ULTRASOUND SCANNING OF SUPERFICIAL STRUCTURES USING AN ULTRASOUND STANDOFF PAD

Complete ultrasonographic visualization of superficial structures is facilitated by using a commercially available ultrasound standoff pad. Normally, scanning of superficial structures is difficult, even when using high-frequency transducers. A major problem is the generation of intense echoes in the most superficial zone of the near field due to transducer reverberations. The ultrasound standoff pad decreases or prevents echo reverberations in the area of interest by placing it in the focal zone of the transducer. The standoff pad has been used to evaluate the flexor tendons of the equine metacarpus and metatarsus, canine testicle, canine lymph node, and other organs in cats and small dogs. Examples of this technique are presented.     

INTRAVASCULAR ULTRASOUND CONTRAST MEDIA

Intravascular ultrasound contrast media are substances that increase the echogenicity of blood. Although not yet completely explored, the clinical applications of intravascular ultrasound contrast media are cardiologic, such as for chamber opacification and myocardial perfusion imaging, the assessment of vascular diseases in general and the study of tumor vessels. Gas-filled bubbles are the preferred echo-enhancing contrast media. Research in this field is concentrating on the creation of very small, stable and non-toxic bubbles, capable of surviving pulmonary transit and appear into the left heart and peripheral vessels. Contrast provided by such media is visible on grey-scale images of the heart and also enhances Doppler signals. The potential clinical applications and the problems related to the creation of ultrasound contrast media suitable for clinical use are reviewed and illustrated by examples of contrast injections performed on patients.     

HARMONIC ULTRASOUND: A REVIEW

Harmonic ultrasound is a technique based on the principle of transmitting at frequency f and receiving at frequency 2f (or 1/2f). This technology has become available through the development of wide-bandwidth transducers. Microbubble contrast media produce a large amount of harmonic signal. Contrast harmonic ultrasound provides the opportunity to image patterns of high flow vasculature and overall perfusion. Regions of poor perfusion, including necrosis or infarction, can be identified with contrast harmonic ultrasound. While proportionately lower, tissues also produce harmonic signals. Tissue harmonic ultrasound sequences often improve subjective image quality compared to fundamental ultrasound in echocardiographic and abdominal examinations. This review will discuss the physical principles of harmonic ultrasound signal generation, medical and animal research applications, and an overview of current veterinary experiences.     

TESTICULAR ULTRASOUND IN THE NORMAL DOG

The testicles of ten dogs presented for routine castration were imaged with real time ultrasound. A scanning technique using multiple imaging planes (sagittal, transverse, and dorsal planes) was developed to image the testicles and epididymi. The testes were characterized by a coarse medium echo pattern. The mediastinum testis was consistently seen as a 0.2 cm wide linear hyperechoic structure in the central long axis of the testis. The ability to identify and the appearance of the epididymis was variable. The tail was consistently seen as an anechoic to hypoechoic structure. Ultrasound images were compared for anatomical structure with frozen gross sections. Ultrasonic and gross measurements were made and analyzed. Individual gross and ultrasonic measurements compared favorably. Linear regression coefficients between body surface area versus testicular length and diameter were 0.73 and 0.58 respectively. A Wilcoxin signed rank test for similarity p = 0.33 value was found when comparing the right to the left testicle.     

ENDOSCOPIC ULTRASOUND OF THE CANINE ABDOMEN

The aim of this study was to develop a standardized procedure for examination of the canine abdomen using endoscopic ultrasound and to describe the organs and structures that could be identified transgastrically. The abdomen of four healthy dogs and two cadavers were examined with endoscopic ultrasound. Five anatomic landmarks were used for standardized imaging of the cranial abdomen. These were the portal vein, splenic head and body, duodenum, left kidney, and aorta. High-resolution images of the following organs and structures could be made: distal esophagus, gastric wall from the cardia to the pylorus, liver, caudal vena cava, hepatic lymph nodes, liver hilus, and associated vessels, trifurcation of the celiac artery as well as the path of its branches and the left pancreatic limb and body. Structures that were more difficult to image were the distal duodenum and right pancreatic limb, the entire jejunum, ileum, and cecum as well as the tail of the spleen. Endoscopic ultrasound allowed excellent visualization of the gastric wall and regional structures without interference with gas artefacts. Centrally located organs such as the pancreas could be well examined transgastrically with endoscopic ultrasound without interference by overlying intestinal segments as is common with transabdominal ultrasound.     

ULTRASOUND PREDICTION OF PARTURITION IN QUEENS

Eight pregnancies in five queens were followed with serial ultrasound examinations. Measurements of head and body diameter were made throughout pregnancy. These measurements were used to produce individual growth curves for each pregnancy and average curves for both head and body diameter. Formulas based on the slope of the growth curves were derived. These formulas were then used to predict parturition dates based on single measurements of fetal head and/or body diameter in eight additional queens. Predicted date of parturition was then compared to actual queening dates. Ultrasound prediction of parturition date was accurate to within two days in seven of eight queens.     

ULTRASOUND APPEARANCE OF AN EQUINE TESTICULAR SEMINOMA

A 16-year-old thoroughbred stallion developed sudden swelling of the left testicle. The stallion had previously been regarded as a unilateral cryptorchid. Ultrasound examination of the left testicle revealed a diffusely heterogeneous parenchyma. The testicle was diffusely hypoechoic with ill defined regions of hyperechogenicity giving the appearance of hypoechoic nodules throughout the testicular parenchyma. No normal testicular tissue was identifiable. An echogenic band, representing a pseudocapsule could be seen surrounding the testicle. Histopathologic diagnosis a seminoma.