JOURNAL DESCRIPTION

The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.

Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.

Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.

The journal is included in the List of Russian Reviewed Scientific Journals of the Higher Attestation Commission. Since 2008 the journal has been available on the Internet and indexed in the RISC database which is placed on Web of Science. Since February 2nd, 2018, the journal "Medical Radiology and Radiation Safety" has been indexed in the SCOPUS abstract and citation database.

Brief electronic versions of the Journal have been publicly available since 2005 on the website of the Medical Radiology and Radiation Safety Journal: http://www.medradiol.ru. Since 2011, all issues of the journal as a whole are publicly available, and since 2016 - full-text versions of scientific articles. Since 2005, subscribers can purchase full versions of other articles of any issue only through the National Electronic Library. The editor of the Medical Radiology and Radiation Safety Journal in accordance with the National Electronic Library agreement has been providing the Library with all its production since 2005 until now.

The main working language of the journal is Russian, an additional language is English, which is used to write titles of articles, information about authors, annotations, key words, a list of literature.

Since 2017 the journal Medical Radiology and Radiation Safety has switched to digital identification of publications, assigning to each article the identifier of the digital object (DOI), which greatly accelerated the search for the location of the article on the Internet. In future it is planned to publish the English-language version of the journal Medical Radiology and Radiation Safety for its development. In order to obtain information about the publication activity of the journal in March 2015, a counter of readers' references to the materials posted on the site from 2005 to the present which is placed on the journal's website. During 2015 - 2016 years on average there were no more than 100-170 handlings per day. Publication of a number of articles, as well as electronic versions of profile monographs and collections in the public domain, dramatically increased the number of handlings to the journal's website to 500 - 800 per day, and the total number of visits to the site at the end of 2017 was more than 230.000.

The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.

Medical Radiology and Radiation Safety. 2024. Vol. 69. № 2

DOI:10.33266/1024-6177-2024-69-2-49-52

I.O. Tomashevsky, O.S. Kornikova

The Importance of Radiation Methods 
in the Diagnosis of Coronary Heart Disease in a Specific Patient

Central Clinical Hospital RZD-Medicine, Moscow, Russia

Contact person: I.O. Tomashevsky, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

ABSTRACT

Purpose: Demonstrate a clinical observation in which to establish a diagnosis it was necessary to use eight methods for diagnosing coronary pathology, four of which are radiation.

Material and methods: To establish a diagnosis in a cardiac patient with suspected coronary heart disease (CHD), post-infarction cardiosclerosis, echocardiography (ECG), Holter monitoring (HM), bicycle ergometry (VE), X-ray computed tomography (X-ray computed tomography) to determine calcification of the coronary arteries, single-photon selective computer tomography (SPECT), magnetic resonance computed tomography (MRI), positron emission computed tomography (PET), coronary angiography (CAG).

Results: The sequential use of eight diagnostic methods, four from radiation, was established when observing cardiosclerosis with coronary heart disease, cardiosclerosis in the 4, 5, 10, and 11 segments of the heart, complicated by a left ventricular aneurysm in the lower and lateral walls with minor ischemia at the height of physical activity.  The need to use SPECT/CT in the complex diagnosis of coronary heart disease consists of using hybrid tomography and sequentially performing two studies in one diagnostic procedure (X-ray computed tomography and SPECT with 99m Tc-technetril) it seems possible to obtain 26 study indicators (with X-ray computed tomography – 4 indicators assessing calcification of the coronary arteries, with SPECT – 11 indicators of perfusion and 11 indicators of myocardial function).

Conclusion: A clinical observation of the diagnosis of coronary artery disease with post-infarction cardiosclerosis and left ventricular aneurysm was demonstrated in which eight diagnostic technologies were used (ECG, CM, VE, CT, SPECT, MRI, PET, and CAG), four of which relate to radiation diagnostics (X-ray CT, SPECT, PET, and KAG). A feature of sequential hybrid tomography (X-ray CT and SPECT with 99mTc-technitrile) is that this technology allows you to obtain 26 research indicators.

Keywords: radiation diagnostics, heart, x-ray computed tomography, SPECT/CT, ischemic disease

For citation: Tomashevsky IO, Kornikova OS. The Importance of Radiation Methods in the Diagnosis of Coronary Heart Disease in a Specific Patient. Medical Radiology and Radiation Safety. 2024;69(2):49–52. (In Russian). DOI:10.33266/1024-6177-2024-69-2-49-52

 

References

1. Tomashevskiy I.O., Kornikova O.S. Hybrid Simultaneous ECG-Synchronized Emission and X-Ray Tomography in Assessing the Effect of Coronary Artery Calcinosis on Myocardial Perfusion, as Well as Function, in the Diagnosis of Cardiac Ischemia. Materialy XYII Vserossiyskogo Natsionalnogo Kongressa Luchevykh Diagnostov i Terapevtov «Radiolgiya-2023» = The Collection of Materials of the XYII All-Russian National Congress of Radiation Diagnostics and Therapists “Radiologla-2023”. Moscow Publ., P. 131. ISBN 978-5-906484-71-0 (In Russ.).

2. Khachirova E.A. State of Myocardial Perfusion and Diastolic Function in Patients with Stenocardia and Unchanged Coronary Arteries (According to Hybrid Single-Photon Emission Computed Tomography with 99mTc-MIBI. Thesis PhD Med. Moscow Publ., 2020 (In Russ.). 

3. Ansheles A.A., Sergiyenko V.B. Nuclear Cardiology. Moscow Publ., 2021. P. 75–125 (In Russ.).

 

 

 PDF (RUS) Full-text article (in Russian)

  

Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. I.O. Tomashevsky took part in the development of the concept, design, theoretical basis, modification of research methods. O. Kornikova took part in the collection and analysis of literary material, statistical data processing, writing and scientific editing of the text.

Article received: 20.11.2023. Accepted for publication: 27.12.2023.

 

 

Contact Information

 

46, Zhivopisnaya st., 123098, Moscow, Russia Phone: +7 (499) 190-95-51. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

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