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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 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 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。
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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 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 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。
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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 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 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。
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引用次数: 0
Cone Beam Computed Tomography in the Diagnosis of Limb Osteomyelitis in Children and Adolescents (Literature Review with Clinical Observations) 锥束计算机断层扫描在儿童和青少年肢体骨髓炎诊断中的应用(文献复习并临床观察)
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-05-01 DOI: 10.52560/2713-0118-2023-2-11-23
N. Sholokhova, D. K. Zharkov
The article presents a review of the literature and a comparative analysis of the methods of radiation diagnostics of osteomyelitis in children. Active improvement of devices and research methods for more effective diagnosis of diseases continues. Cone beam computed tomography (CBCT) can provide specialists with the necessary diagnostic information, and its use will reduce the radiation exposure received by patients during the study. This publication demonstrates 2 clinical cases where CBCT was chosen as the diagnostic method. These observations will demonstrate the possibilities of CBCT in the diagnosis of osteomyelitis and dynamic monitoring in children and adolescents.
本文对文献进行综述,并对儿童骨髓炎放射诊断方法进行比较分析。继续积极改进设备和研究方法,以更有效地诊断疾病。锥形束计算机断层扫描(CBCT)可以为专家提供必要的诊断信息,并且它的使用将减少患者在研究期间接受的辐射暴露。本出版物展示了2例选择CBCT作为诊断方法的临床病例。这些观察结果将证明CBCT在儿童和青少年骨髓炎诊断和动态监测中的可能性。
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引用次数: 1
Burkitt’s Lymphoma in HIV-Infected Patients (Literature Review with Own Clinical Cases) hiv感染患者的Burkitt淋巴瘤(附自身临床病例的文献综述)
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-05-01 DOI: 10.52560/2713-0118-2023-2-37-48
N. Klimova, A. O. Ramzina, A. Gaus
This article presents the X-ray morphological and clinical picture of three cases of Burkitt’s lymphoma in HIV-infected patients. Burkitt’s lymphoma is a very aggressive B–cell non-Hodgkin’s lymphoma and the fastest growing tumor. In view of this, it is a medical problem, since untimely diagnosis of this tumor leads to a high frequency of relapses, which means an unfavorable prognosis.
本文介绍三例hiv感染患者的伯基特淋巴瘤的x线形态和临床表现。伯基特淋巴瘤是一种侵袭性很强的b细胞非霍奇金淋巴瘤,也是生长最快的肿瘤。鉴于此,这是一个医学问题,因为这种肿瘤的不及时诊断导致复发的频率很高,这意味着预后不良。
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引用次数: 0
Ductal Carcinoma in situ in Combination with Inflammatory Breast Syndrome: the Rare Clinical Case 导管原位癌合并炎性乳腺综合征:罕见的临床病例
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-04-19 DOI: 10.52560/2713-0118-2023-3-60-74
T. Pavlova, E. Shivilov, K. A. Anichkina, D. D. Yurkanova, N. Karnaukhov
Ductal carcinoma in situ (DCIS) is a breast carcinoma (BC) consisting of malignant cells in the ductal lumen of the breast without invasion beyond the epithelial membrane. The article presents a rare clinical case of the combined course of chronic mastitis and ductal carcinoma in situ in a 47-year-old female patient who was diagnosed with chronic mastitis during instrumental examination, and only after trepan biopsy and subsequent histological examination, intraductal breast cancer in situ was verified. This may indicate that instrumental methods and techniques are insufficiently informative in diagnosing ductal carcinoma in situ against the background of chronic mastitis.
导管原位癌(DCIS)是一种乳腺癌(BC),由乳腺导管腔内的恶性细胞组成,未侵犯上皮膜。本文报道一例罕见的慢性乳腺炎合并导管原位癌的临床病例,患者47岁,女性,在器械检查中被诊断为慢性乳腺炎,经trepan活检和随后的组织学检查,证实导管内原位乳腺癌。这可能表明仪器方法和技术在诊断慢性乳腺炎背景下的导管原位癌方面信息不足。
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引用次数: 0
BI-RADS 3 — Observation or Action? (lecture) BI-RADS 3 -观察还是行动?(讲座)
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-04-15 DOI: 10.52560/2713-0118-2023-3-24-35
N. Klimova, A. Kuznetsov
Breast cancer is an important medical and social problem.A significant factor in reducing mortality and disability in breast cancer is the organization ofqualified assistance, and its integral part is highquality diagnostics.The lecture discusses the practice of applying one of the categories in the system of descriptionand processing of breast research data.Recommendations are given to improve the diagnosis and routing of patients with breast cancer.
乳腺癌是一个重要的医学和社会问题。降低乳腺癌死亡率和致残率的一个重要因素是组织合格的援助,其组成部分是高质量的诊断。讲座讨论了在乳房研究数据的描述和处理系统中应用其中一个类别的实践。提出了改进乳腺癌患者的诊断和路线的建议。
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引用次数: 0
Typical X-ray Semiotic Signs of High-Density Inclusions of the Jaws According to Cone-Beam Computed Tomography 根据锥束计算机断层扫描颌骨高密度内含物的典型x线符号征象
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-03-19 DOI: 10.52560/2713-0118-2023-2-24-36
L. Abraamyan, D. A. Lezhnev, A. Tsitsiashvili, A. Panin
In the process of evaluating X-ray diagnostic images of the jaw bones of dental patients, foci of altered bone structure and atypical intraosseous inclusions of increased density are often found. The identified inclusions have different etiology, but at the same time a similar and in some cases implicit scialogical picture, which may cause an incorrect radiological conclusion. When analyzing the available literature, limited information was found about the typical radiosemiotic signs of dense intraosseous inclusions of the jaw bones found in everyday medical practice.
在评估牙科患者颌骨x线诊断图像的过程中,经常发现骨结构改变的病灶和密度增加的非典型骨内包裹体。所识别的包涵体有不同的病因,但同时有相似的,在某些情况下隐含的社会学图像,这可能导致不正确的放射学结论。在分析现有文献时,发现在日常医疗实践中发现的颌骨密集骨内包涵体的典型放射符号学征象的信息有限。
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引用次数: 0
Legal Basis for the Use of Artificial Intelligence Technologies in Radiation Diagnostics 人工智能技术应用于辐射诊断的法律依据
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-03-18 DOI: 10.52560/2713-0118-2023-2-63-77
V. A. Kazakova, S. A. Tyulyakova, E. Shivilov, K. A. Anichkina, A. L. Miftakhova, D. D. Yurkanova
The article considers the legal basis for the regulation of artificial intelligence (AI) technologies in domestic health care. Radiation diagnostics is one of the first areas of medicine where AI is being introduced to analyze radiographs and form draft conclusions for the examination. Due to the opaqueness of the decision­making process («black box effect») and high error rate, the level of trust of specialists and patients in innovations remains low. In this connection, there is an objective need to create effective legal mechanisms that provide for measures of responsibility for erroneous AI decisions, protecting the rights of doctors and patients in the operation of these programs.
本文考虑了国内医疗保健领域人工智能(AI)技术监管的法律依据。放射诊断是第一批引入人工智能来分析放射照片并形成检查结论草案的医学领域之一。由于决策过程的不透明(“黑箱效应”)和高错误率,专家和患者对创新的信任程度仍然很低。在这方面,客观需要建立有效的法律机制,为错误的人工智能决策提供责任措施,保护医生和患者在这些项目运行中的权利。
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引用次数: 0
Diagnostic Value of Liver Non-Contrast Perfusion in Prediction of Visceropathies (Sialadenitis and Hepatic Encephalopathy) in Patients with Diffuse Liver Diseases 肝脏非对比灌注预测弥漫性肝病脏器病(涎腺炎和肝性脑病)的诊断价值
IF 2.7 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-03-08 DOI: 10.52560/2713-0118-2023-2-50-62
A. Telesh, T. Morozova, A. A. Tarasov, V. G. Morozov
The aim of this work is to evaluate diagnostic value of liver non-contrast perfusion in prediction of visceropathies (sialadenitis and hepatic encephalopathy) in patients with diffuse liver diseases (DLD). Clinical and laboratory data (including the Raitan test), results of MRI with non-contrast MR perfusion (ASL-perfusion) of the liver and brain MRI with assessment of the head and neck soft tissues were estimated in a group of patients with DLD. Potentials of assessment of ASL liver perfusion for hepatic encephalopathy and sialadenitis prediction are described in the article. Based on the clinical and laboratory data and results of histopathological analysis of salivary gland biopsies, it was established that sialadenitis in patients with DLD is the result of disturbance of macroorganism resistance; sialadenitis in this context is the inflammatory process of the gland with acinuses atrophy signs, in MRI it forms pictures of the gland enlargement without visible macrostructure changes. The study showed that the integrated approach to observation of patients with DLD (radiologist + gastroenterologist / infectious disease specialist + otorhinolaryngologist / dentist) helps correct of patient monitoring tactics timely and effective.
本研究的目的是评价肝脏非对比灌注对弥漫性肝病(DLD)患者脏器病(涎腺炎和肝性脑病)的诊断价值。对一组DLD患者的临床和实验室资料(包括Raitan试验)、肝脏非对比MR灌注(asl -灌注)MRI结果和头颈部软组织评估脑MRI结果进行评估。本文描述了评估ASL肝灌注在肝性脑病和涎腺炎预测中的潜力。根据临床和实验室资料及涎腺活检组织病理学分析结果,确定DLD患者的涎腺炎是宏观生物耐药性紊乱的结果;在这种情况下,涎腺炎是腺体的炎症过程,伴有腺泡萎缩征象,在MRI上形成腺体增大的图像,但没有可见的宏观结构改变。研究表明,采用放射科医师+胃肠科医师/传染病科医师+耳鼻喉科医师/牙医的综合方法对DLD患者进行观察,有助于及时有效地纠正患者监护策略。
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Radiology Research and Practice
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