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Topic:Diagnostic Technique
Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Validation of a novel instrumented hoof boot with pressure sensors using force plate gait kinetics in horses at walk and trot. Force plates (FP) are considered the gold standard for quantitative equine gait evaluation but are limited to experimental use. An instrumented hoof boot (IHB) with pressure sensors and an inertial measurement unit would allow clinicians to objectively assess kinetic parameters and gait symmetry. Objective: To validate the IHB by comparing kinetic parameters with obtained FP data. Methods: In vivo experiments. Methods: Twenty-seven horses were measured with IHBs on FPs at walk and trot. Mean value kinetic parameters recorded were: (1) peak vertical force (PVF) [N/kg]/peak vertical pressure (PV...
Equine viral arteritis in horses undergoing pre-export testing in Spain (2016-2023): Seroprevalence estimates and diagnostic performance of a commercial indirect ELISA. Equine viral arteritis (EVA) is a contagious disease that affects equine reproduction and international trade. Despite its importance, epidemiological data from Spain are limited. This study aimed to assess EVA seroprevalence and evaluate the diagnostic performance of a commercial ELISA in horses before export. Methods: From 2016 to 2023, 5000 serum samples from horses across 16 Spanish autonomous communities were tested using a commercial indirect ELISA. Samples with inconclusive results, or those submitted with specific requests, underwent virus neutralisation testing (VNT). Diagnostic perfo...
Nasopharyngeal and laryngopharyngeal collapse: intra- and interrater agreement supports novel endoscopic scoring classifications in horses. The contribution of reduced airway patency from heightened inspiratory pressure or active muscular contraction to the pathophysiology of pharyngeal collapse is unknown. Existing classifications refer to the entire pharyngeal region; however, anatomical differences are evident between rostral and caudal collapse. Novel classifications and grading systems are proposed to differentiate 2 pathologies: nasopharyngeal collapse (NPC; collapse of ≥ 1 pharyngeal wall rostral to the tip of the epiglottis; grades 0 through 4), and laryngopharyngeal collapse (LPC; collapse of ≥ 1 pharyngeal wall cauda...
The effect of ertugliflozin on serum insulin and glucose in healthy horses receiving dexamethasone. Sodium-glucose cotransporter 2 inhibitors (SGLT-2i) can be used to manage insulin dysregulation (ID). Their effect on corticosteroid-induced ID is unknown. Objective: Evaluate effects of ertugliflozin on serum insulin and glucose concentrations in horses receiving dexamethasone (DEX). We hypothesized that DEX would induce ID and ertugliflozin coadministration would mitigate that effect. Methods: Seven healthy horses. Methods: Randomized crossover design; horses received DEX (0.06 mg/kg IV q48h; DEX)or ertugliflozin (0.05 mg/kg PO q24h) plus DEX (SGLT-2i group) for seven days. Oral sugar (OST...
Etiological and immunological aspects of equine hoof canker. Chronic equine proliferative pododermatitis (canker) is a hypertrophic hoof disease characterized by excessive proliferation of horn-producing tissues resulting from dyskeratosis of keratinocytes. Since its etiology remains unknown, this study investigated potential etiological agents and evaluated biochemical and immunological profiles. Ten horses with hoof canker and ten healthy controls of the Norik of Muran breed were included. Dermatophytes and bovine papillomavirus 1 and 2 (BPV 1/2) were not detected. Candida glabrata was the most frequently identified species in both affected and health...
Weigh tape more accurately estimates equine body weight than morphometric formula: a controlled technical assessment. Accurate body weight (BW) estimation in horses is essential for clinical and nutritional management; however, calibrated scales are often unavailable under field conditions. Objective: To compare the longitudinal accuracy and consistency of a commercial weigh tape and the Carroll and Huntington morphometric formula against calibrated digital scale measurements in adult horses. Methods: In a prospective longitudinal experimental study, six clinically healthy adult crossbred horses (mean real body weight [Rbw] 355.5 ± 21.2 kg) were monitored weekly for 63 days under controlled management condit...
Retrospective investigation of equine parvovirus-hepatitis in Italy. Equine parvovirus-hepatitis (EqPV-H) has recently been identified as the etiological agent of Theiler's disease, a major cause of acute hepatitis and liver failure in horses. While iatrogenic transmission of EqPV-H is well-documented, the natural horizontal transmission of the virus remains poorly understood. This study provides the first comprehensive epidemiological investigation and molecular characterization of EqPV-H in equine populations across Italy. A total of 1320 archival serum samples from northern and southern Italy were screened for the presence of EqPV-H DNA by qPCR. The overall ...
Association of submaximal exercise test variables with diagnosis of asthma in a mixed-breed cohort of leisure horses. Submaximal exercise tests (SET) are used to assess respiratory health in various contexts. The diagnostic value of SETs for the assessment of asthma in the field remains uncertain. Objective: A SET helps distinguish healthy horses and asthma phenotypes. Methods: Twenty-six privately owned mixed-breed leisure horses of a clinical cohort. Horses were healthy (8) or diagnosed with mild (miEA) (4), moderate (modEA) (7), or severe asthma (sEA) (7) according to history, clinical examination, and bronchoalveolar lavage fluid (BALF) cytology. Methods: Cross-sectional study using clinical data and samp...
Seroprevalence and associated epidemiological drivers of glanders in horses: a systematic review and meta-analysis (2002-2026). Glanders (malleus), a highly contagious zoonotic disease caused by Burkholderia mallei, remains an important transboundary disease of equids despite extensive control efforts in many countries. However, its epidemiological patterns and associated drivers have not been comprehensively synthesized. This study aimed to estimate the seroprevalence of glanders in horses and identify key epidemiological drivers based on studies published up to April 27, 2026. Following PRISMA 2020 guidelines, systematic searches were conducted in PubMed, Scopus, Web of Science, ScienceDirect, Cochrane Library, ProQu...
Diagnostic Performance of Digital Tomosynthesis for Detecting Osteophytes and Subchondral Bone Changes in the Equine Distal Interphalangeal and Metacarpophalangeal Joints. Osteoarthritis is a common cause of equine lameness and can involve periarticular osteophytes and subchondral bone (SB) changes. This exploratory ex vivo study evaluated the diagnostic performance of digital tomosynthesis (DT) for detecting these findings in the distal interphalangeal and metacarpophalangeal joints, using computed tomography (CT) classifications as the reference. Sixteen distal forelimbs from nine adult horses underwent imaging with both modalities under simulated weight-bearing conditions. Three independent observers graded osteophytes and SB changes, and the scores were dich...
Equine Metabolic Syndrome and Insulin Dysregulation. Equine metabolic syndrome (EMS) is defined as a collection of metabolic and clinical features that contribute to the development of hyperinsulinemia-associated laminitis (HAL). Insulin dysregulation (ID) is the hallmark feature of EMS and a risk factor for development of HAL. There are several diagnostic tests that can be used to diagnose various forms of ID in horses and ponies. Treatment of EMS/ID includes providing an appropriate diet, exercise program, and pharmacologic intervention in some severe cases.
Characterization of the Healthy Ocular Mycobiome of Purebred Lusitano Horses Using Oxford Nanopore Long-Read Sequencing. The ocular surface represents a unique microbial ecosystem continuously exposed to environmental microorganisms; however, the fungal component of the healthy equine ocular microbiome remains poorly characterized. This study aimed to characterize the ocular surface mycobiome of 12 clinically healthy Purebred Lusitano horses from three geographical regions in Portugal kept in two housing systems using Oxford Nanopore long-read sequencing and conventional fungal culture. Sequencing revealed a highly diverse fungal community with marked inter-individual variability. The most abundant genera were ,...
Correction: Development of an indirect ELISA for the detection of venezuelan equine encephalitis virus specific antibodies in horses. [This corrects the article DOI: 10.1371/journal.pone.0338819.].
Equine alveolar echinococcosis: a focus on epidemiology, clinical and pathological features, and diagnostics. Here, we review equine alveolar echinococcosis (AE), focusing on its epidemiology, clinical and pathological features, and diagnostic challenges, through comparisons with AE in other host species. AE is a zoonotic disease caused by the larval form of the tapeworm. Horses are considered dead-end hosts, in which AE infection can be detected at slaughter, highlighting their potential as sentinel animals in endemic areas. Equine AE is typically asymptomatic and is generally only found incidentally during meat inspection or necropsy. Standard diagnosis involves histopathology and conventional poly...
Context-aware machine learning for lameness side and severity prediction in trotting horses: A proof-of-concept study. In clinical practice, lameness evaluation often relies on visual assessment under different examination conditions, including ground and figures, and remains subjective. Although objective symmetry indices provide quantitative measures of gait asymmetry, their interpretation across multiple conditions remains challenging because several complementary indices are required and their thresholds vary with context. Objective: To assess the ability of a context-aware machine learning approach to predict lameness side and severity at the trot using trunk-mounted IMUs. Methods: Retrospective observati...
Limited evidence for exposure of horses in the United Kingdom to influenza D virus. Since it was first detected in 2011, antibodies to influenza D virus (IDV) have been found in several species, although cattle are the major host. In cattle, IDV is typically associated with mild respiratory signs, but it is clinically significant as a component of bovine respiratory disease complex. Although antibodies to IDV have been detected in equids, no association of IDV with naturally occurring respiratory disease in horses has yet been demonstrated. Objective: The aim of this study was to determine whether IDV may be a causal agent of equine respiratory disease in the UK. Methods: Nas...
Exhaled breath condensate in horses: a first microbiological insight. Exhaled breath condensate (EBC) is a non-invasive method for obtaining samples reflecting the airway lining fluid; however, its microbiological composition remains poorly characterized. Objective: To perform an exploratory microbiological comparison of EBC in clinically healthy horses maintained under different environmental conditions. Methods: An observational study included 30 mares equally distributed into two groups: horses housed in stalls (Racetrack group) and horses maintained under pasture conditions (Farm group). EBC samples were collected using a validated device developed by the re...
Evaluation of a new immunoassay for measuring equine serum insulin and plasma adrenocorticotrophic hormone: A method comparison study. Insulin dysregulation (ID) and pituitary pars intermedia dysfunction (PPID) are common equine endocrinopathies detected by measurement of circulating insulin and adrenocorticotrophic hormone (ACTH) concentrations. Different assays may yield variable results, limiting comparability. Objective: To compare immunoassays developed specifically to measure equine insulin (VIDAS® Equine Insulin; enzyme-linked fluorescent assay [ELFA]) and equine ACTH (VIDAS® Equine ACTH; ELFA) with results obtained from a chemiluminescence immunoassay (CLIA) measured using IMMULITE 2000XPi, a chemiluminescence enzym...
Anatomy and Ultrasound-Guided Injection of the Deep Branch of the Lateral Palmar Nerve in the Horse: A Cadaveric Study. Proximal suspensory ligament (PSL) injuries are a common cause of lameness in horses. Localization of pain in the proximal metacarpal and carpal region remains challenging. Current diagnostic analgesic techniques are not PSL-specific. The aim of this study was to investigate the nerve supply of the PSL, with particular focus on the deep branch of the lateral palmar nerve (DBLPaN), and to develop a landmark-based, ultrasound-guided injection technique targeting this nerve. Unassigned: Eighteen limbs from euthanized horses were dissected to describe the anatomy of the DBLPaN and branches, measur...
Diagnostic and Therapeutic Standing Needle Arthroscopy of the Distal Interphalangeal Joint in 36 Horses. The objective of this study is to describe the technique, complications, and outcomes of standing needle arthroscopy of the distal interphalangeal joint (DIPJ) in horses. Unassigned: This is a retrospective study. Unassigned: Five cadaver forelimbs; 36 client-owned horses. Unassigned: A 1.9-mm needle arthroscope was used to evaluate the DIPJ in cadaver limbs and clinical cases. Horses underwent diagnostic and/or therapeutic arthroscopy under standing sedation and local anaesthesia. Data collected included signalment, diagnostic imaging findings, intraoperative findings, complications, and outc...
Diagnostic utility of trigeminocervical reflex and quantitative sensory testing in horses with trigeminal-mediated headshaking. Assessment of trigeminal nerve (TN) function in horses with trigeminal-mediated headshaking (TMHS) using trigeminocervical reflex (TCR) and quantitative sensory testing (QST) has not been investigated. Objective: Horses with TMHS show lower TCR and QST thresholds than controls. A subset shows left-to-right differences. Methods: Privately owned horses with TMHS (n = 12) and secondary headshaking (sHS; n = 4), from a referral hospital. Headshaking-free controls (n = 14), from the hospital's teaching herd or privately owned. Methods: Prospective case-control-study. In unsedated horses, TCR ...
Electrocardiographic recording in horses at rest: a concordance analysis of two methods. Cardiac arrhythmias are frequently detected during routine auscultation in athletic horses. Assessment of their clinical significance requires electrocardiography (ECG) to analyze waveforms and intervals. In recent years, portable ECG devices have been introduced to simplify electrocardiographic examination, offering advantages such as ease of use and the ability to review results via a smartphone. This study evaluated the utility and accuracy of a portable ECG device compared with a standard electrocardiograph. Simultaneous ECG recordings were obtained from 28 healthy adult horses at rest usi...
Equine piroplasmosis in China, 2000 to 2025: a systematic review and meta-analysis of prevalence and risk factors. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by Theileria equi, Babesia caballi, and Theileria haneyi. We conducted a PRISMA-guided systematic review and meta-analysis to estimate pooled prevalence in China and identify associated risk factors. PubMed, Web of Science, ScienceDirect, CNKI, Wanfang, and VIP were searched through 15 August 2025. Of 2,626 records identified, 80 studies met the inclusion criteria. Random-effects models were used to pool prevalence estimates, and prespecified subgroup analyses and univariate meta-regression were used to explore heterogeneity an...
Centrifugation of peritoneal fluid improves visual assessment of strangulating lesions in equine colic. Early and accurate recognition of a strangulating lesion is essential to expedite surgical intervention in horses presenting with colic. Objective: To evaluate the use of a colour grading scale in the visual assessment of peritoneal fluid, before and after centrifugation, and assess its ability to predict the presence of a strangulating lesion. Methods: Prospective clinical study. Methods: Peritoneal fluid samples from 231 equids presenting with colic were visually analysed immediately after collection and assigned a numerical value based on a developed colour scale. Peritoneal fluid was centr...
Agreement between invasive and oscillometric blood pressure measurements during controlled haemorrhage in anaesthetised horses. Defining the reliability of oscillometry (NIBP) for measuring mean arterial pressure (MAP) during normotension and hypovolaemic hypotension could help with cardiovascular monitoring and management in horses anaesthetised in dorsal recumbency. Objective: To assess agreement between NIBP and invasive MAP during normotension and hypovolaemic hypotension in dorsally-recumbent, anaesthetised horses. Methods: Prospective experimental study using 11 horses. Methods: Under isoflurane anaesthesia, blood was removed at 5 mL/kg bwt increments up to 25 mL/kg bwt and returned in a similar fashion. Pair...
Association between cytology and endoscopy of guttural pouches: a prospective study on 173 horses. Guttural pouch (GP) disorders are clinically important in horses, yet the relationship between endoscopic findings and GP cytology remains poorly defined. Objective: To establish reference cytological values for GP lavage fluid in horses and to investigate associations between inflammatory cytology and endoscopic findings. Methods: Asymptomatic racing horses sampled in the field and horses referred for investigation of respiratory disorders. Methods: Prospective cross-sectional study. Horses underwent clinical examination, upper airway endoscopy, and bilateral transendoscopic GP lavage. A GP i...
Evaluating ex vivo toll-like receptor agonist response as a potential biomarker in equine gastric ulcer syndrome. Equine gastric ulcer syndrome (EGUS) is highly prevalent in horses. Despite its presumed painful nature, evaluation of objective biomarkers associated with EGUS presence and severity remains limited. The objective of this study was to investigate the potential of interleukin-1 beta (IL-1β) release by peripheral blood mononuclear cells (PBMCs) following ex vivo stimulation of toll-like receptors 2 and 4 (TLR2 and TLR4) as a potential biomarker for EGUS status, with gastric lesions used as a proxy for presumed EGUS-associated pain. Venous blood was collected from 77 horses, PBMCs were isolated ...
Correction: Epidemiological study of strongyle infections in equines in Egypt: prevalence and risk factors. [This corrects the article DOI: 10.3389/fvets.2026.1901312.].
Evidence-based interpretation of uterine cultures in mares: Linking bacterial growth patterns to endometrial inflammation. We evaluated uterine bacterial growth patterns and their association with endometrial inflammation (EI) in equine samples collected using uterine swabs (US) or low-volume uterine lavage (UL). A database including 1,545 US and 2,066 UL with cytological and bacteriological results was retrospectively analysed. Endometrial inflammation was defined as ≥2 polymorphonuclear cells per high-power field, and bacterial culture was considered positive when aerobic growth occurred within 48 h, with the number of bacterial isolates per sample recorded (0, 1, 2, or ≥3). Data were analysed using generali...
Preliminary evaluation of beta-endorphin alone and in combination with adrenocorticotropic hormone for the diagnosis of pituitary pars intermedia dysfunction in equids. Limited published data exist regarding the diagnostic utility of beta-endorphin (β-END) for pituitary pars intermedia dysfunction (PPID), either compared with or in combination with adrenocorticotropic hormone (ACTH). Objective: To evaluate β-END as a potential diagnostic test for PPID in comparison with ACTH and to explore the diagnostic performance of combined tests. Methods: Ninety-eight equids aged 19-32 years, owned by the foundation "Stiftung für das Pferd," were included. Methods: A cross-sectional study was conducted in January 2025. Haircoat abnormalities were scored as absent, mi...
