Background
Hepatic disorders are important and diverse disease entities in birds with nonspecific clinical signs. However, paraclinical examinations such as analysis of hepatic enzymes and diagnostic imaging can help evaluation of the liver changes, a definitive diagnosis is possible only with the histopathological evaluation. The aim of the present study was to determine the feasibility and capability of using three-dimensional (3D) Virtual Organ Computer-aided AnaLysis (VOCAL) ultrasonography as a noninvasive method for etiologic diagnosis of hepatomegaly in common mynah (Acridotheres tristis).
Result
Mean gray level of liver, mean gray level of muscle, and relative proportion of mean gray level of liver and muscle were calculated using VOCAL 3D-ultrasonography. Statistical analysis of mean gray level of liver and muscle, and relative proportion of gray level of liver and muscle in relation to lipidosis, iron storage, fibroplasia and hepatitis revealed that calculated proportion of mean gray levels of liver and muscle was significantly different among groups with different degrees of lipidosis. Further post-hoc analysis revealed that this proportion in the patients with no or slight lipidosis was significantly greater than the birds which suffered from moderate and severe lipidosis.
Conclusion
Application of VOCAL three-dimensional ultrasonography and evaluation of proportion of mean gray level of liver and muscle can be used as a helpful noninvasive method for diagnosis and monitoring of moderate to severe liver lipidosis in birds, but further validation and comparison with normal livers are needed in patients and normal population.