TECHNIQUE,DIFFICULTY, AND ACCURACY OF COMPUTED TOMOGRAPHY‐GUIDED TRANSLAMINAR AND TRANSFORAMINAL LUMBOSACRAL EPIDURAL AND INTRAARTICULAR LUMBAR FACET JOINT INJECTIONS IN DOGS

In human medicine, spinal pain and radiculopathy are commonly managed by computed tomography (CT)‐guided facet joint injections and by transforaminal or translaminar epidural injections. In dogs, CT‐guided lumbosacral epidural or lumbar facet joint injections have not been described. The aim of this experimental, ex vivo, feasibility study was to develop techniques and to assess their difficulty and accuracy. Two canine cadavers were used to establish the techniques and eight cadavers to assess difficulty and accuracy. Contrast medium was injected and a CT scan was performed after each injection. Accuracy was assessed according to epidural or joint space contrast opacification. Difficulty was classified as easy, moderately difficult, or difficult, based on the number of CT scans needed to guide insertion of the needle. A total of six translaminar and five transforaminal epidural and 53 joint injections were performed. Translaminar injections had a high success rate (100%), were highly accurate (75%), and easy to perform (100%). Transforaminal injections had an moderately high success rate (75%), were accurate (75%), and moderately difficult to perform (100%). Success rate of facet joint injections was 62% and was higher for larger facet joints, such as L7‐S1. Accuracy of facet joint injections ranged from accurate (37–62%) to highly accurate (25%) depending on the volume injected. In 77% of cases, injections were moderately difficult to perform. Possible complications of epidural and facet joint injections were subarachnoid and vertebral venous plexus puncture and periarticular spread, respectively. Further studies are suggested to evaluate in vivo feasibility and safety of these techniques.     

地方基层政府的金融干预行为分析

构建完善的农村金融体系对“三农”问题的解决至关重要。本文首先阐释政府金融干预行为的理论渊源,接着分析在我国农村地区仍然存在基层政府的借方替代行为和干扰金融交易双方的行为,最后解释产生这些行为的原因,及其所造成的福利损失。     

新型肝癌介入治疗药物90Y-P204-Lipiodol的制备及其稳定性研究

目的:研究了新型肝癌介入治疗药物90Y-P204-Lipiodol的制备方法及其稳定性,旨在为肝癌的介入性内照射放疗提供满意的放射性药物。方法:采用传统化学工艺中比较成熟的萃取技术与核医学中的放射性核素标记方法相结合,以碘油(Lipiodol)作为萃取过程中的有机相,同时碘油也是被标记核素的载体,选择萃取剂P204作为碘油标记的偶联剂,利用萃取剂的萃取性能,在一定的pH、温度、搅拌时间和搅拌频率等条件下,对钇-90(90Y)进行萃取标记,测定萃取率,然后按不同的相比加入到生理盐水、新生小牛血清以及人的血液中,于液闪仪上测定被标记90Y的损失率。结果:0.01 mol/L的P204碘化油溶液萃取率高达99.9%,符合放射性核素标记的要求。本萃取法碘油标记后形成的络合物90Y-P204-Lipiodol并不改变碘化油的结构,而且具有很好的稳定性。结论:借助现代医学影像技术尤其是实时超声显像引导精确定位技术,有望通过瘤区注射方法使90Y-P204-Lipiodol稳定积聚在肝肿瘤组织内,从而实现真正意义上的肝癌内照射放疗,未来的研究将促进其在肝癌介入性内照射放疗中的早日应用。     

Treatment of a second carpal bone fracture by removal under ultrasonographic guidance in a horse

OBJECTIVE: To report an unusual 2nd carpal bone (C2) slab fracture and its treatment, using an ultrasonographically assisted, minimally invasive arthrotomy technique, for fragment removal. STUDY DESIGN: Case report. ANIMALS: An 11-year-old crossbred Warmblood gelding. METHODS: A bone fragment, spanning the height of C2, identified on the palmaromedial aspect of C2 was demarcated intraoperatively using ultrasonographically guided needles and removed by arthrotomy. RESULTS: Fracture fragment removal was achieved using a small, ultrasonographically guided arthrotomy. The horse has become sound after treatment and returned to the previous level of pleasure riding activity. CONCLUSIONS: Perioperative ultrasonography was used to delineate and facilitate removal of an unusual slab fragment of C2, through a minimally sized arthrotomy. Despite the presence of pancarpal osteoarthritis and partial involvement of the medial collateral ligament, the prognosis appeared to be satisfactory for this pleasure riding horse. CLINICAL RELEVANCE: Ultrasonographic guidance may be used to optimize the approach to C2 articular bony fragments that may not be observed using arthroscopy.     

Use of an intravenous sclerosing foam (3% sodium tetradecyl sulfate) for treatment of orbital varix in a dog

A 6‐month‐old intact male Standard Dachshund was referred for evaluation of a soft tissue swelling above the right eye. Examination of the right eye revealed mild lateral deviation of the globe, normal vision, and a dorsonasal soft tissue swelling. Examination of the posterior segment was normal. Dual‐phase computed tomography angiography was consistent with an orbital varix of the angularis oculi and right dorsal external ophthalmic veins with no evidence of arterial involvement. Treatment involved fluoroscopically guided coil embolization of the venous outflow with nine platinum microcoils, followed by sclerotherapy of the varix using 1.5 mL of 3% sodium tetradecyl sulfate foam. Moderate‐to‐marked swelling was noted at the treatment site in the weeks following therapy, which gradually resolved. At final reexamination 3 months post‐therapy, complete sclerosis and resolution of the orbital varix were documented. To the authors’ knowledge, this is the first reported case involving the use of a sclerotic agent for successful treatment of a venous malformation in a dog.