Computed tomography of the lungs of Indian pythons (Python molurus)

OBJECTIVE: To evaluate the use of computed tomography (CT) for detection of pneumonia in snakes. ANIMALS: 8 clinically normal Indian pythons (Python molurus) and 5 pythons with evidence of respiratory tract disease. PROCEDURES: Preliminary examinations (clinical examination, conventional radiography, and microbiologic examination of a transtracheal wash sample) were performed. The lungs of each snake were then examined by use of CT performed in accordance with a standardized protocol. Structures of the lungs were assessed, and thickness and attenuation of the parenchyma were determined. RESULTS: It was possible to assess lung parenchyma in all pythons. Mean +/- SD attenuation in healthy pythons was -744.4 +/- 47.1 Hounsfield units. Significant differences were not evident between the right and left lungs or among measurement areas within a lung. In all Indian pythons with clinical signs of dyspnea and microbiologic detection of pathogens, hyperattenuation of the alveolar tissue was evident. CONCLUSIONS AND CLINICAL RELEVANCE: Analysis of the results revealed the benefit of CT for use in the diagnosis of pneumonia in snakes. A standardized protocol and reference values were established as a basis for CT assessment of the lungs of snakes.     

Giant Friedel Oscillations on the Beryllium(0001) Surface

Large-amplitude electron density oscillations were observed on a Be(0001) surface by means of variable-temperature scanning tunneling microscopy. Fourier transforms of the images showed a ring of radius 2kF, where kF is the Fermi wave vector of the Be(0001) surface state. This wavelength was expected from Friedel oscillations caused by electronic screening of surface defects, but the amplitude of the waves for energies near the Fermi energy was anomalously large and inconsistent with the Friedel concept of screening. The enhanced amplitude of the waves must be a many-body effect, either in the electron gas (possibly an incipient charge density wave) or in the response of the lattice (electron-phonon coupling).     

Clinical Technique: Digital Radiography in Exotic Pets—Important Practical Differences Compared with Traditional Radiography

The future of radiography will be digital. In exotic pet radiography, where some of the animals have a very low body weight and anatomic structures can be small, detail rendition plays an important feature in image quality. Veterinarians should be familiar with the technical principles, image quality criteria, and radiation exposure issues associated with the various types of digital systems currently available. This article discusses basic principles of digital radiography, technical solutions, and selected parameters characterizing detectors, processing, and monitors. An overview of reported experiences is given, and results from experimental clinical studies are reviewed to evaluate the current options and limitations in applying digital radiography to exotic pet medicine.     

MAGNETIC RESONANCE IMAGING OF PULP IN NORMAL AND DISEASED EQUINE CHEEK TEETH

A retrospective analysis of 619 upper and lower cheek teeth from 62 horses was performed. Based on clinical findings, as well as radiographic and magnetic resonance (MR) imaging findings, the teeth were classified into five groups. There were 20 teeth with abnormal MR imaging signals as well as clinical alterations and 599 healthy teeth. Using MR imaging, the appearance of pulp in diseased and disease‐free teeth was compared, and the appearance of abnormal pulp was studied. Subsequently, the ability of MR imaging to diagnose pulpitis and pulp necrosis in teeth with normal external appearance was investigated. In horses with clinically verified dental disease, abnormal MR imaging findings were confirmed in the pulp of all affected teeth. An enlarged blurred pulp image with a lower signal intensity was observed only in clinically diseased teeth and was a reliable criterion for diagnosing dental disease on MR imaging. On the other hand, partial or complete absence of pulp in all MR imaging sequences was observed in both diseased and nondiseased teeth. These data demonstrate that pulp changes in equine cheek teeth can be evaluated using MR imaging.     

FUNCTIONALITY OF VETERINARY IDENTIFICATION MICROCHIPS FOLLOWING LOW‐ (0.5 TESLA) AND HIGH‐FIELD (3 TESLA) MAGNETIC RESONANCE IMAGING

The ability to read patient identification microchips relies on the use of radiofrequency pulses. Since radiofrequency pulses also form an integral part of the magnetic resonance imaging (MRI) process, the possibility of loss of microchip function during MRI scanning is of concern. Previous clinical trials have shown microchip function to be unaffected by MR imaging using a field strength of 1 Tesla and 1.5. As veterinary MRI scanners range widely in field strength, this study was devised to determine whether exposure to lower or higher field strengths than 1 Tesla would affect the function of different types of microchip. In a phantom study, a total of 300 International Standards Organisation (ISO)‐approved microchips (100 each of three different types: ISO FDX‐B 1.4 × 9 mm, ISO FDX‐B 2.12 × 12 mm, ISO HDX 3.8 × 23 mm) were tested in a low field (0.5) and a high field scanner (3.0 Tesla). A total of 50 microchips of each type were tested in each scanner. The phantom was composed of a fluid‐filled freezer pack onto which a plastic pillow and a cardboard strip with affixed microchips were positioned. Following an MRI scan protocol simulating a head study, all of the microchips were accurately readable. Neither 0.5 nor 3 Tesla imaging affected microchip function in this study.     

Contrast‐enhanced ultrasonography characteristics of intrathoracic mass lesions in 36 dogs and 24 cats

Contrast‐enhanced ultrasonography (CEUS) is increasingly available for veterinary patients, however limited studies describe the use of this method for characterizing intrathoracic mass lesions. The aim of this prospective, observational study was to describe CEUS enhancement patterns for intrathoracic mass lesions in a sample of cats and dogs. Sixty patients (36 dogs, 24 cats) were included. Standardized CEUS examinations were performed for 41 pulmonary masses (68%) and 19 mediastinal masses (32%). Final diagnosis was based on cytology and/or histopathology. Absolute time to enhancement (TTE) values were recorded for the intrathoracic mass lesions and spleen. The spleen was used as a reference parenchymal organ to calculate relative TTE (rTTE) values. Absolute TTE of the spleen and intrathoracic mass lesions differed for dogs and cats (P = 0.001). The rTTE values significantly differed between lesions of neoplastic versus non‐neoplastic origin (P = 0.004). The majority of neoplastic pulmonary masses were supplied by bronchial arteries (63%), while most nonneoplastic pulmonary masses were supplied by pulmonary arteries (78%). The sensitivity and specificity for detecting pulmonary neoplastic masses with rTTE were 63% and 78%, respectively. Enhancement patterns for mediastinal thymomas and lymphomas significantly differed (P = 0.002). Thymomas enhanced heterogeneously in a centripetal pattern (86%), whereas lymphomas typically enhanced uniformly in a centrifugal pattern (75%). Findings indicated that CEUS is a feasible method for characterizing intrathoracic mass lesions in dogs and cats, however, the diagnostic sensitivity for detecting neoplastic pulmonary masses was low.     

Continuous lumbar hemilaminectomy for intervertebral disc disease in an Amur tiger (Panthera tigris altaica)

A 13-yr-old Amur tiger (Panthera tigris altaica) was presented for an acute onset of paraplegia. Spinal imaging that included plain radiographs, myelography, and computed tomography performed under general anesthesia revealed lateralized spinal cord compression at the intervertebral disc space L4-5 caused by intervertebral disc extrusion. This extrusion was accompanied by an extensive epidural hemorrhage from L3 to L6. Therefore, a continuous hemilaminectomy from L3 to L6 was performed, resulting in complete decompression of the spinal cord. The tiger was ambulatory again 10 days after the surgery. This case suggests that the potential benefit of complete spinal cord decompression may outweigh the risk of causing clinically significant spinal instability after extensive decompression.