Wutthiwong Theerapan

Wutthiwong Theerapan

*This is an algorithmically generated author record based on publicly available information.

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Wutthiwong Theerapan has a total of 29 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Comparison of Four‐Channel Flexible and Eight‐Channel Extremity Coils for Multivoxel Proton Magnetic Resonance Spectroscopy of the Canine Brain at 1.5 T

    by Wutthiwong Theerapan, Nirut Suwanna, Waraporn Aumarm, Adisorn Yawongsa

    To compare four‐channel flexible and eight‐channel extremity radiofrequency coils for measuring brain metabolite ratios using multivoxel proton magnetic resonance spectroscopy ( 1 H‐MRS) in dogs at 1.5 T. Sixteen healthy dogs (12 males, 4 females; age 6.19 ± 2.17 years; weight 23.43 ± 9.65 kg) underwent 1 H‐MRS using both coil types with identical protocols. Multivoxel point‐resolved spectroscopy was performed on bilateral thalamic regions at short (TE = 30 ms) and long (TE = 135 ms) echo times. N ‐acetyl aspartate‐to‐creatine (NAA/Cr) and choline‐to‐creatine (Cho/Cr) ratios were compared between coils using Wilcoxon signed‐rank tests. No significant differences were found between coil types. For long echo time, NAA/Cr ratios were right thalamus 1.29 ± 0.27 versus 1.32 ± 0.34 ( p = 0.756) and left thalamus 1.22 ± 0.19 versus 1.22 ± 0.48 ( p = 0.301) for four‐channel versus eight‐channel coils, respectively. Cho/Cr ratios were right thalamus 1.45 ± 0.28 versus 1.69 ± 0.68 ( p = 0.056) and left thalamus 1.51 ± 0.41 versus 1.45 ± 0.41 ( p = 0.215). Short echo time results were similarly nonsignificant. Both coil types provide comparable metabolite measurements for canine brain 1 H‐MRS at 1.5 T, allowing coil selection to be guided by practical considerations such as patient size and positioning ease rather than spectral quality concerns.

  • Open Access

    Correlation Between Outcomes of Surgical Correction of Atlantoaxial Instability in Small Dogs and Magnetic Resonance Imaging Abnormalities

    by Chompoonuch Panya-Ud, Woranika Bunkrasin, Kanokwan Keadwut, Pakthorn Lewchalermwong, Wutthiwong Theerapan, Waraporn Aumarm

    Congenital atlantoaxial instability (AAI) occurs more often in young, small-breed dogs, usually resulting from malformations in the craniocervical junction. These malformations cause atlantoaxial subluxation or luxation and compression of the cervical spinal cord. As a result, dogs can have varying levels of neurological problems. While surgery is commonly used to realign the vertebrae, outcomes after surgery vary widely, and complications are common. Magnetic resonance imaging (MRI) helps identify abnormalities in the vertebral canal, spinal cord damage, and other brain diseases, which can affect the dog’s prognosis. This retrospective study assessed MRI findings and their association with surgical outcomes in 20 dogs with AAI. Older age and certain MRI results—such as severe ventral spinal cord compression associated with greater preoperative neurological severity and syringomyelia—were associated with less favorable surgical outcomes. Many MRI abnormalities were found, but not all predicted poor outcomes. These results show the importance of thorough MRI before surgery and also suggest that a younger age and not having syringomyelia are good indicators of improved recovery after AAI surgery.

  • Open Access

    The Correlation of Surgical Correction Outcome of Atlantoaxial Instability in Small Dogs from Magnetic Resonance Imaging Abnormalities

    by Chompoonuch Panya-Ud, Woranika Bunkrasin, Kanokwan Keadwut, Pakthorn Lewchalermwong, Wutthiwong Theerapan, Waraporn Aumarm

    Congenital atlantoaxial instability (AAI) occurs more often in young, small-breed dogs. It usually results from malformations in the craniocervical junction. These malformations cause atlantoaxial subluxation or dislocation and compress the cervical spinal cord. As a result, dogs can have varying levels of neurological problems. Surgery is commonly used to realign the vertebrae. However, outcomes after surgery vary widely, and complications are common. Magnetic resonance imaging (MRI) helps identify abnormalities in the vertebral canal, spinal cord damage, and other brain diseases. These findings can affect the dog’s prognosis. This retrospective study assessed MRI findings and their association with surgical outcomes in 20 dogs with AAI. Older age and certain MRI results—such as severe ventral spinal cord compression and syringomyelia—were linked to worse recovery. Many MRI abnormalities were found, but not all predicted poor outcomes. These results show the importance of a thorough MRI before surgery. They also suggest that younger age and not having syringomyelia are good signs for recovery after AAI surgery.

  • Open Access

    Prognostic Factors for Mortality Following Diaphragmatic Herniorrhaphy in Dogs and Cats: Multivariable Logistic Regression and Machine Learning Approaches

    by Irin Kwananocha, Sirirat Niyom, Pharkpoom Budsayaplakorn, Suwicha Kasemsuwan, Wutthiwong Theerapan, Kanawee Warrit

    This study aimed to explore prognostic factors for mortality in dogs and cats following traumatic diaphragmatic herniorrhaphy using both multivariable logistic regression, a traditional statistical method, and the random forest algorithm, a machine learning approach. Associations between demographic and clinical variables and mortality were examined. Overall survival was 78.8% (149/189), 77% (97/126) in cats and 82.5% (52/63) in dogs. Key findings revealed that chronic diaphragmatic hernia (DH) significantly increased the odds of death compared to acute cases (adjusted odds ratio (OR) = 4.01, 95% confidence interval (CI): 1.69–9.53). Elevated blood urea nitrogen (BUN) increased mortality (adjusted OR = 3.24, 95% CI: 1.22–8.57). Cox proportional hazards analysis revealed that chronic DH (adjusted hazard ratio (HR) = 3.31, 95% CI: 1.51–7.30) and elevated BUN (HR = 2.88, 95% CI: 1.23–6.77) were associated with increased one-year mortality risk. The random forest analysis reinforced these findings, identifying hernia duration (Gini importance: 1.90) and BUN (Gini importance: 0.94) as the most crucial predictors. Among chronic DH patients, 55% of those with elevated BUN experienced fatal outcomes based on classification and regression tree (CART) analysis. The consistency of random forest results with logistic regression strengthens the reliability of these prognostic insights for DH patients.


  • Open Access

    Survival Outcomes and Predictive Factors of Mortality in Feline Epilepsy: A Comprehensive Retrospective Study

    by Kreevith Prompinichpong, Nirut Suwanna, Vachira Hunprasit, Amonrat Thongbai, Wutthiwong Theerapan, Naris Thengchaisri, Panpicha Sattasathuchana

    Epilepsy is the most common neurological disorder in cats. However, information on the long-term outcomes and predictive survival factors based on neurological and clinicopathological findings is limited. We aimed to evaluate the clinical manifestations, survival rates, and hazard factors influencing survival in cats with epilepsy by analyzing the medical records of 90 cats diagnosed via brain magnetic resonance imaging (MRI). The cats were divided into the survival and non-survival groups. Univariate and multivariable logistic regression analyses were conducted to identify the significant survival factors. The mortality rates at one and two years were 33.2% and 37.8%, respectively. The median age of cats in the non-survival and survival group were 3 and 1 years, respectively. Age over 7 years (p = 0.002), paresis (p = 0.001), structural brain lesions (p = 0.015), leukocytosis (p = 0.001), neutrophilia (p = 0.001), hyperproteinemia (p = 0.037), hypoalbuminemia (p = 0.001), hyperglobulinemia (p = 0.003), and an elevated neutrophil-to-lymphocyte ratio (p = 0.041), were associated with an increased mortality rate. A multivariable analysis identified several predictors of early mortality in cats with epilepsy, including age over 7 years (p = 0.045), presence with paresis (p = 0.012), structural brain lesions (p = 0.042), leukocytosis (p = 0.005), and hypoalbuminemia (p = 0.030). Older age and structural brain lesions were shown to be key predictors of mortality and were important for prognosis prediction and management.


  • Open Access

    Investigation of Ki-67 and Clinical Outcome in Feline Nasal Adenocarcinoma Treated Using Hypofractionated Radiotherapy

    by Premkamon Aonta, Piraya Jaiyangyeun, Wutthiwong Theerapan, Supreeya Srisampan, Charuwan Wongsali, Attawit Kovitvadhi, Tassanee Jaroensong

    Ki-67 has been reported as a prognostic marker in human cancers treated using RT. The current study investigated the prognostic significance of Ki-67 expression and its association with clinicopathological characteristics in 19 cats diagnosed with nasal adenocarcinoma and treated using hypofractionated RT. Data collected encompassed signalment, clinical signs, clinicopathological variables, treatment outcomes, and survival times. Median survival times (MST) were estimated using Kaplan–Meier curves and analyzed based on the log-rank test. Based on the results, white blood cell counts were significantly (p < 0.001) higher before treatment than after, although this was not associated with survival time. The overall MST was 550 days (range: 56–1118 days). Cats achieving a favorable response (complete or partial response) had significantly (p = 0.006) longer survival times (1055 days) than those with a poor response (stable or progressive disease; 369 days). Cats with high Ki-67 expression had significantly (p = 0.028) longer survival times (1055 days) than those with low Ki-67 expression (256 days). These results suggested that Ki-67 may be a potential prognostic factor for feline nasal adenocarcinoma.


  • Comparative analysis of ocular biometry, ocular protrusion, and palpebral fissure dimensions in brachycephalic and nonbrachycephalic dog breeds

    by Nuanwan Rujirekasuwan, Panpicha Sattasathuchana, Wutthiwong Theerapan, Naris Thengchaisri

    This study compared skull morphology and ocular parameters in brachycephalic (BC, n = 16) and nonbrachycephalic (NB, n = 16) dogs using head CT scans. The results of a Schirmer tear test I (STT I), intraocular pressure (IOP), ocular biometry, external structure, ocular protrusion, and palpebral fissure dimensions were evaluated and compared between BC and NB dogs. There were no statistically significant differences in the STT I results, IOP, globe dimensions, globe volume, internal structure, and external structure between BC and NB dogs (P > .05). Brachycephalic dogs exhibited significantly greater ocular protrusion and significantly larger palpebral fissure dimensions compared with NB dogs. For all dogs, we found a strong positive correlation between globe volume and body weight (r = 0.836, P = .0000). The globe volumes, external structure parameters, and ocular protrusion were normalized by body weight and were also significantly larger in BC dogs compared with NB dogs (P < .001). The ocular protrusion (r = 0.521, P < .0000) and horizontal palpebral fissure (r = 0.372, P = .0024) showed a moderate positive correlation with the cephalic index (CI). Additionally, normalized globe volume (r = 0.435, P = .0003), normalized orbital depth (r = 0.419, P = .0005), and normalized retrobulbar depth (r = 0.444, P = .0002) had a moderate positive correlation with the CI. The study emphasizes how the distinctive skull structure of BC dogs, with shortened facial bones and thickened retrobulbar soft tissue, influences their ocular appearance and raises the risk of eye problems.


  • Open Access

    A retrospective study of structural brain lesions identified by magnetic resonance imaging in 114 cats with neurological signs

    by Kreevith Prompinichpong, Naris Thengchaisri, Nirut Suwanna, Bordin Tiraphut, Wutthiwong Theerapan, Jörg M. Steiner, Panpicha Sattasathuchana

    Background and Aim: Magnetic resonance imaging (MRI) has been widely used as a non-invasive modality to evaluate neurological organ structures. However, brain MRI studies in cats with neurological signs are limited. This study evaluated the association between patient characteristics, neurological signs, and brain lesion locations identified by MRI. Blood profiles of cats with presumptive inflammatory and structural brain lesions were also determined. Materials and Methods: Medical records of 114 cats that underwent brain MRI were retrospectively reviewed. Cats were categorized into five groups based on the location of their lesion: Cerebrum, brainstem, cerebellum, multifocal, and non-structural. Patient characteristics, neurological signs, and hematological profiles were obtained from their medical records. Disease classification was categorized based on their etiologies. Associations were determined using Fisher's exact test. Blood parameters were compared using the Kruskal-Wallis test. Results: A total of 114 cats met the inclusion criteria. Lesions were identified in the cerebrum (21.1%), brainstem (8.8%), cerebellum (6.1%), multifocal (39.5%), and non-structural (24.6%) of the cats. Common neurological signs included seizure activity (56.1%), cerebellar signs (41.2%), and anisocoria (25.4%). The most common brain abnormality was inflammation (40.4%). There was no significant difference in hematological profiles between cats with presumptive inflammatory and non-inflammatory brain lesions. Neutrophils, platelets, total protein, and globulin concentrations were higher in cats with structural brain lesions. Conclusion: The most common neurological signs and brain disease category were seizure activity and inflammation, respectively. However, the hematological profile did not predict inflammatory and structural brain lesions. Further studies with a large number of birds are required to molecularly characterize the circulating strains of this virus in this area. Keywords: brainstem, cerebellum, cerebrum, feline, seizure.


  • Open Access

    Abdominal obesity is associated with heart disease in dogs

    by Naris Thengchaisri, Wutthiwong Theerapun, Santi Kaewmokul, Amornrate Sastravaha

    The relationship between overall obesity and fat distribution in dogs and the development of heart disease is unclear. In the present study we evaluated the association between overall obesity and fat distribution and clinical heart disease by morphometric and computed tomography (CT)-based measurements. Body condition score (BCS), modified body mass index (MBMI, kg/m2), waist-to-hock-to-stifle distance ratio (WHSDR), waist-to-ilium wing distance ratio (WIWDR), and waist-to-truncal length ratio (WTLR) were compared between dogs with (n = 44) and without (n = 43) heart disease using receiver operating characteristic (ROC) analysis. Intra-abdominal fat (IAF) and subcutaneous fat (SQF) were measured in dogs with (n = 8) and without (n = 9) heart disease at the center of the fourth and fifth lumbar vertebrae by CT.