A review of current techniques of instrumental and laboratory diagnosis of crystal arthropathies is presented. Advantages and disadvantages of various methods of diagnostic radiology and diagnostic radiologic criteria employed in primary and differential diagnosis of crystal deposits are discussed in relation to their etiology and clinical peculiarities. It is proven from a wide pool of published studies that the method of ultrasonic diagnosis is the most available one, has no contraindications and demonstrates the best sensitivity and specificity in the diagnosis of crystalline arthropathy.
A review of current techniques of instrumental and laboratory diagnosis of crystal arthropathies is presented. Advantages and disadvantages of various methods of diagnostic radiology and diagnostic radiologic criteria employed in primary and differential diagnosis of crystal deposits are discussed in relation to their etiology and clinical peculiarities. It is proven from a wide pool of published studies that the method of ultrasonic diagnosis is the most available one, has no contraindications and demonstrates the best sensitivity and specificity in the diagnosis of crystalline arthropathy.
The purpose: to estimate the efficiency of ultrasound examination for diagnostics of lung inflammatory infiltration. Methods and materials: 106 patients with community-acquired pneumonia were examined. The complex of radiological examinations was performed. The dynamics of the inflammatory infiltrate was evaluated by standard X-ray examination and lungs ultrasound study. Results. The ultrasound pattern of pleuropneumonia and bronchopneumonia is systemized. The ultrasound examination demonstrated high sensitivity and specificity, in some cases prevailing the X-ray. Conclusion. The periods of ultrasound monitoring of the dynamics of the inflammatory process in the lungs are proposed.
Objective: to compare the quality of residual colonic content tagging with 25 and 50 g of BAR-VIPS, the basе of which is barium sulfate (BaSO4), in preparing patients for virtual colonoscopy (VСS) and to evaluate the diagnostic efficiency of the method in both cases.Material and methods. The paper presents the results of VCS in 100 patients divided into two groups containing equal numbers (n = 50) according to the contrast medium dose (25 and 50 g). In each group, the quality of fecal tagging (FT) was compared by its presence and degree and by the presence and completeness of high-density artifacts for residual liquid and solid fragments separately. The reliability of the results of VCS versus fibrocolonoscopy was assessed in detecting additional colon tumors of three sizes (<6, 6-9, and ≥10 mm) in each group of patients. These results were used to calculate the diagnostic efficiency of VCS in each group.Results. The investigation showed significantly lower FT quality indicators in the patients using 25 g of BAR-VIPS than in those having 50 g of the same agent (p = 0.00001). Naturally to the quality of FT, all VCS information capability indices for all sizes of colonic tumors were lower in the 25-g group than those in 50g group.Conclusion. The option of preparing patients for VCS using residual colonic content tagging with 50 g of barium-containing BAR-VIPS has been found to have a significant advantage over that using 2 g of the same agent. This is shown in the better quality of FT and in the higher diagnostic efficiency of the method.
The purpose: to estimate the efficiency of ultrasound examination for diagnostics of lung inflammatory infiltration. Methods and materials: 106 patients with community-acquired pneumonia were examined. The complex of radiological examinations was performed. The dynamics of the inflammatory infiltrate was evaluated by standard X-ray examination and lungs ultrasound study. Results. The ultrasound pattern of pleuropneumonia and bronchopneumonia is systemized. The ultrasound examination demonstrated high sensitivity and specificity, in some cases prevailing the X-ray. Conclusion. The periods of ultrasound monitoring of the dynamics of the inflammatory process in the lungs are proposed.
Juvenile idiopathic arthritis (JIA) are a group of socially significant diseases of childhood because of the high prevalence of a chronic nature, as well as a large percentage of early disability. JIA is a collection of diseases that have different start, course and outcome, as well as various etiologies, which emphasizes the difficulties in the diagnosis process in children. When this disease is progressive in nature, leads to loss of function of the musculoskeletal system, severe disability at an early age and, therefore, needs early diagnosis and adequate therapy appointment.Significant role in identifying pathology osteoarticular system belongs radiological methods and routine radiography remains the most widely used technique included in the classification criteria of the majority of rheumatic diseases. However, it is well known that secondary structural changes in the bones precedes roentgen period, and therefore the X-rays can not be regarded as a method of early diagnosis with articular syndrome. Widely introduced in recent years, magnetic resonance imaging (MRI) has more say in the assessment of capabilities of the joints, as in addition to assessment of bone allows quantitatively and qualitatively assess changes in the synovial membrane, articular cartilage, the presence and severity of inflammatory changes in the periarticular soft tissue and bone tissue. The data obtained using MRI may be used for diagnosis, prognosis, and monitoring response to treatment, including early stage disease.Nevertheless, despite the obvious opportunities MRI, this technique is not widely used, including the lack of clear diagnostic criteria for the disease, the lack of centralized research validated, standardized protocols for conducting MRI studies of children with articular syndrome. Thus, research is warranted to address a number of clinical and diagnostic aspects in JIA, in particular the development of the scoring system assessing the severity and progression of the disease.
Juvenile idiopathic arthritis (JIA) are a group of socially significant diseases of childhood because of the high prevalence of a chronic nature, as well as a large percentage of early disability. JIA is a collection of diseases that have different start, course and outcome, as well as various etiologies, which emphasizes the difficulties in the diagnosis process in children. When this disease is progressive in nature, leads to loss of function of the musculoskeletal system, severe disability at an early age and, therefore, needs early diagnosis and adequate therapy appointment. Significant role in identifying pathology osteoarticular system belongs radiological methods and routine radiography remains the most widely used technique included in the classification criteria of the majority of rheumatic diseases. However, it is well known that secondary structural changes in the bones precedes roentgen period, and therefore the X-rays can not be regarded as a method of early diagnosis with articular syndrome. Widely introduced in recent years, magnetic resonance imaging (MRI) has more say in the assessment of capabilities of the joints, as in addition to assessment of bone allows quantitatively and qualitatively assess changes in the synovial membrane, articular cartilage, the presence and severity of inflammatory changes in the periarticular soft tissue and bone tissue. The data obtained using MRI may be used for diagnosis, prognosis, and monitoring response to treatment, including early stage disease. Nevertheless, despite the obvious opportunities MRI, this technique is not widely used, including the lack of clear diagnostic criteria for the disease, the lack of centralized research validated, standardized protocols for conducting MRI studies of children with articular syndrome. Thus, research is warranted to address a number of clinical and diagnostic aspects in JIA, in particular the development of the scoring system assessing the severity and progression of the disease.
артропатией. Все исследуемые были представители мужского пола в возрасте от 17 до 41 года (средний возраст (26,3 ± 0,8) года) с тяжелой формой заболева-ния (дефицитный фактор меньше 1%), из них трое имели ингибитор к фактору VIII. Впервые диагноз «гемофилия» был установлен пациентам в возрасте от 3 мес до 1 года. Средний возраст появления гемартро-зов составил (3,28 ± 1,75) года (от 11,5 мес до 12 лет). Все пациенты до 2006 . гполучали криопреципитат и реже свежезамороженную плазму, на момент исследо-вания все больные получали препараты концентратов дефицитных факторов свертывания. С помощью МРТ был исследован 21 сустав, в том числе 15 коленных, 2 тазобедренных, 2 голеностопных, 2 локтевых. Все суставы исследовались в коронарных, сагиттальных и аксиальных сечениях. Контрастное усиление (Magne-vist 0,2 ммоль/кг массы тела, Т1-ВИ) выполнено в од-ном наблюдении.
The results of joints's magnetic resonance imaging of 10 patients with severe form of hemophilic artropathy are discussing in this article. The purpose of research was to study the state of soft tissue and bone intraarticulare's structures in present group of patients. The form of bones, condition of an articulate cartilage, the joint’s tendons and ligaments, synovium, presence of an intraarticulate exudate, presence and extent of adjournment haemosiderin, and also signal characteristics of a marrow were estimated.
The comparative evaluation of modern imaging methods gives evidence of great opportunities of both MRT and US in the detection of structural alterations of joints at psoriatic arthritis. The key role is assigned to ultrasonography which has proved to be highly sensitive in the disclosure of peripheral joint synovitis and allows the follow-up during the treatment course.
