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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.
Description of two equine nematodes, Parascaris equorum Goeze 1782 and Habronema microstoma Schneider 1866 from the domestic horse Equus ferus caballus (Famisly: Equidae) in Egypt.
Parasitology research    August 19, 2016   Volume 115, Issue 11 4299-4306 doi: 10.1007/s00436-016-5212-1
Morsy K, Bashtar AR, Al Quraishy S, Adel S.Parasitic gastroenteritis (PGE) caused by infection of the gut with parasitic nematodes is one of the most important diseases of livestock animals from both financial and welfare perspectives. Parascaris equorum and Habronema microstoma are of the most endemic nematodes of the world which are currently the major cause of PGE of the domestic horses in Egypt. The present investigation introduced the first morphological description of these nematodes recovered from the domestic horse, Equus ferus caballus (Equidae), in Egypt by light and scanning electron microscopy. Seven P. equorum (fifth stage...
Development of a Semiquantitative Histological Score for the Diagnosis of Heaves Using Endobronchial Biopsy Specimens in Horses.
Journal of veterinary internal medicine    August 16, 2016   Volume 30, Issue 5 1739-1746 doi: 10.1111/jvim.14556
Bullone M, Hélie P, Joubert P, Lavoie JP.Remodeling of the peripheral airways persists during the asymptomatic phase of heaves. Assessing the histology of large bronchi could facilitate the diagnosis of heaves during remission of the disease. Objective: Airway inflammation and remodeling in endobronchial biopsy (EBB) specimens differentiate horses with heaves from controls, independently of their clinical status (exacerbation or remission). Methods: Fourteen healthy horses and 24 horses with heaves. Methods: A 14-point scoring system assessing central bronchial wall inflammation and remodeling was developed. The score was validated b...
[A case of 63,X/64,XX mosaicism in a subfertile pony mare].
Schweizer Archiv fur Tierheilkunde    August 16, 2016   Volume 158, Issue 4 266-268 doi: 10.17236/sat00059
Pieńkowska-Schelling A, Handler J, Neuhauser S, Schelling C.The present case report describes a 6-year old subfertile pony mare, which became pregnant after the eleventh artificial insemination. The examination of the ovaries and the uterus did not reveal any abnormal clinical findings and the mare showed a regular oestrous cycle. Based on cytogenetic and molecular genetic analyses it became possible to elucidate the observed subfertility. The mosaic karyotype of the mare consisted of 63,X (20%) and 64,XX (80%) cells. A PCR analysis failed to amplify sequences from the equine SRY gene. The observed classic 63,X/64,XX mosaicism is a plausible explanatio...
[Historical development of drug testing in Swiss equestrian sports].
Schweizer Archiv fur Tierheilkunde    August 16, 2016   Volume 158, Issue 4 259-265 doi: 10.17236/sat00058
Bachmann V, von Salis B, Fürst A.The goal of this study was to describe the development of equine drug testing in horses in Switzerland. This was achieved through evaluation of a film made by the Institute of Forensic Medicine at the University of Basel entitled 'Doping von Rennpferden' [Doping of Race Horses], toxicological detection, 1962', the analysis of doping test results of the Swiss Equestrian Federation and by interviewing individuals of various professions who were involved in equine drug testing at the time. The study compares early and modern methods of drug testing and highlights the changes in the attitude of eq...
Orbital reconstruction in the dog, cat, and horse.
Veterinary ophthalmology    August 13, 2016   Volume 20, Issue 4 316-328 doi: 10.1111/vop.12420
Wallin-Håkansson N, Berggren K.To describe an adaptable method for reconstruction of the orbit following partial orbitectomy. Methods: One horse, one cat, and four dogs. Methods: Following partial orbitectomy for removal of bone and soft tissue affected by pathologic processes, reconstruction was achieved. Cerclage wires were used to reconstitute the orbital rim and other salient facial contours involved in excisions. These wires were then covered with a prolene mesh, first inside the orbit and then outwards over the affected extraorbital areas. Thereafter, a collagen sheet was placed over the mesh. Finally, subcutis and sk...
Identification and characterization of equine blood plasmacytoid dendritic cells.
Developmental and comparative immunology    August 11, 2016   Volume 65 352-357 doi: 10.1016/j.dci.2016.08.005
Ziegler A, Marti E, Summerfield A, Baumann A.Dendritic cells (DC) are antigen-presenting cells that can be classified into three major cell subsets: conventional DC1 (cDC1), cDC2 and plasmacytoid DCs (pDC), none of which have been identified in horses. Therefore, the objective of this study was to identify and characterize DC subsets in equine peripheral blood, emphasizing on pDC. Surface marker analysis allowed distinction of putative DC subsets, according to their differential expression of CADM-1 and MHC class II. Equine pDC were found to be Flt3(+) CD4(low) CD13(-) CD14(-) CD172a(-) CADM-1(-) MHCII(low). The weak expression of CD4 on...
Validation of the Accutrend Plus point-of-care triglyceride analyzer in horses, ponies, and donkeys.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 10, 2016   Volume 26, Issue 5 682-690 doi: 10.1111/vec.12512
Pongratz MC, Junge HK, Riond B, Schwarzwald CC.To assess the accuracy and reliability of a point-of-care (POC) triglyceride analyzer and to establish reference intervals for blood ([TRIG]POC/WB ) and plasma triglyceride concentrations ([TRIG]POC/PL ) in horses, ponies, and donkeys. Methods: Prospective study. Methods: University teaching hospital. Methods: 120 adult healthy equids (78 horses and ponies, 42 donkeys) and 79 equids suffering from hypertriglyceridemia (73 horses and ponies, 6 donkeys). Methods: None. Results: [TRIG]POC/WB and [TRIG]POC/PL were measured using a POC analyzer and plasma triglyceride concentrations were measured u...
Effect of auriculopalpebral nerve block on Schirmer tear test I values in normal horses.
Veterinary ophthalmology    August 8, 2016   Volume 20, Issue 6 568-570 doi: 10.1111/vop.12419
Visser HE, Diehl KA, Whitley RD, Myrna KE.To compare Schirmer tear test I (STTI) values collected in normal horses with and without an auriculopalpebral nerve block. Methods: Schirmer tear test I values were measured in 20 clinically normal horses (38 eyes) with a median age of 12 years. The order of eyes tested was randomized. Within 24-48 h, at the same time of day, tear measurements were collected again after administration of an auriculopalpebral nerve block. Each block was performed a minimum of 5 min prior to each STT I. A repeated-measures model was used to analyze differences between STT I values in eyes with and without nerve...
A cluster of trace-concentration methamphetamine identifications in racehorses associated with a methamphetamine-contaminated horse trailer: A report and analysis.
The Canadian veterinary journal = La revue veterinaire canadienne    August 6, 2016   Volume 57, Issue 8 860-864 
Brewer K, Shults TF, Machin J, Kudrimoti S, Eisenberg RL, Hartman P, Wang C, Fenger C, Beaumier P, Tobin T.Three low concentration methamphetamine "positive" tests were linked to use of a methamphetamine-contaminated trailer to transport the affected horses. This incident establishes methamphetamine as a human-use substance that can inadvertently enter the environment of racing horses, resulting in urinary methamphetamine "positives;" an interim regulatory cut-off of 15 ng/mL for methamphetamine in post-race urine is proposed. Trois tests «positifs» de faibles concentrations de méthamphétamine ont été associés à l’utilisation d’une remorque contaminée par les méthamphétamines qui é...
Sialoendoscopy as a treatment for an obstructed mandibular salivary duct in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    August 6, 2016   Volume 57, Issue 8 869-872 
Prutton JS, Bonadio C, Vaughan B, Nieto JE, Harvey AM, Estell KE.A 14-year-old Quarter Horse was examined for a draining tract of 8 months' duration on the right mandible that was non-responsive to antibiotic therapy and surgical therapy. Further investigation and subsequent treatment with sialoendoscopy and ultrasonography were performed to relieve an obstruction of plant awns in the mandibular salivary duct. Un cheval Quarter Horse âgé de 14 ans a été examiné pour une fistule purulente d’une durée de 8 mois à la mandibule droite qui ne répondait pas à la thérapie antibiotique et à la thérapie chirurgicale. De nouvelles investigations et le ...
Using the Horse Grimace Scale (HGS) to Assess Pain Associated with Acute Laminitis in Horses (Equus caballus).
Animals : an open access journal from MDPI    August 3, 2016   Volume 6, Issue 8 47 doi: 10.3390/ani6080047
Dalla Costa E, Stucke D, Dai F, Minero M, Leach MC, Lebelt D.Acute laminitis is a common equine disease characterized by intense foot pain, both acutely and chronically. The Obel grading system is the most widely accepted method for describing the severity of laminitis by equine practitioners, however this method requires movement (walk and trot) of the horse, causing further intense pain. The recently developed Horse Grimace Scale (HGS), a facial-expression-based pain coding system, may offer a more effective means of assessing the pain associated with acute laminitis. The aims of this study were: to investigate whether HGS can be usefully applied to a...
The Effect of Fasting Duration on Baseline Blood Glucose Concentration, Blood Insulin Concentration, Glucose/Insulin Ratio, Oral Sugar Test, and Insulin Response Test Results in Horses.
Journal of veterinary internal medicine    August 2, 2016   Volume 30, Issue 5 1726-1731 doi: 10.1111/jvim.14529
Bertin FR, Taylor SD, Bianco AW, Sojka-Kritchevsky JE.Published descriptions of the oral sugar test (OST) and insulin response test (IRT) have been inconsistent when specifying the protocol for fasting horses before testing. The purpose of our study was to examine the effect of fasting duration on blood glucose concentration, blood insulin concentration, glucose/insulin ratio, OST, and IRT results in horses. Methods: Ten healthy adult horses. Methods: Both OST and IRT were performed on horses without fasting and after fasting for 3, 6, and 12 hours. Thus, 8 tests were performed per horse in a randomized order. Blood collected at the initial time ...
Correlation of Articular Cartilage Thickness Measurements Made with Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Computed Tomographic Arthrography with Gross Articular Cartilage Thickness in the Equine Metacarpophalangeal Joint. Porter EG, Winter MD, Sheppard BJ, Berry CR, Hernandez JA.Osteoarthritis of the metacarpophalangeal joint is common cause of lameness in equine athletes, and is hallmarked by articular cartilage damage. An accurate, noninvasive method for measuring cartilage thickness would be beneficial to screen for cartilage injury and allow for prompt initiation of interventional therapy. The objective of this methods comparison study was to compare computed tomographic arthrography (CTA), magnetic resonance imaging (MRI), and magnetic resonance arthrography (MRA) measurements of articular cartilage thickness with gross measurements in the metacarpophalangeal joi...
Comparison of two ultrasound-guided injection techniques targeting the sacroiliac joint region in equine cadavers.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 29, 2016   Volume 29, Issue 5 386-393 doi: 10.3415/VCOT-16-03-0041
Stack JD, Bergamino C, Sanders R, Fogarty U, Puggioni A, Kearney C, David F.To compare the accuracy and distribution of injectate for cranial (CR) and caudomedial (CM) ultrasound-guided injections of equine sacroiliac joints. Methods: Both sacroiliac joints from 10 lumbosacropelvic specimens were injected using cranial parasagittal (CR; curved 18 gauge, 25 cm spinal needles) and caudomedial (CM; straight 18 gauge, 15 cm spinal needles) ultrasound-guided approaches. Injectate consisted of 4 ml iodinated contrast and 2 ml methylene blue. Computed tomographical (CT) scans were performed before and after injections. Time for needle guidance and repositioning attempts were...
Correction: Effects of repetition within trials and frequency of trial sessions on quantitative parameters of vertical force peak in horses with naturally occurring lameness.
American journal of veterinary research    July 28, 2016   Volume 77, Issue 8 897 doi: 10.2460/ajvr.77.8.897
No abstract available
Measurement of distal limb sub-bandage pressure over 96 hours in horses.
Equine veterinary journal    July 28, 2016   Volume 49, Issue 3 329-333 doi: 10.1111/evj.12601
Canada NC, Beard WL, Guyan ME, White BJ.Currently, there is no objective information quantifying pressures exerted by distal limb bandages. Objective: To quantify the pressure exerted by each compression layer, a polo wrap (DLP), a compression bandage (DLC), and to measure the effect of time on sub-bandage pressure. Methods: Longitudinal observational experiment. Methods: A DLC construct included a cotton roll compressed with brown gauze and elastic layers and the DLP construct included a pillow pad compressed by a cloth wrap. Dorsal and lateral sensors were placed on the mid-metacarpus. In healthy horses, sub-bandage pressures were...
Finite-Element Analysis of Bone Stresses on Primary Impact in a Large-Animal Model: The Distal End of the Equine Third Metacarpal.
PloS one    July 26, 2016   Volume 11, Issue 7 e0159541 doi: 10.1371/journal.pone.0159541
McCarty CA, Thomason JJ, Gordon KD, Burkhart TA, Milner JS, Holdsworth DW.To assess whether the transient stresses of foot impact with the ground are similar to those found during midstance loading and if the location of high stress correlate with the sites most commonly associated with mechanically induced osteoarthritis (OA). We compared impact stresses in subchondral bone between two subject-specific, three-dimensional, finite-element models of the equine metacarpophalangeal (MCP) joint-one with advanced OA and one healthy, and with similar published data on the stresses that occur at midstance. Methods: Two right MCP joints (third metacarpal and proximal phalanx...
Bone structural similarity score: a multiparametric tool to match properties of biomimetic bone substitutes with their target tissues.
Journal of applied biomaterials & functional materials    July 26, 2016   Volume 14, Issue 3 e277-e289 doi: 10.5301/jabfm.5000283
Falvo D'Urso Labate G, Baino F, Terzini M, Audenino A, Vitale-Brovarone C, Segers P, Quarto R, Catapano G.One of the hardest tasks in developing or selecting grafts for bone substitution surgery or tissue engineering is to match the structural and mechanical properties of tissue at the recipient site, because of the large variability of tissue properties with anatomical site, sex, age and health conditions of the patient undergoing implantation. We investigated the feasibility of defining a quantitative bone structural similarity score based on differences in the structural properties of synthetic grafts and bone tissue. Methods: Two biocompatible hydroxyapatite porous scaffolds with different nom...
Use of a laparoscopic specimen retrieval pouch to facilitate removal of intact or fragmented cystic calculi from standing sedated horses: 8 cases (2012-2015).
Journal of the American Veterinary Medical Association    July 22, 2016   Volume 249, Issue 3 304-310 doi: 10.2460/javma.249.3.304
Katzman SA, Vaughan B, Nieto JE, Galuppo LD.OBJECTIVE To evaluate the use of a laparoscopic specimen retrieval pouch for removal of intact or fragmented cystic calculi from standing horses. DESIGN Retrospective case series. ANIMALS 8 horses (5 geldings and 3 mares) with cystic calculi. PROCEDURES Physical examination and cystoscopic, ultrasonographic, and hematologic evaluations of urinary tract function were performed for each horse. A diagnosis of cystic calculus was made on the basis of results of cystoscopy and ultrasonography. Concurrent urolithiasis or other urinary tract abnormalities identified during preoperative evaluation wer...
Glanders and the risk for its introduction through the international movement of horses.
Equine veterinary journal    July 22, 2016   Volume 48, Issue 5 654-658 doi: 10.1111/evj.12599
Kettle AN, Wernery U.Glanders is the contagious zoonotic disease caused by infection with Burkholderia mallei. It affects primarily horses, donkeys and mules. The disease was eradicated from large areas of the Western world in the early 20th century, but, over the last 10-20 years, has emerged and re-emerged in areas in which it was previously unknown or had been eradicated. Although glanders was previously thought to manifest in only acute or chronic presentations, it now appears that B. mallei can produce latent infections similar to those caused by Burkholderia pseudomallei. These latent infections may or may...
High resolution imaging of the equine cornea using the DUB®-SkinScanner v3.9.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    July 19, 2016   Volume 44, Issue 6 360-367 doi: 10.15653/TPG-160344
Herbig LE, Köhler L, Eule JC.The aim was to describe the use of the DUB®-SkinScanner v3.9 (taberna pro medicum GmbH, Lueneburg, Germany) for the examination of the equine cornea. Methods: Using the DUB®-SkinScanner v3.9 various pathological corneal conditions were pictured in the A- and B-mode at a frequency of 22 and/or 50 MHz in nine eyes of eight horses. Scans were obtained from standing horses or from horses under general anesthesia non-related to image acquisition. Results: The examination allowed real time imaging and measurement of the equine cornea in vivo. Compared to slit-lamp biomicroscopy additional informa...
Genetic testing in veterinary dermatology.
Veterinary dermatology    July 18, 2016   Volume 28, Issue 1 4-e1 doi: 10.1111/vde.12309
Leeb T, Müller EJ, Roosje P, Welle M.Molecular genetics has made significant advances in the analysis of hereditary dermatoses during the last several years. Objective: To provide an update on currently available genetic tests for skin diseases of dogs, cats and horses, and to aid the veterinary clinician in the appropriate selection and applications of genetic tests. Methods: The scientific literature on the topic was critically reviewed. The list of known causative variants for genodermatoses and hair morphology traits was compiled by searching the Online Mendelian Inheritance in Animals (OMIA) database. Results: Genetic testin...
Prevalence of netF-positive Clostridium perfringens in foals in southwestern Ontario.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    July 14, 2016   Volume 80, Issue 3 242-244 doi: 10.1371/journal.pone.0122684
Finley A, Gohari IM, Parreira VR, Abrahams M, Staempfli HR, Prescott JF.NetF-producing Clostridium perfringens have recently been identified as a cause of necrotizing enteritis in neonatal foals, but little is known about its prevalence in clinically normal foals. Foals (n = 88) ranging in age from < 1 wk to 2 to 4 mo (median age 2 to 4 wk) on 8 horse-breeding farms in Ontario were examined on 1 or 2 occasions for the presence of C. perfringens. Of the foals that tested positive, 5 isolates (n = 675) were examined for the netF and enterotoxin (cpe) genes. Colonization by C. perfringens was most marked in foals < 1 wk of age [4.85 ± 2.70 log10 colony-forming...
Acute-phase proteins as diagnostic markers in horses with colic.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    July 6, 2016   Volume 26, Issue 5 664-674 doi: 10.1111/vec.12504
Pihl TH, Scheepers E, Sanz M, Goddard A, Page P, Toft N, Kjelgaard-Hansen M, Andersen PH, Jacobsen S.To investigate the diagnostic potential of the concentrations of acute-phase proteins serum amyloid A (SAA), haptoglobin (Hp), and fibrinogen in blood and peritoneal fluid (PF) for differentiating horses with inflammatory colic (entero-colitis and peritonitis) from those with surgical colic. Methods: Prospective observational multicenter study. Methods: Two university referral hospitals. Methods: Horses referred for severe acute abdominal pain to Hospital 1 (n = 148) or Hospital 2 (n = 78). Methods: Blood and PF samples collected at admission were used for acute-phase protein concentration...
Comparison of different regimens of estradiol benzoate treatments followed by long-acting progesterone to prepare noncycling mares as embryo recipients.
Theriogenology    July 5, 2016   Volume 86, Issue 7 1749-1756 doi: 10.1016/j.theriogenology.2016.05.041
Silva ES, Roser JF, Gomes AR, Fritsch SC, Pantoja JC, Oliveira-Filho JP, Meira C.The present study evaluated the influence of different regimens of estradiol benzoate (EB) treatments followed by a single dose of long-acting progesterone (LA P4) on plasma estrogen and P4 concentrations in noncyclic mares prepared as embryo recipients. Twenty-one anestrous mares were distributed into three groups (n = 7 mares per group), according to the EB dose received (single dose of 2.5 mg, total of 5 mg in decreasing doses, and total of 10 mg in decreasing doses), which was followed by a single administration of 1500 mg of LA P4 in all groups. Mares were reevaluated during the ovula...
Quantitative analysis of infiltrating immune cells and bovine papillomavirus type 1 E2-positive cells in equine sarcoids.
Veterinary journal (London, England : 1997)    July 5, 2016   Volume 216 45-52 doi: 10.1016/j.tvjl.2016.06.016
Geisshüsler H, Marti E, Stoffel MH, Kühni K, Stojiljkovic A, von Tscharner C, Vidondo B, Gerber V, Koch C.Sarcoids are the most frequently observed skin tumours in equids and consist of cutaneous accumulations of transformed fibroblasts. Their aetiopathogenesis is closely linked to a presumably abortive infection by bovine papillomavirus (BPV) types 1 and 2. In cattle, dermal fibropapillomas induced by BPV1/2 usually regress spontaneously due to a local, cell-mediated, immune response; however, equids appear to lack an effective immune response to BPV1/2 and mechanisms of immune evasion have been postulated. As a consequence, equine sarcoids tend to persist and are prone to recur. In this study, c...
Feasibility and safety of lumbosacral epiduroscopy in the standing horse.
Equine veterinary journal    July 4, 2016   Volume 49, Issue 3 322-328 doi: 10.1111/evj.12591
Shrauner B, Blikslager A, Davis J, Campbell N, Law M, Lustgarten M, Prange T.The large size of the adult horse prevents the use of advanced imaging modalities in most areas of the axial skeleton, including the lumbosacral vertebral column. Traditional imaging techniques are frequently unable to pinpoint the underlying pathology in horses with caudal back pain. In man, lumbosacral epiduroscopy is used to diagnose and treat subjects with chronic back and leg pain. This technique may close the diagnostic gap in horses with similar clinical signs. Objective: To evaluate the safety and feasibility of lumbosacral epiduroscopy in the standing adult horse. Methods: Descriptive...
Evaluation of diagnostic methods in equine endometritis.
Reproductive biology    June 29, 2016   Volume 16, Issue 3 189-196 doi: 10.1016/j.repbio.2016.06.002
Katila T.This review suggests a classification for uterine diseases of mares. Information is presented on the prevalence of endometritis in the past and at present. The review describes uterine sampling techniques for mares: swabbing, cytobrushing, low volume lavage and biopsy. The performance of culture, cytology and histology and threshold values is discussed. Correlations between different diagnostic methods and fertility are presented, as well as specificities, sensitivities and positive and negative predictive values of the diagnostic methods. The necessity for double-guarded techniques is emphasi...
Equine antibody response to larval Parascaris equorum excretory-secretory products.
Veterinary parasitology    June 29, 2016   Volume 226 83-87 doi: 10.1016/j.vetpar.2016.06.036
Burk SV, Dangoudoubiyam S, Brewster-Barnes T, Howe DK, Carter CN, Bryant UK, Rossano MG.Parascaris equorum is an intestinal nematode of foals and young horses that can produce mild to severe pathology. Current diagnosis is limited to detection of patent infections, when parasite eggs are identified during fecal examinations. This study examined the use of larval P. equorum excretory-secretory (ES) products in a western blot test for diagnosis of prepatent equine P. equorum infection. Sera from adult mares negative for patent P. equorum infections, foals prior to consuming colostrum, and P. equorum infected foals were used as controls in this study. Study samples included sera fro...
Optimized methods for extracting circulating small RNAs from long-term stored equine samples.
Acta veterinaria Scandinavica    June 29, 2016   Volume 58, Issue 1 44 doi: 10.1186/s13028-016-0224-5
Unger L, Fouché N, Leeb T, Gerber V, Pacholewska A.Circulating miRNAs in body fluids, particularly serum, are promising candidates for future routine biomarker profiling in various pathologic conditions in human and veterinary medicine. However, reliable standardized methods for miRNA extraction from equine serum and fresh or archived whole blood are sorely lacking. We systematically compared various miRNA extraction methods from serum and whole blood after short and long-term storage without addition of RNA stabilizing additives prior to freezing. Time of storage at room temperature prior to freezing did not affect miRNA quality in serum. Fur...