Journal of Veterinary Science

The Korean Society of Veterinary Science (대한수의학회)
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Correlating two-dimensional shear wave elastography of acute pancreatitis with Spec cPL in dogs

  • Cho, Hyun (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Chonnam National University) ;
  • Yang, Seungwhwa (Doctor Dog Animal Medical Center) ;
  • Suh, Gukhyun (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Choi, Jihye (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Seoul National University)
  • Received : 2022.03.07
  • Accepted : 2022.07.26
  • Published : 2022.09.30
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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; p < 0.05). The moderate positive correlation was found between the pancreatic SWV and Spec cPL concentration (95% confidence interval, 0.214-0.693; r = 0.489; p < 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.

Keywords

Acknowledgement

The work was done at the Doctor Dog Animal Medical Center and College of Veterinary Medicine, Chonnam National University.

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