Fluoroscopic evaluation of diaphragmatic excursion during spontaneous breathing in healthy Beagles

Sohyeon Moon College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 500–757, Republic of Korea.

Search for other papers by Sohyeon Moon in
Current site
Google Scholar
PubMed
Close
 DVM
,
Seungjo Park College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 500–757, Republic of Korea.

Search for other papers by Seungjo Park in
Current site
Google Scholar
PubMed
Close
 DVM
,
Sang-Kwon Lee College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 500–757, Republic of Korea.

Search for other papers by Sang-Kwon Lee in
Current site
Google Scholar
PubMed
Close
 DVM
,
Byunggyu Cheon College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 500–757, Republic of Korea.

Search for other papers by Byunggyu Cheon in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Jihye Choi College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, 77, Yongbong-ro, Buk-gu, Gwangju 500–757, Republic of Korea.

Search for other papers by Jihye Choi in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Abstract

OBJECTIVE To evaluate dynamic movement of the diaphragm of clinically normal dogs by use of fluoroscopy and to obtain quantitative data of diaphragmatic excursion during spontaneous breathing.

ANIMALS 8 healthy male Beagles with no history of respiratory tract disease.

PROCEDURES Fluoroscopy was performed during stabilized respiratory conditions. The beam center was located at the level of the diaphragm, and diaphragmatic motion was recorded during 3 respiratory cycles in dogs positioned in left lateral, right lateral, and dorsal recumbency. Extent of excursion of the diaphragmatic cupula and both crura, difference in excursion between the left and right crura, and ratios of the excursions of the diaphragmatic cupula and left and right crura to the length of the eighth thoracic vertebra were determined.

RESULTS Diaphragmatic crural excursion was symmetric for dogs in right lateral recumbency, and the crural excursion was approximately three-quarters of the vertebral length; however, crural excursion appeared to be asymmetric for dogs in left lateral recumbency. Mean ± SD difference in excursion between the right and left crura was 22.68 ± 8.68% for left lateral recumbency, 16.63 ± 9.22% for right lateral recumbency, and 18.11 ± 12.96% for dorsal recumbency.

CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that the fluoroscopic view of a dog positioned in right lateral recumbency may allow better evaluation of the symmetry of diaphragmatic excursion, compared with results for other recumbency positions. This study provided quantitative data on the excursion of diaphragmatic movement observed by use of fluoroscopy in clinically normal Beagles.

Abstract

OBJECTIVE To evaluate dynamic movement of the diaphragm of clinically normal dogs by use of fluoroscopy and to obtain quantitative data of diaphragmatic excursion during spontaneous breathing.

ANIMALS 8 healthy male Beagles with no history of respiratory tract disease.

PROCEDURES Fluoroscopy was performed during stabilized respiratory conditions. The beam center was located at the level of the diaphragm, and diaphragmatic motion was recorded during 3 respiratory cycles in dogs positioned in left lateral, right lateral, and dorsal recumbency. Extent of excursion of the diaphragmatic cupula and both crura, difference in excursion between the left and right crura, and ratios of the excursions of the diaphragmatic cupula and left and right crura to the length of the eighth thoracic vertebra were determined.

RESULTS Diaphragmatic crural excursion was symmetric for dogs in right lateral recumbency, and the crural excursion was approximately three-quarters of the vertebral length; however, crural excursion appeared to be asymmetric for dogs in left lateral recumbency. Mean ± SD difference in excursion between the right and left crura was 22.68 ± 8.68% for left lateral recumbency, 16.63 ± 9.22% for right lateral recumbency, and 18.11 ± 12.96% for dorsal recumbency.

CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that the fluoroscopic view of a dog positioned in right lateral recumbency may allow better evaluation of the symmetry of diaphragmatic excursion, compared with results for other recumbency positions. This study provided quantitative data on the excursion of diaphragmatic movement observed by use of fluoroscopy in clinically normal Beagles.

Contributor Notes

Address correspondence to Dr. Choi (imsono@jnu.ac.kr).
  • 1. Aspinall V, O'Reilly M. Respiratory system. In: Aspinall V, Cappello M, eds. Introduction to veterinary anatomy and physiology. 3rd ed. Philadelphia: Elsevier, 2015; 9198.

    • Search Google Scholar
    • Export Citation
  • 2. Randall EK, Park RD. The diaphragm. In: Thrall DE, ed. Textbook of veterinary diagnostic radiology. 6th ed. St Louis: Elsevier, 2013; 535549.

    • Search Google Scholar
    • Export Citation
  • 3. Tartaglia L, Waugh A. The respiratory system. In: Veterinary physiology and applied anatomy: a textbook for veterinary nurses and technicians. London: Butterworth-Heinemann, 2005; 129135.

    • Search Google Scholar
    • Export Citation
  • 4. Bedenice D, Mazan MR, Kuehn H, et al. Diaphragmatic paralysis due to phrenic nerve degeneration in a llama. J Vet Intern Med 2002;16:603606.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. Gibson GJ. Diaphragmatic paresis: pathophysiology, clinical features, and investigation. Thorax 1989;44:960970.

  • 6. Simpson KW. Diseases of the stomach. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 7th ed. Philadelphia: Elsevier, 2010; 15041526.

    • Search Google Scholar
    • Export Citation
  • 7. Vignoli M, Toniato M, Rossi F, et al. Transient post-traumatic hemidiaphragmatic paralysis in two cats. J Small Anim Pract 2002;43:312316.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Young PN, Gorgacz EJ, Barsanti JA. Respiratory failure associated with diaphragmatic paralysis in a cat. J Am Anim Hosp Assoc 1980;16:933936.

    • Search Google Scholar
    • Export Citation
  • 9. Amory H, Lomba F, Lekeux PM, et al. Bilateral diaphragmatic paralysis in a pony. J Am Vet Med Assoc 1994;205:587591.

  • 10. Choi M, Lee N, Kim A, et al. Evaluation of diaphragmatic motion in normal and diaphragmatic paralyzed dogs using M-mode ultrasonography. Vet Radiol Ultrasound 2014;55:102108.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11. Greene CE, Basinger RR, Whitfield JB. Surgical management of bilateral diaphragmatic paralysis in a dog. J Am Vet Med Assoc 1988;193:15421544.

    • Search Google Scholar
    • Export Citation
  • 12. Suter PF. Abnormalities of the diaphragm. In: Suter PF, Lord PF, eds. Thoracic radiography: a text atlas of thoracic diseases of the dog and cat. Wettswil, Switzerland: Selbstverlag, 1984; 180204.

    • Search Google Scholar
    • Export Citation
  • 13. Burk RL, Ackerman N. The abdomen. In: Small animal radiology and ultrasonography: a diagnostic atlas and text. 3rd ed. St Louis: Saunders, 2003;3:249476.

    • Search Google Scholar
    • Export Citation
  • 14. Grandage J. The radiology of the dog's diaphragm. J Small Anim Pract 1974;15:118.

  • 15. Yi LC, Nascimento OA, Jardim JR. Reliability of an analysis method for measuring diaphragm excursion by means of direct visualization with videofluoroscopy. Arch Bronconeumol 2011;47:310314.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16. Nason LK, Walker CM, McNeeley MF, et al. Imaging of the diaphragm: anatomy and function. Radiographics 2012;32:E51E70.

  • 17. Wade OL. Movements of the thoracic cage and diaphragm in respiration. J Physiol 1954;124:193212.

  • 18. Wade OL, Gilson JC. The effect of posture on diaphragmatic movement and vital capacity in normal subjects. Thorax 1951;6:103126.

  • 19. Yi LC, Jardim JR, Inoue DP, et al. The relationship between excursion of the diaphragm and curvatures of the spinal column in mouth breathing children. J Pediatr (Rio J) 2008;84:171177.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20. Alexander C. Diaphragm movements and the diagnosis of diaphragmatic paralysis. Clin Radiol 1966;17:7983.

  • 21. Dean EF. The psychological assessment of emotional intelligence. In: Thomas JC, ed. Comprehensive handbook of psychological assessment: industrial and organizational assessment. Hoboken, NJ: John Wiley & Sons, 2004; 203215.

    • Search Google Scholar
    • Export Citation
  • 22. Lennon EA, Simon G. The height of the diaphragm in the chest radiograph of normal adults. Br J Radiol 1965;38:937943.

  • 23. Quesnel A, Beuret Blanquart F, Marie JP, et al. Explorations of unilateral diaphragmatic paralysis. Respir Med 2014;2014:16.

Advertisement