Radiographs are of limited use and low cost-effectiveness when combined with ultrasound for abdominal restaging in dogs with solid, soft tissue tumours.

Autor:	Bevelock TJ; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Skinner OT; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Baumgardner RM; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Dean L; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Matheson JS; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Mickelson MA; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Donnelly LL; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA., Hutcheson KD; Department of Veterinary Medicine and Surgery, University of Missouri, Veterinary Health Center, Columbia, Missouri, USA.
Jazyk:	angličtina
Zdroj:	The Journal of small animal practice [J Small Anim Pract] 2025 Jan; Vol. 66 (1), pp. 14-19. Date of Electronic Publication: 2024 Oct 04.
DOI:	10.1111/jsap.13791
Abstrakt:	Objective: The purposes of this study were to assess the frequency of detection of clinically relevant findings by abdominal radiographs and abdominal ultrasound during restaging of solid, soft tissue tumours in dogs and to determine the cost per clinically relevant finding for both modalities. Materials and Methods: The medical records of 159 dogs which underwent a total of 223 restaging episodes following a diagnosis of a solid, soft tissue tumour within, or with potential for metastasis to, the abdomen were reviewed. Data collected from the sample dogs were reviewed for clinically relevant findings, including local recurrence, lymph node or intra-abdominal metastasis, and other changes that would influence prognosis or management. The clinically relevant findings were compared between abdominal radiographs and abdominal ultrasound. The cost per clinically relevant finding was calculated per modality based on current hospital costs. Results: Clinically relevant findings were observed in 158 restaging episodes. Ninety-two clinically relevant findings were detected with ultrasound alone, and 65 clinically relevant findings were detected with a combination of both modalities. Only one dog had a clinically relevant finding detected with radiographs alone. Findings were identified significantly more frequently with ultrasound than radiographs. Cost per clinically relevant finding was 495 USD (approx. 373 GBP/448 EUR) for abdominal radiographs and 323 USD (approx. 242 GBP/292 EUR) for abdominal ultrasound. Clinical Significance: Abdominal radiographs were of minimal use beyond abdominal ultrasound for restaging in this study, despite a higher cost per clinically relevant finding than abdominal ultrasound. This study does not support routine use of abdominal radiographs during routine restaging of solid, soft tissue tumours. (© 2024 British Small Animal Veterinary Association.)
Databáze:	MEDLINE
Externí odkaz:	Plný text