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Sarasa JL, Okamoto AS, Wright MA, Pierce SE, Capellini TD. Lions & sea lions & bears, oh my: utilizing museum specimens to study the ossification sequence of carnivoran taxa. BMC ZOOL 2024; 9:10. [PMID: 38685130 PMCID: PMC11057098 DOI: 10.1186/s40850-024-00201-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 04/22/2024] [Indexed: 05/02/2024] Open
Abstract
BACKGROUND Mammalian skeletons are largely formed before birth. Heterochronic changes in skeletal formation can be investigated by comparing the order of ossification for different elements of the skeleton. Due to the challenge of collecting prenatal specimens in viviparous taxa, opportunistically collected museum specimens provide the best material for studying prenatal skeletal development across many mammalian species. Previous studies have investigated ossification sequence in a range of mammalian species, but little is known about the pattern of bone formation in Carnivora. Carnivorans have diverse ecologies, diets, and biomechanical specializations and are well-suited for investigating questions in evolutionary biology. Currently, developmental data on carnivorans is largely limited to domesticated species. To expand available data on carnivoran skeletal development, we used micro-computed tomography (micro-CT) to non-invasively evaluate the degree of ossification in all prenatal carnivoran specimens housed in the Harvard Museum of Comparative Zoology. By coding the presence or absence of bones in each specimen, we constructed ossification sequences for each species. Parsimov-based genetic inference (PGi) was then used to identify heterochronic shifts between carnivoran lineages and reconstruct the ancestral ossification sequence of Carnivora. RESULTS We used micro-CT to study prenatal ossification sequence in six carnivora species: Eumetopias jubatus (Steller sea lion, n = 6), Herpestes javanicus (small Indian mongoose, n = 1), Panthera leo (lion, n = 1), Urocyon cinereoargenteus (gray fox, n = 1), Ursus arctos arctos (Eurasian brown bear, n = 1), and Viverricula indica (small Indian civet, n = 5). Due to the relatively later stage of collection for the available specimens, few heterochronic shifts were identified. Ossification sequences of feliform species showed complete agreement with the domestic cat. In caniforms, the bear and fox ossification sequences largely matched the dog, but numerous heterochronic shifts were identified in the sea lion. CONCLUSIONS We use museum specimens to generate cranial and postcranial micro-CT data on six species split between the two major carnivoran clades: Caniformia and Feliformia. Our data suggest that the ossification sequence of domestic dogs and cats are likely good models for terrestrial caniforms and feliforms, respectively, but not pinnipeds.
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Affiliation(s)
- Jonathan L Sarasa
- University of Michigan, Ann Arbor, MI, USA
- Museum of Comparative Zoology, Department of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA, USA
- Human Evolutionary Biology, Harvard University, Cambridge, MA, USA
| | | | - Mark A Wright
- Museum of Comparative Zoology, Department of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA, USA
| | - Stephanie E Pierce
- Museum of Comparative Zoology, Department of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA, USA
| | - Terence D Capellini
- Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
- Broad Institute of Harvard and MIT, Cambridge, MA, USA.
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d’Aquino I, Piegari G, Miletti G, Sannino E, Costanza D, Meomartino L, Fico R, Riccio L, Vaccaro E, De Biase D, Paciello O. Morphometrical and Immunohistochemical Evaluation of Kidney as an Indirect Parameter to Estimate Age in Puppies in Veterinary Forensic Pathology. Animals (Basel) 2023; 13:2665. [PMID: 37627455 PMCID: PMC10451229 DOI: 10.3390/ani13162665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/01/2023] [Accepted: 08/14/2023] [Indexed: 08/27/2023] Open
Abstract
Estimation of age represents a central focus in the veterinary forensic pathology field. Currently, the visual examination of the dentition and the skeletal age are the main methods to estimate the age of puppies. Nevertheless, these methods are affected by a broad range of variables. In contrast, the kidney is characterized by a specific postnatal development. In human glomerulogenesis, fetal mesangial cells change their immunohistochemical phenotypes with maturation. Therefore, we hypothesized that histological and immunohistochemical examinations of the kidney can be used together as an indirect parameter for age determination in puppies' cadavers. Forty-five puppies' cadavers were divided into five groups defined by age (Group A= 0-15 days, Group B = 16-45 days, Group C = 46-85 days, Group D = 86-105 days, Group E= 105-365 days). For each case, kidney samples were collected and processed for histopathological (for morphometrical study of the glomerulus) and immunohistochemical (for the immunolocalization of the α-SMA protein) studies. Morphometrical study allowed us to observe statistical differences in the mean glomerulus numbers per field among assessed groups. Similarly, immunohistochemical examination showed differences in SMA expression among groups. Our findings suggest a potential use of kidney morphometrical and immunohistochemical examinations together as an indirect parameter to assess the age of illegally imported puppies.
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Affiliation(s)
- Ilaria d’Aquino
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Giuseppe Piegari
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Gianluca Miletti
- Unit of Forensic Veterinary Medicine, Department of Animal Health, Istituto Zooprofilattico Sperimentale del Mezzogiorno, 80055 Naples, Italy; (G.M.); (E.S.)
| | - Emanuela Sannino
- Unit of Forensic Veterinary Medicine, Department of Animal Health, Istituto Zooprofilattico Sperimentale del Mezzogiorno, 80055 Naples, Italy; (G.M.); (E.S.)
| | - Dario Costanza
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Leonardo Meomartino
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Rosario Fico
- National Reference Centre for Veterinary Forensic Medicine, Istituto Zooprofilattico Sperimentale delle Regioni Lazio e Toscana, 58100 Grosseto, Italy;
| | - Lorenzo Riccio
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Emanuela Vaccaro
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
| | - Davide De Biase
- Department of Pharmacy, University of Salerno, 84084 Salerno, Italy;
| | - Orlando Paciello
- Unit of Pathology, Department of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Naples, Italy; (I.d.); (D.C.); (L.M.); (L.R.); (E.V.); (O.P.)
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Congiusta MC, Soukup JW. Analysis of the approach angle to medial orbitotomy that avoids accidental neurotrauma in the mesaticephalic dog skull utilizing 3D computer models and virtual surgical planning. Front Vet Sci 2023; 10:1185454. [PMID: 37252393 PMCID: PMC10213780 DOI: 10.3389/fvets.2023.1185454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 04/13/2023] [Indexed: 05/31/2023] Open
Abstract
This study was conducted to determine an approach angle to medial orbitotomy that avoids accidental neurotrauma in mesaticephalic dogs. Medical records of dogs with mesaticephalic skulls that were presented to the veterinary medical teaching hospital for head computed tomography (CT) between September 2021 and February 2022 were reviewed. Descriptive data were queried, and CT findings were analyzed. Dogs greater than 20 kg and possessing a disease-free orbitozygomaticomaxillary complex (OZMC) on at least one side of the skull were included in this study. Digital imaging and communications in medicine (DICOM) files of head CT studies were imported into medical modeling software, and the safe approach angle for medial orbitotomy was determined using three-dimensional (3D) computer models and virtual surgical planning (VSP) principles. Angles were measured along the ventral orbital crest (VOC) from the rostral cranial fossa (RCF) to the rostral alar foramen (RAF). The safe approach angle at four points from rostral to caudal along the VOC was measured. The results at each location were reported as mean, median, 95% CI, interquartile ranges, and distribution. The results were statistically different at each location and generally increased from rostral to caudal. The variances between subjects and the differences between locations were large enough to suggest a standard safe approach angle in mesaticephalic dogs cannot be determined and should be measured for each patient. A standardized approach angle to medial orbitotomy is not possible in the mesaticephalic dog. Computer modeling and VSP principles should be implemented as part of the surgical planning process to accurately measure the safe approach angle along the VOC.
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Affiliation(s)
| | - Jason W. Soukup
- Dentistry and Oromaxillofacial Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States
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Van den Broeck M, Chen Y, Cornillie P. Age estimation of puppies based on the radiographically assessed development of ossification centres in the carpal and metacarpal regions. Vet Rec 2023; 192:e2582. [PMID: 36691858 DOI: 10.1002/vetr.2582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 10/30/2022] [Accepted: 12/12/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND The need for proper age determination in puppies has increased enormously due to the growing illegal trade in puppies that are too young to be removed from the litter or too young to have been properly vaccinated against rabies. METHODS Dorsopalmar and mediolateral radiographs of the (meta)carpal region, either taken from puppy cadavers or from the Faculty's patient database, were studied in a cross-sectional study of 252 puppies of various sizes, aged 6-212 days. The appearance and development of ossification centres as a function of age in five regions of interest in the (meta)carpal region were scored using a two- to six-step scoring system based on shape and delineation. RESULTS A positive correlation with age was found for all investigated regions. Intra- and interrater agreement between two observers was excellent, except for the distal epiphyses of the metacarpal bones. Postnatal ossification started after the second week of life with the carpal bones, closely followed by the radial trochlea. All ossification centres were present in all puppies from 84 days, except for the sesamoid bone in the tendon of the long abductor muscle of the first digit. Timing of appearance differed significantly between different sized breeds. There were no significant differences between the sexes. LIMITATIONS Age distribution was not balanced for all breed size classes. CONCLUSIONS The radiographic timing of the appearance and development of ossification centres in the carpal region is a promising method for age estimation in puppies.
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Affiliation(s)
- Martine Van den Broeck
- Department of Morphology, Imaging, Orthopedics, Rehabilitation and Nutrition, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Yao Chen
- Department of Morphology, Imaging, Orthopedics, Rehabilitation and Nutrition, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
- Department of Applied Mathematics, Computer Science and Statistics, Faculty of Sciences, Ghent University, Ghent, Belgium
| | - Pieter Cornillie
- Department of Morphology, Imaging, Orthopedics, Rehabilitation and Nutrition, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
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Fetal Growth and Osteogenesis Dynamics during Early Development in the Ovine Species. Animals (Basel) 2023; 13:ani13050773. [PMID: 36899630 PMCID: PMC10000038 DOI: 10.3390/ani13050773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/07/2023] [Accepted: 02/19/2023] [Indexed: 02/25/2023] Open
Abstract
Increased knowledge of the developmental processes during gestation could provide valuable information on potential alterations in embryonic/fetal development. We examined the development of ovine conceptus between the 20th and 70th day of gestation with three convergent analyses: (1) uterus ultrasound examination and measurement (eco) of crown-rump length (CRL) and biparietal diameter (BPD) of the conceptus; (2) direct measurement (vivo) of CRL and BPD of the conceptus outside the uterus (3) osteo-cartilage dynamics during development by differential staining. No significant differences were observed between eco and vivo measurements for CRL and BPD in all examined concepti. CRL and BPD, instead, showed a significant positive linear correlation with gestational age. The study of osteogenesis dynamics has demonstrated a completely cartilaginous ovine fetus at up to 35 days of gestation. The ossification begins in the skull (40th day) and is almost complete between the 65th and the 70th of pregnancy. Our study highlighted that CRL and BPD are accurate parameters for gestational age estimation in the first part of sheep pregnancy and provides an overview of osteochondral temporal dynamics. Furthermore, tibia ossification is a valid parameter to estimate fetal age by ultrasound.
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Romero MG, Marchetti C, Priotto M, Rodríguez M, Gobello C, Furlan P, Faya M. Evaluation of long-term effects of the gonadotrophin-releasing-hormone antagonist acyline on domestic-cat growth. Top Companion Anim Med 2022; 50:100680. [PMID: 35700871 DOI: 10.1016/j.tcam.2022.100680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 04/07/2022] [Accepted: 06/08/2022] [Indexed: 11/25/2022]
Abstract
Acyline contraception has been described in cats, but few data are available on the drug's long-term effect on growth. The relevant data cover until puberty with no radiographic description. We investigated the radiographic parameters throughout bone growth in order to more completely determine the drug's safety. Thirteen male and 12 female cats were studied, with the kittens being randomly assigned to one of the following groups within the first 24 h of birth: ACY, subcutaneous acyline, 33 µg/100 g, which injection was repeated weekly until age 3 months; or CO, untreated control. Body measurements were recorded weekly and radiographic parameters obtained from monthly radiographs of the antebrachium. In the ACY and CO male and female kittens, the body weight, withers height, and body length plus the age at the end of body growth and radial growth remained similar throughout the study (p>0.05). Both female groups finished radial growth before the males (p<0.05). The ACY females evidenced a longer radial length between the 8th and 28th weeks (p<0.05). All groups closed their proximal and distal physes within the normal ranges described for the species. The bone-cortex width was lower in the ACY vs. the CO animals at weeks 52 and 60 in the males and at weeks 24, 48, 52, and 56 in the females (p <0.05) The transient greater radial length and lower bone-cortex thickness observed in the treated cats were compensated for at the end of growth with no adverse clinical effects being observed. In conclusion, acyline as a contraceptive did not evidence a permanent or severe effect on domestic-cat growth.
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Affiliation(s)
- Mariela Grisolia Romero
- Consejo Nacional de Investigaciones Científicas y técnicas (CONICET), Godoy Cruz 2290, CP C1425FQB, CABA, Argentina; Universidad Católica de Córdoba, Av. Armada Argentina 3555, X5016DHK, Córdoba, Argentina
| | - Cynthia Marchetti
- Consejo Nacional de Investigaciones Científicas y técnicas (CONICET), Godoy Cruz 2290, CP C1425FQB, CABA, Argentina; Universidad Católica de Córdoba, Av. Armada Argentina 3555, X5016DHK, Córdoba, Argentina
| | - Marcelo Priotto
- Universidad Católica de Córdoba, Av. Armada Argentina 3555, X5016DHK, Córdoba, Argentina
| | - Marcelo Rodríguez
- Universidad Nacional del Centro de la Provincia de Buenos Aires, Pje. Arroyo Seco S/N, CP B7000, Tandil, Buenos Aires, Argentina
| | - Cristina Gobello
- Consejo Nacional de Investigaciones Científicas y técnicas (CONICET), Godoy Cruz 2290, CP C1425FQB, CABA, Argentina; Universidad Nacional de La Plata, Av 60 esq. 118, CP B1900, La Plata, Argentina
| | - Paulina Furlan
- Universidad Católica de Córdoba, Av. Armada Argentina 3555, X5016DHK, Córdoba, Argentina
| | - Marcela Faya
- Consejo Nacional de Investigaciones Científicas y técnicas (CONICET), Godoy Cruz 2290, CP C1425FQB, CABA, Argentina; Universidad Católica de Córdoba, Av. Armada Argentina 3555, X5016DHK, Córdoba, Argentina.
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Roccaro M, Diana A, Linta N, Rinnovati R, Freo M, Peli A. Limb development in skeletally-immature large-sized dogs: A radiographic study. PLoS One 2021; 16:e0254788. [PMID: 34297750 PMCID: PMC8301671 DOI: 10.1371/journal.pone.0254788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 07/04/2021] [Indexed: 11/18/2022] Open
Abstract
Despite the extreme morphological variability of the canine species, data on limb development are limited and the time windows for the appearance of the limb ossification centres (OCs) reported in veterinary textbooks, considered universally valid for all dogs, are based on dated studies. The aim of this study was to acquire up-to-date information regarding the arm, forearm and leg bone development in skeletally-immature large-sized dogs from 6 weeks to 16 weeks of age. Nine litters of 5 large-sized breeds (Boxer, German Shepherd, Labrador Retriever, Saarloos Wolfdog, White Swiss Shepherd Dog) were included, for a total of 54 dogs, which were subject to radiographic examination on a bi-weekly basis. The appearance of 18 limb OCs was recorded and 14 radiographic measurements were performed; their relationship with age and body weight was investigated and any breed differences were analysed using different statistical non-parametric tests. The number of OCs present was significantly different at 6 and 8 weeks of age between the investigated breeds. The appearance of the OCs occurred earlier in the Saarloos Wolfdog, while the Labrador Retriever was the later breed. In Boxers and Labrador Retrievers, various OCs showed a delayed appearance compared to the data reported in the literature. The number of OCs was strongly and positively correlated to body weight. Breed differences were also observed in the relative increase of the measured OCs and were not limited to dogs of different morphotypes. Statistically significant differences were most frequently observed between Saarloos Wolfdogs and the other breeds. The OCs that showed a greater variability in their development were the olecranon tuber, the patella and the tibial tuberosity. Their increase was more strongly correlated with the dog’s age and body weight. Our data strongly suggest that differences in limb development exist in dog breeds of similar size and morphotype.
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Affiliation(s)
- Mariana Roccaro
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
- * E-mail: (MR); (AD)
| | - Alessia Diana
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
- * E-mail: (MR); (AD)
| | - Nikolina Linta
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Riccardo Rinnovati
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Marzia Freo
- Department of Statistical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Angelo Peli
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
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Age assessment in puppies: Coming to terms with forensic requests. Forensic Sci Int 2019; 297:8-15. [PMID: 30743064 DOI: 10.1016/j.forsciint.2019.01.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 10/19/2018] [Accepted: 01/06/2019] [Indexed: 11/24/2022]
Abstract
Age estimation in growing dogs is crucial not only in clinical practice but increasingly so in forensic practice as well. In the last few years, it has assumed great importance for correctly identifying the age of puppies illegally imported to Italy as well as to other European countries. Puppies are, in fact, transported when they are too young to be moved, which can cause both animal/public health and animal welfare issues. Therefore, the movement of animals within the European Community is governed by strict rules, and veterinarians are often required to evaluate the age of the imported puppies in a forensic scenario as accurately as possible. To date, X-ray evaluation of limb bones ossification centers (OCs) is generally accepted as a valid tool to assess the age of puppies. A wealth of information exists on this topic but it is not always easily available. This work is a historical review of the existing literature and proposes two tables illustrating the timelines of limb OCs appearance and closure, coming to terms with forensic requests to evaluate the age of a puppy. The timelines reported indicate the need to improve methodology to enhance the accuracy and to reduce the error in age estimation.
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Andreis ME, Polito U, Veronesi MC, Faustini M, Di Giancamillo M, Modina SC. Novel contributions in canine craniometry: Anatomic and radiographic measurements in newborn puppies. PLoS One 2018; 13:e0196959. [PMID: 29738556 PMCID: PMC5940217 DOI: 10.1371/journal.pone.0196959] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 04/23/2018] [Indexed: 12/14/2022] Open
Abstract
The largest differences in intraspecific head shape among the Carnivora order are to be found in dogs. Based on their skull morphotypes, dog breeds are currently classified as dolichocephalic, mesaticephalic and brachycephalic. Due to the fact that some breeds have not been yet defined, this classification is incomplete; moreover, multi-breed studies on the skull morphology of puppies have never been performed. The aim of this work was to verify (i) whether differences in the skull conformation of purebred puppies are already present within the first week of age; (ii) whether radiographic and anatomic measures could be considered interchangeable, and (iii) to possibly classify puppies from non-categorized breeds thanks to their radiographic cranial measurements using neural nets. One hundred and thirty-seven dead puppies aged 0–7 days were examined considering their anatomic and radiographic measures. All linear measures and anatomic indices significantly differed among brachycephalic and non-brachycephalic puppies. Radiographic indices, with the exception of CI, identified the three skull morphotypes (p<0.05, for all comparisons). Radiographic and anatomic measures proved to be non-interchangeable in newborn puppies. Finally, nineteen puppies belonging to 5 non-categorized breeds could be classified thanks to neural nets in the three skull morphotypes with different probability (P between 0,66 and 0,95).
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Affiliation(s)
- Maria Elena Andreis
- Department of Health, Animal Science and Food Safety, Università degli Studi di Milano, Milano, Italy
| | - Umberto Polito
- Department of Health, Animal Science and Food Safety, Università degli Studi di Milano, Milano, Italy
| | | | - Massimo Faustini
- Department of Veterinary Medicine, Università degli Studi di Milano, Milano, Italy
| | - Mauro Di Giancamillo
- Department of Veterinary Medicine, Università degli Studi di Milano, Milano, Italy
- * E-mail:
| | - Silvia C. Modina
- Department of Health, Animal Science and Food Safety, Università degli Studi di Milano, Milano, Italy
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