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经直肠超声检查在评估犬前列腺癌大小和位置中的应用。

Use of transrectal ultrasonography for assessment of the size and location of prostatic carcinoma in dogs.

作者信息

Culp William T N, Johnson Eric G, Giuffrida Michelle A, Palm Carrie A, Mayhew Philipp D, Kent Michael S, Rebhun Robert B, Burton Jenna H

出版信息

Am J Vet Res. 2019 Nov;80(11):1012-1019. doi: 10.2460/ajvr.80.11.1012.

Abstract

OBJECTIVE

To evaluate the use of transrectal ultrasonography (TRUS) for the assessment of prostatic tumors in dogs and to compare results for TRUS with results for other imaging modalities.

ANIMALS

10 client-owned male dogs.

PROCEDURES

Client-owned dogs identified with prostatic carcinoma were enrolled. Fluoroscopy, transabdominal ultrasonography (TAUS), TRUS, and MRI were performed on all dogs. Tumor measurements, urethral penetration (identification of abnormal tissue within the urethral lumen), and tumor extension into the urinary tract were recorded for all imaging modalities. Agreement between results for MRI (considered the criterion-referenced standard) and results for other modalities were compared.

RESULTS

Median body weight of the 10 dogs was 26.3 kg (range, 9.4 to 49.5 kg). No complications were encountered during or after TRUS. Significant moderate to good agreements (intraclass correlation coefficients, 0.60 to 0.86) among TAUS, TRUS, fluoroscopy, and MRI were identified for tumor length and height. Assessments of urethral penetration and tumor extension into the bladder with TRUS did not differ significantly from those made with MRI and were superior in terms of absolute agreement with MRI when compared with those for TAUS.

CONCLUSIONS AND CLINICAL RELEVANCE

TRUS was successfully and safely used to evaluate prostatic carcinoma in dogs. There was moderate to good agreement with MRI results for tumor height and length measurements, and TRUS was found to be superior to TAUS for some assessments. Transrectal ultrasonography can be considered an adjunctive imaging modality for the performance of prostatic interventional procedures or assessment of response to treatment.

摘要

目的

评估经直肠超声检查(TRUS)在犬前列腺肿瘤评估中的应用,并将TRUS结果与其他成像方式的结果进行比较。

动物

10只客户拥有的雄性犬。

方法

纳入经确诊患有前列腺癌的客户拥有的犬。对所有犬进行荧光透视、经腹超声检查(TAUS)、TRUS和磁共振成像(MRI)。记录所有成像方式下的肿瘤测量值、尿道穿透情况(尿道腔内异常组织的识别)以及肿瘤向尿路的延伸情况。比较MRI结果(视为标准参考标准)与其他方式结果之间的一致性。

结果

10只犬的中位体重为26.3 kg(范围为9.4至49.5 kg)。TRUS检查期间及之后未出现并发症。TAUS、TRUS、荧光透视和MRI在肿瘤长度和高度方面存在显著的中度至良好一致性(组内相关系数为0.60至0.86)。TRUS对尿道穿透和肿瘤向膀胱延伸的评估与MRI评估无显著差异,且与TAUS相比,在与MRI的绝对一致性方面更优。

结论及临床意义

TRUS成功且安全地用于评估犬前列腺癌。在肿瘤高度和长度测量方面,与MRI结果存在中度至良好的一致性,并且发现TRUS在某些评估方面优于TAUS。经直肠超声检查可被视为前列腺介入手术或治疗反应评估的辅助成像方式。

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