Objective: to study the basic characteristics of changes revealed by MRI in patients with syringomyelia associated arachnopathy before and after surgery.Materials and methods. MRI was performed in 58 pat ients with syringomyelia before and after surgery in period from 2013 to 2016.Results.The diagnosis “syringomyelia” was approved in 41 patients. There was huge regression (more than 50% of volume) of syringomyelia cavity in 17 (41.4%) patients. In 20 (48.7%) patients marked decrease in size syringomyelia cavity (less than 50%), the volume expansion of the front and rear of cerebrospinal fluid spaces.Conclusions. The use of modern MRI Protocol in various types of syringomyelia allows not only to detect and give a comprehensive feature cavities, but also to detect adhesions, location and length, as well as to assess the dynamics of the disease after surgical treatment.

Routine diagnostic methods have limitations in terms of predicting the ventilation function of the lungs before and after surgery. It was decided to investigate the possibilities of dual-energy CT (DECT) using xenon in assessment of lung ventilation function.Objective: to master the methods of examination of patients with pulmonary pathology, evaluate the possibility of justifying the volume of operative intervention and prediction of postoperative lung function based on the hybrid images.Materials and methods. For the study, 12 patients with different pulmonary pathologies were selected (COPD – 5, lung cancer – 4, bronchiectasis – 3). Results. It was found that the use of DECT with xenon reflects the functional state of lung tissue.Conclusions. DECT with xenon have potential for planning surgical intervention and introducing the method into modern protocols of preoperative preparation.

Abdominal pain is often observed in clinical practice, causing diagnostic difficulties for doctors of different specialties. Internal hernias are a surgical pathology and may be the cause for the development of acute small bowel obstruction and the occurrence of pain. A modern classification of internal hernias is presented and their topographic-anatomical description is given. The analysis of the results of computed tomography (CT) scan of the abdominal cavity in 20 patients with an unidentified cause of abdominal pain was performed. According to the CT data, three patients had internal hernias that caused the development of pain syndrome. A pathological displacement of intestinal loops with partial disruption of intestinal permeability and curvature of the mesentery without critical disturbance of blood supply was demonstrated in 4 patients with abdominal pain. The findings suggest that CT may be the method of choice when examining patients with an unknown cause of abdominal pain syndrome.

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