Radiographic and ultrasonographic features of emphysematous pyometra with endometrial pneumatosis in a dog

Soyon An(Soyon An),Jongbong Lee(Jongbong Lee),Gunha Hwang(Gunha Hwang),Jeongmin Ryu(Jeongmin Ryu),Jiwon Yoon(Jiwon Yoon),Minji Kim(Minji Kim),Hee Chun Lee(Hee Chun Lee),Tae Sung Hwang(Tae Sung Hwang) 한국예방수의학회 2023 예방수의학회지 Vol.47 No.1

A 9-year-old, intact female, Pungsan dog was referred for purulent vaginal discharge and depression. Abdominal radiographs revealed gas-filled and soft tissue opacity tubular structures in the mid to caudal abdomen. On ultrasonography, fluid-filled uterus and cervix accompanied by hyperechoic foci and reverberation artifacts were identified. Multiple hyperechoic foci were found within the uterine wall, indicating gas content. Escherichia coli was isolated from aerobic and anaerobic bacterial cultures. Radiological differential diagnosis of tubular shaped, dilated gas-filled structure, and gas in the wall of the structure should consider emphysematous pyometra with endometrial pneumatosis in intact female dogs with vulvar discharge.

External Auditory Canal Atresia with Otitis Media in a Dog

김아름,한창희,Gunha Hwang,김락훈,고우현,이지영,이종봉,안소연,황태성,이동빈,이재훈,이희천 한국임상수의학회 2021 한국임상수의학회지 Vol.38 No.3

A 5-year-old, intact male, poodle dog with right external auditory canal obstruction and subaural mass was presented. Physical examination revealed that right external auditory canal opening was absent and right head tilt was identified. Aspiration in right subaural mass revealed a small amount of dark brown exudate. Streptococcus canis and Staphylococcus spp. were identified on the microbial culture. Radiography of the skull was revealed absence of air-filled ear canal at the right external ear canal (EEC) level. Computed tomography (CT) revealed well capsulated, hypoattenuated mass in the right EEC region. On the contrast enhanced CT images, rim enhancement around the mass and ear canal obstruction were identified. Fluid attenuated material filled with right bulla. Mild thickening of the right tympanic bulla wall with mild lytic lesion of the ventral wall were found. Based on the images findings, the case was tentatively diagnosed as right external auditory canal atresia with otitis media. Total ear canal ablation and lateral bulla osteotomy was performed. The entire ear canal was removed, numerous hair in the canal and the thickening wall were founded. Right ear canal was sent for histopathological evaluation and found to otitis externa. The patient was followed up for two weeks and there were no complications. This report described the CT diagnosis of right EEC atresia with otitis media rarely reported in small breed dogs.

Comparison of Bone Subtraction CT Angiography with Standard CT Angiography for Evaluating Circle of Willis in Normal Dogs

Soyon An,Gunha Hwang,Rakhoon Kim,Tae Sung Hwang,Hee-Chun Lee 대한수의학회 2023 Journal of Veterinary Science Vol.24 No.5

Background: Bone subtraction computed tomography angiography (BSCTA) is a useful alternative technique for improving visualization of vessels surrounded by skull bone. However, no studies have compared computed tomography angiography (CTA) and BSCTA for improving the visibility of canine cerebral blood vessels. Objectives: To evaluate the potential benefit of BSCTA for better delineation of brain arteries of the circle of Willis (CoW) in dogs by comparing BSCTA with non-subtraction computed tomography angiography (NSCTA). Methods: Brain CTA was performed for nine healthy beagle dogs using a bolus tracking method with saline flushing. A total dose of 600 mgI/kg of contrast agent with an iodine content of 370 mgI/mL was injected at a rate of 4 ml/s. Bone removal was achieved automatically by subtracting non-enhanced computed tomography (CT) data from contrast CT data. Five main intracranial arteries of the CoW were analyzed and graded on a scale of five for qualitative evaluation. Results: Scores of basilar artery, middle cerebral artery, and rostral cerebral artery in the BSCTA group were significantly higher than those in the NSCTA group (p = 0.001, p = 0.020, and p < 0.0001, respectively). Scores of rostral cerebellar artery (RcA) and caudal cerebral artery (CCA) did not differ significantly between the two groups. However, scores of RcA and CCA in the BSCTA group were higher than those in the NSCTA group. Conclusions: BSCTA improved visualization of intracranial arteries of the CoW with close contact to bone. Thus, it should be recommended as a routine scan method in dogs suspected of having brain vessel disease.

Effect of Saline Flush on the Enhancement of Vascular and Liver via Saphenous Vein for Abdominal CT in Dogs

김송연,황태성,안소연,Gunha Hwang,고우현,이종봉,이희천 한국임상수의학회 2021 한국임상수의학회지 Vol.38 No.3

The aim of this study was to evaluate the contrast effect if a saline flush following low-volume contrast medium bolus improves vascular and parenchymal enhancement using a saphenous vein in abdominal CT for small animals. Six clinically healthy beagle dogs underwent abdominal contrast-enhanced CT. They were divided into nine groups (each group, n = 6), according to the volume of contrast medium 1, 2, and 3 mL/kg, and volume of the saline solution 0, 5, and 10 mL. Dynamic CT scanning was performed at the hepatic hilum level. The maximum contrast enhancement, time to maximum enhancement, and time to equilibrium phase were calculated from the time attenuation curves. Mean attenuation values for all groups were measured in the aorta, portal vein, and liver. After contrast enhancement, grading of image quality regarding surrounding artifacts and evaluation of the hepatic hilum structures was performed. For comparison of the effect of the contrast material and saline solution doses, differences in mean attenuation values between the contrast medium 2 mL/kg without saline flush group and the remaining groups, and between contrast medium 3 mL/kg without saline flush group and the remaining groups, were analyzed for statistical significance. There were no significant differences between with and without saline flushing at the same contrast medium dose groups. There were no significant differences in peak values between the 3 mL/kg dose of contrast medium alone and the 2 mL/kg dose of contrast medium with saline solution flush. However, there was a significant difference in peak values between the 3 mL/kg dose of the contrast medium without the saline flush group and the 2 mL/kg dose of the contrast medium alone group. Grades of the artifacts were not significantly different in the saline flush regardless of the dose of the contrast medium. Using 2 mL/kg of contrast medium with saline solution flush resulted in similar liver parenchyma attenuation, compared with using 3 mL/kg of contrast medium without saline solution flush. In CT evaluation of hepatic parenchymal diseases, using 2 mL/kg of contrast medium with saline solution flush may yield decreased risk of contrast nephropathy and cost-saving.

Mineralized Undifferentiated Duodenal Carcinoma in a Shih-Tzu Dog

Jiyeong Lee,Soyon An,Gunha Hwang,Woohyun Go,Jong-Bong Lee,Seul Ah Noh,Dongbin Lee,Joong-Hyun Song,Tae-Sung Hwang,이희천 한국임상수의학회 2022 한국임상수의학회지 Vol.39 No.5

An eight-year-old, intact female, Shih-Tzu, weighing 4.5 kg presented with complaints of anorexia, pale mucous membrane, and vomiting for the past 5 days. On physical examination, nausea, abdominal pain, and melena were not- ed. On hematologic examination, severe anemia and thrombocytosis were iden- tified. On radiographs examination, soft tissue opacity with small faint mineral opacity mass in the mid-abdomen and two mineral opacity regions in the cranial aspect of mass were identified. Ultrasonographic findings showed thickening of descending duodenal wall with loss of layering and mineralization within the duodenal wall and mesentery adjacent to the duodenal lesion. Computerized tomography showed circumferential wall thickening of descending duodenum with mineralization. Mineralization of the mesentery and mesenteric lymph nodes was identified. Based on the diagnostic imaging, the tentative diagnosis was descending duodenal tumor with dystrophic mineralization. Endoscopy revealed mucosal hemorrhage and erythema within the descending duodenum and stomach. Surgery was performed, and mineralization in the pancreatic tail to duodenum and mesentery was found. Resection of the duodenum, regional lymph node, and mineralized pancreatic region and the duodenal anastomosis were performed. The histologic examination revealed a high-grade undiffer- entiated duodenal carcinoma with metastases to the regional lymph node and mesentery. The patient was managed with supportive therapy for 8 days and discharged. The patient was followed up for 5 months and there were no com- plications.

Computed tomographic diagnosis of broncholithiasis in a cat

Rakhoon Kim,Soyon An,Gunha Hwang,Jeongmin Ryu,Minji Kim,Jiwon Yoon,노슬아,DoHyeon Yu,Hee-Chun Lee,Tae Sung Hwang 대한수의학회 2022 大韓獸醫學會誌 Vol.62 No.3

A 5-year-old castrated male domestic shorthair cat was referred for further investigation of pulmonary nodules incidentally detected on thoracic radiographs. Thoracic radiographs identified ill-defined soft tissue opacity nodules with small faint mineral opacity. Thoracic computed tomography (CT) revealed that bronchial dilation and bronchial wall thickening in bilateral cranial and accessory lung lobes. Round to ellipsoid mineralized concretions were found embedded in the intrabronchial soft tissue attenuation material. Based on radiography, CT, and cytology, the patient was tentatively diagnosed as having broncholithiasis with chronic bronchitis. This report described the CT diagnosis of broncholithiasis, which has been rarely reported in a cat.

Assessment of Abdominal Organs Movement by Respiration Using Computed Tomography in Dogs: A Pitfall for Radiation Therapy

Ah Reum Kim,Soyon An,Gunha Hwang,Moonyeong Choi,황태성,이희천 한국임상수의학회 2023 한국임상수의학회지 Vol.40 No.2

The change in the position of the abdominal organs due to movement by respiration is one of the reasons behind inaccurate irradiation of organs during radiotherapy (RT). Although studies in human medicine have revealed on the respiratory movements of abdominal organs, there is little information and no reference data for dogs. The purpose of this study was to establish the reference values of abdominal organs movement in various postures using computed tomography (CT), and to compare the movements of organs between dorsal recumbency and ventral, right and left lateral recumbency during respiration. CT images for kidney, adrenal gland, medial iliac lymph node, urinary bladder, gallbladder, liver, stomach, and thoracic and lumbar vertebral body of five beagle dogs were acquired. The movements of organs were evaluated by comparing the end-expiratory and end-inspiratory images. Movements of the organs were evaluated by dividing it into right-to-left, dorsal-to-ventral, and cranial-to-caudal directions. The movements of abdominal organs according to the change in postures and respiration were establish. The movement of the bilateral organs was the least when the organs were in the downward position (p < 0.017). The movement of cranial-to-caudal direction was greater than the movement of the other directions in most of the organs. Data obtained in this study may be useful in selecting the appropriate posture that can reduce the movements of organs to be treated with RT, and the data could be useful for setting the planning target volume to consider the movements of the abdominal organs by respiration.

Ultrasonographic diagnosis of calcifying tendinopathy of the biceps brachii in a Doberman Pinscher dog: a case report

Han, Changhee,Kim, Ah Reum,Hwang, Gunha,Kim, Rakhoon,Go, Woohyun,Lee, Ji Yeong,Lee, Jongbong,An, Soyon,Hwang, Tae Sung,Lee, Hee Chun The Korean Society of Veterinary Science 2022 大韓獸醫學會誌 Vol.62 No.1

A 10-year-old, spayed female, Doberman Pinscher dog presented with right forelimb lameness. On physical examination, painful reaction and crepitation were present at the right shoulder. Radiographic evaluation of the shoulder revealed nothing remarkable. On the ultrasonography of the right shoulder joint, 2 small echogenic masses accompanied by reverberation artifacts were observed in the right biceps tendon near its origin at the supraglenoid tuberosity. Based on these findings, we suspected biceps calcifying tendinopathy. Clinical signs resolved intermittently after administration of nonsteroidal anti-inflammatory drug. This study described the ultrasonographic findings of calcifying biceps brachii tendinopathy which is an unusual finding in dogs.

Case report of pseudo-pheochromocytoma in a dog

Jiwoon Jung,Eunbin Chung,Sungho Lee,Jungnok Ryu,Gunha Hwang,Tae Sung Hwang,Hee Chun Lee,이재훈,이동빈 한국예방수의학회 2022 예방수의학회지 Vol.46 No.4

Pseudo-pheochromocytoma is defined as an adrenal tumor that has the typical characteristics of pheochromocytoma likely hypertension but is histopathologically diagnosed to other types of adrenal tumors. 11-year-old, castrated male Maltese presented for a left adrenal mass with hypertension. According to clinical signs and radiological features, a temporary diagnosis was made of pheochromocytoma. The adrenalectomy was performed and the histopathological examination of the resected adrenal gland was diagnosed as cortical adenocarcinoma. This report describes the case of pseudo-pheochromocytoma in a dog and implies the salience that even if pheochromocytoma is diagnosed based on all test results, pseudo-pheochromocytoma should not be excluded.

대전차 유도무기의 형상 설계에서의 통합비행 M&S 적용 연구

정동길,김상만,이건하,황철규,Jeong, Dong Gil,Kim, Sangman,Lee, Gunha,Hwang, Cheol Gyu 한국시뮬레이션학회 2017 한국시뮬레이션학회 논문지 Vol.26 No.1

국내 유도무기 개발과정에서 가장 일반적으로 적용되는 M&S 도구는 유도탄의 각 구성품 및 공력특성 모델을 반영한 6자유도 비행모의 프로그램이다. 하지만 3세대 대전차 유도무기와 같이 영상탐색기가 적용되는 경우 6자유도 비행모의만으로 다양한 조건 하에서의 체계 성능을 확인할 수 없다. 영상탐색기의 추적 성능은 표적의 대조비나 온도차뿐만 아니라 유도탄 거동에 따른 표적 위치 이격, 회전 등에 민감하게 반응하기 때문에 유도무기 개발 과정에서 영상 추적 성능과 유도탄 비행성능을 통합하여 분석할 수 있는 M&S 도구가 요구된다. 3세대 대전차 유도무기인 현궁 개발 과정에서는 형상 설계 단계부터 '합성영상 생성 S/W'-'영상추적기'-'비행모의 프로그램'을 연동한 통합비행 M&S 도구를 개발, 적용하였다. 통합비행 M&S 도구 기반으로 몬테카를로 시뮬레이션을 수행한 후 체계 주요 성능 지수, 즉 명중률 비교를 통해 적합한 형상을 선정하였다. 본 논문에서는 3세대 대전차유도무기 형상설계를 위한 고려요소와 함께 통합비행 M&S 방법론 및 분석 결과를 기술하였다. 6-DOF flight simulation program is most generally used M&S tool in domestic missile development procedure. The 6-DOF M&S method, however, cannot validate the performance of a imaging seeker-adopted missile in various conditions. A M&S tool for the analysis of the integrated-flight simulation is required since the tracking performance of the imaging seeker is highly dependent on the missile maneuvering, which introduces the displacement and rotation of the target in the seeker imagery. Through the development of the $3^{rd}$ generation anti-tank missile, Raybolt, the integrated-flight M&S tool was developed and applied to the missile configuration design. It integrates synthetic image generation S/W, imaging tracker, and flight simulation program and computes the main system performance criteria, hit probability by Monte-Carlo Simulation. In this paper, the issues in the $3^{rd}$ generation anti-tank missile configuration and the integrated-flight M&S method and results are described.