Development of a Model for Predicting Enlarged Prostate Size in Noncastrated Dogs Through B-Mode Ultrasound
Corresponding Author
Guillermo Cazzuli
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorJuan Pablo Damián
Departamento de Biociencias Veterinarias , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Núcleo de Bienestar Animal , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorPaula Pessina
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorGonzalo Suárez
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorCorresponding Author
Guillermo Cazzuli
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorJuan Pablo Damián
Departamento de Biociencias Veterinarias , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Núcleo de Bienestar Animal , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorPaula Pessina
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorGonzalo Suárez
Departamento de Clínicas y Hospital Veterinario , Facultad de Veterinaria , Universidad de la República , Montevideo , Uruguay , universidad.edu.uy
Search for more papers by this authorAbstract
The prostate in noncastrated male dogs typically experiences an increase in weight and size as they age, which can result in the development of prostatic disorders. Benign prostatic hyperplasia (BPH) is the most common prostate disorder in these dogs. The purpose of this study was to develop a model that could differentiate between dogs with normal prostate sizes and those with enlarged prostate sizes. To achieve this, the researchers evaluated prostate sizes and volumes estimated by B-mode ultrasound in healthy noncastrated dogs and dogs with BPH, considering factors such as weight, age, aorta diameter, and the presence of intraparenchymal cysts. Two hundred and sixty noncastrated male dogs of various breeds were used, with two hundred and thirty-three dogs in the healthy group and twenty-seven dogs in the BPH group. Data on breed, body weight, and age were collected for each dog, and B-mode ultrasound was performed to obtain prostate variables of length, width, and average height, as well as the presence/absence of intraparenchymal cysts and aorta diameter. All variables presented differences between groups except aorta diameter. All dogs with BPH were older than 6 years (p < 0.001), with a higher percentage of prostate cysts (p < 0.001) and larger prostate volumes than healthy dogs (81 ± 41 cm3 vs. 22 ± 15 cm3, p < 0.001). The outcomes of this research resulted in the creation of a model that can precisely (98.1%), sensitively (88.9%), and distinctly differentiate between healthy, noncastrated dogs and those with BPH by considering several factors, including body weight, age, aorta diameter, and the existence of intraparenchymal cysts.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The corresponding author can provide the data that support the findings of this study upon reasonable request.
Supporting Information
Filename | Description |
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vmi9593213-sup-0001-f1.docxWord 2007 document , 159 KB | Supporting Information 1 Supporting 1. Comparative study of the application of logistic regression models for the diagnosis of BPH (dependent variable) in canines for the total or partial inclusion of predictor variables (independent variables). Verification was performed based on goodness-of-fit and Akaike’s information criterion (AIC) statistical criteria. Supporting 2. Elucidation of the logistic regression equation and its constituent elements in simplified terms. Supporting 3. The probability distribution of benign prostatic hyperplasia (BPH) across different prostatic volumes (cm3) in the ultrasound study of 260 dogs is illustrated in the figure. The size of each dot corresponds to the individual aorta diameter (cm), while the curve line (solid or broken) and color indicate the presence or absence of cysts and the age range of the dog, respectively. The figure displays an example of the probability for case 1 (male dog weighing 20 kg, under 6 years of age, with an aorta diameter of 1.05 cm, a prostate volume of 15 cm3, and no presence of prostatic cysts) and case 2 (10-year-old male dog with an aorta diameter of 1.1 cm, a prostate volume of 65.4 cm3, and multiple cystic structures). |
vmi9593213-sup-0002-f2.xlsxExcel 2007 spreadsheet , 12.9 KB | Supporting Information 2 Supporting Spreadsheet. A mathematical model has been implemented in a spreadsheet to estimate the probability of a BPH diagnosis. This tool allows for individualized risk assessment based on multiple clinical parameters. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
References
- 1 Smith J., Canine Prostatic Disease: A Review of Anatomy, Pathology, Diagnosis, and Treatment, Theriogenology. (2008) 70, no. 3, 375–383, https://doi.org/10.1016/j.theriogenology.2008.04.039, 2-s2.0-45649085151.
- 2 Christensen B. W., Canine Prostate Disease, Veterinary Clinics of North America: Small Animal Practice. (2018) 48, no. 4, 701–719, https://doi.org/10.1016/j.cvsm.2018.02.012, 2-s2.0-85048711362.
- 3 Polisca A., Troisi A., Fontaine E., Menchetti L., and Fontbonne A., A Retrospective Study of Canine Prostatic Diseases From 2002 to 2009 at the Alfort Veterinary College in France, Theriogenology. (2016) 85, no. 5, 835–840, https://doi.org/10.1016/j.theriogenology.2015.10.030, 2-s2.0-84957690175.
- 4 Cazzuli G., Suárez G., Busconi S., Damián J. P., and Pessina P., Clinical Signs Associated With Prostatic Disorders in Canines: Retrospective Study in Uruguay (2011–2019), Open Veterinary Journal. (2023) 13, no. 10, 1308–1317, https://doi.org/10.5455/ovj.2023.v13.i10.10.
- 5 Lévy X., Niżański W., von Heimendahl A., and Mimouni P., Diagnosis of Common Prostatic Conditions in Dogs: an Update, Reproduction in Domestic Animals. (2014) 49, no. s2, 50–57, https://doi.org/10.1111/rda.12296, 2-s2.0-84904704555.
- 6 Palmieri C., Fonseca-Alves C. E., and Laufer-Amorim R., A Review on Canine and Feline Prostate Pathology, Frontiers in Veterinary Science. (2022) 9, https://doi.org/10.3389/fvets.2022.881232.
- 7 Hecht S. and Pollard R., Male Reproductive Tract, Atlas of Small Animal Ultrasonography. (2015) .
- 8 Ruel Y., Barthez P. Y., Mailles A., and Begon D., Ultrasonographic Evaluation of the Prostate in Healthy Intact Dogs, Veterinary Radiology & Ultrasound. (1998) 39, no. 3, 212–216, https://doi.org/10.1111/j.1740-8261.1998.tb00342.x, 2-s2.0-0032060355.
- 9 Atalan G., Holt P. E., Barr F. J., and Brown P. J., Ultrasonographic Estimation of Prostatic Size in Canine Cadavers, Research in Veterinary Science. (1999) 67, no. 1, 7–15, https://doi.org/10.1053/rvsc.1998.0267, 2-s2.0-0033176057.
- 10 Cunto M., Mariani E., Anicito Guido E., Ballotta G., and Zambelli D., Clinical Approach to Prostatic Diseases in the Dog, Reproduction in Domestic Animals. (2019) 54, no. 6, 815–822, https://doi.org/10.1111/rda.13437, 2-s2.0-85065419339.
- 11 Lee K. -., Shimizu J., Kishimoto M. et al., Computed Tomography of the Prostate Gland in Apparently Healthy Entire Dogs, Journal of Small Animal Practice. (2011) 52, no. 3, 146–151, https://doi.org/10.1111/j.1748-5827.2011.01041.x, 2-s2.0-79951730016.
- 12 Kuhnt N. S. M., Harder L. K., Nolte I., and Wefstaedt P., Computed Tomography: A Beneficial Diagnostic Tool for the Evaluation of the Canine Prostate?, BMC Veterinary Research. (2017) 13, 123–11, https://doi.org/10.1186/s12917-017-1016-5, 2-s2.0-85018369493.
- 13
Wisner E. R. and
Zwingenberger A. L., Reproductive Tract, Atlas of Small Animal CT and MRI, 2015.
10.1002/9781119421399.ch42 Google Scholar
- 14 Russo M., Vignoli M., and England G. C. W., B-Mode and Contrastenhanced Ultrasonographic Findings in Canine Prostatic Disorders, Reproduction in Domestic Animals. (2012) 47, no. s6, 238–242, https://doi.org/10.1111/rda.12059, 2-s2.0-84871685478.
- 15 Teske E., Urogenital Cytology: Part I-Prostatic Diseases, Proceedings of the San Pablo, Brazil: 34th World Small Animal Veterinary Congress, April 2009.
- 16 Cazzuli G., Damián J. P., Molina E., and Pessina P., Post-Castration Prostatic Involution: A Morphometric and Endocrine Study of Healthy Canines and Those With Benign Prostatic Hyperplasia, Reproduction in Domestic Animals. (2022) 57, no. 2, 157–164, https://doi.org/10.1111/rda.14036.
- 17 Lund E. M., Armstrong P. J., Kirk C. A., and Klausner J. S., Prevalence and Risk Factors for Obesity in Adult Dogs From Private US Veterinary Practices, International Journal of Research. (2006) 4, no. 2, 177–186.
- 18 Mao J., Xia Z., Chen J., and Yu J., Prevalence and Risk Factors for Canine Obesity Surveyed in Veterinary Practices in Beijing, China, Preventive Veterinary Medicine. (2013) 112, no. 3–4, 438–442, https://doi.org/10.1016/j.prevetmed.2013.08.012, 2-s2.0-84886794605.
- 19 Chandler M., Cunningham S., Lund E. M. et al., Obesity and Associated Comorbidities in People and Companion Animals: A One Health Perspective, Journal of Comparative Pathology. (2017) 156, no. 4, 296–309, https://doi.org/10.1016/j.jcpa.2017.03.006, 2-s2.0-85018259757.
- 20 Atalan G., Holt P. E., and Barr F. J., Ultrasonographic Estimation of Prostate Size in Normal Dogs and Relationship to Bodyweight and Age, Journal of Small Animal Practice. (1999) 40, no. 3, 119–122, https://doi.org/10.1111/j.1748-5827.1999.tb03052.x, 2-s2.0-0033090131.
- 21 Kamolpatana K., Johnston G. R., and Johnston S. D., Determination of Canine Prostatic Volume Using Transabdominal Ultrasonography, Veterinary Radiology & Ultrasound. (2000) 41, no. 1, 73–77, https://doi.org/10.1111/j.1740-8261.2000.tb00430.x, 2-s2.0-0033629513.
- 22 Mareschal A., D’Anjou M. A., Moreau M., Alexander K., and Beauregard G., Ultrasonographic Measurement of Kidney-To-Aorta Ratio as a Method of Estimating Renal Size in Dogs, Veterinary Radiology & Ultrasound. (2007) 48, no. 5, 434–438, https://doi.org/10.1111/j.1740-8261.2007.00274.x, 2-s2.0-34548262253.
- 23 Agut A., Martinez M., Anson A., and Soler M., Ultrasonographic Measurement of Adrenal Gland-To-Aorta Ratio as a Method of Estimating Adrenal Size in Dogs, The Veterinary Record. (2020) 186, no. 19, https://doi.org/10.1136/vr.105188.
- 24 Lee J., Kim S. S., Kwon D., Cho Y., Lee K., and Yoon H., Measurement of Renal Cortical Thickness Using Ultrasound in Normal Dogs: A Reference Range Study Considering Bodyweight and Body Condition Score, Veterinary Radiology & Ultrasound. (2022) 63, no. 3, 337–344, https://doi.org/10.1111/vru.13053.
- 25 Rodak O., Dzimira S., Podolak A., Płóciennik M., and Niżański W., Accuracy of Ultrasonography and fine-needle Aspiration Cytology in the Diagnosis of Prostate Diseases in Dogs, Reproduction in Domestic Animals. (2018) 53, no. S3, 79–84, https://doi.org/10.1111/rda.13341, 2-s2.0-85057106424.
- 26
Mattoon J. S. and
Davidson A., Prostate and Testes, Small Animal Diagnostic Ultrasound, 2021.
10.1016/B978-0-323-53337-9.00026-5 Google Scholar
- 27 Johnston S. D., Kamolpatana K., Root-Kustritz M. V., and Johnston G. R., Prostatic Disorders in the Dog, Animal Reproduction Science. (2000) 60-61, 405–415, https://doi.org/10.1016/s0378-4320(00)00101-9, 2-s2.0-0034596091.
- 28 Akaike H., Information Theory and an Extension of the Maximum Likelihood Principle, Information Theory. (1973) .
- 29 Markowetz F., All Models Are Wrong and Yours Are Useless: Making Clinical Prediction Models Impactful for Patients, Npj Precision Oncology. (2024) 8, no. 1, https://doi.org/10.1038/s41698-024-00553-6.
- 30 Cunto M., Ballotta G., and Zambelli D., Benign Prostatic Hyperplasia in the Dog, Animal Reproduction Science. (2022) 247, https://doi.org/10.1016/j.anireprosci.2022.107096.
- 31
Yanagawa Y.,
Nishi K.,
Sakamoto T., and
Okada Y., Early Diagnosis of Hypovolemic Shock by Sonographic Measurement of Inferior Vena Cava in Trauma Patients, The Journal of Trauma, Injury, Infection, and Critical Care. (2005) 58, no. 4, 825–829, https://doi.org/10.1097/01.ta.0000145085.42116.a7, 2-s2.0-17844367602.
10.1097/01.ta.0000145085.42116.a7 Google Scholar
- 32 Leroy C., Conchou F., Layssol-Lamour C. et al., Normal Canine Prostate Gland: Repeatability, Reproducibility, Observer-Dependent Variability of Ultrasonographic Measurements of the Prostate in Healthy Intact Beagles, Anatomia Histologia Embryologia. (2013) 42, no. 5, 355–361, https://doi.org/10.1111/ahe.12022, 2-s2.0-84884282593.
- 33 Atalan G., Barr F. J., and Holt P. E., Comparison of Ultrasonographic and Radiographic Measurements of Canine Prostate Dimensions, Veterinary Radiology & Ultrasound. (1999) 40, no. 4, 408–412, https://doi.org/10.1111/j.1740-8261.1999.tb02133.x, 2-s2.0-0033159694.
- 34 Haverkamp K., Harder L. K., Kuhnt N. S. M., Lüpke M., Nolte I., and Wefstaedt P., Validation of Canine Prostate Volumetric Measurements in Computed Tomography Determined by the Slice Addition Technique Using the Amira Program, BMC Veterinary Research. (2019) 15, 49–11, https://doi.org/10.1186/s12917-019-1778-z, 2-s2.0-85061142752.
- 35 Pinheiro D., Machado J., Viegas C. et al., Evaluation of Biomarker canine-prostate Specific Arginine Esterase (CPSE) for the Diagnosis of Benign Prostatic Hyperplasia, BMC Veterinary Research. (2017) 13, 76–77, https://doi.org/10.1186/s12917-017-0996-5, 2-s2.0-85028657874.
- 36 Alonge S., Melandri M., Leoci R., Lacalandra G. M., and Aiudi G., Canine Prostate Specific Esterase (CPSE) as an Useful Biomarker in Preventive Screening Programme of Canine Prostate: CPSE Threshold Value Assessment and Its Correlation With Ultrasonographic Prostatic Abnormalities in Asymptomatic Dogs, Reproduction in Domestic Animals. (2018) 53, no. 2, 359–364, https://doi.org/10.1111/rda.13113, 2-s2.0-85034786967.