Study of digital palmar and plantar arteries of horses and mules by B-mode and Doppler ultrasonography / Estudo das artérias digitais palmares e plantares de equinos e muares por ultrassonografia modo-B e Doppler

The present study aimed to evaluate and compare the palmar and plantar digital arteries of 10 horses and 10 mules through B-mode and spectral Doppler ultrasound. Likewise, compare the plantar arteries of the pelvic limbs with the palmar arteries of the thoracic limbs, in addition to verifying the differences of the digital arteries in the contralateral limbs (right and left) in horses and mules using B-mode and spectral Doppler ultrasonography. The evaluated parameters were the diameter and the intima-media thickness (IMT), resistivity index (RI), pulsatility index (PI), peak of systolic velocity (pSV), final diastolic velocity (fDV) and mean velocity (MV) of the lateral and medial palmar and plantar arteries digital in healthy horses and mules. The horses presented higher diameters values, IMT, pSV, fDV and MV in comparison to the mules. The variables RI and PI also presented differences between horses and mules. Also, both species showed higher values in the variables of B-mode and Doppler ultrasonography in the thoracic limbs. Differences were also detected in the comparison between the limb sides (right and left) in the two modalities. The B-Mode and spectral Doppler ultrasound techniques are viable tools to identify differences in the palmar and plantar digital arteries in healthy horses and mules, highlight the differences between the thoracic and pelvic limbs and their respective sides (right and left) as well.

O presente estudo teve como objetivo avaliar e comparar as artérias digitais palmares e plantares de 10 equinos e 10 muares, por meio de ultrassom modo B e Doppler espectral. Da mesma forma, buscou-se comparar as artérias plantares dos membros pélvicos com as artérias palmares dos membros torácicos, além de se verificarem as diferenças das artérias digitais nos membros contralaterais (direito e esquerdo) em equinos e mulas, por meio de ultrassonografia modo B e Doppler espectral. Os parâmetros avaliados foram o diâmetro e a espessura médio-intimal (EMI), o índice de resistividade (IR), o índice de pulsatilidade (IP), o pico de velocidade sistólica (pVS), a velocidade diastólica final (VDf) e a velocidade média (VM) das artérias palmares e plantares lateral e medial digitais em equinos e muares sadios. Os equinos apresentaram maiores valores de diâmetros, EMI, pVS, VDf e VM em comparação aos muares. As variáveis IR e IP também apresentaram diferenças entre equinos e muares. Cavalos e mulas apresentaram maiores valores nas variáveis de ultrassonografia modo B e Doppler nos membros torácicos. Também foram detectadas diferenças na comparação entre os lados dos membros (direito e esquerdo) nas duas modalidades. As técnicas de ultrassom modo-B e Doppler espectral são ferramentas viáveis para identificar diferenças nas artérias digitais palmares e plantares em equinos e muares saudáveis, bem como para destacar as diferenças entre os membros torácicos e pélvicos e seus respectivos lados (direito e esquerdo).

B-mode and Doppler ultrasound of bitches' kidneys with mammary neoplasia submitted to adjuvant chemotherapy / Ultrassonografia modo-B e Doppler dos rins de cadelas com neoplasias mamárias submetidas à quimioterapia adjuvante

Mammary neoplasia represents the most frequently diagnosed type of neoplasia in bitches. Although surgical removal is the procedure of choice for therapeutic management, chemotherapy protocols appear as important allies and adjuvants. Despite the great advances that have occurred in the field of cancer therapy, the systemic repercussions of these drugs still impose important limitations on their use. In this sense, the development of increasingly targeted therapeutic protocols and preventive monitoring of patients represent important strategies to avoid possible complications - among them, Acute Kidney Injury (AKI). Routinely, ultrasound evaluation is used to identify morphological or metastatic variations in abdominal cavity organs. Acting complementary to the B-mode evaluation, Doppler mapping proves to be efficient in recognizing alterations in vascular hemodynamics. Therefore, the objective of the present study was to evaluate the use of B-mode and Doppler ultrasound to identify renal morphological and hemodynamic alterations in bitches with mammary neoplasia submitted to adjuvant chemotherapy protocols that associate gemcitabine with carboplatin. Thirteen bitches were included, without distinction of breed and between seven and 13 years of age. The animals were evaluated ultrasonographically at two different times during three consecutive chemotherapy cycles: before (T0) and one and a half hours after each cycle (T1), for 42 days. No morphological changes were observed in B-mode throughout the chemotherapy protocol. However, the Doppler velocimetry indices demonstrated statistical differences before (T0) and after (T1) the administration of the drugs. It was concluded that Doppler ultrasound could be used as a complementary method for monitoring the renal response of patients exposed to nephrotoxic drugs and potentially causing renal injury.

As neoplasias mamárias representam o tipo de neoplasma mais frequentemente diagnosticado em fêmeas da espécie canina. Embora a remoção cirúrgica seja o procedimento de eleição para a conduta terapêutica, os protocolos quimioterápicos aparecem como importantes aliados e adjuvantes. Apesar dos grandes avanços ocorridos na área da terapia oncológica, as repercussões sistêmicas destes fármacos ainda impõem importantes limitações ao seu uso. Neste sentido, o desenvolvimento de protocolos terapêuticos cada vez mais direcionados e o monitoramento preventivo dos pacientes representam estratégias importantes para evitar possíveis complicações - dentre elas, a injúria renal aguda (IRA). Rotineiramente, a avaliação ultrassonográfica é utilizada para identificação de variações morfológicas ou metastáticas em órgãos da cavidade abdominal. Atuando de forma complementar à avaliação em modo-B, o mapeamento Doppler mostra-se eficiente no reconhecimento de alterações na hemodinâmica vascular. Portanto, o objetivo do presente estudo foi avaliar a utilização da ultrassonografia modo-B e Doppler como método para identificação de alterações morfológicas e hemodinâmicas renais em cadelas com neoplasias mamárias submetidas a protocolos quimioterápicos adjuvantes que associam a gencitabina à carboplatina. Foram incluídas 13 fêmeas caninas, sem distinção quanto a raça e com idades entre sete e 13 anos. Os animais foram avaliados ultrassonograficamente em dois momentos distintos durante três ciclos quimioterápicos consecutivos: antes (T0) e uma hora e meia após a realização de cada ciclo (T1), totalizando 42 dias. Não foram observadas alterações morfológicas em modo-B ao longo do protocolo quimioterápico. Entretanto, os índices dopplervelocimétricos demonstraram diferenças estatísticas antes (T0) e após (T1) a administração dos fármacos. Concluiu-se que a ultrassonografia Doppler pode ser utilizada como método complementar para o monitoramento da resposta renal de pacientes expostos a fármacos nefrotóxicos e potencialmente causadores de injúrias renais.

Hemangiosarcoma in the vastus lateralis musculature of a bitch - sonographic findings

Background: A 10-year-old spayed bitch with hip dysplasia was referred for periarticular ultrasound evaluation. A poorly marginated structure of mixed echogenicity, predominantly hypoechoic, with heterogeneous echotexture, was identified in the vastus lateralis muscle of the right pelvic limb with increased stiffness, assessed using acoustic radiation force impulse (ARFI) elastography, compared to that of the adjacent muscle tissues, and intense vascularization by pulsed Doppler and contrast-enhanced ultrasound (CEUS). Guided biopsy was performed to confirm the diagnosis of hemangiosarcoma. The objective of this study was to describe B-mode ultrasound, CEUS, and ARFI findings of hemangiosarcoma in the vastus lateralis musculature of a bitch. Case: A 10-year-old spayed bitch Golden Retriever weighing 36 kg was evaluated for pelvic limb lameness. The patient presented with bilateral pain during hip extension. The primary diagnostic suspicion was degenerative joint disease and secondary hip dysplasia. The patient was referred for imaging evaluation of the hip joints (radiography and ultrasound) under anesthesia. Right lateral and ventrodorsal projections with the pelvic limbs extended were obtained to confirm the diagnosis. In the right pelvic limb, an amorphous hypoechoic structure with irregular contours and heterogeneous echotexture was observed in the vastus lateralis muscle. In ARFI elastography, it was possible to identify differences in tissue stiffness between healthy and compromised portions. Pulsed-wave Doppler evaluation demonstrated an arterial waveform pattern with a peak systolic velocity of 38.8 cm/s, end-diastolic velocity of 6.9 cm/s, pulsatility index of 1.76, and resistive index of 0.82. CEUS study identified a mean peak of 27.26 %, mean time to peak of 39.95 s, and mean transmission time of 49.96 s. The popliteal lymph node was hyperechoic and heterogeneous in B-mode. In ARFI elastography, the average stiffness was 2.52 m/s, and the CEUS obtained an average peak of 19.98%, average time to peak of 17.52 s, and mean transit time of 22.83 s. Doppler assessment revealed no clear vascularization in the lymph node. Thoracic radiography in 3 projections and abdominal ultrasonography were performed. Radiographic evidence of pulmonary nodules was not observed. On abdominal ultrasound evaluation, it was possible to identify changes in the spleen, which presented with splenomegaly, mixed echogenicity, and heterogeneous echotexture. The animal underwent ultrasound-guided muscle biopsy, which confirmed the presence of hemangiosarcoma in the muscle. The bitch was referred for splenectomy and lymphadenectomy of the right popliteal, which confirmed neoplastic involvement of the same neoplasm. Discussion: On B-mode ultrasound, the observed changes were similar to those in a report of hemangiosarcoma in the muscles of the chest wall in dogs, which contributed to the diagnosis. Although it was only one patient, ARFI elastography results suggest that muscle hemangiosarcoma tends to follow the same elastographic characteristics as malignant lesions in other tissues. Additionally, the popliteal lymph node had a stiffness suggestive of malignancy (mean 2.52 m/s) because it presented a similar result and greater elasticity of metastatic axillary lymph nodes in bitches (>2.5 m/s) and women (> 1.44 m/s) with breast tumor. With CEUS, it was possible to identify vascularization in the sentinel lymph node that was not visible by pulsed Doppler, and in muscle mass. The findings of this report provided relevant results on muscle hemangiosarcoma in a bitch and demonstrated that the information obtained with the association of imaging methods supported the malignancy criteria described in other studies.

Characterization of uterine involution using B-mode ultrasonography, color Doppler and elastography (acoustic radiation force impulse) for assessing postpartum in Santa Inês ewes

The aim of this study was to investigate uterine involution using ultrasonography techniques during postpartum. Postpartum ultrasonography evaluation (B-mode, color Doppler and Acoustic Radiation Force Impulse elastography) of the uterus was performed by transabdominal approach at immediate after birth and sequentially every 48 hours, during 30 days. The uterine echotexture did not present significant variations (P >0.05) being homogeneous in most evaluations; echogenicity of the uterus increased along the evaluation period (P =0.0452). Progressive and remarkable decrease of the total uterine diameter (UD) were observed (P <0.0001), especially during the first days postpartum. The thickness of uterine wall gradually decreased, as well the endometrial, myometrium and lumen diameters (P <0.0001). Uterine blood flow was assessed by Doppler and decreased during postpartum period, being significantly lower (P=0.0225) on the 30th day of postpartum. Uterine parenchyma presented as homogeneous dark areas (not deformable) on qualitative ultrasound elastography and the means shear velocity values of the uterine wall on quantitative elastography did not differ. This is the first study that evaluate the stiffness of uterine wall in healthy ewes, providing baseline data about quantitative and qualitative stiffness of the normal uterus, and it may be a useful tool for early diagnosis of uterine alterations during the postpartum period, using the reference parameter established for the assessment of uterine integrity during postpartum period.(AU)

Linfoma intraocular em cães - achados da ultrassonografia contrastada e elastografia ARFI / Intraocular lymphoma in dogs - findings of contrast enhanced ultrasound and ARFI elastography

Background: Ocular lymphoma can affect the iris, conjunctiva, choroid, and retina and is mostly associated with multicentric disease. Elastography is an ultrasound technique that provides noninvasive, pain-free assessment of tissue stiffness. It has the ability to assess subtle changes throughout the organ as well as focal lesions. Microbubble contrast ultrasound enables the detection of incipient vascular flows, which are difficult to detect using traditional ultrasound methods. This study aimed to describe acoustic radiation force impulse (ARFI) elastography and microbubble contrast ultrasound findings in the eyes of two dogs diagnosed with intraocular T-cell lymphoma. Cases: Case 1. Physical examination revealed an exophytic mass in the left eye. Schirmer test revealed a secretion of 22 mm/min. Negative threat reflex, glare, direct pupillary light reflex, and consensual response were also noted. Biomicroscopy revealed hyperplasia of the third eyelid, overlapping with the affected eye. When the membrane was removed, moderate conjunctival hyperemia, mucoid secretion, and buphthalmia were observed. In addition, significant corneal edema was present, making it impossible to visualize the anterior chamber and perform fundus examination. The intraocular pressure, as measured with a rebound tonometer, was 39 mmHg. B-mode ultrasonography identified amorphous, hyperechoic, and heterogeneous structures throughout the anterior chamber, iris, and ciliary body. The elastogram showed that the mass had greenish tones and intermediate stiffness, and the mean SWV of the ciliary body and iris was 2 m/s. Contrast-enhanced ultrasound (CEUS) revealed vascularization of the neoformation region, with wash-in, peak, and wash-out values of 9.89 s, 24.56 s, and 107.87 s, respectively. Case 2. On physical examination, a change in the shape of the right pupil was observed. Schirmer test revealed a secretion of 20 mm/min, with negative threat, glare, and pupillary reflexes to direct and consensual light. Biomicroscopy revealed neoformation from 7 am to 11 am in the sclera, retina, and choroid complex, concomitant with dyscoria and conjunctival hyperemia. The intraocular pressure, as measured by rebound tonometry, was 33 mmHg. Fundoscopy revealed a mass in the temporal region and focal retinal detachment. No changes were observed in the contralateral eye. B-mode ultrasound revealed an increase in volume in the temporal region of the iris, ciliary body, and choroid with diffuse heterogeneity and partial retinal detachment. Elastographic examination revealed shades of green and yellow compatible with increased tissue stiffness. On quantitative examination, the mean SWVs of the ciliary body and iris were 3.14 m/s. On CEUS, the neoformation region presented wash-in, peak, and wash-out values of 8.67 s, 22.33 s, and 80.20 s. Discussion: B-mode ultrasonography established the tumor extent and evaluated echogenicity, verifying the involved ocular structures. The examination played an important role in the diagnosis as well as clinical management. ARFI elastography can detect small tissue changes, helping to define nodules and masses more reliably, in addition to allowing the verification of tissue stiffness. In both dogs, it was possible to verify that the masses presented greater rigidity than the adjacent tissues both qualitatively and quantitatively. In previous studies, it was found that cutaneous and breast lymphomas in humans were more rigid than adjacent tissues on elastography. This increase in rigidity and heterogeneity observed on elastograms can be explained by the extramedullary interactions of the matrix in T-cell lymphomas. Tumor growth is dependent on the blood supply, which was evaluated using CEUS in these cases. Furthermore, the ciliary body contrast filling times were longer than those described in normal dogs.

Ultrasound measurements of uterine height, horns diameter and presence of intraluminal fluid to investigate uterine involution in lactating sows housed in farrowing crates

The uterine involution of sows housed in farrowing crates was investigated during lactation using B-mode trans-abdominal ultrasonography. The objectives were to describe uterine involution, detect any delay or uterine disorders and assess possible associations between involution and subsequent reproductive performance. Three parameters were measured: uterine height (H), horns diameter (D) and the percentage of sows with intraluminal fluid (F). During lactation (3-4 weeks), H decreased from 11.0±1.6 the first week to 5.9±1.5 cm the last week (p<0.001), and D from 2.6±0.7 to 1.4±0.2 cm (p<0.001). Between days 1-7, H and D decreased significantly faster, i.e. respectively 0.38 cm (p<0.0001) and 0.20 cm (p<0.0001) per day than between days 22-28, i.e. respectively 0.02 cm (p=0.49) and 0.00 cm (p=0.75) per day. F decreased significantly (p<0.0001) from 78% at the beginning to 16% at the end of lactation. Between days 1-7, F decreased significantly (p<0.001) faster than during the last week of lactation (p=0.41). Between days 22-28, H of sows from parity ≥3 were significantly higher than those of sows from parity 1 and 2 (p=0.007). During that period, F was significantly higher in sows of higher parity. This effect of parity on F was significantly higher during the entire lactation period in sows of parity ≥6. Some sows were monitored after weaning. There was no significant relationship between the 3 parameters measured at the end of lactation and the subsequent performance. A small number of sows was suspected of endometritis (2%) and one case of fœtoplacental retention was detected. In conclusion, B-mode ultrasonography is a suitable tool to monitor uterine involution in lactating sows. When examination is conducted during the last week of lactation, it may help the farmer to verify whether uterine involution is complete, and to decide whether a sow should be either culled or maintained on farm.(AU)

Lateral and medial musculatures of pelvic limbs in dogs - normal ultrasonographic anatomy

Background: Pelvic limb claudication is a common problem in dogs. However, determining the location of the lesion can be challenging. Diagnostic imaging is essential for identifying and evaluating muscle injuries. Ultrasonographic evaluation is frequently performed to identify muscle injuries. Although some muscle changes have already been described as ultrasonography findings in veterinary studies, little is known about the standardization of these muscle structures, especially in hip muscles. The objective of this study was to describe the normal ultrasound anatomy of the lateral and medial muscles of the pelvic limb and establish an unprecedented protocol for the evaluation of these structures. Materials, Methods & Results: A total of 4 lateral and 4 medial musculatures of the pelvic limb of dogs were evaluated using ultrasound. An initial ex vivo study (1st phase) was performed to delineate anatomical and ultrasonographic assessments. The 2nd experimental phase proceeded with the application of in vivo scanning. The same operator performed all anatomical and ultrasonographic assessments. The gluteus medius, vastus lateralis, tensor fasciae latae, sartorius, pectineus, gracilis, adductor, and rectus femoris muscles were evaluated in longitudinal and transverse planes. Ten paired hips from 5 cadavers consisting of 3 females (60%) and 2 males (40%) were evaluated during the exvivo phase. The average age and weight of the dogs were 3.6 ± 0.87 years and 21.9 ± 5.2 kg, respectively. The invivo study included 4 females (40%) and 6 males (60%), for a total of 10 healthy animals consisting of 20 hips; the mean weight was 30.11 ± 7.45 kg and the average age was 4.5 ± 2.75 years. All muscles maintained the same ultrasound pattern when compared with each other and between different groups in the invivo study. The longitudinal section presented a hypoechoic structure permeated by thin hyperechoic longitudinal striations. The hypoechoic aspect was maintained, with striae identified as hyperechogenic points in the cross-sectional view. Discussion: B-mode ultrasonographic evaluation with a high-frequency transducer has facilitated the identification of the lateral and medial muscles of the pelvic limbs of medium and large dogs exvivo and invivo. This approach is an effective and safe way to access these muscles, and aids in the establishment of an unprecedented protocol for ultrasound evaluation of this region. Understanding the normal ultrasonographic anatomy is essential to identify muscle injuries such as contractures, tumors, ruptures, and stretch, which can lead to loss of muscle echogenicity and echotexture. Furthermore, ultrasound standardization reduces inter-observer error, facilitates technique reproducibility, assists in a more assertive assessment, and directs the patient's most appropriate therapy. In addition, anatomical dissection with the aid of acoustic gel injection into the evaluated musculature is essential to guide the examination because it allows the confirmation of the structures. In this study, the ultrasound scans of 6 fundamental muscles (gluteus medius, tensor fasciae latae, gracilis, adductor, pectineus, and rectus femoris) for hip mobility and 2 knee muscles (sartorius and vastus lateralis) were standardized. Exvivo evaluations facilitated the application of invivo techniques, and no difficulties were found during these evaluations.

Níveis de progesterona e os parâmetros reprodutivos no período periovulatório de vacas Nelore submetidas ao protocolo de IATF / Progesterone levels and reproductive parameters in the periovulatory period of Nellore cows under FTAI protocol

Background: Fixed Time Artificial Insemination (FTAI) has achieved a significant evolution in the last 18 years, however, despite the progress achieved by modern FTAI programs, the conception rates obtained are still low. Therefore, this study aimed to evaluate the interrelation between progesterone levels in the periovulatory period and reproductive parameters of Nellore cows submitted to an FTAI protocol. Materials, Methods & Results: On a random day, called day 0 (D0), 57 cows received a P4 device associated with the intramuscular (IM) application of 2.0 mg of estradiol benzoate. On D9, the P4 devices were removed and then were administered 500 µg of cloprostenol sodium IM; 0.6 mg of estradiol cypionate IM and 300 IUI of Equine Chorionic Gonadotrophin IM. Blood samples were collected for the determination of serum P4 concentrations on D9 and D11 of the protocol. The evaluations of follicular diameter (DFOL), follicular wall area (AFOL) and the vascularization area of the follicle wall (VFOL) were carried out on D11 using B-mode ultrasonography examination and colour Doppler, and then the artificial inseminations were performed. The evaluation of the corpus luteum diameter (CLD), of the total corpus luteum area (CLA), of the area of corpus luteum vascularization (CLV) and blood sampling for determination of postovulatory P4 levels (Post-P4) were performed on D24. For the analysis of the P4 concentration the chemiluminescence method was used, with a sensitivity of 0.1 ng/mL. According to the P4 concentrations on D11, cows were divided into 2 groups, LOW LEVELS OF P4 and HIGH LEVELS OF P4. The diagnosis of pregnancy was performed using transrectal ultrasonography on D45, at this point the cows were divided into 2 groups, PREGNANT and NON-PREGNANT. The correlation between DFOL and P4 dosage on D11 was moderate, negative and significant and between the AFOL and the serum P4 levels on D9, was moderate, negative and significant. As for the other correlations between follicular and luteal parameters and serum P4 levels, these were low to moderate, negative and not significant. Cows in the LOW LEVELS OF P4 group had significantly larger diameter and follicular areas than the cows in the HIGH LEVELS OF P4 group, the other follicular and luteal parameters showed no statistical difference. Of the total 57 cows that were inseminated, 30 cows became pregnant. Cows in the PREGNANT group had serum P4 levels on D9 equivalent to that obtained by the NON-PREGNANT group. However, at D11 the cows that became pregnant presented significantly lower serum P4 levels than cows that did not become pregnant. Discussion: The results of the interrelation between follicular parameters and P4 levels obtained in the present study, pointed out that the lower the levels of P4, the higher the follicular parameters, corroborating with other authors. Thus, larger preovulatory follicles provided high ovulation rates. Periovulatory serum P4 levels did not significantly affect the morphofunctional parameters of the CL. Such findings may be justified by high periovulatory P4 levels resulting from less efficient luteolysis, exert a negative effect on the results of FTAI protocols, because progesterone inhibits the release of LH pulses. It is concluded that lower periovulatory P4 levels established a favourable condition for follicular development and fertility, however, morphofunctional parameters of the corpus luteum were not affected.

Métodos ultrassonográficos na avaliação das afecções prostáticas em cães ­ revisão de literatura / Ultrasonographic methods in the evaluation of prostatic disorders in dogs ­ paper review

O objetivo desta revisão foi descrever as principais técnicas de avaliação e achados ultrassonográficos da próstata canina. A ultrassonografia é o método de escolha para avaliação da glândula prostática, sendo imprescindível como auxílio no diagnóstico na detecção de anormalidades, principalmente quando há suspeita da presença de tumores. Com inovação dos equipamentos, surgiram técnicas complementares à ultrassonografia modo Bidimensional (B), tais como Doppler, ultrassonografia contrastada e elastografia, que aumentam a acurácia diagnóstica. O Doppler fornece informações sobre arquitetura vascular e aspectos hemodinâmicos dos vasos sanguíneos. A ultrassonografia contrastada permite determinar parâmetros relacionados à perfusão sanguínea das estruturas pelos agentes de contraste (ex.: microbolhas), definindo, portanto, padrões de alta e baixa intensidade da arquitetura vascular. A elastografia proporciona a avaliação da rigidez tecidual tanto de forma qualitativa, por meio de elastogramas, quanto quantitativa, por meio das velocidades de cisalhamento. Espera-se que esta revisão possa contribuir com informações relevantes aos leitores e veterinários da área de ultrassonografia e reprodução animal.(AU)

The purpose of this review was to describe the main assessment techniques and ultrasound findings of the canine prostate. Ultrasonography is the method of choice for assessing the prostate gland, being essential as an aid in the diagnosis in the detection of abnormalities, especially when the presence of tumors is suspected. With the innovation of the equipment, complementary techniques to B-mode ultrasonography have emerged, such as Doppler, contrasted ultrasound and elastography, which increase the diagnostic accuracy. Doppler provides information on vascular architecture and hemodynamic aspects of blood vessels. Contrast ultrasonography allows to determine parameters related to the blood perfusion of structures by contrast agents (eg, microbubbles), thus defining high and low intensity patterns of vascular architecture. ARFI elastography provides assessment of tissue stiffness both qualitatively, using elastograms, and quantitative, using shear speeds. It is hoped that this review can contribute with relevant information to readers and veterinarians in the area of asound and animal reproduction.(AU)

Fetal distress during the last third of pregnancy in bitches - evaluation by Doppler ultrasound imaging

Background: Diagnostic ultrasound has revolutionized obstetric practice. Doppler techniques provided in vivo studies of the fetus-placental and uterus-placental circulations, in an increasingly precise manner. The assessment of fetal well-being is essential in obstetric practice, however, in veterinary medicine, there is a deficit of ultrasound parameters related to fetal distress. The main of this research was to determine the hemodynamic characteristics and behavior, through Doppler ultrasonography, of maternal-fetal vessels during the final third of gestation in bitches with fetuses under stress, as well as correlating them with each other and with fetal distress. Materials, Methods & Results: An observational, prospective study was carried out, in which 30 healthy bitches were examined, during the last third of pregnancy, with fetuses under fetal distress. Fetuses were evaluated in 2 stages: (1st): 50-54 days and (2nd): 55-60 days of gestation. All fetuses were calmly assessed, one by one, and fetal heart rate (FHR) was measured 5 times, for at least 3 min, to identify and confirm fetal distress. At least 3 fetuses were evaluated in each bitch and each measurement was performed in triplicate, setting a hemodynamic mean for each value evaluated. The flow pattern in the middle cerebral artery (MCA), internal carotid artery (ICA) and umbilical artery (UA) was evaluated. The analyzed vessel was initially visualized in B mode, followed by evaluation by color and spectral Doppler. The variables observed were: peak systolic velocity (PSV), end diastolic velocity (EDV) and the resistivity (RI) and pulsatility (PI) index, as well as the systole/diastole ratio (S/D). The analysis of RI and PI of the umbilical artery showed a statistically significant difference between the mean values found for the times studied, increasing from time 1 to time 2. For middle cerebral and internal carotid arteries, PI, RI and the relationship systole/diastole (S/D), showed a statistically significant difference between the mean values found for the times studied, decreasing from time 1 to time 2. Discussion: Fetal heart rate (HR) findings are considered normal above 200 beats per minute (bpm), only if preceded by acceleration and deceleration. This fact confirms the presence of fetal stress, by this parameter, for the fetuses in the present study. Corroborating the picture of fetal distress, another study concluded that HR tends to increase up to 20 days before delivery, a fact that did not occur in the study in question, where animals in the same gestational period were evaluated. Recent research has concluded that an elevated umbilical artery PI at 28 weeks of gestation, in the absence of fetal growth restriction or prematurity, is associated with some adverse cognitive findings in 12-year-olds children. In the present study, a progressive increase in this index was observed throughout the final third of pregnancy. Although the pups were not monitored after birth, this data serves as a warning for veterinarians, and can be useful in the assessment and diagnosis of possible postnatal nervous alterations. Like what was found in the present study, a study reported that from the 4th week to birth, the PSV of the umbilical artery (UA) increased almost linearly, with high significance. For the middle cerebral arteries, the PI showed a statistically significant difference between the mean values found for the times studied, however, decreasing throughout the final third of pregnancy.

Accuracy of B-mode ultrasonography for detecting malignancy in canine cutaneous neoplasms: preliminary results

ABSTRACT: The aim of this study was to verify the applicability and accuracy of B-mode ultrasonography in detecting malignancy in dog cutaneous neoplasms. Forty-two neoplasms (12 benign and 30 malignant) of mesenchymal, round cells, epithelial and melanocytic origins from 24 dogs of different breeds and ages were included. The ultrasound evaluation was performed with a linear multi-frequency transducer (7.0 to 12MHz), with frequency dependent on the mass dimension. Ultrasonographic characteristics of echogenicity (hypo/hyperechogenic), echotexture (homogeneous/heterogeneous), regularity, invasiveness in adjacent tissues were classified. Dimensions were also measured to calculate the depth/width ratio. Neoplasms were classified as malignant or benign after cytological and/or histopathological analysis and the results were associated with ultrasound characteristics. There was a significant association (P 0.05) between malignancy and echogenicity, echotexture and invasiveness in adjacent tissues, so that 84.6% of hypoechogenic neoplasms, 76.9% of heterogeneous masses and 88.2% of invasive neoplasms were classified as malignant. However, for all these associations, moderate predictive values were obtained, which may be due to the small experimental number included in this study. Therefore, although it has been observed that hypoechogenic, heterogeneous and invasive neoplasms were more prone to malignancy, these findings should be used with caution until new studies are developed with a greater number and variety of cutaneous neoplasms in dogs.

RESUMO: O objetivo deste estudo foi verificar a aplicabilidade e acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de cães. Foram incluídos 42 neoplasmas (12 benignos e 30 malignos) de origens mesenquimal, células redondas, epitelial e melanocítica provenientes de 24 cães de diferentes raças e idades. O exame ultrassonográfico foi realizado com transdutor linear multifrequencial (7.0 a 12MHz), com frequência dependente da dimensão da massa. Foram classificadas características ultrassonográficas de ecogenicidade (hipo/hiperecogênicos), ecotextura (homogêneos/heterogêneos), regularidade, invasividade em tecidos adjacentes. As dimensões foram mensuradas para cálculo da razão profundidade/largura. Os neoplasmas foram classificados como malignos ou benignos após análise cito e/ou histopatológica e os resultados foram associados com as características ultrassonográficas. Verificou-se associação significativa (P 0.05) entre malignidade e ecogenicidade, ecotextura e invasividade em tecidos adjacentes, de forma que 84.6% dos neoplasmas hipoecogênicos, 76.9% das massas heterogêneas e 88.2% dos neoplasmas invasivos foram classificados como malignos. Entretanto, para todas essas associações, foram obtidos valores preditivos moderados, que podem ser decorrentes do baixo número experimental incluso neste estudo. Sendo assim, embora tenha sido observado que os neoplasmas hipoecogênicos, heterogêneos e invasivos tiveram maior propensão à malignidade, esses achados devem ser utilizados com cautela até novos trabalhos sejam desenvolvidos com maior número e variedade de neoplasmas cutâneos de cães.

Applicability of B-mode ultrasonography, ARFI elastography and contrast-enhanced ultrasound in the evaluation of chronic kidney disease in dogs

ABSTRACT: The objective of this study was to verify the applicability of B-mode ultrasonography, ARFI elastography and CEUS in the diagnosis of chronic kidney disease and its Stages in dogs. 24 healthy dogs and 28 with CKD were included. In B-mode, the echogenicity, echotexture and cortico-medullary ratio of the kidneys were verified. By elastography, the shear-wave velocity of the cortical (SWVcort) and medullary (SWVmed) regions were determined and tissue deformity was evaluated. Wash-in, wash-out and peak enhancement (TPic) of the contrast in the renal parenchyma were calculated and homogeneity, presence of filling gaps and distinction of filling phases were evaluated by CEUS. Changes in echogenicity, echotexture and cortico-medullary ratio were observed only in sick patients. There was an increase in SWVcort in CKD, with a cutoff point >2.91m/s. Healthy kidneys were non-deformable and 25% had changes in gray scales. There was an increase in wash-in and TPic, changes in filling characteristics, filling failures and difficulty in distinguishing between the Stages in CEUS in CKD. It was found that dogs with CKD 2, 3 and 4 had greater SWVcort and wash-in values than CKD 1. Elastographic and CEUS changes were observed in dogs with CKD, demonstrating the applicability of ultrasonographic techniques in their diagnosis.

RESUMO: O objetivo deste estudo foi verificar a aplicabilidade da ultrassonografia modo-B, elastografia ARFI e CEUS no diagnóstico da doença renal crônica e seus estágios em cães. Foram incluídos 24 cães saudáveis e 28 com DRC. Pelo modo-B, verificou-se ecogenicidade, ecotextura e relação córtico-medular dos rins. Pela elastografia, foram determinadas as velocidades de cisalhamento das regiões cortical (SWVcort) e medular (SWVmed) e foi avaliada a deformidade tecidual. Calculou-se os temos de wash-in, wash-out e pico de intensidade (TPic) do parênquima renal e avaliou-se homogeneidade, presença de falhas e distinção das fases de preenchimento por contraste por meio de CEUS. Alterações em ecogenicidade, ecotextura e relação córtico-medular foram observadas somente em pacientes doentes. Houve aumento da SWVcort na DRC, com ponto de corte >2.91m/s. Rins saudáveis foram não-deformáveis e 25% apresentou alterações nas escalas de cinza. Houve aumento do wash-in e TPic, alterações nas características de preenchimento, falhas e dificuldade para distinguir as fases de preenchimento do contraste nos rins com DRC. Verificou-se que cães com DRC graus 2, 3 e 4 tiveram valores de SWVcort e wash-in maiores que cães com DRC grau 1. Foram obsrervadas alterações elastográfica e de CEUS em cães com DRC, demonstrando a aplicabilidade destas técnicas ultrassonográficas no seu diagnóstico.

Accuracy of B-mode ultrasonography for detecting malignancy in canine cutaneous neoplasms: preliminary results / Acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de caninos: resultados preliminares

The aim of this study was to verify the applicability and accuracy of B-mode ultrasonography in detecting malignancy in dog cutaneous neoplasms. Forty-two neoplasms (12 benign and 30 malignant) of mesenchymal, round cells, epithelial and melanocytic origins from 24 dogs of different breeds and ages were included. The ultrasound evaluation was performed with a linear multi-frequency transducer (7.0 to 12MHz), with frequency dependent on the mass dimension. Ultrasonographic characteristics of echogenicity (hypo/hyperechogenic), echotexture (homogeneous/heterogeneous), regularity, invasiveness in adjacent tissues were classified. Dimensions were also measured to calculate the depth/width ratio. Neoplasms were classified as malignant or benign after cytological and/or histopathological analysis and the results were associated with ultrasound characteristics. There was a significant association (P<0.05) between malignancy and echogenicity, echotexture and invasiveness in adjacent tissues, so that 84.6% of hypoechogenic neoplasms, 76.9% of heterogeneous masses and 88.2% of invasive neoplasms were classified as malignant. However, for all these associations, moderate predictive values were obtained, which may be due to the small experimental number included in this study. Therefore, although it has been observed that hypoechogenic, heterogeneous and invasive neoplasms were more prone to malignancy, these findings should be used with caution until new studies are developed with a greater number and variety of cutaneous neoplasms in dogs.(AU)

O objetivo deste estudo foi verificar a aplicabilidade e acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de cães. Foram incluídos 42 neoplasmas (12 benignos e 30 malignos) de origens mesenquimal, células redondas, epitelial e melanocítica provenientes de 24 cães de diferentes raças e idades. O exame ultrassonográfico foi realizado com transdutor linear multifrequencial (7.0 a 12MHz), com frequência dependente da dimensão da massa. Foram classificadas características ultrassonográficas de ecogenicidade (hipo/hiperecogênicos), ecotextura (homogêneos/heterogêneos), regularidade, invasividade em tecidos adjacentes. As dimensões foram mensuradas para cálculo da razão profundidade/largura. Os neoplasmas foram classificados como malignos ou benignos após análise cito e/ou histopatológica e os resultados foram associados com as características ultrassonográficas. Verificou-se associação significativa (P<0.05) entre malignidade e ecogenicidade, ecotextura e invasividade em tecidos adjacentes, de forma que 84.6% dos neoplasmas hipoecogênicos, 76.9% das massas heterogêneas e 88.2% dos neoplasmas invasivos foram classificados como malignos. Entretanto, para todas essas associações, foram obtidos valores preditivos moderados, que podem ser decorrentes do baixo número experimental incluso neste estudo. Sendo assim, embora tenha sido observado que os neoplasmas hipoecogênicos, heterogêneos e invasivos tiveram maior propensão à malignidade, esses achados devem ser utilizados com cautela até novos trabalhos sejam desenvolvidos com maior número e variedade de neoplasmas cutâneos de cães.(AU)

Accuracy of B-mode ultrasonography for detecting malignancy in canine cutaneous neoplasms: preliminary results / Acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de caninos: resultados preliminares

The aim of this study was to verify the applicability and accuracy of B-mode ultrasonography in detecting malignancy in dog cutaneous neoplasms. Forty-two neoplasms (12 benign and 30 malignant) of mesenchymal, round cells, epithelial and melanocytic origins from 24 dogs of different breeds and ages were included. The ultrasound evaluation was performed with a linear multi-frequency transducer (7.0 to 12MHz), with frequency dependent on the mass dimension. Ultrasonographic characteristics of echogenicity (hypo/hyperechogenic), echotexture (homogeneous/heterogeneous), regularity, invasiveness in adjacent tissues were classified. Dimensions were also measured to calculate the depth/width ratio. Neoplasms were classified as malignant or benign after cytological and/or histopathological analysis and the results were associated with ultrasound characteristics. There was a significant association (P<0.05) between malignancy and echogenicity, echotexture and invasiveness in adjacent tissues, so that 84.6% of hypoechogenic neoplasms, 76.9% of heterogeneous masses and 88.2% of invasive neoplasms were classified as malignant. However, for all these associations, moderate predictive values were obtained, which may be due to the small experimental number included in this study. Therefore, although it has been observed that hypoechogenic, heterogeneous and invasive neoplasms were more prone to malignancy, these findings should be used with caution until new studies are developed with a greater number and variety of cutaneous neoplasms in dogs.(AU)

O objetivo deste estudo foi verificar a aplicabilidade e acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de cães. Foram incluídos 42 neoplasmas (12 benignos e 30 malignos) de origens mesenquimal, células redondas, epitelial e melanocítica provenientes de 24 cães de diferentes raças e idades. O exame ultrassonográfico foi realizado com transdutor linear multifrequencial (7.0 a 12MHz), com frequência dependente da dimensão da massa. Foram classificadas características ultrassonográficas de ecogenicidade (hipo/hiperecogênicos), ecotextura (homogêneos/heterogêneos), regularidade, invasividade em tecidos adjacentes. As dimensões foram mensuradas para cálculo da razão profundidade/largura. Os neoplasmas foram classificados como malignos ou benignos após análise cito e/ou histopatológica e os resultados foram associados com as características ultrassonográficas. Verificou-se associação significativa (P<0.05) entre malignidade e ecogenicidade, ecotextura e invasividade em tecidos adjacentes, de forma que 84.6% dos neoplasmas hipoecogênicos, 76.9% das massas heterogêneas e 88.2% dos neoplasmas invasivos foram classificados como malignos. Entretanto, para todas essas associações, foram obtidos valores preditivos moderados, que podem ser decorrentes do baixo número experimental incluso neste estudo. Sendo assim, embora tenha sido observado que os neoplasmas hipoecogênicos, heterogêneos e invasivos tiveram maior propensão à malignidade, esses achados devem ser utilizados com cautela até novos trabalhos sejam desenvolvidos com maior número e variedade de neoplasmas cutâneos de cães.(AU)

Ultrassonografia em modo B e Doppler para avaliação reprodutiva de cães e gatos / B-mode and Doppler ultrasound for reproductive assessment of dogs and cats

A ultrassonografia do sistema reprodutivo é uma importante ferramenta utilizada em associação ao exame andrológico para avaliação de machos reprodutores. Novas modalidades de análise ultrassonográfica foram descritas na última década, como a análise Doppler da artéria testicular. O objetivo deste texto é apresentar estas modalidades com o intuito de acrescentar informações importantes ao exame andrológico de cães e gatos.

The ultrasound of the reproductive system is an important tool used in association with the andrological examination to evaluate reproductive males. New modalities of ultrasound analysis have been described in the last decade, such as the Doppler analysis of the testicular artery. The objective of this text is to present these tools in order to add important information to the andrological examination of dogs and cats.

B-mode and Doppler ultrasonography of abdominal structures of the peccary (Tayassu tajacu, Linnaeus 1758) / [Ultrassonografias Doppler e modo-B das estruturas abdominais de catetos (Tayassu tajacu Linnaeus, 1758)]

This study used B-mode and Doppler ultrasonography to characterize the abdominal structures of healthy peccaries raised in captivity. Fifteen peccaries were used for this study. The urinary vesicle appeared as an ovoid structure, located in the abdominal and pelvic transition, with a hyperechogenic, thin, smooth, and regular wall. The kidneys presented retroperitoneal topography and had similar sizes. The kidney/aorta ratio had an average value of 10.53±15cm (right) and 10.23±0.12 (left). The right adrenal gland had a length of 1.93±0.34cm and diameter of 0.56±0.16cm. The left adrenal gland had a length of 1.85±0.42cm and diameter of 0.52±0.11cm. The spleen had a diameter of 1.13±0.18cm. The hepatic vein demonstrated polyphasic flow in pulsed Doppler, with two retrograde peaks and an anterograde peak with a flow velocity of 25.7±0.83cm/s. The abdominal aorta had a diameter of 0.58±0.05cm and a flow velocity of 115.17±5.32cm/s. The morphological and hemodynamic study of the abdominal structures of the peccary, observed through B-mode and Doppler ultrasonography, aided in identifying the size, shape, position, echogenicity, and echotexture of the abdominal organs and in making inferences about the normal parameters for these structures in this species.(AU)

Este estudo teve como objetivo utilizar as ultrassonografias de modo-B e Doppler para caracterizar as estruturas abdominais de um cateto sadio criado em cativeiro. Quinze catetos foram utilizados para este estudo. A vesícula urinária apareceu como uma estrutura ovoide, localizada na transição entre as partes abdominal e pélvica, com uma parede hiperecogênica, fina, lisa e regular. Os rins apresentaram topografia retroperitoneal e tamanhos semelhantes. A relação rim/aorta teve um valor médio de 10,53 ± 15cm (direita) e 10,23 ± 0,12cm (esquerda). A glândula adrenal direita tinha um comprimento de 1,93 ± 0,34cm e um diâmetro de 0,56 ± 0,16cm. A glândula suprarrenal esquerda tinha um comprimento de 1,85 ± 0,42cm e um diâmetro de 0,52 ± 0,11cm. O baço tinha um diâmetro de 1,13 ± 0,18cm. A veia hepática demonstrou fluxo polifásico no Doppler pulsátil, com dois picos retrógrados e um pico anterógrado com velocidade de fluxo de 25,7±0,83cm/s. A aorta abdominal tinha um diâmetro de 0,58 ± 0,05cm e uma velocidade de fluxo de 115,17±5,32cm/s. Os estudos morfológico e hemodinâmico das estruturas abdominais do queixada, observadas por meio das ultrassonografias modo-B e Doppler, auxiliaram na identificação do tamanho, da forma, da posição, da ecogenicidade e da ecotextura dos órgãos abdominais e na realização de inferências sobre os parâmetros de normalidade para as estruturas nas espécies.(AU)

Applicability of B-mode ultrasonography, ARFI elastography and contrast-enhanced ultrasound in the evaluation of chronic kidney disease in dogs / Aplicabilidade da ultrassonografia modo-B, elastografia ARFI e ultrassonografia contrastada na avaliação da doença renal crônica em cães

The objective of this study was to verify the applicability of B-mode ultrasonography, ARFI elastography and CEUS in the diagnosis of chronic kidney disease and its Stages in dogs. 24 healthy dogs and 28 with CKD were included. In B-mode, the echogenicity, echotexture and cortico-medullary ratio of the kidneys were verified. By elastography, the shear-wave velocity of the cortical (SWVcort) and medullary (SWVmed) regions were determined and tissue deformity was evaluated. Wash-in, wash-out and peak enhancement (TPic) of the contrast in the renal parenchyma were calculated and homogeneity, presence of filling gaps and distinction of filling phases were evaluated by CEUS. Changes in echogenicity, echotexture and cortico-medullary ratio were observed only in sick patients. There was an increase in SWVcort in CKD, with a cutoff point >2.91m/s. Healthy kidneys were non-deformable and 25% had changes in gray scales. There was an increase in wash-in and TPic, changes in filling characteristics, filling failures and difficulty in distinguishing between the Stages in CEUS in CKD. It was found that dogs with CKD 2, 3 and 4 had greater SWVcort and wash-in values than CKD 1. Elastographic and CEUS changes were observed in dogs with CKD, demonstrating the applicability of ultrasonographic techniques in their diagnosis.(AU)

O objetivo deste estudo foi verificar a aplicabilidade da ultrassonografia modo-B, elastografia ARFI e CEUS no diagnóstico da doença renal crônica e seus estágios em cães. Foram incluídos 24 cães saudáveis e 28 com DRC. Pelo modo-B, verificou-se ecogenicidade, ecotextura e relação córtico-medular dos rins. Pela elastografia, foram determinadas as velocidades de cisalhamento das regiões cortical (SWVcort) e medular (SWVmed) e foi avaliada a deformidade tecidual. Calculou-se os temos de wash-in, wash-out e pico de intensidade (TPic) do parênquima renal e avaliou-se homogeneidade, presença de falhas e distinção das fases de preenchimento por contraste por meio de CEUS. Alterações em ecogenicidade, ecotextura e relação córtico-medular foram observadas somente em pacientes doentes. Houve aumento da SWVcort na DRC, com ponto de corte >2.91m/s. Rins saudáveis foram não-deformáveis e 25% apresentou alterações nas escalas de cinza. Houve aumento do wash-in e TPic, alterações nas características de preenchimento, falhas e dificuldade para distinguir as fases de preenchimento do contraste nos rins com DRC. Verificou-se que cães com DRC graus 2, 3 e 4 tiveram valores de SWVcort e wash-in maiores que cães com DRC grau 1. Foram obsrervadas alterações elastográfica e de CEUS em cães com DRC, demonstrando a aplicabilidade destas técnicas ultrassonográficas no seu diagnóstico.(AU)

Applicability of B-mode ultrasonography, ARFI elastography and contrast-enhanced ultrasound in the evaluation of chronic kidney disease in dogs / Aplicabilidade da ultrassonografia modo-B, elastografia ARFI e ultrassonografia contrastada na avaliação da doença renal crônica em cães

The objective of this study was to verify the applicability of B-mode ultrasonography, ARFI elastography and CEUS in the diagnosis of chronic kidney disease and its Stages in dogs. 24 healthy dogs and 28 with CKD were included. In B-mode, the echogenicity, echotexture and cortico-medullary ratio of the kidneys were verified. By elastography, the shear-wave velocity of the cortical (SWVcort) and medullary (SWVmed) regions were determined and tissue deformity was evaluated. Wash-in, wash-out and peak enhancement (TPic) of the contrast in the renal parenchyma were calculated and homogeneity, presence of filling gaps and distinction of filling phases were evaluated by CEUS. Changes in echogenicity, echotexture and cortico-medullary ratio were observed only in sick patients. There was an increase in SWVcort in CKD, with a cutoff point >2.91m/s. Healthy kidneys were non-deformable and 25% had changes in gray scales. There was an increase in wash-in and TPic, changes in filling characteristics, filling failures and difficulty in distinguishing between the Stages in CEUS in CKD. It was found that dogs with CKD 2, 3 and 4 had greater SWVcort and wash-in values than CKD 1. Elastographic and CEUS changes were observed in dogs with CKD, demonstrating the applicability of ultrasonographic techniques in their diagnosis.(AU)

O objetivo deste estudo foi verificar a aplicabilidade da ultrassonografia modo-B, elastografia ARFI e CEUS no diagnóstico da doença renal crônica e seus estágios em cães. Foram incluídos 24 cães saudáveis e 28 com DRC. Pelo modo-B, verificou-se ecogenicidade, ecotextura e relação córtico-medular dos rins. Pela elastografia, foram determinadas as velocidades de cisalhamento das regiões cortical (SWVcort) e medular (SWVmed) e foi avaliada a deformidade tecidual. Calculou-se os temos de wash-in, wash-out e pico de intensidade (TPic) do parênquima renal e avaliou-se homogeneidade, presença de falhas e distinção das fases de preenchimento por contraste por meio de CEUS. Alterações em ecogenicidade, ecotextura e relação córtico-medular foram observadas somente em pacientes doentes. Houve aumento da SWVcort na DRC, com ponto de corte >2.91m/s. Rins saudáveis foram não-deformáveis e 25% apresentou alterações nas escalas de cinza. Houve aumento do wash-in e TPic, alterações nas características de preenchimento, falhas e dificuldade para distinguir as fases de preenchimento do contraste nos rins com DRC. Verificou-se que cães com DRC graus 2, 3 e 4 tiveram valores de SWVcort e wash-in maiores que cães com DRC grau 1. Foram obsrervadas alterações elastográfica e de CEUS em cães com DRC, demonstrando a aplicabilidade destas técnicas ultrassonográficas no seu diagnóstico.(AU)

Assessment of hematological parameters and uterine hemodynamic indices in bitches with pyometra

Background: Pyometra is defined as chronic purulent inflammation of the uterus that causes changes in hematologicaland biochemical parameters. The disease is characterized with bacterial infection and pus accumulation in the uterus.Transabdominal B-mode ultrasonography provides easy and certain diagnosis of this disease. The hemodynamic changesin pyometra are evaluated by Doppler ultrasonography. The aim of the study is to determine the changes in hematologicalparameters and Doppler indices in bitches with pyometra, diestrus healthy bitches and evaluate the relationship betweenhematological parameters and hemodynamic indices within the both groups.Materials, Methods & Results: A total number of 27 bitches were enrolled in the study. The healthy diestrus bitches (groupH; n = 7) aged 6.2 ± 1.14 years, weighted 14.57 ± 3.75 kg. The bitches with pyometra (group PYO; n = 20) aged 9.1 ± 0.62years and weighted 17.65 ± 2.60 kg. Before all bitches had ovariohisterectomy, hematological analyses were performed.Transabdominal ultrasonography (USG) was performed with a 6.6 MHz convex transducer. The widest cross-sectionaluterine diameter (UD), wall thickness of uterine horns (UWT) and presence of luminal content were evaluated. Diameterof the uterine artery (DUA) was measured on a mapped color image using the USG software program. The examinationwas carried out with pulsed-wave Doppler USG to characterize the waveform of the uterine artery (UA). Anechogenic areasin uterine lumen, increase in UD and UWT were observed in group PYO. All cases in group PYO had luminal content inboth uterine horns ranging from 1.2 to 5.6 cm. The DUAs were measured in group H and in group PYO as 1.75 ± 0.03mm, 1.94 ± 0.08 mm; respectively (P < 0.05). The PI and RI values of group PYO were lower than group H (P < 0.001).Hematological analysis results showed that...

Assessment of hematological parameters and uterine hemodynamic indices in bitches with pyometra

Background: Pyometra is defined as chronic purulent inflammation of the uterus that causes changes in hematologicaland biochemical parameters. The disease is characterized with bacterial infection and pus accumulation in the uterus.Transabdominal B-mode ultrasonography provides easy and certain diagnosis of this disease. The hemodynamic changesin pyometra are evaluated by Doppler ultrasonography. The aim of the study is to determine the changes in hematologicalparameters and Doppler indices in bitches with pyometra, diestrus healthy bitches and evaluate the relationship betweenhematological parameters and hemodynamic indices within the both groups.Materials, Methods & Results: A total number of 27 bitches were enrolled in the study. The healthy diestrus bitches (groupH; n = 7) aged 6.2 ± 1.14 years, weighted 14.57 ± 3.75 kg. The bitches with pyometra (group PYO; n = 20) aged 9.1 ± 0.62years and weighted 17.65 ± 2.60 kg. Before all bitches had ovariohisterectomy, hematological analyses were performed.Transabdominal ultrasonography (USG) was performed with a 6.6 MHz convex transducer. The widest cross-sectionaluterine diameter (UD), wall thickness of uterine horns (UWT) and presence of luminal content were evaluated. Diameterof the uterine artery (DUA) was measured on a mapped color image using the USG software program. The examinationwas carried out with pulsed-wave Doppler USG to characterize the waveform of the uterine artery (UA). Anechogenic areasin uterine lumen, increase in UD and UWT were observed in group PYO. All cases in group PYO had luminal content inboth uterine horns ranging from 1.2 to 5.6 cm. The DUAs were measured in group H and in group PYO as 1.75 ± 0.03mm, 1.94 ± 0.08 mm; respectively (P < 0.05). The PI and RI values of group PYO were lower than group H (P < 0.001).Hematological analysis results showed that...(AU)