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Johnson C, Lapsley J, Piegols H, Selmic L. Surgical approach and presence of preoperative pleural effusion impact thoracostomy tube usage in dogs and cats following thoracic surgery for suspected neoplasia. J Am Vet Med Assoc 2024:1-7. [PMID: 38608662 DOI: 10.2460/javma.23.12.0725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 03/15/2024] [Indexed: 04/14/2024]
Abstract
OBJECTIVE To assess factors associated with increased pleural fluid and air evacuation, longer duration of thoracostomy tube usage, and longer hospitalization in dogs and cats following surgery for thoracic neoplasms. ANIMALS 62 dogs and 10 cats. METHODS Medical records were reviewed for dogs and cats undergoing thoracic surgeries between August 1, 2019, and June 30, 2023, for resection of suspected neoplasia in which a thoracostomy tube was placed. Data collected included patient signalment, type of procedure performed, histologic diagnosis of the primary mass removed, volume of fluid and air evacuated from the thoracostomy tube, and time in hospital. RESULTS Median sternotomy was associated with increased total fluid evacuation (median, 12.1 mL/kg; IQR, 15.4 mL/kg; P = .012), whereas rib resection was associated with increased total air evacuation (median, 2.1 mL/kg; IQR, 13.6 mL/kg; P = .06). The presence of preoperative pleural effusion was associated with higher total fluid evacuation (20.6 mL/kg; IQR, 32.1 mL/kg; P = .009), longer duration with a thoracostomy tube in place (42.5 hours; IQR, 41.9 hours; P = .027), and longer hospitalization period (61 hours; IQR, 52.8 hours; P = .025). Cats had a thoracostomy tube in place for a longer time compared to dogs (median, 42.6 hours; IQR, 23.5 hours; P = .043). CLINICAL RELEVANCE Animals undergoing median sternotomy and rib resection may be expected to have higher fluid and air volumes, respectively, evacuated postoperatively. This often leads to an increased duration of thoracostomy tube usage and a longer period of hospitalization.
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Strumpf AA, Selmic L, Husbands B. Response to letter regarding "Evaluation of the clinical outcome of hypercalcemia of malignancy and concurrent azotemia in dogs with lymphoma". J Vet Intern Med 2024. [PMID: 38567666 DOI: 10.1111/jvim.17058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Accepted: 03/20/2024] [Indexed: 04/04/2024] Open
Affiliation(s)
- Alyssa A Strumpf
- The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA
| | - Laura Selmic
- The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA
| | - Brian Husbands
- The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA
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Strumpf AA, Selmic L, Husbands B. Evaluation of the clinical outcome of hypercalcemia of malignancy and concurrent azotemia in dogs with lymphoma. J Vet Intern Med 2024; 38:308-315. [PMID: 38131263 PMCID: PMC10800190 DOI: 10.1111/jvim.16974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 12/01/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Hypercalcemia of malignancy (HM) secondary to lymphoma in dogs has the potential to cause renal injury. HYPOTHESIS/OBJECTIVES Characterize outcomes related to acute kidney injury (AKI) secondary to HM. We hypothesized that dogs do suffer AKI regardless of HM severity at the time of lymphoma diagnosis or relapse. ANIMALS Retrospective study. Twenty-nine dogs with lymphoma, HM, and azotemia (International Renal Interest Society [IRIS] grade II or higher AKI) that underwent chemotherapy were identified at 2 veterinary institutions. METHODS Logistic regression and descriptive statistical analysis were performed to evaluate data for potential prognostic factors. RESULTS After initiating treatment, resolution of hypercalcemia and azotemia occurred in 100% (29/29) and 79.3% (23/29) of dogs, respectively. Resolution of azotemia was influenced by serum creatinine concentration (odds ratio [OR], 0.148; Confidence interval [CI], 0.03-0.734; P = .02) and total hypercalcemia (OR, 0.36; CI, 0.14-0.93; P = .04) at diagnosis, whereas blood urea nitrogen concentration, IRIS grade, sex, and whether or not dogs were hospitalized were not significant factors. At data analysis, 13.8% (4/29) of dogs were alive or lost to follow-up. Of those dead, 4 dogs (15%) had renal disease at the time of death, 2/4 having concurrent lymphoma progression. CONCLUSIONS AND CLINICAL IMPORTANCE Although AKI may be of clinical concern in dogs with HM secondary to lymphoma at diagnosis, death secondary to renal impairment appears to be infrequent.
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Affiliation(s)
- Alyssa A. Strumpf
- The Ohio State University, College of Veterinary MedicineColumbusOhioUSA
| | - Laura Selmic
- The Ohio State University, College of Veterinary MedicineColumbusOhioUSA
| | - Brian Husbands
- The Ohio State University, College of Veterinary MedicineColumbusOhioUSA
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Stokes R, Wustefeld-Janssens BG, Hinson W, Wiener DJ, Hollenbeck D, Bertran J, Mickelson M, Chen CL, Selmic L, Aly A, Hayes G. Surgical and oncologic outcomes in dogs with malignant peripheral nerve sheath tumours arising from the brachial or lumbosacral plexus. Vet Comp Oncol 2023; 21:739-747. [PMID: 37727977 DOI: 10.1111/vco.12938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 08/12/2023] [Accepted: 09/07/2023] [Indexed: 09/21/2023]
Abstract
Malignant peripheral nerve sheath tumours (MPNST) of a plexus nerve or nerve root cause significant morbidity and present a treatment challenge. The surgical approach can be complex and information is lacking on outcomes. The objective of this study was to describe surgical complication rates and oncologic outcomes for canine MPNST of the brachial or lumbosacral plexus. Dogs treated for a naïve MPNST with amputation/hemipelvectomy with or without a laminectomy were retrospectively analysed. Oncologic outcomes were disease free interval (DFI), overall survival (OS), and 1- and 2-year survival rates. Thirty dogs were included. The surgery performed was amputation alone in 17 cases (57%), and amputation/hemipelvectomy with laminectomy in 13 cases (43%). Four dogs (13%) had an intraoperative complication, while 11 dogs (37%) had postoperative complications. Histologic margins were reported as R0 in 12 dogs (40%), R1 in 12 dogs (40%), and R2 in five dogs (17%). No association was found between histologic grade and margin nor extent of surgical approach and margin. Thirteen dogs (46%) had recurrence. The median DFI was 511 days (95% CI: 140-882 days). The median disease specific OST was 570 days (95% CI: 467-673 days) with 1- and 2-year survival rates of 82% and 22% respectively. No variables were significantly associated with recurrence, DFI, or disease specific OST. These data show surgical treatment of plexus MPNST was associated with a high intra- and postoperative complication rate but relatively good disease outcomes. This information can guide clinicians in surgical risk management and owner communication regarding realistic outcomes and complications.
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Affiliation(s)
- Rebecca Stokes
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA
| | - Brandan G Wustefeld-Janssens
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA
| | - Whitney Hinson
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| | - Dominique J Wiener
- Department of Veterinary Pathobiology, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA
| | - Danielle Hollenbeck
- Department of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA
| | - Judith Bertran
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA
| | - Megan Mickelson
- Veterinary Health Center, College of Veterinary Medicine, University of Missouri, Columbia, Missouri, USA
| | - Carolyn L Chen
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Laura Selmic
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Ali Aly
- Departmet of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Galina Hayes
- Departmet of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
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George MB, Lew B, Liang Z, Blair S, Zhu Z, Cui N, Ludwig J, Zayed M, Selmic L, Gruev V. Fluorescence-guided surgical system using holographic display: from phantom studies to canine patients. J Biomed Opt 2023; 28:096003. [PMID: 37736312 PMCID: PMC10509484 DOI: 10.1117/1.jbo.28.9.096003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 08/17/2023] [Accepted: 08/18/2023] [Indexed: 09/23/2023]
Abstract
Significance Holographic display technology is a promising area of research that can lead to significant advancements in cancer surgery. We present the benefits of combining bioinspired multispectral imaging technology with holographic goggles for fluorescence-guided cancer surgery. Through a series of experiments with 43D-printed phantoms, small animal models of cancer, and surgeries on canine patients with head and neck cancer, we showcase the advantages of this holistic approach. Aim The aim of our study is to demonstrate the feasibility and potential benefits of utilizing holographic display for fluorescence-guided surgery through a series of experiments involving 3D-printed phantoms and canine patients with head and neck cancer. Approach We explore the integration of a bioinspired camera with a mixed reality headset to project fluorescent images as holograms onto a see-through display, and we demonstrate the potential benefits of this technology through benchtop and in vivo animal studies. Results Our complete imaging and holographic display system showcased improved delineation of fluorescent targets in phantoms compared with the 2D monitor display approach and easy integration into the veterinarian surgical workflow. Conclusions Based on our findings, it is evident that our comprehensive approach, which combines a bioinspired multispectral imaging sensor with holographic goggles, holds promise in enhancing the presentation of fluorescent information to surgeons during intraoperative scenarios while minimizing disruptions.
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Affiliation(s)
- Mebin B. George
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Benjamin Lew
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Zuodong Liang
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Steven Blair
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Zhongmin Zhu
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Nan Cui
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
| | - Jamie Ludwig
- University of Illinois at Urbana-Champaign, Division of Animal Resources, Urbana, Illinois, United States
| | - Mohamed Zayed
- Washington University in St. Louis, Department of Surgery, St. Louis, Missouri, United States
| | - Laura Selmic
- Ohio State University, Department of Veterinary Clinical Sciences, Columbus, Ohio, United States
| | - Viktor Gruev
- University of Illinois at Urbana-Champaign, Department of Electrical and Computer Engineering, Urbana, Illinois, United States
- University of Illinois at Urbana-Champaign, Department of Bioengineering, Urbana, Illinois, United States
- University of Illinois at Urbana-Champaign, Beckman Institute for Advanced Science and Technology, Urbana, Illinois, United States
- University of Illinois at Urbana-Champaign, Carle Illinois College of Medicine, Urbana, Illinois, United States
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Sterman A, Butler JR, Chambers A, Dickson R, Dornbusch J, Mickelson M, Selmic L, Scharf V, Schlag A, Skinner O, Vinayak A, Janssens BW. Post-operative complications following apocrine gland anal sac adenocarcinoma resection in dogs. Vet Comp Oncol 2021; 19:743-749. [PMID: 34173318 DOI: 10.1111/vco.12748] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 06/22/2021] [Accepted: 06/23/2021] [Indexed: 02/02/2023]
Abstract
Describe the complications associated with surgical resection of primary apocrine gland anal sac adenocarcinoma (AGASACA) tumours study design multi-institutional retrospective cross-sectional cohort study Animals Client owned dogs with spontaneous disease using the Clavien-Dindo classification system, post-operative events were assigned and described. Logistic regression analysis was used to analyse for risk factors for a significant association with complications. One hundred sixty-one dogs were included in the analysis. The post-operative sequelae, complication, and failure to cure rates specific to the anal sac site was 14%, 17% and 1%, respectively. The majority (68%) of complications were grade II or higher, therefore requiring some form of intervention. Intra-operative complications were identified in 11 cases (7%) with anorectal wall perforation being most common. An intra-operative complication was significantly associated with post-operative complications (p < 0.001; OR 7.4) while anorectal wall perforation was the only significant risk factor on regression analysis (p < 0.001; OR 19). Surgical site infection was identified in 20 of 161 (12%) of cases. Local recurrence (LR) occurred in 18% of cases at a median of 374 days (95% CI: 318-430). The only risk factor significantly associated with LR was the presence of vascular or lymphatic invasion (p = 0.008; OR 3). Post-operative complications were relatively infrequent but the risk was significantly increased when there was an intraoperative complication during resection of a primary AGASACA tumour. This study provides information for the clinician regarding risk factors for post-operative complications.
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Affiliation(s)
- Allyson Sterman
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.,Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA
| | - J Ryan Butler
- Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
| | - Aidan Chambers
- Department of Small Animal Surgery, University of Missouri, Columbia, Missouri, USA
| | - Rachel Dickson
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Josephine Dornbusch
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Megan Mickelson
- Department of Small Animal Surgery, University of Missouri, Columbia, Missouri, USA.,Department of Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA
| | - Laura Selmic
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Valerie Scharf
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Ariel Schlag
- Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
| | - Owen Skinner
- Department of Small Animal Surgery, University of Missouri, Columbia, Missouri, USA
| | - Arathi Vinayak
- Department of Surgery, VCA West Coast Specialty and Emergency Animal Hospital, Fountain Valley, California, USA
| | - Brandan Wustefeld Janssens
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.,Flint Animal Cancer Center and Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA
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Abstract
OBJECTIVES The aim of this study was to perform the cutaneous trunci reflex (CTR) in neurologically normal cats using two different instruments and determine how body condition score (BCS), body circumference, age, sex and instrument type may affect this reflex. METHODS Sixty-five cats without evidence of neurologic disease were prospectively enrolled. Cats were randomly assigned to have the reflex tested first using a pair of hemostatic forceps or the integrated Babinski tip of an MDF Babinski Buck Reflex Hammer. After 30 mins, the reflex was retested using the other instrument. Data collected included the reflex presence, reflex caudal border, reflex intensity (weak, moderate, strong) and reflex symmetry (unilateral or bilateral). The influence of BCS, body circumference, age and sex on these variables was statistically evaluated along with effect of the instrument used. RESULTS The CTR was elicited bilaterally in 52 (80%) cats and unilaterally in 64 (98%) cats. In two cats, the CTR was only able to be elicited using the Buck Reflex Hammer, while in four cats, the CTR was only able to be elicited using hemostatic forceps. Body circumference, BCS, age and sex had no effect on the presence, caudal border, intensity or symmetry of the CTR, regardless of the instrument used. No difference in the bilateral presence of the CTR was noted based on the instrument used first (P = 0.53). When assessing the influence of the instrument on reflex presence, caudal border, intensity and symmetry, the hemostatic forceps elicited the reflex further caudally (P = 0.02) and usually bilaterally (P = 0.02). CONCLUSIONS AND RELEVANCE The CTR could be elicited in the majority of cats with both instruments. However, hemostatic forceps elicited a reflex more caudally and bilaterally symmetrical than the Buck Reflex Hammer.
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Affiliation(s)
- Kari D Foss
- Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, Urbana, IL, USA
| | - Devon W Hague
- Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, Urbana, IL, USA
| | - Laura Selmic
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA
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Kalamaras AB, Wavreille V, Jones SC, Litsky AS, Selmic L. Impact of microwave ablation treatment on the biomechanical properties of the distal radius in the dog: A cadaveric study. Vet Surg 2020; 49:1388-1395. [PMID: 32706150 DOI: 10.1111/vsu.13481] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Revised: 05/20/2020] [Accepted: 06/01/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To determine whether microwave ablation (MWA) modifies the biomechanical properties of the normal distal radius in the dog to better estimate the clinical impact of MWA as a tool for the treatment of neoplastic bone lesions. STUDY DESIGN Biomechanical experimental study. SAMPLE POPULATION Sixteen pairs of dog forelimbs from 16 canine cadavers. METHODS From each pair of forelimbs, one radius was randomly assigned to an MWA group, and the other radius was randomly assigned to a control group. Bone tunnels were created in each distal radial epiphysis for a length of 6 cm toward the middiaphysis. In the MWA group, the ablation probe was inserted into the bone tunnel for a series of three ablation treatments. Specimens were then tested in three-point bending to acute failure with the middle point located 3 cm from the distal articular surface (middle of the ablated zone). Load and displacement were continuously recorded to determine maximum displacement and peak load before failure. Data were analyzed with noninferiority tests. RESULTS The mean peak loads for the control group and MWA group were 1641.9 N and 1590.9 N, respectively. Microwave ablation-treated radii were not biomechanically inferior to control radii (P < .0001). CONCLUSION Microwave ablation of normal cadaveric dog distal radii did not affect the maximum displacement and peak load before failure. CLINICAL SIGNIFICANCE Microwave ablation does not affect biomechanical bending properties of the distal radius in the dog. Future studies, both cadaveric and in vivo, are required to evaluate the impact of MWA on neoplastic bone.
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Affiliation(s)
- Alexandra B Kalamaras
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, Ohio
| | - Vincent Wavreille
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, Ohio
| | - Stephen C Jones
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, Ohio
| | - Alan S Litsky
- Department of Biomedical Engineering, The Ohio State University College of Engineering, Columbus, Ohio
| | - Laura Selmic
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, Ohio
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Kalamaras A, Wavreille V, SC J, Selmic L. Impact of Microwave Ablation Treatment on the Biomechanical Properties of the Distal Canine Radius: A Cadaveric Study. Vet Comp Orthop Traumatol 2020. [DOI: 10.1055/s-0040-1712893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- A Kalamaras
- The Ohio State University, Columbus, Ohio, United States
| | - V Wavreille
- The Ohio State University, Columbus, Ohio, United States
| | - Jones SC
- The Ohio State University, Columbus, Ohio, United States
| | - L Selmic
- The Ohio State University, Columbus, Ohio, United States
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Walz JZ, Desai N, Van Asselt N, Poirier VJ, Hansen K, Selmic L. Definitive-intent intensity-modulated radiation therapy for treatment of canine prostatic carcinoma: A multi-institutional retrospective study. Vet Comp Oncol 2019; 18:381-388. [PMID: 31811693 DOI: 10.1111/vco.12561] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 11/20/2019] [Accepted: 12/02/2019] [Indexed: 01/09/2023]
Abstract
No standard of care is currently recognized for treatment of canine prostatic carcinoma (PC). This retrospective study assesses outcome following definitive-intent, intensity-modulated radiation therapy (RT) in dogs with PC. Medical records review was performed, including 18 patients from four institutions undergoing definitive-intent intensity-modulated radiotherapy to treat PC. Diagnosis was incidental in 7/18 (39%) patients. Five dogs (28%) had evidence of metastasis to loco-regional lymph nodes at diagnosis. Seventeen patients received concurrent non-steroidal anti-inflammatory drugs; 15/18 (83%) patients received maximally-tolerated dose (MTD) chemotherapy, with variable drugs and protocols employed. Total prescribed radiation dose ranged from 48 to 54 Gy (median 50 Gy) delivered as daily doses of 2.5-2.8 Gy. One patient was euthanized prior to completing radiotherapy. Acute toxicity was observed in nine patients; Grade 1-2 diarrhoea was the most common toxicity observed. Suspected late toxicity (urethral stricture, ureteral stricture and hindlimb oedema) was observed in three patients. Median event-free survival (EFS) following RT was 220 days, and median overall survival was 563 days. Local progression occurred in seven patients at a median of 241 days. Median overall survival was significantly longer in incidentally diagnosed dogs (581 vs 220 days in symptomatic dogs, P = .042). EFS was significantly longer in patients treated with MTD chemotherapy (241 vs 25 days, P < .001), and significantly shorter in patients presenting with evidence of metastatic disease (109 days) vs those without (388 days, P = .008). These findings suggest that definitive-intent radiotherapy is a valuable treatment option for local control of canine PC with moderate risk of toxicity.
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Affiliation(s)
- Jillian Z Walz
- Department of Veterinary Clinical Sciences, Veterinary Medical Center, The Ohio State University, Columbus, Ohio.,Department of Oncology, MSPCA-Angell Animal Medical Center, Boston, Massachusetts
| | - Noopur Desai
- Department of Veterinary Clinical Sciences, Veterinary Medical Center, The Ohio State University, Columbus, Ohio
| | - Nathaniel Van Asselt
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin
| | - Valerie J Poirier
- Animal Cancer Centre, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.,Massey University School of Veterinary Science, Palmerston North, New Zealand
| | - Katherine Hansen
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California
| | - Laura Selmic
- Department of Veterinary Clinical Sciences, Veterinary Medical Center, The Ohio State University, Columbus, Ohio
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Fathi P, Capron G, Tripathi I, Misra S, Ostadhossein F, Selmic L, Rowitz B, Pan D. Computed tomography-guided additive manufacturing of Personalized Absorbable Gastrointestinal Stents for intestinal fistulae and perforations. Biomaterials 2019; 228:119542. [PMID: 31678842 DOI: 10.1016/j.biomaterials.2019.119542] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2019] [Revised: 10/05/2019] [Accepted: 10/10/2019] [Indexed: 12/12/2022]
Abstract
Small bowel perforations and obstructions are relatively frequent surgical emergencies, are potentially life-threatening, and have multiple etiologies. In general, treatment requires urgent surgical repair or resection and at times can lead to further complications. Stents may be used to help with healing intestinal perforations but use is limited as currently available stents are non-absorbable, are manufactured in a narrow size range, and/or are limited to usage in locations that are accessible for endoscopic removal post-healing. The use of 3D-printed bioresorbable polymeric stents will provide patients with a stent that can prevent leakage, is tailored specifically to their geometry, and will be usable within the small bowel, which is not amenable to endoscopic stent placement. This work focused on the rapid manufacturing of gastrointestinal stents composed of a polycaprolactone-polydioxanone (PCL-PDO) composite. Dynamic Mechanical Analysis (DMA) tests were conducted to separately analyze the effects of composition, the filament formation process, and physiological temperature on the PCL-PDO material properties. The proposed stent design was then modeled using computer-aided design, and Finite Element Analysis (FEA) was used to simulate the effects of physiologically relevant forces on stent integrity. The presence of hydrolysable ester bonds was confirmed using FT-IR spectroscopy. In vitro studies were used to evaluate the biocompatibility of the polymer composite. Further analyses were conducted through stent placement in ex vivo pig intestines. PCL-PDO stents were then 3D-printed and placed in vivo in a pig model.
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Affiliation(s)
- Parinaz Fathi
- Departments of Bioengineering, Materials Science and Engineering, and Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, United States; Mills Breast Cancer Institute, Carle Foundation Hospital, Urbana, IL, 61801, United States
| | | | - Indu Tripathi
- Departments of Bioengineering, Materials Science and Engineering, and Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, United States; Mills Breast Cancer Institute, Carle Foundation Hospital, Urbana, IL, 61801, United States
| | - Santosh Misra
- Departments of Bioengineering, Materials Science and Engineering, and Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, United States; Mills Breast Cancer Institute, Carle Foundation Hospital, Urbana, IL, 61801, United States
| | - Fatemeh Ostadhossein
- Departments of Bioengineering, Materials Science and Engineering, and Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, United States; Mills Breast Cancer Institute, Carle Foundation Hospital, Urbana, IL, 61801, United States
| | - Laura Selmic
- College of Veterinary Medicine, University of Illinois, Urbana, Champaign, IL, United States
| | - Blair Rowitz
- Carle Foundation Hospital, Urbana, IL, United States; Carle Illinois College of Medicine, University of Illinois, Urbana, Champaign, IL, United States
| | - Dipanjan Pan
- Departments of Bioengineering, Materials Science and Engineering, and Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, United States; Mills Breast Cancer Institute, Carle Foundation Hospital, Urbana, IL, 61801, United States; Carle Illinois College of Medicine, University of Illinois, Urbana, Champaign, IL, United States.
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Clark-Price S, Phillips H, Selmic L, Keating S, Reagan J. The effect of an intraoperative infusion of amino acids on body temperature, serum biochemistry, serum insulin, and recovery parameters in healthy dogs undergoing ovariohysterectomy. Vet Anaesth Analg 2017. [DOI: 10.1016/j.vaa.2017.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wallace M, Selmic L, Withrow SJ. Diagnostic Utility of Abdominal Ultrasonography for Routine Staging at Diagnosis of Skeletal OSA in Dogs. J Am Anim Hosp Assoc 2013; 49:243-5. [DOI: 10.5326/jaaha-ms-5862] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The rate of soft tissue metastases and the importance of abdominal ultrasonography in initial staging of canine skeletal osteosarcoma (OSA) are not known. The purpose of this study was to determine whether abdominal ultrasonography should be performed routinely at initial diagnosis of skeletal OSA or if certain abnormal physical examination or diagnostic findings would provide greater indication to perform ultrasonography. Eighty dogs with OSA that had an abdominal ultrasonogram performed at diagnosis were included. Abnormal findings were present in 36 of 80 dogs. Twenty-three abnormalities were evaluated with either fine-needle aspirate or biopsy and 19 were benign. None of the ultrasonograms revealed abdominal OSA metastases; however, 4 of the 80 ultrasonograms (5%) revealed another primary neoplasia. Further, 2 of the 9 cases that received an ultrasonogram due to a palpable abdominal mass were diagnosed with another primary neoplasia compared with only 1 of the 49 cases that received an ultrasonogram for routine staging. Abdominal ultrasonography as a part of staging is unlikely to reveal metastases from OSA and may not be a useful routine staging tool; however, in certain populations of dogs, such as those with palpable abdominal masses, abdominal ultrasonography may reveal abnormalities that may influence treatment decisions.
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Affiliation(s)
- Mandy Wallace
- Animal Cancer Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO (M.W., L.S., S.W.)
| | - Laura Selmic
- Animal Cancer Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO (M.W., L.S., S.W.)
| | - Stephen J. Withrow
- Animal Cancer Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO (M.W., L.S., S.W.)
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