BVSc, Ce666rtAVP, DipECVDI, Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK.
J Feline Med Surg. 2021 Jan;23(1):33-49. doi: 10.1177/1098612X20979509.
Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Ultrasound examination of the adrenal glands can provide important information pertaining to several conditions including hyperaldosteronism and hyperadrenocorticism.
Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Even for the experienced ultrasonographer, differentiating between incidental findings, such as adrenal mineralisation, and clinically significant pathological changes can be challenging.
This review, part of an occasional series on feline abdominal ultrasonography, discusses the ultrasonographic examination of the normal and diseased adrenal glands. Aimed at general practitioners who wish to improve their knowledge of and confidence in feline abdominal ultrasound, this review is accompanied by high-resolution images and videos available online as supplementary material.
Ultrasound facilities are readily available to most practitioners, although the use of ultrasonography as a diagnostic tool is highly dependent on operator experience.
Information provided in this article is drawn from the published literature and the author's own clinical experience.
腹部超声在许多就诊于全科医生和专科医生的猫的诊断中起着至关重要的作用。对肾上腺进行超声检查可以提供与多种疾病相关的重要信息,包括醛固酮增多症和库欣氏病。
尽管超声检查是一种常用的方法,但许多医生不熟悉进行超声检查或解读检查结果。即使对于有经验的超声医生来说,区分偶然发现的肾上腺矿化等情况与具有临床意义的病理性变化也具有挑战性。
本综述是关于猫腹部超声的不定期系列的一部分,讨论了正常和患病肾上腺的超声检查。本综述面向希望提高对猫腹部超声的认识和信心的全科医生,附有高分辨率图像和在线视频作为补充材料。
大多数医生都能方便地使用超声设备,尽管超声检查作为一种诊断工具高度依赖于操作人员的经验。
本文提供的信息来自已发表的文献和作者的临床经验。