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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.
Validity and repeatability of goniometry in normal horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 28, 2016   Volume 29, Issue 4 314-319 doi: 10.3415/VCOT-15-11-0182
Adair HS, Marcellin-Little DJ, Levine D.To assess validity and inter- and intra-tester reliability of equine goniometry and to establish values for carpal, metacarpophalangeal, tarsal, and metatarsophalangeal flexion and extension in horses. Methods: Seventeen healthy equine subjects of varied breeds were used. Methods: Three investigators blindly and independently measured in triplicate the extension and flexion of carpal, metacarpophalangeal, tarsal, and metatarsophalangeal joints of 17 horses after sedation. Radiographs of these joints in flexion and extension were acquired while under sedation. Goniometric and radiographic measu...
Interlaboratory ring trial to evaluate CFT proficiency of European laboratories for diagnosis of glanders in equids.
The Veterinary record    April 27, 2016   Volume 178, Issue 25 632 doi: 10.1136/vr.103617
Laroucau K, Colaneri C, Jaÿ M, Corde Y, Drapeau A, Durand B, Zientara S, Beck C.To evaluate the routine complement fixation test (CFT) used to detect Burkholderia mallei antibodies in equine sera, an interlaboratory proficiency test was held with 24 European laboratories, including 22 National Reference Laboratories for glanders. The panels sent to participants were composed of sera with or without B mallei antibodies. This study confirmed the reliability of CFT and highlighted its intralaboratory reproducibility. However, the sensitivity of glanders serodiagnosis and laboratory proficiency may be improved by standardising critical reagents, including antigens, and by dev...
Antimicrobial resistance trends among Salmonella isolates obtained from horses in the northeastern United States (2001-2013).
American journal of veterinary research    April 26, 2016   Volume 77, Issue 5 505-513 doi: 10.2460/ajvr.77.5.505
Cummings KJ, Perkins GA, Khatibzadeh SM, Warnick LD, Aprea VA, Altier C.OBJECTIVE To describe the antimicrobial resistance patterns of Salmonella isolates obtained from horses in the northeastern United States and to identify trends in resistance to select antimicrobials over time. SAMPLE 462 Salmonella isolates from horses. PROCEDURES Retrospective data were collected for all Salmonella isolates obtained from equine specimens that were submitted to the Cornell University Animal Health Diagnostic Center between January 1, 2001, and December 31, 2013. Temporal trends in the prevalence of resistant Salmonella isolates were investigated for each of 13 antimicrobials ...
Technical innovation changes standard radiographic protocols in veterinary medicine: is it necessary to obtain two dorsoproximal-palmarodistal oblique views of the equine foot when using computerised radiography systems?
The Veterinary record    April 25, 2016   Volume 178, Issue 21 531 doi: 10.1136/vr.103396
Whitlock J, Dixon J, Sherlock C, Tucker R, Bolt DM, Weller R.Since the 1950s, veterinary practitioners have included two separate dorsoproximal-palmarodistal oblique (DPr-PaDiO) radiographs as part of a standard series of the equine foot. One image is obtained to visualise the distal phalanx and the other to visualise the navicular bone. However, rapid development of computed radiography and digital radiography and their post-processing capabilities could mean that this practice is no longer required. The aim of this study was to determine differences in perceived image quality between DPr-PaDiO radiographs that were acquired with a computerised radiogr...
Accuracy of a Mouse Bioassay for the Diagnosis of Botulism in Horses.
Journal of veterinary internal medicine    April 25, 2016   Volume 30, Issue 4 1293-1299 doi: 10.1111/jvim.13950
Johnson AL, McAdams-Gallagher SC, Aceto H.The laboratory diagnosis of botulism in horses traditionally has relied upon the mouse bioassay (MBA). The accuracy of this test for the diagnosis of botulism in horses is unknown. Objective: Our goal was to determine the sensitivity, specificity, positive predictive value, and negative predictive value of the MBA on laboratory-processed fecal and gastrointestinal samples for foals and adult horses. Methods: Cases included all horses with a final clinical diagnosis of botulism that were admitted between 1986 and 2011 and had MBA testing performed. Controls included horses without botulism that...
Fecal Glucocorticoid Analysis: Non-invasive Adrenal Monitoring in Equids.
Journal of visualized experiments : JoVE    April 25, 2016   Issue 110 53479 doi: 10.3791/53479
Yarnell K, Purcell RS, Walker SL.Adrenal activity can be assessed in the equine species by analysis of feces for corticosterone metabolites. During a potentially aversive situation, corticotrophin releasing hormone (CRH) is released from the hypothalamus in the brain. This stimulates the release of adrenocorticotrophic hormone (ACTH) from the pituitary gland, which in turn stimulates release of glucocorticoids from the adrenal gland. In horses the glucocorticoid corticosterone is responsible for several adaptations needed to support equine flight behaviour and subsequent removal from the aversive situation. Corticosterone met...
Imiquimod treatment for Equus caballus papillomavirus infection in equine aural plaques.
Veterinary dermatology    April 24, 2016   Volume 27, Issue 3 175-e44 doi: 10.1111/vde.12305
Zakia LS, Olivo G, Basso RM, Mira J, Herman M, Araujo JP, Borges AS, Oliveira-Filho JP.Aural plaques are a dermatopathy associated with Equus caballus papillomavirus (EcPV). This disease affects horses of all ages, genders and breeds, and causes sensitivity of the ears. Objective: The aim of this study was to evaluate the clinical efficacy of 5% imiquimod cream for the treatment of aural plaques and to compare the PCR detection of EcPV 3, 4, 5 and 6 before and after treatment. Methods: Eight horses diagnosed with aural plaques (14 ears) were used. Three mares with unilateral aural plaques were used as untreated controls. Methods: Imiquimod cream was applied every 48 h until comp...
In vitro production of Trypanosoma equiperdum antigen and its evaluation for use in serodiagnosis of dourine.
Veterinary parasitology    April 23, 2016   Volume 223 133-140 doi: 10.1016/j.vetpar.2016.04.032
Bassarak B, Moser I, Menge C.A modified Baltz's in vitro cultivation system for the propagation of Trypanosoma equiperdum strain OVI was established to develop a replacement for the conventional production procedure of dourine diagnostic antigen in rats. To increase trypanosome yields we designed an optimized culture medium by addition of supplemental compounds. Trypanosomes were adapted to this medium by two succeeding cultivation steps which led to a substantial proliferation rate and an increased cell density tolerance, respectively. As a result, adapted parasites could be propagated to maximum cell densities of >2Ã...
Microscopic and Molecular Detection of Theileria (Babesia) Equi Infection in Equids of Kurdistan Province, Iran.
Iranian journal of parasitology    April 21, 2016   Volume 11, Issue 1 86-90 
Habibi G, Esmaeilnia K, Hablolvarid MH, Afshari A, Zamen M, Bozorgi S.Equine piroplasmosis (EP) is the cause of persistent tick-borne infection with no symptoms, but the most important problem of EP is due to the persistent carrier state. Carrier animals to Babesia (Theileria) equi (Laveran 1901) and B. caballi (Nuttall, 1910) infestation could be identified by extremely sensitive PCR-based method. The purpose of this study was to identify the causative agents of equine piroplasmosis based on molecular and microscopic assays in equids from Kurdistan Province, Iran. Methods: Thirty one horse and mule blood samples were used with history of living in Kurdistan Pro...
Comparative evaluation of recombinant HSP70 (N & C-terminal) fragments in the detection of equine trypanosomosis.
Veterinary parasitology    April 20, 2016   Volume 223 77-87 doi: 10.1016/j.vetpar.2016.04.015
Kumar J, Chaudhury A, Yadav SC.Trypanosomosis (Surra) is an economically important disease caused by Trypanosoma evansi which is an extracellular parasite present in the plasma, tissues and other body fluids of a wide range of hosts including domesticated animals. Currently, serological reports are based on detection of antibodies by ELISA using whole cell lysate (WCL) antigen, which has a limitation of persistence of anti-trypanosomal antibodies after successful treatment of the disease. Moreover, it has some ethical issues also like requirement of mice for in vivo maintenance of parasite for preparing the antigen. Therefo...
Development of a Luminex-Based DIVA Assay for Serological Detection of African Horse Sickness Virus in Horses.
Transboundary and emerging diseases    April 19, 2016   Volume 63, Issue 4 353-359 doi: 10.1111/tbed.12503
Sánchez-Matamoros A, Nieto-Pelegrín E, Beck C, Rivera-Arroyo B, Lecollinet S, Sailleau C, Zientara S, Sánchez-Vizcaíno JM.African horse sickness (AHS) is considered a fatal re-emergent vector-borne disease of horses. In the absence of any effective treatment for AHS, vaccination remains the most effective form of disease control. The new generation of vaccines, such as one based on purified, inactivated AHS virus (AHSV, serotype 4), which does not induce antibodies against non-structural protein 3 (NS3), enables the development of diagnostic methods that differentiate infected from vaccinated animals (DIVA assays). As detecting AHS in AHSV-free countries may lead to restrictions on international animal movements ...
Practical Considerations in Trace Element Analysis of Bone by Portable X-ray Fluorescence.
Journal of forensic sciences    April 19, 2016   Volume 61, Issue 4 1041-1045 doi: 10.1111/1556-4029.13103
Byrnes JF, Bush PJ.Forensic anthropologists are more often turning to nondestructive methods to assist with skeletal analyses, specifically for trace elemental analyses. Portable XRF (pXRF) instruments are versatile and are able to be used in diverse settings or for specimens of a shape and size that cannot be accommodated by laboratory-based instruments. Use of XRF requires knowledge of analysis parameters such as X-ray penetration and exit depth. Analysis depth was determined by examining pure elements through known thicknesses of equine bone slices. Correlation between the element's X-ray emission energy and ...
Molecular detection and prevalence of Theileria equi and Babesia caballi in horses of central Balkan.
Acta parasitologica    April 15, 2016   Volume 61, Issue 2 337-342 doi: 10.1515/ap-2016-0044
Davitkov D, Vucicevic M, Stevanovic J, Krstic V, Slijepcevic D, Glavinic U, Stanimirovic Z.Equine piroplasmosis is significant tick-borne disease with wide distribution. The prevalence of equine piroplasmosis in Serbia, Montenegro and Bosnia and Herzegovina is unknown. In aim to obtain a first insight into the prevalence we performed molecular epidemiological study which included 142 horses, on seven locations in these three countries. We first performed PCR for the detection of a 450bp long section of the 18S rRNA of piroplasma-specific region. For all positive samples we have done multiplex PCR for the species detection. Species determination was further confirmed by sequencing PC...
Missense Mutation in the Ligand-Binding Domain of the Horse Androgen Receptor Gene in a Thoroughbred Family with Inherited 64,XY (SRY+) Disorder of Sex Development. Bolzon C, Joonè CJ, Schulman ML, Harper CK, Villagómez DA, King WA, Révay T.Disorders of sex development (DSD) have long been documented in domestic animal species including horses. However, there is only a single report of an androgen receptor (AR) mutation causative of such a DSD syndrome in a horse pedigree. Here, we present a new familial AR mutation in horses. A missense mutation (c.2042G>C) at AR exon 4 explains the segregation of the DSD in a Thoroughbred horse pedigree. The mutation, expected to affect the ligand-binding domain of the AR protein, led to complete androgen insensitivity of 64,XY SRY+, testicular DSD individuals. Additionally, the design of a ...
Arthrodesis of the equine centrodistal and tarsometatarsal joints using a single modified kerf-cut cylinder.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 227-231 doi: 10.3415/VCOT-15-10-0167
Biedrzycki AH, Grant BD, Nemke B, Markel MD, Morello SL.To describe a technique for surgical placement of a modified kerf-cut cylinder for the purpose of arthrodesis across the equine centrodistal and tarsometatarsal joints. Methods: Each horse (n = 4) underwent unilateral placement of a single kerf-cut cylinder spanning the centrodistal and tarsometatarsal joints with the placement of an autologous cancellous bone graft. Horses were evaluated via lameness examination and radiography postoperatively and euthanatization of each horse was performed at four different time points up to 12 weeks post-surgery to evaluate for lameness, implant stability a...
Identification of immunodiagnostic antigens for cerebrospinal filariasis in horses by western blot analysis.
Journal of equine science    April 12, 2016   Volume 27, Issue 1 17-18 doi: 10.1294/jes.27.17
Takesue M, Osaka Y, Muranaka M, Katayama Y, Ikadai H.In the present study, the serum and cerebrospinal fluid of horses diagnosed with Setaria digitata cerebrospinal filariasis were analyzed by western blot. The results revealed S. digitata protein bands measuring 65, 34, 22, and 18 kDa in molecular weight. In particular, the 18 kDa band is a possible candidate for clinical immunodiagnosis on the basis of western blot findings.
Hematological and biochemical features of postpartum fever in the heavy draft mare.
Journal of equine science    April 12, 2016   Volume 27, Issue 1 13-16 doi: 10.1294/jes.27.13
Aoki T, Kimura Y, Oya A, Chiba A, Ishii M, Nambo Y.Heavy draft mares potentially have a higher risk of suffering from postpartum fever (PF) than light breed mares. The purpose of this study was to compare hematological and biochemical features between clinically healthy mares (n=40) and PF-affected mares (n=16). Mares were classified as having PF when their rectal temperature rose to >38.5°C within 96 hr of foaling. The numbers of leukocytes, lymphocytes, and neutrophils and the serum magnesium level were significantly lower in PF-affected mares. The serum SAA and NEFA levels were significantly higher in PF-affected mares. Strong inflammation...
Body composition assessment in horses using bioimpedance spectroscopy.
Journal of animal science    April 12, 2016   Volume 94, Issue 2 533-541 doi: 10.2527/jas.2015-9837
Ward LC, White KJ, van der Aa Kuhle K, Cawdell-Smith J, Bryden WL.Assessment of equine body composition using objective measurements is difficult owing to the large size of the animals and the costs involved. Bioelectrical impedance spectroscopy (BIS), a technique widely used for the assessment of body composition in humans, was investigated for practicality of use in horses. BIS uses algorithms that require values for the apparent resistivities of body fluids and body proportion factors (Kb), currently not available for horses. Aims of the present study were to derive resistivity coefficients and body proportion factors and to validate their use for predict...
Fixation of supraglenoid tubercle fractures using distal femoral locking plates in three Warmblood horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 246-252 doi: 10.3415/VCOT-15-10-0164
Frei S, Fürst AE, Sacks M, Bischofberger AS.Three horses that were presented with supraglenoid tubercle fractures were treated with open reduction and internal fixation using distal femoral locking plates (DFLP). Placing the DFLP caudal to the scapular spine in order to preserve the suprascapular nerve led to a stable fixation, however, it resulted in infraspinatus muscle atrophy and mild scapulohumeral joint instability (case 1). Placing the DFLP cranial to the scapular spine and under the suprascapular nerve resulted in a stable fixation, however, it resulted in severe atrophy of the supraspinatus and infraspinatus muscles and scapulo...
Clinicopathological findings in horses with a bi- or tripartite navicular bone.
BMC veterinary research    April 9, 2016   Volume 12 74 doi: 10.1186/s12917-016-0698-4
van der Zaag EJ, Weerts EA, van den Belt AJ, Back W.Navicular bone partition is a rare condition reported in horses, which is during the evaluation of a lameness or prepurchase examination often misinterpreted for a parasagittal fracture. In this report, the clinicopathological findings of three cases of navicular bone partition are evaluated. The possible pathomechanisms underlying the condition are hypothesised, focusing on a potential origin of foetal vascular disturbance. This study is furthermore aiming at a clearer and earlier recognition of navicular bone partition, since this condition would finally predispose for a clinical lameness wi...
Accuracy and Precision of Noninvasive Blood Pressure in Normo-, Hyper-, and Hypotensive Standing and Anesthetized Adult Horses.
Journal of veterinary internal medicine    April 5, 2016   Volume 30, Issue 3 866-872 doi: 10.1111/jvim.13928
Heliczer N, Lorello O, Casoni D, Navas de Solis C.Blood pressure is relevant to the diagnosis and management of many medical, cardiovascular and critical diseases. The accuracy of many commonly used noninvasive blood pressure (NIBP) monitors and the accuracy of NIBP measurements in hypo- and hypertensive standing horses has not been determined. Objective: The objective of this study was to investigate the accuracy of an oscillometric BP monitor in standing horses before and during pharmacologically induced hyper- and hypotension and to compare results in standing and anesthetized horses. Methods: Eight standing mares from a research herd (SG)...
Histological findings in equine testes one year after standing laparoscopic peritoneal flap hernioplasty.
The Veterinary record    April 4, 2016   Volume 178, Issue 18 450 doi: 10.1136/vr.103236
Gracia-Calvo LA, Ezquerra LJ, Ortega-Ferrusola C, Martín-Cuervo M, Tapio H, Argüelles D, Durán ME.In order to know reproduction-related complications due to standing laparoscopic peritoneal flap hernioplasty, histological characteristics of the testicles from five stallions one year after surgery were compared with seven testicles from four healthy stallions. Moreover, the daily sperm output (DSO) was determined before (T0) and one year after surgery (T12). DSO did not show significant differences between T0 and T12. The diameter of the seminiferous tubules was significantly decreased in the samples from the hernioplasty group. The percentage of tubules with full spermatogenesis was smalle...
Use of diagnostic reports to estimate prevalence and distribution of skeletal lesions in young Thoroughbreds.
Veterinary journal (London, England : 1997)    March 31, 2016   Volume 214 72-76 doi: 10.1016/j.tvjl.2016.03.022
Axling JM, Castle K, Velie BD, Tammen I, Thomson PC, Hamilton NA, Raadsma HW, Lindgren G, Jeffcott LB, Nicholas FW.Diagnostic reports written to assist stud managers in the sale of young Thoroughbreds have not previously been used as a data source for the study of skeletal lesions. However, analyses of these reports may provide efficient and cost-effective insights into the prevalence and distribution of skeletal lesions within a population. Diagnostic reports written by veterinarians were acquired from Thoroughbred stud managers in Australia and New Zealand. The reports were based on approximately 1300 sets of weanling and yearling radiographs taken between 2002 and 2007. The prevalence and anatomical dis...
Associations of force plate and body-mounted inertial sensor measurements for identification of hind limb lameness in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 4 337-345 doi: 10.2460/ajvr.77.4.337
Bell RP, Reed SK, Schoonover MJ, Whitfield CT, Yonezawa Y, Maki H, Pai PF, Keegan KG.To investigate associations between inertial sensor and stationary force plate measurements of hind limb lameness in horses. Methods: 21 adult horses with no lameness or with mild hind limb lameness. Methods: Horses were instrumented with inertial sensors and evaluated for lameness with a stationary force plate while trotting in a straight line. Inertial sensor-derived measurements of maximum and minimum pelvic height differences between right and left halves of the stride were compared with vertical and horizontal ground reaction forces (GRFs). Stepwise linear regression was performed to inve...
Quantitative assessment of two methods of tiludronate administration for the treatment of lameness caused by navicular syndrome in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 2 167-173 doi: 10.2460/ajvr.77.2.167
Whitfield CT, Schoonover MJ, Holbrook TC, Payton ME, Sippel KM.To determine effects of 2 tiludronate administration protocols on measures of lameness in horses with navicular syndrome (NS). Methods: 12 horses with bilateral forelimb NS. Methods: Horses were randomly assigned to receive tiludronate (1 mg/kg), diluted in 5 L of isotonic electrolyte solution and delivered through a jugular vein catheter (systemic treatment group; n = 6), or tiludronate (0.1 mg/kg), diluted with saline (0.9% NaCl) solution to a total volume of 35 mL and delivered into the lateral digital vein of each forelimb with an IV regional limb perfusion (IVRLP) technique (IVRLP group; ...
Radiographic evaluation of the width of the femorotibial joint space in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 2 127-136 doi: 10.2460/ajvr.77.2.127
Trencart P, Alexander K, De Lasalle J, Laverty S.To measure the minimal joint space width (mJSW) in caudocranial radiographic views of orthopedically normal femorotibial joints of horses, to compare the accuracy of measurements with those of a software program designed for humans, and to identify the ideal caudocranial radiographic projection angle for mJSW measurement. ANIMALS 12 healthy mares (22 femorotibial joints) and 3 equine cadavers (6 stifle joints). Methods: Caudocranial views of femorotibial joints were acquired in the proximodistal plane at 5°, 10°, and 15° (caudo-5°-proximal-craniodistal oblique, 10°, and 15°) and laterome...
New test for endothelin receptor type B (EDNRB) mutation genotyping in horses.
Molecular and cellular probes    March 30, 2016   Volume 30, Issue 3 182-184 doi: 10.1016/j.mcp.2016.03.005
Ayala-Valdovinos MA, Galindo-García J, Sánchez-Chiprés D, Duifhuis-Rivera T.Lethal white foal syndrome (LWFS) is an autosomal recessive disease of neonatal foals characterized by a white hair coat and a functional intestinal obstruction. Traditional techniques for identifying the dinucleotide mutation (TC→AG) of the endothelin receptor B gene (EDNRB) associated with LWFS are time-consuming. We developed a new technique based on mutagenically separated polymerase chain reaction (MS-PCR) for simple detection of the EDNRB genotype in horses.
Development and evaluation of a reverse transcription-insulated isothermal polymerase chain reaction (RT-iiPCR) assay for detection of equine arteritis virus in equine semen and tissue samples using the POCKITâ„¢ system.
Journal of virological methods    March 29, 2016   Volume 234 7-15 doi: 10.1016/j.jviromet.2016.02.015
Carossino M, Lee PY, Nam B, Skillman A, Shuck KM, Timoney PJ, Tsai YL, Ma LJ, Chang HF, Wang HT, Balasuriya UB.Equine arteritis virus (EAV) is the causative agent of equine viral arteritis (EVA), a respiratory and reproductive disease of horses. Most importantly, EAV induces abortion in pregnant mares and can establish persistent infection in up to 10-70% of the infected stallions, which will continue to shed the virus in their semen. The objective of this study was to develop and evaluate a reverse transcription insulated isothermal polymerase chain reaction (RT-iiPCR) for the detection of EAV in semen and tissue samples. The newly developed assay had a limit of detection of 10 RNA copies and a 10-fol...
Automated parasite faecal egg counting using fluorescence labelling, smartphone image capture and computational image analysis.
International journal for parasitology    March 26, 2016   Volume 46, Issue 8 485-493 doi: 10.1016/j.ijpara.2016.02.004
Slusarewicz P, Pagano S, Mills C, Popa G, Chow KM, Mendenhall M, Rodgers DW, Nielsen MK.Intestinal parasites are a concern in veterinary medicine worldwide and for human health in the developing world. Infections are identified by microscopic visualisation of parasite eggs in faeces, which is time-consuming, requires technical expertise and is impractical for use on-site. For these reasons, recommendations for parasite surveillance are not widely adopted and parasite control is based on administration of rote prophylactic treatments with anthelmintic drugs. This approach is known to promote anthelmintic resistance, so there is a pronounced need for a convenient egg counting assay...
Evaluation of Four Diagnostic Tests for Insulin Dysregulation in Adult Light-Breed Horses.
Journal of veterinary internal medicine    March 25, 2016   Volume 30, Issue 3 885-891 doi: 10.1111/jvim.13934
Dunbar LK, Mielnicki KA, Dembek KA, Toribio RE, Burns TA.Several tests have been evaluated in horses for quantifying insulin dysregulation to support a diagnosis of equine metabolic syndrome. Comparing the performance of these tests in the same horses will provide clarification of their accuracy in the diagnosis of equine insulin dysregulation. Objective: The aim of this study was to evaluate the agreement between basal serum insulin concentrations (BIC), the oral sugar test (OST), the combined glucose-insulin test (CGIT), and the frequently sampled insulin-modified intravenous glucose tolerance test (FSIGTT). Methods: Twelve healthy, light-breed ho...