COMPUTED TOMOGRAPHY-GUIDED PERCUTANEOUS BIOPSY: CRITERIA FOR ACCURATE NEEDLE TIP IDENTIFICATION

Precise localization of the needle tip during CT-guided percutaneous biopsy is considered to be a key element of a successful procedure. To ensure accuracy, the true needle tip must be differentiated from a false or simulated tip which appears when the CT slice encompasses only the shaft of an angled needle. By obtaining images of an aspiration biopsy needle inserted vertically into a phantom and then incrementally tilting the gantry, the authors were able to compare the characteristic features of the true tip to the simulated tip. The true tip was abrupt and distinct and had an adjacent flame-like low density artifact. The simulated tip was indistinct and tapered, yet still produced the adjacent artifact. We concluded that the shape and distinctness of the end portion of the needle itself, rather than the attendant artifact, were the most reliable criteria for accurate needle tip identification.     

ULTRASONOGRAPHY OF ALIMENTARY LYMPHOSARCOMA IN THE CAT

Clinical, radiological and ultrasonographic findings from 22 cats with gastrointestinal lymphosarcoma were reviewed. The most common clinical findings were anorexia, weight loss, vomiting, lethargy, depression, fever, anemia and a palpable abdominal mass. Abdominal radiographs of 12 cats revealed a mass associated with the gastrointestinal tract and/or mesentery, and decreased serosal detail, suggestive of peritoneal effusion. The most common ultrasonographic finding was transmural gastric or intestinal thickening associated with loss of normal wall layering, reduced wall echogenicity and localized hypomotility. As is noted in people, other patterns such as transmural-segmental, transmural-nodular, transmural-bulky and mucosal infiltration were represented. In 3 cats, mesenteric lymph-adenopathy was responsible for most of the mass-effect. Fine-needle aspiration biopsy, automated microcore biopsy, endoscopic biopsy or necropsy confirmed the diagnosis of lymphosarcoma in all cats. Chemotherapy was instituted in 19 cats. Only 6 cats had a complete response to treatment. The results of this study indicate that ultrasonography is a valuable tool for the diagnosis of feline alimentary lymphosarcoma and that biopsies can be obtained under ultrasonographic guidance.     

Update on antifungal therapy.

Fungal pathogens are becoming increasingly important for human and small animal medicine. This article highlights many standards-of-care and new agents for treatment of these pathogens for small animals and people.     

Book reviews

The T.M.E. System of Feed Evaluation. I.R. Sibbald, Animal Research Centre Contribution 83‐1, Animal Research Centre, Ottawa, Ontario, Canada.

Physiology and Behaviour of the Pigeon, edited by M. Abs. 1983. 360 pages, illustrated. London, Academic Press Ltd. Price £34.00. ISBN 0 12 042950 0.     

A note on the amino acid composition of the Turkey

1. The amino acid composition of the whole body protein of 28‐ and 56‐d‐old turkeys is reported.

2. There were some differences between the two ages; these could largely be reconciled by considering the likely differences in the proportion of feather protein.

3. The results were compared with similar values for the chicken and goose; overall there is a striking similarity, both in absolute concentrations and relative proportions of amino acids.     

Mode of action of the systemic fungicides furalaxyl,metalaxyl and ofurace

The systemic fungicides furalaxyl, metalaxyl and ofurace,

1 Ofurace is the proposed BSI and ISO common name for α-(2-chloro-N-2,6-xylylacetamido)-γ-butyrolactone.

used to control diseases caused by phycomycetes, were extremely active in vitro against Pythium ultimum, Phytophthora nicotianae and Phytophthora palmivora. Sporangia production was reduced more than mycelial growth but germination of sporangia and zoospores was relatively unaffected. Less than 1% of the metalaxyl or furalaxyl, present in media at the ED₅₀ for hyphal growth, was firmly absorbed by Phyt. palmivora mycelium; uptake was against a concentration gradient and was characterised by a rapid accumulation followed by a more gradual release. Respiration and wall synthesis were not inhibited, whilst membrane permeability was unaffected. Lipid patterns were altered but these changes were probably of secondary importance. The fungicides inhibited protein and nucleic acid synthesis; RNA production was particularly affected. There was some evidence of a reduction in nuclear division. The primary effect of furalaxyl and metalaxyl probably involves impaired biosynthesis of RNA so that mitosis is inhibited; ofurace may act in the same way.