年龄对先进的成像方法的准确性的影响,用于识别犬的椎间盘挤出
1Animal Referral Hospital Brisbane, 532 Seventeen Mile Rocks Rd, Sinnamon Park, 4073, Brisbane, Queensland, Australia.
Australian veterinary journal
|November 15, 2024
概括
年龄较大的大 (9岁以上) 不太可能使用非对比计算断层扫描 (CT) 准确诊断椎间盘挤出 (IVDE). 像CT骨髓图或MRI这样的高级成像通常需要在老年狗中进行明确的诊断.
科学领域:
- 兽医辐射学 兽医辐射学
- 狗神经学 狗神经学
背景情况:
- 椎间盘挤出 (IVDE) 是大犬中常见的一种神经疾病.
- 非对比计算断层扫描 (CT) 是IVDE的诊断工具,但其有效性可能因患者年龄而异.
研究的目的:
- 要确定患者的年龄是否会影响在使用非对比性CT时对大犬的压缩性椎间盘挤出 (IVDE) 诊断的准确性.
- 为了评估不同年龄组的犬的非对比CT的诊断性能.
主要方法:
- 对150只怀疑IVDE的犬进行了追溯分析.
- 对诊断成像 (CT,CT骨髓图,MRI) 和手术结果的评估.
- 在9岁以下的犬和9岁以上的犬之间,IVDE诊断率的比较.
主要成果:
- 9岁以下的狗有94.7%的IVDE诊断率与无对比CT.
- 9岁及以上的狗只有56%的IVDE诊断率与非对比CT,在44%的病例中需要先进的成像.
- 年龄显著增加了需要CT骨髓图或MRI的几率 IVDE诊断在老大 Dachshunds.
结论:
- 患者年龄是影响无对比CT在犬IVDE诊断准确性的重要因素.
- 较老的犬 (≥9岁) 更有可能需要CT骨髓图或MRI,因为IVDE在非对比CT上的可见性降低.
- 由于非对比CT限制,兽医应考虑为怀疑IVDE的老大犬提供先进的成像方法.
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