Am J Vet Res. 2022 Jul 4;83(8):ajvr.21.11.0194. doi: 10.2460/ajvr.21.11.0194.
To investigate the clinical feasibility of attenuation imaging of the hepatic parenchyma in healthy dogs, identify technical factors that influence measured attenuation coefficients, and determine intraobserver repeatability of measurements.
10 healthy Beagles.
Attenuation coefficients were calculated for various measurement sites (left vs central division of the liver), scanning planes (transverse vs sagittal plane), scanning depths (10 to 20 mm vs 20 to 30 mm), scanning approaches (intercostal vs subcostal approach), and breathing conditions (free breathing vs breath holding at end expiration). Intraoperator intraday and interday reliability was assessed by computing intraclass correlation coefficients.
Attenuation coefficients were not influenced significantly by scanning plane (P = .120 to 1.000), measurement site (P = .292 to .848), or breathing condition (P = .166). However, coefficients were significantly (P < .01) less with deeper scanning depths and significantly (P < .05) more for the subcostal approach than the intercostal approach. The intraday and interday intraclass correlation coefficients showed good repeatability (0.799 and 0.771, respectively), regardless of the scanning plane and measurement site. Scanning the central division of the liver with the right intercostal approach at a depth of 10 to 20 mm from the liver capsule yielded good reliability.
Attenuation imaging was a feasible technique for evaluating the hepatic parenchyma in healthy dogs with good repeatability. Measured attenuation coefficients were not affected by the scanning plane, measurement site, or breathing condition.
研究健康犬肝脏实质衰减成像的临床可行性,确定影响测量衰减系数的技术因素,并确定测量的观察者内重复性。
10 只健康比格犬。
为各种测量部位(左叶与肝中叶的划分、肝左叶与肝中叶)、扫描平面(横断位与矢状位)、扫描深度(10 至 20mm 与 20 至 30mm)、扫描方法(肋间与肋下)和呼吸状态(自由呼吸与呼气末屏气)计算衰减系数。通过计算组内相关系数评估操作者内日内和日间可靠性。
扫描平面(P =.120 至 1.000)、测量部位(P =.292 至.848)或呼吸状态(P =.166)对衰减系数无显著影响。然而,与较深的扫描深度相比,系数显著(P <.01)减少,与肋间入路相比,肋下入路的系数显著(P <.05)增加。无论扫描平面和测量部位如何,日内和日间的组内相关系数均显示出良好的重复性(分别为 0.799 和 0.771)。在距肝包膜 10 至 20mm 处的右肋间用肋下方法对肝中叶进行扫描,可获得良好的可靠性。
衰减成像技术是一种可行的方法,可用于评估健康犬的肝脏实质,重复性良好。测量的衰减系数不受扫描平面、测量部位或呼吸状态的影响。