Ultrasound of the Spleen Wendy Blount, DVM Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal) Free PowerPoint Templates
Patient Preparation Place in dorsal or right lateral recumbency Right lateral recumbency for: Compromised & deep chested patients Head of the spleen on deep chested dogs (intercostal) Landmarks for finding the spleen: Head is caudal to the stomach Spleen often mostly in the left abdomen Tail can range from right to caudal relative to the head Free PowerPoint Templates
Transition Adjustments Depth - Adjust according to size of spleen More shallow for cats, deeper for giant spleens & the canine head of the spleen Frequency - usually 6-7.5 MHz (higher) Gain and Contrast – usually no change from liver TGC - Bottom levers may need to go to the middle for head of spleen (they were right for liver) Top levers may need to go right for body/tail of spleen Free PowerPoint Templates
Image Views Sagittal & transverse Views of 4 locations (8) 1. & 5. Head (cranial) 2. & 6. Cranial Body 3. & 7. Hilus – splenic vein 4. & 8. Tail – can be just about anywhere in the dog Free PowerPoint Templates
Image Views Sagittal & transverse Views (4 each = 8) 1. & 5. Head (cranial) – under the rib cage 2. & 6. Cranial Body 3. & 7. Hilus – splenic vein 4. & 8. Tail (caudal or right) Free PowerPoint Templates
Image Views Sagittal & transverse Views (4 each = 8) 1. & 5. Head (cranial) – under the rib cage 2. & 6. Cranial Body 3. & 7. Hilus – splenic vein 4. & 8. Tail (caudal or right) Free PowerPoint Templates
Scanning the Spleen Sagittal Views Cranial Head
Scanning the Spleen Sagittal Views Cranial Head
Scanning the Spleen Sagittal Views Cranial Head
Scanning the Spleen Sagittal Views Cranial Head
Scanning the Spleen Sagittal Views dog Cranial Head
Scanning the Spleen Sagittal Views cat Cranial Head
Scanning the Spleen Sagittal Views dog Cranial Head
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Cranial Body
Scanning the Spleen Sagittal Views Mid-Body Hilus
Scanning the Spleen Sagittal Views Mid-Body Hilus
Scanning the Spleen Sagittal Views Mid-Body Hilus
Scanning the Spleen Sagittal Views Mid-Body Hilus
Scanning the Spleen Sagittal Views Mid-Body Hilus
Scanning the Spleen Sagittal Views dog Mid-Body Hilus
Scanning the Spleen Sagittal Views dog Mid-Body Hilus
Scanning the Spleen Sagittal Views cat Mid-Body Hilus
Scanning the Spleen Sagittal Views cat Mid-Body Hilus
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views dog Caudal Tail
Scanning the Spleen Sagittal Views cat Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Sagittal Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Caudal Tail
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus
Scanning the Spleen Transverse Views Mid-Body Hilus cat
Scanning the Spleen Transverse Views Cranial Body
Scanning the Spleen Transverse Views Cranial Body
Scanning the Spleen Transverse Views Cranial Body
Scanning the Spleen Transverse Views Cranial Body
Scanning the Spleen Transverse Views Cranial Head
Scanning the Spleen Transverse Views Cranial Head
Scanning the Spleen Transverse Views Cranial Head
Telemedicine Videos Sagittal – head and cranial body of spleen dog cat Free PowerPoint Templates
Telemedicine Videos Sagittal – head and cranial body of spleen Sagittal – hilus and tail of spleen Didn’t scan entire width, from medial to lateral Probe slides cranial as fanned Free PowerPoint Templates
Telemedicine Videos Sagittal – head and cranial body of spleen Sagittal – hilus and tail of spleen Nice scan of the caudal tail, but hilus is not included Spleen tail, plus severe pancreatitis Free PowerPoint Templates
Telemedicine Videos Sagittal – head and cranial body of spleen Sagittal – hilus and tail of spleen Nice Scan of the tail of the spleen Free PowerPoint Templates
Telemedicine Videos Sagittal – head and cranial body of spleen Sagittal – hilus and tail of spleen Include hilus in both !! Free PowerPoint Templates
Video Academy of Veterinary Imaging: dorsal recumbency http://academy.soundvet.com/education-portal/ Oncura: lateral recumbency (no video) Ultrasound of the Spleen Free PowerPoint Templates
Acknowledgments Stephanie Lisciandro, ACVIM (Internal Medicine) Chapter 4: Focused or COAST3 – Spleen Focused Ultrasound Techniques for the Small Animal Practitioner Editor Greg Lisciandro Bob Cole, ACVR Auburn University The Academy of Veterinary Imaging 2409 Avenue J, Suite C Arlington, TX 76006 (800) 268-5354
Acknowledgments John Mattoon, Danelle Auld, Thomas Nyland Chapter 4: Abdominal Ultrasound Scanning Techniques Small Animal Diagnostic Ultrasound Editors Nyland and Mattoon – 3rd Edition 2014 Thomas Nyland, John Mattoon, Eric Herrgesell. Erik Wisner Chapter 7: Spleen Small Animal Diagnostic Ultrasound Editors Nyland and Mattoon – 3rd Edition 2014 John P. Graham, MVB, MSc, DVR, MRCVS Diplomate, ECVDI, Diplomate, ACVR Diagnostic Imaging in Dogs and Cats Nestle Purina – Clinical Handbook Series