{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:04:15Z","timestamp":1789736655889,"version":"4.0.1"},"reference-count":12,"publisher":"American Veterinary Medical Association (AVMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether thoracic radiographs in dogs with gastric dilatation-volvulus (GDV) are associated with the decision to proceed with surgery and survival to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of dogs with GDV confirmed on right lateral abdominal radiographs at a single referral hospital (Veterinary Emergency Clinic and Referral Centre, Toronto, Ontario) from January 2000 to March 2025. Dogs with thoracic radiographs (or documented interpretation), complete signalment, and survival-to-discharge data were included. Thoracic findings were recorded and evaluated for associations with surgery and survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 176 included dogs, 16 (9.1%) had findings suggestive of aspiration pneumonia and 15 (8.5%) had cardiomegaly. One dog had a solitary soft tissue opacity recorded as a structured interstitial pulmonary abnormality; none had evidence of disseminated pulmonary metastasis. Surgery was performed in 171 of 176 dogs (97.2%), and 162 of 171 (94.7%) survived to discharge. Radiographic findings suggestive of aspiration pneumonia and cardiomegaly were not associated with whether surgery was performed or survival to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In dogs with GDV and documented thoracic radiographs, thoracic radiographic abnormalities were not associated with the decision to proceed with surgery or survival to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Thoracic radiography findings were not associated with surgical decision-making or short-term survival in this cohort, suggesting limitations in the prognostic utility of routine thoracic radiography in dogs with GDV, although thoracic imaging may still provide clinically relevant information in select cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.25.12.0871","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:19:38Z","timestamp":1777483178000},"page":"1356-1360","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic radiographs in dogs with gastric dilatation-volvulus rarely affect the decision to proceed with surgery or survival to discharge: a 25-year retrospective study of 176 cases"],"prefix":"10.2460","volume":"264","author":[{"given":"Jihen","family":"Lee","sequence":"first","affiliation":[{"name":"Veterinary Emergency Clinic and Referral Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"DeGroot","sequence":"additional","affiliation":[{"name":"Veterinary Emergency Clinic and Referral Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"3","key":"ref1","series-title":"Top Companion Anim Med.","first-page":"67","article-title":"Cardiovascular and systemic effects of gastric dilatation and volvulus in dogs","volume":"29","author":"Sharp CR","year":"2014","unstructured":"Sharp CR, Rozanski EA. Cardiovascular and systemic effects of gastric dilatation and volvulus in dogs. Top Companion Anim Med. 2014;29(3):67-70. doi:10.1053\/j.tcam.2014.09.007"},{"issue":"11","key":"ref2","series-title":"J Am Vet Med Assoc.","first-page":"1855","article-title":"Factors associated with perioperative mortality in dogs with surgically managed gastric dilatation-volvulus: 137 cases (1988-1993)","volume":"208","author":"Brourman JD","year":"1996","unstructured":"Brourman JD, Schertel ER, Allen DA, Birchard SJ, DeHoff WD. Factors associated with perioperative mortality in dogs with surgically managed gastric dilatation-volvulus: 137 cases (1988-1993). J Am Vet Med Assoc. 1996;208(11):1855-1858. doi:10.2460\/javma.1996.208.11.1855"},{"issue":"5","key":"ref3","series-title":"J Vet Emerg Crit Care (San Antonio).","first-page":"595","article-title":"Preoperative thoracic radiographic findings in dogs presenting for gastric dilatation-volvulus (2000-2010): 101 cases","volume":"22","author":"Green JL","year":"2012","unstructured":"Green JL, Cimino Brown D, Agnello KA. Preoperative thoracic radiographic findings in dogs presenting for gastric dilatation-volvulus (2000-2010): 101 cases. J Vet Emerg Crit Care (San Antonio). 2012;22(5):595-600. doi:10.1111\/j.1476-4431.2012.00802.x"},{"issue":"8","key":"ref4","series-title":"J Am Vet Med Assoc.","first-page":"998","article-title":"Intra- and interobserver variability of board-certified veterinary radiologists and veterinary general practitioners for pulmonary nodule detection in standard and inverted display mode images of digital thoracic radiographs of dogs","volume":"238","author":"Reese DJ","year":"2011","unstructured":"Reese DJ, Green EM, Zekas LJ,  Intra- and interobserver variability of board-certified veterinary radiologists and veterinary general practitioners for pulmonary nodule detection in standard and inverted display mode images of digital thoracic radiographs of dogs. J Am Vet Med Assoc. 2011;238(8):998-1003. doi:10.2460\/javma.238.8.998"},{"issue":"5","key":"ref5","series-title":"Vet Surg.","first-page":"843","article-title":"Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization","volume":"51","author":"Lhuillery E","year":"2022","unstructured":"Lhuillery E, Velay L, Libermann S,  Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization. Vet Surg. 2022;51(5):843-852. doi:10.1111\/vsu.13763"},{"issue":"4","key":"ref6","series-title":"Animals (Basel).","first-page":"579","article-title":"Gastric dilatation-volvulus in dogs: analysis of 130 cases in a single institution","volume":"15","author":"Olimpo M","year":"2025","unstructured":"Olimpo M, Cillari S, Ferraris EI,  Gastric dilatation-volvulus in dogs: analysis of 130 cases in a single institution. Animals (Basel). 2025;15(4):579. doi:10.3390\/ani15040579"},{"issue":"1","key":"ref7","series-title":"J Am Vet Med Assoc.","first-page":"40","article-title":"Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs","volume":"216","author":"Glickman LT","year":"2000","unstructured":"Glickman LT, Glickman NW, Schellenberg DB, Raghavan M, Lee TL. Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs. J Am Vet Med Assoc. 2000;216(1):40-45. doi:10.2460\/javma.2000.216.40"},{"issue":"10","key":"ref8","series-title":"J Am Vet Med Assoc.","first-page":"1492","article-title":"Non-dietary risk factors for gastric dilatation-volvulus in large and giant breed dogs","volume":"217","author":"Glickman LT","year":"2000","unstructured":"Glickman LT, Glickman NW, Schellenberg DB, Raghavan M, Lee T. Non-dietary risk factors for gastric dilatation-volvulus in large and giant breed dogs. J Am Vet Med Assoc. 2000;217(10):1492-1499. doi:10.2460\/javma.2000.217.1492"},{"issue":"3","key":"ref9","series-title":"J Am Anim Hosp Assoc.","first-page":"197","article-title":"Multiple risk factors for the gastric dilatation-volvulus syndrome in dogs: a practitioner\/owner case-control study","volume":"33","author":"Glickman LT","year":"1997","unstructured":"Glickman LT, Glickman NW, Schellenberg DB, Simpson K, Lantz GC. Multiple risk factors for the gastric dilatation-volvulus syndrome in dogs: a practitioner\/owner case-control study. J Am Anim Hosp Assoc. 1997;33(3):197-204. doi:10.5326\/15473317-33-3-197"},{"issue":"3","key":"ref10","series-title":"J Vet Emerg Crit Care (San Antonio).","first-page":"247","article-title":"Myoglobin as a prognostic indicator for outcome in dogs with gastric dilatation-volvulus","volume":"19","author":"Adamik KN","year":"2009","unstructured":"Adamik KN, Burgener IA, Kovacevic A, Schulze SP, Kohn B. Myoglobin as a prognostic indicator for outcome in dogs with gastric dilatation-volvulus. J Vet Emerg Crit Care (San Antonio). 2009;19(3):247-253. doi:10.1111\/j.1476-4431.2009.00421.x"},{"issue":"1","key":"ref11","series-title":"J Am Vet Med Assoc.","first-page":"49","article-title":"Plasma lactate concentration as a predictor of gastric necrosis and survival among dogs with gastric dilatation-volvulus: 102 cases (1995-1998)","volume":"215","author":"de Papp E","year":"1999","unstructured":"de Papp E, Drobatz KJ, Hughes D. Plasma lactate concentration as a predictor of gastric necrosis and survival among dogs with gastric dilatation-volvulus: 102 cases (1995-1998). J Am Vet Med Assoc. 1999;215(1):49-52. doi:10.2460\/javma.1999.215.01.49"},{"issue":"1","key":"ref12","series-title":"J Vet Emerg Crit Care (San Antonio).","first-page":"36","article-title":"Evaluation of initial plasma lactate values as a predictor of gastric necrosis and initial and subsequent plasma lactate values as a predictor of survival in dogs with gastric dilatation-volvulus: 84 dogs (2003-2007)","volume":"21","author":"Green TI","year":"2011","unstructured":"Green TI, Tonozzi CC, Kirby R, Rudloff E. Evaluation of initial plasma lactate values as a predictor of gastric necrosis and initial and subsequent plasma lactate values as a predictor of survival in dogs with gastric dilatation-volvulus: 84 dogs (2003-2007). J Vet Emerg Crit Care (San Antonio). 2011;21(1):36-44. doi:10.1111\/j.1476-4431.2010.00599.x"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.25.12.0871.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.25.12.0871.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.25.12.0871.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T12:14:59Z","timestamp":1789733699000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.25.12.0871.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":12,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.2460\/javma.25.12.0871","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}