Особенности остеопенического синдрома у больных сахарным диабетом 1 типа

In this article the results of ultrasound osteometry in patients with type 1 diabetes mellitus are discussed. The aim of the research was to estimate the index of bone mineral density in adult patients considering the severity, duration of the disease, age of the onset of the disease, sex, age and body weight of the patients. The leading factors which influence bone mineral density in patients with type 1 diabetes mellitus are determined.В статье обсуждаются результаты ультразвуковой остеометрии у больных сахарным диабетом 1 типа. Исследование проводилось с целью оценки показателей костной прочности у взрослых больных с учетом степени тяжести, длительности, возраста дебюта заболевания, пола, возраста и массы тела пациентов. Определены ведущие факторы, влияющие на костную прочность у больных сахарным диабетом 1 типа

Algorithm for radiological examination of visceral obesity in patients with metabolic syndrome

In order to assess the possibility of applying the methods of radiation diagnosis of visceral obesity in the metabolic syndrome in clinical practice and compare their results with indicators of carbohydrate and lipid metabolism were examined 78 patients (38 men and 40 women), mean age (45.9 ± 15.5). All patients underwent computed or magnetic resonance imaging according to standard procedure, an ultrasound evaluation of various parameters: the thickness of visceral fat, subcutaneous fat, and their ratio, the thickness of preperitoneal fat in the target level. Based on the application of ROC-analysis identified thresholds for all radiological methods, a comparative analysis of the studied diagnostic models (tomographic methods and the ultrasonic method) compared with the anthropometric measurements (WC/HС). Using these results, the algorithm was ray studies of visceral obesity in patients with metabolic syndrome

Possibilities of three phase scintigraphy in the diagnosis of diabetic osteoarthropathy

Establishing informative of 3-phase scintigraphy in the evaluation of blood flow and identify pyo-inflammatory process in patients with neuropathic, ischemic, and mixed forms of diabetic foot. This study includes the results of three-phase scintigraphy of 76 patients with diabetes mellitus and with suspicion of osteomyelitis in diabetic foot. Results were verified with morphological study in 39 patient.In patients with diabetic foot the depression of the main vessels blood flow and blood flow prevalence the changes intraos­seous blood flow. Comparison of scintigraphy and morphological studies confirmed the highly informative three-phase scintigraphy in the evaluation of main and peripheral blood flow. 3-phase scintigraphy revealed a lower specificity (66.7%) in the diagnosis of osteomyelitis in patients with diabetes mellitus at the sensitivity (94.7%) and accuracy (73.7%).Three-phase scintigraphy is high-performance method in revealing the arterial and peripheral blood flow disorder in patients with diabetes mellitus. The low specificity of the three-phase scintigraphy with high sensitivity indicate the limited possibilities of the method in the identification of pyo-inflammatory process in patients with diabetes mellitus. The observed preservation of blood flow makes it possible to expand the employment of methods of nuclear medicines and apply scintigraphy with labeled leukocytes for indicating purulent infection in patients with complicated course