مطالعه سی تی اسکن و ارزیابی مورفومتریک مهره های گردنی در خرگوش نیوزیلندی سالم

Introduction

Nowadays, use of rabbits in research as laboratory animals is quite prevalent, however imaging modalities for producing anatomical illustrations are rare. The vertebral column is one of the most important parts of the skeleton of the rabbits that can be injured easily. Diagnostic imaging techniques are very useful in finding vertebral column injuries, however anatomical data (morphological and morphometric) are needed for this purpose. The cervical region is one of the important parts of vertebral column, consisting seven vertebrae (Worth, 2019; Riggs, 2016; Zehtabvar et al., 2015).

Computed tomography (CT) scan is a nonaggressive modality which provides more detailed data for the evaluation of vertebral column and is a good diagnostic aid for different skeletal and neurological diseases. An accurate diagnosis of abnormalities requires sufficient knowledge around normal situation of these structures.

CT scan is one of the most practical diagnostic methods used in small animal orthopedic purposes. In 2010, Sheng and colleagues evaluated vertebral columns of large animals and compared them with that of human (Sheng, et al., 2010). Jeffcott et al. (1979) evaluated anatomical radiography of thoracic and lumbar vertebra in horses. Furthermore, Cotterill et al. (1986) compared thoracic- lumbar vertebrae of cows with those of humans. Our study was based on the measurements of vertebrae and evaluation done on 2D and 3D CT scan. For many reasons, there is a possibility of traumatic injury to the spinal canal and intervertebral disc and these factors may contribute to the poor function of vertebral column. Nowadays, diagnostic imaging methods which are in use for numerous purposes are one of the best ways of evaluating the organs of body. These methods are also used for imaging the laboratory animals such as rabbits. One of these methods is CT scan which is remarkably useful for skeletal evaluations (Varga, 2014). Using CT scan, Zotti, Banzato, and Cozzi (2009) evaluated the anatomy of the neck, thorax, and abdomen in four rabbits (two males and two females). Van Caelenberg et al. (2010) evaluated the skull and the related soft tissues in rabbit with CT scan. These researchers reported that continuous growth of the teeth in rabbits predisposed them to dental diseases to which cheek teeth are mostly prone. In 2012, De Rycke et al. declared that dental disease is very common in rabbits, and radiographic techniques are useful in the diagnosis of these diseases. On the other hand, they displayed that because of the small size of skull in rabbits and superimposition of structures in radiographic images, CT could be a better modality for the evaluation of skull and teeth. They further stated that micro CT has higher quality though they are expensive. According to their reports, like Helical CT, micro CT provides lower soft tissue contrast than the CT technique (Van Caelenberg, et al., 2010). CT is one of the fastest and accurate methods for the study of vertebral columns in small animals. CT scan is also regarded as one of the best methods for topographic studies. While some use this technique in their anatomical studies, some others prefer ultrasonography and radiography. One of the advantages of these techniques is the investigation of anatomical structures in live animals (Zehtabvar, et al., 2014, 2016, 2018, 2019).

In contrast to the frequent uses of rabbits in different areas of study, the normal structure of different parts of cervical vertebrae especially normal morphometric parameters have not been studied by CT. In this study, a thorough description and morphometric evaluation of cervical vertebrae was presented in rabbits using CT scan, and several parameters were measured in cervical vertebrae.

Materials and Methods

Animals

Ten adult female white New Zealand rabbits (Oryctolagus cuniculus) with an average body weight of 1.95±0.5 kg were evaluated in this study. All rabbits were in good health.

Computed Tomographic Study

 Rabbits were first anesthetized using ketamine (35 mg/kg body weight, IM) and xylazine (4 mg/kg body weight, IM) (Carpenter, Marion, 2017).

A CT Scanner with two detectors (SOMATOM Spirit, Siemens, Germany) was used in this study. Images were taken in ventral recumbency. The images were taken as transverse and perpendicular to vertebral column and in 2-mm slices. Technical factors for CT were as follows: rotation time, 1 s; slice thickness, 1 mm; reconstruction interval, 0.5–1 mm; pitch, 1; X-ray tube potential, 120 kV; and X-ray tube current, 130 mA. In images produced in CT scan, several structures of cervical vertebrae were evaluated and different parts were named. For evaluating each part, proper window level (WL) and window width (WW) were chosen for the evaluation of bone window and thorax (chest) window.

Morphometric Study

 Morphometric mensuration of CT images was done with Syngo MMWP VE40A software. The measured parameters are shown in Tables 1-3. The results of measured parameters were analyzed by SPSS version 16.0 (SPSS Inc. Chicago, IL. USA). Paired sample t test was used to compare the values of means (P>0.05). Due to the structural characteristics of some vertebrae, some parameters were not measured in the cases referred to in the tables.

Table 1.Anatomical parameters

*Notes about abbreviations: in rabbits like other domestic animal, atlas has no prominent spinous process and also because of the presence of wing instead of transverse process, this parameter is named as WPL and also for transverse process width in this vertebra, WPW is used instead of TPW. In rabbits like other animals, atlas has no prominent pedicle and endplate. In the first to sixth cervical vertebra in sagittal view, because of the small size of spinous process, in this vertebrae SPA was unmeasurable.

Table 2.Computed tomographic measurements of cervical vertebrae of rabbit (Mean ± SD in cm anddegree*)

The different letters (a,b,c) in each column, represent significant difference between vertebrae (n=10, P<0/05)

Table 3. Computed tomographic measurements of cervical vertebrae of rabbit (Mean ± SD in cm anddegree*)

The different letters (a,b) in each column represent significant difference between vertebrae (n=10, P<0/05)

Results

Morphological Results

Atlas (C1)- Vertebral body and spinous process were not present in this vertebra, and transverse process changed to two wide horizontal wings (Figure 1). Atlantal fossa was in both right and left parts of ventral surface of atlas wings. Furthermore, in cranial part of wing, alar notch was observed and in the caudal part of wing, there were transverse foramens (Figure 1).

Axis (C2) - This vertebra had a slender spinous process which was located dorsally and met the arch of atlas. In cranial extremity of this vertebra in rabbits, there was cranial articular process which becomes dense and lies in fovea dentis of atlas. Dens in rabbits was round and filamentary and was located cranioventrally and continued to ventral surface of atlas (Figures 1, 2, 3).

Typical cervical vertebrae (C3, C4, C5) - In C3 and C4 in rabbits, transverse processes had two parts. Spinous process in these vertebrae was short and transverse process was seen clearly. In C5, transverse process had three parts, as well as having a big transverse foramen (Figures 3, 4, 5).

Sixth cervical vertebra (C6) - In C6, transverse process had three parts, but its two ventral portions had a distinct wide plate (Figures 6 and 8).

Seventh cervical vertebra (C7) - In C7, spinous process was a little higher than that in other cervical vertebrae. Furthermore, caudal part of the body in each side had an articular surface for rib articulation and this vertebra had a short body. Spinous process in C7 was more prominent (Figure 7).

Morphometric Results

 The results of measurements and statistical analysis are shown in Tables 2 and 3. Significant or non-significant differences in measured parameters are shown in Tables 2 and 3.

VBH had an invariable measure from C2 to C7. SPHhad an invariable measure from C2 to C6, then again it increased at C7. TPL was the longest in C1 and decreased at C2 and was invariable up to the location of C7. TPW was the widest in C1 and then it decreased at C2 and was invariable up to C4. It once more increased at C5 and was invariable up to the location of C7. TPA was the lowest at the location of C1. It increased at C2 and was invariable up to C4, then again it decreased at C5 and was invariable up to C7. SCWwas the widest in atlas between all cervical vertebrae, then it was invariable from C2 up to C7. PDL had different measurements from C2 up to C7. PDW had an invariable measure from C2 up to C7. VBL had different measures from C2 up to C7. EPW had different measures from C2 up to C7, and EPH had an invariable measure from C2 up to the location of C7. SPA was measured just in C7 and was not compared with that of other vertebrae.