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Topic:Imaging Techniques

Imaging techniques in horses encompass a range of diagnostic tools used to visualize the internal structures and systems of equine patients. These techniques assist in the diagnosis, monitoring, and treatment planning of various conditions affecting horses. Common imaging modalities include radiography (X-rays), ultrasonography, magnetic resonance imaging (MRI), and computed tomography (CT). Each technique offers unique advantages in terms of resolution, depth of penetration, and the type of tissues that can be examined. For instance, radiography is frequently used for assessing bone structures, while ultrasonography is often employed for soft tissue evaluation. MRI and CT provide detailed cross-sectional images, aiding in the assessment of complex anatomical regions. This page compiles peer-reviewed research studies and scholarly articles that explore the application, advancements, and comparative efficacy of imaging techniques in equine veterinary medicine.
Ultrasonography-Guided Perineural Injection of the Ramus ventralis of the 7 and 8th Cervical Nerves in Horses: A Cadaveric Descriptive Pilot Study.
Frontiers in veterinary science    February 25, 2020   Volume 7 102 doi: 10.3389/fvets.2020.00102
Touzot-Jourde G, Geffroy O, Tallaj A, Gauthier O, Denoix JM. To describe the feasibility and dye diffusion of selective perineural injection of the 7 and 8th cervical nerve (C7 and C8) under ultrasonographic guidance in horses. Prospective experimental pilot cadaver study. Four equine cadavers of similar body weight (420-480 kg) and neck conformation. Five C7 and five C8 were perineurally injected with a dye solution. Anatomic dissections including vertebral canal opening were conducted to confirm nerve dye staining and describe the extent of color diffusion. The of the spinal cervical nerves was visualized in all cadavers. All the injections we...
Evaluation of histamine-provoked changes in airflow using electrical impedance tomography in horses.
Equine veterinary journal    February 12, 2020   Volume 52, Issue 4 556-563 doi: 10.1111/evj.13216
Secombe C, Waldmann AD, Hosgood G, Mosing M.Electrical impedance tomography (EIT) generates thoracic impedance images of the lungs and has been used to assess ventilation in horses. This technique may have application in the detection of changes in airflow associated with equine asthma. Objective: The objective was to determine if histamine-induced airflow changes observed with flowmetric plethysmography (Δflow) could also be explained using global and regional respiratory gas flow signals calculated from EIT signals. Methods: Experimental in vivo study. Methods: Six horses, sedated using detomidine were fitted with a thoracic EIT b...
External transcutaneous ultrasound technique in the equine cricoarytenoideus dorsalis muscle: Assessment of muscle size and echogenicity with resting endoscopy.
Equine veterinary journal    February 6, 2020   Volume 52, Issue 4 500-508 doi: 10.1111/evj.13209
Satoh M, Higuchi T, Inoue S, Miyakoshi D, Kajihara A, Gotoh T, Shimizu Y.Recent studies have assessed the cricoarytenoideus dorsalis muscle (CAD) using transoesophageal ultrasonography in equine recurrent laryngeal neuropathy (RLN). We assessed the CAD using the external transcutaneous ultrasound technique, which may constitute an easier method in horses. Objective: To evaluate ultrasonographic imaging of the left cricoarytenoideus dorsalis muscle (LCAD) and right cricoarytenoideus dorsalis muscle (RCAD) as a diagnostic tool for RLN using the transcutaneous ultrasound technique. Methods: Cross-sectional study. Methods: The axial plane thickness, cross-sectional are...
Description of a rare osteochondrosis lesion of the medial aspect of the distal intermediate ridge of the tibia in seven Thoroughbred horses (2008-2018). Kadic LIM, Rodgerson DH, Newsom LE, Spirito MA.Osteochondritis dissecans (OCD) of the distal intermediate ridge of the tibia (DIRT) is commonly identified on either the lateral to medial (LM) or dorso45°medial-plantarolateral oblique (D45M-PLO) projection of the tarsus. This manuscript describes a retrospective case series out of Hagyard Equine Medical Institute, for which medical records and radiographic projections of the tarsus were reviewed, consistent with Keeneland's repository requirements. This original investigation identified seven yearling Thoroughbred horses between 2008 and 2018 with radiographic signs of atypical osteochondr...
Identification of Naturally Occurring Cartilage Damage in the Equine Distal Interphalangeal Joint Using Low-Field Magnetic Resonance Imaging and Magnetic Resonance Arthrography.
Frontiers in veterinary science    January 28, 2020   Volume 6 508 doi: 10.3389/fvets.2019.00508
van Zadelhoff C, Schwarz T, Smith S, Engerand A, Taylor S. To describe detectable and non-detectable naturally occurring cartilage damage of the equine distal interphalangeal (DIP) joint using plain magnetic resonance (MR) imaging and gadolinium and saline MR arthrography. The second objective was to quantify the sensitivity, specificity and accuracy in detection of cartilage damage. In a pilot study, the distal limbs of two horses with confirmed osteoarthritis of the DIP joint were imaged with low-field MR. Magnetic resonance images were assessed in consensus by three observers and compared to gross pathological findings. Subsequently, a prospectiv...
Infrared Thermography Applied to Monitoring Musculoskeletal Adaptation to Training in Thoroughbred Race Horses.
Journal of equine veterinary science    January 22, 2020   Volume 87 102935 doi: 10.1016/j.jevs.2020.102935
Prochno HC, Barussi FM, Bastos FZ, Weber SH, Bechara GH, Rehan IF, Michelotto PV.Infrared thermography has been used to help in diagnosing lameness. It is hypothesized that, if used in a routine basis, it could help in understanding musculoskeletal modifications during race training. This study aimed to evaluate thermal variation in the musculoskeletal regions of young Thoroughbred (TB) horses during their initial months of race training. Thermographic examinations were performed once every 2 weeks on 16 (10 male, 6 female) two-year-old TB racehorses, from arrival to the racetrack in June 2016, until January 2017, for a total of 16 evaluations. Thermographic imaging was pe...
Evaluation of Structural Anisotropy in a Porous Titanium Medium Mimicking Trabecular Bone Structure Using Mode-Converted Ultrasonic Scattering.
IEEE transactions on ultrasonics, ferroelectrics, and frequency control    January 10, 2020   Volume 67, Issue 5 1017-1024 doi: 10.1109/TUFFC.2019.2963162
Du H, Yousefian O, Horn T, Muller M.The mode-converted (longitudinal to transverse, L-T) ultrasonic scattering method was utilized to characterize the structural anisotropy of a phantom mimicking the structural properties of trabecular bone. The sample was fabricated using metal additive manufacturing from high-resolution computed tomography (CT) images of a sample of trabecular horse bone with strong anisotropy. Two focused transducers were used to perform the L-T ultrasonic measurements. A normal incidence transducer was used to transmit longitudinal ultrasonic waves into the sample, while the scattered transverse signals were...
Power Doppler can detect the presence of 7-8 day conceptuses prior to flushing in an equine embryo transfer program.
Theriogenology    January 9, 2020   Volume 145 1-9 doi: 10.1016/j.theriogenology.2020.01.015
Nieto-Olmedo P, Martín-Cano FE, Gaitskell-Phillips G, Ortiz-Rodríguez JM, Peña FJ, Ortega-Ferrusola C.In order to determine whether differences in uterine blood flow between pregnant and non-pregnant mares can be used to predict the presence of the equine embryo prior to flushing in an embryo transfer program, power Doppler ultrasonography was used on a total of 52 mares on days 7 or 8 post-ovulation. Computer analysis of Doppler images was subsequently performed using ImageJ v1.48 software. Vascular perfusion of the endometrium was analyzed using spot meter techniques, measuring mean pixel intensity and area of blood flow. Mares with positive flushings presented a higher uterine blood flow ar...
Ultrasound-guided arthrocentesis of the temporomandibular joint in healthy adult horses is equivalent to blind arthrocentesis. Norvall A, Cota JG, Pusterla N, Cissell D.Equine temporomandibular joint (TMJ) diseases are increasingly recognized as a problem for the well-being and performance of horses. Diagnosis is confounded by overlap of clinical signs associated with pathology of the oral cavity, poll, and cervical vertebrae. Arthrocentesis for intra-articular analgesia, sampling of synovial fluid, and medication is needed for diagnostic and therapeutic purposes. Ultrasound features of the normal TMJ and a blind arthrocentesis technique have been described, but a systematic approach to ultrasound-guided (USG) arthrocentesis has not been reported. Ultrasound ...
Morphological and Imaging Evaluation of the Metacarpophalangeal and Metatarsophalangeal Joints in Healthy and Lame Donkeys.
Journal of equine veterinary science    December 26, 2019   Volume 88 102904 doi: 10.1016/j.jevs.2019.102904
El-Gendy SAA, Alsafy MAM, Rutland CS, El-Khamary AN, Abu-Ahmed HM, El-Kammar MH.The donkey is of socio-economic value yet imaging techniques in both healthy and abnormal limbs are a limiting factor in research and medicine. The objective was to determine anatomical features of both healthy and clinically abnormal donkey metacarpophalangeal and metatarsophalangeal joints (n = 13) using anatomical dissection, casting, X-ray and computed tomography. The joint capsule contained two palmar/plantar and two dorsal recesses. The proximal-palmar or plantar recess was larger than the distodorsal recess and potential sites of approaches to the recesses were determined. Soft tissue ...
Prevalence and severity of ultrasonographic pulmonary findings in horses with asthma – a preliminary study.
Polish journal of veterinary sciences    December 24, 2019   Volume 22, Issue 4 653-659 doi: 10.24425/pjvs.2019.129977
Siwinska N, Zak A, Slowikowska M, Krupinska P, Niedzwiedz A.Asthma is one of the most common non-infectious respiratory diseases in horses. Ultrasound examination is a widely available non-invasive additional diagnostic tool. To date, there are no studies focusing on ultrasonographic findings in horses with asthma. The aim of this study was to analyse the prevalence and severity of ultrasound lesions in lung tissue in horses with asthma. Lung ultrasonography was carried out on six healthy horses (controls) and 12 horses with asthma (six with mild and six with severe asthma). The sonographic changes in three lung sections were assessed using a scoring s...
In Vivo Magic Angle Magnetic Resonance Imaging for Cell Tracking in Equine Low-Field MRI.
Stem cells international    December 17, 2019   Volume 2019 5670106 doi: 10.1155/2019/5670106
Horstmeier C, Ahrberg AB, Berner D, Burk J, Gittel C, Hillmann A, Offhaus J, Brehm W.The magic angle effect increases the MRI signal of healthy tendon tissue and could be used for more detailed evaluation of tendon structure. Furthermore, it could support the discrimination of hypointense artefacts induced by contrast agents such as superparamagnetic iron oxide used for cell tracking. However, magic angle MRI of the equine superficial digital flexor tendon has not been accomplished in vivo in standing low-field MRI so far. The aim of this in vivo study was to evaluate the practicability of this magic angle technique and its benefit for tracking superparamagnetic iron oxide-lab...
Occlusal fissures in equine cheek teeth: μCT and histological findings.
Veterinary journal (London, England : 1997)    December 13, 2019   Volume 255 105421 doi: 10.1016/j.tvjl.2019.105421
Pollaris E, Staszyk C, Proost K, Boone MN, Josipovic I, Pardon B, Vlaminck L.Fissures on the occlusal surface of equine cheek teeth are commonly encountered during oral examination. Generally, their presence is considered abnormal but their aetiopathogenesis and clinical impact on pulp disease is still undetermined. The aims of this research were to study the extent of occlusal cheek teeth fissures using high-resolution X-ray computed tomography (μCT) imaging and their histological characteristics. Twenty-seven teeth (of 15 horses) were scanned using μCT imaging to analyse fissure extent. Histological examination of a subset of teeth (n=7) was performed. Forty-three ...
Standing CT of the equine head: Reducing radiation dose maintains image quality. Davies T, Skelly C, Puggioni A, D'Helft C, Connolly S, Hoey S.Multiple published studies involving computed tomographic (CT) examinations of the equine head utilise a wide range of mAs parameters for image acquisition. This prospective, experimental study assessed the effects of lowering mAs during CT image acquisition on image quality and scatter radiation on 10 cadaver equine heads. Each head was scanned three times at 300, 225, and 150 mAs, with all other scanning parameters remaining constant between series. An anthropomorphic phantom was positioned adjacent to each equine head during image acquisition, mimicking a human bystander, with an ionizatio...
Power Doppler to investigate superficial digital flexor tendinopathy in the horse.
Open veterinary journal    November 27, 2019   Volume 9, Issue 4 317-321 doi: 10.4314/ovj.v9i4.7
Recent advances in tendinopathy research have focused on tendon vascularization detected with Color Doppler (CD) ultrasound. The use of CD has also been described in horses in a study on chronic lesions of superficial digital flexor tendon and suspensory ligament. The aim of this study was to investigate the occurrence and distribution of power Doppler (PD) signal in horses with superficial digital flexor tendinopathy. Twenty-five horses with tendinopathy were included and 10 healthy horses with no lameness and no ultrasonographic abnormalities were used for comparison. In all horses with tend...
Assessing equine embryo developmental competency by time-lapse image analysis.
Reproduction, fertility, and development    November 25, 2019   Volume 31, Issue 12 1840-1850 doi: 10.1071/RD19254
Brooks KE, Daughtry BL, Metcalf E, Masterson K, Battaglia D, Gao L, Park B, Chavez SL.The timing of early mitotic events during preimplantation embryo development is important for subsequent embryogenesis in many mammalian species, including mouse and human, but, to date, no study has closely examined mitotic timing in equine embryos from oocytes obtained by ovum pick-up. Here, cumulus-oocyte complexes were collected by transvaginal follicular aspiration, matured invitro and fertilised via intracytoplasmic sperm injection. Each fertilised oocyte was cultured up to the blastocyst stage and monitored by time-lapse imaging for the measurement of cell cycle intervals and identifica...
Use of time-lapse imaging to evaluate morphokinetics of in vitro equine blastocyst development after oocyte holding for two days at 15°C versus room temperature before intracytoplasmic sperm injection.
Reproduction, fertility, and development    November 12, 2019   Volume 31, Issue 12 1862-1873 doi: 10.1071/RD19223
Martino NA, Marzano G, Mastrorocco A, Lacalandra GM, Vincenti L, Hinrichs K, Dell Aquila ME.Time-lapse imaging was used to establish the morphokinetics of equine embryo development to the blastocyst stage after invitro oocyte maturation (IVM), intracytoplasmic sperm injection (ICSI) and embryo culture, in oocytes held overnight at room temperature (22-27°C; standard conditions) before IVM. Embryos that developed to the blastocyst stage underwent precleavage cytoplasmic extrusion and cleavage to the 2-, 3- and 4-cell stages significantly earlier than did embryos that arrested in development. We then determined the rate of blastocyst formation after ICSI in oocytes held for 2 days at ...
Quantitative magnetic resonance imaging and histological hoof wall assessment of 3-year-old Quarter Horses.
Equine veterinary journal    November 7, 2019   Volume 52, Issue 3 435-440 doi: 10.1111/evj.13188
Pownder SL, Caserto BG, Bowker RM, Lin B, Potter HG, Koff MF.Few noninvasive methods are available for equine hoof wall evaluation. The highly organised wall structures and composition of proteoglycans and collagens may make this region amenable to quantitative MRI (qMRI) techniques of T1ρ and T2 mapping to identify pathology related to proteoglycan content and collagen organisation respectively. Objective: To establish normative T1ρ and T2 values of the equine hoof wall of 3-year-old Quarter Horses with histological comparison. Methods: Cadaveric anatomical study. Methods: Six cadaveric left thoracic feet from 3-year-old racing Quarter Horses with no...
Equine non-invasive time-lapse imaging and blastocyst development.
Reproduction, fertility, and development    October 22, 2019   Volume 31, Issue 12 1874-1884 doi: 10.1071/RD19260
Meyers S, Burruel V, Kato M, de la Fuente A, Orellana D, Renaudin C, Dujovne G.In this study we examined the timeline of mitotic events of invitro-produced equine embryos that progressed to blastocyst stage using non-invasive time-lapse microscopy (TLM). Intracytoplasmic sperm injection (ICSI) embryos were cultured using a self-contained imaging incubator system (Miri®TL; Esco Technologies) that captured brightfield images at 5-min intervals that were then generated into video for retrospective analysis. For all embryos that progressed to the blastocyst stage, the initial event of extrusion of acellular debris preceded all first cleavages and occurred at mean (±s.e.m.)...
Morphokinetics of early equine embryo development in vitro using time-lapse imaging, and use in selecting blastocysts for transfer.
Reproduction, fertility, and development    October 22, 2019   Volume 31, Issue 12 1851-1861 doi: 10.1071/RD19225
Lewis N, Schnauffer K, Hinrichs K, Morganti M, Troup S, Argo C.The use of time-lapse imaging (TLI) in the evaluation of morphokinetics associated with invitro developmental competence is well described for human, cattle and pig embryos. It is generally accepted that embryos that complete early cleavage sooner are more likely to form blastocysts and that timing of later events, such as blastocyst formation and expansion, are predictive of implantation potential and euploid status. In the horse, morphokinetics as a predictor of developmental competence has received little attention. In this study we evaluated the morphokinetics of early equine embryo develo...
An MRI study of solute transport in the intervertebral disc.
Magma (New York, N.Y.)    October 4, 2019   Volume 33, Issue 2 299-307 doi: 10.1007/s10334-019-00781-z
Palfrey RM, Summers IR, Winlove CP.Quantitative magnetic resonance imaging was used to determine partition coefficients and characteristic time constants for diffusion of MRI contrast agents in disc tissue. Methods: Twenty-two excised equine intervertebral discs were exposed to a range of contrast agents: six to manganese chloride, eight to Magnevist (gadopentetate dimeglumine) and eight to Gadovist (gadobutrol), and uptake into the disc was quantified in T-weighted images. Results: Diffusion for all contrast agents was approximately 25% faster in the nucleus than in the outer annulus; disc-average time constants ranged from (2...
Equine Stereotaxtic Population Average Brain Atlas With Neuroanatomic Correlation.
Frontiers in neuroanatomy    October 3, 2019   Volume 13 89 doi: 10.3389/fnana.2019.00089
Johnson PJ, Janvier V, Luh WM, FitzMaurice M, Southard T, Barry EF.There is growing interest in the horse for behavioral, neuroanatomic and neuroscientific research due to its large and complex brain, cognitive abilities and long lifespan making it neurologically interesting and a potential large animal model for several neuropsychological diseases. Magnetic resonance imaging (MRI) is a powerful neuroscientific research tool that can be performed , with adapted equine facilities, or in the research setting. The brain atlas is a fundamental resource for neuroimaging research, and have been created for a multitude animal models, however, none currently exist f...
Evaluation of thermal pattern distributions in racehorse saddles using infrared thermography.
PloS one    August 26, 2019   Volume 14, Issue 8 e0221622 doi: 10.1371/journal.pone.0221622
Soroko M, Zaborski D, Dudek K, Yarnell K, Górniak W, Vardasca R.The impact of a rider's and saddle's mass on saddle thermal pattern distribution was evaluated using infrared thermography (IRT). Eighteen racehorses were ridden by four riders with their own saddle. Images of the saddle panels were captured at each of six thermographic examinations. On each image, six regions of interest (ROIs) were marked on the saddle panels. The mean temperature for each ROI was extracted. To evaluate the influence of load on saddle fit, 4 indicators were used: ΔTmax (difference between the mean temperature of the warmest and coolest ROI); standard deviation of the mean t...
Cone-beam computed tomography of the head in standing equids.
BMC veterinary research    August 13, 2019   Volume 15, Issue 1 289 doi: 10.1186/s12917-019-2045-z
Bregger MDK, Koch C, Zimmermann R, Sangiorgio D, Schweizer-Gorgas D.Computed tomography in standing horses has revolutionized diagnostic imaging. The O-arm®, a cone beam computed tomography (CBCT) scanner with a gantry opening of 96.5 cm is routinely used for image-guided spine and neurosurgery in humans. The aim of this study is to describe the set-up and first experiences using the O-arm® to achieve CBCT imaging of the head in standing horses. CT imaging of the predefined region of interest (ROI) was tested on 2 cadaveric heads, concentrating on centering issues within the gantry, as well as determining the number of scans needed per ROI. All horses pres...
Magnetic resonance dacryocystography in the horse: A feasibility study.
Veterinary ophthalmology    July 15, 2019   Volume 23, Issue 1 129-134 doi: 10.1111/vop.12697
Manso-Díaz G, García-López JM, López-Sanromán J, Taeymans O.To provide a comprehensive anatomical description of the normal equine nasolacrimal duct using magnetic resonance imaging, and to develop a practical protocol for performing magnetic resonance dacryocystography (MRD) in horses. Methods: The heads of ten fresh horse cadavers with no history of sinonasal or ophthalmologic disorders were used for this study. Methods: An MRD technique was developed in this study, which consisted of two parts. In the first part, olive oil and gadolinium were compared as contrast medium, using five horses. Two concentrations of gadolinium were used: 0.25 mmol/mL an...
T2* and quantitative susceptibility mapping in an equine model of post-traumatic osteoarthritis: assessment of mechanical and structural properties of articular cartilage.
Osteoarthritis and cartilage    July 2, 2019   Volume 27, Issue 10 1481-1490 doi: 10.1016/j.joca.2019.06.009
Nykänen O, Sarin JK, Ketola JH, Leskinen H, Te Moller NCR, Tiitu V, Mancini IAD, Visser J, Brommer H, van Weeren PR, Malda J, Töyräs J, Nissi MJ.To investigate the potential of quantitative susceptibility mapping (QSM) and T2* relaxation time mapping to determine mechanical and structural properties of articular cartilage via univariate and multivariate analysis. Samples were obtained from a cartilage repair study, in which surgically induced full-thickness chondral defects in the stifle joints of seven Shetland ponies caused post-traumatic osteoarthritis (14 samples). Control samples were collected from non-operated joints of three animals (6 samples). Magnetic resonance imaging (MRI) was performed at 9.4 T, using a 3-D multi-echo gr...
Arthrographic Study of the Communication between the Tarsal Joints in Crioulo Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 28, 2019   Volume 32, Issue 4 269-273 doi: 10.1055/s-0039-1688770
 The aim of the present study is to assess an arthrographic technique based on the access to the equine tarsus via distal intertarsal and on the existence and frequency of communication between distal and tarsocrural joints in the tarsus of Crioulo horses. Methods:  Fifty Crioulo horses of both sexes from 3 to 8 years old were included in the experiment. Animals with radiographic signs of tarsal osteoarthritis and joint space loss were excluded from the experiment. Contrast was injected in the distal intertarsal joint and radiographs were taken at two different times - Time 0 (after contra...
A Computed Tomographic (CT) and Pathological Study of Equine Cheek Teeth Infundibulae Extracted From Asymptomatic Horses. Part 1: Prevalence, Type and Location of Infundibular Lesions on CT Imaging.
Frontiers in veterinary science    April 25, 2019   Volume 6 124 doi: 10.3389/fvets.2019.00124
Horbal A, Smith S, Dixon PM. Equine maxillary cheek teeth infundibulae are frequently affected by developmental and acquired disorders, but the computed tomographic (CT) imaging features of normal and abnormal infundibulae remain incompletely understood. To examine infundibulae with various grades of occlusal caries and control teeth by standard CT in order to assess the prevalence, type and location of subocclusal infundibular lesions present. original study. One hundred maxillary cheek teeth, including 82 with, and 18 without infundibular occlusal caries, were extracted from horses of different ages and imaged by s...
Neuroanatomy of the equine brain as revealed by high-field (3Tesla) magnetic-resonance-imaging.
PloS one    April 1, 2019   Volume 14, Issue 4 e0213814 doi: 10.1371/journal.pone.0213814
Schmidt MJ, Knemeyer C, Heinsen H.In this study, the morphology of the horse brain (Equus caballus) is decribed in detail using high field MRI. The study includes sagittal, dorsal, and transverse T2-weighted images at 0.25 mm resolution at 3 Tesla and 3D models of the brain presenting the external morphology of the brain. Representative gallocyanin stained histological slides of the same brain are presented. The images represent a useful tool for MR image interpretation in horses and may serve as a starting point for further research aiming at in vivo analysis in this species.
In vitro evaluation of a medial approach for intra-articular injection of the tarsometatarsal joints of horses.
American journal of veterinary research    March 29, 2019   Volume 80, Issue 4 396-402 doi: 10.2460/ajvr.80.4.396
Canonici P, Beccati F, Canonici F, Pepe M.To develop a reliable method for injection of the tarsometatarsal (TMT) joint of horses through a medial approach and to characterize anatomy of the synovial recesses of the TMT joint with CT. Methods: 13 pairs of fresh cadaveric equine tarsi. Methods: TMT joints were assessed with radiography and CT. Twelve pairs of TMT joints were assigned to an experienced veterinarian (8 joints) or veterinary student (16 joints) for injection with contrast medium through a medial or a lateral approach. Every TMT joint was then reexamined radiographically and with CT to assess diffusion of contrast medium. ...
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