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.

Issues journals

Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 31–37

DIAGNOSTIC RADIOLOGY

DOI: 10.12737/article_5c55fc2cb98140.01495008

N.S. Vorotyntseva, V.V. Orlova

Radiation Examination of Newborns with General Therapeutic Hypothermia

Kursk State Medical University, Kursk Regional Perinatal Center, Kursk, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

N.S. Vorotyntseva – Head of Dep., Dr. Sci. Med., Prof.;
V.V. Orlova – Junior Researcher

Abstract

Purpose: Revealing the features of the parenchymal organs of newborns subjected to general non-invasive therapeutic hypothermia (GNTН) and the development of radiation monitoring for such patients.

Material and methods: Under our supervision were 69 children with a severe degree of perinatal asphyxia, born from January 2014 to April 2018 in the Kursk Regional Perinatal Center. In the first hours of life, 50 patients were initiated GNTH, expressed in a decrease in body temperature to 34 °C in the rectum. Hypothermia was not performed 19 newborns for objective reasons. All children underwent radiation examination, including ultrasound of the brain, heart and internal organs, chest x-ray.

Results and discussion: The study revealed a high neuroprotective effect (assessed by ultrasound) of general non-invasive therapeutic hypothermia, depending on the Apgar score at the 5th minute of life: 66.7 % of children had a normal ultrasound pattern of the brain with the 21st day ≥4 points and received GNTH, 50 % of children ≤ 3 points after therapeutic hypothermia and 36.8 % of newborns without GNTH (p ≤ 0.001). The complex 5-step radiation monitoring, which included chest x-ray, ultrasound of the brain, heart and internal organs (liver, pancreas, spleen, kidneys, adrenals), revealed the features of neonatal period in children in the background GNTH: increased risk of development of parenchymal hemorrhages on the 3rd day and postnatal pneumonia on the 7th day of life.

Conclusion: A complex stage radiological examination of newborns in need of GNTH is the key to timely effective diagnosis, prevention and treatment of severe pathological conditions of the neonatal period.

Key words: newborns, asphyxia of severe degree, general therapeutic hypothermia, radiation monitoring

REFERENCES

1. Medico-Demographic Indicators of the Russian Federation in 2014. Moscow. 2015. 186 p. (Russian).

2. Baranov AA, Ilyin AG, Konova SR, Antonova EV. Ways to improve the quality and accessibility of medical care for children in primary care. Questions of Modern Pediatrics. 2009;4(8):5-8. (Russian).

3. Jacobs SE, Morley CJ, Inder TE, et al. Infant Cooling Evaluation Collaboration. Whole-body hypothermia for term and near-term newborns with hypoxic-ischemic encephalopathy: a randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165(8):692-700.

4. TOBY Protocol and Handbook. 2009. Available at: https: www.npeu.ox.ac.uk./tobyregister/docs. (accessed 25 October 2015).

5. Robertson NJ, Nakakeeto M, Hagmann С, et al. Therapeutic hypothermia for birth asphyxia in low-resource settings: a pilot randomised controlled trial. Lancet. 2008;372(9641):801-3.

6. Shah P, Riphagen S, Beyene J, Perlman M. Multiorgan dys­func­tion in infants with post-asphyxial hypoxic-ishaemic ence­phalopathy. Arch Dis Child Fetal Neonatal Ed. 2004;89:152-5.

7. Ionov OV. The protocol of medical hypothermia of children born in asphyxia. Neonatology. 2014;2:43-5. (Russian).

8. Edwards AD, Brocklehurst P, Gunn AJ, et al. Neurological outcomes at 18 months of age after moderate hypothermia for perinatal hypoxic ischemic encephalopathy: synthesis and meta-analysis of trial data. BMJ. 2010;9:340-63.

9. Grigoryev EV, Shukevich DL, Plotnikov GP, Tikhonov NS. Therapeutic hypothermia: possibilities and prospects. Clinical Medicine. 2014;9:9-16. (Russian).

For citation: Vorotyntseva NS, Orlova VV. Radiation Examination of Newborns with General Therapeutic Hypothermia. Medical Radiology and Radiation Safety. 2019;64(1):31-7. (Russian).

DOI: 10.12737/article_5c55fc2cb98140.01495008

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

Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 38–44

DIAGNOSTIC RADIOLOGY

DOI: 10.12737/article_5c55fb466d7532.24221014

K.A. Khasanova1, I.E. Tyurin1, S.A. Ryzhov2, E.V. Kizhayev1

Radiation Dose Reduction in Pediatric Computed Tomography

1. Russian Medical Academy of Continuous Professional Education, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ;
2. Department of the Rospotrebnadzor, Moscow, Russia

K.A. Khasanova – Post-Graduate Student;
I.E. Tyurin – Head of Dep., Dr. Sci. Med., Prof.;
S.A. Ryzhov – Chief Expert;
E.V. Kizhayev – Head of Dep., Dr. Sci. Med., Prof.

Abstract

Purpose: To optimize the computed tomography protocol in pediatric Hodgkin lymphoma for radiation dose reduction by reducing the scanning phases.

Material and methods: A retrospective CT scan analysis of 48 children with newly diagnosed, verified Hodgkin’s lymphoma was performed at the primary staging and after the first chemotherapy. All studies were performed with contrast enhancement, scanning on a 16-slice computed tomography in the precontrast, arterial, venous and delayed phases. The radiation dose and the diagnostic value of each phase were assessed.

Results: Two-phase scanning (in the native and venous phases) for primary patients allows significantly reduce the cumulative effective dose (ED) almost in twofold. Conducting single-phase scanning can significantly reduce the received ED by 3.8 times in both the primary and dynamic studies. Using the abbreviated protocol does not reduce the diagnostic value of CT.

Conclusion: The greatest number of repeated CT examination is carried out in children with lymphomas. The radiation dose increases several times in multiphase scanning. New CT protocols reduces the radiation dose on children with Hodgkin lymphoma.

Key words: computed tomography, radiation dose, children, radiation safety, Hodgkin’s lymphoma, multiphase scanning

REFERENCES

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  9. Yoshida K, Krille L, Dreger S, et al. Pediatric computed tomography practice in Japanese university hospitals from 2008-2010: did it differ from German practice? // J Radiat Res. 2016; P. 1-7. DOI: https://doi.org/10.1093/jrr/rrw074
  10. Methodological instructive regulations 2.6.1.2944-11. Control of effective radiation doses of patients during medical X-ray studies; – Rospotrebnadzor, 2011 http://docs.cntd.ru/document/1200092857. (Russian).
  11. Decree of the Chief State Sanitary Doctor of the Russian Federation No. 40 dated April 26, 2010 (Edited on September 16, 2013) “On approval of SP 2.6.1.2612-10 Basic Sanitary Rules for Ensuring Radiation Safety (OSPORB-99/2010)”. (Russian).
  12. Yu T, Gao J, Liu ZM, et al. Contrast dose and radiation dose reduction in abdominal enhanced computerized tomography scans with single-phase dual-energy spectral computerized tomography mode for children with solid tumors. Chinese Medical Journal. 2017;130(7):823-31. DOI: 10.4103/0366-6999.202731.
  13. Sinitsyn VE, Glazkova MA, Mershina EA, Arhipova IM. Possibilities of decreasing radiation doses during MSRT coronarography: using adaptive statistic iterative reconstruction. Angiology and Vascular Surgery. 2012;18(3):44-8. (Russian).
  14. Blinov AB, Blinov NN. Radiation doses in X-ray computed tomography. Medical technology. 2010;5(263):23-5. http://mtjournal.ru/upload/iblock/7bb/7bbc77c447bf48351d3a79bbe44bdd06.pdf
  15. McCollough CH, Primak AN, Braun N, et al. Strategies for reducing radiation dose in CT. Radiologic Clinics of North America, 2009;47(1):27-40. DOI: 10.1016/j.rcl.2008.10.006
  16. Gombolevskii VA, Kotlyarov PM, Dacenko PV, Nudnov NV. Low dose CT protocol in Hodgkin’s lymphoma. RNCCR RF 2013;(13) (Russian). http://vestnik.rnc rr.ru/vestnik/v13/pape rs/gombolevskii_v13.html.

For citation: Khasanova KA, Tyurin IE, Ryzhov SA, Kizhayev EV. Radiation Dose Reduction in Pediatric Computed Tomography. Medical Radiology and Radiation Safety. 2019;64(1):38-44. (Russian).

DOI: 10.12737/article_5c55fb466d7532.24221014

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

Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 53–57

RADIATION PHYSICS, TECHNOLOGY AND DOSIMETRY

DOI: 10.12737/article_5c55fb4d218e20.76419134

A.V. Belousov1, M.V. Zheltonozhskaya1,2, E.N. Lykova1,2, P.D. Remisov1, A.P. Chernyaev1,2, V.N. Iatsenko3

Research of 131Cs Radionuclide Production for Brachytherapy with Photonuclear Method

1. Faculty of Physics, M.V. Lomonosov Moscow State University, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ;
2. D.V. Skobeltsyn Institute of Nuclear Physics of M.V. Lomonosov Moscow State University, Moscow, Russia;
3. A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia

A.V. Belousov – Assoc. Prof., PhD Phys.-Math.;
M.V. Zheltonozhskaya – Senior Researcher, Leading Engineer, PhD Tech.;
E.N. Lykova – Senior Lecturer, Leading Engineer; P.D. Remisov – Past-Graduate Student;
A.P. Chernyaev – Head of Dep., Head of Lab., Dr. Sci. Phys.-Math., Prof.;
V.N. Iatsenko – Head of Lab., PhD Tech.

Abstract

Purpose: Currently a brachytherapy method with 125I received widespread acceptance in the treatment of prostate cancer. However, since 2003, 131Cs radio-implants have been approved for clinical use in the treatment of this type of cancer. To investigate alternative 131Cs receiving channels using electron accelerators and to evaluate the effectiveness of this method for its use in brachytherapy.

Material and methods: To study alternative channels for the 131Cs production using electron accelerators and to evaluate the efficiency of this method, we irradiated the natural cesium target (0.35 g) on a pulsed microtron with an electron energy of 55 MeV, an average amperage of 40–45 nA during 80 min.

Results: The 131Cs activity in the irradiated sample was 12.2 ± 1.0 μCi at the end of irradiation.

Conclusion: In brachytherapy, 10 to 60 micro-sources are usually used to treat a patient. The activity of one therapeutic micro source is 131Cs of the order of 10–3 Ci. Thus, the development of the required amount becomes possible when using electron accelerators with currents of the order of 50 mA. In the future it is also necessary to investigate 131Cs in the electron energy range 30–45 MeV for choosing the optimal irradiation regime.

Key words: medical physics, brachytherapy, activation, electron accelerators, photonuclear reactions, 131Cs

REFERENCES

  1. Kehwar TS, Jones HA, Huq MS, Smith RP. Changes in radiobiological parameters in 131Cs permanent prostate implants. J Radiother Practice. 2013;12:66-79.
  2. Glaser SM, Benoit RM, Smith RP, Beriwal S. Long-term quality of life in prostate cancer patients treated with cesium-131. Brachytherapy. 2016. 15:48.
  3. Knaup C, Mavroidis P, Esquivel C, et al. Radiobiological comparison of single and dual-isotope prostate seed implants. J Radiother Practice. 2013.12:154-62.
  4. Yondorf MZ, Parashar B, Sabbas A, et al Radiation exposure after neurosurgical resection and permanent intraoperative cesium-131 radio-isotope brachytherapy in patients with brain tumors. Brachytherapy. 2014.13:109-10.
  5. Zlokazov S, Swanberg DJ, Egorov O, et al. Method for large scale production of cesium-131 with low cesium-132 content. United States Patent Application Publication. 2012 Jun.7.
  6. Tárkányi F, Hermanne A, Takács S, Rebeles RA, Van den Winkel P, Király B, Ditrói F, Ignatyuk AV. Cross section measurements of the 131Xe(p,n) reaction for production of the therapeutic radionuclide 131Cs. Appl. Radiat. Isot. 2009. 67(10):1751-7.
  7. Brown GN, Swanberg DJ, Bray LA. Method of separation and purification of cesium-131 from barium carbonate: Pat.: 9820, Eurasian Patent Organization 28.04.2008. (Russian).

For citation: Belousov AV, Zheltonozhskaya MV, Lykova EN, Remisov PD, Chernyaev AP, Iatsenko VN. Research of 131Cs Radionuclide Production for Brachytherapy with Photonuclear Method. Medical Radiology and Radiation Safety. 2019;64(1):53-7. (Russian).

DOI: 10.12737/article_5c55fb4d218e20.76419134

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

Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 45–52

RADIATION THERAPY

DOI: 10.12737/article_5c55fb4a074ee1.27347494

Е.S. Sukhikh1,2, L.G. Sukhikh2, О.Yu. Anikeeva3, P.V. Izhevsky4, I.N. Sheino4

Dosimetric Evaluation for Various Methods of Combined Radiotherapy of Cervical Cancer

1. Tomsk Regional Oncology Center, Tomsk, Russian Federation. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ;
2. National Research Tomsk Polytechnic University, Tomsk, Russia;
3. Medical and Rehabilitation Center, Moscow, Russia;
4. A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia

Е.S. Sukhikh – Head of Dep., PhD Phys-Math.;
L.G. Sukhikh – Director, PhD Phys.-Math.;
О.U. Anikeeva – Head of Dep., Dr. Sci. Med.;
P.V. Izhevsky – Leading Researcher, PhD Med., Assistant Prof.;
I.N. Sheino – Head of the Lab., PhD Phys.-Math.

Abstract

Purpose: Carrying out dosimetric investigation of possibility to replace a traditional combined radiation therapy of cervical cancer by combinations only external irradiation, without change of total course dose and number of fractions.

Material and methods: Eleven patients with a diagnosis of cervical cancer (stages T2bNхM0 and T3NхM0) who received a course of combined radiotherapy (CRT) have been considered in this study. The combination of dose delivery techniques 3D-CRT + high dose rate brachytherapy (HDR) was used as a basic one. The following fractionation regimes for CRT were simulated: external beam RT (EBRT) of the first stage – total dose 50 Gy and fraction dose 2 Gy (25 fractions), the second stage – total dose 28 Gy and fraction dose 7 Gy (4 fractions). Total CRT course dose was 89.7 Gy EQD2. Dosimetric planning of EBRT using conventional radiography and 3D-CRT has been carried out using XIO dosimetry planning system. Dosimetric planning of first-stage EBRT and second-stage EBRT using the VMAT technique has been performed in the Monaco dosimetry planning system. HDR of the second stage has been planned using the HDRplus dosimetric planning system for the Multisource HDR unit with a 60Co source.

Results: Coverage of the clinical volume of the tumor using HDR, on average, was equal to 95 % of the prescribed dose at 91.8 % of the volume, 110 % of the dose – 75.7 % of the volume. 60Co + VMAT results in the coverage level 95 % of the dose at 97.1 % of the volume and 110 % of the dose at 2.1 % of the volume. 3D-CRT + VMAT provide the coverage level of 95 % of the dose at 98 % of the volume and 110 % of the dose at 2.6 % of the volume. Using the combination VMAT + VMAT allows achieving the average coverage of the target at the level of 98 % of the dose at 97 % of the volume, 110 % of the dose at 8.8 % of the volume. The maximum dose per volume of the organs at risk equal to 2 cm3 did not exceed their tolerant levels both for the bladder and for the rectum.

Conclusion: At present, there is a technical possibility to replace the second stage of CRT cervical cancer by EBRT using the VMAT technique. Implementation of the VMAT technique allows to increase the uniformity of irradiated volume coverage comparing with traditional HDR. While using VMAT technique the tolerant levels of organs at risk are not exceeded.

Key words: combined radiotherapy, brachytherapy, external beam radiation therapy, cervical cancer, dosimetric evaluation

REFERENCES

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For citation: Sukhikh ЕS, Sukhikh LG, Anikeeva ОYu, Izhevsky PV, Sheino IN. Dosimetric Evaluation for Various Methods of Combined Radiotherapy of Cervical Cancer. Medical Radiology and Radiation Safety. 2019;64(1):45-52. (Russian).

DOI: 10.12737/article_5c55fb4a074ee1.27347494

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

Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 58–66

TRAINING OF RADIOLOGICAL SPECIALISTS

DOI: 10.12737/article_5c55fb57bf93e5.07813488

Е.I. Matkevich1, V.E. Sinitsyn2, I.V. Ivanov1,3,4

Educational Internet-Resources for Training of Radiologist

1. I. M. Sechenov First Moscow State Medical University, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ;
2. M. V. Lomonosov Moscow State University, Moscow, Russia;
3. N. F. Izmerov Research Institute of Occupational Health, Moscow, Russia;
4. Federal Science Center for Physical Culture and Sport, Moscow, Russia

Е.I. Matkevich – Teacher, PhD Med.;
V.E. Sinitsyn – Professor, Dr. Sci. Med., Prof.;
I.V. Ivanov – Professor, Dr. Sci. Med., Prof.

Abstract

The analysis and systematization of the main directions of the Internet resources used in the training of highly qualified personnel in the system of higher medical education designed for ensuring the competency approach and the success of training medical doctors in the specialty «Roentgenology».

Key words: roentgenologists, diagnostic radiology, training of radiological specialists, competences, Internet resources

REFERENCES

1. Selected medical Internet-resources. Issue IX. Moscow: XXIII rossijjskijj nacionalnyjj congress chelovek i lekarstvo; 2016. (Russian).

2. Selected medical Internet resources. Issue IX. XXIII rossijjskijj nacionalnyjj congress chelovek i lekarstvo. (Russian). [cited 2018 Aug 01]. Available from: https://chelovekilekarstvo.ru/загрузки/pdf/Интернет_ресурсы_IX %20выпуск_2016.pdf

3. Guide to medical resources on the Internet. Ulyanovsk State University (USU). Scientific Library. Ulyanovsk; 2010. (Russian). [cited 2018 Aug 01]. Available from: http://lib.ulsu.ru/downloads/med_internet.pdf

4. Medical Internet Resources. Ryazan medical college. Ryazan, 2011. (Russian). [cited 2018 Aug 01]. Available from: http://do.medcollege62-rzn.ru/pluginfile.php/1694/coursecat/description/Медицинские %20Интернет-ресурсы.pdf

5. Medical Internet Resources. Perm Regional Medical Library and Information Center. (Russian). [cited 2018 Aug 01]. Available from: http://www.docme.ru/doc/118277/medicinskie-internet-resursy

6. The educational plan of the specialty «Roentgenology» of the I.M. Sechenov First Moscow State Medical University. (Russian). [cited 2018 Aug 01]. Available from: https://sechenov.ru/upload/iblock/84e/31.08.09-rentgenologiya.pdf

7. The educational plan of the specialty «Roentgenology» of the Lomonosov Moscow State University. (Russian). [cited 2018 Aug 01]. Available from: http://www.fbm.msu.ru/stud/ord/docs/ray-o-plan.pdf

8. The program and educational plan of the specialty «Roentgenology» of the Pavlov First Saint Petersburg State Medical University. (Russian). [cited 2018 Aug 01]. Available from: http://1spbgmu.ru/images/home/Obrazovanie/ordina­tura/opop/31.08.09_ОПОП_Рентгенология.pdf

9. The program of the specialty «Roentgenology» of the RUDN. http://www.rudn.ru/files_upload/Ordinatura/2015/2015_OOP/OOP_31.08.09_28.08.15.pdf

10. The educational plan of the specialty «Roentgenology» of the RUDN. (Russian). [cited 2018 Aug 01]. Available from: http://www.rudn.ru/files_upload/Ordinatura/2015/2015_Ucheb_plan/Ucheb_plan_31.08.09_28.08.15.pdf

11. The program of the specialty «Roentgenology» of the the Far-Eastern State Medical University. (Russian). Available from: http://www.fesmu.ru/sveden/education/OOP_kopia_Rentgenolog.pdf

For citation: Matkevich ЕI, Sinitsyn VE, Ivanov IV. Educational Internet-Resources for Training of Radiologist. Medical Radiology and Radiation Safety. 2019;64(1):58-66. (Russian).

DOI: 10.12737/article_5c55fb57bf93e5.07813488

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

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