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Borowska M, Lipowicz P, Daunoravičienė K, Turek B, Jasiński T, Pauk J, Domino M. Three-Dimensional Segmentation of Equine Paranasal Sinuses in Multidetector Computed Tomography Datasets: Preliminary Morphometric Assessment Assisted with Clustering Analysis. SENSORS (BASEL, SWITZERLAND) 2024; 24:3538. [PMID: 38894336 PMCID: PMC11175080 DOI: 10.3390/s24113538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Revised: 05/27/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024]
Abstract
The paranasal sinuses, a bilaterally symmetrical system of eight air-filled cavities, represent one of the most complex parts of the equine body. This study aimed to extract morphometric measures from computed tomography (CT) images of the equine head and to implement a clustering analysis for the computer-aided identification of age-related variations. Heads of 18 cadaver horses, aged 2-25 years, were CT-imaged and segmented to extract their volume, surface area, and relative density from the frontal sinus (FS), dorsal conchal sinus (DCS), ventral conchal sinus (VCS), rostral maxillary sinus (RMS), caudal maxillary sinus (CMS), sphenoid sinus (SS), palatine sinus (PS), and middle conchal sinus (MCS). Data were grouped into young, middle-aged, and old horse groups and clustered using the K-means clustering algorithm. Morphometric measurements varied according to the sinus position and age of the horses but not the body side. The volume and surface area of the VCS, RMS, and CMS increased with the age of the horses. With accuracy values of 0.72 for RMS, 0.67 for CMS, and 0.31 for VCS, the possibility of the age-related clustering of CT-based 3D images of equine paranasal sinuses was confirmed for RMS and CMS but disproved for VCS.
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Affiliation(s)
- Marta Borowska
- Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Białystok University of Technology, 15–351 Bialystok, Poland; (P.L.); (J.P.)
| | - Paweł Lipowicz
- Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Białystok University of Technology, 15–351 Bialystok, Poland; (P.L.); (J.P.)
| | - Kristina Daunoravičienė
- Department of Biomechanical Engineering, Vilnius Gediminas Technical University, 03224 Vilnius, Lithuania;
| | - Bernard Turek
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02–787 Warsaw, Poland; (B.T.); (T.J.)
| | - Tomasz Jasiński
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02–787 Warsaw, Poland; (B.T.); (T.J.)
| | - Jolanta Pauk
- Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Białystok University of Technology, 15–351 Bialystok, Poland; (P.L.); (J.P.)
| | - Małgorzata Domino
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02–787 Warsaw, Poland; (B.T.); (T.J.)
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Turgut N, Bahar S, Kılınçer A. CT and cross-sectional anatomy of the paranasal sinuses in the Holstein cow. Vet Radiol Ultrasound 2023; 64:211-223. [PMID: 36264584 DOI: 10.1111/vru.13166] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 08/11/2022] [Accepted: 08/12/2022] [Indexed: 11/29/2022] Open
Abstract
The structure of paranasal sinuses in cattle is difficult to understand due to its complexity, age-related changes, and insufficient published data. In this prospective, anatomic study, we described the anatomy of the paranasal sinuses in the Holstein cow using computed tomography (CT) and cross-sectional anatomic slices. Twelve healthy adult Holstein cow heads were used for this study. The heads were scanned using CT, and frozen anatomical sections were taken. The locations, borders, and relationships of the paranasal sinuses were defined on the anatomical sections and CT images. The paranasal sinuses on each side of the head consisted of conchal (dorsal, middle, and ventral), maxillary, lacrimal, palatine, frontal, sphenoid sinuses, and ethmoidal cells. The frontal sinus pneumatized all bones surrounding the cranial cavity, except for the ethmoidal and body of basisphenoid bones. The sphenoid and ventral conchal sinuses were the most asymmetrical, and the middle conchal sinus was the simplest. The ventral conchal sinus was detected in eleven animals, one of which was unilateral. This sinus communicated with the middle nasal meatus (13/21) and ventral nasal meatus (8/21). Findings can be used as background for interpreting CT studies of cattle with clinical signs of sinonasal region diseases. Future cross-sectional radiological and reconstructive anatomical studies and investigation of the postnatal development of related structures in cattle are needed.
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Affiliation(s)
- Nimet Turgut
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - Sadullah Bahar
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - Abidin Kılınçer
- Department of Radiology, Faculty of Medicine, Selcuk University, Konya, Turkey
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Minuto J, Bedenice D, Ceresia M, Zaghloul I, Böhlke M, Mazan MR. Clinical effects and pharmacokinetics of nebulized lidocaine in healthy horses. Front Vet Sci 2022; 9:984108. [PMID: 36187809 PMCID: PMC9521615 DOI: 10.3389/fvets.2022.984108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 08/15/2022] [Indexed: 11/13/2022] Open
Abstract
Background Nebulized lidocaine appears promising as a novel corticosteroid-sparing therapeutic for equine asthma, but its safety and pharmacokinetic behavior have yet to be confirmed. Objective To describe the effect of nebulized lidocaine on upper airway sensitivity, lung mechanics, and lower respiratory cellular response of healthy horses, as well as delivery of lidocaine to lower airways, and its subsequent absorption, clearance, and duration of detectability. Animals Six healthy university- and client-owned horses with normal physical examination and serum amyloid A, and no history of respiratory disease within 6 months. Methods Prospective, descriptive study evaluating the immediate effects of 1 mg/kg 4% preservative-free lidocaine following nebulization with the Flexineb®. Prior to and following nebulization, horses were assessed using upper airway endoscopy, bronchoalveolar lavage, and pulmonary function testing with esophageal balloon/pneumotachography and histamine bronchoprovocation. Additionally, blood and urine were collected at predetermined times following single-dose intravenous and nebulized lidocaine administration for pharmacokinetic analysis. Results Upper airway sensitivity was unchanged following lidocaine nebulization, and no laryngospasm or excessive salivation was noted. Lidocaine nebulization (1 mg/kg) resulted in a mean epithelial lining fluid concentration of 9.63 ± 5.05 μg/mL, and a bioavailability of 29.7 ± 7.76%. Lidocaine concentrations were higher in epithelial lining fluid than in systemic circulation (Cmax 149.23 ± 78.74 μg/L, CELF:Cmaxplasma 64.4, range 26.5–136.8). Serum and urine lidocaine levels remained detectable for 24 and 48 h, respectively, following nebulization of a single dose. Baseline spirometry, lung resistance and dynamic compliance, remained normal following lidocaine nebulization, with resistance decreasing post-nebulization. Compared to the pre-nebulization group, two additional horses were hyperresponsive following lidocaine nebulization. There was a significant increase in mean airway responsiveness post-lidocaine nebulization, based on lung resistance, but not dynamic compliance. One horse had BAL cytology consistent with airway inflammation both before and after lidocaine treatment. Conclusions Nebulized lidocaine was not associated with adverse effects on upper airway sensitivity or BAL cytology. While baseline lung resistance was unchanged, increased airway reactivity to histamine bronchoprovocation in the absence of clinical signs was seen in some horses following nebulization. Further research is necessary to evaluate drug delivery, adverse events, and efficacy in asthmatic horses.
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Affiliation(s)
- Jillian Minuto
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, United States
| | - Daniela Bedenice
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, United States
| | - Michelle Ceresia
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, United States
- Department of Pharmacy Practice, School of Pharmacy, MCPHS University, Boston, MA, United States
| | - Iman Zaghloul
- Department of Pharmaceutical Sciences, School of Pharmacy, MCPHS University, Boston, MA, United States
| | - Mark Böhlke
- Department of Pharmaceutical Sciences, School of Pharmacy, MCPHS University, Boston, MA, United States
| | - Melissa R. Mazan
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, United States
- *Correspondence: Melissa R. Mazan
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Goodarzi N, Zehtabvar O, Tohidifar M. Applied anatomy of the skull in the Arabian horse: A computed tomographic, cross-sectional, volumetric and morphometric study. Vet Med Sci 2021; 7:2225-2233. [PMID: 34453414 PMCID: PMC8604115 DOI: 10.1002/vms3.618] [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] [Indexed: 11/07/2022] Open
Abstract
This study was conducted to present a comprehensive and integrative computed tomography (CT) – anatomical cross sections atlas of skull, volumetric properties of the paranasal sinuses, and morphometric values for surface cranial nerves in the adult Arabian horse. Ten heads of Arabian horse breed were used. The different structures in the nasal, oral and cranial cavities were determined and labelled in the anatomical sections and their corresponding CT scan images. Three paranasal sinuses namely maxillary, conchofrontal and sphenopalatine sinuses were identified in the CT scan images. The caudal maxillary sinus was the largest paranasal sinus with 131.93 ± 7.67 cm3 volume and the sphenopalatine sinus 13.3 ± 1.2 cm3 volume was the smallest one. The infraorbital foramen was located 4.16 ± 0.18 cm and 4.70 ± 0.35 cm far away from the most rostral point of the facial crest and alveolar root, respectively. The mean distance between the mental foramen and most lateral incisive tooth was 3.12 ± 0.29 cm. These results including present CT scan‐cross‐sectional atlas, paranasal sinuses volume and morphometric properties would be applicable in practice for more precise diagnosis of head lesions and blocking the surface terminal branches of the cranial nerves during surgical operations in this valuable horse's breed.
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Affiliation(s)
- Nader Goodarzi
- Faculty of Veterinary Medicine, Department of Basic Sciences and Pathobiology, Razi University, Kermanshah, Iran
| | - Omid Zehtabvar
- Faculty of Veterinary Medicine, Department of Basic Sciences, University of Tehran, Tehran, Iran
| | - Mohsen Tohidifar
- Faculty of Veterinary Medicine, Razi University, Kermanshah, Iran
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Köhler L, Schulz-Kornas E, Vervuert I, Gittel C, Winter K, Berner D, Gerlach K. Volumetric measurements of paranasal sinuses and examination of sinonasal communication in healthy Shetland ponies: anatomical and morphometric characteristics using computed tomography. BMC Vet Res 2021; 17:41. [PMID: 33478485 PMCID: PMC7818571 DOI: 10.1186/s12917-021-02748-6] [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: 07/06/2020] [Accepted: 01/06/2021] [Indexed: 11/13/2022] Open
Abstract
Background Despite clinical importance and frequent occurrence of sinus disease, little is known about the size of paranasal sinuses and their communication in ponies and small horses. To examine the shape and volume of the paranasal sinuses and evaluate the sinonasal communication, three-dimensional (3D) reconstructions of computed tomography (CT) datasets of 12 healthy adult Shetland ponies were performed and analysed. Linear measurements of head length and width were taken. Using semi-automatic segmentation, 3D-models of all sinus compartments were created. Volumetric measurement of the seven sinus compartments were conducted and statistical analysis was performed. Sinus volumes were compared between the left and right sinuses and the relation to age and head size was evaluated. Results Structure and shape of the paranasal sinus system in Shetland ponies was similar to that of large horses. All seven sinus compartments on each side of the head were identified (rostral maxillary sinus, ventral conchal sinus, caudal maxillary sinus, dorsal conchal sinus, middle conchal sinus, frontal sinus, sphenopalatine sinus). The existence of a bilateral cranial and a caudal system formed by a maxillary septum was visible in all 12 individuals. The volumetric sizes of the left and right sinuses did not differ significantly (p > 0.05). A positive correlation between the size of the paranasal sinuses and the head length was shown. A relation between sinus volumes and age could not be proved in adult ponies aged > six years. Communication between single sinus compartments was identified. Furthermore, communication with the nasal cavity over the nasomaxillary aperture (Apertura nasomaxillaris) and a common sinonasal channel (Canalis sinunasalis communis) as well as its splitting up into a rostral and a caudolateral channel could be seen. Examination of the sinonasal communication was challenging and only a descriptive evaluation was possible. Conclusions Our findings concerning the size, shape and volumetric dimensions of Shetland pony CT images could help improve CT interpretation of abnormal clinical cases as well as aiding clinicians to develop and select appropriate instruments for medical inspection and treatments.
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Affiliation(s)
- Lisa Köhler
- Department for Horses, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 21, D-04103, Leipzig, Germany.
| | - Ellen Schulz-Kornas
- Max Planck Institute for Evolutionary Anthropology, Max Planck Weizmann Centre for Integrative Archaeology and Anthropology (MPWC), Deutscher Platz 6, D-04103, Leipzig, Germany.,Department of Cardiology, Endodontics and Periodontology, University of Leipzig, Liebigstr. 12, D-04103, Leipzig, Germany
| | - Ingrid Vervuert
- University of Leipzig, Institute of Animal Nutrition, Nutrition Diseases and Dietetics, (IAND), , An den Tierkliniken 9, D-04103, Leipzig, Germany
| | - Claudia Gittel
- Department for Horses, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 21, D-04103, Leipzig, Germany.,Queens Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK
| | - Karsten Winter
- Institute of Anatomy, University of Leipzig, Liebigstraße 13, D-04103, Leipzig, Germany
| | - Dagmar Berner
- Equine Referral Hospital, Royal Veterinary College, University of London, Hawkshead Lane, Leipzig, Hertfordshire AL9 7TA, UK
| | - Kerstin Gerlach
- Department for Horses, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 21, D-04103, Leipzig, Germany
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Liuti T, Reardon R, Dixon PM. Computed tomographic assessment of equine maxillary cheek teeth anatomical relationships, and paranasal sinus volumes. Vet Rec 2017; 181:452. [PMID: 28893971 DOI: 10.1136/vr.104185] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 06/09/2017] [Accepted: 07/29/2017] [Indexed: 11/04/2022]
Abstract
Disorders affecting the equine maxillary cheek teeth and paranasal sinuses are relatively common, but limited objective information is available on the dimensions and relationships of these structures in horses of different ages. The aims of this study were to assess age-related changes in the positioning and anatomical relationships of the individual maxillary cheek teeth with the infraorbital canal and maxillary septum and the volumes of the individual sinus compartments. CT and gross examination were performed on 60 normal equine cadaver heads that were aged by their dentition. The intrasinus position of cheek teeth, length of reserve crowns, relationship to the infraorbital canal and measurements of rostral drift and sinus compartment volumes were assessed from CT images. The findings included that Triadan 10 alveoli lay fully or partially in the rostral maxillary sinus (RMS) in 60% of cases. The infraorbital canal lay directly on the medial aspect of the alveolar apex in younger horses. The Triadan 11'sclinical crowns and apices drifted a mean of 2.48 and 2.83 cm more rostral to the orbit, respectively, in the >15 years old vs the <6 years old age group. The mean volumes of sinus compartments ranged from 175 cm3 for the caudal maxillary sinus (CMS) to 4 cm3 for the ethmoidal sinus (ES). This information should be of value in the diagnosis and treatment of equine dental and sinus disorders and as reference values for further studies.
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Affiliation(s)
- Tiziana Liuti
- Veterinary Clinical Sciences, Diagnostic Imaging, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, Midlothian, UK
| | - Richard Reardon
- Veterinary Clinical Sciences, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, Midlothian, UK
| | - Paddy M Dixon
- Veterinary Clinical Sciences, Diagnostic Imaging, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, Midlothian, UK.,Veterinary Clinical Science, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, Midlothian, UK
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