Topic:Diagnostic Imaging
Diagnostic imaging in horses encompasses a range of techniques used to visualize the internal structures of the equine body for the purpose of diagnosis and treatment planning. These techniques include radiography, ultrasonography, magnetic resonance imaging (MRI), computed tomography (CT), and nuclear scintigraphy. Each modality offers unique advantages in assessing different tissues and conditions, such as bone fractures, soft tissue injuries, and joint abnormalities. Radiography is commonly employed for evaluating bone structures, while ultrasonography is frequently used for soft tissue assessment. MRI and CT provide detailed cross-sectional images, facilitating the examination of complex anatomical regions. Nuclear scintigraphy can detect areas of increased bone activity, often used in lameness evaluations. This page compiles peer-reviewed research studies and scholarly articles that explore the applications, advancements, and comparative effectiveness of diagnostic imaging modalities in equine veterinary practice.
2D-shear wave elastographic features of normal and injured equine superficial digital flexor tendons. Superficial digital flexor tendon (SDFT) injuries cause progressive loss of its mechanical properties. Two-dimensional shear wave elastography (2D-SWE) provides information about tissue stiffness. Objective: To determine the feasibility, repeatability, and reproducibility of 2D-SWE of healthy and pathological forelimb SDFT. Methods: Prospective observational cohort study. Methods: Horses were divided into a noninjured Group (H) and a Group with tendinopathy of the SDFT (P). 2D-SWE of both fore SDFTs was performed at three metacarpal levels (A, B, and C, from proximal to distal). Qualitative an...
Clinical and ultrasonographic findings in horses with desmopathy of the palmar/plantar abaxial ligaments of the proximal interphalangeal joint: 20 cases. To describe the clinical and ultrasonographic findings in horses with desmopathy of the abaxial palmar/plantar ligament (APL) of the proximal interphalangeal joint and the prevalence of concurrent musculoskeletal injuries in the pastern and foot. Unassigned: Horses presenting to New Bolton Center between March 2017 and November 2022 with an age ranging from 5 to 20 years that underwent lameness evaluation in which lameness was localized to the distal limb and had an ultrasonographic diagnosis of APL desmopathy. Unassigned: Horses included were those that (1) presented for a lameness examinatio...
[Unilateral leiomyoma in the spermatic cord – a reason for intermittent colic in stallions?]. A 19-year-old Oldenburg stallion was presented multiple times over the course of several months with recurrent colic signs. At each examination, an enlargement of the scrotum was noted, which could not be further specified by palpation and ultrasonographic examination. The increase in circumference was noted both on palpation and on inspection and the size remained unchanged throughout. No special findings were noted during the general examination and the special examination of the colic patient. A few months after the first onset of symptoms, a chicken egg-sized mass was palpated on the right...
Microbial profile of post-breeding endometritis in Arabian mares from the Al-Hira District, Iraq. in Arabian mares poses a significant reproductive challenge, necessitating proper pathogen identification and antimicrobial susceptibility determination. Unassigned: To investigate the prevalence of intrauterine pathogens and their antimicrobial susceptibility patterns in Arabian mares with postbreeding endometritis. Unassigned: Seventeen Arabian mares were examined clinically and ultrasonographically. Uterine swabs were collected for bacterial isolation and antimicrobial susceptibility testing. Unassigned: Clinical endometritis was detected in 29.4% of the mares. Ultrasonographic examination...
Fistulous withers causing spinal epidural abscess in a Thoroughbred mare. This case describes a 15-year-old Thoroughbred mare with fistulous withers that progressed to vertebral osteomyelitis and spinal epidural abscess (SEA), a severe complication that has yet to be reported. Initially treated with antibiotics and anti-inflammatory medication, the mare developed acute hindlimb ataxia and spastic paresis, suggesting spinal cord compression at T3-L3. Diagnostic imaging revealed vertebral fractures and abscessation, but vertebral canal involvement could not be confirmed. Despite aggressive medical therapy, including antimicrobials, corticosteroids, and neuroprotective...
Monte Carlo evaluation of occupational exposures in equine radiology procedures. Portable X-ray equipments are commonly used in diagnostic radiology of equine patients. Despite its benefits, the exposure to ionizing radiation can pose a health risk to workers as physical restraint of patients is typically required. In this context, the aim of this study was to apply Monte Carlo simulation to investigate occupational exposure in the diagnosis of horses. The simulations were carried out by the Monte Carlo N-Particle 6.2 (MCNP6.2) code. The workers were represented by a FASH3 (female) and MASH3 (male) virtual anthropomorphic phantoms. To simulate the horse, a realistic virtua...
Imaging Findings of Congenital Distal Interphalangeal Joint Dysplasia in a 3-Month-Old Friesian Foal. A 3-month-old Friesian colt presented with severe, progressive distal limb lameness in two limbs. Radiographic and postmortem full-body CT imaging revealed severe articular deforming osteolysis and osteoproliferation at the dorsodistal navicular bone margin and the adjacent distal phalanx proximo-palmar/proximo-plantar margin in two limbs, with the remainder of the distal interphalangeal joint being unaffected. Multiple other joints showed small osteolytic subchondral defects. Postmortem histopathological examination confirmed focal joint disease of both distal interphalangeal joints, without ...
Correction: Association between radiographic equine distal phalanx characteristics and absence, presence and type of horseshoes. [This corrects the article DOI: 10.3389/fvets.2025.1598038.].
Lateromedial and oblique radiographs detect most fetlock pathologies as effectively as a full series in horses. Radiographic protocols for the metacarpo-/tarsophalangeal joint during pre-purchase examinations (PPE) vary internationally, but their impact on pathology detection remains unclear. Optimising imaging protocols is essential to balance diagnostic accuracy with workflow efficiency and radiation exposure. Objective: To evaluate the effect of different radiographic view combinations on fetlock pathology detection and observer agreement in a PPE context; hypothesising that detection rates vary with view selection. Methods: Retrospective observational study. Methods: Two observers reviewed fetlock r...
Emergence of a new alveolar dental element after extraction of a molar tooth in a horse. A 2-year-old mixed-breed mare was examined at the property due to swelling and fistula on the right mandible. Oral examination and radiographs revealed the presence of an apical abscess involving the 410 tooth. The tooth was extracted entirely and confirmed radiographically. One year later, the owner reported a reoccurrence of clinical signs. A new radiographic evaluation revealed a radiopaque area in the alveolar socket of the 410 tooth filled with spongy-looking bone. An extraoral approach to the alveolar socket was performed, and the content removed had the appearance of a dental element.
Ultrasound-Guided Radiofrequency Ablation and Pulsed Radiofrequency Treatment for Chronic Lameness Due to Distal Forelimb Disease in Horses: A Pilot Study. Radiofrequency ablation (RFA) and pulsed radiofrequency (PRF) are non-pharmacological techniques employed in humans for chronic pain, but their veterinary application is unexplored. This pilot study evaluated clinical effects of RFA and PRF in twenty-four horses with chronic distal forelimb lameness. Ultrasound-guided RFA (N = 8; 60-90 °C, 2-8 min) or PRF (N = 16; 42 °C; 12 min) was applied to palmar digital nerves. Lameness was scored (American Association of Equine Practitioners scale) at baseline and monthly for six months (T1-T6). At T2, partial- and non-responders in both groups receive...
Radiographic area of large intestinal sand accumulation in horses may determine clinical significance. Sand enteropathy is a common disease in horses worldwide. The presence of sand does not always cause disease. The amount of sand required to cause clinical disease is not well established. Objective: To establish a weight-indexed cut-off for the diagnosis of clinically relevant sand enteropathy based on radiographic area. Methods: Cross-sectional. Methods: Abdominal radiographs were acquired from clinically normal horses and compared with horses with clinical sand enteropathy. Sand area and sand area per kilogram of body weight were calculated. A receiver operating characteristic (ROC) curve w...
Plasma Estradiol and Endometrial Edema Profile in Acyclic Mares After Single Administration of 17-β Estradiol, Estradiol Benzoate and Estradiol Cypionate. A longer endometrial exposure to estradiol before progesterone has been shown to be beneficial in cyclic and acyclic recipient mares. Therefore, the selection of an estradiol ester that promotes longer endometrial exposure to estradiol using a single administration would be advantageous when preparing acyclic mares as embryo recipients. This study investigated plasma estradiol profiles in acyclic mares after a single administration of 17-β estradiol (17-β), estradiol benzoate (EB) and estradiol cypionate (EC), and the correlation between plasma concentrations and endometrial edema. Fifteen n...
Trigeminal Nerve Asymmetry in Horses With Idiopathic Trigeminal-Mediated Headshaking: A Retrospective Case-Control Magnetic Resonance Imaging Study. Nerve atrophy results in trigeminal nerve (TN) asymmetry detectable by magnetic resonance imaging (MRI) in humans, but similar studies have not been performed in horses with idiopathic trigeminal-mediated headshaking (ITMHS). Objective: Horses with ITMHS show greater MRI-detected trigeminal-nerve asymmetry than controls. Methods: A total of 20 adult horses with ITMHS and six unaffected control horses. Methods: Retrospective case-control study of the TN cross-sectional area (TNCSA) based on 3-Tesla MRI scans of the equine brain. TNCSA and its side-to-side differences at four defined measurement...
Does Low-Field MRI Tenography Improve the Detection of Naturally Occurring Manica Flexoria Tears in Horses? Diagnosing digital flexor tendon sheath (DFTS) pathologies, particularly manica flexoria (MF) tears, can be challenging with standard imaging modalities. Standing low-field MRI tenography (MRIt) may improve the detection rate of MF tears. This study aimed to compare ultrasonography, contrast radiography, pre-contrast MRI, and MRIt to detect naturally occurring MF lesions in horses undergoing tenoscopy. Ten horses with a positive DFTS block, which underwent contrast radiography, ultrasonography, MRI, MRIt, and tenoscopy were included. Two radiologists evaluated the images and recorded whether a...
Clinical Updates on Superficial Digital Flexor Tendon Injuries: Insights on Diagnostic and Therapeutic Advancements. Superficial digital flexor tendinopathy is one of the most common orthopedic soft tissue injuries in horses. The veterinary challenge for this condition is less related to identifying the presence of the injury (as it is usually readily evident clinically) but more related to improving the healing process so that the healed tendon is more like normal tendon in biology and function in order to reduce reinjury, which is the key adverse consequence of the injury. Diagnostic imaging has improved in recent years to aid with treatment choices and monitoring the healing process.
Computed tomography identifies the proximodorsomedial subchondral bone of equine central tarsal bones as a predilection site for sclerosis, demineralisation and associated fractures. The distribution pattern of central tarsal bone (CTB) changes has not been described, except for slab- and dorsomedial-plantarolateral fractures. Objective: To describe CTB changes in CT and document their distribution and associations. Methods: Retrospective case series. Methods: Standing and recumbent tarsal CT studies from 94 clinical cases were retrospectively evaluated. General case information, degree of sclerosis (none-severe), lesions (demineralisation, cystoid, fissure/fracture) and their location were recorded, dividing CTBs into 8 regions. Results: Eighty five of 94 tarsi showed at ...
Normal MRI features of the manica flexoria in horses and evaluation of the anatomic variability between forelimbs and hindlimbs. Manica flexoria tears are increasingly recognized as a cause of lameness in horses resulting in a need for improved pre-operative diagnosis. Partial tears are difficult to pre-operatively diagnose and thus research for diagnostics of manica flexoria tears has been seen in increasing frequency over the past decade, though a deficit of information exists for the features of this structure on MRI, which is best suited for evaluation of soft tissues. The goal is to perform an observational study on the morphometry of the normal manica flexoria prospectively and describe it retrospectively on MRI. ...
Non-contrast enhanced visualization of the equine foot vasculature in a cadaver model using time-of-flight sequence. The objective of this study was to establish a non-contrast enhanced MR angiography (NC-MRA) sequence for the equine foot (EF) using a post-mortem angiography model. Unassigned: Time-of-flight (TOF) sequences were tested using variable parameter settings and 3 slice orientations during vascular perfusion of frozen-thawed cadaver EF with paraffine oil. Transverse and dorsal orientations were planned perpendicular or parallel to the sublamellar vascular plexus at the dorsal aspect of P3, or approximately perpendicular to the coronary plexus. Visibility of the coronary plexus, sublamellar plexus,...
Application of Acoustic Cardiography in Assessment of Cardiac Function in Horses with Atrial Fibrillation Before and After Cardioversion. Left atrial mechanical dysfunction is common in horses following the treatment of atrial fibrillation (AF). This study aimed to evaluate the use of an acoustic cardiography monitor (Audicor) in quantifying cardiac mechanical and hemodynamic function in horses with AF before and after treatment and to correlate these findings with echocardiographic measures. Twenty-eight horses with AF and successful transvenous electrical cardioversion were included. Audicor recordings with concomitant echocardiographic examinations were performed one day before, one day after, and two to seven days after card...
Multi-Detector Helical Computed Tomography, Transrectal Ultrasonography, and Histology of the Sacroiliac Joint: A Comparative Study in Adult Warmblood Horse Cadavers. This study described, assessed and correlated ultrasonographic, computed tomographic, and histological findings in the sacroiliac joints of adult Warmblood horse cadavers. In total, 25 joints from 15 horses were examined post-mortem using transrectal ultrasonography and helical computed tomography. Findings on computed tomography were graded in the caudal joint third (caudally) and for the entire joint as mild, moderate, or severe. In total, 11 joints from nine horses were evaluated histologically. All joints (100%) showed abnormalities on computed tomography, and 92% (23/25) displayed abnorma...
Evaluation of Subjective Assessment of Right Heart Size and Function Using Standard 2D-Echocardiographic Recordings in Horses With and Without Pulmonary Hypertension. Echocardiographic evaluation of right heart (RH) size and function in horses is challenging and relies on subjective assessment. Objective: Evaluate inter- and intra-rater agreement of subjective assessment of RH size, RH function, and the presence of pulmonary hypertension (PHT) in horses. Assess subjective RH changes with and without PHT and the influence of observer experience. Methods: Healthy horses (n = 30) and horses with Doppler measurements suggesting the presence or absence of PHT (n = 30 each). Methods: Nine standard echocardiographic recordings were analyzed by experienced ...
Usefulness of a Computer-Aided Learning Module for Teaching Radiology of the Equine Foot to Clinical Veterinary Students. Lameness in horses resulting from foot pathology is very common. When investigating the cause of a lameness localised to the foot, the first step is most frequently radiographic imaging. Therefore, being able to identify normal anatomy and recognise pathology on radiographs is important for a veterinary medicine student to learn. Computer-aided learning (CAL) is becoming increasingly utilised in the teaching of students on medicine-related courses, especially post-COVID where online learning has been continued in hybridisation with in-person teaching.In this study, a low-cost CAL module was cr...
Tracheal collapse rates in Kenyan working cart and pack donkeys. Donkeys (Equus asinus) in East Africa are recognised as working with poorly designed harnesses and carts. The donkey cart used in regions of Africa, specifically Meru County, Kenya, appears to place the cart's weight solely on the donkey's mid-cervical region. The ventral area of the neck is vulnerable to external pressure on the trachea, which is superficially located. Objective: To compare the presence and severity of endoscopic abnormalities in the upper airway and trachea of Meru County working cart donkeys compared to pack donkeys. To determine associations between endoscopic and physical...
Measurements of equine foot parameters show limited agreement between radiographs and low-field magnetic resonance imaging. Equine foot radiographs are commonly obtained to measure anatomical conformation parameters. Comparison of measurements between radiographs and low-field magnetic resonance imaging (MRI) has not been extensively explored. Objective: To compare foot parameter measurements between radiographs and low-field MRI, and assess the effect of hoof wall markers on visualising the hoof capsule (during MRI) and facilitating measurements. Methods: Comparative cadaveric analytical study. Methods: Radiography and MRI of nine equine cadaver front feet were performed with and without hoof wall markers, which w...
Comparison of early and late time-controlled adaptive ventilation on pulmonary gas exchange in anesthetized horses. To compare early versus late time-controlled adaptive ventilation (TCAV) for setting airway pressure release ventilation (APRV) on arterial oxygenation in dorsally recumbent anesthetized horses. Methods: A crossover, nonrandomized, experimental study. Methods: Six healthy adult horses. Methods: Each horse underwent two anesthetics: 1) volume-controlled ventilation (VCV) began for 30 minutes before switching to APRV using the TCAV method (late TCAV, TCAV); and 2) ventilation began immediately with TCAV (early TCAV, TCAV). The study lasted 180 minutes, with arterial blood gases and respiratory m...
Equine Bone Imaging, Part 1: Establishing an Equine Nuclear Medicine Facility. While the establishment and operation of an equine nuclear medicine department share several principles with those of human nuclear medicine departments, they require an additional skill set to ensure safe and effective operation. This article explores the practical aspects of equine nuclear medicine facility location and design and details important considerations for safe and practical operation. Key considerations associated with the differences in physical and radiation safety and imaging approaches are explored. Specific adaptations of γ-camera gantries to allow either planar imaging or ...
Computed tomographic myelography of the cranial cervical spine in Warmblood horses with no spinal pathology-Inter- and intravertebral ratios and distribution of contrast columns in neutral and flexed cervical spine. Computed tomographic myelography (CTM) and radiographic myelography (RxM) are diagnostic for extradural spinal cord compression, but knowledge about the contrast distribution in flexion and normal position of nonaffected horses is lacking. Objective: (1) To determine the inter- and intravertebral ratios at C3-C4 of CTM in neutral and flexed positions in Warmbloods. (2) To compare the diameters of the spinal cord and the contrast columns at C3-C4 between neutral and flexed positions in CTM and RxM. (3) To evaluate the variability of measurements. Methods: Terminal in vivo method-comparison stud...
Prevalence of musculoskeletal injuries associated with lameness in Australian campdraft horses. Campdrafting is a unique Australian cow horse sport, which evolved from mustering cattle and is one of Australia's fastest growing equine sports. This discipline is associated with its own unique set of musculoskeletal injuries yet to be reported. Objective: To describe the prevalence, anatomical location, and diagnostic modality used to localise lameness in campdrafting horses to better assist efficient orthopaedic management of the campdraft horse. Methods: Retrospective case series. Methods: Medical records were examined from one private practice equine group and one university veterinary h...
Equine Bone Imaging, Part 2: Role of Nuclear Medicine in Racehorses. The horse racing industry, like any sport, must contend with the effects of injuries on an athlete's performance and longevity. Catastrophic fractures linked to preexisting bone fatigue can be prevented with the use of imaging technology, such as the nuclear medicine bone scan. The accessibility and affordability of imaging for racehorses remain obstacles. The conventional role of bone scintigraphy has evolved with the advent of advanced techniques, including MRI, CT, and PET. Concurrently, SPECT has expanded the role of scintigraphy in the racehorse. This article explores the conventional and...