Aim. The aim is to analyze the data thus far published on the radiologic diagnosis of adenomyosis in patients with reproductive problems in order to determine promising areas for further scientifi c research.Materials and methods. An information search for subsequent analysis was performed using E-Library, PubMed and CochraneLibrary electronic bibliographic databases with the following keywords: “ultrasound diagnosis of adenomyosis”, “MRI adenomyosis”, “junctional zone adenomyosis”, “ultrasound adenomyosis”, “diagnosis adenomyosis”, “magnetic resonance imaging adenomyosis”, “adenomyosis junction”.Results. Imaging techniques are prioritized in diagnosing the initial incidence of adenomyosis. The value of such techniques increases when analyzing the causes of implantation failures. Key issues associated with the modern radiologic diagnosis and monitoring of adenomyosis during treatment have been considered on the basis of the standardization of studies, classifi cation of the disease, assessment of the diagnostic accuracy and prognostic value of imaging techniques in patients with reproductive losses and infertility.Conclusion. Promising areas of scientifi c research are found to be the specifi cation of optimal diagnostic timeframes, informativity of diagnostic criteria for 3D reconstruction, MRI, elastography, angiography, as well as the development of prediction methods for healthy childbearing and monitoring the treatment effectiveness.

Aim.The research was designed to study the possibilities of ultrasound examination with Color Doppler imaging (CDI) and three-dimensional volumetric reconstruction (3D) in the diagnostics of adenomyosis of minimal prevalence in patients with unspecified infertility and reproductive losses at the early stages of gestation.Materials and methods.40 patients with unspecified infertility and early pregnancy loss (the main group) and 35 healthy patients (the control group) were examined in the course of the study. All patients underwent small pelvic ultrasound in В / CDI / 3D-modes with an assessment of the junctional zone (JZ) on days 5-7 and 18-22 of the menstrual cycle (MC).Results.In the main group, there was a discrepancy between the structure of the endometrium and the phase of the cycle at 5-7 days of the MC, a decrease in vascularization of the JZ at 18-22 days of the MC, a local increase in blood flow in the endometrium in phases 1 and 2 of the MC; the fuzziness of the junctional zone, an increase in min and max thickness of the junctional zone, the difference between them, as well as the ratio of max thickness of the junctional zone to the thickness of the uterus wall regardless of the phase of the MC (p = 0.005; 0.0001; 0.005; 0.03; 0.0004; 0, 0001; 0.0001; 0.0001; 0.0001 respectively).Conclusion.Ultrasonography with the CDI and 3D reconstruction allows us to identify a high-risk group by the presence of a minimal prevalence of adenomyosis in the patients with unspecified infertility and reproductive losses at the early stages of gestation.

Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации, ул. Седина, д. 4, Краснодар, Россия, 350063. АННОТАЦИЯ Цель. Выявить наиболее информативные ультразвуковые критерии патологии эмбриона и экстраэмбриональ-ных структур с 8-й по 11-ю неделю гестации с целью прогнозирования течения и исхода беременности для плода.Материалы и методы. Было обследовано 215 беременных в сроках гестации с 8-й по 11-ю неделю. Результаты. Путем расчета чувствительности и специфичности были выявлены наиболее информативные па-раметры неблагоприятного развития беременности. Параметрами неблагоприятного течения и исхода беременно-сти для плода являются следующие высокоспецифичные признаки: отсутствие желточного мешка, неадекватное развитие желточного мешка, неадекватная васкуляризация хориона. Низкоспецифичными признаками являются: тонус миометрия, неадекватная васкуляризация желтого тела.Заключение. Ультразвуковая оценка эмбриона и экстраэмбриональных структур в сроках гестации с 8-й по 11-ю неделю позволяет прогнозировать особенности течения и неблагоприятный исход беременности для плода. Federation, Sedina str.,4, Krasnodar, Russia, 350063. A. V POMORTSEV, YU. YU. DYACHENKO, YU. V. GRUSHEVSKAYA, V. V LASHEVICH PREDICTION OF ADVERSE PREGNANCY OUTCOME FOR THE FETUS ON THE BASIS OF ULTRASOUND INVESTIGATION OF THE EMBRYO AND EXTRAEMBRYONIC STRUCTURES Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian ABSTRACTAim. Identify the most informative ultrasound criteria for the pathology of the embryo and extraembryonic structures from the 8th to the 11th weeks of gestational age in order to predict the course and outcome of pregnancy for the fetus.Materials and methods. 215 pregnant women were examined during gestation from 8 to 11 weeks. Results. By calculation of sensitivity and specificity, the most informative parameters of unfavorable development of pregnancy were revealed. Parameters of adverse course and outcome of pregnancy for the fetus are the following highly specific signs: absence of yolk sac, inadequate development of yolk sac, inadequate vascularization of the chorion. Lowspecific signs are: tone of myometrium, inadequate vascularization of the yellow body.Conclusion. Ultrasound evaluation of the embryo and extraembryonic structures during gestation from 8 to 11 weeks makes possible predicting the features of the course and the unfavorable outcome of pregnancy for the fetus.Keywords: diagnostic ultrasound, extraembryonic structures, gestational period ÂведениеПроблема неблагоприятного исхода бере-менности на протяжении многих лет занимает ведущее место среди осложнений в акушерской практике. Объединяет такие диагнозы, как преж-девременные роды, самопроизвольные аборты,