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临床正常羊驼肺部系统的计算机断层扫描特征

Computed tomographic characterization of the pulmonary system in clinically normal alpacas.

作者信息

Cooley Stacy D, Schlipf John W, Stieger-Vanegas Susanne M

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR 97333, USA.

出版信息

Am J Vet Res. 2013 Apr;74(4):572-8. doi: 10.2460/ajvr.74.4.572.

DOI:10.2460/ajvr.74.4.572
PMID:23531065
Abstract

OBJECTIVE

To characterize and quantitatively assess the typical pulmonary anatomy of healthy adult alpacas with multidetector row CT.

ANIMALS

10 clinically normal adult female alpacas.

PROCEDURES

CT examination of the thorax was performed before and after IV administration of iodinated contrast medium in sedated alpacas in sternal recumbency. Measurements of the trachea, bronchi and related blood vessels, and selected vertebrae as well as the extent and density of lung parenchyma were performed with a Digital Imaging and Communications in Medicine (DICOM) viewer. Morphometric and quantitative data were summarized.

RESULTS

Separation of individual lung lobes could not be identified, except for the accessory lung lobe. In all alpacas, both lungs extended farther caudally at the medial aspect than at the lateral aspect. The right lung extended farther in both cranial and caudal directions than did the left lung. The branching pattern of the bronchial tree varied only slightly among alpacas and consisted of 1 cranial bronchus and 3 caudal bronchi bilaterally, with a right accessory bronchus. Luminal diameters of first-generation bronchi ranged from 3 to 9 mm. Mean ± SD parenchymal lung density was -869 ± 40 Hounsfield units (HU) before contrast injection and -825 ± 51 HU after contrast injection. Mean difference in diameter between bronchi and associated arteries or veins was 0.8 ± 0.9 mm.

CONCLUSIONS AND CLINICAL RELEVANCE

Knowledge of the typical anatomy of the lungs and bronchial tree in healthy alpacas as determined via CT will aid veterinarians in clinical assessment and bronchoscopic evaluation of alpacas.

摘要

目的

使用多排螺旋CT对健康成年羊驼的典型肺部解剖结构进行特征描述和定量评估。

动物

10只临床健康的成年雌性羊驼。

方法

对处于胸骨卧位、已镇静的羊驼静脉注射碘化造影剂前后进行胸部CT检查。使用医学数字成像和通信(DICOM)阅读器对气管、支气管及相关血管、选定的椎体以及肺实质的范围和密度进行测量。汇总形态学和定量数据。

结果

除副肺叶外,无法识别各个肺叶的分隔。在所有羊驼中,两肺在内侧的尾端延伸比外侧更远。右肺在头侧和尾侧方向的延伸均比左肺更远。支气管树的分支模式在羊驼之间仅略有差异,双侧均由1个头侧支气管和3个尾侧支气管组成,右侧有1个副支气管。第一代支气管的管腔直径范围为3至9毫米。注射造影剂前肺实质平均密度±标准差为-869±40亨氏单位(HU),注射造影剂后为-825±51 HU。支气管与相关动脉或静脉的直径平均差值为0.8±0.9毫米。

结论及临床意义

通过CT确定的健康羊驼肺部和支气管树的典型解剖结构知识,将有助于兽医对羊驼进行临床评估和支气管镜检查。

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