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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.
Equine Corneal Stromal Invasive Squamous Cell Carcinoma: Clinical and in Vivo Confocal Microscopic Features of 7 Cases. To describe the clinical and in vivo confocal microscopy (IVCM) characteristics of horses with corneal stromal invasive squamous cell carcinoma (CSI-SCC). Methods: Retrospective study of 7 horses with histopathologically confirmed unilateral CSI-SCC. Methods: Horses with corneal CSI-SCC were examined by laser scanning IVCM. Signalment, clinical findings, and histopathology results were compared with IVCM findings. Results: Clinical ocular lesions in all horses included a heavily vascularized, opaque, gray or tan, anterior or midstromal opacity invading the cornea from the limbus. The corneal ...
Unilateral vision loss associated with corneal opacity and posterior lens luxation in the right eye of a Thoroughbred gelding: Case report. A 15-year-old Thoroughbred gelding was presented for examination due to chronic corneal opacity in the right eye, which had been noted for several years. An ophthalmic evaluation revealed dense, irregular corneal opacity; an absence of the direct pupillary light reflex; and a positive dazzle reflex. Fluorescein staining was negative and cytology of a corneal conjunctival swab identified nucleated squamous epithelial cells, but no inflammatory cells. Slit-lamp examination failed to visualize intraocular structure, and the lesion was deemed to be chronic and irreversible. An obstacle-avoidance t...
Manual graphic roadmap for transarterial coil embolization of guttural pouch arteries in horses: A technical note. This technical note describes the use of a manual graphic roadmap (MGR) to assist fluoroscopic guidance during transarterial coil embolization (TACE) for guttural pouch (GP) arterial hemorrhage. Horses underwent MGR-assisted TACE at the Equine Clinic, Free University of Berlin, between 2012 and 2024. Surgery was performed under general anesthesia with fluoroscopic guidance. Following the initial angiogram, a transparent foil was secured to the fluoroscopy monitor, and an assistant traced the vascular anatomy with a waterproof marker to create the MGR, which then served as a guide for catheter ...
Functional and histopathologic evidence of laryngeal reinnervation using the spinal accessory nerve in horses. To evaluate functional and histopathologic outcomes of standing selective laryngeal reinnervation using the spinal accessory nerve (SAN) in horses with experimentally induced recurrent laryngeal neuropathy (RLN). Methods: Five Thoroughbred mares. Methods: Prospective cohort study. Methods: The horses underwent left recurrent laryngeal neurectomy followed 8 weeks later by selective laryngeal reinnervation using the SAN. Follow-up evaluations at 4.5, 6, 8, and 12 months included treadmill exercising endoscopy, ultrasonography of intrinsic laryngeal muscles, and percutaneous electrical stimul...
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...
Disorders of the Equine Head and Neck: Paranasal Sinuses. This article provides an overview of equine paranasal sinus disease with emphasis on relevant anatomy, diagnostic considerations, and commonly encountered pathologic conditions. It outlines the structure and drainage of the paranasal sinuses to establish a foundation for understanding disease development and spread. The discussion reviews available diagnostic modalities and their roles in localizing disease and determining underlying causes. Common sinus disorders are presented with attention to their general pathophysiology, diagnostic features, treatment approaches, and expected outcomes. Co...
Confocal laser endomicroscopy: exploring endometrial image quality in relation to the oestrous cycle of mares. Assessment of the endometrium is an essential component of a breeding soundness examination in mares. The current reference standard for evaluating equine endometrial health is histopathological assessment of an endometrial biopsy, however, inconsistencies may arise when a single blinded biopsy is used. Confocal laser endomicroscopy (CLE) is non-invasive and enables real-time in-vivo imaging of the endometrium across multiple locations within the uterine lumen. An initial study revealed variation in CLE image quality between mares. Objective: This study aimed to compare the quality of endometr...
Radiographic findings of candidate stallions presented for licensing at all German Warmblood horse-breeding associations in 2018-2020. Current studies on the health status of young German Warmblood stallions are lacking. Objective: To evaluate the prevalence of radiographic findings at licensing examinations of Warmblood candidate stallions and quantify the environmental influences on the distribution of recorded findings. Methods: In this retrospective observational study, records of 1693 radiographic examinations performed on 1678 German Warmblood stallions presented for licensing in 2018-2020 were reviewed. Data were provided by all German Warmblood horse-breeding associations and their official veterinarians. The collecti...
Deep learning cascade networks for segmentation of fluorine-18 sodium fluoride positron emission tomography scans of equine metacarpo- and metatarsophalangeal joints outperform atlas-based method. To create a labeled dataset and evaluate a convolutional neural network (CNN) for segmentation of fluorine-18 sodium fluoride PET scans of the equine metacarpo- and metatarsophalangeal joint (fetlock), targeting the third metacarpal bone, proximal phalanx, proximal sesamoid bone(s), and soft tissue. Unassigned: PET and corresponding CT scans were retrospectively selected from June 2024 through November 2025 using convenience sampling and coregistered to a common reference frame. The coregistered PET-CT scans were manually labeled; the labels were then transferred to PET-only images and used to...
[Equine laryngeal dysplasia – overview of variable clinical presentation based on 6 cases]. Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...
Standing superficial keratectomy provides long-term control of epithelial and stromal equine immune-mediated keratitis. To describe the demographics and treatment outcomes of horses definitively diagnosed with epithelial or stromal immune-mediated keratitis (IMMK) by use of in vivo confocal microscopy (IVCM) and/or histopathology. Unassigned: Medical records of horses presented to the Cornell University Equine Hospital definitively diagnosed with epithelial or stromal IMMK with IVCM and/or histopathology between 2020 and 2024 were reviewed. Patient signalment, affected eye(s), diagnostics, treatments, and outcomes were assessed. Unassigned: 22 horses met the inclusion criteria. The mean age was 16.9 years (SD, ...
Bridging Species with AI: A Cross-Species Deep Learning Model for Fracture Detection and Beyond. Fractures are a leading cause of morbidity and mortality in Thoroughbred racehorses, posing a significant threat to their welfare and careers. This study introduces a deep learning model specifically designed to facilitate fracture detection in equine athletes. By leveraging extensive training on human fracture data and refining the model with equine imaging, it highlights the transformative potential of transfer learning across species and medical contexts. This approach is not limited to equine fractures but could be adapted for use in detecting injuries or conditions in other veterinary spe...
Evaluation of Pulse Pressure as a Hemodynamic Marker of Cardiac Disease in Dogs and Horses Undergoing Pre-Anesthetic Assessment. Pulse pressure (PP) reflects ventricular stroke volume and arterial compliance, but its utility as a marker of cardiac disease in animals is not well established. This study evaluated the association between PP and echocardiographically confirmed cardiac abnormalities in dogs and horses and assessed its potential in pre-anesthetic evaluation. Clinical and echocardiography examination of 20 dogs and 20 horses was sufficient for inter-group comparisons and assignments to a Cardiac group (echocardiographically confirmed cardiac disease) or a Control group (healthy animals). Non-invasive oscillome...
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...
Current and Future Central Nervous System Surgery-Part 2: Radiculopathy, Vertebral Fractures, and Intracranial Surgery. Equine neurosurgery is a challenge for many surgeons, particularly when central nervous system (CNS) disease is not addressed through ventral cervical stabilization, the most performed neurosurgical procedure. Advances in diagnostic imaging, minimally invasive instrumentation, and computer-assisted surgery are expanding therapeutic possibilities beyond cervical vertebral compressive myelopathy, including radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as percutaneous foraminotomy, facet fixation, targeted decompression, novel implant systems...
Disorders of the Equine Head and Neck: Larynx and Pharynx. This comprehensive review outlines the anatomy, diagnostic methods, pathophysiology, treatment, and prognosis of common equine upper airway disorders. It discusses the structure and function of the larynx and pharynx, and details diagnostic tools such as endoscopy and ultrasound. Major conditions-recurrent laryngeal neuropathy, arytenoid chondropathy, epiglottic entrapment, dorsal displacement of the soft palate, and nasopharyngeal collapse-are described with emphasis on their etiology, clinical signs, and management options for optimizing performance outcomes.
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...
Identifying by Radiograph Grade 4 Aplasia of the Caudal Lamina Ventralis in the Equine Sixth Cervical Vertebra and Three Coinciding Morphological Variations. To date, radiographically identifying the bony landmarks relevant to diagnosing the complete C6 aplasia of the caudal lamina ventralis (C6 aCLV4) has not been described. Furthermore, a gross study has identified C6 aCLV4 as the main correlation between transposition of the CLV from C6 to C7, where coinciding neck pain was commonly reported. This study aimed to identify C6 aCLV4 in radiographs, where the outcome might benefit equine practitioners in isolating neck pain. Initially, the relevant bony landmarks were radiographically determined from a normal C6 by applying a lateral 30° dorsal-ven...
Three-Dimensional Reconstruction of the Equine Palmar Metacarpal Region Using E12 Plastinated Sections. Digital technologies have improved the visualization of anatomical structures for veterinary education and clinical practice. In this study, a detailed three-dimensional anatomical model of the equine palmar metacarpal region was generated using E12-based epoxy sheet plastination combined with digital reconstruction in Amira V5.6 software. Serial cross-sections of the metacarpal region provided high-resolution visualization of bones, tendons, ligaments, nerves, vessels, fasciae, and synovial structures, with minimal shrinkage or deformation, ensuring improved anatomical accuracy. These section...
Ultrasonographic Evidence of Synovitis Correlates with Synovial Citrate and TBARS in Equine Osteoarthritis. Osteoarthritis (OA) is a degenerative joint disease that affects humans and animals worldwide. Its early diagnosis remains challenging due to subtle clinical signs and late radiographic changes. This study aimed to explore candidate biomarkers associated with spontaneous OA and to investigate their correlation with ultrasonographic scores to support early diagnosis. Clinical, radiographic, and ultrasonographic evaluations were performed on 52 equine metacarpophalangeal joints, with and without OA, allowing joint scoring and classification into osteoarthritis (OAG) and control groups. Synovial ...
How to perform a venogram of the equine foot. The objective of this video is to demonstrate a reliable technique for obtaining diagnostic venogram images of the equine foot. Venogram studies are indicated to assess vascular contrast filling of the equine digit, primarily in cases of laminitis. Unassigned: A healthy university-owned horse was used for demonstration purposes. The protocol was approved by the Virginia Polytechnic Institute and State University IACUC. Unassigned: The horse's shoes are removed, and the foot is cleaned of debris. The horse is sedated and a medial and lateral abaxial nerve block performed. The pastern is clipped...
Radiographic Prevalence of Anatomical Variations of the Ventral Lamina of the Sixth Cervical Vertebra, C6/C7 Articular Process Joint Modelling and Competition Outcomes in Warmblood Sport Horses. Anatomical variations of the caudal ventral lamina of the sixth cervical vertebra (C6), referred to as equine caudal cervical morphologic variations (ECCMV), and radiographic modelling of the caudal cervical articular process joints (APJ) are commonly identified in sport horses, yet their interrelationship and relevance for athletic performance remain controversial. This retrospective observational study aimed to determine the prevalence of ECCMV and APJ modelling in a clinically sound warmblood sport horse population, to evaluate a potential association and to assess if ECCMV affects competit...
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...
GnRH Administration Increases Synchronisation of Ovulation in Mares. The objective of this study was to evaluate the effects of exogenous GnRH administration at the beginning of estrus synchronisation in mares during the spring transitional period. Estrus was synchronised using a progesterone releasing intravaginal device (PRID). The PRID was left in the vagina for 10 days, followed by an injection of 0.4 mg of cloprostenol at PRID removal. The GnRH group (n = 32) was subjected to intramuscular administration of 100 μg of the GnRH agonist triptorelin at PRID insertion, while the control group (n = 32) received 1 mL of sterile physiological sali...
Left and right-side echocardiographic measurement of pulmonary artery stiffness in thoroughbred racehorses. Background: Pulmonary Artery Stiffness (PAS) is a non-invasive echocardiographic index of pulmonary artery elasticity. In horses, PAS has been measured only from the right parasternal short-axis view, while the influence of alternative imaging windows remains unknown.Aims/objectivesTo assess the repeatability and reproducibility of Acceleration Time (AT), Maximal Frequency Shift (MFS), and PAS measurements from the left parasternal angled view of the right ventricular inflow/outflow, and to compare these parameters with those obtained from the right parasternal short-axis view in Thoroughbred ...
Risk assessment for condylar stress fracture in elite racing Thoroughbreds using standing computed tomography-based virtual mechanical testing. Condylar stress fracture of the third metacarpal bone (MC3) is a common catastrophic injury in Thoroughbred racehorses and is associated with parasagittal groove (PSG) subchondral osteolysis. Standing computed tomography (sCT) imaging enables sensitive identification of this fatigue-induced early subchondral bone injury (SBI), but there is no objective method for identifying racehorses at heightened risk of condylar stress fracture. Objective: To estimate PSG first principal strain in elite Thoroughbred racehorses that have undergone subjective risk assessment using sCT fetlock screening. Meth...
Doppler assessment of testicular arterial blood flow in stallions: influence of age and 180° spermatic cord torsion. Doppler ultrasonography is a valuable tool for monitoring testicular hemodynamics, offering improved diagnostic insight and supporting treatment monitoring. However, its use in equine andrology remains limited due to a scarcity of published data and reference values. Therefore, this study aimed to characterize the testicular arterial blood flow patterns in clinically normal stallions and stallions with 180° spermatic cord torsion. Spectral Doppler ultrasonography was performed on both testes of 48 Mangalarga Marchador stallions. Thirty stallions with normal testes were divided into three age ...
Returning after a lay-up and absence of recent starts are associated with complete humerus fractures in Thoroughbred racehorses in South Korea (2009-2022). To identify risk factors associated with complete humerus fractures in Thoroughbreds in South Korea. Unassigned: A retrospective case-control design with multivariable logistic regression was used. This study included 131 Thoroughbreds diagnosed with complete humerus fractures following racetrack activity between 2009 and 2022 (inclusive). Additionally, 660 healthy Thoroughbreds (699 observations) with at least 1 racetrack activity during the same period were included as controls. Unassigned: A total of 8 variables were associated with the risk of complete humerus fractures. Notably, horses wi...
Two cases of primary hepatic neoplasia in young horses: Diagnostic challenges and clinical implications. Primary hepatic neoplasms are rare in horses and often have a poor prognosis due to non-specific clinical signs and delayed diagnosis. This report describes two cases of primary hepatic neoplasia in young horses. The first case was a yearling Hanoverian filly presenting with non-specific clinical signs, including poor weight gain and inappetence, ultimately diagnosed with hepatoblastoma based on ultrasonographic findings and histopathological examination. The second case was a three-year-old Polish Sport Horse stallion that died suddenly, with post-mortem examination revealing advanced cholang...
