Evaluation of liver fibrosis by investigation of hepatic parenchymal perfusion using contrast-enhanced ultrasound: an animal study.

PURPOSE: To investigate the value of assessing the hepatic parenchymal perfusion in contrast-enhanced ultrasound (CEUS) for evaluating liver fibrosis, using an animal model. METHODS: Seventy Sprague-Dawley rats were divided into experimental (n = 35) and control (n = 35) groups. In the experimental group, liver fibrosis was induced by intraperitoneal injection of carbon tetrachloride. CEUS of the liver was performed at a 2-week interval for 14 weeks. Signal intensity of liver parenchyma was analyzed with time-intensity curves. Histologic examination of liver specimens of the animals was performed to assess the fibrosis stage. RESULTS: The peak signal intensity of hepatic parenchymal perfusion in stage 2-3 fibrosis was significantly lower than that in stage 0-1. The time to peak intensity of hepatic parenchymal perfusion was significantly longer in the experimental group than the control group, and in the stage 3 fibrosis than in stages 0-2 fibrosis. Using time to peak intensity of hepatic parenchymal perfusion to distinguish stage 3 fibrosis and stages 0-2 fibrosis, the optimum cutoff was 75,000 milliseconds with the sensitivity and specificity of 67% and 78%, respectively. CONCLUSIONS: This animal study showed that CEUS has the potential to be a complementary imaging tool in the evaluation of liver fibrosis.

Awareness of tick-borne disease and compliance with using tick preventive products of dog owners in Hong Kong.

Tick-borne disease in dogs is common in South-east Asia and includes babesiosis and ehrlichiosis. These diseases can be largely prevented by compliant use of tick preventive products. This study investigated knowledge of ticks and tick-borne disease and use of tick preventive agents by a large sample of dog owners in Hong Kong. A total of 492 valid questionnaires were completed by owners attending veterinary practices, approached by researchers at common dog-walking areas, or targeted via local social media sites for pet owners. A high proportion of respondents were aware of tick-borne disease (79%) and this correlated well with use of preventive products. However, 18% of owners did not use any protection, mainly due to lack of knowledge of the risk of disease. Targeted advice stressing the importance of tick protection use and frequent follow-up at veterinary clinics could help reduce the risk of tick-borne disease. It would be beneficial if veterinarians provided training of frontline staff at the clinics to ensure they provide essential information to clients in an easily understandable format.

Bronchoscopy of cetaceans.

Bronchoscopy is a standard diagnostic and therapeutic procedure in respiratory medicine and has been performed on many animal species. Cetaceans suffer considerable morbidity and mortality from lower respiratory tract infections, and it is very difficult to sample lower respiratory tract secretions for microbiology and other analyses. We report our experience on performing fiberoptic bronchoscopy in three bottle-nosed dolphins (Tursiops truncatus) and one false killer whale (Pseudorca crassidens), which should help other clinicians in performing bronchoscopy in cetaceans.

In-vitro Strain and Modulus Measurements in Porcine Cervical Lymph Nodes.

Cervical lymph nodes are common sites of metastatic involvement in head and neck cancers. These lymph nodes are superficially located and palpation is a common practice for assessing nodal hardness and staging cancer which is, however, too subjective and with limited accuracy. In this study, the mechanical properties of pig lymph node tissues were investigated using ultrasound elastography and indentation test. Lymph nodes were excised from fresh pork pieces and embedded in an agar-gelatin phantom for strain imaging by elastography. A strain ratio reflecting the strain contrast of lymph node over agar-gelatin phantom was used to assess the elasticity of the lymph node. A cutting device was then custom-designed to slice the phantom into uniform slices for indentation test. The measurements revealed that there were significant differences in both the strain ratio and Young's modulus between the peripheral and middle regions of the lymph nodes (both p < 0.05); however, the results appeared contradictory. Correlation between the results of the two measurements (modulus ratio vs. inversed strain ratio) showed their association was moderate for both the peripheral and middle regions (R(2) = 0.437 and 0.424 respectively). As the tests were only performed on normal lymph nodes, comparison in stiffness between healthy and abnormal lymph nodes could not be made. Future studies should be conducted to quantify the stiffness change in abnormal lymph nodes.

Reliability of 2D ultrasound measurements of testis size in dolphins taken under voluntary behavior.

This study was undertaken to evaluate the reliability of two-dimensional (2D) ultrasound in measuring testis size in dolphins, in vivo, with the subject presenting for examination under voluntary or trained behaviour. The testes of five bottlenose dolphins (Tursiops aduncus) were measured once by two operators to test inter-operator variability (reproducibility) and repeatedly measured by the same operator to test intra-operator variability (repeatability). Ultrasound examinations for each test were conducted on the same day to avoid measurement variability due to time difference. The evaluation of reproducibility and repeatability were conducted on separate days. In the ultrasound examination, the length, circumference, depth and width of both testes of the animal were measured. To prevent bias, measurements were not communicated between the operators on-site and repeated measurements were masked. Results showed that both reproducibility and repeatability of all the testis measurements were high (>90%). Overall, measurement variability of the technique was found to be of a satisfactory level. Ultrasound is a useful imaging tool for routine long-term monitoring of the testes in this species of animals. Sources of error due to movements as a result of the subject being in the water during examinations were inevitable and must be taken into account.

Semen collection and ejaculate characteristics in the Indo-Pacific bottlenose dolphin (Tursiops aduncus).

The testes of sexually mature dolphins produce large quantities of sperm. Sperm are expelled in copious amounts of seminal fluid through repeated ejaculations that can occur within a short period of time. There is currently a lack of detail about the methodology of sequential ejaculate collection in dolphins and how the traits of individual ejaculates affect the assessment of reproductive capacity. The objectives of this study were to obtain series of ejaculates from 3 dolphins by following a well-defined collection protocol and then to characterize individual ejaculates. Semen was collected weekly for 1 year from 3 sexually mature Tursiops aduncus. The end of a collection session was marked by a lack of semen, in spite of effort, or micturition. Individual ejaculates were analyzed for volume, pH, and sperm concentration, count, motility, and viability following methods previously described for dolphin semen. The first ejaculate was typically higher in volume and sperm count but lower in sperm concentration, motility, and viability. The concentration of the second ejaculate was generally the highest. Sperm motility and viability of the second and subsequent ejaculates in a series were good (ie, >80%). Collection of the first ejaculate only can lead to underestimation of reproductive capacity. Sperm output fluctuated erratically from week to week, so it was difficult to assess any seasonal pattern. Results provide information for further investigation of male dolphin reproductive patterns and any effect of collection frequency on ejaculate characteristics.