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Biomedical subjects

D A Feeney

Publications and source records attributed to D A Feeney.

At least 19 recordsLinked to original sources

Detailed ultrasonographic mapping of the pelvis in clinically normal horses and ponies.

OBJECTIVE: To map the equine pelvis using ultrasonography, validated by use of computed tomography (CT), magnetic resonance imaging (MRI), and measurements of frozen cadaver slices. ANIMALS: 6 ponies and 6 horses. PROCEDURE: Ultrasonographic examination of the pelvis was performed on 6 clinically normal ponies. Measurements were obtained for imaged structures. Computed tomography, MRI, and measurements of frozen sections were performed after death and used to verify measurements. Linear regression determined the degree of correlation between measurements obtained ultrasonographically and the other modalities. Six clinically normal horses were then examined by use of ultrasonography. For each structure measured mean, SD, and range were calculated. RESULTS: Data obtained from ponies revealed high correlations between ultrasonographic findings and those of CT, MRI, and frozen section measurements (r2 = 0.97, r2 = 0.99, and r2 = 0.99, respectively). Differences between structures measured on each side of the pelvis were not significant. Variation in size of structures was not associated with weight of horses. A correlation was not found between weight of horses and ponies and size of structure. CONCLUSIONS AND CLINICAL RELEVANCE: Ultrasonography can be used to accurately measure and evaluate the musculoskeletal structures of the pelvis of horses. The use of CT, MRI, and measurements of frozen sections provided a means of validating the ultrasonographic measurements. Reference range values determined in our study can be used to evaluate horses with suspected pelvic disease.

Animals↗

Clinical features of inflammatory liver disease in cats: 41 cases (1983-1993).

OBJECTIVE: To compare the clinical and clinicopathologic findings in and prognosis for cats with lymphocytic portal hepatitis (LPH) versus cats with acute or chronic cholangiohepatitis (CH). DESIGN: Retrospective study. ANIMALS: 25 cats with LPH; 16 cats with CH (7 acute, 9 chronic). PROCEDURE: Cats with LPH and CH were selected by evaluating records from liver biopsy specimens submitted to the University of Minnesota Veterinary Teaching Hospital during a 10-year period. Clinical and clinicopathologic data were retrieved. RESULTS: Cats with CH had higher segmented and band neutrophil counts, alanine aminotransferase activities, and total bilirubin concentrations than did cats with LPH. Cats with acute CH had higher segmented and band neutrophil counts and lower serum alkaline phosphatase activities and total bilirubin concentrations than did cats with chronic CH. Twelve of 14 cats with LPH or CH had coarse or nodular texture to the liver on ultrasonography, with loss of portal vein wall clarity noticed in 4 of 8 cats with LPH. Sixteen of 23 cats with LPH and 8 of 15 cats with CH survived > 1 year. Of those cats living < 1 year, all cats with LPH and 5 of 7 cats with CH had a serious concurrent illness that may have been responsible for their deaths. CLINICAL IMPLICATIONS: LPH and CH can be detected and tentatively differentiated through evaluation of clinical laboratory test results, but histologic evaluation of liver specimens is necessary for definitive differentiation. Survival time was good regardless of the type of inflammatory liver disease.

Acute Disease↗

Imaging canine urocystoliths. Detection and prediction of mineral content.

The role of survey radiography, contrast radiography, and ultrasonography in the assessment of urocystolithiasis has been primarily one of detection. Information about the radiographic characteristics of uroliths (size, shape, radiopacity, surface characteristics, number detected) for characterization and diagnosis of urocystolithiasis is emerging; however, there are no studies on the accuracy or sensitivity of these techniques. In this article, the intent is to update knowledge about available imaging techniques used in the detection and characterization of urocystoliths based on recent studies designed to evaluate their accuracy in prediction of different urocystoliths mineral content.

Animals↗

Evaluation of the morphologic characteristics and prevalence of canine urocystoliths from a regional urolith center.

OBJECTIVE: To determine whether morphology of single-mineral urocystoliths and age, sex, or breed data could be applied to facilitate radiographic and clinical urocystolith mineral type prediction, respectively, in dogs. SAMPLE POPULATION: Database of 2,041 dogs with pure mineral composition urocystoliths. PROCEDURE: All uroliths were characterized according to geologic descriptive terminology and by breed, sex, and age of dog at time of sample submission. Summary statistics were used to compare features with specific mineral types. Observed trends were analyzed for statistical relevance between observed and expected frequencies for age, sex, color, size, shape, and surface, using the null hypothesis that differences by urocystolith mineral type did not exist. On the basis of expected breed occurrence derived by equations, the null hypothesis that urocystolith occurrence paralleled canine breed popularity was tested. RESULTS: Urocystoliths > 10 mm in any dimension were > 92% likely to be magnesium ammonium phosphate hexahydrate (MAP). Smooth, blunt-edged or faceted, and pyramidal urocystoliths were usually MAP. Jackstone shapes were almost always silica. Botryoidal (grape-like clusters) urocystoliths were likely to be oxalates. Breeds with high relative likelihood of urocystoliths included: English Bulldog, Pekingese, Pug, Welsh Corgi, and West Highland White Terrier. Breeds with low relative likelihood of urocystolith production included: German Shepherd Dog, Shar-Pei, and German Shorthaired Pointer. About 94% of urocystoliths produced in females or spayed females were MAP, whereas males and neutered males produced a greater assortment. CONCLUSIONS AND CLINICAL RELEVANCE: For pure mineral composition urocystoliths, trends in mineral type among breeds and between sexes can be exploited clinically in the diagnosis and management of urolith-related disease. Size and shape, used in conjunction with age, breed, and sex, can facilitate pure urocystolith mineral type prediction.

Age Factors↗

Comparison of radiographic and necropsy findings of lung lesions in calves after challenge exposure with Pasteurella multocida.

OBJECTIVES: To test suitability of radiographic evaluation of lung lesions as a substitute for lung lesion scores derived by examination at necropsy in challenge-exposure models of bovine pneumonia. ANIMALS: 10 calves selected by body weight from 20 multiple-source male Holstein calves approximately 1 to 2 months old enrolled in a Pasteurella multocida challenge-exposure study. PROCEDURE: Calves were paired on the basis of weight and randomly assigned within pairs to vaccine or control (saline solution) group. By use of deep tracheal cannulation, calves were challenge exposed with a culture of virulent P multocida, observed for 10 days, euthanatized, and necropsied, and the lungs were scored for pneumonic lesions. Radiographic views of the lung fields of the calves were taken before challenge exposure and before necropsy and were evaluated for alveolar disease by a veterinary radiologist. Lung lesion scores were compared with radiographic evaluations. RESULTS: There was a strong and significant correlation (R2 = 0.91, P < 0.001) between results of the evaluation of postchallenge-exposure radiographs and necropsy results. There also was also strong and significant correlation (R2 = 0.90, P < 0.001) between evaluation of the prechallenge-exposure radiographs and necropsy results. CONCLUSIONS: Radiographic evaluation of lung lesions correlates well with lung lesions found at necropsy. The findings emphasize the need for caution in interpreting the results of challenge-exposure studies of bovine respiratory tract disease in which small numbers of calves are studied.

Animals↗

Diagnostic imaging of the feline lower urinary tract.

Survey radiography, double contrast cystography, and antegrade urethrocystography are valuable imaging tools available to the clinician for evaluation of cats with lower urinary tract disease. However, to be cost effective during patient evaluation, diagnostic radiographic procedures should be used only when needed. An algorithm is presented that describes when radiographic imaging techniques may be most cost effective in providing useful information during the clinical workup of cats with lower urinary tract disease.

Algorithms↗

Efficacy of radioprotective agents in preventing small and large bowel radiation injury.

PURPOSE: A variety of adjuvant treatments and cytoprotective agents have been proposed to lessen the toxicity of radiation therapy. The following study was designed to evaluate the benefit of six agents or combinations using anastomotic bursting strength as a measure of transmural radiation injury. METHODS: The 40-Gy study consisted of the following. Seventy-two male Sprague-Dawley rats were divided into eight equal groups: nonradiated control, radiated untreated control, and six radiated treated groups. The radioprotective treatments included ribose-cysteine (Rib-Cys), WR-2721, glutamine, vitamin E, MgCl2/adenosine triphosphate, and RibCys/glutamine in combination. Radiated animals received 40 Gy to the abdomen. Two weeks after radiation, all animals underwent small bowel and colonic resection with primary anastomosis. Animals were sacrificed one week postoperatively, at which time anastomoses were evaluated and bursting strengths determined. The 70-Gy study consisted of the following. The same protocol was repeated for five groups of nine rats divided into nonradiated, radiated untreated, and three radiated treated groups receiving RibCys (8 mmol/kg), RibCys (20 mmol/kg), and WR-2721. All radiated animals received 70-Gy doses. RESULTS: In the 40-Gy group, there were 10 radiation-related deaths and 6 anastomotic leaks among 70 rats studied. None of the differences between groups were significant. Nonradiated control group small bowel and large bowel anastomotic bursting pressures were significantly elevated compared with all radiated groups. Compared with radiated controls, there were significant improvements in small bowel bursting strength in the RibCys, WR-2721, RibCys-glutamine, and vitamin E groups and significant improvement in colonic bursting strength in MgCl2/adenosine triphosphate, WR-2721, and RibCys groups. In the 70-Gy group, all nine nonradiated control rats survived. All eight untreated radiated control rats died, four of eight WR-2721 animals died (P = 0.03), all RibCys (8 mmol/kg) animals died (P = 0.03), and three of nine treated with RibCys (20 mmol/kg) survived (P = 0.08). CONCLUSIONS: WR-2721 and RibCys gave consistent protection against large and small bowel radiation injury. The lower incidence of treatment-related toxicity and potentially equal or greater radioprotective effects may make RibCys more clinically useful than WR-2721.

Adenosine Triphosphate↗

Preoperative diagnosis of tumors of the brachial plexus by use of computed tomography in three dogs.

Three dogs with forelimb lameness of 3 months' to 1 year's duration were examined by computed tomography and determined to have a tumor of the brachial plexus. In each case, the clinician had been unable to determine the cause of lameness by other means, and in 2 dogs, surgery had been performed on the affected limb for unrelated conditions prior to diagnosis of the tumor. Computed tomography was performed by use of a third-generation scanner, with dogs under general anesthesia and positioned in dorsal recumbency. Intravenous contrast enhancement with iodinated contrast material was used to help differentiate vascular structures, and a 5-mm scanning width allowed detection of small tumors. In all dogs, approximate tumor location in the transverse plane, invasiveness, and relationship to surrounding structures compared favorably between computed tomographic images and surgical findings.

Animals↗

Protective effect of RibCys following high-dose irradiation of the rectosigmoid.

UNLABELLED: Ribose-cysteine (RibCys) is a prodrug of L-cysteine that stimulates glutathione biosynthesis. Increased glutathione levels have been shown to have a protective effect against radiation-induced injury and oxidative stress. Surface oximetry has previously been used successfully to predict anastomotic leakage. PURPOSE: The following study was done to evaluate the protective effect of RibCys and the predictive value of PtO2 determinations in a swine model. METHODS: Domestic swine were divided into three groups: Group A served as a nonradiated control; Group B received 6,000 to 6,500 rad to the rectosigmoid; and Group C received RibCys (1 g/kg) prior to receiving 6,000 to 6,500 rad. Radiated animals and controls underwent rectosigmoid resection after a three-week rest period. Intraoperative anastomotic PtO2 was checked with a modified Clark electrode. Anastomoses were evaluated radiographically at three and seven days; animals were sacrificed, and bursting strength was recorded at 10 days. RESULTS: Mean bursting pressures were 243.8 +/- 59.4, 199.5 +/- 37.8, and 209.5 +/- 54.9 mmHg (NS) for Groups A, B, and C, respectively. Anastomotic PtO2 ranged from 19 to 98 mmHg and could not be correlated with anastomotic leaks or bursting pressure. There were 11/15 radiation-related deaths and leaks (eight deaths and three leaks) in the radiated group and 4/12 radiation-related deaths and leaks (three deaths and one leak) in the group receiving radiation and RibCys (P < 0.04). CONCLUSIONS: 1) RibCys protected animals against radiation-related deaths and anastomotic leaks following high doses of pelvic irradiation; 2) anastomotic PtO2 levels did not correlate with anastomotic healing in this model.

Anastomosis, Surgical↗

Clinical and pathologic features of prostatic adenocarcinoma in sexually intact and castrated dogs: 31 cases (1970-1987).

The medical records of 31 dogs diagnosed with prostatic carcinoma at the teaching hospital between January 1970 and October 1987 were reviewed to determine whether gender status had an effect on the clinical features or biologic behavior of the disease. The only significant difference between sexually intact and castrated dogs was increased prevalence of pulmonary metastasis in castrated dogs.

Adenocarcinoma↗

Ultrasonographic features of testicular neoplasia in dogs: 16 cases (1980-1988).

For 16 dogs with testicular neoplasia (n = 19 tumors), ultrasonography was performed to determine whether a correlation exists between ultrasonographic features of testicular tumors and cell type. The echogenicity of the tumors varied depending on the size of the tumor and whether the tumor had focal or diffuse distribution within the testis. The ultrasonographic characteristics of Sertoli cell tumors were variable, with no predominant pattern. This variation may be related to tumor size, because 6 of 7 Sertoli cell tumors were greater than 5 cm in diameter. Focal seminomas and interstitial cell tumors less than 3 cm in diameter had hypoechoic texture. Focal seminomas and interstitial cell tumors greater than 3 cm in diameter had mixed echogenicity. Tumors of multiple cell types were greater than 5 cm in diameter and had mixed echogenicity. In valuable breeding dogs with a small (less than 3 cm) focal intrascrotal lesion, testicular ultrasonography would be of benefit for localization of the mass to the testis or epididymis for subsequent biopsy. In dogs with intraabdominal neoplastic testes, ultrasonography may be of benefit in determining intra-abdominal metastases and invasion of contiguous structures.

Animals↗

Ultrasonography of the kidney and prostate gland. Has gray-scale ultrasonography replaced contrast radiography?

Beginning in the late 1970s with the first reports of two-dimensional, gray-scale ultrasonography used to image small-animal abdominal organs, the question of whether to use contrast radiographic or ultrasonographic techniques for urogenital assessment has become increasingly important. In the last five to seven years, the volume of veterinary literature on ultrasonographic imaging equals or exceeds that on contrast radiographic imaging of the small-animal urogenital tract. While the advantages of ultrasonographic over contrast radiographic imaging are obvious for some situations (eg, renal failure or paraprostatic cyst), no overviews critically comparing these techniques have been published to our knowledge. With the increasing availability of ultrasonographic equipment in private veterinary practice, choices between these imaging techniques must be made. Imaging the kidney and the prostate gland are discussed because both techniques are applicable to these organs. Our intent was to determine which of these techniques would be appropriate for the common clinical conditions. This article addresses the advantages and disadvantages of both techniques for renal and prostatic imaging. The perspective provided is based on ten years of clinical experience with both techniques by each of the authors. Clinical scenarios and specific diseases are discussed and the consensus of the authors on the procedure(s) of choice for these situations are described.

Animals↗

Comparison of the effect of pneumonia detected during lifetime with pneumonia detected at slaughter on growth in swine.

Pneumonia in swine has been studied mainly at slaughter or necropsy. However, when performing slaughter or postmortem examinations, assessment of the true prevalence or lifetime extent of pneumonia is at best speculative. Radiography was used to evaluate lungs from pigs 21 to 150 days old. Follow-up slaughter examination was performed on pigs 180 days old. Individual percentage of pneumonia observed over the life of each pig and at slaughter were added to yield lifetime pneumonia scores. A significant (P = 0.0001) negative effect of lifetime pneumonia on growth rate was found. By comparison, slaughter examination proved to be a poor indicator of lifetime pneumonia; lesions were found to progress and regress dynamically throughout the life of pigs.

Animals↗

Experience with the biofragmentable anastomotic ring (BAR) in bowel preoperatively irradiated with 6000 rad.

Previous studies from the authors' laboratory using the biodegradable anastomotic ring (BAR) have demonstrated the safety of this device in animals irradiated preoperatively with the equivalent of 5000 rad; sutured, stapled, and BAR anastomoses all had leak rates of 10 percent or less in this setting. This study was undertaken to assess the safety of the BAR after irradiation with the equivalent of 6000 rad. Thirteen mongrel dogs underwent preoperative irradiation to the rectum and rectosigmoid, receiving 6000 rad according to the nominal standard dose equation. After a three-week rest period, each dog underwent anterior resection of the rectosigmoid and anastomosis with the BAR. The anastomoses were evaluated for early and late healing and anastomotic leaks. The results were compared with previous data from the authors' laboratory using an identical model. Radiographic leaks were found in 7 of 10 sutured anastomoses, 8 of 10 stapled anastomoses, and 3 of 13 BAR anastomoses (P less than 0.01). Comparative clinical leaks were 5 of 10 for sutured, 5 of 10 for stapled, and 3 of 13 for BAR anastomoses. These data suggest that the BAR may offer added safety to an anastomosis after preoperative irradiation. Whether this effect is due to the atraumatic technique of placing the device, improved blood flow to the anastomotic margins, or other factors, is still underdetermined.

Anastomosis, Surgical↗

Ultrasonographic appearance of primary and metastatic canine hepatic tumors. A review of 48 cases.

Forty-eight cases of dogs with primary and metastatic hepatic neoplasia were reviewed to determine if a predictable relationship between sonographic appearance and neoplastic cell type could be found. A focal mass was almost always a hepatocellular carcinoma (14 of 15) and 71% of these were hyperechoic. Focal or multifocal hyperechoic masses were most likely to be carcinomas (14 of 15). Focal or multifocal mixed neoplasms were most likely to be carcinomas (6 of 7). Two distinct patterns of lymphosarcoma were found: diffuse, mildly hyperechoic (6/11) and multifocal, hypoechoic (5/11). No neoplastic cell-type predictions could be made for focal or multifocal hypoechoic lesions. Diffuse fine or coarse patterns with minimal architectural distortions could be mistaken for normal or degenerative processes. However, in the presence of increased serum liver enzyme values, these subtle sonographic changes would warrant a liver biopsy to differentiate neoplastic infiltrate from non-neoplastic infiltrative and degenerative processes.

Animals↗