Background: Cardiotoxicity remains a major concern in breast cancer management, with implications for prognosis and quality of life. Natural compounds have shown chemopreventive potential while preserving cardiac safety. This study evaluated the cardiac effects of a Santolina chamaecyparissus aqueous extract (SCE), characterized by high levels of 1,3-O-dicaffeoylquinic acid and myricetin-O-glucuronide, in female Wistar rats subjected to N-methyl-N-nitrosourea (MNU)-induced mammary carcinogenesis. Methods: Twenty-eight animals were assigned to four groups (n = 7/group): control (CTRL), MNU-induced (IND), SCE-supplemented (SCE), and MNU-induced SCE-supplemented (SCE+IND). SCE was administered in water (120 µg/mL) for 20 weeks, and MNU was injected intraperitoneally (50 mg/kg) at 50 days of age. At the end of the experiment, body and heart weights were recorded, creatine kinase MB (CK-MB) concentrations assessed, and echocardiography performed to evaluate cardiac structure and function. Results: Final body and relative heart weights did not differ among groups. CK-MB was lower in SCE-supplemented groups compared with CTRL and IND (p < 0.05). IND animals exhibited a hyperdynamic functional profile accompanied by impaired ventricular filling, which was attenuated in SCE+IND animals (p < 0.05). Cardiac structural parameters were largely preserved with SCE, despite an increased left ventricular mass (p < 0.05). Conclusions: SCE did not induce adverse cardiac effects and partially mitigated early carcinogenesis-associated cardiac alterations under the tested conditions, supporting its cardiac safety as a potential phenolic-rich chemopreventive strategy.
This study aimed to investigate the impact of a Western diet and resistance training on cardiac remodeling in a rat model of chemically induced mammary cancer. Fifty-six female Wistar rats were randomly assigned to one of eight experimental groups, evaluating the impact of Western and standard diets, exercise and sedentarism, and the induction of mammary cancer. Mammary cancer was induced via the intraperitoneal administration of N-methyl-N-nitrosourea (MNU) (50 mg/kg) at seven weeks of age. The resistance training protocol consisted of ladder climbing three times per week for an 18-week period, with a gradual increase in load over time. At the end of the 20-week experimental period, the animals were anesthetized and underwent echocardiography. Subsequently, the animals were euthanized, and organs and visceral adipose tissue (VAT) were collected and analyzed. A histopathological examination was performed on the mammary tumors. The Western diet increased relative VAT and contributed to cardiovascular and tumor-related changes, including an increase in interventricular septum thickness (IVS) and left ventricle posterior wall thickness (LVPW) at end-systole. Exercise reduced fat accumulation, improved cardiac performance, and helped regulate cardiovascular function, as indicated by a higher eccentricity index (EI) in the WD+EX group compared to the WD group. The WD was associated with increased VAT accumulation and initially delayed tumor initiation; however, over time, it contributed to bigger tumor aggressiveness. This diet also delayed tumor initiation but increased LVPW. Exercise, when combined with a WD, accelerated tumorigenesis, malignant transformation and invasiveness, resulted in the higher prevalence of invasive tumors. These findings underscore the complex and potentially compounding effects of diet and exercise on cancer progression.
Rabbits are commonly affected by subclinical lung diseases. Computed tomography (CT) is the gold standard for diagnosing rabbit lung diseases but is not widely available and requires anesthesia, delaying diagnosis. Lung ultrasound (LUS) has emerged as a radiation-free, bedside diagnostic tool in human and veterinary medicine, though its use in rabbit medicine is not routine. This study aimed to evaluate LUS for detecting subclinical lung lesions in rabbits. Thirty healthy, five-month-old male New Zealand white rabbits underwent lung ultrasound, exploring four regions in each hemithorax, followed by thoracic CT under sedation with midazolam and butorphanol. The ultrasound images were scored as positive or negative, and the CT exams were assessed for aeration using threshold masks. The results showed that 63% of rabbits had one or more affected regions in the ultrasound images, and 19% of the regions were positive. CT identified 54% of the regions as positive for poorly aerated tissue, with 26/30 rabbits showing at least one positive region. The sensitivity and specificity of LUS were 33.33% and 93.48%, respectively, with an accuracy of 67.92% for detecting subclinical lesions. While LUS demonstrated a high specificity, its sensitivity was low compared to CT, highlighting the need for further refinement in its use for rabbit respiratory disease diagnosis.
Objective: Investigate the effect of bilateral ultrasound-guided quadratus lumborum block (QLB) in the need for additional opioid administration in response to intraoperative nociception during ovariectomy in cats. Methods: Thirty-six feral cats were randomly allocated to group control (C) or group QLB with 0.4 mL kg−1 of 0.25% bupivacaine per hemiabdomen. Hemodynamic data were collected at five intraoperative time points. A 20% increase in pulse rate or respiratory rate was treated with fentanyl. Results: Pulse rate and respiratory rate were higher in the C group compared to the QLB group during ovarian manipulation. No differences in systolic and mean arterial pressure and hypotension were comparable in both groups. The QLB group required less administration of intraoperative fentanyl than the C group at 4/16 and 10/16, respectively (p < 0.05). Conclusions: The bilateral QLB with bupivacaine led to a reduction in opioid consumption in feral cats undergoing elective ovariectomy.
Canine hip dysplasia (CHD) screening relies on radiographic assessment, but traditional scoring methods often lack consistency due to inter-rater variability. This study presents an AI-driven system for automated measurement of the femoral head center to dorsal acetabular edge (FHC/DAE) distance, a key metric in CHD evaluation. Unlike most AI models that directly classify CHD severity using convolutional neural networks, this system provides an interpretable, measurement-based output to support a more transparent evaluation. The system combines a keypoint regression model for femoral head center localization with a U-Net-based segmentation model for acetabular edge delineation. It was trained on 7967 images for hip joint detection, 571 for keypoints, and 624 for acetabulum segmentation, all from ventrodorsal hip-extended radiographs. On a test set of 70 images, the keypoint model achieved high precision (Euclidean Distance = 0.055 mm; Mean Absolute Error = 0.0034 mm; Mean Squared Error = 2.52 × 10−5 mm2), while the segmentation model showed strong performance (Dice Score = 0.96; Intersection over Union = 0.92). Comparison with expert annotations demonstrated strong agreement (Intraclass Correlation Coefficients = 0.97 and 0.93; Weighted Kappa = 0.86 and 0.79; Standard Error of Measurement = 0.92 to 1.34 mm). By automating anatomical landmark detection, the system enhances standardization, reproducibility, and interpretability in CHD radiographic assessment. Its strong alignment with expert evaluations supports its integration into CHD screening workflows for more objective and efficient diagnosis and CHD scoring.
Hip dysplasia (HD) is a prevalent disease in medium- to large-breed dogs, characterized by joint laxity and degenerative joint changes. The early diagnosis of HD poses significant challenges, as radiographic imaging often identifies the disease only in advanced stages. Conversely, ultrasonography, a non-invasive and cost-effective imaging modality, offers the potential for earlier detection by evaluating the surrounding soft tissues and synovial changes. This study aimed to assess the relationship between the ventral hip ultrasonographic findings, and hip joint laxity evaluated through stress radiographs on 22 young Estrela Mountain dogs (n = 44 hips) aged 4 to 8 months. Key ultrasound measurements included synovial fluid in the cranial femoral neck recess (CFNR) and capsular-synovial fold thickness (CFT). Radiographic laxity was estimated by measuring the distraction index (DI). The median (quartile 25-75%) of the CFNR area, CFT, and DI were 44.00 (27.00-52.25) mm2, 3.10 (2.68-3.55) mm, and 0.38 (0.34-0.40), respectively. The Spearman correlation coefficient was statistically significant between all of these variables (p < 0.05). The ventral ultrasonographic approach to the hip joint revealed potential, considering the early diagnosis of HD in dogs, by showing relationships between changes in periarticular soft tissues and joint laxity. Further studies are needed to associate ultrasonographic findings with radiographic signs of HD and related clinical signs in dogs.
Hip dysplasia (HD) is an arthropathy with an incompletely understood pathophysiology. Existing induction HD models fall short of providing feasible data to test new therapeutic strategies. This study aimed to characterize and validate a new surgical model of HD in rabbits. Seventeen 6-week-old male New Zealand white rabbits were randomly assigned to 3 groups: GI (n = 3) - control group, with six normal hips (NH); GII (n = 7) - seven left instability surgery hips (ISH) and seven right surgery sham hips (SSH); GIII (n = 7) - seven left instability surgery hips, followed by hindlimb bandage immobilization for 3 days (ISHI) and seven right hips without surgery (HWS). The instability surgery was performed by sectioning the teres ligament and the sham by accessing the capsule without its section. After 14 weeks following the induction surgery, the rabbits underwent radiographic and computed tomographic studies and histopathological characterization of the hip joint based on the severity of cartilage structure and chondrocyte pathology. In the imaging assessment, the ISHI group was the only group presenting statistically significant differences in all four parameters, consistent with HD development (P < 0.05). In the histopathologic evaluation, the ISHI group showed a higher severity of cartilage damage and chondrocyte pathology with statistically significant differences when compared with the NH group (P < 0.05). As a result, the proposed rabbit model can be recommended for HD studies aiming to test therapeutic responses to osteoarthritis in vivo, representing a valuable tool in veterinary research fields.
Canine hip dysplasia (CHD) is a common orthopedic condition characterized by joint laxity, abnormal femoral head development, and osteoarthritis. Radiography remains the gold standard in diagnosis; however, ultrasonography (US) can detect changes in bone and periarticular soft tissue earlier in CHD progression. Forty-four hips from twenty-two adult dogs of various breeds were graded according to the Fédération Cynologique Internationale (FCI) grading system, and grouped as normal (A, B) or dysplastic (C, D, E). Canine hip US evaluation, using the ventral femoral head–neck approach, included the following: capsule thickness at the femoral head index (CTFHi) and capsule thickness at the femoral head–neck index (CTFHNi), both measured in mm/body weight × 100; femoral head shape score (FHSs) and femoral head–neck transition score (FHNTs); and osteophyte score (Os). These findings were evaluated qualitatively and then converted into numerical scores. Twenty-three hips were graded on the FCI system as being normal, and twenty-one as dysplastic. Median values of the US parameters CTFHi, CTFHNi, FHSs, FHNTs, and Os were 2.02, 7.79, 1.00, 1.00, and 0.00 in the normal-hips group, and 3.11, 9.32, 3.00, 2.00, and 1.00 in the dysplastic-hips group. Significant differences were observed between most US parameters evaluated. Strong associations were found between CTFHi, FHNTs, and Os, indicating progressive bone remodeling. These findings support US usage as a potential tool for CHD diagnosis and monitoring.
Radiographic canine hip dysplasia (CHD) diagnosis is crucial for breeding selection and disease management, delaying progression and alleviating the associated pain. Radiography is the primary imaging modality for CHD diagnosis, and visual assessment of radiographic features is sometimes used for accurate diagnosis. Specifically, alterations in femoral neck shape are crucial radiographic signs, with existing literature suggesting that dysplastic hips have a greater femoral neck thickness (FNT). In this study we aimed to develop a three-stage deep learning-based system that can automatically identify and quantify a femoral neck thickness index (FNTi) as a key metric to improve CHD diagnosis. Our system trained a keypoint detection model and a segmentation model to determine landmark and boundary coordinates of the femur and acetabulum, respectively. We then executed a series of mathematical operations to calculate the FNTi. The keypoint detection model achieved a mean absolute error (MAE) of 0.013 during training, while the femur segmentation results achieved a dice score (DS) of 0.978. Our three-stage deep learning-based system achieved an intraclass correlation coefficient of 0.86 (95
Echocardiography is a reliable and non-invasive method for assessing cardiac structure and function in both clinical and experimental settings, offering valuable insights into disease progression and treatment efficacy. The successful application of echocardiography in murine models of disease has enabled the evaluation of disease severity, drug testing, and continuous monitoring of cardiac function in these animals. However, there is insufficient standardization of echocardiographic measurements for smaller animals. This article aims to address this gap by providing a guide and practical tips for the appropriate acquisition and analysis of echocardiographic parameters in adult rats, which may also be applicable in other small rodents used for scientific purposes, like mice. With advancements in technology, such as ultrahigh-frequency ultrasonic transducers, echocardiography has become a highly sophisticated imaging modality, offering high temporal and spatial resolution imaging, thereby allowing for real-time monitoring of cardiac function throughout the lifespan of small animals. Moreover, it allows the assessment of cardiac complications associated with aging, cancer, diabetes, and obesity, as well as the monitoring of cardiotoxicity induced by therapeutic interventions in preclinical models, providing important information for translational research. Finally, this paper discusses the future directions of cardiac preclinical ultrasound, highlighting the need for continued standardization to advance research and improve clinical outcomes to facilitate early disease detection and the translation of findings into clinical practice.
Radiography is the primary modality for diagnosing canine hip dysplasia (CHD), with visual assessment of radiographic features sometimes used for accurate diagnosis. However, these features typically constitute small regions of interest (ROI) within the overall image, yet they hold vital diagnostic information and are crucial for pathological analysis. Consequently, automated detection of ROIs becomes a critical preprocessing step in classification or segmentation systems. By correctly extracting the ROIs, the efficiency of retrieval and identification of pathological signs can be significantly improved. In this research study, we employed the most recent iteration of the YOLO (version 8) model to detect hip joints in a dataset of 133 pelvic radiographs. The best-performing model achieved a mean average precision (mAP50:95) of 0.81, indicating highly accurate detection of hip regions. Importantly, this model displayed feasibility for training on a relatively small dataset and exhibited promising potential for various medical applications.
Respiratory disease is common in rabbits, but subclinical conditions can be challenging to diagnose and may cause respiratory problems during anesthesia. CT is the preferred method for diagnosing lung diseases, but anesthesia can alter lung volume and cause lung lobe collapse. In this study, seventeen healthy 5-month-old male New Zealand white rabbits underwent thoracic CT scans under different conditions. Rabbits were sedated with midazolam and butorphanol and scanned in a sphinx position; they were then anesthetized with dexmedetomidine and ketamine and scanned again in sternal recumbency during spontaneous breathing. Lastly, apnea was induced using intermittent positive pressure ventilation (IPPV) for a final scan. Lung volume and density were measured using the 3D Slicer version 5.6.2 software, with thresholds set between −1050 and −100 Hounsfield Units (HU). Sedated animals had significantly higher total lung volume (69.39 ± 10.04 cm3) than anesthetized (47.10 ± 9.28 cm3) and anesthetized apnea rabbits (48.60 ± 7.40 cm3). Mean lung attenuation during sedation was −611.26 HU (right) and −636.00 HU (left). After anesthesia induction, values increased to −552.75 HU (right) and −561.90 HU (left). Following apnea induction, attenuation slightly decreased to −569.40 HU (right) and −579.94 HU (left). The results indicate that sedation may be preferable for rabbit lung CT to minimize anesthesia-related changes.
Background: Ultrasound-guided quadratus lumborum block (QLB) and sacrococcygeal epidural anaesthesia (ScE) have been used for neutering cats, providing effective pain relief. Objectives: To compare the effects of the QLB with those of ScE in cats undergoing ovariectomies. Methods: Feral cats undergoing ovariectomy were premedicated with dexmedetomidine (20 μg kg−1) and methadone (0.2 mg kg−1) intramuscularly. Anaesthesia was induced with 2–4 mg kg−1 of propofol intravenously and maintained with isoflurane in oxygen. The cats were randomly allocated to the groups QLB (bilateral QLB with 0.4 mL kg−1 of 0.25% bupivacaine) and ScE (0.3 mL kg−1 of 0.25% bupivacaine). Hemodynamic data and analgesia rescue were collected at four intraoperative periods. The pain scale and motor block were assessed in both groups during the postoperative period. Results: The ScE results in increased hypotension, prolonged extubation time, and higher postoperative motor block than the QLB (p < 0.05). The QLB and ScE groups required a similar number of intraoperative rescues and presented the same postoperative pain scale classification. Conclusions: The QLB with 0.25% bupivacaine is a potential alternative to ScE with 0.25% bupivacaine in perioperative pain management in elective cat ovariectomy. The QLB promoted less hypotension and postoperative motor block when compared with the ScE group.
Canine hip dysplasia (CHD) screening relies on accurate positioning in the ventrodorsal hip extended (VDHE) view, as even mild pelvic rotation can affect CHD scoring and impact breeding decisions. This study aimed to assess the association between pelvic rotation and asymmetry in obturator foramina areas (AOFAs) and to develop a computer vision model for automated AOFA measurement. In the first part, 203 radiographs were analyzed to examine the relationship between pelvic rotation, assessed through asymmetry in iliac wing and obturator foramina widths (AOFWs), and AOFAs. A significant association was found between pelvic rotation and AOFA, with AOFW showing a stronger correlation (R2 = 0.92, p < 0.01). AOFW rotation values were categorized into minimal (n = 71), moderate (n = 41), marked (n = 37), and extreme (n = 54) groups, corresponding to mean AOFA ± standard deviation values of 33.28 ± 27.25, 54.73 ± 27.98, 85.85 ± 41.31, and 160.68 ± 64.20 mm2, respectively. ANOVA and post hoc testing confirmed significant differences in AOFA across these groups (p < 0.01). In part two, the dataset was expanded to 312 images to develop the automated AOFA model, with 80% allocated for training, 10% for validation, and 10% for testing. On the 32 test images, the model achieved high segmentation accuracy (Dice score = 0.96; Intersection over Union = 0.93), closely aligning with examiner measurements. Paired t-tests indicated no significant differences between the examiner and model’s outputs (p > 0.05), though the Bland–Altman analysis identified occasional discrepancies. The model demonstrated excellent reliability (ICC = 0.99) with a standard error of 17.18 mm2. A threshold of 50.46 mm2 enabled effective differentiation between acceptable and excessive pelvic rotation. With additional training data, further improvements in precision are expected, enhancing the model’s clinical utility.
The present study investigates the morphometric changes in the hip joint in a surgically induced rabbit model of hip dysplasia through the sectioning of the ligamentum capitis femoris and pelvic limb immobilization. A total of seventeen rabbits were evaluated using radiographic and computed tomographic imaging to measure the following parameters: the femoral angles of anteversion and inclination, length and width indexes of the neck of the femur, and acetabular depth and ventroversion. Significant differences in femoral anteversion angle and acetabular depth were observed, particularly in the group of hip instability surgery with pelvic limb immobilization. The results have shown the influence of hip joint instability in the promotion of femoral anteversion and acetabular shallowing. These findings provide a foundation for future research on naturally occurring or experimentally induced hip dysplasia in rabbits and underscore the model’s potential for studying the biomechanical and developmental aspects of hip joint disorders.
Artificial intelligence and machine learning have been increasingly used in the medical imaging field in the past few years. The evaluation of medical images is very subjective and complex, and therefore the application of artificial intelligence and deep learning methods to automatize the analysis process would be very beneficial. A lot of researchers have been applying these methods to image analysis diagnosis, developing software capable of assisting veterinary doctors or radiologists in their daily practice. This article details the main methodologies used to develop software applications on machine learning and how veterinarians with an interest in this field can benefit from such methodologies. The main goal of this study is to offer veterinary professionals a simple guide to enable them to understand the basics of artificial intelligence and machine learning and the concepts such as deep learning, convolutional neural networks, transfer learning, and the performance evaluation method. The language is adapted for medical technicians, and the work already published in this field is reviewed for application in the imaging diagnosis of different animal body systems: musculoskeletal, thoracic, nervous, and abdominal.
Ultrasound (US) has emerged as one of the most applied imaging tools to diagnose musculoskeletal disorders and assist in guided intra-articular administrations. Nevertheless, in evaluating the rabbit hip joint, there is a need for an ultrasonographic approach. Therefore, this study aimed to describe the hip sonoanatomy, develop and validate a US-guided protocol to assess the hip joint in rabbits and apply this protocol in vivo. This study was carried out in three phases, phase I: a pilot cadaveric study, to assess the applicability of different US approaches in the hip of rabbits and, consequently, develop a detailed US-guided protocol (2 rabbit cadavers, n = 4 hips); phase II: validation of the established US-guided protocol through a numerical scoring system in healthy joints (11 rabbit cadavers, n = 22 hips), and, lastly, phase III: application of the US-guided protocol in vivo in osteoarthritic joints (5 rabbits, n = 5 hips). A total of six planes were validated, two in the ventral approach and four in the dorsal approach. The ventral transverse plane was deemed more informative regarding the hip joint sonoanatomy, enabling the identification of a greater number of structures when compared to the other planes. Nevertheless, this study suggested that the isolated application of a plane was deemed insufficient for a complete and detailed evaluation of the hip joint anatomy, rendering it necessary to employ other planes complementarily. Furthermore, the established US-guided protocol allowed a definitive diagnosis of OA, and osteophytes and capsular hypertrophy were among the defects most frequently detected. This novel study provided US anatomical landmarks for forthcoming therapeutic research and monitoring of OA development, granting the accurate identification of osseous and cartilaginous defects.
Adequate radiographic positioning on the X-ray table is paramount for canine hip dysplasia (HD) screening. The aims of this study were to evaluate femoral parallelism on normal ventrodorsal hip extended (VDHE) view and the effect of femoral angulation (FA) on Norberg Angle (NA) and Hip Congruency Index (HCI). The femoral parallelism was evaluated comparing the alignment of the long femoral axis with the long body axis in normal VDHE views and the effect of FA on NA and HCI on repeated VDHE views with different levels of FA. The femoral long axis in normal VDHE views showed a ranged of FA from −4.85° to 5.85°, mean ± standard deviation (SD) of −0.06 ± 2.41°, 95% CI [−4.88, 4.76°]. In the paired views, the mean ± SD femur adduction of 3.69 ± 1.96° led to a statistically significant decrease NA, and HCI, and femur abduction of 2.89 ± 2.12 led to a statistically significant increase in NA and HCI (p < 0.05). The FA differences were also significantly correlated with both NA differences (r = 0.83) and HCI differences (r = 0.44) (p < 0.001). This work describes a methodology that allows evaluation of femoral parallelism in VDHE views and the results suggest that femur abduction yielded more desirable NA and HCI values and adduction impaired NA and HCI values. The positive linear association of FA with NA and HCI allows the use of regression equations to create corrections, to reduce the influence of poor femoral parallelism in the HD scoring.
The alteration in the shape of the femoral neck is an important radiographic sign for scoring canine hip dysplasia (CHD). Previous studies have reported that the femoral neck thickness (FNT) is greater in dogs with hip joint dysplasia, becoming progressively thicker with disease severity. The main objective of this work was to describe a femoral neck thickness index (FNTi) to quantify FNT and to study its association with the degree of CHD using the Fédération Cynologique Internationale (FCI) scheme. A total of 53 dogs (106 hips) were randomly selected for this study. Two examiners performed FNTi estimation to study intra- and inter-examiner reliability and agreement. The paired t-test, the Bland-Altman plots, and the intraclass correlation coefficient showed excellent agreement and reliability between the measurements of the two examiners and the examiners' sessions. All joints were scored in five categories by an experienced examiner according to FCI criteria. The results from examiner 1 were compared between FCI categories. Hips that were assigned an FCI grade of A (n = 19), B (n = 23), C (n = 24), D (n = 24), and E (n = 16) had a mean ± standard deviation FNTi of 0.809 ± 0.024, 0.835 ± 0.044, 0.868 ± 0.022, 0.903 ± 0.033, and 0.923 ± 0.068, respectively (ANOVA, p < 0.05). Therefore, these results show that FNTi is a parameter capable of evaluating proximal femur bone modeling and that it has the potential to enrich conventional CHD scoring criteria if incorporated into a computer-aided diagnosis capable of detecting CHD.
This study investigates the internal architecture of Asian hornet nests (AHNs) using advanced imaging techniques, such as CT scanning and X-ray radiography, to understand their construction and function. The primary objective and significance of this study centre on drawing inspiration from the creative way Asian hornets construct their nests, with a particular focus on the architecture, design, functionality, and building materials of these nests. The architectural principles governing the construction of these nests, such as the arrangement of hexagonal cells, pedicels for load bearing, and adhesive materials, serve as a source of inspiration for innovative and sustainable design practices. The pedicels in Asian hornet nests play a crucial role in transferring load and ensuring stability. Additionally, AHNs’ adhesion to tree branches is essential for preventing collapse, and the pedicels provide necessary structural support. The knowledge gained from studying AHNs’ internal architecture could be applied directly to the architecture and civil engineering fields to improve structure stability and durability. The microstructure analysis of the paper-like material that hornets produce to build their nests indicates a complex and heterogeneous structure, composed of various plant fragments and fibres. This unique composition creates intricate grooves and pores, which are essential for regulating temperature and humidity levels within the outer envelope of the nest. The study of Asian hornet nests’ internal structure demonstrated that nature’s engineering principles inspire the design of durable and resilient structures in the construction industry. Civil engineers can incorporate similar principles into their designs to enhance the structural integrity and performance of buildings, bridges, and other infrastructure.