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Sekiguchi N, Ito D, Ishikawa C, Tanaka N, Kitagawa M. Heavily T2-weighted imaging findings of spinal cord swelling in dogs with intervertebral disc extrusion. J S Afr Vet Assoc 2022. [DOI: 10.36303/jsava.2022.93.1.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Affiliation(s)
- N Sekiguchi
- Laboratory of Veterinary Neurology, School of Veterinary Medicine, Nihon University,
Japan
| | - D Ito
- Laboratory of Veterinary Neurology, School of Veterinary Medicine, Nihon University,
Japan
| | - C Ishikawa
- Laboratory of Veterinary Neurology, School of Veterinary Medicine, Nihon University,
Japan
| | - N Tanaka
- Laboratory of Veterinary Neurology, School of Veterinary Medicine, Nihon University,
Japan
| | - M Kitagawa
- Laboratory of Veterinary Neurology, School of Veterinary Medicine, Nihon University,
Japan
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2
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Hecht S, Cushing AC, Williams-Hagler DA, Craig LE, Thomas WB, Anderson KM, Ramsay EC, Conklin GA. Magnetic Resonance Imaging in 50 Captive Non-domestic Felids - Technique and Imaging Diagnoses. Front Vet Sci 2022; 9:827870. [PMID: 35211543 PMCID: PMC8861525 DOI: 10.3389/fvets.2022.827870] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 01/04/2022] [Indexed: 02/01/2023] Open
Abstract
Magnetic resonance imaging (MRI) is the recognized gold standard for diagnostic imaging of the central nervous system in human and veterinary patients. Information on the use of this modality and possible imaging abnormalities in captive non-domestic felids is currently limited to individual case reports or small case series. This retrospective study provides information on technique and imaging findings in a cohort of cases undergoing MRI at an academic Veterinary Medical Center. The University of Tennessee College of Veterinary Medicine MRI database was searched for non-domestic felids undergoing MRI of the brain or spine from 2008 to 2021. Medical record data were recorded, and MRI studies were reviewed. Fifty animals met the inclusion criteria. The most common brain diseases were Chiari-like malformation (n = 8) and inflammatory conditions (n = 8). Other abnormalities included pituitary lesions (n = 5), brain atrophy (n = 2), and one each of metabolic and traumatic conditions. Fourteen animals had a normal brain MRI study. The most common spinal abnormality was intervertebral disc disease (n = 7). Other disorders included vertebral dysplasia (n = 2), presumptive ischemic myelopathy (n = 1), subdural ossification causing spinal cord compression (n = 1), and multiple myeloma (n = 1). Spinal cord swelling of undetermined cause was suspected in two animals, and seven patients had a normal MRI study of the spine. MRI is a valuable tool in the diagnostic workup of non-domestic felids with presumptive neurologic disease.
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Affiliation(s)
- Silke Hecht
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
- *Correspondence: Silke Hecht
| | - Andrew C. Cushing
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
| | | | - Linden E. Craig
- Department of Biomedical and Diagnostic Sciences, University of Tennessee, Knoxville, TN, United States
| | - William B. Thomas
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
| | - Kimberly M. Anderson
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
| | - Edward C. Ramsay
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
| | - Gordon A. Conklin
- Department of Small Animal Clinical Sciences, University of Tennessee, Knoxville, TN, United States
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3
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Woelfel CW, Robertson JB, Mariani CL, Muñana KR, Early PJ, Olby NJ. Outcomes and prognostic indicators in 59 paraplegic medium to large breed dogs with extensive epidural hemorrhage secondary to thoracolumbar disc extrusion. Vet Surg 2021; 50:527-536. [PMID: 33606895 DOI: 10.1111/vsu.13592] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 11/03/2020] [Accepted: 12/21/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To evaluate outcomes and prognostic factors after decompressive hemilaminectomy in paraplegic medium to large breed dogs with extensive epidural hemorrhage (DEEH) and thoracolumbar intervertebral disc extrusion (TL-IVDE). STUDY DESIGN Retrospective, cohort, descriptive study. ANIMALS Fifty-nine client-owned dogs. METHODS Medical records and advanced imaging were reviewed for paraplegic dogs with DEEH. Ambulatory status 6 months after surgery and postoperative complications were recorded. Multiple logistic regression models were constructed to explore prognostic factors. RESULTS Records of 22 dogs with and 37 dogs without pelvic limb pain perception at presentation were included. Median age of dogs was 5 years (interquartile range, 4-7), and mean weight was 26.9 kg (SD, ±9.71). Labradors and Labrador mixes were most common (17/59 [28.8%]). Recovery of ambulation occurred in 17 of 22 (77.3%) dogs with and in 14 of 37 (37.8%) dogs without pain perception prior to surgery. Progressive myelomalacia was recorded in three of 59 (5.1%) dogs, one with pain perception and two without pain perception at presentation. Postoperative complications (14/59 [23.7%]) were common. Factors independently associated with outcome included clinical severity (odds ratio [OR] 0.179, P = .005), number of vertebrae with signal interruption in half Fourier single-shot turbo spin-echo sequences (HASTEi; OR, 0.738; P = .035), and ratio of vertebral sites decompressed to HASTEi (OR, 53.79; P = .03). CONCLUSION Paraplegic medium to large breed dogs with DEEH have a less favorable outcome after surgical decompression than paraplegic dogs with TL-IVDE. CLINICAL SIGNIFICANCE Dogs with DEEH can have severe postoperative complications. Loss of pain perception and increased HASTEi are associated with a poor outcome, while more extensive decompression improves outcome.
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Affiliation(s)
- Christian W Woelfel
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
| | - James B Robertson
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
| | - Chris L Mariani
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
| | - Karen R Muñana
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
| | - Peter J Early
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
| | - Natasha J Olby
- North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina
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4
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Kutara K, Kanda T, Maeta N, Mochizuki Y, Ono F, Itoh Y, Asanuma T. Combining non-contrast enhanced magnetic resonance thoracic ductography with vascular contrast-enhanced computed tomography to identify the canine thoracic duct. Open Vet J 2020; 10:68-73. [PMID: 32426259 PMCID: PMC7193886 DOI: 10.4314/ovj.v10i1.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Accepted: 02/12/2020] [Indexed: 11/26/2022] Open
Abstract
Background: In humans, visualization of the thoracic duct by magnetic resonance imaging (MRI) has been attempted, and recent advances have enabled clinicians to visualize the thoracic duct configuration in a less invasive manner. Moreover, MRI does not require contrast media, and it enables visualization of morphological details of the thoracic structures. In veterinary practice, the thoracic duct has not been visualized three dimensionally in MRI. Aim: This study aimed to assess the performance of our magnetic resonance thoracic ductography (MRTD) technique to visualize the thoracic duct and the surrounding 3D anatomical structures by combining MRTD and vascular contrast-enhanced thoracic computed tomography (CT) images in dogs. Methods: Five adult male beagle dogs (11.4–12.8 kg) were included in this study. Sagittal and transverse T2-weighted images were scanned in MRI. Scanning in MRTD used a single-shot fast spin echo sequence with a respiratory gate. CT was performed after the intravenous injection of contrast medium. All MRTD and CT images were merged using a workstation. Results: The thoracic ducts were identified in MRTD images of all dogs, and the surrounding anatomical structures were located with the aid of contrast-enhanced thoracic CT. In all dogs, the thoracic ducts coursed along the right-dorsal side of the aorta, cranially from the L2 level. Thereafter, these bent to the left side at the aortic arch and curved at the left external jugular vein angle. A comparison of the number of thoracic ducts at each vertebra between transverse T2WI and MRTD did not reveal any significant differences for all vertebrae. Conclusion: The results from our study suggest that MRTD using the single-shot fast spin echo sequence could be a useful tool for visualization of the thoracic duct. Furthermore, the image merged from MRTD and vascular-enhanced images provided detailed anatomical annotation of the thorax. The MRTD protocol described in this study is safe and easily adaptable, without the need for contrast medium injection into the lymph system. In addition, the images fused from MRTD and vascular contrast-enhanced CT image of the thorax could provide detailed anatomical annotations for preoperative planning.
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Affiliation(s)
- Kenji Kutara
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Teppei Kanda
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Noritaka Maeta
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Yohei Mochizuki
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Fumiko Ono
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Yoshiki Itoh
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
| | - Taketoshi Asanuma
- Faculty of Veterinary Medicine, Okayama University of Science, Imabari, Japan
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5
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Kutara K, Maeta N, Kanda T, Ohnishi A, Mitsui I, Miyabe M, Shimizu Y, Okamura Y. Magnetic resonance imaging findings of an intradural extramedullary hemangiosarcoma in a dog. J Vet Med Sci 2019; 81:1527-1532. [PMID: 31484834 PMCID: PMC6863723 DOI: 10.1292/jvms.19-0260] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
An 11-year-old male Miniature Dachshund was referred for acute neurological deficits in
the pelvic limbs. T2-weighted magnetic resonance imaging revealed that the spinal cord at
the L1-2 intervertebral disc space was heterogeneously hyperintense in the sagittal plane
and was mildly compressed from the ventral side by a small hypointense mass in the
transverse plane. However, the lesion showed mass enhancement and severe spinal cord
compression on post-contrast T1-weighted imaging. On three-dimensional myelography, a
“golf tee sign” was observed around the mass. Therefore, we diagnosed an intradural
extramedullary lesion. The mass was surgically removed and histologically diagnosed as a
hemangiosarcoma. The “golf tee sign” observed on magnetic resonance myelography may be
useful for distinguishing intradural extramedullary masses from intramedullary masses.
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Affiliation(s)
- Kenji Kutara
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Noritaka Maeta
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Teppei Kanda
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Akihiro Ohnishi
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Ikki Mitsui
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Masahiro Miyabe
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Yuki Shimizu
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
| | - Yasuhiko Okamura
- Faculty of Veterinary Medicine, Okayama University of Science, 1-3 Ikoinooka, Imabari, Ehime 794-8555, Japan
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6
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Gilmour LJ, Jeffery ND, Miles K, Riedesel E. SINGLE-SHOT TURBO SPIN ECHO PULSE SEQUENCE FINDINGS IN DOGS WITH AND WITHOUT PROGRESSIVE MYELOMALACIA. Vet Radiol Ultrasound 2016; 58:197-205. [DOI: 10.1111/vru.12463] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Accepted: 10/18/2016] [Indexed: 12/29/2022] Open
Affiliation(s)
- Lindsey J. Gilmour
- Veterinary Clinical Sciences Department, College of Veterinary Medicine; Iowa State University; 1600 South 16th Street Ames IA 50011
- Veterinary Large Animal Clinical Sciences, College of Veterinary Medicine; Texas A&M University; 4475 TAMU College Station TX 77845-4475
| | - Nick D. Jeffery
- Veterinary Clinical Sciences Department, College of Veterinary Medicine; Iowa State University; 1600 South 16th Street Ames IA 50011
| | - Kristina Miles
- Veterinary Clinical Sciences Department, College of Veterinary Medicine; Iowa State University; 1600 South 16th Street Ames IA 50011
| | - Elizabeth Riedesel
- Veterinary Clinical Sciences Department, College of Veterinary Medicine; Iowa State University; 1600 South 16th Street Ames IA 50011
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7
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Tamura S, Doi S, Tamura Y, Takahashi K, Enomoto H, Ozawa T, Uchida K. Thoracolumbar intradural disc herniation in eight dogs: clinical, low-field magnetic resonance imaging, and computed tomographic myelography findings. Vet Radiol Ultrasound 2014; 56:160-7. [PMID: 25263808 DOI: 10.1111/vru.12213] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 06/22/2014] [Indexed: 11/27/2022] Open
Abstract
Intradural disc herniation is a rarely reported cause of neurologic deficits in dogs and few published studies have described comparative imaging characteristics. The purpose of this retrospective cross sectional study was to describe clinical and imaging findings in a group of dogs with confirmed thoracolumbar intradural disc herniation. Included dogs were referred to one of four clinics, had acute mono/paraparesis or paraplegia, had low field magnetic resonance imaging (MRI) and/or computed tomographic myelography, and were diagnosed with thoracolumbar intradural disc herniation during surgery. Eight dogs met inclusion criteria. The prevalence of thoracolumbar intradural disc herniation amongst the total population of dogs that developed a thoracolumbar intervertebral disc herniation and that were treated with a surgical procedure was 0.5%. Five dogs were examined using low-field MRI. Lesions that were suspected to be intervertebral disc herniations were observed; however, there were no specific findings indicating that the nucleus pulposus had penetrated into the subarachnoid space or into the spinal cord parenchyma. Thus, the dogs were misdiagnosed as having a conventional intervertebral disc herniation. An intradural extramedullary disc herniation (three cases) or intramedullary disc herniation (two cases) was confirmed during surgery. By using computed tomographic myelography (CTM) for the remaining three dogs, an intradural extramedullary mass surrounded by an accumulation of contrast medium was observed and confirmed during surgery. Findings from this small sample of eight dogs indicated that CTM may be more sensitive for diagnosing canine thoracolumbar intradural disc herniation than low-field MRI.
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Affiliation(s)
- Shinji Tamura
- Tamura Animal Clinic, 7-16 Yoshimien, Saeki-ku, Hiroshima, 731-5132, Japan
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8
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Hecht S, Huerta MM, Reed RB. Magnetic resonance imaging (MRI) spinal cord and canal measurements in normal dogs. Anat Histol Embryol 2013; 43:36-41. [PMID: 23488993 PMCID: PMC3933761 DOI: 10.1111/ahe.12045] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2012] [Accepted: 01/28/2013] [Indexed: 11/30/2022]
Abstract
The goal of this study was to establish Magnetic resonance imaging (MRI) reference ranges for spinal measurements in normal dogs. Forty dogs (1–10 kg, 11–20 kg, 21–30 kg, > 30 kg; 10 dogs per category) underwent spinal MRI. Measurements were performed on sagittal T2-W images at the level of the 4th thoracic vertebra (T4), the 9th thoracic vertebra (T9) and the 3rd lumbar vertebra (L3). Spinal canal diameter (mm) ranged from 6.07 ± 0.63 (1–10 kg) to 8.27 ± 1.15 (> 30 kg) at the level of T4; 6.55 ± 0.61 (1–10 kg) to 9.04 ± 1.26 (> 30 kg) at the level of T9; and 6.80 (6.47–7.00; 1–10 kg) to 9.00 (7.90–9.73; > 30 kg) at the level of L3. There were significant differences (P < 0.05) in spinal canal diameter between groups. Mean spinal cord diameter (mm) ranged from 4.46 ± 0.51 (11–20 kg) to 4.70 ± 0.35 (1–10 kg) at the level of T4; 4.41 ± 0.50 (> 30 kg) to 4.85 ± 0.57 (1–10 kg) at the level of T9; and 4.52 ± 0.51 (> 30 kg) to 5.14 ± 0.68 (1–10 kg) at the level of L3. There were no significant differences in spinal cord diameter between groups. Spinal cord-to-spinal canal ratio varied significantly, ranging from 0.51 ± 0.08 (> 30 kg at L3) to 0.78 (0.69–0.80; 1–10 kg at T4) (P < 0.05). These findings are important when using MRI to evaluate patients with suspected diffuse spinal cord disease.
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Affiliation(s)
- S Hecht
- Department of Small Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, 2407 River Drive, Knoxville, TN, 37996, USA
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9
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Mankin JM, Hecht S, Thomas WB. Agreement between T2 and haste sequences in the evaluation of thoracolumbar intervertebral disc disease in dogs. Vet Radiol Ultrasound 2012; 53:162-6. [PMID: 22168798 DOI: 10.1111/j.1740-8261.2011.01894.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The purpose of this study was to compare half-Fourier-acquisition single-shot turbo spin-echo (HASTE) and T2-weighted (T2-W) sequences in dogs with thoracolumbar disc extrusion. MRI studies in 60 dogs (767 individual intervertebral disc spaces) were evaluated. Agreement between T2-W and HASTE sequences was assessed for two criteria: presence of an extradural lesion and treatment recommendation. There was moderate agreement between T2-W and HASTE sequences as to presence of an extradural lesion (kappa = 0.575). HASTE was in agreement in 96.1% of the sites where no extradural lesion was identified on T2-W images, but only in 58.1% of the sites where extradural lesions were identified on T2-W images. There was also moderate agreement between T2-W and HASTE sequences as to treatment recommendations (kappa = 0.476). HASTE was in agreement in 98.4% of the sites where a lesion was considered nonsurgical on T2 but only 82.1% of sites a lesion was considered surgical on T2. In 1.0% of sites considered not surgical and in 9.8% of sites considered equivocal based on T2-W images, a surgical lesion was identified on HASTE. Acquisition of a HASTE sequence in addition to conventional sequences may be beneficial in determining the severity of spinal cord compression in some cases when evaluating the canine spine.
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Affiliation(s)
- Joseph M Mankin
- University of Tennessee College of Veterinary Medicine, Department of Small Animal Clinical Sciences, Knoxville, TN 37996-4544, USA.
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10
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Seiler GS, Robertson ID, Mai W, Widmer WR, Suran J, Nemanic S, Lamb CR, Lang J, Johnson JL, Thrall DE. Usefulness of a half-fourier acquisition single-shot turbo spin-echo pulse sequence in identifying arachnoid diverticula in dogs. Vet Radiol Ultrasound 2012; 53:157-61. [PMID: 22734150 DOI: 10.1111/j.1740-8261.2011.01893.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Single-shot turbo spin-echo sequences are heavily T2-weighted sequences that are exceptionally well suited to evaluate the subarachnoid space. In the T2-weighted fast spin-echo sequences that are used routinely in spinal magnetic resonance (MR) imaging, the subarachnoid space is not well differentiated from the surrounding epidural fat, which could lead to decreased detection of lesions of the subarachnoid space such as arachnoid diverticula. Our purpose was to determine the added value of a single-shot turbo spin-echo sequence in identifying cystic lesions of the subarachnoid space in dogs. MR images of six dogs with a confirmed arachnoid diverticulum and 24 dogs with other spinal disease were included. Six observers were asked to interpret only T2-weighted images initially, and in a second session, T2-weighted and half-Fourier acquisition single-shot turbo spin-echo (HASTE) sequences. The MR images were anonymized, and no signalment, history, or clinical information was provided. Without the HASTE sequences, 25% of arachnoid diverticula were identified. Adding the HASTE sequence increased the diagnosis of arachnoid diverticulum to 52.8%. The resulting difference, after adding the HASTE sequence, of 27.8% was statistically significant (P = 0.002). No false-positive diagnoses of arachnoid diverticulum were made with either sequence. Although sensitivity in this study was likely artificially low, the significantly increased detection rate of arachnoid diverticula when using HASTE imaging indicates that this sequence is a valuable addition to MR imaging protocols for the canine spine.
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Affiliation(s)
- Gabriela S Seiler
- Department of Molecular Biomedical Sciences, North Carolina State University, 1052 William Moore Drive, Raleigh, NC 27607, USA.
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Robertson I, Thrall DE. Imaging dogs with suspected disc herniation: pros and cons of myelography, computed tomography, and magnetic resonance. Vet Radiol Ultrasound 2011; 52:S81-4. [PMID: 21392160 DOI: 10.1111/j.1740-8261.2010.01788.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Myelography, computed tomography (CT), and magnetic resonance (MR) imaging are the diagnostic modalities currently used in the evaluation of dogs with suspected disc herniation. Where high-field MR imaging is available, it is considered the optimal modality for any myelopathy in dogs, including those with disc disease. CT myelography may be the next best option, particularly in nonchondrodystrophoid dogs. In chondrodystrophoid dogs, in which extrusion of mineralized disc material is common, plain CT will enable diagnosis in most cases. Myelography is still considered adequate for diagnosis of disc herniation when MR and CT are unavailable.
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Affiliation(s)
- Ian Robertson
- Department of Molecular Biomedical Sciences College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.
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12
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Guillem Gallach R, Suran J, Cáceres AV, Reetz JA, Brown DC, Mai W. Reliability of T2-weighted sagittal magnetic resonance images for determining the location of compressive disk herniation in dogs. Vet Radiol Ultrasound 2011; 52:479-86. [PMID: 21689199 DOI: 10.1111/j.1740-8261.2011.01833.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Magnetic resonance imaging is used commonly to diagnose intervertebral disk herniation in dogs. It is common to locate areas of suspected compression on sagittal T2-weighted (T2-W) images and then obtain limited transverse images in these areas to reduce the acquisition time (a step-by-step approach). Our objective was to assess the frequency of correct localization of spinal cord compression due to disk herniation using only the sagittal images. The results from isolated readings of the sagittal T2-W images alone or combined with a single-shot fast spin echo (SSFSE) slab in 118 dogs were compared with a gold standard, based on a consensual reading of all images available, including complete transverse images across the entire spinal segments under study. The sites of compression were localized correctly from the sagittal images in 89.8% of dogs. If only the most significant lesions were accounted for, the percentage increased up to 95.2%. In 54.9% of the readings with incorrect localization, the actual compressive site was immediately adjacent to the one suspected from review of the sagittal images. The frequency of correct localization was higher in the cervical region, and was increased by examination of the SSFSE slab. The most common cause of disagreement was the presence of multiple degenerate bulging disks. Based on these results we recommend obtaining transverse images across the entire segment when multiple bulging disks are present. It is also recommended to obtain transverse images across the spaces immediately adjacent to the suspected site of herniation from review of the sagittal images.
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Affiliation(s)
- R Guillem Gallach
- School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
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13
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Hecht S, Adams WH. MRI of Brain Disease in Veterinary Patients Part 1: Basic Principles and Congenital Brain Disorders. Vet Clin North Am Small Anim Pract 2010; 40:21-38. [DOI: 10.1016/j.cvsm.2009.09.005] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Congenital Diseases of the Craniocervical Junction in the Dog. Vet Clin North Am Small Anim Pract 2010; 40:121-41. [DOI: 10.1016/j.cvsm.2009.10.001] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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