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A comprehensive diagnostic approach combining phylogenetic disease bracketing and CT imaging reveals osteomyelitis in a Tyrannosaurus rex
Journal article   Open access   Peer reviewed

A comprehensive diagnostic approach combining phylogenetic disease bracketing and CT imaging reveals osteomyelitis in a Tyrannosaurus rex

C A Hamm, O Hampe, D Schwarz, F Witzmann, P J Makovicky, C A Brochu, R Reiter and P Asbach
Scientific reports, Vol.10(1), pp.18897-18897
11/03/2020
DOI: 10.1038/s41598-020-75731-0
PMCID: PMC7642268
PMID: 33144637
url
https://doi.org/10.1038/s41598-020-75731-0View
Published (Version of record) Open Access

Abstract

Traditional palaeontological techniques of disease characterisation are limited to the analysis of osseous fossils, requiring several lines of evidence to support diagnoses. This study presents a novel stepwise concept for comprehensive diagnosis of pathologies in fossils by computed tomography imaging for morphological assessment combined with likelihood estimation based on systematic phylogenetic disease bracketing. This approach was applied to characterise pathologies of the left fibula and fused caudal vertebrae of the non-avian dinosaur Tyrannosaurus rex. Initial morphological assessment narrowed the differential diagnosis to neoplasia or infection. Subsequent data review from phylogenetically closely related species at the clade level revealed neoplasia rates as low as 3.1% and 1.8%, while infectious-disease rates were 32.0% and 53.9% in extant dinosaurs (birds) and non-avian reptiles, respectively. Furthermore, the survey of literature revealed that within the phylogenetic disease bracket the oldest case of bone infection (osteomyelitis) was identified in the mandible of a 275-million-year-old captorhinid eureptile Labidosaurus. These findings demonstrate low probability of a neoplastic aetiology of the examined pathologies in the Tyrannosaurus rex and in turn, suggest that they correspond to multiple foci of osteomyelitis.
Animals Dinosaurs - classification Fibula - diagnostic imaging Fibula - pathology Fossils - anatomy & histology Fossils - diagnostic imaging Likelihood Functions Mandible - diagnostic imaging Mandible - pathology Neoplasms - diagnostic imaging Neoplasms - epidemiology Neoplasms - veterinary Osteomyelitis - diagnostic imaging Osteomyelitis - etiology Osteomyelitis - veterinary Phylogeny Tomography, X-Ray Computed

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