Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats
Diaphragmatic dysfunction (DD) is defined as a weakening of the diaphragmatic muscle and can be an undetected cause of dyspnea. The objectives of this study were to explore the appropriate diaphragmatic location, measure diaphragmatic thickness (DT), evaluate the effect of intrinsic factors on DT, a...
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Veterinary Science |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2023.1247531/full |
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| author | Phasamon Saisawart Somchin Sutthigran Hathaiphat Suksangvoravong Chutimon Thanaboonnipat Sukullaya Ritthikulprasert Kittipong Tachampa Nan Choisunirachon |
| author_facet | Phasamon Saisawart Somchin Sutthigran Hathaiphat Suksangvoravong Chutimon Thanaboonnipat Sukullaya Ritthikulprasert Kittipong Tachampa Nan Choisunirachon |
| author_sort | Phasamon Saisawart |
| collection | DOAJ |
| description | Diaphragmatic dysfunction (DD) is defined as a weakening of the diaphragmatic muscle and can be an undetected cause of dyspnea. The objectives of this study were to explore the appropriate diaphragmatic location, measure diaphragmatic thickness (DT), evaluate the effect of intrinsic factors on DT, and compare DT between healthy and diseased cats, using 33 healthy cats and 15 diseased cats. A retrospective, analytical, case–control study using thoraco-abdominal feline computed tomography (CT) was performed. Two radiologists independently reviewed all images to verify inter- and intra-observer reliabilities and the best position for measuring DT. The effects of sex, age, and body weight were also studied, and cutoff values for detecting DT abnormalities were established. The results showed that the appropriate location for DT measurement was at the ventral border of the cranial endplate of the first lumbar vertebral body (L1) due to its highest intra- and inter-observer reliabilities. At this location, a significant difference in DT between the right and left hemidiaphragms (p = 0.01) was observed. Only sex had an impact on DT values. Interestingly, the DTs of cardiorespiratory-affected cats, both on the right and left sides, were significantly thinner than those of healthy cats. In conclusion, CT imaging is a reliable imaging method for determining diaphragmatic muscular atrophy. The ventral border of the cranial endplate of L1 is recommended for measuring the DT, and sex was the only factor affecting the DT measurement. |
| first_indexed | 2024-03-08T23:30:36Z |
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| id | doaj.art-46e3e695c1ef4fa5a746201a51e82c87 |
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| issn | 2297-1769 |
| language | English |
| last_indexed | 2024-03-08T23:30:36Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj.art-46e3e695c1ef4fa5a746201a51e82c872023-12-14T13:27:48ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-12-011010.3389/fvets.2023.12475311247531Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased catsPhasamon Saisawart0Somchin Sutthigran1Hathaiphat Suksangvoravong2Chutimon Thanaboonnipat3Sukullaya Ritthikulprasert4Kittipong Tachampa5Nan Choisunirachon6Department of Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Physiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDepartment of Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, ThailandDiaphragmatic dysfunction (DD) is defined as a weakening of the diaphragmatic muscle and can be an undetected cause of dyspnea. The objectives of this study were to explore the appropriate diaphragmatic location, measure diaphragmatic thickness (DT), evaluate the effect of intrinsic factors on DT, and compare DT between healthy and diseased cats, using 33 healthy cats and 15 diseased cats. A retrospective, analytical, case–control study using thoraco-abdominal feline computed tomography (CT) was performed. Two radiologists independently reviewed all images to verify inter- and intra-observer reliabilities and the best position for measuring DT. The effects of sex, age, and body weight were also studied, and cutoff values for detecting DT abnormalities were established. The results showed that the appropriate location for DT measurement was at the ventral border of the cranial endplate of the first lumbar vertebral body (L1) due to its highest intra- and inter-observer reliabilities. At this location, a significant difference in DT between the right and left hemidiaphragms (p = 0.01) was observed. Only sex had an impact on DT values. Interestingly, the DTs of cardiorespiratory-affected cats, both on the right and left sides, were significantly thinner than those of healthy cats. In conclusion, CT imaging is a reliable imaging method for determining diaphragmatic muscular atrophy. The ventral border of the cranial endplate of L1 is recommended for measuring the DT, and sex was the only factor affecting the DT measurement.https://www.frontiersin.org/articles/10.3389/fvets.2023.1247531/fullcardiorespiratorycomputed tomographydiaphragmfelinemeasurement |
| spellingShingle | Phasamon Saisawart Somchin Sutthigran Hathaiphat Suksangvoravong Chutimon Thanaboonnipat Sukullaya Ritthikulprasert Kittipong Tachampa Nan Choisunirachon Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats Frontiers in Veterinary Science cardiorespiratory computed tomography diaphragm feline measurement |
| title | Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| title_full | Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| title_fullStr | Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| title_full_unstemmed | Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| title_short | Computed tomographic diaphragmatic thickness: a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| title_sort | computed tomographic diaphragmatic thickness a promising method for the evaluation of diaphragmatic muscle in cardiopulmonary diseased cats |
| topic | cardiorespiratory computed tomography diaphragm feline measurement |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2023.1247531/full |
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