PREGNANCY AND CROHN'S DISEASE WITH EXTRAINTESTINAL MANIFESTATIONS OF PERIANAL REGION AND EXTERNAL GENITALIA.

The article presents a clinical case of observation of the course of pregnancy and delivery in women with a rare manifestation of Crohn's disease with a primary lesion of the anal canal with extraintestinal manifestations (perianal region and external genitalia). Prospective clinical observation demonstrates the possibility of work with adequate outpatient and inpatient obstetric services in collaboration with relevant specialists, a favorable course and outcome of pregnancy in women with Crohn's disease of moderate severity with extraintestinal manifestations in the phase of incomplete remission and the birth of healthy full-term newborns, It should be noted that the use of drugs for the treatment of Crohns disease and related complications (anemia) had no teratogenic effects on the growth and development of the fetus, and on and on the health of the newborn Joint management of these patients by the obstetrician-gynecologist, gastro-enterology and a proctologist in the form ofjoint inspections and allows councils, in a timely manner to verify diagnosis of the disease and its complications, and provide adequate correction treatment patient to obtain a favorable pregnancy outcome, birth and the postnatal period.

[Resources of modern methods of radiodiagnostics in optimization of surgical treatment of patients with rectum cancer].

An investigation of the information value of modern radial methods of diagnostics (endorectal and intraoperative sonography, spiral computed and magnetic resonance imaging) and Power Shape program for three- dimensional modeling in 150 patients with rectum cancer has shown their significance in the assessment of prevalence of the tumor process, invasion of the tumor into the rectum wall, its spreading in the intestinal wall, involvement in the tumor process of the pararectal fat and adjacent to the rectum organs of the small pelvis, the presence of signs of metastases to the regional lymph nodes. These methods of X-ray analyses and three- dimensional computed modeling of the tumor process of the rectum facilitate preoperative decision on the adequate volume of surgery.

[Experience in the use of electron KRT remote-controlled X-ray diagnostic system].

Short description of the Electron KRT system and its performance is given. Functional capabilities of the system are considered on the basis of the accumulated operating experience.

[Role of spiral computed tomography in the assessment of the bone and soft tissue structures of the spine in the postoperative period of degenerative diseases and traumas].

The spiral computed tomography (SCT) was used in examinations of 59 patients with symptoms of neurological disorders at the postoperative period after discectomy, and 82 casualties and 24 patients with degenerative-dystrophic lesions of the spine after correcting-stabilizing operations with plasty of the vertebra with autobone, biositall-XK. An examination of this category of patients and casualties in the nearest and remote terms after operation improves the potentials of SCT-diagnostics of recurrent hernias, epidural fibrosis, spondylites, central and lateral stenoses and allows control of osteoreparation and remodelling of the spine. The improved pathogenetical treatment in these cases shortens the period of disability and does not result in persistent invalidism of the patients.

[Personal identification by X-ray views of the chest cavity].

The topical and unsolved problems of recognizing somebody's identity of dead and alive persons are outlined. An original procedure and algorithm of identity by the chest structural features revealed by X-ray study are proposed. Mathematical criteria for assessing the found individual signs to prove somebody's identity have been developed.

[The potentials of spiral computed tomography in the diagnosis of lesions of the extracranial carotid arteries].

The paper summarizes the results of examination of 30 individuals aged 27 to 66 years who had extracranial carotid lesions by using computed tomographic angiography (CTA), computed tomography, Doppler ultrasonography, power Doppler imaging, digital subtraction angiography. A procedure for CTA and analysis of data and for determination of the degree of stenosis has been developed. The potentialities of CTA in visualization of extracranial carotid diseases are shown.

[Computed tomographic angiography of the thoracic vessels: the method, initial experience and outlook for its use].

The paper presents the data available in the literature on computed tomographic angiography and the first experience with it to study thoracic vessels. It details the principles of spiral computed tomography and CT angiography. Practical aspects of their implementation, as well as basic concepts are outlined.

[Magnetic resonance imaging in the diagnosis of spinal injuries].

Magnetic resonance imaging reveals the morphological changes of the spinal cord in the early and late periods following vertebral and spinal cord injuries. Edema frequently accompanied by squeezing and displacement of the spinal cord by the elements of broken vertebrae and disks, which are dislocated into the lumen of the spinal canal is the most common change in the early period. In the late period, there is myelomalacia that progresses to cerebrospinal cyst.

[Spiral computed tomography in chest injury].

The purpose of the study was to evaluate the potentialities of spiral computed tomography (SCT) in recognizing some symptoms of injury-induced chest changes, to define differential diagnostic signs of some complications occurring in the posttraumatic period. Thirty one studies were made in 23 victims with severe mixed chest injury upon their admissions and during follow-ups. CT data were analyzed on axial slices by means of multiplanar and three-dimensional reconstructions.

[Potentialities of conventional computed tomography and computed tomography angiography in evaluation of local spread of central type lung cancer].

To define the potentialities of conventional computed tomography (CCT) and contrast-enhanced computed tomography (CECT) in the the evaluation of spread of central-type lung cancer, 141 patients were studied. The results of the studies were compared with the data of surgical interventions in 86 patients. The analysis of their efficiency was based on the examination of the accuracy, sensitivity, and specificity of each technique.

[Computerized tomography diagnosis of lymphadenopathies in malignant non-Hodgkin's lymphomas].

The potentialities of computer-aided tomography (CAT) in the diagnosis of lymphomas were studied. A total of 223 patients with disseminated lymphadenopathy were examined (78 with malignant non-Hodgkin's lymphomas, 48 with Hodgkin's disease, 54 with metastatic involvement of the lymph nodes, 18 with HIV infection, and 25 with reactive and inflammatory lymphadenopathy). CAT helped precisely assess the dissemination of the pathological process and disease stage in patients with malignant lymphomas, permitted follow up the time course of the disease, and facilitated differentiation of the condition from other diseases manifesting by disseminated lymphadenopathies.

[Computed tomography in the diagnosis of respiratory tuberculosis].

Analysis of 257 patients with tuberculosis of respiratory organs and 292 patients with other diseases of the organs of thoracic cavity, in whom the previously carried out clinical and roentgenological examinations had failed to exclude the presence of specific process, is presented in this article. The authors discuss the indications for carrying out computerized tomography of the organs of thoracic cavity and specify their application with respect to different forms of tuberculosis. They also present a short description of the method of computerized tomography.

[The computed tomographic characteristics of adrenal tumors].

The clinical materials of 121 patients with volumetric abnormal adrenal formations exposed to surgical therapy were retrospectively analysed. The data of preoperative CT studies were compared with the results of postoperative histological analyses of resected adrenal tumors. The specific features of the CT images of adrenal tumors were studied according to their morphological structure and hormonal activity.

[Computed tomography diagnosis of extranodal manifestations in malignant non-Hodgkin's lymphoma].

The data of computed tomography (CT) were used to study the semiotics of extranodal manifestations in 78 patients with varying malignancy non-Hodgkin's lymphomas. The most common lesions were found in the viscera: liver, spleen, peritoneum, omentum, pancreas, adrenals, mesentery. The CT pattern of these lesions is diverse, each site has its own specific features.

[Possibilities of computerized tomography in the diagnosis of recurrences of cancer of the large intestine].

To study the potentialities of CT in the diagnosis of recurrent cancer of the large bowel, 325 patients underwent various surgical interventions for colorectal carcinoma were examined. The surgery-CT study interval ranged from 2,5 months to 11 years. It was found that CT might detect various intra- and extraintestinal relapses and generalize a tumorous process.

[Computerized tomography diagnosis of splenic and hepatic lesions in malignant non-Hodgkin's lymphomas].

Seventy eight patients with varying malignancy non-Hodgkin's lymphomas were examined. Signs of extranodal damage of the spleen and liver were studied. Spleno- and hepatomegaly were signs of the commonest diffuse visceral involvements.

[Radiodiagnosis of volumetric pathological formations of the brain stem].

Fifteen patients with volumetric abnormal formations of the brain stew were studied. All the patients underwent craniography and computed tomography (CT); magnetic resonance tomography (MRT) and cerebral angiography were conducted in 6 and 8 patients, respectively. The studies provided a full-value differential diagnosis and revealed the following abnormal changes: brain stem tumors in 8 patients, intratruncal hematomas in 6, and arteriovenous malformations in.

[Results of multimodal treatment of patients with glial tumors of cerebral hemispheres].

The outcomes of multimodality treatment were assessed in 42 patients with glial tumors of cerebral hemispheres. Radical surgery turned out to be feasible only in 52.4% of patients with high-grade tumor histological variants and 66.

[The specialization and advancement of military physicians in radiodiagnosis].

The article deals with the questions of post-graduate training of army diagnostic radiologists. The authors make a detailed description of all stages of basic and enhanced training of radiologists and ultrasound diagnostic specialists. The article emphasizes the necessity to endorse the candidates for further specialized training depending on duration of their professional time-in-service period.

[Variants in the arrangement of the tooth roots in the alveolar arches of the human jaws based on computed tomographic data].

Anatomo-topographic relationship of the teeth roots were studied by means of computer tomography (CT) on 44 passportized skulls with mandibles of people who died in the age of 20 to 52 years. Conseguently, sections of mandibles and maxillae were made out of these preparations and peculiarities of the teeth roots locations in alveolar arches were studied by craniometric method. Comparison of CT results and measurements of sections showed that CT is an informative method of assessment of the teeth roots anatomo-topographic relationship that permits to attain general true qualititative indexes, allowing to evaluate objectively the available variants of the alveolar arch structure and the teeth roots location without disturbance of the anatomic material integrity.

[The computed tomographic diagnosis of acute pancreatitis].

Results of the clinical and computed tomography examinations of 152 patients having injuries of the pancreas were analyzed. High degree of the exact diagnosing of acute pancreatitis and complications is confirmed. The information obtained by computed tomography gives grounds for prognosing the development of the pathologic process, timely application of different curative measures.

[The outlook for the use of radiodiagnosis for the status assessment and triage of light casualties at military medical installations].

Roentgenological examination can considerably facilitate the selection of minimally wounded. It is possible to improve the efficiency of roentgenological diagnosis with the help of application of modern traditional roentgenological technique, as well as the usage of computer tomography and ultrasonic examination. There is a proposal to equip the hospital for minimally wounded with a AP 2Y1 mobile roentgenological complex, ultrasonic diagnosis cabinet, and X-ray unit for intraoperative examination.