Hock Gan Heng

Serial postmortem thoracic radiographic findings in canine cadavers

Postmortem radiographic examinations of animals are often performed in judicial investigation to rule out gunshot and fractures due to cruelty. Literature describing postmortem changes seen on radiographs of animals is rarely available. Serial thoracic radiography of six recently euthanized dogs was performed in an interval of 8 h at a tropical ambient temperature of 22-33 degrees C. Severe decomposition of the cadavers prevented the study to be performed beyond 24 h. Gradual increment of gas accumulation in the pleural cavity, mediastinum, esophagus, blood vessels, cardiac chambers and subcutaneous tissue was observed. Lung changes observed were typical of alveolar pattern and subsequently collapsed secondary to severe pneumothorax. Vacuum phenomenon of the scapulohumeral joints which was not documented in humans was seen in four cadavers. Most radiographic changes were detected at 16 h post-euthanasia. Severe subcutaneous emphysema developed between 16 and 24 h post-euthanasia. This study showed that rapid postmortem changes which could be detected radiographically occur within 24 h of death at the ambient temperature of 22-33 degrees C.

Serial postmortem abdominal radiographic findings in canine cadavers

Postmortem radiographic examinations of animals are often performed in judicial investigation to rule out gunshot and fractures due to cruelty or illegal hunting or poaching activities. Literature describing postmortem changes seen on radiographs of animals is rarely available. Serial abdominal radiography of 6 recently euthanized dogs were performed in an interval of 8h at a tropical ambient temperature of 22-33 degrees C. Severe decomposition of the cadavers prevented the study to be performed beyond 24h. Gradual increment of gas accumulation in the gastrointestinal tract, liver, spleen, kidney and blood vessels were observed. Increased amount of gas in the gastrointestinal tract was detected as early as 8h post-euthanasia and continuously increased throughout the study. Gas was seen in the portal vein and caudal vena cava of all cadavers at 16h post-euthanasia. The presence of gas in the aorta occurred at a later stage. Tubular branching gas pattern in the liver and spleen was first observed and progressed to vesicular gas pattern due to tissue decomposition. This study showed that abdominal radiographic postmortem changes occurred most rapidly between 8 and 16h post-euthanasia at the ambient temperature of 22-33 degrees C.

COMPARATIVE SONOGRAPHIC APPEARANCE OF NEPHROLITHS AND ASSOCIATED ACOUSTIC SHADOWING ARTIFACTS IN CONVENTIONAL vs. SPATIAL COMPOUND IMAGING

Spatial compound sonography improves visualization of tissue details and allows clearer delineation of structural margins. Improved image clarity is due to reduced speckling artifact; however, other types of acoustic shadowing artifacts may be unchanged or variably altered when conventional and spatial compound sonographic images are compared. Because intrarenal distal shadowing artifacts in conventional sonographic images are oftentimes the first or only evidence that a nephroliths is present, we compared the appearance and associated artifacts of nephroliths examined with both imaging modes. Consensus evaluation by two evaluators confirmed differences in appearance of nephroliths based on imaging mode. Nephroliths with conventional imaging mode were less hyperechoic and had better margin delineation while nephroliths were more hyperechoic and had less distinct margins with spatial compound imaging mode. Distal acoustic shadowing artifacts were present in 43% of spatial compound imaging mode vs. 86% of conventional imaging mode. When present in both imaging modes, intensity of these artifacts was weaker and the distance traveled was shorter in spatial compound imaging mode. Multiple diverging acoustic shadowing artifacts originating from a single source, the nephroliths were occasionally noted in spatial compound but not conventional imaging mode. These results demonstrate that the absence of distal acoustic shadowing cannot be used to exclude the presence of a nephrolith in dogs and cats. Optimal diagnosis of nephroliths, margin delineation, and visualization of the distal renal parenchyma requires paired radiography and sonography, and alternating between sonographic imaging modes is therefore suggested.

FEASIBILITY OF COMPUTED TOMOGRAPHY IN AWAKE DOGS WITH TRAUMATIC PELVIC FRACTURE

In veterinary medicine, general anesthesia or sedation is generally required to immobilize patients during computed tomography (CT) scanning. This may not be suitable in all patients because of risks of anesthesia. We evaluated the feasibility of pelvic CT examination in 14 awake animals with pelvic trauma. Physical restraint was applied by wrapping the patient in a towel and then taping to the CT table or by directly taping the patient to the CT table. The effect of patient positioning, cooperation on the CT table, preparation time for scanning, scanning time, frequency of repeat scans, image quality, and complications related to physical restraint were evaluated. Fractures were recorded and compared between radiography and CT. Ten of 14 dogs were scanned in lateral recumbency and four in sternal recumbency. All patients were cooperative with the exception of one that moved slightly during the scan. Both physical restraint methods were adequate for CT scanning. Patient preparation took less than 5 min while the scan time was typically less than 1 min. No repeat scans were required in any patient. The transverse CT image quality was good (10/14) or fair (4/14) for interpretation. When comparing the CT images to radiographs, more pelvic fractures were identified with CT than with radiography and a few patients were overdiagnosed based on radiographs. No complications or additional injuries associated with physical restraint were noticed.

MAGNETIC RESONANCE IMAGING FEATURES AND OUTCOME FOR SOLITARY CENTRAL NERVOUS SYSTEM COCCIDIOIDES GRANULOMAS IN 11 DOGS AND CATS.

Little published information is available to guide therapy for canine and feline patients with Coccidioides infections involving the central nervous system (CNS). The purpose of this cross-sectional retrospective study was to describe magnetic resonance imaging (MRI) features and outcome for a group of dogs and cats with solitary CNS Coccidiodes granulomas. Nine canine and two feline cases met inclusion criteria; four diagnosed and treated with surgery and fluconazole and seven diagnosed by serology or cytology and treated medically. Three cases had left Coccidioides endemic areas long before developing neurological disease. The MRI lesions shared many features with neoplastic masses. The extra-axial granulomas often had a lack of a distinct border between the mass and neural parenchyma. Four cases were extra-axial and seven were intra-axial, but distinguishing between extra-axial and intra-axial locations was sometimes challenging. The surgical cases had good outcomes and histology allowed definitive diagnosis. Medically managed patients also had generally good outcomes, with resolution of clinical signs in most cases. Findings indicated that distinction between neoplasia and focal Coccidioides granulomas based on MRI features is likely to be imprecise. Demonstration of the organism by cytology or histology is required for definitive diagnosis. The role of surgery for improving the outcome of brain or spinal coccidioidomycosis granulomas warrants further study.

Skeletal Metastasis of Canine Urothelial Carcinoma Pathologic and Computed Tomographic Features

Invasive urothelial (transitional cell) carcinoma (UC) is the most common cancer in the canine urinary tract. Prolonged survival of dogs with UC due to better management of the primary tumor and prevention of urethral obstruction might have contributed to an apparent increase in distant metastasis. Metastasis to bone is particularly concerning because the ensuing pain often leads to euthanasia; however, little is known of the frequency, site, or nature of UC skeletal metastasis. In a retrospective analysis, 17 (9%) of 188 canine UC cases had histologically confirmed skeletal metastasis, mainly to the vertebrae. In a prospective analysis of 21 dogs with UC that underwent total body computed tomography (CT) at euthanasia followed by a standardized pathologic examination, skeletal lesions detected on CT were suspected to be metastatic in 4 dogs and were confirmed as metastatic UC histologically in 3 (14%) dogs. In all 3 cases, skeletal metastasis had been suspected based on history and physical examination; however, 1 dog had additional CT-detected skeletal metastases in a clinically unsuspected location, and 2 dogs had histologically confirmed skeletal metastases that corresponded to nonspecific osseous lesions on CT. These findings suggest that total body CT could be helpful in detecting skeletal metastasis as a cause of bone pain in dogs with UC as well as in identifying clinically “silent” sites of skeletal metastasis.

Ependymal and periventricular magnetic resonance imaging changes in four dogs with central nervous system blastomycosis.

Rapid detection of central nervous system (CNS) involvement is important for dogs with blastomycosis, as this can affect antifungal drug selection and has been associated with an increased risk of death. Previous reports describing magnetic resonance imaging (MRI) characteristics of canine CNS blastomycosis primarily identified mass lesions. The purpose of this retrospective study was to determine whether other MRI characteristics of CNS blastomycosis may also occur. Medical records of the Purdue University Veterinary Teaching Hospital were searched and four dogs met inclusion criteria. Magnetic resonance imaging characteristics included periventricular edema, periventricular and meningeal contrast enhancement, and ventriculomegaly. Periventricular lesions most commonly involved the rostral horn of the lateral ventricles and the third ventricle. Increased meningeal contrast enhancement involved the cerebrum, thalamus, sella turcica, and brainstem. Findings indicated that, in addition to mass lesions, MRI characteristics of periventricular hyperintensity, contrast enhancement, and ventriculomegaly may also occur in dogs with CNS blastomycosis.

Imaging diagnosis-magnetic resonance imaging features of metastatic cerebral lymphoma in a dog.

We describe histopathologically confirmed intracranial metastasis of cutaneous lymphoma. In magnetic resonance (MR) images there was a heterogeneous, contrast-enhancing, extraaxial mass in the right parietal and piriform lobes at the level of the optic chiasm. Our MR imaging findings are consistent with reports in humans in that lymphoma masses have indistinct borders that are iso- to hyperintense relative to adjacent gray matter on T2-weighted images. Our report varies from findings in humans in that the mass was extraaxial, whereas masses reported in humans are intraaxial. Contrast enhancement can be heterogeneous, as in our report, or homogeneous.

Ultrasonographic features of uterus masculinus in six dogs.

Uterus masculinus (persistent Mullerian duct) is a vestigial embryological remnant of the paramesonephric duct system in males and has been associated with clinical signs such as dysuria, incontinence, tenesmus and urethral obstruction in dogs. The radiological appearance of cystic uterus masculinus in dogs has been described previously with the aid of retrograde positive or negative contrast cystography. The purpose of this retrospective study was to describe ultrasonographic features of confirmed or presumed uterus masculinus in a group of dogs with confirmed or presumed disease. Ultrasonographic findings were recorded based on a consensus opinion of two readers. A uterus masculinus was defined as cylindrical when no lumen was observed and tubular when it had lumen that was filled with anechoic fluid. Six dogs met the inclusion criterion with a mean age of 8 years and 9 months. Uterus masculinus appeared as single (four dogs) or two (two dogs) horn-like, tubular (four dogs) or cylindrical (two dogs) structures, originating from the craniodorsal aspect of the prostate gland and extending cranially. The walls of the uterus masculinus were isoechoic to the urinary bladder wall. The diameter of the observed uterus masculinus varied from 0.3 cm to 1 cm. The length of the uterus masculinus varied from 2 cm to 6.5 cm but the cranial terminal end was not identified in two dogs. Concomitant prostatomegaly was seen in five dogs (83.3%) and urinary tract infection was noted in three dogs (50%). Findings indicated that uterus masculinus should be included as a differential diagnosis for male dogs with these ultrasonographic characteristics.

Development of a model to induce transient synovitis and lameness in the hip joint of dogs

OBJECTIVE To develop a model of hip joint synovitis on the basis of intra-articular injection of a sodium urate suspension in dogs and to characterize associated gait changes. ANIMALS 6 healthy adult dogs. PROCEDURES Each dog was sedated, and synovitis was induced by injection of 1 mL of a sodium urate suspension (20 mg/mL) into the right hip joint under ultrasonographic guidance. Observational and instrumented gait analyses to determine temporospatial, kinetic, and kinematic variables were performed prior to and 4, 8, and 24 hours after sedation and synovitis induction. RESULTS Injection of a sodium urate suspension into the hip joint of healthy dogs resulted in lameness of the ipsilateral pelvic limb as determined by observational and instrumented gait analyses. For all dogs, lameness was clinically detectable within 1.5 to 2 hours after injection, reached its maximum intensity at 4 hours after injection, and had subsided by 24 hours after injection. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that injection of a sodium urate suspension into the hip joint of healthy dogs reliably induced synovitis and signs of pain and lameness in the ipsilateral pelvic limb that lasted 24 hours. This model can be used in conjunction with instrumented gait analysis to provide information on gait changes associated with hip joint disease and might be useful for evaluating the efficacy of analgesics or other interventions for the treatment of hip joint disease in dogs.