{"title":"超声诊断猫中耳炎的准确性和可行性。","authors":"Tim Chan, Ramon Almela, Agustina Anson","doi":"10.1111/vde.70012","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Otitis media (OM) is diagnosed via imaging or, in some cases, otoscopic evaluation, by detecting fluid in the tympanic bulla (TB). In cats, the bulla septum divides the TB into ventromedial (VMC) and dorsolateral (DLC) compartments, with ultrasound restricted to imaging the VMC only.</p><p><strong>Hypothesis/objectives: </strong>To evaluate the accuracy and feasibility of ultrasound in diagnosing naturally occurring OM in cats, using computed tomography (CT) or magnetic resonance imaging (MRI) as the reference standard.</p><p><strong>Animals: </strong>Thirty-two privately owned cats (64 ears) with and without OM were enrolled in the study.</p><p><strong>Materials and methods: </strong>In this cross-sectional study, CT or MRI confirmed fluid (OM) or air (normal) in the TB, while ultrasound imaged the VMC for air or fluid. Performance statistics for ultrasound in diagnosing OM were calculated.</p><p><strong>Results: </strong>Bulla ultrasound took an average of 3.5 min to complete and 23 cats were awake. Ultrasound detected air in the VMC in 41 ears, fluid in 22 ears and acoustic shadowing in one ear owing to TB wall thickening, precluding the detection of gas or fluid. Thirty-nine middle ears were air-filled and 25 ears had fluid based on CT/MRI. Two false negatives resulted from undetectable scant fluid lines. Ultrasonographic data of 63 ears (ear with acoustic shadow was excluded) showed the following: sensitivity (92%), specificity (100%), positive predictive value (100%), negative predictive value (95%) and accuracy (97%).</p><p><strong>Conclusions and clinical relevance: </strong>Ultrasound was rapid, well-tolerated and reliably differentiated fluid from air in the VMC, diagnosing OM in most cats. False negatives arose from scant fluid. Acoustic shadowing may represent chronic OM.</p>","PeriodicalId":23599,"journal":{"name":"Veterinary dermatology","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Accuracy and Feasibility of Ultrasound in the Diagnosis of Otitis Media in Cats.\",\"authors\":\"Tim Chan, Ramon Almela, Agustina Anson\",\"doi\":\"10.1111/vde.70012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Otitis media (OM) is diagnosed via imaging or, in some cases, otoscopic evaluation, by detecting fluid in the tympanic bulla (TB). In cats, the bulla septum divides the TB into ventromedial (VMC) and dorsolateral (DLC) compartments, with ultrasound restricted to imaging the VMC only.</p><p><strong>Hypothesis/objectives: </strong>To evaluate the accuracy and feasibility of ultrasound in diagnosing naturally occurring OM in cats, using computed tomography (CT) or magnetic resonance imaging (MRI) as the reference standard.</p><p><strong>Animals: </strong>Thirty-two privately owned cats (64 ears) with and without OM were enrolled in the study.</p><p><strong>Materials and methods: </strong>In this cross-sectional study, CT or MRI confirmed fluid (OM) or air (normal) in the TB, while ultrasound imaged the VMC for air or fluid. Performance statistics for ultrasound in diagnosing OM were calculated.</p><p><strong>Results: </strong>Bulla ultrasound took an average of 3.5 min to complete and 23 cats were awake. Ultrasound detected air in the VMC in 41 ears, fluid in 22 ears and acoustic shadowing in one ear owing to TB wall thickening, precluding the detection of gas or fluid. Thirty-nine middle ears were air-filled and 25 ears had fluid based on CT/MRI. Two false negatives resulted from undetectable scant fluid lines. Ultrasonographic data of 63 ears (ear with acoustic shadow was excluded) showed the following: sensitivity (92%), specificity (100%), positive predictive value (100%), negative predictive value (95%) and accuracy (97%).</p><p><strong>Conclusions and clinical relevance: </strong>Ultrasound was rapid, well-tolerated and reliably differentiated fluid from air in the VMC, diagnosing OM in most cats. False negatives arose from scant fluid. Acoustic shadowing may represent chronic OM.</p>\",\"PeriodicalId\":23599,\"journal\":{\"name\":\"Veterinary dermatology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary dermatology\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/vde.70012\",\"RegionNum\":3,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary dermatology","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vde.70012","RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
Accuracy and Feasibility of Ultrasound in the Diagnosis of Otitis Media in Cats.
Background: Otitis media (OM) is diagnosed via imaging or, in some cases, otoscopic evaluation, by detecting fluid in the tympanic bulla (TB). In cats, the bulla septum divides the TB into ventromedial (VMC) and dorsolateral (DLC) compartments, with ultrasound restricted to imaging the VMC only.
Hypothesis/objectives: To evaluate the accuracy and feasibility of ultrasound in diagnosing naturally occurring OM in cats, using computed tomography (CT) or magnetic resonance imaging (MRI) as the reference standard.
Animals: Thirty-two privately owned cats (64 ears) with and without OM were enrolled in the study.
Materials and methods: In this cross-sectional study, CT or MRI confirmed fluid (OM) or air (normal) in the TB, while ultrasound imaged the VMC for air or fluid. Performance statistics for ultrasound in diagnosing OM were calculated.
Results: Bulla ultrasound took an average of 3.5 min to complete and 23 cats were awake. Ultrasound detected air in the VMC in 41 ears, fluid in 22 ears and acoustic shadowing in one ear owing to TB wall thickening, precluding the detection of gas or fluid. Thirty-nine middle ears were air-filled and 25 ears had fluid based on CT/MRI. Two false negatives resulted from undetectable scant fluid lines. Ultrasonographic data of 63 ears (ear with acoustic shadow was excluded) showed the following: sensitivity (92%), specificity (100%), positive predictive value (100%), negative predictive value (95%) and accuracy (97%).
Conclusions and clinical relevance: Ultrasound was rapid, well-tolerated and reliably differentiated fluid from air in the VMC, diagnosing OM in most cats. False negatives arose from scant fluid. Acoustic shadowing may represent chronic OM.
期刊介绍:
Veterinary Dermatology is a bi-monthly, peer-reviewed, international journal which publishes papers on all aspects of the skin of mammals, birds, reptiles, amphibians and fish. Scientific research papers, clinical case reports and reviews covering the following aspects of dermatology will be considered for publication:
-Skin structure (anatomy, histology, ultrastructure)
-Skin function (physiology, biochemistry, pharmacology, immunology, genetics)
-Skin microbiology and parasitology
-Dermatopathology
-Pathogenesis, diagnosis and treatment of skin diseases
-New disease entities