64 MSCT angiography & 64 Cardiac MSCTSpecial

•Non invasive procedure, comfortable for the patient •Great spatial and temporal resolution,slice thickness -0,625 mm (provide excellent details that allow identification of vascular anomalies and different pathological entities) •3D post-processing •Method of choise for emergency cases (dissection, trauma

Aorto-Bilateral-Femoral-Bilateral-Popliteal Bypass for Leriche Syndrome With Occlusion of Both Superficial Femoral Arteries

A 68-year-old man, who is a smoker with hypertension and hyperlipidemia, presented in our hospital with rest pain in both calves. His symptoms started 1 year prior with short distance walking pain in both legs. Preoperative work up discovered Leriche's syndrome with occlusion of both superficial femoral arteries, as shown on the 64-slice computerized tomographic scan (Fig 1). Operative treatment included aorto-bilateral femoral bypass, using 16/8 mm Dacron (Edwards Lifesciences, Irvine, CA) Y-graft, anastomosed termino-terminal to the aorta and latero-lateral to both common femoral arteries. The excess 8-mm tube grafts were cut, and the procedure continued with termino-lateral anastomosis using an 8-mm Dacron tube graft (Edwards Lifesciences) on the popliteal artery, then connecting the distal tube graft with the proximal tube graft on the femoral level using termino-terminal anastomosis. The same operative steps were repeated for the other leg. His postoperative stay was uneventful. He was discharged home 7 days later. A follow-up 64-slice computerized tomographic scan (Fig 2) of the aorto-bilateral-femoral-bilateral-popliteal bypass

Low - dose CT of the chest as a screening method for early detection of pulmonary cancer

Dose limitation is one of the vital principles in radiation protection regulation. The use of that Low-dose chest CT can be a screening method of choice for early detection of pulmonary cancer

Asessment of coronary arteries with ECG GATED 64-multidetector computed tomography (MDCT) in patients with suspected aortic dissection Stanford type A

The purpose of our study is to show the value of ECG gated 64-MDCT as an non - invasive and reliable method for simultaneous assessment of coronary arteries as part of the aortic root evaluation. Methods and Materials. From February 2009 until March 2010 we performed 46 ECG - gated, 64 MDCT examinations to confirm a diagnosis of suspected aorta ascendens dissection . A transthoracic (TTE) and/or transesophageal (TEE) echocardiography was initially performed in all patients ( mostly TEE) Patients (pts) with arrhythmia and non-stable haemodynamic conditions were excluded. All MDCT scans were performed with retrospectively ECG gated technique (0,625mm slice thickness). Premedicaton with i.v. betaBlocker (propranolol) was administrated in all with heart rate> 70 bpm

Use of chronic lymphocytic leukemia-international prognostic index in patient risk stratification-single center experience

Background: Several prognostic factors have been identified to predict the outcome of patients with chronic lymphocytic leukemia (CLL). To predict the time to first treatment (TFT) we integrated the data of clinical and biological markers in CLL-International prognostic index (CLL-IPI). Aim of the study was the determination of the impact of CLL-IPI in prediction of TFS in CLL patents.Methods: The study was set up retrospectively and included 90 patients with CLL diagnosed and treated at the university clinic of hematology for a period of time from January 2012 to January 2020. We incorporated the data of Binet staging system, most adverse cytogenetic marker and mutational status of immunoglobulin heavy chain in CLL-IPI.Results: The statistical data of the 90 patients showed that the median TFS for low CLL-IPI (N=24), intermediate CLL-IPI (N=40), high risk CLL-IPI (N=17) and very high risk group (N=9) according to the CLL-IPI scoring system was 20.1, 17.6, 7.1 and 5.8 months, respectively. Multivariate analysis indicated that del 17p (p<0.008) was independent prognostic factors of TFS.Conclusions: CLL-IPI is a powerful risk stratification tool for CLL patients and this system has also provided treatment recommendations for different patient risk subgroups.

The genetic history of the Southern Arc: a bridge between West Asia and Europe

By sequencing 727 ancient individuals from the Southern Arc (Anatolia and its neighbors in Southeastern Europe and West Asia) over 10,000 years, we contextualize its Chalcolithic period and Bronze Age (about 5000 to 1000 BCE), when extensive gene flow entangled it with the Eurasian steppe. Two streams of migration transmitted Caucasus and Anatolian/Levantine ancestry northward, and the Yamnaya pastoralists, formed on the steppe, then spread southward into the Balkans and across the Caucasus into Armenia, where they left numerous patrilineal descendants. Anatolia was transformed by intra–West Asian gene flow, with negligible impact of the later Yamnaya migrations. This contrasts with all other regions where Indo-European languages were spoken, suggesting that the homeland of the Indo-Anatolian language family was in West Asia, with only secondary dispersals of non-Anatolian Indo-Europeans from the steppe

64 ЕКГ воден МСКТ на коронарните артерии и асцендентна аорта

•Јасна медицинска индикација •Која информација ни треба •Внимателно планирање на прегледот •Добра подготвеност на пацентот и соработка •Висококвалитетана слика-искусен радиолошки технолог •Клиничко искуство & ефикасен постпроцесинг& креативен радиолог. •Интердициплинарен индивидуален менаџмент •Бенефит за нас и за пациентот: успешен преглед, прецизна дијагностика •Решение за пациентот (ангио, операција, медикаменти

64 слојна компјутеризирана томографија на коронарни артерии

Јасна медицинска индикација; Која информација ни треба; Внимателно планирање на прегледот; Добра подготвеност на пацентот и соработлив пациент; Висококвалитетна слика-искусен радиолошки технолог; Клиничко искуство & ефикасен постпроцесинг& креативен радиолог; Интердициплинарен индивидуален менаџмент; Бенефит за лекарите и за пациентот; Успешен преглед; Прецизна дијагностика; Решение за пациентот (ангио, операција, медикаменти)

Современи дијагностички процедури со 64-слојната компјутеризирана томографија

•Метода со голема дијагностичка прецизност •Кратко времетраење на прегледот во комфорни услови за пациентот •Преглед на крвните садови сите органи и структури во снимената региј