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Topic:Computed Tomography
Computed Tomography (CT) in horses is an advanced imaging technique used to obtain detailed cross-sectional images of equine anatomy. This non-invasive method utilizes X-ray technology combined with computer processing to create detailed images of bones, soft tissues, and other internal structures. CT is particularly useful for diagnosing complex conditions in the head, neck, and limbs of horses, offering enhanced visualization compared to traditional radiography. The technique is valuable for identifying fractures, dental issues, sinus diseases, and other abnormalities. This page compiles peer-reviewed research studies and scholarly articles that explore the applications, advancements, and clinical implications of computed tomography in equine medicine.
Long-term clinical outcome of maxillofacial fractures in horses: A retrospective study of 30 cases (2020-2024). To assess long-term outcome, complications, and return to function in horses with maxillofacial fractures. Methods: Retrospective observational study. Methods: A total of 30 horses with skull fractures (2020-2024). Methods: Clinical records were reviewed for signalment, fracture characteristics, imaging, treatment, and hospitalization. Long-term outcome was obtained via structured owner questionnaires addressing healing, complications, cosmetic appearance, and performance. Descriptive statistics were applied. Results: A total of 29 of 30 horses received treatment (25 surgical, 4 conservative);...
[Cone beam computed tomography and cross-sectional anatomy of the carpal region in the horse]. The aim of this study was to display clinically relevant anatomical structures of the carpal region in healthy horses with the help of cone beam computed tomography (CBCT).Twenty-eight forelimbs from 15 adult horses without orthopedic diseases were examined. Following native CBCT examination a mixture of hyperattenuating contrast medium with blue epoxy resin dye was injected in the antebrachiocarpal joint and middle carpal joint and contrast-enhanced CBCT scans were also acquired. Subsequently, the limbs were frozen and sawed in different planes corresponding to selected CBCT planes (dorsal, s...
Objective, Longitudinal Computed Tomographic Evaluation of the Metacarpal Condyles in Non-Lame Thoroughbred Racehorses. There are limited data on sequential computed tomographic (CT) evaluation and objective CT assessment of the metacarpal condyles in Thoroughbred racehorses. This longitudinal study aimed to document changes in attenuation of the metacarpal condyles during the first two years of training and racing. Fan-beam CT examination of the metacarpophalangeal regions was performed on 40 non-lame Thoroughbred yearlings, and repeated four more times, approximately six months apart. Mean Hounsfield Unit (HU) measurements were obtained on sagittal reconstructions of the dorsal and palmar halves of the medial...
Computer-Aided Diagnosis of Equine Temporomandibular Joint Osteoarthritis Using Machine Learning Integrating Computed Tomography Findings and Synovial Fluid Biomarkers. Horses presenting with temporomandibular joint (TMJ) dysfunctions are often clinically evaluated for TMJ osteoarthritis (OA). Due to the unique characteristic of TMJ-related pain, the clinical diagnosis of equine TMJ OA is challenging; however, it may be supported by computer-aided tools incorporating biomarker data. This study aims to evaluate a machine learning-based approach to address a binary classification distinguishing healthy TMJs from TMJ OA. Among 50 equine cadaver heads, 82 TMJs were included and annotated as healthy or OA based on histological and computed tomography (CT) findings...
Comparison of Ultrasonography, Contrast Radiographic Tenography, Cone-Beam Computed Tomographic Tenography, and Tenoscopy for Lesion Detection Within the Digital Flexor Tendon Sheath of Horses-A Prospective Clinical Trial. Lesions of the tendons and manica flexoria (MF) within the digital flexor tendon sheath (DFTS) are a common cause for lameness in horses. This prospective study compared and quantified the agreement and disagreement of positive contrast computed tomographic tenography (CTT), positive contrast radiographic tenography (RXT), ultrasonography (US) and tenoscopy for diagnosing naturally occurring lesions within the DFTS, without application of a gold standard. Lesions affecting the deep (DDFT) and/or superficial digital flexor tendon (SDFT), and/or the MF and/or constriction of the palmar/plantar a...
The dynamic 3D horse: analyzing the relationship between whole body pathomechanics and joint degeneration in the fetlocks. Lameness is often associated with degenerative joint disease (DJD). Current therapies focus on minimizing pain or treating specific lesions but generally do not address the pathomechanical forces that are the root cause of degeneration. Treatments based on specific, whole-body therapies are becoming common in humans with DJD, but are still not routinely applied in equine cases. Designing targeted therapies for horses requires recognizing habitual postures and movements that are pathological. An important but often missing component for understanding movement postures is accurate and manipulata...
Cryptophthalmia, microphthalmia, oronasal malformation, and hydrocephalus in an aborted equine fetus with umbilical torsion in the state of Mato Grosso, Brazil. Facial abnormalities and brain defects in aborted equine fetuses are rarely reported, and the causes that predispose the occurrence of this condition are difficult to identify. This work reports the morphological and tomographic findings of a case of cryptophthalmia, microphthalmia, oronasal malformation, and hydrocephalus in an aborted equine fetus with umbilical cord torsion in the state of Mato Grosso, Brazil, from a primiparous Quarter Horse female, with 7 months of gestational age. The occurrence of miscarriage was associated with compromised maternal-fetal blood flow due to umbilical cor...
Ultrasonography accurately detects equine cervical articular process joint effusion with comparable performance to computed tomography. To compare effusion scores obtained via ultrasound (US) and computed tomography (CT) in equine cervical articular process joints (CAPJs). Unassigned: Cadaveric cervical specimens (skull through C7) from 6 horses were used. One specimen was used to establish maximal joint distension volume. In the main study phase, 50 CAPJs were randomly assigned to receive 0, 2, or 4 mL of positive contrast solution. The CAPJs were imaged via US and CT before and after injection. Effusion was subjectively graded on a scale of 0 to 4 for both modalities. Statistical analyses compared pre- and post-injection eff...
The high fundamental frequency in horse whinnies is generated by an aerodynamic whistle. Understanding why the frequencies of some species' vocalizations are far above or below those predicted by body size is key for explaining the remarkable diversity of mammalian vocal behavior. Horses, among the largest terrestrial mammals, provide a clear example of such deviation: their whinnies contain a very high fundamental frequency (>1,000 Hz) in addition to a second, lower one (∼200 Hz). While the lower fundamental frequency of whinnies is readily attributed to vocal fold (laryngeal) vibrations, the biomechanical processes underlying the production of the higher one remain unknown. Us...
Optimising Camera-ChArUco Geometry for Motion Compensation in Standing Equine CT: A CT-Motivated Benchtop Study. Standing equine computed tomography (CT) acquisitions are susceptible to residual postural sway, which can introduce view-inconsistent motion and degrade image quality. External optical tracking based on ChArUco fiducials is a promising, low-cost strategy to enable projection-wise motion compensation, yet quantitative guidance on how camera-marker geometry affects pose-estimation performance remains limited. This CT-motivated benchtop study characterizes how the relative camera-ChArUco configuration influences both the accuracy (bias with respect to ground truth) and the precision (repeatabili...
Evaluation of computed tomographic anatomy of the foot in Jeju horses. Foot diseases are common causes of lameness in horses. Computed tomography (CT) is a valuable tool for diagnosing musculoskeletal lesions in horses and providing a detailed evaluation of foot diseases. Objective: The objective of this study was to establish reference ranges related to the feet of normal Jeju horses by measuring the angles and length of the hoof, and the Hounsfield Unit (HU) value of soft tissues in the foot. Methods: Sixteen normal Jeju horses (mean age: 4.25 years; mean body weight: 282.06 kg) without lameness were examined using CT. After CT scanning, the angles and lengths ...
Current and Future Central Nervous System Surgery-Part 1: Cervical Spinal Cord Compression. Ventral cervical stabilization remains the primary surgical approach, in general, for horses with spinal cord compression. Advancements in volumetric imaging offer a more comprehensive understanding of central nervous system dysfunction elucidating that other modes of compression exist. Minimally invasive instrumentation and computer-assisted surgery are expanding therapeutic possibilities for cervical vertebral compressive myelopathy, radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as articular process joint fixation, targeted decompression...
Congenital malformations of the thoracic vertebral column in a mature competition pony. Thoracolumbar congenital abnormalities are considered rare in mature, performing horses. This case report describes a 14-year-old Welsh pony presented with marked epaxial muscle atrophy, mid-thoracic spinal pain, and stiffness, most pronounced during canter. The thoracic spine exhibited scoliosis, centered at T9-T10, and kyphosis. Radiography and postmortem computed tomography revealed complex congenital malformations of the thoracic vertebral column, including abnormal morphology of the T10-T12 vertebral bodies, partial vertebral fusion, a malformed spinous process, a malformed rib with assoc...
Early Iron Age horse exploitation in Thrace (Bulgaria) inferred from dental attrition and vertebral pathology. To assess pathological lesions observed in an Early Iron Age (8th-century BCE) horse to gain insight into equine use and management in the past. Methods: The study is based on a nearly complete adult horse skeleton recovered from a pit at an archaeological site near Chirpan, Thracian Valley, southern Bulgaria. The assemblage is radiocarbon dated to the 8th century BCE and represents one of the few well-documented Early Iron Age equine skeletons from Bulgaria. Methods: Preserved skeletal elements were examined macroscopically following standard zooarchaeological and palaeopathological protocols...
Three-dimensional anatomical description of the microarchitecture of the distal sesamoid bone in healthy and navicular syndrome-affected horses by computed microtomography. Navicular syndrome (NS) is a chronic, degenerative condition of the equine thoracic limb that compromises the distal sesamoid bone (DSB) and associated structures responsible for stabilization and load absorption during locomotion. Although historically attributed to vascular alterations, its etiology is now recognized as biomechanical, characterized by chronic overload of the deep digital flexor tendon. Conventional diagnostic techniques-radiography, scintigraphy, and ultrasonography-lack the sensitivity and precision required to detect early microarchitectural alterations. This study aimed t...
Widespread Osteolysis as an Uncommon Manifestation of Equine Sarcoidosis. Equine sarcoidosis is an uncommon disease characterized by granulomatous inflammation presenting in a spectrum of body system involvement and severity. Musculoskeletal manifestations are sporadically reported but without correlation between imaging and pathologic findings. In a mature Quarter Horse mare eventually diagnosed with a progressive form of sarcoidosis, phalangeal osteolysis discovered on radiography prompted further evaluation, revealing diffuse, discrete osteolysis throughout the axial skeleton. Due to disease progression, humane euthanasia was elected, and computed tomography and ...
Surgical Removal of a Large Maxillary Sinus Mass Containing Three Dental Structures in a Standing Horse. Dental masses such as odontogenic masses, heterotopic polydontia, or ectopic supernumerary teeth have been documented in the equine head. This is the first case report of a large maxillary sinus mass with 3 ectopic teeth in an adult horse. A 14-year-old warmblood gelding was presented for evaluation of chronic right-sided nasal discharge. After imaging exploration, surgery was performed on the standing horse with a conchofrontal sinus trephination and a large maxillary bone (MB) sinusotomy. The examinations revealed a sinusal mass in the right maxillary sinus covered by sinusal mucosa and surr...
Measuring Equine Hooves in Radiographs and Computed Tomography Images Reveals Unexpected Size Differences. In a previous study on hoof biometry, we found that mathematical correction of measuring results from radiographs did not lead to complete correspondence to computed tomography (CT) results. The present study investigates this finding by comparing 13 measures of six cadaveric equine digits collected with the following workflows: radiographs with 1 and 2 m focus-object distance (FOD) (Xray 1 m/2 m), computed tomography images in planes defined based on anatomical landmarks (CTw), simulated radiographs based on the tomography dataset (virtual 120-mm slabs, Xray Sim) and measurements based ...
Standing CT-based finite element models efficiently identify regions of high mechanical strain in equine metacarpal subchondral bone. Stress fractures are common in racehorses, with the metacarpophalangeal (MCP) joint being the most frequently affected site as it is subjected to high-magnitude and high-rate cyclic loads during training and racing. These loads lead to repeated compressive stresses, resulting in subchondral bone (SCB) sclerosis, fatigue microcracks, and matrix damage that can progress to parasagittal fractures or palmar osteochondral disease (POD). The present study developed joint-specific 3D FE models and slice-based FE models using standing CT images for three trained racehorses, each presenting distinct SC...
Time Attenuation Curves for Equine Intravenous Contrast Enhanced Skull CT Using the Medial Saphenous and Cephalic Veins. Intravenous (IV) contrast administration during computed tomography (CT) of the equine head is routinely performed to delineate the extent of disease and differentiate between vascular and nonvascular tissue. Current equine scan protocols are extrapolated from human and canine studies. There have been no prospective equine studies describing the optimal time to image the patient after administration of contrast or the optimal site of contrast administration. Therefore, the current postcontrast times to scan and sites of contrast administration may not be appropriate for use in horses. The obje...
Degenerative Changes in MCP/MTP Joints of Working Horses Without Lameness: Integrating CT-Based Assessment and Synovial Fluid Biomarkers. Working horses often develop distinct patterns of joint degeneration, yet research in this population remains limited. This study aimed to characterize degenerative changes in the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints of Serbian Mountain Horses using computed tomography (CT) and to explore their associations with synovial fluid (SF) biomarkers. A cross-sectional analysis was conducted on 32 MCP/MTP joints from eight clinically sound horses. Postmortem, joints underwent CT imaging, and SF samples were analyzed for viscosity, protein content, total nucleated cell count (...
Computed tomographic myelography of the cranial cervical vertebral column in unaffected Warmblood horses – comparison of transverse vertebral ratios in the flexed and neutral cranial cervical vertebral column. Computed tomographic myelography (CTM) is diagnostic for extradural spinal cord compression but knowledge about vertebral ratios from transverse images in flexion and normal position of unaffected horses is lacking. Objective: To compare the ratios of the cross-sectional areas (CSAs) of the spinal cord, the vertebral canal and of the contrast enhanced dural tube on transverse CTM images at C3-C4 in neutral and flexed positions in unaffected Warmbloods. Methods: CTM was performed in 13 neurologically unaffected Warmbloods in neutral and flexed cervical vertebral column positions. Ratios were ca...
Radiological assessment of equestrian-related trauma: A retrospective cohort study. Equestrian sports have been found to cause high rates of injuries. In clinical practise after such injuries, polytrauma protocol workups usually include whole-body computed tomography (WBCT), CT of the chest, abdomen and pelvis with intravenous iodine contrast medium, and CT of the cervical spine and brain without contrast. The purpose was to investigate the use of WBCT in equestrian-related accidents, to analyse demographics, mechanism of injury (MOI), therapy and severity of equine-related accidents, radiology, and the use of protecting equipment. Methods: This is a retrospective study inclu...
Immunolabelling and Micro-Computed Tomography Revealed Age-Related Alterations in 3D Microvasculature of Tendons. Tendon degeneration is common, and its risk increases with age both in humans and horses. Tendon regeneration and healing is limited due to inherent low cell density and vascularisation, and current treatments are insufficient as indicated by scar tissue formation and a high re-injury rate. The tendon vasculature plays a crucial role in tendon homeostasis, regeneration and healing, making it a potential therapeutic target. However, the effect of ageing on the tendon microvasculature is poorly understood. Here, we provide the first comprehensive characterisation of the tendon microvasculature. ...
Feasibility of a medial tenoscopic portal in the equine carpal flexor tendon sheath in cadavers. To determine the ideal location of a medial tenoscopic portal in the equine carpal flexor tendon sheath (CFTS) using contrast computed tomography (CT). Methods: Experimental cadaver study. Methods: A total of 20 entire forelimbs from adult Standardbred horses. Methods: Contrast media diluted in saline was injected into the CFTS from a lateral approach before manually flexing and extending the limb 20 times to disperse the contrast solution. The limbs were placed in lateral recumbency and a capped 21-gauge 1.5 inch needle was placed approximately 5 mm proximal and 32 mm caudal to the palpab...
Effect of Additional Aluminum Filtration on the Image Quality in Cone Beam Computed Tomographic Studies of Equine Distal Limbs Using Visual Grading Characteristics Analysis: A Pilot Study. (1) Background: Cone beam computed tomography (CBCT) is increasingly used in equine practice to diagnose musculoskeletal injuries, including fractures in the distal limb. However, limited detail in the thick cortical bone of the metacarpus/metatarsus hinders accurate diagnosis. In human medicine, the addition of aluminum filters (AF) enhanced image quality while reducing radiation exposure. This study aimed to evaluate the effect of AF on image quality in CBCT scans of equine distal limbs. (2) Methods: Adult equine cadaver limbs were scanned with a mobile CBCT unit using varying tube currents ...
Computed Tomographic Assessment of Normal Ocular Dimensions and Densities in Cadaveric Horses (Equus ferus caballus). This study aimed to characterize the computed tomographic (CT) dimensions and contrast attenuation properties of the equine eye. CT scans from 21 horses without ocular abnormalities were analyzed to obtain detailed ocular measurements and attenuation values. In addition, cranial measurements, such as nasal-occipital length and zygomatic width, were incorporated to explore potential anatomical relationships between the skull and intraocular structures. Although most correlations between cranial and ocular parameters were weak, statistically significant associations-particularly those involving ...
Reconstruction of an orbital fracture in a mare using a 3D-printed patient-specific implant. To describe surgical repair of an orbital wall fracture communicating with the caudal maxillary sinus using a three dimensional (3D)-printed, patient-specific implant (PSI). Methods: Case report. Methods: A 25-year-old Haflinger mare (370 kg). Methods: The mare presented with severe chemosis and emphysema of the left upper and lower eyelid of 2-weeks duration due to a fracture of the ventral floor and inner wall of the left orbit that communicated with the caudal maxillary sinus. Computed tomographic (CT) data were used to design a PSI replicating the inner surface of the unfractured orbit. ...
New Model of Disuse-Induced Bone Density Loss in Horses. Disuse-induced bone loss during stall confinement and immobilization is a major concern in horses because it impairs recovery and increases susceptibility to further injury. Experimental models are needed to evaluate therapeutic options, but most available equine models rely on cast immobilization, which is technically demanding and may be associated with complications. This study aimed to assess a simpler and less restrictive model to induce a quantifiable decrease in bone density in horses. Six French Standardbred horses underwent eight weeks of stall confinement, with a wooden wedge fitted ...
Computed tomography features of the fetlock joint in elite racing Thoroughbred horses. Computed tomography (CT) is increasingly used for metacarpo/tarsophalangeal or fetlock joint (MC/TPJ) evaluation in Thoroughbred racehorses. CT features and lesion prevalence in competing Thoroughbreds are unknown. Objective: To identify standing CT features within the MC/TPJ of elite Thoroughbred staying racehorses. Methods: Retrospective cohort study. Methods: Computed tomography scans of the MC/TPJ were performed as part of pre-race screening for fracture risk and graded for CT features. Descriptive statistics and univariable logistic regression models were generated to investigate associat...
