Caspanello Tiziana, Masucci Marisa, Iannelli Diego, Iannelli Nicola Maria, De Majo Massimo
Department of Veterinary Science, University of Messina, 98168 Messina, Italy.
Clinica Veterinaria Camagna-VetPartners, 89124 Reggio di Calabria, Italy.
Animals (Basel). 2023 Feb 8;13(4):591. doi: 10.3390/ani13040591.
Computed tomography (CT) is an advanced imaging technique that may lead to detect "incidentalomas", unexpected asymptomatic lesions found during unrelated examinations. Their clinical meaning and management are not clear for veterinarians, who risk unnecessary investigations that harm the patients. This study is a retrospective analysis that aims to investigate incidentalomas in CT exams and to describe their prevalence, location, types and follow-up, their correlations and associations with the species, breed, sex, and age of patients examined and with the kind and number of sites scanned. The reports of 561 CT scans performed in 512 dogs and 49 cats in a veterinary facility over six years were reviewed and compared to the clinical records of the patients. Eighty incidentalomas were found in 57 dogs and four cats. A significant positive correlation was found in dogs between age and the prevalence of incidentalomas. In dogs, the prevalence of incidentalomas was significantly higher in Boxers and in neck, thoracic, and abdominal scans. Spinal incidentalomas were the most common typologies in dogs. This study can represent a tool that allows clinicians to acquire greater awareness about incidentalomas and to carry out the evidence-based clinical management of them.
计算机断层扫描（CT）是一种先进的成像技术，可能会检测到“偶发瘤”，即在无关检查中发现的意外无症状病变。对于兽医来说，它们的临床意义和处理方法并不明确，兽医可能会进行不必要的检查，从而对患者造成伤害。本研究是一项回顾性分析，旨在调查CT检查中的偶发瘤，并描述其患病率、位置、类型和随访情况，以及它们与接受检查的患者的物种、品种、性别和年龄，以及扫描部位的种类和数量之间的相关性和关联。回顾了一家兽医机构在六年内对512只狗和49只猫进行的561次CT扫描报告，并与患者的临床记录进行了比较。在57只狗和4只猫中发现了80个偶发瘤。在狗中，年龄与偶发瘤的患病率之间存在显著的正相关。在狗中，拳师犬以及颈部、胸部和腹部扫描中的偶发瘤患病率显著更高。脊柱偶发瘤是狗中最常见的类型。这项研究可以成为一种工具，使临床医生能够对偶发瘤有更多的认识，并对其进行循证临床管理。
