Selected advanced imaging techniques were unable to quantify in vivo parasitic burden in heartworm-infested dogs

Assaf Lerer1, Dwight D Bowman2, Wen-Ming Luh3

  • 1College of Veterinary Medicine, Department of Clinical Sciences, Cornell University, Ithaca, New York.

Insights

Advanced imaging like CTPA and SPGR-cine-MRI cannot yet replace necropsy for quantifying heartworm parasitic burden in dogs. Further research is needed to develop noninvasive methods for ethical heartworm studies.

Area of Science:

  • Veterinary Medicine
  • Diagnostic Imaging
  • Parasitology

Background:

  • Noninvasive methods are crucial for ethical heartworm studies in dogs, enabling longitudinal drug evaluations.
  • Current methods for assessing parasitic burden often require invasive procedures, posing ethical challenges.

Purpose of the Study:

  • To explore advanced noninvasive imaging techniques for estimating parasitic burden in heartworm-infested dogs.
  • To evaluate the efficacy of cardiac-gated and respiratory-gated 3T MRI and CT pulmonary angiography (CTPA) in detecting and quantifying heartworms.

Main Methods:

  • Optimized three 3T MRI techniques and CTPA in healthy beagles.
  • Performed SPGR-cine-MRI in four heartworm-infested dogs and CTPA in five heartworm-infested dogs.
  • Compared imaging findings with necropsy results to assess parasitic burden estimation.

Main Results:

  • Heartworms were visualized in pulmonary arteries using SPGR-cine-MRI in all dogs.
  • CTPA failed to detect heartworms in any of the infested dogs.
  • Quantifying the number of heartworms using either imaging technique was unsuccessful.

Conclusions:

  • CTPA and SPGR-cine-MRI are currently unable to replace necropsy for quantifying heartworm parasitic burden.
  • Noninvasive imaging techniques require further development to accurately assess heartworm infestation levels.

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