Vilalta Laura, Altuzarra Raul, Espada Yvonne, Dominguez Elisabet, Novellas Rosa, Martorell Jaime
Am J Vet Res. 2017 Apr;78(4):472-481. doi: 10.2460/ajvr.78.4.472.
OBJECTIVE To evaluate the usefulness of excretory urography performed during radiography (REU) and CT (CTEU) in healthy rabbits, determine timings of urogram phases, and compare sensitivities of REU and CTEU for detection of these phases. ANIMALS 13 New Zealand White rabbits (Oryctolagus cuniculus). PROCEDURES Rabbits were screened for signs of systemic and urinary tract disease. An REU examination of each was performed, followed ≥ 5 days later by a CTEU examination. Contrast images from each modality were evaluated for quality of opacification and intervals between initiation of contrast medium administration and detection of various urogram phases. RESULTS Excretory urograms of excellent diagnostic quality were achieved with both imaging modalities. For all rabbits, the nephrographic phase of the urogram appeared in the first postcontrast REU image (obtained between 34 and 40 seconds after initiation of contrast medium administration) and at a median interval of 20 seconds in CTEU images. The pyelographic phase began at a median interval of 1.63 minutes with both imaging modalities. Contrast medium was visible within the urinary bladder at a median interval of 2.20 minutes. Median interval to the point at which the nephrogram and pyelogram were no longer visible in REU images was 8 hours and 2.67 hours, respectively. The CTEU technique was better than the REU technique for evaluating renal parenchyma. CONCLUSIONS AND CLINICAL RELEVANCE Findings suggested that REU and, particularly, CTEU may be valuable tools for the diagnosis of renal and urinary tract disease in rabbits; however, additional evaluation in diseased rabbits is required.
目的 评估放射摄影期间进行的排泄性尿路造影(REU)和CT(CTEU)在健康兔中的实用性,确定尿路造影各期的时间,并比较REU和CTEU检测这些期的敏感性。动物 13只新西兰白兔(穴兔)。方法 对兔进行全身和泌尿系统疾病体征筛查。对每只兔进行REU检查,≥5天后进行CTEU检查。评估每种检查方式的对比图像的造影剂充盈质量以及造影剂注射开始至检测到不同尿路造影期之间的间隔时间。结果 两种成像方式均获得了诊断质量极佳的排泄性尿路造影图像。对于所有兔,尿路造影的肾实质期出现在首次对比后REU图像中(在造影剂注射开始后34至40秒之间获得),在CTEU图像中的中位间隔时间为20秒。肾盂造影期在两种成像方式下的中位间隔时间均为1.63分钟。造影剂在膀胱内可见的中位间隔时间为2.20分钟。在REU图像中,肾实质期和肾盂造影期不再可见的中位间隔时间分别为8小时和2.67小时。CTEU技术在评估肾实质方面优于REU技术。结论及临床意义 研究结果表明,REU尤其是CTEU可能是诊断兔肾脏和泌尿系统疾病的有价值工具;然而,需要对患病兔进行进一步评估。