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5. Computertomographische und magnetresonanztomographische Anatomie der Speicheldrüsen der Katze

Author

Fromme, Vivian, Ludewig, Eberhard, Gorgas, Daniela, and Klinik für Kleintiere

Subjects
ddc:636.089, CT, MRI, cat, salivary glands, landmarks, CT, MRT, Katze, Speicheldrüsen, Landmarken
Abstract

Zielstellung: Die Verwendung von Computertomographie und Magnetresonanzto-mographie zur Diagnostik von pathologischen Weichteilveränderungen, wie Läsionen der Speicheldrüsen, wird empfohlen. Diese begründet sich in Ihrer hohen Bildauflö-sung und dem guten Bildkontrast. Nach unserem Wissen gibt es aktuell keine publi-zierte Literatur, welche sich mit der CT- oder MRT-Anatomie der Speicheldrüsen der Katze beschäftigt. Ziel der vorliegenden Arbeit war es daher, Schnittbildmerkmale der Speicheldrüsen zu definieren und Landmarken für eine sichere Identifikation zu be-schreiben. Material und Methoden: Es wurden zwei Gruppen von Katzen untersucht. Die pros-pektiv untersuchten Tiere bestanden aus 16 Katzen, welche aus Gründen euthana-siert wurden, die nicht in Zusammenhang mit der Studie standen. Diese erfuhren ein CT (1 mm Schichtdicke) und 0,5 Tesla MRT (T2W, T2W SPIR, PDW, T1W) des Kop-fes. Im retrospektiven Anteil der Studie wurden CT-Untersuchungen (0,8-1 mm Schichtdicke) von 25 Katzen und MRT-Untersuchungen (T2W, T1W vor und nach Kontrastmittelgabe) von 21 Katzen verwendet. Diese Untersuchungen wurden zwi-schen 2005 und 2013 in unserer Klinik angefertigt. Dabei konnten keine Pathologien in Zusammenhang mit den Speicheldrüsen festgestellt werden. Alle Speicheldrüsen wurden bezüglich Identifizierbarkeit, Abgrenzbarkeit, Größe und Signalverhalten un-tersucht. Wenn vorhanden, wurden anatomische Landmarken die Speicheldrüsen umgebend notiert. Zusammenfassung 80 Ergebnisse: 94,3% der Glandulae parotidae, 90,7% der Glandulae mandibulares und 96,8% der Glandulae zygomaticae konnten mit dem CT identifiziert werden. Beim MRT waren es 94,1% der Glandulae parotidae, 99,2 % der Glandulae mandibulares, 88,9% der Glandulae zygomaticae und 51,4 % der Glandulae buccalis ventralis. In beiden Gruppen konnten keine der restlichen kleinen Speicheldrüsen identifiziert werden, dies galt für beide Schnittbildverfahren. Als hilfreiche anatomi-sche Landmarken konnten der äußere Gehörgang, der M. masseter, der M. pterygo-ideus medialis und der Bulbus oculi herangezogen werden. Die medianen Dichtewer-te lagen für die Glandula parotis, die Glandula mandibularis und die Glandula zygo-matica bei 65 HU, 62 HU und 57 HU. Die Parotis war überwiegend dezent hyperin-tens zur Muskulatur und hypointens zum Fett. Die Mandibularis, Zygomatica, und Glandula buccalis ventralis stellten sich hauptsächlich hyperintens zur Muskulatur und hypointens zu Fettgewebe dar. Dieses Signalverhalten war für T1W, T2W und T2W SPIR (fettunterdrückt) gewichtete Sequenzen gleich. Die Größe war für beide Gruppen und Modalitäten vergleichbar und lag bei circa 17 x 6 mm (gemessen von lateral nach medial und von dorsal nach ventral) bei der Glandula parotis, 8 x 17 mm bei der Glandula mandibularis, 10 x 7 mm bei der Glandula zygomatica und bei der Glandula buccalis ventralis 3 x 10 mm. Schlussfolgerungen: Landmarken und Aussagen über die Signalintensität bezie-hungsweise Dichte und die Größe der Glandula parotis, Glandula mandibularis, Glandula zygomatica und der Glandula buccalis ventralis konnten erhoben werden. Die mangelhafte Identifizierbarkeit der restlichen kleinen Speicheldrüsen, im Ver-gleich zu den oben genannten, kann vor allem mit dem unzureichenden Weichteil-kontrast zum umliegenden Gewebe im CT und der niedrigen Auflösung des Nieder-feld-MRTs erklärt werden. Neuere MRT-Techniken können detailliertere Bilder er-zeugen und so eine Beschreibung der kleinen Speicheldrüsen ermöglichen. Objective: Due to their high resolution and useful contrast resolution, CT and MRI are recommended methods for diagnosing pathological changes of soft tissues such as lesions of the salivary glands. To our knowledge, no studies about the CT or MR anatomy of the feline salivary glands have been published yet. The aim of the study was to define anatomical characteristics of the salivary glands in cross-sectional im-ages and to describe landmarks for a reliable identification. Materials and methods: Two groups of cats where examined. In a prospective trial, 16 cats, euthanized for reasons unrelated to the study, underwent a head CT (1 mm slice thickness) and 0.5 Tesla MRI scans (T2W, T2W SPIR, PDW, T1W). In a retro-spective trial, the CT scans (0.8-1 mm slice thickness) of 25 cats and the MR scans (T2W, T1W, pre- and post-contrast) of 21 cats were used. These scans were per-formed at our clinic between 2005 and 2013. No signs of salivary-gland-related pa-thologies were visible. All images were reviewed with respect to the following criteria: the presence, delineation and size of the salivary glands as well as the signal intensi-ty. Anatomical landmarks surrounding the glands were also recorded. Results: 94.3% of the parotid glands, 90.7% of the mandibular glands and 96.8% of the zygomatic glands could be delineated using CT. With MRI, 94.1% of the parotid Summary 82 glands, 99.2 % of the mandibular glands, 88.9% of the zygomatic glands and 51,4 % of the ventral buccal glands could be identified. In both groups the other small salivary glands could not be visualized neither in CT nor in MRI. Anatomical landmarks such as the external ear canal, the M. masseter, the M. pterygoideus medialis and the Bulbus oculi facilitate the identification. The mean density of the parotid gland, the mandibular gland and the zygomatic gland was 65 HU, 62 HU and 57 HU, respectively. The parotid gland was mainly modestly hyperintense to muscle and hypointense to fat. The mandibular, zygomatic and ven-tral buccal glands were hyperintense to muscle and hypointense to fat. Signal intensi-ties were similar for T1W, T2W and T2W SPIR images. Sizes were comparable for both groups and modalities and measured about 17x6 mm (lateral to medial and dor-sal to ventral) for the parotid gland, 8 x 17 mm for the mandibular gland, 10x7 mm for the zygomatic gland and 3x10 mm for the ventral buccal gland. Conclusions: Landmarks were recorded and data regarding the density/signal in-tensity and the size of the parotid gland, the mandibular gland, the zygomatic gland and the ventral buccal gland could be gathered. The discrepancy between depicting the small glands and the above mentioned glands can be explained mainly by the lack of contrast to the surrounding tissue in CT and the low spatial resolution in low-field MRI. Advanced MRI techniques are expected to produce more detailed images and therefore those techniques could be used to also describe the small salivary glands.

Published
2016

8. Computertomographische und magnetresonanztomographische Anatomie der Speicheldrüsen der Katze

Author

Ludewig, Eberhard, Gorgas, Daniela, Klinik für Kleintiere, Fromme, Vivian, Ludewig, Eberhard, Gorgas, Daniela, Klinik für Kleintiere, and Fromme, Vivian

Abstract

Zielstellung: Die Verwendung von Computertomographie und Magnetresonanzto-mographie zur Diagnostik von pathologischen Weichteilveränderungen, wie Läsionen der Speicheldrüsen, wird empfohlen. Diese begründet sich in Ihrer hohen Bildauflö-sung und dem guten Bildkontrast. Nach unserem Wissen gibt es aktuell keine publi-zierte Literatur, welche sich mit der CT- oder MRT-Anatomie der Speicheldrüsen der Katze beschäftigt. Ziel der vorliegenden Arbeit war es daher, Schnittbildmerkmale der Speicheldrüsen zu definieren und Landmarken für eine sichere Identifikation zu be-schreiben. Material und Methoden: Es wurden zwei Gruppen von Katzen untersucht. Die pros-pektiv untersuchten Tiere bestanden aus 16 Katzen, welche aus Gründen euthana-siert wurden, die nicht in Zusammenhang mit der Studie standen. Diese erfuhren ein CT (1 mm Schichtdicke) und 0,5 Tesla MRT (T2W, T2W SPIR, PDW, T1W) des Kop-fes. Im retrospektiven Anteil der Studie wurden CT-Untersuchungen (0,8-1 mm Schichtdicke) von 25 Katzen und MRT-Untersuchungen (T2W, T1W vor und nach Kontrastmittelgabe) von 21 Katzen verwendet. Diese Untersuchungen wurden zwi-schen 2005 und 2013 in unserer Klinik angefertigt. Dabei konnten keine Pathologien in Zusammenhang mit den Speicheldrüsen festgestellt werden. Alle Speicheldrüsen wurden bezüglich Identifizierbarkeit, Abgrenzbarkeit, Größe und Signalverhalten un-tersucht. Wenn vorhanden, wurden anatomische Landmarken die Speicheldrüsen umgebend notiert. Zusammenfassung 80 Ergebnisse: 94,3% der Glandulae parotidae, 90,7% der Glandulae mandibulares und 96,8% der Glandulae zygomaticae konnten mit dem CT identifiziert werden. Beim MRT waren es 94,1% der Glandulae parotidae, 99,2 % der Glandulae mandibulares, 88,9% der Glandulae zygomaticae und 51,4 % der Glandulae buccalis ventralis. In beiden Gruppen konnten keine der restlichen kleinen Speicheldrüsen identifiziert werden, dies galt für beide Schnittbildverfahren. Als hilfreiche anatomi-sche Landmarken konnten der äußere Gehörgang, der, Objective: Due to their high resolution and useful contrast resolution, CT and MRI are recommended methods for diagnosing pathological changes of soft tissues such as lesions of the salivary glands. To our knowledge, no studies about the CT or MR anatomy of the feline salivary glands have been published yet. The aim of the study was to define anatomical characteristics of the salivary glands in cross-sectional im-ages and to describe landmarks for a reliable identification. Materials and methods: Two groups of cats where examined. In a prospective trial, 16 cats, euthanized for reasons unrelated to the study, underwent a head CT (1 mm slice thickness) and 0.5 Tesla MRI scans (T2W, T2W SPIR, PDW, T1W). In a retro-spective trial, the CT scans (0.8-1 mm slice thickness) of 25 cats and the MR scans (T2W, T1W, pre- and post-contrast) of 21 cats were used. These scans were per-formed at our clinic between 2005 and 2013. No signs of salivary-gland-related pa-thologies were visible. All images were reviewed with respect to the following criteria: the presence, delineation and size of the salivary glands as well as the signal intensi-ty. Anatomical landmarks surrounding the glands were also recorded. Results: 94.3% of the parotid glands, 90.7% of the mandibular glands and 96.8% of the zygomatic glands could be delineated using CT. With MRI, 94.1% of the parotid Summary 82 glands, 99.2 % of the mandibular glands, 88.9% of the zygomatic glands and 51,4 % of the ventral buccal glands could be identified. In both groups the other small salivary glands could not be visualized neither in CT nor in MRI. Anatomical landmarks such as the external ear canal, the M. masseter, the M. pterygoideus medialis and the Bulbus oculi facilitate the identification. The mean density of the parotid gland, the mandibular gland and the zygomatic gland was 65 HU, 62 HU and 57 HU, respectively. The parotid gland was mainly modestly hyperintense to muscle and hypointense to fat. The mandibular, zygomat

Published
2017

9. Computertomographische und magnetresonanztomographische Anatomie der Speicheldrüsen der Katze

Author

Gorgas, Daniela, Klinik für Kleintiere, Fromme, Vivian, Gorgas, Daniela, Klinik für Kleintiere, and Fromme, Vivian

Abstract

Zielstellung: Die Verwendung von Computertomographie und Magnetresonanzto-mographie zur Diagnostik von pathologischen Weichteilveränderungen, wie Läsionen der Speicheldrüsen, wird empfohlen. Diese begründet sich in Ihrer hohen Bildauflö-sung und dem guten Bildkontrast. Nach unserem Wissen gibt es aktuell keine publi-zierte Literatur, welche sich mit der CT- oder MRT-Anatomie der Speicheldrüsen der Katze beschäftigt. Ziel der vorliegenden Arbeit war es daher, Schnittbildmerkmale der Speicheldrüsen zu definieren und Landmarken für eine sichere Identifikation zu be-schreiben. Material und Methoden: Es wurden zwei Gruppen von Katzen untersucht. Die pros-pektiv untersuchten Tiere bestanden aus 16 Katzen, welche aus Gründen euthana-siert wurden, die nicht in Zusammenhang mit der Studie standen. Diese erfuhren ein CT (1 mm Schichtdicke) und 0,5 Tesla MRT (T2W, T2W SPIR, PDW, T1W) des Kop-fes. Im retrospektiven Anteil der Studie wurden CT-Untersuchungen (0,8-1 mm Schichtdicke) von 25 Katzen und MRT-Untersuchungen (T2W, T1W vor und nach Kontrastmittelgabe) von 21 Katzen verwendet. Diese Untersuchungen wurden zwi-schen 2005 und 2013 in unserer Klinik angefertigt. Dabei konnten keine Pathologien in Zusammenhang mit den Speicheldrüsen festgestellt werden. Alle Speicheldrüsen wurden bezüglich Identifizierbarkeit, Abgrenzbarkeit, Größe und Signalverhalten un-tersucht. Wenn vorhanden, wurden anatomische Landmarken die Speicheldrüsen umgebend notiert. Zusammenfassung 80 Ergebnisse: 94,3% der Glandulae parotidae, 90,7% der Glandulae mandibulares und 96,8% der Glandulae zygomaticae konnten mit dem CT identifiziert werden. Beim MRT waren es 94,1% der Glandulae parotidae, 99,2 % der Glandulae mandibulares, 88,9% der Glandulae zygomaticae und 51,4 % der Glandulae buccalis ventralis. In beiden Gruppen konnten keine der restlichen kleinen Speicheldrüsen identifiziert werden, dies galt für beide Schnittbildverfahren. Als hilfreiche anatomi-sche Landmarken konnten der äußere Gehörgang, der, Objective: Due to their high resolution and useful contrast resolution, CT and MRI are recommended methods for diagnosing pathological changes of soft tissues such as lesions of the salivary glands. To our knowledge, no studies about the CT or MR anatomy of the feline salivary glands have been published yet. The aim of the study was to define anatomical characteristics of the salivary glands in cross-sectional im-ages and to describe landmarks for a reliable identification. Materials and methods: Two groups of cats where examined. In a prospective trial, 16 cats, euthanized for reasons unrelated to the study, underwent a head CT (1 mm slice thickness) and 0.5 Tesla MRI scans (T2W, T2W SPIR, PDW, T1W). In a retro-spective trial, the CT scans (0.8-1 mm slice thickness) of 25 cats and the MR scans (T2W, T1W, pre- and post-contrast) of 21 cats were used. These scans were per-formed at our clinic between 2005 and 2013. No signs of salivary-gland-related pa-thologies were visible. All images were reviewed with respect to the following criteria: the presence, delineation and size of the salivary glands as well as the signal intensi-ty. Anatomical landmarks surrounding the glands were also recorded. Results: 94.3% of the parotid glands, 90.7% of the mandibular glands and 96.8% of the zygomatic glands could be delineated using CT. With MRI, 94.1% of the parotid Summary 82 glands, 99.2 % of the mandibular glands, 88.9% of the zygomatic glands and 51,4 % of the ventral buccal glands could be identified. In both groups the other small salivary glands could not be visualized neither in CT nor in MRI. Anatomical landmarks such as the external ear canal, the M. masseter, the M. pterygoideus medialis and the Bulbus oculi facilitate the identification. The mean density of the parotid gland, the mandibular gland and the zygomatic gland was 65 HU, 62 HU and 57 HU, respectively. The parotid gland was mainly modestly hyperintense to muscle and hypointense to fat. The mandibular, zygomat

Published
2017

17. [Contrast-enhanced ultrasound at a rare bilateral renal carcinoma with secondary inflammation and necrosis in a cat].

Author

Fromme V, Köhler C, Langguth J, Morales IC, Alef M, and Kiefer I

Subjects
Animals, Anorexia veterinary, Cats, Contrast Media, Fatal Outcome, Inflammation veterinary, Kidney Neoplasms diagnostic imaging, Kidney Neoplasms pathology, Kidney Neoplasms therapy, Male, Necrosis veterinary, Tomography, X-Ray Computed veterinary, Ultrasonography veterinary, Kidney diagnostic imaging, Kidney pathology, Kidney Neoplasms veterinary
Abstract

A 17-year-old male neutered domestic short hair cat was presented because of anorexia. The clinical examination revealed no abnormalities. Using sonography, mainly hypoechoic mass lesions at the level of the cortex and capsule were detected in both kidneys. The severity of the renal lesions could be clearly demonstrated using contrast-enhanced ultrasound and contrast-enhanced computed tomography. Under general anesthesia, fine needle aspirations of the lesions were taken. Part of the lesions were sampled from dorsal, an unusual practice for small animal medicine. Cytology revealed a bilateral renal carcinoma with secondary inflammation and necrosis. The cat improved under medical symptomatic treatment, but was euthanized 2 weeks later., Competing Interests: Die Autoren bestätigen, dass kein Interessenkonflikt besteht., (© Georg Thieme Verlag KG Stuttgart · New York.)

Published
2019
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18. [Multiple choristoma and a myelolipoma in a Sheltie].

Author

Cubillos CC, Köhler C, Fromme V, Leitner S, Hauber E, Schwede M, Alef M, and Kiefer I

Subjects
Abdominal Neoplasms diagnostic imaging, Abdominal Neoplasms surgery, Animals, Choristoma diagnostic imaging, Choristoma surgery, Dogs, Female, Myelolipoma diagnostic imaging, Myelolipoma surgery, Tomography, X-Ray Computed, Ultrasonography, Abdominal Neoplasms veterinary, Choristoma veterinary, Dog Diseases diagnostic imaging, Dog Diseases surgery, Myelolipoma veterinary
Abstract

An 11-year-old female Sheltie was presented with inappetence and a progressive increase in abdominal distention. Abdominal ultrasound revealed a large cystic mass in the midabdomen and cystic lesions in the right liver lobe and in the caudal pole of the left kidney. Histopathologic examination of the resected tissue revealed a myelolipoma of the spleen, dispersed splenic tissue in the liver and dispersed uterine and salpinx tissues in the kidney. This report describes the clinical, ultrasonographic and computed tomographic features and the results of histopathology. In addition to the abnormally large and cystic myelolipoma of the spleen, the great number of choristomas is remarkable, which has not previously been documented in a dog., Competing Interests: Die Autoren bestätigen, dass kein Interessenkonflikt besteht., (Schattauer GmbH.)

Published
2018
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19. [Complications of ultrasound-guided liver biopsies in dogs and cats].

Author

Moritz AK, Köhler C, Fromme V, Winter K, Alef M, and Kiefer I

Subjects
Animals, Cat Diseases diagnostic imaging, Cat Diseases pathology, Cats, Dog Diseases diagnostic imaging, Dog Diseases pathology, Dogs, Hemorrhage etiology, Hemorrhage veterinary, Biopsy veterinary, Cat Diseases diagnosis, Dog Diseases diagnosis, Liver diagnostic imaging, Liver pathology, Ultrasonography veterinary
Abstract

Objective: Ultrasound-guided biopsies are obtained generally to reach a sound diagnosis in the case of sonographically detectable hepatic changes. The most common and well-known complication associated with ultrasound-guided biopsies is haemorrhage after sampling, which may lead to the patient's death. The aim of this study was to evaluate a possible association between alterations in the coagulation parameters and sonographically observable haemorrhage following liver biopsies., Materials and Methods: Dogs and cats in which an ultrasound-guided biopsy of the liver had been performed were retrospectively enrolled in the study. Inclusion criteria were thoroughly documented sonographic findings and the results of the coagula tion parameter thromboplastin time or a combination of the activated partial thromboplastin time and prothrombin time. The incidence of post-interventional ascites and possible risk factors were evaluated., Results: A total of 105 patients met the inclusion criteria and the data of 94 dogs (89.5 %) and 11 cats (10.5 %) were analysed. Post-interventional complications occurred in 26 of 105 patients (24.8 %), 21.9 % being minor and 2.9 % being major. Free abdominal fluid after intervention was sonographically detected in 22 of 94 dogs (23.4 %) and four of 11 cats (36.4 %). Three of 10 dogs (2.9 %) with a clinically significant prolongated coagulation time of > 25 % had ascites after biopsy. Only a small amount of fluid was detected in two of these three dogs, while a moderate amount of ascites was observed in the third dog. One of two cats with a prolonged coagulation time of > 25 % developed a moderate amount of ascites after the puncture. No statistically significant association was found between the occurrence of post-interventional ascites and a prolongation of the coagulation time., Conclusion: According to the study results, there is no obvi ous correlation between alterations in coagulation and haemorrhage after an ultrasound-guided liver biopsy., Competing Interests: Die Autoren bestätigen, dass kein Interessenkonflikt besteht., (Schattauer GmbH.)

Published
2018
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20. [Magnetic resonance imaging anatomy of the feline salivary glands].

Author

Fromme V, Köhler C, Piesnack S, Oechtering G, and Ludewig E

Subjects
Animals, Female, Humans, Cats anatomy & histology, Magnetic Resonance Imaging veterinary, Salivary Glands anatomy & histology, Salivary Glands diagnostic imaging
Abstract

Objective: The aim of the study was to define anatomical characteristics of feline salivary glands using magnetic resonance imaging (MRI) and to describe landmarks for their reliable identification., Material and Methods: Heads of 37 adult cats without signs of diseased salivary glands on clinical examination or history were examined. In cats included in the prospective part of the study, the MRI study was completed within one hour after euthanasia (n = 16). In the retrospective part, previously performed MRI studies were evaluated (n = 21). The prospective part of the study included the following standardized sequences: T2-weighted (T2W) turbo spin echo (TSE), T2W fat-suppressed TSE and proton density weighted (PDW) TSE images in a transverse plane as well as T1-weighted (T1W) fast field echo (FFE) in the transverse, sagittal and dorsal planes. In the retrospective part, T2W TSE and T1W TSE transverse images pre- and post-contrast were analyzed. Initially, identification and delineation of the salivary glands from surrounding tissue was assessed. Anatomical structures of the head were then identified and defined as landmarks. The dimensions of the glands were measured on T2W TSE images and the signal intensity in relation to that of fat and muscle was described using all sequences., Results: In total, 95.9% of the parotid glands and 100% of the mandibular glands could be visualized on T1W TSE and FFE images and on T2W TSE images. Additionally, 93.3% of the zygomatic glands were identified on T2W TSE sequences and 82.5% on T1W TSE and FFE images. The ventral buccal glands could be demarcated in some sequences (T2W TSE: 51.4%, T1W TSE and FFE: 18.9%). Anatomical landmarks facilitated gland identification. Comparing the size of the salivary glands of both groups revealed differences of up to 2 mm., Conclusion: Both the large salivary glands (Glandula [Gl.]. parotis and Gl. mandibularis) and the small salivary glands (Gl. zygomatica and Gl. buccalis ventralis) of the cat can be reliably identified on MRI images.

Published
2016
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