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计算机断层扫描和最小强度投影在检测一只疑似肺叶扭转的犬大叶性肺炎中的应用

Use of computed tomography and minimum intensity projection in the detection of lobar pneumonia mimicking lung lobe torsion in a dog.

作者信息

Lee Sang-Kwon, Cho Kyoung-Oh, Alfajaro Mia Madel, Lee Juhwan, Yu Dohyeon, Choi Jihye

机构信息

College of Veterinary Medicine and BK 21 Plus Project Team, Chonnam National University, Gwangju, 61186, South Korea.

Chonnam National University Veterinary Teaching Hospital, Gwangju, 61186, South Korea.

出版信息

Vet Radiol Ultrasound. 2019 Sep;60(5):E48-E53. doi: 10.1111/vru.12565. Epub 2017 Oct 16.

DOI:10.1111/vru.12565
PMID:29044898
Abstract

A 10-year-old female spayed Dachshund was referred with progressive coughing for 1 month. The dog was tentatively diagnosed with right middle lung torsion based on pleural effusion, vesicular emphysema, abruptly ending bronchus in consolidated right middle lung, and no contrast enhancement of the affected lobe on radiography and computed tomography (CT). There was no evidence of torsion upon thoracotomy, and histological examination confirmed lobar pneumonia. The CT images were reevaluated using minimum intensity projection and revealed normal bronchial courses. The minimum intensity projection technique can be to assist in evaluation of the bronchial tree for dogs with suspected lung lobe torsion and other pulmonary diseases.

摘要

一只10岁已绝育的雌性腊肠犬因持续咳嗽1个月前来就诊。根据胸腔积液、肺泡气肿、右中肺实变区域内支气管突然中断,以及在X线摄影和计算机断层扫描(CT)上患叶无强化表现,该犬被初步诊断为右中肺扭转。开胸手术时未发现扭转迹象,组织学检查确诊为大叶性肺炎。利用最小密度投影法对CT图像进行重新评估,结果显示支气管走行正常。最小密度投影技术有助于对疑似肺叶扭转及其他肺部疾病的犬只进行支气管树评估。

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