IMAGING DIAGNOSIS—METASTATIC HEMANGIOSARCOMA CAUSING CEREBRAL HEMORRHAGE IN A DOG

A 9-year-old male Appenzeller mountain dog had progressive severe ataxia and central vestibular syndrome that was localized clinically to the brain stem. The cerebrospinal fluid characteristics were suggestive of hemorrhage into the subarachnoid space. On computed tomography (CT), hyperattenuating masses were found in the left lateral ventricle extending into the cerebrum, and another involving the cerebellum and brainstem. The hyperattenuation of the masses in noncontrast images and the absence of contrast enhancement were consistent with hemorrhage. The dog underwent euthanasia. A metastatic hemangiosarcoma in the brain, causing acute bleeding in the left lateral ventricle and the brainstem, was found. A solitary mass in the left myocardium was thought to be the primary site. CT characteristics of intracranial hemorrhage are reviewed.     

EFFECT OF CONTRAST MEDIUM INJECTION DURATION ON PEAK ENHANCEMENT AND TIME TO PEAK ENHANCEMENT OF CANINE PULMONARY ARTERIES

Our goal was to investigate the effect of contrast medium injection duration on pulmonary artery peak enhancement and time to peak enhancement. Fourteen dogs were allocated into one of seven predefined weight categories, each category contained two dogs. Dogs in each weight category were assigned to group A or B. Animals in each group received a different contrast medium injection protocol. In group A, a fixed injection rate of 5 ml/s was used. In group B, the contrast injection rate was calculated as follows: flow rate=contrast volume/scan duration+10 s. Time to peak enhancement and peak enhancement of the main left and right pulmonary arteries were measured on single‐level, dynamic CT images for a fixed time of 30 s. Rank correlation (Spearman's) coefficients between injection duration and time to peak enhancement and between body weight and peak enhancement were calculated. For group A, there was a significant negative correlation between peak enhancement and weight (r=?0.94; P=0.005), while for group B, there was no significant correlation (r=?0.64 and P=0.18). There was a significant correlation between time to peak enhancement and injection duration in both groups (group A: r=0.99; P=0.006 and group B: r=0.85; P=0.02). In conclusion, injection duration is a key feature in a CT angiography injection protocol. A protocol with an injection duration adjusted to the scan duration seems to be particularly suitable for veterinary applications where a population with great weight variability is studied.     

Seasonal changes in vertical distribution patterns of cod (Gadus morhua) in the Bornholm Basin,central Baltic Sea

Hydroacoustic single fish detection and corresponding hydrographic measurements were used to study seasonal changes in vertical distribution of adult cod (Gadus morhua) in relation to ambient environmental conditions in the Bornholm Basin, central Baltic Sea. Sampling was conducted in April, June and August covering the years 2006–2009. Vertical distribution of individual fish was resolved from hydroacoustic single‐target detection in combination with a fish‐tracking algorithm and related to ambient hydrographic conditions. Based on a generalized linear effect model, both salinity and oxygen concentration were identified as key parameters affecting cod vertical distribution. Results also showed a clear seasonal effect with a more shallow distribution as the spawning season progressed and oxygen concentrations in the deep parts of the basin deteriorated. The upper limit of the distributional range was mostly constituted by the halocline and remained rather constant, whereas increasing oxygen depletion in the deep water layers lifted the lower boundary of the vertical distribution, leading to the observed upward shift in the overall distribution pattern. The results presented in this study highlight a significant shortcoming of the assessment survey design established for this species, as the observed shift in vertical distribution is not taken into account, thus introducing a potential bias into a data series used to tune the ICES standard stock assessment of this species.     

THORACIC COMPUTED TOMOGRAPHY FINDINGS IN DOGS EXPERIMENTALLY INFECTED WITH ANGIOSTRONGYLUS VASORUM

To characterize the computed tomography (CT) features of thoracic lesions caused by infection with Angiostrongylus vasorum, pre‐ and postcontrast CT was performed in six experimentally infected Beagles 13 weeks postinoculation and in four of these 9 weeks postchemotherapy. Findings were compared with survey radiographs and necropsy findings. A multicentric bronchoalveolar pattern more pronounced at the lung periphery was present radiographically. On CT, the predominant abnormality underlying this alveolar pattern was multiple large nodules merging to areas of consolidation, and containing air bronchograms of varying extent. These nodular changes corresponded to histopathologic granulomata, consisting mainly of macrophages, multinucleated giant cells, and lymphocytes that had accumulated around larvae and eggs. Morphologically, no bronchial changes were observed on CT or histologically. Quantitatively, however, on CT there was evidence of bronchial thickening at 13 weeks postinoculation and mild very peripheral bronchiectasia 9 weeks postchemotherapy. Regional lymph nodes were enlarged after infection, and smaller after treatment. On postcontrast CT, several suspicious intraluminal filling defects suggestive of thrombosis were found; however, the tortuosity of some pulmonary arteries seen radiographically was not present in CT images. After treatment, the consolidations and large nodules had almost completely disappeared. A remaining radiographic interstitial pattern was characterized on CT as ground‐glass opacifications, subpleural interstitial thickening, subpleural lines, and interface signs. These interstitial changes reflected fibrosis as documented histopathologically. CT allowed very detailed and accurate characterization of pulmonary parenchymal lesions, bronchi, and lymphnodes and closely reflected histopathological changes.     

INTRAHEPATIC VENOUS COLLATERALS PREVENTING SUCCESSFUL STENT-SUPPORTED COIL EMBOLIZATION OF INTRAHEPATIC SHUNTS IN DOGS

The purpose of the following study was to evaluate stent-supported coil embolization of the hepatic vein in combination with antithrombotic treatment as a method for treatment of intrahepatic shunts, and to describe the complications associated with this procedure. Seven dogs with an intrahepatic shunt were included in a prospective clinical trial. A stepwise procedure was performed. First intervention: transjugular retrograde portography and stent implantation into caudal vena cava; second intervention: hepatic vein embolization combined with an antithrombotic treatment; third intervention in dogs with residual shunting: hepatic vein embolization without antithrombotic treatment. A right shunt was found in one dog and a left shunt in six dogs. Primary intrahepatic venous collaterals were found in one dog and hepatic vein embolization was not performed. Stent implantation into the caudal vena cava was performed in the other six dogs. There was no stent migration or thrombosis. Following the first coil intervention two dogs died due to vessel laceration while removing an oversized or migrated coil. On follow-up the shunt was completely closed in one dog. Secondary intrahepatic venous collaterals developed after the first or second coil intervention in two and one dog, respectively. In conclusion, stent-supported coil embolization of the hepatic vein in combination with an antithrombotic treatment was of limited success because primary or secondary intrahepatic venous collaterals tend to occur.