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| Main Authors: | , , , , , , |
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| Format: | Artículo Open Access |
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Wiley
2024
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| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/vru.13402 |
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| _version_ | 1867021668446109696 |
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| author | Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi |
| author_facet | Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi |
| collection | Wiley Open Access |
| contents | The vertebral right heart index: A new radiographic method to assess right heart enlargement in dogs Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi Veterinary Radiology & Ultrasound AbstractIn veterinary medicine, the radiographic assessment of right heart enlargement (RHE) is essentially subjective. The aim of this study was to evaluate the vertebral right heart index (VRHi) as a new quantitative radiographic method to detect RHE in dogs. This was a multicenter, retrospective, observational study, including dogs with RHE and control dogs. All dogs had to have a thoracic radiographic study and a complete echocardiography on the same day. Right heart enlargement was defined as the presence of right atrial enlargement, right ventricular enlargement, and/or hypertrophy based on echocardiography. For the radiographic study, all the radiographic views available for each case were considered for measurement: right lateral (RL), left lateral (LL), ventrodorsal (VD), and dorsoventral (DV). The VRHi was measured using LL, RL, VD, and DV views. A total of 204 dogs were included: 91 dogs with RHE and 113 control dogs. The VRHi (RL), the VRHi (LL), and the VRHi (VD) were significantly greater in dogs with RHE compared with controls (P < .0001). The best diagnostic accuracy was observed for VRHi (LL) (area under the curve [AUC] 0.86, P < .0001; cutoff ≥ 3.5 vertebrae, sensitivity [Se] 71%, specificity [Sp] 89%), followed by VRHi (RL) (AUC 0.85, P < .0001; cutoff ≥ 3.5 vertebrae, Se 68%, Sp 86%) and VRHi (VD) (AUC 0.80, P = .0004; cutoff ≥ 3.0 vertebrae, Se 57%, Sp 95%). In conclusion, the lateral VRHi in LL and RL and the VD VRHi could represent useful radiological tools for the detection of RHE in dogs. 10.1111/vru.13402 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/vru.13402 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_vru_13402 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The vertebral right heart index: A new radiographic method to assess right heart enlargement in dogs Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi Veterinary Radiology & Ultrasound The vertebral right heart index: A new radiographic method to assess right heart enlargement in dogs Caterina Puccinelli Tommaso Vezzosi Giovanni Grosso Rosalba Tognetti Edoardo Auriemma Oriol Domenech Simonetta Citi Veterinary Radiology & Ultrasound AbstractIn veterinary medicine, the radiographic assessment of right heart enlargement (RHE) is essentially subjective. The aim of this study was to evaluate the vertebral right heart index (VRHi) as a new quantitative radiographic method to detect RHE in dogs. This was a multicenter, retrospective, observational study, including dogs with RHE and control dogs. All dogs had to have a thoracic radiographic study and a complete echocardiography on the same day. Right heart enlargement was defined as the presence of right atrial enlargement, right ventricular enlargement, and/or hypertrophy based on echocardiography. For the radiographic study, all the radiographic views available for each case were considered for measurement: right lateral (RL), left lateral (LL), ventrodorsal (VD), and dorsoventral (DV). The VRHi was measured using LL, RL, VD, and DV views. A total of 204 dogs were included: 91 dogs with RHE and 113 control dogs. The VRHi (RL), the VRHi (LL), and the VRHi (VD) were significantly greater in dogs with RHE compared with controls (P < .0001). The best diagnostic accuracy was observed for VRHi (LL) (area under the curve [AUC] 0.86, P < .0001; cutoff ≥ 3.5 vertebrae, sensitivity [Se] 71%, specificity [Sp] 89%), followed by VRHi (RL) (AUC 0.85, P < .0001; cutoff ≥ 3.5 vertebrae, Se 68%, Sp 86%) and VRHi (VD) (AUC 0.80, P = .0004; cutoff ≥ 3.0 vertebrae, Se 57%, Sp 95%). In conclusion, the lateral VRHi in LL and RL and the VD VRHi could represent useful radiological tools for the detection of RHE in dogs. 10.1111/vru.13402 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | The vertebral right heart index: A new radiographic method to assess right heart enlargement in dogs |
| topic | Veterinary Radiology & Ultrasound |
| url | https://onlinelibrary.wiley.com/doi/10.1111/vru.13402 |