Rossanese Matteo, Ferreira Amy, Maddox Thomas W
Am J Vet Res. 2019 Jan;80(1):69-73. doi: 10.2460/ajvr.80.1.69.
OBJECTIVE To determine the mean diameter of the main portal vein (PV) in healthy dogs by use of CT angiography, identify any associations between PV diameter and certain dog characteristics, and validate a clinically valuable ratio for quantifying the size of the PV. ANIMALS 100 dogs with no hepatic, cardiac, or vascular anomalies that underwent abdominal CT angiography. PROCEDURES Diameters of the main PV, abdominal aorta (Ao), and caudal vena cava (CVC) were measured by 2 observers at a defined location on postcontrast CT angiographic images in axial, sagittal, and transverse planes. Dog characteristics were evaluated for associations with PV diameter, and a PV:Ao diameter ratio was calculated. Intraclass correlations were calculated to assess intra- and interobserver agreement in vessel diameter measurements. RESULTS Mean diameter values were 7.9 mm (range, 4.1 to 14.8 mm) for the PV, 8.9 mm (range, 3.7 to 13.7 mm) for the Ao, and 11.4 mm (range, 4.4 to 22.5 mm) for the CVC. The PV:Ao diameter ratio was 0.91 mm. The PV diameter was significantly associated with dog body weight but not with dog age, sex, or neuter status. Intra- and interobserver reliabilities for measurements of all 3 vessels were considered excellent (intraclass correlation coefficients > 0.85). CONCLUSIONS AND CLINICAL RELEVANCE Findings indicated that the PV:Ao diameter ratio was a repeatable measurement that may be useful for evaluating the size of the portal vasculature in dogs and possibly for distinguishing healthy PVs from abnormal PVs in dogs with hepatic vascular anomalies.
目的 通过使用CT血管造影术确定健康犬主门静脉(PV)的平均直径,确定PV直径与某些犬特征之间的任何关联,并验证用于量化PV大小的具有临床价值的比率。动物 100只无肝脏、心脏或血管异常且接受腹部CT血管造影的犬。方法 由2名观察者在轴位、矢状位和横断位的增强后CT血管造影图像上的定义位置测量主PV、腹主动脉(Ao)和尾腔静脉(CVC)的直径。评估犬的特征与PV直径的关联,并计算PV: Ao直径比。计算组内相关性以评估观察者内和观察者间在血管直径测量方面的一致性。结果 PV的平均直径值为7.9 mm(范围为4.1至14.8 mm),Ao为8.9 mm(范围为3.7至13.7 mm),CVC为11.4 mm(范围为4.4至22.5 mm)。PV: Ao直径比为0.91 mm。PV直径与犬体重显著相关,但与犬年龄、性别或绝育状态无关。所有3条血管测量的观察者内和观察者间可靠性均被认为极佳(组内相关系数> 0.85)。结论及临床意义 研究结果表明,PV: Ao直径比是一种可重复的测量方法,可能有助于评估犬门静脉系统的大小,并可能有助于区分健康犬的PV与患有肝血管异常犬的异常PV。