16 results on '"Panopoulos I"'
Search Results
2. 64-multidetector CT anatomical assessment of the feline bronchial and pulmonary vascular structures
- Author
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Panopoulos, I; https://orcid.org/0000-0001-8496-2159, Auriemma, E, Specchi, S, Diana, A, Pietra, M, Papastefanou, A, Zini, Eric; https://orcid.org/0000-0002-7580-1297, Cipone, M, Panopoulos, I; https://orcid.org/0000-0001-8496-2159, Auriemma, E, Specchi, S, Diana, A, Pietra, M, Papastefanou, A, Zini, Eric; https://orcid.org/0000-0002-7580-1297, and Cipone, M
- Abstract
OBJECTIVES: The aim of the study was to provide a detailed anatomical study of the feline bronchial and vascular structures by using CT angiography (CTA). METHODS: Adult cats with no respiratory clinical signs were enrolled in a CTA protocol to provide an anatomical study of the thorax. The dimensions, number of branches and branching pattern (monopodial vs dichotomic) of both bronchial and pulmonary vascular structures were evaluated under positive inspiration apnoea. A linear generalised estimating equations analysis (Spearman's rho) was used to identify statistical correlation between tracheal diameter, age and body weight of the cats. RESULTS: Fourteen cats met the inclusion criteria. The pulmonary arteries had larger diameters than the pulmonary veins, and the pulmonary veins had larger diameters than the bronchial structures. A higher number of segmental bronchial and pulmonary vascular branches was observed in the left caudal lung lobe than in the other lobes. The monopodial branching pattern of both bronchial and pulmonary vascular structures was predominant in all cats of our study (100%) in cranial, caudal and right middle lung lobes, while a dichotomic branching pattern of the bronchial and pulmonary vascular structures of the accessory lung lobe was seen in 13 cats (93%). Thirteen cats (93%) had three pulmonary vein ostia, and one cat (7%) also presented with an additional left intermediate pulmonary vein ostium. Variation in the number of segmental pulmonary vein branches was noted in the right caudal lung lobe. There was no statistical correlation between tracheal diameter, age and weight. CONCLUSIONS AND RELEVANCE: Architecture of the feline bronchovascularr structures belongs to a mixed type of monopodial and dichotomic branching pattern. In cats, the pulmonary venous drainage system predominately presents three pulmonary vein ostia. Variations in the type of formation and the number of branches of the pulmonary venous drainage system were noted.
- Published
- 2019
3. Congenital pituitary dwarfism in a Rottweiler dog.
- Author
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Mylonakis, M. E., Kandylis, G., Ferlemis, D., Panopoulos, I., and Kooistra, H. S.
- Subjects
DWARFISM ,ROTTWEILER dog ,CRYPTORCHISM ,SOMATOTROPIN ,GONADOTROPIN-inhibitory hormone ,ADRENOCORTICOTROPIC hormone - Abstract
CASE REPORT: A 7-month-old male Rottweiler puppy was admitted because of stunted growth. Clinical and clinicopathological examination revealed proportionate growth retardation, lack of primary hairs, bilateral cryptorchidism and mild azotaemia. Plasma growth hormone concentration was low prior to and following stimulation with xylazine, indicating hyposomatotropism. The serum concentrations of insulin-like growth factor-1, prolactin, thyroid-stimulating hormone and total and free thyroxin were low. Plasma luteinising hormone concentration was low prior to and following stimulation with gonadotropin-releasing hormone. Adrenocorticotropic hormone (ACTH) stimulation test and endogenous ACTH concentration were normal. Magnetic resonance imaging of the brain revealed the presence of an intrasellar cyst and a multilobed cystic lesion in the left posterior hemisphere. CONCLUSION: To the authors' knowledge, this is the first report of congenital pituitary dwarfism in the Rottweiler breed that occurred with a pituitary hormone deficiency pattern similar to that seen in German Shepherd Dogs. [ABSTRACT FROM AUTHOR]
- Published
- 2015
4. 64-multidetector CT anatomical assessment of the feline bronchial and pulmonary vascular structures
- Author
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Anastasia Papastefanou, Ioannis Panopoulos, Edoardo Auriemma, Swan Specchi, Alessia Diana, Marco Pietra, Eric Zini, Mario Cipone, Panopoulos, Ioannis, Auriemma, Edoardo, Specchi, Swan, Diana, Alessia, Pietra, Marco, Papastefanou, Anastasia, Zini, Eric, Cipone, Mario, University of Zurich, and Panopoulos, I
- Subjects
Male ,Thorax ,medicine.medical_specialty ,10253 Department of Small Animals ,040301 veterinary sciences ,Bronchi ,Computed tomography ,Pulmonary Artery ,Multidetector ct ,Cat Diseases ,030308 mycology & parasitology ,0403 veterinary science ,03 medical and health sciences ,medicine ,Animals ,angiography ,Respiratory system ,Bronchitis ,Small Animals ,Lung ,thorax ,0303 health sciences ,pulmonary vessels ,medicine.diagnostic_test ,630 Agriculture ,business.industry ,pulmonary vessel ,04 agricultural and veterinary sciences ,Pulmonary vessels ,respiratory system ,Pulmonary Veins ,Angiography ,Cats ,3404 Small Animals ,570 Life sciences ,biology ,Female ,Radiology ,Tomography, X-Ray Computed ,business - Abstract
Objectives The aim of the study was to provide a detailed anatomical study of the feline bronchial and vascular structures by using CT angiography (CTA). Methods Adult cats with no respiratory clinical signs were enrolled in a CTA protocol to provide an anatomical study of the thorax. The dimensions, number of branches and branching pattern (monopodial vs dichotomic) of both bronchial and pulmonary vascular structures were evaluated under positive inspiration apnoea. A linear generalised estimating equations analysis (Spearman’s rho) was used to identify statistical correlation between tracheal diameter, age and body weight of the cats. Results Fourteen cats met the inclusion criteria. The pulmonary arteries had larger diameters than the pulmonary veins, and the pulmonary veins had larger diameters than the bronchial structures. A higher number of segmental bronchial and pulmonary vascular branches was observed in the left caudal lung lobe than in the other lobes. The monopodial branching pattern of both bronchial and pulmonary vascular structures was predominant in all cats of our study (100%) in cranial, caudal and right middle lung lobes, while a dichotomic branching pattern of the bronchial and pulmonary vascular structures of the accessory lung lobe was seen in 13 cats (93%). Thirteen cats (93%) had three pulmonary vein ostia, and one cat (7%) also presented with an additional left intermediate pulmonary vein ostium. Variation in the number of segmental pulmonary vein branches was noted in the right caudal lung lobe. There was no statistical correlation between tracheal diameter, age and weight. Conclusions and relevance Architecture of the feline bronchovascularr structures belongs to a mixed type of monopodial and dichotomic branching pattern. In cats, the pulmonary venous drainage system predominately presents three pulmonary vein ostia. Variations in the type of formation and the number of branches of the pulmonary venous drainage system were noted.
- Published
- 2019
5. Computed tomographic findings in dogs with ovarian tumors: A tortuous ovarian artery consistently identifies ovarian origin in complex abdominal masses.
- Author
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Manfredi M, Morabito S, Fournier Q, Panopoulos I, Thierry F, Schwarz T, Lopez C, Baldinetti M, Massarenti C, Zani DD, and Longo M
- Subjects
- Animals, Dogs, Female, Retrospective Studies, Arteries diagnostic imaging, Arteries pathology, Ovarian Neoplasms veterinary, Ovarian Neoplasms diagnostic imaging, Ovarian Neoplasms pathology, Dog Diseases diagnostic imaging, Dog Diseases pathology, Tomography, X-Ray Computed veterinary, Ovary diagnostic imaging, Ovary blood supply, Ovary pathology
- Abstract
The aim of this retrospective multicentric case series is to describe the CT findings of ovarian neoplasia in dogs. Twenty dogs with pre- and postcontrast CT exams and cytological/histological diagnosis of ovarian neoplasia were included. Five dogs presented with bilateral tumors, for a total of 25 neoplasms: 15 carcinomas (4 bilateral), 4 granulosa cell tumors, 2 poorly differentiated malignant neoplasia (bilateral), 2 luteomas, 1 teratoma, 1 dysgerminoma. In two dogs, the tumor developed from an ovarian remnant. Ovarian tumors showed variable size, lobulated shape, and precontrast heterogenous appearance. Mineral foci and/or fat components were rare, observed in teratoma, granulosa cell tumors (2), and ovarian carcinoma. Tumor type was not found to be associated with any CT features. Larger masses were more likely located in the central abdomen ventral to the ipsilateral kidney, demonstrated signs of tumor rupture, and were associated with abdominal or sternal lymphadenopathy and peritoneal effusion. A tortuous ovarian artery was constantly detectable, associated with an enlarged gonadal vein (12 cases). Related cavitary changes were peritoneal effusion (14 dogs) and sternal lymphadenopathy (7 dogs). Presumed or confirmed metastasis was reported in 9 of 20 cases, with CT evidence of transcoelomic (serosal thickening, peritoneal nodules, omental cake, implant lesions to the liver, spleen, and diaphragm), lymphatic and hematogenous spread (lungs, liver, bone, muscles, and spleen). In conclusion, the present study reports the CT features of different canine ovarian neoplasia. A tortuous ovarian artery may be useful to consistently recognize the ovarian origin of a large abdominal mass., (© 2024 The Author(s). Veterinary Radiology & Ultrasound published by Wiley Periodicals LLC on behalf of American College of Veterinary Radiology.)
- Published
- 2025
- Full Text
- View/download PDF
6. Comparison of Two Surgical Techniques Based on the Semitendinosus Myocutaneous Flap in Cats.
- Author
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Dermisiadou E, Panopoulos I, Psalla D, Georgiou S, Sideri A, Galatos A, and Tsioli V
- Abstract
The objective of this experimental study was to compare the semitendinosus (ST) to the split-semitendinosus (SST) myocutaneous flap in covering distal limb skin defects in cats. Twenty-eight purpose-bred laboratory DSH cats were used and allocated into two groups (ST-group (A); n = 14, SST-group (B); n = 14). ST flaps, based on the distal muscle pedicle, and SST flaps, after longitudinal division of the muscle based on both muscle pedicles, were tested over skin defects created on the medial distal tibia. Clinical assessment, planimetry, CT-angiography (CTA) and histological examination were compared between groups. Days to complete flap healing between ST and SST-flaps (30.36 ± 9.1, 32.29 ± 5.44, respectively) and final total flap areas (68.36% ± 27.18, 51.83% ± 22.48, respectively) revealed no significant differences. On CTAs, the caliber of the distal caudal femoral vein on day 10 was statistically significant higher ( p < 0.001) for group A and a significantly higher caliber of the distal caudal femoral artery on day 30 for group B ( p = 0.021). Histology revealed statistically higher degeneration at 6 months ( p = 0.047) for group A, and statistically higher fibrosis at 12 months ( p = 0.019) for group B. Both ST and SST flaps had similar healing times and provided coverage of skin tibial defects in cats.
- Published
- 2023
- Full Text
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7. Use of a semitendinosus myocutaneous flap for the coverage of hindlimb full-thickness skin defects in cats.
- Author
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Dermisiadou E, Panopoulos I, Psalla D, Georgiou S, Sideri A, Galatos A, and Tsioli V
- Subjects
- Cats surgery, Animals, Skin Transplantation veterinary, Hindlimb surgery, Treatment Outcome, Plastic Surgery Procedures veterinary, Myocutaneous Flap, Hamstring Muscles
- Abstract
Background: The management of feline hindlimb full-thickness skin defects is challenging. On the other hand, the use of a semitendinosus (ST) myocutaneous flap for their coverage has not been reported., Objectives: To describe the ST flap and compare it with second intention healing for managing hindlimb full-thickness skin defects., Methods: In 12 purpose-bred laboratory domestic short-haired cats, two wounds were made on each tibia. The wounds in group A (n = 12) were covered with ST flaps, and those in group B (n = 12) were left to heal by second intention. In both groups, clinical assessment scoring and planimetry were performed between one-30 d postoperatively. Computed tomography-angiography (CTA) was performed on days zero, 10, and 30, and histological examinations were performed on days zero and 14 and at 6 and 12 mon postoperatively., Results: Statistically significant differences in the clinical assessment scores were observed between groups A and B on days 14 ( p = 0.046) and 21 ( p = 0.016). On the other hand, the time for complete healing was similar in the two groups. CTA revealed significant differences in the muscle width (day 0 compared to days 10 and 30 [ p = 0.001, p = 0.026, respectively], and days 10 to 30 [ p = 0.022]), ST muscle density, and the caliber of the distal caudal femoral artery and vein (day 0 compared to day 10 [ p < 0.001], and days 10 to 30 [ p < 0.001]). Histologically significant differences in inflammation, degeneration, edema, neovascularization, and fibrosis were observed on day 14 compared to zero and 6 mon, but no differences were found between the time interval of 6 and 12 mon., Conclusions: An ST flap can be used effectively to manage hindlimb full-thickness skin defects., Competing Interests: The authors declare no conflicts of interest., (© 2023 The Korean Society of Veterinary Science.)
- Published
- 2023
- Full Text
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8. Computed tomographic appearance of transcaval ureter in two dogs and three cats: A novel CVC congenital malformation.
- Author
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Spediacci C, Longo M, Specchi S, Pey P, Rabba S, Mavraki E, Di Giancamillo M, and Panopoulos I
- Abstract
Transcaval ureter is a rarely reported human congenital malformation of the prerenal segment of the inferior vena cava (IVC) not yet reported in veterinary medicine. The objective of this multicenter retrospective case series study was to describe the computed tomography (CT) features of transcaval ureters in dogs and cats. Patients referring to pre- and post-contrast CT exams of the abdomen and presenting this abnormality were retrospectively included. Multiple qualitative features were described for each ureteral abnormality detected. Three cats and two dogs with transcaval ureter were identified consisting of a segmental duplication of the CVC at the prerenal level creating a vascular ring through which the ureter extended, identified as a double-barrel gun sign. The malformation was divided into two types according to the symmetry of the caval branches and location in relation to the aorta, namely, type I symmetrical branches and right-lateral to the aorta, and type II asymmetrically branches and right-dorsal to the aorta. In one case, the malformation was associated with hydroureter and mild pyelectasis. In three cases, the anomaly was incidental and, in the remaining two cases, the clinical significance was uncertain. This is the first study describing the presence of transcaval ureter in dogs and cats. CT was a suitable method for the diagnosis of transcaval and a focal double-barrel gun sign of the CVC is proposed as the hallmark feature of this anomaly. The clinical relevance of this congenital vascular malformation is unclear and needs to be further investigated., Competing Interests: Authors ML and IP were employed by company Alphavet Veterinary Diagnostic Imaging. Authors SS and PP were employed by Antech Imaging Services. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Spediacci, Longo, Specchi, Pey, Rabba, Mavraki, Di Giancamillo and Panopoulos.)
- Published
- 2022
- Full Text
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9. Femoral artery thrombosis in an 11-year old boy due to a blunt trauma.
- Author
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Patoulias I, Panopoulos I, Pitoulias G, Feidantsis T, and Patoulias D
- Subjects
- Child, Femoral Artery diagnostic imaging, Femoral Artery injuries, Femoral Artery surgery, Femoral Vein injuries, Femoral Vein surgery, Humans, Leg, Male, Thrombosis diagnostic imaging, Thrombosis etiology, Thrombosis surgery, Wounds, Nonpenetrating complications, Wounds, Nonpenetrating diagnostic imaging
- Abstract
An 11-year old boy presented with a blunt trauma in the right inguinal area after a bicycle accident. Initial clinical picture was indicative of decreased arterial blood supply to the right lower extremity and the diagnostic confirmation was made with a colour flow Doppler ultrasonography. During operative investigation, a thrombosis of the common femoral artery, 3.5 cm in length, was found. The thrombotic part of the femoral artery was removed and replaced with a venous graft taken from the major saphenous vein, before the saphenofemoral junction. Postoperative course was uneventful. Traumatic thrombosis of the common femoral artery as a result of a blunt trauma is very rare, as only 4 relevant cases have been described previously.
- Published
- 2021
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10. What Is Your Neurologic Diagnosis?
- Author
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Liatis T, Theodorou K, Kasabalis D, Soubasis N, Panopoulos I, and Polizopoulou Z
- Subjects
- Animals, Diagnosis, Differential, Animal Diseases diagnosis, Nervous System Diseases diagnosis, Nervous System Diseases veterinary
- Published
- 2021
- Full Text
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11. Hydrocele in Pediatric Population.
- Author
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Patoulias I, Koutsogiannis E, Panopoulos I, Michou P, Feidantsis T, and Patoulias D
- Subjects
- Humans, Ligation, Male, Recurrence, Testicular Hydrocele classification, Testicular Hydrocele diagnosis, Testicular Hydrocele embryology, Watchful Waiting, Testicular Hydrocele therapy
- Abstract
Hydrocele is a collection of fluid within the tunica vaginalis. Based upon the etiology and the pathophysiology, it is divided into, the primary and secondary. The primary hydrocele includes the neonatal or the congenital, the communicating and the non-communicating or the closed or the adult type. The secondary hydrocele can develop in the substrate of a pre-existing disease. After systematic and thorough systematic and thorough research of the relevant literature, we aim at describing all the aspects of this entity, with specific emphasis on the issues that remain unanswered from the scientific community.
- Published
- 2020
- Full Text
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12. 64-multidetector CT anatomical assessment of the feline bronchial and pulmonary vascular structures.
- Author
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Panopoulos I, Auriemma E, Specchi S, Diana A, Pietra M, Papastefanou A, Zini E, and Cipone M
- Subjects
- Animals, Bronchi diagnostic imaging, Cats, Female, Lung diagnostic imaging, Male, Pulmonary Artery diagnostic imaging, Pulmonary Veins diagnostic imaging, Bronchitis veterinary, Cat Diseases diagnostic imaging, Tomography, X-Ray Computed veterinary
- Abstract
Objectives: The aim of the study was to provide a detailed anatomical study of the feline bronchial and vascular structures by using CT angiography (CTA)., Methods: Adult cats with no respiratory clinical signs were enrolled in a CTA protocol to provide an anatomical study of the thorax. The dimensions, number of branches and branching pattern (monopodial vs dichotomic) of both bronchial and pulmonary vascular structures were evaluated under positive inspiration apnoea. A linear generalised estimating equations analysis (Spearman's rho) was used to identify statistical correlation between tracheal diameter, age and body weight of the cats., Results: Fourteen cats met the inclusion criteria. The pulmonary arteries had larger diameters than the pulmonary veins, and the pulmonary veins had larger diameters than the bronchial structures. A higher number of segmental bronchial and pulmonary vascular branches was observed in the left caudal lung lobe than in the other lobes. The monopodial branching pattern of both bronchial and pulmonary vascular structures was predominant in all cats of our study (100%) in cranial, caudal and right middle lung lobes, while a dichotomic branching pattern of the bronchial and pulmonary vascular structures of the accessory lung lobe was seen in 13 cats (93%). Thirteen cats (93%) had three pulmonary vein ostia, and one cat (7%) also presented with an additional left intermediate pulmonary vein ostium. Variation in the number of segmental pulmonary vein branches was noted in the right caudal lung lobe. There was no statistical correlation between tracheal diameter, age and weight., Conclusions and Relevance: Architecture of the feline bronchovascularr structures belongs to a mixed type of monopodial and dichotomic branching pattern. In cats, the pulmonary venous drainage system predominately presents three pulmonary vein ostia. Variations in the type of formation and the number of branches of the pulmonary venous drainage system were noted.
- Published
- 2019
- Full Text
- View/download PDF
13. Canine and feline abdominal arterioportal communications can be classified based on branching patterns in computed tomographic angiography.
- Author
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Specchi S, Rossi F, Weisse C, Morabito S, Petrovitch NP, Drees R, Thierry F, Ricciardi M, Penchome R, Armenise A, Pey P, Paek M, Panopoulos I, Nicoli S, and Schwarz T
- Subjects
- Animals, Arteriovenous Malformations classification, Arteriovenous Malformations diagnostic imaging, Cat Diseases classification, Cats, Dog Diseases classification, Dogs, Female, Hypertension, Portal classification, Hypertension, Portal diagnostic imaging, Male, Retrospective Studies, Arteriovenous Malformations veterinary, Cat Diseases diagnostic imaging, Computed Tomography Angiography veterinary, Dog Diseases diagnostic imaging, Hypertension, Portal veterinary
- Abstract
Arterioportal vascular anomalies are communications between the splanchnic arteries and the portal system that represent a rare cause of presinusoidal portal hypertension in small animals. There is little information concerning the imaging findings of arterioportal communications in small animals and no classification could be found for radiologists and surgeons. The aims of this retrospective descriptive multicentric study were to describe the computed tomographic characteristics of arterioportal communications in a group of cats and dogs, and to propose a classification based on computed tomography (CT) angiographic anatomy. Computed tomography databases from multiple veterinary hospitals were searched for cats and dogs with a diagnosis of arterioportal communication. A total of 36 animals (33 dogs, three cats) met the inclusion criteria. There were 32 intrahepatic arterioportal malformations and four extrahepatic fistulae. The intrahepatic arterioportal malformations were classified as right divisional (11/32) and left divisional (21/32), and the left divisional were subclassified as left medial (16/21) and left lateral (4/21). One patient showed multiple intrahepatic arterioportal communications with concomitant left medial and left lateral conformations. Two patients with intrahepatic arteriovenous malformation showed concomitant congenital intrahepatic shunts. The proposed anatomical classification based on CT angiography could allow veterinary radiologists to have a more systematic approach and help improve the radiologist-surgeon communication., (© 2018 The Authors. Veterinary Radiology & Ultrasound published by Wiley Periodicals, Inc. on behalf of American College of Veterinary Radiology.)
- Published
- 2018
- Full Text
- View/download PDF
14. Multidetector computed tomographic pulmonary angiography in a cat with fatal heartworm disease.
- Author
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Panopoulos I, Specchi S, Soubasis N, Papastefanou A, Brellou G, and Auriemma E
- Subjects
- Animals, Cat Diseases parasitology, Cats, Dirofilaria immitis isolation & purification, Dirofilariasis complications, Dirofilariasis parasitology, Fatal Outcome, Female, Pulmonary Artery diagnostic imaging, Pulmonary Embolism diagnostic imaging, Pulmonary Embolism parasitology, Angiography veterinary, Cat Diseases diagnostic imaging, Dirofilariasis diagnostic imaging, Multidetector Computed Tomography veterinary, Pulmonary Embolism veterinary
- Abstract
A 17-month-old neutered male domestic shorthair cat was referred for a computed tomographic (CT) study of the thorax due to respiratory distress. Multidetector CT angiography showed a multifocal interstitial ground glass opacity, tortuous and blunted pulmonary arteries consistent with thromboembolism with perivascular lung infiltration and hypoventilation in multiple lung lobes. A blood antigen test was positive for Dirofilaria immitis. The cat's clinical condition rapidly declined and the owners elected euthanasia. The histopathologic examination confirmed heartworm disease with parasitic pulmonary thromboembolism., (© 2017 American College of Veterinary Radiology.)
- Published
- 2018
- Full Text
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15. A "spaghetti sign" in feline abdominal radiographs predicts spleno-systemic collateral circulation.
- Author
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Specchi S, Panopoulos I, Adrian AM, Spattini G, Morabito S, and Paek M
- Subjects
- Animals, Cats, Female, Retrospective Studies, Spleen blood supply, Collateral Circulation, Radiography, Abdominal veterinary, Spleen diagnostic imaging, Tomography, X-Ray Computed veterinary, Ultrasonography veterinary
- Abstract
A well-defined, tortuous, and tubular soft tissue opaque structure has been observed within the left mid abdominal cavity in digital radiographs of some cats. Authors hypothesized that this radiographic "spaghetti sign" is a predictor for spleno-systemic collateral circulation. The purpose of this multicenter, retrospective, descriptive study was to further characterize radiographic "spaghetti signs" in a group of cats and compare these signs with results of ultrasonography or computed tomography (CT). A multiinstitutional database was reviewed for radiographic reports describing the presence of a tubular tortuous structure within the left abdominal cavity of feline patients. Patients were included if additional abdominal ultrasound or CT studies were available. Imaging studies and medical records were retrieved and reviewed by a board-certified veterinary radiologist, and characteristics were recorded. Eighteen cats met the inclusion criteria. The presence of a tortuous vessel consistent with spleno-systemic collateral circulation was observed by ultrasonography or CT examinations in all patients with a "spaghetti sign" on abdominal radiographs. All patients were spayed females. One cat showed ultrasonographic imaging features consistent with portal hypertension. In conclusion, findings supported the hypothesis that a radiographic "spaghetti sign" is a predictor of spleno-systemic collateral circulation in feline patients and should be distinguished from other signs such as focal loss of serosal detail or a space occupying lesion., (© 2017 American College of Veterinary Radiology.)
- Published
- 2018
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16. The role of surgery in the management of gastrointestinal stromal tumors (GISTs) in the era of imatinib mesylate effectiveness.
- Author
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Kosmadakis N, Visvardis EE, Kartsaklis P, Tsimara M, Chatziantoniou A, Panopoulos I, Erato P, and Capsambelis P
- Subjects
- Benzamides, Digestive System Surgical Procedures, Humans, Imatinib Mesylate, Male, Middle Aged, Antineoplastic Agents therapeutic use, Gastrointestinal Stromal Tumors drug therapy, Gastrointestinal Stromal Tumors surgery, Piperazines therapeutic use, Pyrimidines therapeutic use
- Abstract
Surgical resection is the treatment of choice for the gastrointestinal stromal tumors (GISTs). In the literature, the 5-year patient survival after surgical resection, ranged from 48 to 80%, before the era of imatinib mesylate and the exploration of the prognostication criteria. Imatinib mesylate targets an intracellular signaling molecule of the natural history and malignant development of GISTs, and increased the 5-year survival rate, after the resection of primary low-risk GISTs, to similar values to the normal population. For high-risk GISTs, current knowledge which is still under expansion, show major improvement at the 1-year survival rate of more than 90% versus less than 50% before imatinib era. After surgical resection, for both low and high malignant potential GISTs, a closed control directed to the early identification of confined resectable recurrences, is required. This paper assesses the current knowledge of GIST management, motivated by a case of patient with intermediate risk GIST.
- Published
- 2005
- Full Text
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