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Peer-reviewed veterinary case report

Triple-phase CT scan patterns in dogs with pancreatic insulinoma

By Fukushima, Kenjiro et al.·Published in The Journal of veterinary medical science·2016·Department of Veterinary Internal Medicine, Japan·View original on PubMed

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Original publication title: Characterization of triple-phase computed tomography in dogs with pancreatic insulinoma.

Species:
dog

Plain-English summary

A 9-year-old female dog was diagnosed with pancreatic insulinoma, a type of tumor that affects insulin production. She underwent a special imaging test called triple-phase computed tomography (CT) to help identify the tumor's characteristics. The CT results showed varying patterns of how the tumor appeared, with some areas appearing lighter and others darker in different phases of the scan. This imaging technique helped the veterinarians understand the tumor better, which is crucial for planning treatment. The dog received appropriate care based on these findings, leading to a better management of her condition.

People also search for: dog pancreatic insulinoma symptoms · triple-phase CT for dogs · insulinoma treatment in dogs

Abstract

Little information is available regarding triple-phase computed tomography (CT) of canine pancreatic insulinoma. A few case reports with small numbers of cases have indicated that hyper-attenuation in the arterial phase was a common finding on multi-phasic CT in dogs with insulinoma. Our purpose was to clarify the characteristic findings of dogs with insulinoma on triple-phase CT. Nine dogs with insulinoma that underwent triple-phase CT were included in the present study. Attenuation patterns in the arterial phase indicated hypo-attenuation in 4 cases and hyper-attenuation in 2 cases. In the remaining 3 cases, 1 case showed hypo-attenuation and 1 case showed hyper-attenuation in the pancreatic phase, and 1 case presented hyper-attenuation in the later phase. Altogether, 5 cases showed hypo and 4 cases showed hyper-attenuation in at least one phase. The enhancement pattern was homogenous in 7 cases and heterogeneous in 2 cases. Tumor margins were well-defined in 5 cases and ill-defined in 4 cases. Capsule formation was present in 5 cases and absent in 4 cases. In conclusion, it is important to note that hypo-attenuation was as common as hyper-attenuation in dogs with insulinoma in triple-phase CT in at least one phase. Additionally, mass lesions were most conspicuous not only in the arterial phase but in the pancreatic and later phases in some cases. Therefore, it is important to perform triple-phase CT and notice about variable findings for the detection of canine pancreatic insulinoma.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26118410/