Validation of 2d ultrasound and volume estimation formulae for volume assessment of kidneys and spleens: an in-vitro study / alidación de la fórmula de estimación de volumen y ultrasonido 2D para la evaluación del volumen de los riñones y el bazo: un estudio in vitro

The accuracy of internal organ volume estimation done with ultrasound (US) was found to be multifactorial. Hence, we aimed to describe and validate the volume assessment of ultrasound and standard volume estimation formulae for different shaped intra-abdominal organs using spleens and kidneys.Dissected cadaveric kidneys (n=25) and spleens (n=29) were scanned to obtain linear measurements and ultrasound auto-generated volumes (USV). Linear measurements were used to calculate the volumes manually with ellipsoid, prolate, and Lambert volume estimating formulae. The actual volumes (AV) of organs were obtained by the water displacement method. Volume assessment accuracy of USV and different formulae were compared by comparing bias, precision and Bland-Altman plot analysis. The US linear and volume measurement procedure was reliable with high inter and intra-observer agreements (linear: Chronbach's α=0.983 to 0.934; volumes: Chronbach's α=0.989). USV estimates were accurate with a high correlation to AV and low estimation bias (-5.9%). Also, prolate (bias=-0.75%) and ellipsoid formulae (bias=-3.75%) were reliable with a negligible bias in estimated volumes. Contrary, the Lambert formula was unreliable due to a high bias (41.6%). For all evaluated methods, the estimation error found to be related to the organ size (T=3.483; p=0.001), mainly when the assessed organ is larger than 50 ml. Also, the shape related estimation error found to be related to the volume estimation formula used.This study has validated the USV for kidney and splenic volume assessments while describing volume-calculating formula employed, organ size and shape as significant contributors for volume estimation accuracy.

Se encontró que la precisión de la estimación del volumen de órganos internos realizada con ultrasonido (US) es multifactorial. El objetivo fue describir y validar la evaluación de volumen mediante ecografía y las fórmulas estándar de estimación de volumen para órganos intraabdominales de diferentes formas utilizando bazos y riñones.Se evaluaron riñones cadavéricos disecados (n = 25) y bazos (n = 29) para obtener medidas lineales y volúmenes autogenerados por ultrasonido (USV). Se utilizaron medidas lineales para calcular los volúmenes manualmente con fórmulas de estimación de volumen elipsoide, prolate y Lambert. Los volúmenes reales (AV) de los órganos se obtuvieron mediante el método de desplazamiento de agua. Se comparó la precisión de la evaluación del volumen de USV y diferentes fórmulas comparando el sesgo, la precisión y el análisis de la gráfica de Bland-Altman. El procedimiento de medición lineal y de volumen mediante US fue confiable con alta concordancia inter e intraobservadores (lineal: α de Chronbach = 0,983 a 0,934; volúmenes: α de Chronbach = 0,989). Las estimaciones de USV fueron precisas con una alta correlación con AV y un bajo sesgo de estimación (-5,9%). Además, las fórmulas prolate (sesgo= -0,75%) y elipsoide (sesgo = -3,75%) fueron confiables con un sesgo insignificante en los volúmenes estimados. Por el contrario, la fórmula de Lambert no fue confiable debido a un alto sesgo (41,6%). Para todos los métodos evaluados, se encontró que el error de estimación estaba relacionado con el tamaño del órgano (T = 3.483; p = 0.001), principalmente cuando el órgano evaluado es mayor de 50 ml. Además, se encontró que el error de estimación de forma está relacionado con la fórmula de estimación de volumen utilizada.Este estudio ha validado el USV para evaluaciones de volumen renal y esplénico al mismo tiempo que describe la fórmula de cálculo de volumen empleada, el tamaño y la forma de los órganos como contribuyentes significativos de la precisión de la estimación de volumen.

Anatomical and morphometric study of gastrointestinal tract of donkey (Equus africanus asinus)

Introduction: We dissected and described the macroscopic anatomy of the gastrointestinal tract of the donkey. Materials and Methods: Eleven domestic donkeys of both sexes from Tunisia were used for this study. Results: Although statistically insignificant, length values of the gastrointestinal tract pertaining to the females were generally higher than those pertaining to the males. The ostium cardiacum was very narrow and its diameter was 4.42 ± 0.57 mm in the males and 6 ± 1.22 mm in females. In the first part of the duodenum, we found papilla duodeni major and papilla duodeni minor. Both papillae were located very near to each other with a distance less than 1 cm and very near to the ostium pyloricum. The cecum was divided in parts of basis, corpus and apex. Three flexures divided the ascending colon into four parts: right ventral, left ventral, left dorsal and right dorsal. The cecum, left ventral colon and right dorsal colon had more evident sacculations (Haustra ceci and coli) (Figure 5). Teniae numbers were constant in all animals as 4, 4, 4, 1, 3 and 2 for cecum, right ventral colon, left ventral colon, left dorsal colon, right dorsal colon and descending colon, respectively. Conclusion: Although the gross anatomy of the intestines of the donkey was similar to the domestic horse in general, we detected some differences between these equine species.(AU)

Recent Trends (1991-2010) of Metastatic Skin Cancers in Korea

The incidence of overall cancer has increased over time. The incidence of top-ranking cancers has changed in the 1990s and the 2000s. However, few studies have evaluated the trends in metastatic skin cancers during this period. We evaluated the recent trends in incidence, peak age and location of metastatic skin cancers from 1991 to 2010. This 20-yr survey was divided into two decades to determine the trends by comparing the statistics. Out of 694,466 outpatients (1991-2010), 174 (0.025%) were diagnosed with metastatic skin cancer. The incidence of metastatic skin cancer increased significantly from 20.64 per 100,000 outpatients in the 1990s to 28.70 per 100,000 outpatients in the 2000s (P = 0.030). The peak age of skin metastasis shifted from the 40s to the 50s in women, and from the 50s to the 60s in men. The percentage of metastatic skin cancers originating from intra-abdominal organs increased from 10% in the 1990s to 23.1% in the 2000s (P = 0.027). The percentage of metastatic skin cancers located on the abdomen increased from 7.1% in the 1990s to 15.4% in the 2000s (P = 0.011). The higher proportion of metastatic skin cancers located on the abdomen may be related to the increase in skin metastases from intra-abdominal organs.

Gross anatomy of the intestine and their peritoneal folds in the chinchilla (Chinchilla lanigera)

The species belonging to the order Rodentia have great noticeable differences in their intestinal anatomy, particularly in the cecum and ascending colon. The anatomy of the intestines and its their mesenteries of Chinchilla lanigera have not been completely described. In the present study, ten adult Chinchilla lanigerawere studied using gross dissection. The small intestine was divided into duodenum, jejunum and ileum as usual. The duodenum started at the pylorus with a cranial portion, which dilated forming a duodenal ampulla. The ileum was very short and attached to the coiled cecum by means of the iliocecal fold. The ascending colon presented three parts. The first one, starting from the cecum and attached to it by the cecocolic fold presented sacculations on its external part. This could be named proximal loop (Ansa proximalis coli), having two parts, a proximal and distal one. The second part of the ascending colon was simple (Pars intermedia). The last part of the ascending colon (Ansa distalis coli) extended from the intermediate part to the right colic flexure. The distal ansa was formed by two parts parallel to each other and joined by an apical flexure and the ascending mesocolon. The descending duodenum was fixed to the pars intermedia of the ascending colon by a peritoneal fold named accessory duodenocolic fold. The ascending duodenum was fixed by the duodenocolic fold to the descending colon. This study indicates that there are minor differences in the divisions of the intestine and their peritoneal folds, as it usually happens when comparing other rodents.

Gross anatomy of the intestine and their peritonealfolds in the tucu - tucu (Ctenomys pearsoni)

The anatomy of the intestines and its mesenteries of Ctenomys pearsoni have not been described. In the presentstudy, ten adult Ctenomys pearsoni were studied using gross dissection. The small intestine was divided intoduodenum, jejunum and ileum as usual. The duodenum started at the pylorus with a cranial portion, whichdilated forming a duodenal ampulla. The ileum was very short and attached to the coiled cecum by means ofthe iliocecal fold. The ascending colon had one ansa with two parts, one proximal and one distal. Both partsof the ascending colon’s ansa were parallel to each other and joined by an apical flexure and the ascendingmesocolon. The descending duodenum was fixed to the proximal part of the ascending colon by a peritonealfold named accessory duodenocolic fold. The ascending duodenum was fixed by the duodenocolic fold to thedescending colon. This study indicates that there are minor differences in the divisions of the intestine andtheir peritoneal folds, as it usually happens when comparing other rodents.