William J. Hornof

THE NORMAL FELINE THYROID

A technique for performing thyroid scintigraphy in the cat using technetium 99m pertechnetate is presented. Two groups of cats were studied: group I—five young adult cats, and group II—five cats, nine to 11 years of age. The resultant scintigrams were uniform in appearance with no significant differences between groups I and II. Computer analysis was performed to determine radioactivity ratios, comparing thyroid with salivary gland and background radioactivity. A consistent thyroid/salivary ratio (T/S) of approximately 1 was obtained for group I and group II. Thyroid/background ratio (T/B) was variable.

Measurement of equine laminar blood flow and vascular permeability by use of dynamic contrast-enhanced computed tomography

OBJECTIVEnTo define the reference range for laminar blood flow (BF) and vascular permeability (VPM) in horses without laminitis by use of dynamic contrast-enhanced computed tomography (CT).nnnANIMALSn9 adult horses that were not lame and had no abnormalities of the laminae or phalanges detectable via radiographic examination.nnnPROCEDURESnEach horse was anesthetized by use of a routine protocol. Horses were placed in right or left lateral recumbency with the dependent forelimb in the CT gantry; only 1 limb of each horse was scanned. Serial 10-mm collimated transverse CT images were acquired at the same location every other second for 90 seconds during infusion of ionic, iodinated contrast medium. Custom software was used to estimate BF, VPM, and fractional vascular volume (FVV) in the dorsal, dorsomedial, and dorsolateral laminar regions.nnnRESULTSnAmong the 9 horses forelimbs, mean +/- SD dorsal laminar BF was 0.43 +/- 0.21 mL*min(1)*mL(1). Mean dorsomedial and dorsolateral laminar BFs were 0.26 +/- 0.16 mL*min(1)*mL(1) and 0.24 +/- 0.16 mL*min(1)*mL(1), respectively. Mean dorsal laminar VPM was 0.09 +/- 0.03 mL*min(1)*mL(1). Mean dorsomedial and dorsolateral laminar VPMs were 0.16 +/- 0.06 mL*min(1)*mL(1) and 0.12 +/- 0.06 mL*min(1)*mL(1), respectively. Mean dorsal laminar FVV was 0.63 +/- 0.20 and dorsomedial and dorsolateral laminar FVV were 0.37 +/- 0.14 and 0.34 +/- 0.17, respectively.nnnCONCLUSIONS AND CLINICAL RELEVANCEnIn horses, laminar BF, VPM, and FVV can be non-invasively measured by use of dynamic contrast-enhanced CT.

A client server model to facilitate creation of a medical image teaching library

A simple and convenient system for indexing and archiving medical images used in teaching was developed. The approach was to combine a smart client-side graphical user interface that controlled image size, file format, and keyword structure, and communicated with the hospital information system via hypertext markup language, to populate the interface with user selectable pull-down menus. The result is a system that is easily extensible beyond the radiology images for which it was originally designed. Only minor modifications of the client interface are required to adapt the program to accept any file format or image type.

Multiple metaphyseal involvement of a thymic lymphoma associated with hypercalcemia in a puppy

A six-month-old, female German shepherd dog was presented because of depression, anorexia, vomiting, polyuria, and polydipsia of approximately 10 days duration. The puppy was depressed, and pain could be elicited on palpation of both shoulders and hips. The most significant results of serum chemistries and hematology were hypercalcemia; increased blood urea nitrogen, creatinine, and alkaline phosphatase; and leukocytosis with neutrophilia. Thoracic radiographs revealed a large thymic mass, diagnosed on histological examination as a thymic lymphoma. Radiographs of the shoulders revealed destructive bone lesions involving the proximal metaphyses of the humeri, causing slipped epiphyses. Bone lesions were found at necropsy on the proximal and distal aspects of both humeri and femurs. Bone resorption was due to local neoplastic infiltration and presumed humoral factors secreted locally and systemically by neoplastic thymic lymphocytes.

Efficacy of a Single Oral Dose of Isosorbide 5‐Mononitrate in Normal Dogs and in Dogs with Congestive Heart Failure

Isosorbide 5-mononitrate (5-ISMN) was evaluated in normal dogs and dogs with congestive heart failure (CHF) in a randomized, blinded, and placebo-controlled study. Equilibrium blood pool imaging was used to detect changes in regional blood volume distribution. Six normal dogs were administered placebo, 2, 3, and 4 mg/kg 5-ISMN PO on separate days with a 1-week washout period between randomized dosings. Six dogs with CHF were administered placebo or 4 mg/kg 5-ISMN on separate days with a 1-week washout period between randomized dosings. Data were collected at baseline and at 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes after dosing. Measured variables included indirect arterial blood pressure (BP), heart rate (HR), packed cell volume (PCV), scintigraphic count rates for normal dogs, and scintigraphic count rates for CHF dogs. Blood for plasma 5-ISMN concentration determination was collected at 60 minutes. Scintigraphic counts were corrected for decay and expressed as a percentage of the whole. No differences were detected in BP, HR, PCV, thoracic blood volume percentage (TBVP), or abdominal blood volume percentage (ABVP) between placebo and 5-ISMN in normal dogs at any dose. No differences were detected in TBVP or ABVP between placebo and 5-ISMN in dogs with CHF Plasma 5-ISMN concentration exceeded the minimum therapeutic concentration in all dogs and at all doses 60 minutes after drug administration. Equilibrium blood pool imaging failed to detect a shift in blood volume with oral 5-ISMN administration at any dose tested in normal dogs and dogs with CHF, despite adequate drug absorption. On the basis of the results of this study, 5-ISMN may not be beneficial in the treatment of dogs with CHF.