The diagnosis of early and late postoperative complication after abdominal aortic aneurysm surgery has a bearing on treatment results. Ultrasound duplex scanning must have been effective and accessible for postoperative monitoring, but such studies are inconsiderable in number. The aim is a definition of distinctive ultrasound criteria of postoperative complication and development of monitoring survey protocol. In this study authors analyzed results of assessment in 273 patients after open or endovascular repair in duration up to 102 months. All of the patients were underwent ultrasound duplex scanning including contrast-enhanced studies. All of specific revealed in 27,1% cases complications were divided to early and rate. The postoperative hemorrhage was most frequent (6,2%) among the others such as anastomotic thrombosis and graft infection. Stenotic lesions (8,1%), true and false anastomotic aneurysms (7,7%) were as late complications. The proposed protocol of diagnosis and monitoring conduced a timely detection of complications. In authors’ opinion, ultrasound duplex scanning is noninvasive, cost-effective and valid for postoperative monitoring survey. 

The term juvenile spondyloarthritis (JSpA) refers to spondyloarthritis that starts during childhood. Juvenile spondyloarthropathy (JSpA) represents an important subgroup of chronic arthritis in children that needs to be recognized and appropriately managed. Early diagnosis of spondyloarthritis (SpA) is becoming more important as new medical treatment options have become available to treat inflammation and delay progression of the disease. Increasingly, magnetic resonance imaging (MRI) of the sacroiliac joints is obtained for early detection of inflammatory changes, as it shows active inflammatory and structural lesions of sacroiliitis long before radiographic changes become evident. MRI of the sacroiliac joints in children is a useful tool for suspected juvenile spondyloarthritis (JSpA), even though it is not yet included in the current pediatric classification systems. Actually, the adult Assessment of Spondyloarthritis International Society (ASAS) definition for sacroiliitis needs some adaptations for children. The aim of study was early evaluation of sacroiliitis in differential diagnosis in children with juvenile chronic arthritis. Hossible pediatric-specific definition for active sacroiliitis on MRI is presented in this article. In most cases gadolinium-enhanced MRI images may help to confirm the presence of different features of sacroiliitis in children.

The article presents the results of a retrospective analysis of the results of a screening ultrasound study in the third trimester of pregnancy in 357 patients who underwent histological examination of the afterbirth after delivery. The histological structure was represented by the normal structure of placental tissue and various forms and stages of chronic placental insufficiency. The peculiarities of the parameters changes, which are routinely evaluated during the screening ultrasound in the third trimester of pregnancy: fetometry, ultrasound placentometry, Dopplerometry, depending on the histological structure of the afterbirth, are revealed.

Horseshoe kidney tumors occur in up to 2% of cases. Atypical anatomy complicates the diagnosis. We present a case of horseshoe kidney cancer and demonstrate the role of MDCT for the diagnosis, as well as evaluating the blood supply of the kidney and the mass and surgical treatment planning. MDCT data post-surgery are presented.

The article presents the analysis of statistical documents in 2011–2016 in Kaliningrad region, including the staffing of health facilities with radiologist, technicians, technical equipment, as well as the structure and number radiological examinations. The condition of hardware park of the region, its technological level and quality of service is analyzed. Despite essential re-equipment of radiological service of the region after 2011, the problems connected with prevalence of out-of-date technologies remain still. The quantity of x-ray and MRI tomographs should be increased. The analysis revealed a moderate shortage of staff (radiologist staffing — 62%) against the background of equipment staffing and its technical obsolense. The relative number of radiological examinations is almost on the level as in the Russian Federation. The article also highlighted some of the most acute problems of modern radiology service in the region.