Page 127 - Feline diagnostic imaging
P. 127

References  125
                                                                  muscles.  Choroid  is  hyperintense  relative  to  vitreous
                                                                  and  sclera  on  T1W.  The  lens  capsule  has  a  signal
                                                                    intensity  between  the  fat  and  extraocular  muscles
                                                                  [4,49,50].
                                                                    The T2W has the best soft tissue contrast and is typi-
                                                                  cally better than T1W imaging for demonstrating orbital
                                                                  pathology (Figure 7.21) [46]. The hallmark of a T2 image
                                                                  of the orbit is the bright signal intensity of vitreous, the
                                                                  absolute  intensity  of  which  depends  on  the  magnetic
                                                                  strength  of  the  scanner.  The  relative  order  of  signal
                                                                  intensity  on  T2  images  is,  from  high  to  low,  vitreous
                                                                  and  aqueous, extraocular muscles/optic nerve, and fat
                                                                  [4,9,50].
                                                                  The optic nerve has a moderately high signal intensity
                                                                  on T1W whereas it is moderately low intensity on T2W,
                                                                  compared  with  the  vitreous  humor.  However,  since
                                                                  orbital  fat  has  very  low  intensity  on  T2W,  the  optic
                                                                  nerve  and  chiasm  can  be  visualized  much  better  on
                                                                  T2W images [49].
               Figure 7.21  T2W image (transverse plane) showing the
               characteristic bright signal intensity of the vitreous.




                 References

                 1  Eisenberg, H.M. (1985). Ultrasonography of the eye and     10  Dietrich, U.M. (2013). Ophthalmic examination and
                 orbit. Vet. Clin. North Am. Small Anim. Pract. 15:   diagnostic: part 3: diagnostic ultrasonography. In:
                 1263–1274.                                          Veterinary Ophthalmology., 5e (eds. K.N. Gelatt, B.C.
                 2  Hager, D.A., Dziezyc, J., and Millichamp, N.J. (1987).   Gilger and T.J. Kern), 669–683. Ames: Wiley.
                 Two‐dimensional real‐time ocular ultrasonography in the     11  Scotty, N.C. (2005). Ocular ultrasonography in horses.
                 dog. Technique and normal anatomy. Vet. Radiol. 28:   Clin. Tech. Equine. Pract. 4: 106–113.
                 60–65.                                             12  Spaulding, K. (2008). Eye and orbit. In: Atlas of
                 3  Williams, J. and Wilkie, D.A. (1996). Ultrasonography of   Small Animal Ultrasonography, 1e (eds. D. Penninck
                 the eye. Comp. Cont. Educ. Vet. 18: 667–677.        and M.A. d’Anjou), 49–90. Oxford: Blackwell
                 4  Penninck, D., Daniel, G.B., Brawer, R., and Tidwell, A.S.   Publishing.
                 (2001). Cross‐sectional imaging techniques in veterinary     13  Schiffer, S.P., Rantanen, N.W., Leary, G.A. et al. (1982).
                 ophthalmology. Clin. Tech. Small. Anim. Pract. 16: 22–39.  Biometric study of the canine eye, using A‐mode
                 5  Blaivas, M. (2000). Bedside emergency department   ultrasonography. Am. J. Vet. Res. 43: 826–830.
                 ultrasonography in the evaluation of ocular pathology.     14  Byrne, S.F. and Green, R.L. (2010). Physics and
                 Acad. Emerg. Med. 7: 947–950.                       instrumentation. In: Ultrasound of the Eye and Orbit, 2e
                 6  Daniel, G.B. and Mitchell, S.K. (1999). The eye and orbit.   (eds. S.D. Byrne and R.L. Green), 1–13. New Delhi: Jaypee
                 Clin. Tech. Small. Anim. Pract. 14: 160–169.        Brothers Medical Publishers Ltd.
                 7  Mattoon, J.S. and Nyland, T.G. (2002). Eye. In: Small     15  Ossoinig, K.C. (1979). Standardized echography: basic
                 Animal Diagnostic Ultrasound, 2e (eds. T.G. Nyland and   principles, clinical applications, and results. Int.
                 J.S. Mattoon), 305–323. Philadelphia: WB Saunders.  Ophthalmol. Clin. 19: 127–210.
                 8  Boroffka, S.A., Verbruggen, A.M., Grinwins, G.C. et al.     16  Coleman, D.J., Dallow, R.L., and Smith, M.E. (1979). A
                 (2007). Assessment of ultrasonography and computed   combined system of contact A‐scan and B‐scan. Int.
                 tomography for the evaluation of unilateral orbital disease   Ophthalmol. Clin. 19: 211–224.
                 in dogs. J. Am. Vet. Med. Assoc. 230: 671–680.     17  Hamidzada, W.A. and Osuobeni, E.P. (1999). Agreement
                 9  Dennis, R. (2000). Use of magnetic resonance imaging for   between A‐mode and B‐mode ultrasonography in the
                 the investigation of orbital disease in small animals.   measurement of ocular distances. Vet. Radiol. Ultrasound
                 J. Small Anim. Pract. 41: 145–155.                  40: 502–507.
   122   123   124   125   126   127   128   129   130   131   132