Vandermeulen Eva, Combes Anaïs, de Rooster Hilde, Polis Ingeborgh, de Spiegeleer Bart, Saunders Jimmy, Peremans Kathelijne
1Department of Veterinary Diagnostic Imaging and Small Animal Orthopaedics, Ghent University, Belgium.
J Feline Med Surg. 2013 Dec;15(12):1123-31. doi: 10.1177/1098612X13488594. Epub 2013 May 15.
Portosystemic shunts (PSS), congenital or acquired, occur uncommonly in the feline population. The diagnostic approach is similar to one in dogs suspected of a PSS based on the clinical signs and haematological and biochemical changes. Diagnostic imaging, however, is key for the confirmation of a PSS. Although abdominal ultrasound is the first-choice diagnostic imaging modality, the results are not always unequivocal. Transsplenic portal scintigraphy (TSPS) using (99m)Tc-pertechnetate is a well-established technique in canine medicine, providing relatively fast and easy confirmation of the presence or absence of a PSS. As the prevalence of PSS is much lower in the feline population, this technique has not been widely used in cats. This retrospective study of 12 cases gives an overview of the potential of TSPS in the diagnostic work-up of PSS in cats (2005-2012).
门体分流（PSS），无论是先天性还是后天性，在猫科动物中并不常见。基于临床症状以及血液学和生化变化，其诊断方法与怀疑患有PSS的犬类相似。然而，诊断性成像对于确诊PSS至关重要。尽管腹部超声是首选的诊断性成像方式，但其结果并不总是明确的。使用（99m）锝高锝酸盐的经脾门静脉闪烁显像（TSPS）在犬医学中是一项成熟的技术，能相对快速且容易地确定是否存在PSS。由于PSS在猫科动物中的患病率要低得多，这项技术在猫中尚未得到广泛应用。这项对12例病例的回顾性研究概述了TSPS在猫PSS诊断检查中的潜力（2005 - 2012年）。
