BackgroundIn veterinary medicine, contrast-enhanced ultrasonography allowed the accurate quantification of liver, splenic and kidney vascularization in healthy dogs and the differentiation between malignant and benign hepatic, renal, and splenic nodules in dogs and cats based on perfusion patterns. The utility of contrast-enhanced ultrasonography in other applications is still under study.The aim of this study was to develop diagnostic criteria by contrast-enhanced ultrasonography in 8 client-owned adult dogs affected by urinary bladder transitional cell carcinoma with definitive diagnosis made by cytopathologic evaluation after suction biopsy. The contrast enhancement pattern and the quantification of blood flow parameters of this tumor were reported.ResultsExaminations with B-mode, Doppler ultrasonography and contrast-enhanced ultrasonography were performed in all not sedated dogs. Assessments of bladder masses and bladder wall infiltration were performed. Each dog received 2 bolus injections of sulfur hexafluoride during the contrast-enhanced ultrasonography. Quantitative analysis of the contrast-enhanced ultrasonography images were performed. For each dog, one region of interest was manually drawn around the entire tumor. Software analysis of contrast-enhanced time-intensity curves was used to identify peak enhancement, time to peak enhancement, regional blood volume, regional blood flow, and mean transit time.Contrast-enhanced ultrasonography showed an avid enhancement of the tumour tissue, with a heterogeneous or homogeneous pattern. The exam also showed the loss of planes between the lesion and the muscular layer. The presence of vascularized tissue through the bladder wall confirms the infiltrative feature of the tumour. Post-processing quantitative analysis showed a time-intensity curve with a rapid wash-in, a low level of signal intensity and a slow wash-out.ConclusionsContrast-enhanced ultrasonography provided useful clinical information and defined a vascular enhancement patterns and calculated parameters associated with TCC. It may be a useful, noninvasive and reproducible tool for detecting these tumors in dogs.
Feline morbillivirus (FeMV) was isolated for the first time in 2012 with an association with chronic kidney disease (CKD) suggested. This study aimed at investigating in cats from southern Italy FeMV prevalence and risk factors for exposure to FeMV, including the relationship with CKD; sequencing amplicons and analyzing phylogeny of PCR positive samples. Blood serum, K3EDTA blood and urine samples from 223 cats were investigated. Ten carcasses were also evaluated. FeMV RNA was detected in 2.4% (5/211) blood and 16.1% (36/223) urine samples. One carcass tested positive by qPCRFeMV from kidney, urinary bladder, and submandibular lymph nodes. Antibodies against FeMV were detected in 14.5% (28/193) cats. We followed up 27 cats (13 FeMV positive cats) and documented in some cases urine shedding after up to 360 days. Older and foundling cats and cats living in rescue catteries, were more frequently infected with FeMV. A significant correlation between FeMV and higher serum creatinine values or low urine specific gravity was found. FeMV positivity was significantly associated with retroviral infection, and the presence of some clinical signs apart from CKD clinicopathological markers. Our study highlights the possibility of a link between FeMV exposure and CKD and a general impairment of feline health.
Background Nodular lymphoid hyperplasia (NLH) is one of the most common non-neoplastic splenic lesions in dogs, especially in old ones, showing a splenic enlargement. More recent studies have been focused on Contrast Enhanced Ultrasonography (CEUS) analysis of the spleen for establishing normal perfusion patterns and blood pool phase peculiarities of focal lesions. The aim of the study was to evaluate the qualitative and quantitative CEUS analysis of the canine splenic NLH, characterizing the CEUS pattern of this pathology on 20 clinical cases. Results A prospective, observational study was performed using a system equipped with contrast-tuned imaging technology. Mechanical Index was set from 0.08 to 0.11; the contrast medium was a second generation contrast medium composed of sulphur hexafluoride encapsulated of a shell of phospholipids (SonoVue®). Qualitative and quantitative assessment of the enhancement pattern of splenic NLH were performed. Cytology and histology identified 20 splenic NLH. All of the benign hyperplastic lesions assessed were isoechoic with a homogeneous pattern than the surrounding normal spleen, during the wash-in phase (10–20 s) of the CEUS exam. Before finishing the wash-in phase, 20–45 s from the contrast medium inoculation, 19/20 benign nodules became markedly hypoechoic to the adjacent spleen. Sensitivity of hypoechoic pattern for NLH was 95%. Conclusions These findings should prove useful in the evaluation of focal splenic masses in dogs. Since enhancement and perfusion patterns of NLH seem to coincide with some neoplastic lesions of the spleen previously reported, in clinical practice attention must be paid to the final diagnosis of canine splenic lesions using only the CEUS exam.
Testicular tumours are the most common neoplasms of the genital system in male dogs. The three main types reported in dogs are interstitial cell tumour, seminoma and Sertoli cell tumour. Interstitial cell tumour is related to the presence of single or multiple nodules inside the testicular parenchyma, and it is detected by palpation or is often an incidental finding during ultrasonography examination. Contrast-enhanced ultrasound allows characterisation of the perfusion of the testicular lesion and reveals the micro-vascularisation; however, perfusion parameters may be strongly influenced by sedative drug administration, so our aim was to evaluate qualitative and quantitative perfusion of a single type of tumour (interstitial cell tumour) with contrast-enhanced ultrasound in conscious dogs to exclude any influence of pharmacological agents on vascular flow. Thirty dogs with focal testicular lesions found by palpation and/or by ultrasound (B-mode and Doppler) examination were selected; contrast-enhanced ultrasound was performed only in subjects that presented testicular focal lesions. After orchiectomy, testes were submitted to histological evaluation; 2-minute clips recorded during contrast-enhanced ultrasound were analysed only in the case of dogs with interstitial cell tumours (n = 12). Contrast medium showed wash-in at around 25–30 seconds, at the same time as the surrounding tissue: lesions were hyperenhancing, homogeneous or inhomogeneous with rim enhancement and contained prominent inner vessels; however, enhancement of small regions was absent. Quantitative analysis demonstrated significantly higher PI% (P = 0.005), regional blood volume (P = 0.02) and regional blood flow (P = 0.007) values in lesions than in surrounding tissue; no differences were found for time-to-peak and mean transit time. In conclusion, the contrast-enhanced ultrasound pattern observed in conscious non-sedated dogs with interstitial cell tumour was similar to the pattern described in a previous study in dogs after intramuscular administration of medetomidine (10 µg/kg) and butorphanol (0.2 mg/kg).
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