The Thoracic FAST<sup>3</sup>(TFAST<sup>3</sup>) Exam

Lisciandro, Gregory R.

doi:10.1002/9781118760772.ch9

Cited by 4 publications

(1 citation statement)

References 32 publications

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“…In veterinary medicine, several studies have addressed the usefulness of conventional ultrasounds for evaluating interstitial lung disease, during chronic conditions and emergency settings [ 4 – 6 ]. In the latter scenario, conventional ultrasounds have become of essential aid to increase diagnostic accuracy in traumatized patients or in animals with lung edema [ 7 – 9 ]. Since sound waves do not propagate through the air, this technique is limited to the evaluation of structures within or adjacent to the thoracic wall or to the presence of pleural effusion that creates an acoustic window allowing visualization of the intrathoracic structures [ 1 – 3 ].…”

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confidence: 99%

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

et al. 2017

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BackgroundThis study describes the feasibility of Contrast Enhanced Ultrasonography (CEUS) in the diagnostic work-up of non-cardiac thoracic disorders of small animals. The second aim is to assess the usefulness of CEUS as a direct guide for sample procedures.ResultsForty animals, 28 dogs and 12 cats, were included in the study. Thoracic disorders included 23 pulmonary lesions [primary carcinoma (14), lymphoma (1), sarcoma (1), histiocytic sarcoma (1), abscess (1) and pneumonia (5)] and 17 mediastinal lesions [lymphoma (8), thymoma (3), mesothelioma (1), melanoma (1), carcinomatous lymphadenopathy (1), mixsosarcoma (1), lipoma (1), and abscess (1)]. The majority of neoplastic pulmonary lesions showed an inhomogeneous distribution of contrast medium, whereas inflammatory lesions had a homogenous distribution with typical pulmonary vessels ramification. The majority of mediastinal malignant lesions showed an inhomogeneous distribution pattern. The lung and mediastinal abscesses had peripheral enhancement of the wall with an avascular center. All cytological and biopsy samples obtained after CEUS were diagnostic. Quantitative analysis, performed in 19/23 pulmonary lesions, showed a statistically significant difference (P < 0.0001) between the arrival time of the malignant (7.27 s - range 4.46–13.52 s) and benign (4.52 s - range 2.87–6.06 s) pulmonary lesions.ConclusionsCEUS may be a useful tool for the evaluation of non-cardiac thoracic lesions. The contrast medium allows for the precise definition of lesion edges, the presence of necrotic areas, and the distribution of pulmonary vessels.Based on our preliminary results, the use of ultrasonographic contrast medium can be recommended for improving the diagnostic usefulness of cytology and biopsy sampling, because CEUS may help to define necrotic areas from viable tissue.

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Section: Introductionmentioning

confidence: 99%

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

et al. 2017

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Focused Cardiac Ultrasonography in Cats

Loughran

2021

Veterinary Clinics of North America: Small Animal Practice

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Management of severe stifle trauma: 1. Stifle luxation

Addison

Conte

2019

Journal of Feline Medicine and Surgery

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Practical relevance: Traumatic stifle joint luxation is an uncommon but severe injury. There is usually rupture of several stabilising structures of the joint including the cruciate ligaments, collateral ligaments, joint capsule and menisci. Successful management of this condition requires good anatomical knowledge and repair or replacement of all damaged structures to achieve adequate joint reduction and stability. Better understanding of the treatment options available will aid clinical decision-making. Clinical challenges: Due to the significant joint instability associated with these injuries, surgical repair is challenging. The use of a temporary transarticular pin to hold the stifle joint in anatomic reduction greatly aids ligament repair or replacement. Postoperative joint immobilisation has traditionally been recommended to protect the primary repair and aid periarticular fibrosis, but prolonged immobilisation can have deleterious long-term effects on the joint. Thus recommendations for the duration of postoperative immobilisation vary between 2 and 6 weeks. Also, due to their independent, outdoor lifestyle, affected cats may have been involved in a significant trauma with important concurrent injuries that need to be addressed prior to the orthopaedic repair. Evidence base: Published data is limited, with reports including only a small number of cats. The information and recommendations in this article have therefore been drawn from the available literature, the authors’ experience and preliminary data from an ongoing multicentre retrospective study (unpublished). Aims: The aims of this article are to give the reader as thorough a summary as possible of the diagnosis, treatment, outcome and complications of traumatic stifle luxation.

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The Thoracic FAST³(TFAST³) Exam

Cited by 4 publications

References 32 publications

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

Focused Cardiac Ultrasonography in Cats

Management of severe stifle trauma: 1. Stifle luxation

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The Thoracic FAST3(TFAST3) Exam

Cited by 4 publications

References 32 publications

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

The feasibility of contrast enhanced ultrasonography (CEUS) in the diagnosis of non-cardiac thoracic disorders of dogs and cats

Focused Cardiac Ultrasonography in Cats

Management of severe stifle trauma: 1. Stifle luxation

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The Thoracic FAST³(TFAST³) Exam