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Spectral waveform analysis of intranodal arterial blood flow in abnormally large superficial lymph nodes in dogs
- Source :
- American journal of veterinary research. 69(4)
- Publication Year :
- 2008
-
Abstract
- Objective—To evaluate pulsed-wave Doppler spectral parameters as a method for distinguishing between neoplastic and inflammatory peripheral lymphadenopathy in dogs. Sample Population—40 superficial lymph nodes from 33 dogs with peripheral lymphadenopathy. Procedures—3 Doppler spectral tracings were recorded from each node. Spectral Doppler analysis including assessment of the resistive index, peak systolic velocity-to-end diastolic velocity (S:D) ratio, diastolic notch velocity-to-peak systolic velocity (N:S) ratio, and end diastolic velocity-to-diastolic notch velocity ratio was performed for each tracing. Several calculation methods were used to determine the Doppler indices for each lymph node. After the ultrasonographic examination, fine needle aspirates or excisional biopsy specimens of the examined lymph nodes were obtained, and lymphadenopathy was classified as either inflammatory or neoplastic (lymphomatous or metastatic) via cytologic or histologic examination. Results of Doppler analysis were compared with cytologic or histopathologic findings. Results—The Doppler index with the highest diagnostic accuracy was the S:D ratio calculated from the first recorded tracing; a cutoff value of 3.22 yielded sensitivity of 91%, specificity of 100%, and negative predictive value of 89% for detection of neoplasia. Overall diagnostic accuracy was 95%. At a sensitivity of 100%, the most accurate index was the N:S ratio calculated from the first recorded tracing; a cutoff value of 0.45 yielded specificity of 67%, positive predictive value of 81%, and overall diagnostic accuracy of 86.5%. Conclusions and Clinical Relevance—Results suggested that noninvasive Doppler spectral analysis may be useful in the diagnosis of neoplastic versus inflammatory peripheral lymphadenopathy in dogs.
- Subjects :
- Male
Pathology
medicine.medical_specialty
Biopsy
Diastole
Diagnosis, Differential
symbols.namesake
Dogs
Predictive Value of Tests
medicine
Animals
Dog Diseases
Prospective Studies
Ultrasonography, Doppler, Color
Lymph node
Lymphatic Diseases
Peripheral lymphadenopathy
General Veterinary
medicine.diagnostic_test
business.industry
Histocytochemistry
Arterial blood flow
General Medicine
Arteries
medicine.anatomical_structure
Waveform analysis
ROC Curve
Ultrasonography, Doppler, Pulsed
symbols
Female
Lymph
Lymph Nodes
business
Nuclear medicine
Doppler effect
Subjects
Details
- ISSN :
- 00029645
- Volume :
- 69
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- American journal of veterinary research
- Accession number :
- edsair.doi.dedup.....a37adb7cfbc94d8adecbabc17f0632fa