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确定健康宽吻海豚(瓶鼻海豚)的边缘淋巴结超声特征

ESTABLISHING MARGINAL LYMPH NODE ULTRASONOGRAPHIC CHARACTERISTICS IN HEALTHY BOTTLENOSE DOLPHINS ( TURSIOPS TRUNCATUS).

作者信息

Martony Molly E, Ivančić Marina, Gomez Forrest M, Meegan Jennifer M, Nollens Hendrik H, Schmitt Todd L, Erlacher-Reid Claire D, Carlin Kevin P, Smith Cynthia R

出版信息

J Zoo Wildl Med. 2017 Dec;48(4):961-971. doi: 10.1638/2016-0251.1.

Abstract

Pulmonary disease has been well documented in wild and managed dolphin populations. The marginal lymph nodes of the dolphin thorax provide lymphatic drainage to the lungs and can indicate pulmonary disease. This study standardized a technique for rapid, efficient, and thorough ultrasonographic evaluation of the marginal lymph nodes in bottlenose dolphins ( Tursiops truncatus). Thoracic ultrasonography was performed on 29 clinically healthy adult bottlenose dolphins. Reference intervals for lymph node dimensions and ultrasonographic characteristics of marginal lymph nodes were determined from four transducer orientations: longitudinal, transverse, oblique, and an orientation optimized to the ultrasonographer's eye. The relationship between lymph node dimensions and dolphin age, sex, length, weight, origin, and management setting (pool versus ocean enclosure) were also evaluated. The mean marginal lymph nodes measured 5.26 cm in length (SD = 1.10 cm, minimum = 3.04 cm, maximum = 7.61 cm, reference interval [10th to 90th percentiles per node dimension] 3.78-6.55 cm) and 3.72 cm in depth (SD = 0.59 cm, minimum = 2.64, maximum = 5.38 cm, reference interval 2.98-4.50 cm). Sex, dolphin length, weight, and management setting had no effect on lymph node dimensions. Dolphins >30 yr of age had longer node lengths than dolphins 5-10 yr old. Node dimensions did differ between dolphins from various origins. Most commonly, the lymph node was found to be hyperechoic relative to surrounding soft tissues (98%) and to have irregular caudal borders (84%), ill-defined deep borders (83%), flat superficial border (67%), triangular or rounded triangle shape (59%), irregular cranial border (55%), and moderate heterogeneity (34%). The data reported in this study serve as a baseline reference that may contribute to earlier detection of pleural and pulmonary disease of managed and wild cetacean populations.

摘要

肺部疾病在野生和人工养殖的海豚种群中已有充分记录。海豚胸部的边缘淋巴结为肺部提供淋巴引流,可提示肺部疾病。本研究规范了一种对宽吻海豚(瓶鼻海豚)边缘淋巴结进行快速、高效、全面超声评估的技术。对29只临床健康的成年宽吻海豚进行了胸部超声检查。从四个探头方向确定了淋巴结尺寸和边缘淋巴结超声特征的参考区间:纵向、横向、斜向以及根据超声检查者的视角优化的方向。还评估了淋巴结尺寸与海豚年龄、性别、体长、体重、来源以及养殖环境(水池与海洋围场)之间的关系。边缘淋巴结的平均长度为5.26厘米(标准差 = 1.10厘米,最小值 = 3.04厘米,最大值 = 7.61厘米,参考区间[每个淋巴结尺寸的第10至90百分位数]为3.78 - 6.55厘米),深度为3.72厘米(标准差 = 0.59厘米,最小值 = 2.64厘米,最大值 = 5.38厘米,参考区间为2.98 - 4.50厘米)。性别、海豚体长、体重和养殖环境对淋巴结尺寸没有影响。年龄大于30岁的海豚的淋巴结长度比5 - 10岁的海豚长。不同来源的海豚的淋巴结尺寸确实存在差异。最常见的是,淋巴结相对于周围软组织呈高回声(98%),尾缘不规则(84%),深部边界不清晰(83%),浅部边界扁平(67%),呈三角形或圆形三角形(59%),颅缘不规则(55%),且有中度不均匀性(34%)。本研究报告的数据可作为基线参考,可能有助于更早地检测人工养殖和野生鲸类种群的胸膜和肺部疾病。

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