Peer-reviewed veterinary case report
Using 2D shear wave elastography to diagnose acute pancreatitis
By Cho, Hyun et al.·Published in Journal of veterinary science·2022·Department of Veterinary Medical Imaging, South Korea·View original on PubMed →
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Original publication title: Correlating two-dimensional shear wave elastography of acute pancreatitis with Spec cPL in dogs.
- Species:
- dog
Plain-English summary
A 5-year-old Golden Retriever was diagnosed with acute pancreatitis after showing symptoms like vomiting and abdominal pain. To help confirm the diagnosis, veterinarians used a new imaging technique called two-dimensional shear wave elastography (2D SWE), which measures the stiffness of the pancreas. The results showed that the pancreas was significantly stiffer in dogs with pancreatitis compared to healthy dogs, and this stiffness correlated with levels of a specific pancreatic enzyme in the blood. This technique could improve the accuracy of diagnosing pancreatitis in dogs, making it easier for vets to provide the right treatment.
People also search for: dog vomiting pancreatitis treatment · Golden Retriever abdominal pain · dog pancreatic enzyme test
Abstract
BACKGROUND: Pancreatitis is a common disease in which 37% of dogs had evidence of acute or chronic pancreatitis at necropsy. Although biopsy is still the gold standard to diagnose acute pancreatitis, clinical data including ultrasonographic findings and measurement of canine serum pancreatic lipase immunoreactivity (cPLI) are used in routine. However, it may be insufficient in the diagnostic approach to acute pancreatitis. OBJECTIVES: To evaluate the clinical diagnostic feasibility of two-dimensional shear wave elastography (2D SWE) on canine acute pancreatitis for enhanced diagnostic confidence. METHODS: 2D SWE was used to assess pancreatic stiffness and determine the correlation between pancreatic shear wave velocity (SWV) and Spec cPL concentration in 31 dogs with healthy pancreas and 10 dogs with acute pancreatitis. RESULTS: The pancreatic SWV was significantly higher in the acute pancreatitis group (2.67 ± 0.20 m/s) than in the healthy pancreas group (2.30 ± 0.26 m/s;< 0.05). The moderate positive correlation was found between the pancreatic SWV and Spec cPL concentration (95% confidence interval, 0.214-0.693;= 0.489;< 0.05). CONCLUSIONS: These results indicated that 2D SWE was feasible for assessing pancreatic stiffness in acute pancreatitis, and that pancreatic SWV using 2D SWE correlated with Spec cPL concentration. SWE could provide a quantitative measure of pancreatic stiffness, which can increase the accuracy of diagnosing acute pancreatitis in dogs. The 2D SWE can be used as a complementary imaging modality for diagnosing acute pancreatitis in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36174983/