
Ultrasound

Starting
in the early 1980’s, ultrasound and scanning
were used to diagnose many disease processes in small
animal veterinary medicine. Ultrasound is a non-invasive,
non-painful diagnostic method used to evaluate and
stage many diseases. It is the best modality to evaluate
fluid filled and soft tissue organs. Because ultrasound
cannot penetrate through air, it is not useful to
evaluate abnormalities if they are surrounded by gas
Why Ultrasound?
Put simply, ultrasound allows us to visualize the
internal architecture of many organs. Radiographically
inapparent internal abnormalities such as nodules,
masses, cysts and abscesses cannot only be seen,
but can also be counted and measured. Although the
ultrasound examination alone is in many cases non-specific
for a particular disease, in conjunction with the
animal's age, sex, breed, history, physical exam,
radiographic findings and lab work, as well as ultrasound
guided fine needle aspirates or true-cut biopsies,
the specificity for disease can be high. Many organs
that are difficult to see on plain film radiographs
(prostate) can be easily seen with ultrasound.
Real-time echocardiography (ultrasound examination
of the heart) also allows us to see the heart in
motion. From these images, measurements of cardiac
contractility, areas of abnormal wall motion, chamber
dilatation and wall thickening are made and compared
to normal values. The typical ultrasound examination
requires no tranquilization or anesthesia and is
easily performed on animals that are awake. The
only patient preparation necessary is clipping of
the hair overlying the area to be scanned (the ultrasound
will not penetrate through hair) and placing coupling
gel on the skin surface just prior to the exam process.
The entire scanning process takes 30-40 minutes.
Images are acquired on the monitor of the ultrasound
machine as well as on film for later viewing.
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