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Ultrasonography is a noninvasive diagnostic tool used to image size, shape, parenchyma and vascularization of various body organs. Unfortunately, the ultrasonographic image is characterized by a low contrast due to similar acoustic properties of the soft tissue. The Doppler mode provides information about blood flow, but is incapable of imaging small vessels and capillaries because of their low blood flow velocity (1 mm/s). However, a possibility to increase the effectiveness of ultrasonographic diagnostics exists, thanks to intravenous ultrasound contrast agents (UCAs) consisted of gas microbubbles. The purpose of this review paper is to characterize specific imaging techniques necessary to conduct a contrast-enhanced liver examination and indications for CEUS as an alternative diagnostic method.
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Canine inflammatory bowel disease (IBD) is a heterogeneous group of chronic gastrointestinal disorders. The etiology, similar to human IBD, remains unknown. Canine IBD is diagnosed by exclusion, which is a long, time and money-consuming process due to the need of elimination of other diseases presenting with similar symptoms. Therefore, a search for a specific and sensitive marker is needed to overcome these difficulties. The article is divided into 3 sections presenting up-to-date information about laboratory markers, immunohistochemical markers and changes in the neurochemical coding of the enteric nervous system, concentrating on their usefulness and future applications. Data concerning laboratory and immunohistochemical markers is based mainly on canine IBD, while the neuroimmunohistochemistry section presents knowledge from human IBD due to the lack of such studies in veterinary medicine.
Contrast-enhanced ultrasonography is mainly used in heart examination and to detect and characterize focal liver lesions. CEUS also allows the evaluation of the spleen, pancreas, kidneys, lymph nodes and the detection of porto-systemic shunts. UCAs can be administered intracavitarily, e.g. in the urinary bladder. In human medicine CEUS is used in the assessment of anti-angiogenic treatment. In some cases concerning the detection and characterization of focal lesions in such organs as the liver, spleen and kidneys, CEUS is equally or more efficient than CECT. The advantages of CEUS are: non-invasiveness, high availability, short examination time, low cost expenses and good patient tolerance compared to contrast agents use in CECT and CEMRI. The appearance of UCAs decreased the gap dividing the diagnostic value of USG and CT/MRI and also allows the characterization of neoplastic lesions without the need of invasion biopsy and diagnostic laparatomy.
Ultrasonography is an imaging technique universally employed in veterinary medicine. It has many advantages, such as high availability, non-invasiveness, short examination time, no anesthesia, and low cost, but also some drawbacks, like low specificity. To overcome these limitations, ultrasound contrast agents (UCAs) and specific ultrasound contrast techniques have been developed. The application of UCAs and specific sonographic contrast techniques increase the specificity and sensitivity of ultrasound examination. Nowadays the new contrast-specific imaging techniques enable the separation of the linear tissue signal from the non-linear microbubble signal, which, combined with the introduction of second-generation UCAs, makes contrast-enhanced ultrasonography a very important diagnostic tool.
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Cytokines in canine inflammatory bowel disease

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Canine inflammatory bowel disease is a group of chronic enteropathies characterized by persistent or recurring gastric symptoms with an unknown etiology which are related to histopathological changes in the mucosa of the small and large bowel in the form of cellular infiltration in the mucosal lamina propria. Recent years have witnessed a growing number of investigations into the role of the immune system and, in particular, cytokines in the development of IBD. In this article, the expression of pro-inflammatory (IL-1, IL-2, IL-5, IL-6, IL-12, IL-18, IFN-γ, TNF-α) and anti-inflammatory cytokines (IL-4, IL-10) was compared in canine patients with IBD based on clinical presentation, breed, lamina propria cell infiltrate and histopathological grade. Only selected studies confirmed higher mRNA expression levels of cytokines IL-2, IL-4, IL-5, IL-12p40, IFN-γ, TNF-α and TGF-β in dogs with IBD in comparison with healthy subjects. GSD were strongly represented in most study populations. Dogs with LPE were characterized by elevated levels of IL-1α, IL-1β, IL-2, IL-5, IL-6, IL-12, TNF-α, TGF-β. The present studies of canine patients with LPC revealed the mRNA expression of cytokines IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, IL-12p35, IL-12p40, IFN-γ, TNF-α, TGF-β. In the reviewed studies, the progression of IBD was not accompanied by changes in the mRNA expression of IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, IL-12, IL-18, TNF-α, IFN-γ or TGF-β.
Canine and feline inflammatory bowel disease (IBD) is a group of idiopathic alimentary tract disorders diagnosed by the differential diagnosis method. Similarly to humans, the etiopathogenesis of IBD in small animals remains unknown. Blood tests, fecal examinations, intestinal permeability tests, medical imaging, and histopathological screening should be performed to eliminate other diseases and confirm IBD. The required tests prolong the time to diagnosis and increase costs. This article reviews numerous studies and findings relating to IBD in small animals during the diagnostic procedure. Unfortunately, despite a wide range of medical tests, no single diagnostic procedure can confirm the diagnosis. Thus, a clinical analysis should encompass the results of all tests, including the clinical exam, additional tests, histopathological screening, and responses to treatment. Novel biomarkers have been studied, but none of them is useful when applied alone. It seems that the key to finding a specific test or marker lies in the understanding of the etiopathogenesis of IBD.
The aim of this study was to assess the degree of correlation between the intensity of clinical symptoms and the macroscopic and histopathological evaluation of the small intestinal mucous membrane in dogs. The results point to a statistically significant correlation between the values of the CIBDAI index and the histopathological assessment of the duodenum mucous membrane in patients with minor and moderate intensity of the disease. The lowest correlation coefficient was obtained for the indicator comparing macroscopic and histopathological evaluations. A positive correlation between the CIBDAI score and the histopathological index offers a base for applying it in the monitoring and treatment of mild, moderate and severe cases of canine inflammatory bowel disease.
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