Computed Tomographic Angiography of the Pancreas in Cats with Chronic Diabetes Mellitus Compared to Normal Cats

Secrest, Scott; Sharma, Ajay; Bugbee, Andrew

doi:10.1111/jvim.14899

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…Recent studies have established the multiphase contrast enhanced computed tomography (CT) features of the normal and abnormal feline pancreas 78‐81 . The pancreas in healthy cats enhances homogenously on arterial, portal, and delayed phase scans.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…76,77 Recent studies have established the multiphase contrast enhanced computed tomography (CT) features of the normal and abnormal feline pancreas. [78][79][80][81] The pancreas in healthy cats enhances homogenously on arterial, portal, and delayed phase scans. The pancreas is hypoattenuating or isoattenuating to the liver and spleen on precontrast scans.…”

Section: Advanced Imaging Modalitiesmentioning

confidence: 99%

See 1 more Smart Citation

ACVIM consensus statement on pancreatitis in cats

Forman

Steiner

Armstrong

et al. 2021

Veterinary Internal Medicne

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Consensus Statements of the American College of Veterinary Internal Medicine (ACVIM) provide the veterinary community with up-to-date information on the pathophysiology, diagnosis, and treatment of clinically important animal diseases. The ACVIM Board of Regents oversees selection of relevant topics, identification of panel members with the expertise to draft the statements, and other aspects of assuring the integrity of the process. The statements are derived from evidence-based medicine whenever possible and the panel offers interpretive comments when such evidence is inadequate or contradictory. A draft is prepared by the panel, followed by solicitation of input by the ACVIM membership which may be incorporated into the statement. It is then submitted to the Journal of Veterinary Internal Medicine, where it is edited prior to publication. The authors are solely responsible for the content of the statements.

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Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Advanced Imaging Modalitiesmentioning

confidence: 99%

ACVIM consensus statement on pancreatitis in cats

Forman

Steiner

Armstrong

et al. 2021

Veterinary Internal Medicne

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“…In domestic cats, various organs have been examined by CT for identification of illness including the skull (King et al, ), heart (Rodriguez et al, ; Saunders & Birch, ), lung and vasculature (Henao‐Guerrero, Ricco, Jones, Buechner‐Maxwell, & Daniel, ; Panopoulos et al, ), pancreas (Head et al, ; Secrest, Sharma, & Bugbee, ) and kidney (Bouma, Aronso, Keithm, & Saunders, ; Cáceres, Zwingenberger, Aronson, & Mai, ; Reichle, DiBartola, & Leveille, ; Shiroma et al, ; Tyson, Logsdon, Were, & Daniel, ; Yamazoe et al, ). Despite this, reference values of the kidney morphology based on CT have not been reported.…”

Section: Introductionmentioning

confidence: 99%

Morphological assessment of cat kidneys using computed tomography

Darawiroj

Choisunirachon

2019

Anat Histol Embryol

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There are numerous publications about feline renal imaging information; however, none have established reference values for kidney size using computed tomography (CT). This study aimed to determine renal size and shape as well as the morphology of renal-related structures in clinically normal cats (Felis catus) that underwent CT.Twenty-seven healthy cats underwent pre-and post-iodinated contrast-enhanced CT. Most cat (59%) kidneys were located at the same level. The average pre-contrast dimensions of the left kidney included a width of 2.46 ± 0.28 cm, a length of 3.52 ± 0.44 cm and a height 2.19 ± 0.31 cm, whereas those of the right kidneys were 2.45 ± 0.27 cm, 3.54 ± 0.46 cm and 2.05 ± 0.23 cm, respectively. After contrast enhancement, kidneys were slightly enlarged though not significantly. Additionally, renal length (LK or RK) was compared with second lumbar vertebra (L2) length and abdominal aorta diameter (AO). AO was significantly larger in male cats whereas L2 length appeared longer in male cats, but was not statistically different from the female cats. The LK/L2 and RK/L2 ratios were 2.29 ± 0.23 and 2.36 ± 0.20, respectively, and the LK/AO and RK/AO were 11.72 ± 1.37 and 12.05 ± 1.47, respectively.Renal vessels were examined. The renal vein was obviously larger than the renal artery, and paired renal veins were observed periodically. This study provides CT information about the feline kidney, which may help to establish reference values and information regarding renal structure prior to surgery in practice. K E Y W O R D Scat, computed tomography, kidney, morphology

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“…Diabetes mellitus and exocrine pancreatic insufficiency (EPI) are believed to be possible sequelae to CP [10,12,[17][18][19]. Cats with DM often have increased serum feline pancreasspecific lipase (Spec fPL) concentrations (Idexx Laboratories, Kornwestheim, Germany) or chronic pancreatitis on histopathology and it is possible that CP may contribute to reduced glycemic control [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Cyclosporine Treatment in Cats with Presumed Chronic Pancreatitis—A Retrospective Study

Hoeyrup

Spillmann

Toresson

2021

Animals

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Chronic pancreatitis (CP) is a common disease in middle-aged to older cats. Cyclosporine has been suggested as an alternative treatment when other immunosuppressive treatments are insufficient or contraindicated. However, no published studies have investigated its efficacy on feline CP. The aim of this retrospective study was to evaluate the efficacy of cyclosporine on supranormal serum feline pancreas-specific lipase (Spec fPL) concentrations in cats with presumed CP. Inclusion criteria were history and clinical signs suggestive of CP, serum Spec fPL concentrations above 5.3 μg/L (reference range 0–3.5 μg/L, equivocal range 3.6–5.3 μg/L) on at least two occasions and treatment with cyclosporine for at least three weeks. Serum Spec fPL was analyzed at Idexx Laboratories, Kornwestheim, Germany. Nineteen cats, aged 6.9–17.5 years (median 11.6), were included. No pancreatic biopsies were available. Median (range) serum Spec fPL concentration was 14.2 μg/L (6.1–43.3) at baseline and 6.7 μg/L (0.9–23.6) at follow-up. Cyclosporine treatment (5.0–7.9 mg/kg orally SID) was associated with a significant reduction in serum Spec fPL concentrations (p < 0.001) at follow-up after 23–206 days (median 35). Body weight decreased significantly between inclusion and follow-up (p = 0.013). Significant improvement of clinical signs could not be measured (p = 0.781). This study has several limitations, including unstandardized treatment length and dose, no control group and lack of pancreatic biopsies. Despite the limitations, our results suggest that cyclosporine treatment reduces supranormal serum Spec fPL concentrations in cats with presumed CP.

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Computed Tomographic Angiography of the Pancreas in Cats with Chronic Diabetes Mellitus Compared to Normal Cats

Cited by 4 publications

References 22 publications

ACVIM consensus statement on pancreatitis in cats

ACVIM consensus statement on pancreatitis in cats

Morphological assessment of cat kidneys using computed tomography

Cyclosporine Treatment in Cats with Presumed Chronic Pancreatitis—A Retrospective Study

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