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Prognostic significance of specific magnetic resonance imaging features in canine nasal tumours treated by radiotherapy
Authors:P Agthe  A R Caine  R N A Gear  J M Dobson  K J Richardson  M E Herrtage
Institution:1. 1Queen's Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge CB3 0ES;2. Anderson Sturgess Veterinary Specialists, The Granary, Bunstead Barns, Poles Lane, Hursley Winchester SO21 2LL;3. Veterinary Specialist Group, 97 Carrington Road, Mt Albert, Auckland, New Zealand;4. Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Forvie Site, Robinson Way, Cambridge CB2 2SR
Abstract:Objectives : To investigate the prognostic significance of the magnetic resonance (MR) findings of meningeal hyperintensity of the olfactory bulbs and tumour extension into the caudal nasal recess (CNR) in dogs with nasal tumours treated by radiotherapy. Methods : MR images of 41 dogs with nasal tumours treated with radiotherapy were reviewed. The occurrence of neurological signs and survival of patients with and without meningeal hyperintensity of the olfactory bulbs and tumour extension into the CNR were analysed together with possible confounding factors including intracranial extension and patient age. Results : There was no significant association between the presence of meningeal hyperintensity or CNR involvement and the occurrence of neurological signs. Although there was a tendency towards shorter survival in dogs with tumour extension into the CNR, multivariable analysis showed no significant difference in survival between dogs with/without CNR involvement, meningeal hyperintensity or intracranial tumour extension (P=0·12, 0·50 and 0·57, respectively). Clinical Significance : In dogs with nasal tumours treated with radiotherapy, tumour extension into the cranium is not necessarily associated with shorter survival in patients without neurological signs at time of diagnosis. Although a definite influence of CNR involvement on case outcome could not be demonstrated, studies with a larger population are warranted.
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