Key result
Lateral radiographic heart-to-thoracic height ratios yield the highest diagnostic sensitivity for cardiomegaly in flying foxes.
Why the study?
Dilated cardiomyopathy is a relatively common pathology in captive flying foxes, and quantitative reference range measurements for cardiac size are needed to support diagnosis.
Observational (n=75)
This study establishes radiographic reference ranges for cardiac dimensions in flying foxes, identifying specific ratios on lateral and ventrodorsal projections as sensitive indicators for diagnosing cardiomegaly.
May aid cardiomegaly detection in flying foxes; leaves open prospective validation before clinical adoption.
Dilated cardiomyopathy is a relatively common pathology in captive flying foxes (Pteropus spp.). The goal of this study was to establish quantitative reference range measurements that could be used to support a diagnosis of cardiac disease in these animals. Lateral and ventrodorsal thoracic radiographs from apparently healthy flying foxes (n = 66) of three species (Rodriguez island flying fox, P. rodricensis, n = 18; small island flying fox, P. hypomelanus, n = 16; and Malaysian flying fox, P. vampyrus, n = 32) were evaluated objectively to describe the cardiac appearance. Absolute and relative cardiac dimensions also were measured. The same methods were used to evaluate radiographs from flying foxes (n = 9) with known dilated or acute cardiomyopathy. The following ratios were most appropriate for categorizing normal cardiac silhouette size. In the ventrodorsal projection, heart width to thoracic width and heart width to clavicle length were the preferred measurements. In the lateral projection, heart width compared with thoracic height was the preferred measurement. From radiographs of the bats with known dilated and acute cardiomyopathy, the apicobasilar heart length compared with thoracic height and heart width compared with thoracic height on lateral films were the most sensitive ratios for diagnosing cardiomegaly.
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Gardner et al. (2007) conducted an observational in Dilated cardiomyopathy (n=75). Radiographic evaluation of cardiac size vs. Healthy flying foxes was evaluated on Sensitive ratios for diagnosing cardiomegaly. Radiographic ratios of apicobasilar heart length and heart width compared with thoracic height on lateral films were the most sensitive for diagnosing cardiomegaly in flying foxes.
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