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  • Author or Editor: Etienne Côté x
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in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association

Abstract

Objective—To determine the prevalence of various radiographic findings for dogs with cardiac tamponade (CT) attributable to pericardial effusion (PE) and to determine the sensitivity and specificity of such findings for identification of affected dogs.

Design—Retrospective, randomized, blinded, controlled study.

Animals—50 dogs with CT attributable to PE and 23 control dogs (10 healthy dogs and 13 dogs with cardiac diseases other than CT).

Procedures—Thoracic radiographic images of dogs were evaluated by an observer who was unaware of the dogs' medical histories. For each dog, a vertebral heart score, globoid appearance of the cardiac silhouette, and convexity of the dorsocaudal aspect of the cardiac silhouette were determined.

Results—The sensitivity and specificity of enlargement of the cardiac silhouette (vertebral heart score, ≥ 10.7) for identification of dogs with CT attributable to PE were 77.6% and 47.8%, respectively. The sensitivity and specificity of a globoid appearance of the cardiac silhouette for identification dogs with CT were 41.9% and 40.0%, respectively. The sensitivity and specificity of a convex appearance of the dorsocaudal aspect of the cardiac silhouette for identification of dogs with CT were 57.1% and 35.0%, respectively.

Conclusions and Clinical Relevance—Results of this study indicated none of the evaluated radiographic variables was highly (> 90%) sensitive or specific for identification of dogs with CT attributable to PE. Thoracic radiographic findings should not be considered reliable for identification of dogs with CT attributable to PE.

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in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To better understand spatial relationships between principal bronchi and other intrathoracic structures by use of CT images of dogs of various somatotypes.

ANIMALS

93 dogs that underwent thoracic CT.

PROCEDURES

Information was collected from medical records regarding signalment and physical examination and echocardiographic findings. Two investigators recorded multiple measurements on a thoracic axial CT image from each dog.

RESULTS

Thoracic height-to-width ratio (H:W) was associated with left principal bronchus (LPB) and right principal bronchus (RPB) H:W, aortic-LPB separation, focal LPB narrowing, and aortic-vertebral overlap. Thoracic H:W was not associated with dog age, weight, sex, or brachycephalic breed. Twenty-five (27%) dogs had focal LPB narrowing, compared with 5 (5%) dogs with focal RPB narrowing (P < 0.001). Ten of 25 dogs had overlap or contact between vertebrae, aorta, LPB, and heart, suggesting a cumulative compressive effect on the LPB, while 15 had LPB-aorta contact and lack of contact between the aorta and thoracic vertebrae, suggesting an aortic constrictive effect on the LPB. None had LPB narrowing without contact from surrounding structures. Inter-rater agreement was high.

CLINICAL RELEVANCE

In dogs that underwent CT and were not selected for clinical suspicion of bronchial disease, principal bronchial morphology was associated with thoracic conformation. Focal LPB narrowing occurred more often than RPB narrowing. Focal LPB narrowing occurred with evidence of extraluminal compression, with or without contact between aorta and vertebrae. Brachycephalic breed could not be used for predicting thoracic H:W.

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in Journal of the American Veterinary Medical Association