":"10.20862/0042-4676-2021-102-3-196-202","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-3-196-202","url":null,"abstract":"Background. Cardiovascular diseases are one of the main causes of death among women, and current prevention paradigms may not be sufficient in this group. In this context, it has been suggested that the detection of breast vascular calcifications can improve the screening and assessment of the risk of cardiovascular diseases in apparently healthy women.Objective: to study the role of breast vascular calcifications as a potential predictor for coronary artery calcification. Material and methods. Examinations were made in 123 patients who underwent digital mammography and cardiac computed tomography to estimate a coronary artery calcium score.Results. The use of the Wilcoxon-Mann-Whitney W-test for abnormal distribution showed a relationship between the presence of breast vascular calcifications and calcium score (p< 0.001), and that between aortic wall calcification and calcium score (p< 0.001).Conclusion. Breast vascular calcifications detected by mammography are an indicator of a higher frequency of coronary artery calcification and, apparently, a predictor for the increased risk of cardiovascular disease.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48195113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malignant Phyllodes Tumor by the Example of a Clinical Case 恶性叶状肿瘤一例临床分析
Vestnik rentgenologii i radiologii Pub Date : 2021-07-23 DOI: 10.20862/0042-4676-2021-102-3-178-182
G. P. Korzhenkova, A. A. Kasymova
{"title":"Malignant Phyllodes Tumor by the Example of a Clinical Case","authors":"G. P. Korzhenkova, A. A. Kasymova","doi":"10.20862/0042-4676-2021-102-3-178-182","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-3-178-182","url":null,"abstract":"Breast cancer is the most common cancer in women worldwide, but there are also rarer types of breast neoplasms in clinical practice. One of these neoplasms is a phyllodes tumor. Due to the rare occurrence of phyllodes tumors and few studies of this pathology, there is today no information about the precise etiology and pathogenesis of this tumor. For the same reasons, it is very difficult to correctly and timely diagnose breast cancer, which requires both a highly qualified radiologist who first detects this disease in a patient and a pathologist who establishes a final morphological diagnosis. Existing studies, such as mammography and ultrasound, do not have reliable criteria for the diagnosis of phyllodes tumors and are unable to differentiate different histological types of these neoplasms, which further complicates the diagnosis of this pathology. Also, standards for the treatment of patients with this diagnosis have not been fully approved. The paper describes a clinical case of successful surgical treatment for a malignant phyllodes tumor of the left breast in a 47-year-old patient.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67729306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Perfusion Сomputed Tomography in the Diagnosis of Chronic Pancreatitis Complicated by Obstructive Jaundice and in the Differential Diagnosis with Pancreatic Head Adenocarcinoma 灌注Сomputed断层扫描对慢性胰腺炎合并梗阻性黄疸的诊断及与胰头腺癌的鉴别诊断
Vestnik rentgenologii i radiologii Pub Date : 2021-06-09 DOI: 10.20862/0042-4676-2021-102-2-80-88
T. Trofimova, M. Belikova
{"title":"Perfusion Сomputed Tomography in the Diagnosis of Chronic Pancreatitis Complicated by Obstructive Jaundice and in the Differential Diagnosis with Pancreatic Head Adenocarcinoma","authors":"T. Trofimova, M. Belikova","doi":"10.20862/0042-4676-2021-102-2-80-88","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-2-80-88","url":null,"abstract":"Objective: to compare the diagnostic effectiveness of computed tomography performed according to the standard protocol and using a perfusion program in the detection of chronic pseudotumoral pancreatitis complicated by obstructive jaundice and in the differential diagnosis with  pancreatic head adenocarcinoma. Material and methods. The investigation enrolled 153 patients with obstructive jaundice treated at the Saint Petersburg Hospital for War Veterans from 2016 to 2020. The cause of jaundice was chronic pancreatitis in 52 (34%) cases and pancreatic head adenocarcinoma in 101 (66%).  Endoscopic ultrasonography-guided histological verification using biopsy and examining the drugs after organ-sparing and radical resection interventions was obtained in all 101 patients (100%) with pancreatic  adenocarcinoma, and in 32 (61.5%) with chronic pancreatitis. A control group consisted of 30 patients with no anamnestic, clinical, or laboratory evidence of pancreatic diseases. All patients underwent abdominal computed  tomography according to the standard protocol and using a perfusion program. Results. The diagnostic effectiveness of the standard computed tomography protocol in the differential diagnosis of chronic pancreatitis and pancreatic adenocarcinoma was: sensitivity 95.5%, specificity 97.3%, and diagnostic accuracy 96.4%; whereas perfusion computed tomography had sensitivity  98.7%, specificity 99.3%, and diagnostic accuracy 98.6%. Conclusion. Perfusion computed tomography is a highly informative method for the differential diagnosis of chronic pancreatitis and pancreatic head adenocarcinoma in patients with obstructive jaundice.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67729293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Возможности магнитно-резонансной томографии в оценке гидроцефалии 脑积水评估磁共振成像的能力
Vestnik rentgenologii i radiologii Pub Date : 2021-06-09 DOI: 10.20862/0042-4676-2021-102-2-124-133
Р. М. Афандиев, Л. М. Фадеева, К. Д. Соложенцева, И. Н. Пронин
{"title":"Возможности магнитно-резонансной томографии в оценке гидроцефалии","authors":"Р. М. Афандиев, Л. М. Фадеева, К. Д. Соложенцева, И. Н. Пронин","doi":"10.20862/0042-4676-2021-102-2-124-133","DOIUrl":"https://doi.org/10.20862/0042-4676-2021-102-2-124-133","url":null,"abstract":"Magnetic resonance imaging (MRI) is presently one of the main methods in the diagnosis of diseases associated with impaired fluid dynamics. Rapidly developing MRI technologies allow us to get more and more information about the functional organization of both individual components and the entire cerebrospinal fluid system (CSF) as a whole. One of the most common diseases accompanied by impaired CSF flow, where the superiority of MRI among other non-invasive methods is especially obvious, is hydrocephalus.  The review considers the current capabilities of MRI in assessing CSF flow in various forms of hydrocephalus.","PeriodicalId":34090,"journal":{"name":"Vestnik rentgenologii i radiologii","volume":"102 1","pages":"124-133"},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67729248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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