Radiology Research and Practice最新文献

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Assessment of the Status of Resection Margins in Patients with Breast Cancer During Breast-Conserving Surgery Using Intraoperative Mammography 术中乳房x线摄影对保乳手术中乳腺癌患者切除边缘状况的评估

IF 2.7

Radiology Research and Practice

Pub Date : 2023-08-29 DOI: 10.52560/2713-0118-2023-4-71-81

Yana I. Bondarchuk, S. Bagnenko, A. Chernaya, P. V. Krivorot’ko, A. Artemyeva, E. K. Zhiltsova, N. Amirov

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.

对56例患者的手术治疗结果进行分析。所有患者均行保乳手术，术中x线控制在数字设备上。完成研究的平均时间为10分钟，这对手术的持续时间没有显著影响。在研究的56例保乳手术后的准备中，1例在计划的组织学检查中发现阳性切除缘(R1)，这与患者乳腺组织的高x线密度有关。在2例中，检测到阳性切除边缘(DCIS)，进一步切除可以避免重复手术干预。1例出现假阳性，但未对手术治疗结果产生负面影响。无假阴性结果。

引用次数: 0

Possibilities of Ultrasound Diagnostics of Post-Radiation Lung Damage: Initial Experience 超声诊断放射后肺损伤的可能性:初步经验

IF 2.7

Radiology Research and Practice

Pub Date : 2023-07-12 DOI: 10.52560/2713-0118-2023-4-40-51

Y. Kabin, M. Y. Shivilova, S. Shvyrev, V. Kapustin

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.

本文报道44例32 ~ 73岁的乳腺癌行远程放射治疗(DRT)后肺损伤的超声诊断。所有患者放射总局灶剂量(TFD)均为50 Gy，采用经典分步法。分析胸膜下辐射后损伤的主要类型、强度及发生率。将超声结果与DRT开始后6个月患者的CT图像进行比较。

引用次数: 0

Aspects of Choosing the Technique of Computed Tomography in the Diagnostics of Maxillofacial Dysostosis 颌面部咬合困难诊断中计算机断层扫描技术选择的几个方面

IF 2.7

Radiology Research and Practice

Pub Date : 2023-07-11 DOI: 10.52560/2713-0118-2023-4-26-39

N. I. Imshenetskaya, D. A. Lezhnev, O. Z. Topol’nitskiy, V. Petrovskaya

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.

颌面畸形是头颈部器官的先天性畸形，由I和II鳃弓发育而来。基于全面的基础检查和附加检查进行鉴别诊断是很重要的，目的是确定具体综合征特有的所有颅内和颅外症状，这可以通过现代放射诊断方法- CBCT和MSCT来实现。本研究的目的是确定选择计算机断层扫描技术诊断颌面部口臭的关键方面。2009 - 2023年对211例2 - 18岁颌面部失咬合患者进行了215例MSCT和86例CBCT检查，以进行病理鉴别诊断，确定影像学检查量选择的指征。

引用次数: 0

Intraductal Papilloma of the Male Breast (Case Report) 男性乳腺导管内乳头状瘤(附1例报告)

IF 2.7

Radiology Research and Practice

Pub Date : 2023-07-10 DOI: 10.52560/2713-0118-2023-3-50-59

M. A. Ivanyuk, A. Abduraimov, G. Kvetenadze, E. Shivilov, K. Arslanov, N. Karnaukhov

A case of revealing a rare pathology for the mammary glands in men - intraductal papilloma is presented. There is the features of the clinical course, mammography and ultrasound visualization and the results of histology. The final diagnosis of «intraductal papilloma» is established only on the basis of pathomorphological and immunohistochemical studies obtained during excisional biopsy.

一个病例揭示了一个罕见的病理乳腺在男性-导管内乳头状瘤提出。有临床过程的特点，乳房x光片和超声显示和组织学结果。“导管内乳头状瘤”的最终诊断仅建立在切除活检中获得的病理形态学和免疫组织化学研究的基础上。

引用次数: 0

COVID-19-Associated Thrombotic Complication: Is It Pulmonary Embolism or In Situ Thrombosis? COVID-19 相关血栓并发症：是肺栓塞还是原位血栓？

IF 2.2 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiology Research and Practice

Pub Date : 2023-07-03 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3844069

Rashid Al Umairi, Khadija Al Adawi, Maryam Al Khoori, Ahmed Al Lawati, Sachin Jose

Objectives: Acute pulmonary embolism is a protentional fatal complication of COVID-19. The aim of this study is to investigate whether pulmonary embolism is due to thrombus migration from the venous circulation to the pulmonary arteries or due to local thrombus formation secondary to local inflammation. This was determined by looking at the distribution of pulmonary embolism in relation to lung parenchymal changes in patients with COVID-19 pneumonia.

Methods: Retrospectively, we identified pulmonary computed tomography angiography (CTPA) of patients admitted to the Royal Hospital between November 1st, 2020, and October 31, 2021, with a confirmed diagnosis of COVID-19. The CTPAs were examined for the presence of pulmonary embolism and the distribution of the pulmonary embolism in relation with lung parenchymal changes.

Results: A total of 215 patients admitted with COVID-19 pneumonia had CTPA. Out of them, 64 patients had pulmonary embolisms (45 men and 19 women; mean age: 58.4 years with a range of 36-98 years). The prevalence of pulmonary embolism (PE) was 29.8% (64/215). Pulmonary embolism was more frequently seen in the lower lobes. 51 patients had PE within the diseased lung parenchyma and 13 patients had PE within normal lung parenchyma.

Conclusion: The strong association between pulmonary artery embolism and lung parenchymal changes in patients admitted with COVID-19 pneumonia suggests local thrombus formation.

目的：急性肺栓塞是 COVID-19 的一种潜在致命并发症。本研究旨在探讨肺栓塞是由于血栓从静脉循环移至肺动脉，还是由于局部炎症继发的局部血栓形成。我们通过观察 COVID-19 肺炎患者肺栓塞的分布与肺实质变化的关系来确定这一点：我们回顾性地确定了皇家医院在 2020 年 11 月 1 日至 2021 年 10 月 31 日期间收治的确诊为 COVID-19 的患者的肺部计算机断层扫描血管造影（CTPA）。CTPA检查是否存在肺栓塞以及肺栓塞的分布与肺实质变化的关系：共有 215 名 COVID-19 肺炎患者接受了 CTPA 检查。其中，64 名患者患有肺栓塞（男性 45 人，女性 19 人；平均年龄 58.4 岁，介于 36-98 岁之间）。肺栓塞（PE）的发病率为 29.8%（64/215）。肺栓塞多发于肺下叶。51名患者的肺栓塞发生在病变的肺实质内，13名患者的肺栓塞发生在正常的肺实质内：结论：COVID-19 肺炎患者的肺动脉栓塞与肺实质变化密切相关，这表明局部血栓形成。

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引用次数: 0

The Effect of Glycemic Status on the X-ray Image of Pulmonary Tuberculosis in Patients with Type 2 Diabetes Mellitus 血糖水平对2型糖尿病肺结核x线征象的影响

IF 2.7

Radiology Research and Practice

Pub Date : 2023-06-29 DOI: 10.52560/2713-0118-2023-4-11-25

Yu.A. Chaadaeva, N. Gorbunov, A. Dergilev, Y. Manakova, V. Kochura

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.

该研究致力于确定血糖状态水平对2型糖尿病患者x线照片的影响。对82例肺结核合并2型糖尿病患者的x线资料进行分析。放射图像的评价是与血液中葡萄糖水平的相关性进行的。在空腹血糖值为10 mmol/l及以上的患者中，结核病的x线照片的特征是肺组织大面积实变，下部切片定位的频率为50%，并迅速形成腐烂腔。在每日血糖指数急剧跳变超过5 mmol/l，甚至在平均血糖指数不超过8 mmol/l的患者中，观察到结核合并严重结核中毒的病程。x线表现为双侧肺内实变区伴许多空腔和脱落灶;在抗结核治疗的背景下出现新的巩固区。

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引用次数: 0

Difficulties of Diagnosing Primary Multiple Synchronous Breast Cancer with Histological Heterogeneity of Tumors (Clinical Case) 肿瘤组织学异质性的原发性多发同步性乳腺癌的诊断难点(附临床病例)

IF 2.7

Radiology Research and Practice

Pub Date : 2023-06-22 DOI: 10.52560/2713-0118-2023-3-75-85

O. Manuylova, E. Shivilov, T. Pavlova

The difficulties of timely diagnosis of primary multiple synchronous breast cancer with histological heterogeneity of tumors are demonstrated by a clinical example. Taking into account the fact that breast cancer continues to lead among all oncological pathology and accounts for 11.8% of all malignant neoplasms, diagnostic algorithms of the stage should be personalized. The presented clinical case demonstrates multidisciplinary errors committed at different stages of the patient’s examination.

一个临床病例证明了肿瘤组织学异质性的原发性多发同步性乳腺癌的及时诊断的困难。考虑到乳腺癌在所有肿瘤病理中一直处于领先地位，占所有恶性肿瘤的11.8%，该阶段的诊断算法应该个性化。所提出的临床病例显示多学科的错误，在不同阶段的病人的检查。

引用次数: 0

On the Introduction of Artificial Intelligence into the Daily Practice of Breast Pathology Diagnosis: has Everything been Taken into Account? 将人工智能引入乳腺病理诊断的日常实践:一切都考虑到了吗?

IF 2.7

Radiology Research and Practice

Pub Date : 2023-06-09 DOI: 10.52560/2713-0118-2023-3-36-49

V. A. Kazakova, E. Shivilov, K. A. Anichkina, S. A. Tyulyakova, A. V. Pasternak

Artificial Intelligence (AI) has the potential to improve the diagnosis and effectiveness of breast cancer treatment. However, the use of AI in medicine in general, and in mammology in particular, requires regulation by legislative and legal acts to ensure the protection of patients’ rights, safety and quality of medical care. Special attention should be paid to the training of medical personnel and the development of new technologies and methods of working with AI. There are laws and regulations governing the use of AI in mammology around the world. This article reviews the laws governing the use of AI in breast radiology in Western Europe, Asia, and the United States.

人工智能(AI)有可能改善乳腺癌的诊断和治疗效果。然而，人工智能在一般医学，特别是乳腺医学中的使用，需要通过立法和法律行为进行监管，以确保保护患者的权利、医疗保健的安全和质量。应特别重视对医务人员的培训以及开发利用人工智能的新技术和新方法。世界各地都有管理人工智能在乳腺医学中的使用的法律法规。本文回顾了西欧、亚洲和美国在乳腺放射学中使用人工智能的法律。

引用次数: 0

Contrast Enhanced Spectral Mammography as the Method of Choice in the Diagnosis of Breast Cancer in Young Women 对比增强光谱乳房x线摄影作为年轻女性乳腺癌诊断的首选方法

IF 2.7

Radiology Research and Practice

Pub Date : 2023-05-16 DOI: 10.52560/2713-0118-2023-3-11-23

A. Chernaya, R. H. Ul’yanova, S. Bagnenko, P. V. Krivorot’ko, S. Novikov, A. N. Zaytsev

Breast cancer (BC) in young women is cancer that has developed in women aged less than 40 years. Purpose of this study was to compare the overall diagnostic performance of CESM and digital mammography (DM) in detecting breast cancer in women under 40 years. The study group included 75 patients.When analyzing the data obtained, all indicators of diagnostic effectiveness in CESM statistically significantly exceeded the DM data.Thus, due to the ability to assess vascularization, CESM is characterized by higher sensitivity in the diagnosis of breast cancer in young women comparing to DM.

年轻女性乳腺癌(BC)是发生在40岁以下女性的癌症。本研究的目的是比较CESM和数字乳房x线摄影(DM)在检测40岁以下女性乳腺癌方面的总体诊断性能。研究组包括75名患者。在分析所获得的数据时，CESM的所有诊断有效性指标均在统计学上显著高于DM数据。因此，由于能够评估血管化，CESM在诊断年轻女性乳腺癌方面比DM具有更高的敏感性。

引用次数: 0

A Clinical Case of the Progress of Infective Endocarditis in an HIV-Infected Patient without Antiretroviral Therapy Complicated by Repeated Episodes of Septic Destructive Pneumonia (Clinical Example) 未经抗逆转录病毒治疗的hiv感染者并发感染性破坏性肺炎反复发作的感染性心内膜炎临床1例(临床实例)

IF 2.7

Radiology Research and Practice

Pub Date : 2023-05-01 DOI: 10.52560/2713-0118-2023-2-79-87

T. V. Potemkina, I. A. Ylanov, E. Petrova

Infectious endocarditis (IE) in HIV-infected users of injecting drug is manifested by a predominant lesion of the tricuspid valve (TV), and the causative agent of the disease is Staphylococcus aureus. A feature of the course of IE TV in this category of patients are multiple septic embolisms in the small circulatory circle, the source of which may be floating vegetation and the predominance of pulmonary symptoms over cardiac.

感染性心内膜炎(IE)在hiv感染的注射吸毒者中表现为三尖瓣(TV)的主要病变，该疾病的病原体是金黄色葡萄球菌。在这类患者中，IE TV病程的一个特点是在小循环循环中出现多发性脓毒性栓塞，其来源可能是漂浮的植被，肺部症状多于心脏症状。

引用次数: 0

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