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.
Hago BE, Vaughan LC.Contrast radiography was used to determine the position, shape, relationship and capacity of a number of tendon sheaths and bursae which have clinical significance in the horse. It was possible to establish the normal range of radiographic anatomy for these structures. Some variation in the extent and form of tendon sheaths were found between individual horses and between foals and adults.
Wyn-Jones G.The value of radiology as part of an examination of the equine head is emphasised and the radiological appearances of more commonly occurring conditions are described. Even the normal anatomy of this complex site is subject to great variation and the aspiring radiologist should, therefore, have a good knowledge of the possible normal variations. A flexible approach must be used rather than a limitation to one or two ritual projections. The use of contrast media, wherever it might be useful, is advocated so that the maximum amount of information may be obtained from each examination. Finally, e...
Pipers FS, Reef V, Wilson J.Ventricular septal defects in a foal, a 2-year-old filly, and 2 calves were demonstrated with M-mode and two-dimensional real-time echocardiography. The studies were performed with the animals unsedated, either standing or in lateral recumbency. Cardiac windows were located between the 4th and 7th intercostal spaces, approximately at the level of the olecranon. In each case, the septal defect was visualized high in the membranous portion of the interventricular septum. Defects were visualized by use of sector scanning or linear-array ultrasonic equipment, with transducer frequencies of 2.25 to...
Tithof PK, Rebhun WC, Dietze AE.A linear array 5 mHz ultrasonic scanner was used to diagnose aorto-iliac thrombosis in a 3 year old Standardbred gelding. There are no reports in the literature of utilization of ultrasonography for visualization of an aortic thrombus. The technique is fairly non-invasive, requiring only a rectal examination with a linear array probe. Arteriography is the only other method described for actual visualization of a thrombus. This procedure is technically difficult and highly invasive.
Koblik PD, Lofstedt J, Jakowski RM, Johnson KL.Indium 111-labeled autologous leukocytes were used to image an abdominal abscess in a horse with a palpable abdominal mass and history of Streptococcus equi infection. A focal area of radioactivity was identified in the location corresponding to the abscess. Imaging of this focal uptake was optimal 48 hours after injection. Similar scans obtained in 2 clinically normal horses revealed no evidence of focal radioactivity in this region. The cell labeling procedure gave acceptable labeling efficiency (87.5%) but an excessive number of damaged WBC, resulting in persistent lung radioactivity on all...
Stilson AE, Herring DS, Robertson JT.The radiopacity of the equine cartilaginous nasal septum and its covering mucosa seen on dorsoventral radiographs was determined to be of sufficient density to be useful in the diagnosis of any disorder of this anatomic structure. Radiographically, the frontal and nasal bones dorsally and the vomer and palatine process of the incisive bone ventrally do not completely obscure the nasal septum and its covering mucous membrane.
Bartels JE, Beckett SD, Brown BG.Serial arteriography was used to determine the vascular pattern and blood flow in the penis of the pony stallion. Ponies were anesthetized with pentobarbital sodium, and catheters were surgically introduced into the internal pudendal and obturator arteries. The vascular anatomy was visualized by angiography via image-intensified fluoroscopy and was recorded on 70-mm film at 3 frames/s or by direct radiography. Blood flow into the corpus cavernosum penis (CCP) was limited during quiescence because the blood was immediately shunted into the venous system. After vasodilation with mild stimulation...
Cartee RE, Rumph PF.The results from water-bath studies on equine muscle in which foreign material had been inserted and then scanned ultrasonographically were compared with the results from scanning of the muscles of horses hospitalized for diagnosis of suspected foreign objects embedded in muscle. The water-bath studies showed that bone, wood, and large tendons all will demonstrate acoustic shadowing, but that subtle differences in the characteristics of the relative hyperechogenicity and acoustic shadows facilitate elimination of certain considerations in the differential diagnosis. Ultrasonography was effecti...
Attenburrow DP, Bowring CS, Vennart W.The detection of radionuclide activity in the living equine skeleton, using bone seeking radiopharmaceuticals and a hand-held radiation detector, is reported. Pathological changes in bone can be detected and subsequent development monitored. The availability and use of this diagnostic technique in equine practice is discussed.
Pipers FS, Zent W, Holder R, Asbury A.Ultrasonographic detection of pregnancy was performed in 952 Thoroughbred mares. Characteristic images were obtained between 12 and 55 days after breeding. Twins in the same uterine horn as well as twins in opposite horns were imaged, and for the first few months of gestation appeared similar to single pregnancies. Growth curves as a function of time were developed, utilizing horizontal diameters of the blastocysts versus breeding dates. Comparisons between horizontal and vertical diameters demonstrated no appreciable differences when observed as a group. Growth curves derived from twins did n...
Bonagura JD, Pipers FS.Contrast M-mode echocardiography was utilized to study animals with congenital and acquired cardiac defects. Contrast was produced through the rapid injection of isotonic NaCl solution, the patient's blood, or indocyanine green dye into the circulation. Peripheral vein and intracardiac injections of contrast material were used to document ventricular septal defect, tetralogy of Fallot, atrial septal defect, and mitral valve regurgitation. The technique was safe and useful for both small and large animals.
Theodorakis MC, Bermudez AJ, Manning JP, Koritz GD, Hillidge CJ.Six derivatives of ethylenediamine-N,N'-bis (alpha-2-hydroxy phenyl) acetic acid labeled with technetium 99m were prepared and their imaging qualities evaluated in ponies. The 6 agents produced good scintigraphic images of certain structures of the liver in the pony. For each agent, 13 different scans were taken. Dorsal views of the left lateral, right lateral, and quadrate lobe were obtained with dorsal scans. Left lateral and left lateral oblique (45 degrees) scans provided a left lateral view of the left lobe and a medial view of the right lateral lobe. Right lateral scans revealed the righ...
Slocombe RF, Todhunter RJ, Stick JA.A qualitative and quantitative study was made of 2 adult horses to determine the effect of specimen preparation and the influence of anatomically separate regions on the microscopic structure of the esophagus. The effects of 3 fixative solutions (formalin, Bouin's fixative and Karnovsky's fixative) and 4 histologic staining procedures (hematoxylin and eosin, Gomori's trichrome, Laidlow's reticulum, and orcein-elastin) were compared. Density-dependent image analysis was used to compare the relative contributions of elastic and reticular fibers in esophageal connective tissue for each region. Cr...
Pudert T, Fries GF, Lotz H, Röcken M, Cruz AM.To assess the use of a newly developed aiming compression device (ACD) for screw insertion in non-fractured navicular bones (NB) in cadavers. Methods: Cadaveric study. Methods: A total of 10 cadaveric front limbs of adult horses. Methods: Placement of a 3.5 mm cortical screw in non-fractured NB under radiographic guidance was performed in 10 cadaver limbs in a standing position. An ACD was used to stabilize the NB and to guide the drilling process. Preparation and surgical time as well as the number of radiographic images were noted. A postoperative scoring system was used to assess screw pl...
Tahir AM, Guo L, Ward RK, Yu X, Rideout A, Hore M, Wang ZJ.Laryngeal hemiplegia (LH) is a major upper respiratory tract (URT) complication in racehorses. Endoscopy imaging of horse throat is a gold standard for URT assessment. However, current manual assessment faces several challenges, stemming from the poor quality of endoscopy videos and subjectivity of manual grading. To overcome such limitations, we propose an explainable machine learning (ML)-based solution for efficient URT assessment. Specifically, a cascaded YOLOv8 architecture is utilized to segment the key semantic regions and landmarks per frame. Several spatiotemporal features are then ex...
Bulnes F, Argüelles D, Buzón A, García-Álamo K, Rodríguez-Gómez IM, Hernández E, Mozos E.This case report details a long-term follow-up of a hoof melanoma with dermo-epidermal activity (resembling Spreading Superficial Melanoma (SSM)) in a bay horse with a history of a right front hoof keratoma. Melanomas involving the horse's foot are seldom reported and usually diagnosed as anaplastic melanomas based on signalment and post-mortem examination. The clinical-pathological characteristics of the foot melanoma in this bay horse are consistent with SSM-like described in humans, which is considered an intermediate malignant tumour attending their biological behaviour. However, a definit...
Charles A, Peeters X, Verbrugghe C, Vandersmissen M, Evrard L, Busoni V.The Pivot Point (PP) method is commonly used in the radiographic assessment of carpal deformities in young foals, as the range of deviation may influence treatment choice. The aims of this study were to assess the intra- and interobserver reproducibility of the PP method and subjective radiographic evaluation without line drawing to establish the anatomical site responsible for carpal deviation in foals and to evaluate the agreement between these two techniques. Unassigned: Anonymized radiographs of foals presented for investigation of carpal deformity or prematurity were retrospectively and i...
Hagenbach M, Bierau J, Cruz AM, Koch C, Manso-Díaz G, Büttner K, Staszyk C, Röcken M.In the diagnostics of orthopedic diseases in the horse, diagnostic imaging often plays a decisive role. Cone beam computed tomography (CBCT) imaging is used in both human and small animal medicine and becoming increasingly popular. To see whether CBCT imaging can be useful in the diagnosis of orthopedic diseases of the carpal region of the horse and to explore possible limitations we compared CBCT images with multidetector computed tomography (MDCT) images of the carpal region of equine cadaveric specimens. Unassigned: Twenty-eight forelimbs from fifteen horses, slaughtered for reasons unrelat...
Witt P, Stas EKL, Hardeman LC, van Proosdij ER, Weerts EAWS, Lloyd-Edwards RA, Veraa S, Kranenburg LC, van den Boom R.A sixteen-year-old Friesian mare was admitted to the university clinic with the following clinical signs: anorexia, weight loss, fever, bilateral nasal discharge, unilateral facial paralysis and a non-healing corneal lesion. Endoscopic examination of the upper airways showed thickening of the proximal portion of the right stylohyoid bone. Computed tomography imaging showed pneumocephalus due to grade 3 unilateral temporohyoid osteoarthropathy (THO) with fracture of the petrous temporal bone. The horse did not improve following medical treatment. Surgical intervention was declined by the owner ...
Wu J, Na H, Bai F, Li S, Gao H, Sha R.Horse bone is rich in collagen, with a composition similar to that of human collagen. Collagen peptides supply nutrients needed for human growth that act as antioxidants, lower blood pressure. This study explored the extraction of collagen and the preparation of collagen short peptides from Mongolian horse bones. Bones were collected from horses of varying ages, and the collagen content along with calcium salt distribution were observed through staining and imaging analyses. Next, the bones were processed into a powder and then subjected to ultra-high-pressure processing for degreasing. The de...
Buyck C, Zani DD, Robert M, Gustafsson K.Computed tomography (CT) is increasingly recognized as superior to conventional imaging methods for diagnosing osteomyelitis in foals. However, comprehensive studies in this area are limited. This study aims to report on clinical cases of osteomyelitis in foals, establishing a relationship between CT findings and survival outcomes. Additionally, it compares CT imaging with conventional methods such as radiography and ultrasound. We hypothesized that CT variables would more accurately predict survival than other clinical factors and provide more detailed information about osteomyelitis lesions....
Dörner CA, Vargas V, Castellón CH.The aim of this prospective case-control study was to describe and implement a reliable, accurate, and straightforward ultrasound-guided proximo-medial approach technique for injecting the carpal flexor tendon sheath in horses. The proximo-medial ultrasound-guided approach for intrathecal access to the carpal canal, as described in this study, was firstly developed on ten cadaveric limbs using an undiluted ionic iodinated contrast medium. Landmarks were identified, and the access point was established. Subsequently, the technique was validated in ten horses, and its efficacy was compared with ...
Korsós SA, Kibleur P, Josipovic I, Boone M, Vlaminck L.In orthograde endodontic treatments, different methods are available to debride the pulp canals of endodontically compromised equine cheek teeth, but their efficacy is unknown. Objective: To explore and compare the efficacy and anatomical changes caused by manual versus reciprocating filing techniques in equine cheek teeth, to explore the presence of instrumentation mishaps described in human dentistry and to explore anatomical complexities of the pulp cavity that often remain uninstrumented using microcomputed tomography (μCT). Methods: Ex-vivo randomised experiments. Methods: Twenty-two ext...
Nugent Z, Jensen A, Owen N, Peffers AJ, Moothanchery M, Peffers MJ.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a painful disorder primarily affecting the incisor teeth of horses over 15 years of age. Clinical signs of the disease include prehension problems, halitosis and in severe cases weight loss. The disease predominately affects the reserve crown and presents as a loss of dental tissue and excessive build-up of cementum. Objective: To determine the radiographic scores of horses with EOTRH and age-matched controls and to increase understanding of EOTRH using microCT to compare teeth from horses with EOTRH and age-matched control...
Breen LJ, Stack JD, Gillen AM, Baldwin CM.(1) To evaluate the feasibility of needle tenoscopy of the digital flexor tendon sheath (DFTS) using basisesamoid (BS) and proximolateral (PL) approaches in a standing equine cadaver model. (2) To report visualization of intrathecal DFTS anatomy via both approaches. (3) To determine the efficacy of needle scope-guided palmar/plantar annular ligament (PAL) desmotomy. (4) To report any iatrogenic damage associated with the procedure. Methods: Ex vivo experimental. Methods: Ten equine cadaver limbs. Methods: Limbs were placed in a Kimzey leg-saver splint and needle tenoscopy was performed using t...
CT arthrography (CTA) for evaluating cartilage defects would be beneficial in clinical practice. Since the contrast medium (CM) volume is often driven by operator experience, the aim was to evaluate the minimum volume of iodinated CM for CTA sufficient to identify iatrogenic cartilage defects in horse fetlock. The study was conducted on ex-vivo 32 distal limbs from adult horses collected at slaughter. Iatrogenic cartilage defects were arthroscopically made on fetlock, at 5 predetermined locations. Subsequently, CT scans were performed, according to the following protocol: precontrast scan, fol...
Kerbert MP, le Jeune SS, Philips KL, Shaw KL, Erickson CA, Espinosa-Mur P.Back pain is a common cause of poor performance in horses. However, the relationship between clinical signs and radiographic abnormalities is unclear. The aim of this study was to report radiographic findings of spinous processes in a population of Warmblood jumping horses and their association with performance. This was a descriptive observational study. One hundred Warmblood jumping horses (competing fence height: median 1.35 m, mean 1.3 m, range 0.90m-1.60 m), with no observed lameness and neurological signs, competing in 2018 were selected. Radiographs of spinous processes of the thoracolu...
Son JK, De Paz P, Kim J, Sanaei R, Ryu S, Bailey S, Davies HMS.Changes in the third metacarpal (MC3) mid-diaphyseal dimensions were measured radiographically in young Thoroughbred racehorses through race training and found to be associated with a higher risk of shin soreness. However, it is still unclear whether such negative MC3 morphologies are set congenitally or through development. Objective: To quantify MC3 bone dimensional changes through growth. Methods: Longitudinal. Methods: Twenty privately owned Thoroughbred foals were radiographed bimonthly from birth to 14 months of age. Four linear MC3 parameters (proximodistal MC3 length, mid-diaphyseal do...
Woods TDC, Dixon J, Fraser BSL, Melvaine C.Exploratory tenoscopy is considered the gold standard technique to identify intrathecal pathology of the equine carpal flexor tendon sheath (CFTS). Preoperative diagnosis allows for more precise prognostication and surgical planning, potentially associated with improved surgical outcomes. This prospective, descriptive, anatomical study aimed to describe the anatomy of the equine CFTS using noncontrast and contrast CT in clinically normal cadaver limbs. Ten pairs of equine forelimbs free of gross external abnormalities were examined from mid-antebrachium to distal metacarpus. Specimens initiall...
Connaughton MT, MacDonald EJ, Ireland JL, Rocchigiani G, Stack JD.Caudal wedge ostectomy has not been investigated for overriding or impinging spinous processes (SPs). Objective: To establish the feasibility of caudal wedge ostectomy and compare measures of surgical trauma and error between hypothetical caudal and cranial wedge ostectomies on SPs of different inclinations. Methods: Experimental, method comparison study. Methods: Computed tomography and caudal wedge ostectomy surgery were performed on four cadavers. Observations, technical difficulties, and surgical errors were recorded. Radiographs from 67 horses with overriding/impinging SPs were reviewed. ...
de Secondi C, Cantatore F, Marcatili M, Biggi M, Withers J, de Zani D, Zani D.Back pain is a debilitating condition hampering horses' athletic careers. Thoracic spondylosis (TS), a known cause of back pain, leads to osteophytes formation across intervertebral joints. In horses, TS is poorly reported, with anecdotal signs and response to treatment. To report clinical presentation, diagnostic imaging findings, treatment and outcome in horses with TS. The clinical records of horses diagnosed with TS between 2010 and 2023 were reviewed. Signalment, clinical and imaging findings, treatment, and outcome were analysed. Thoracic spondylosis was graded from 1 to 5. Grades, concu...
Velásquez JM, Tamayo-Arango L, Santos-Silva T, Miglino MA.Horse joints are common sites of injury, orthopedic issues, and surgical and clinical interventions. For this reason, a thorough understanding of joint anatomy, including the boundaries of their recesses and their relationships with other structures of the locomotor apparatus, is essential. This study aimed to develop cast anatomical models of the synovial structures of the equine hand and foot, compare different casting materials and visualization methods, and identify the most suitable technique for enhancing the understanding of equine limb arthrology. Additionally, an anatomical descriptio...
Nourinezhad J, Abdi A, Moarabi A, Hanafi MG, Fatahian Dehkordi RA, Tomańska A.Visualizing the major salivary glands (MSGs) in domestic mammals using plain radiology and identifying damaged their structures is impossible. To accurately display MSGs, the knowledge of normal sectional imaging anatomy is essential for veterinarians, aiding them significantly in identifying the exact relations and position of MSGs; however, no reports on the MSGs sectional imaging anatomy in this species have been made. Objective: This study aimed to evaluate computed tomography (CT), magnetic resonance imaging (MRI) and gross sections of MSGs. Methods: Seven healthy adult donkeys were used ...
Kirkpatrick CJ, Ernst NS, Trumble TN.Injury to the collateral ligament (CL) of the distal interphalangeal joint (DIPJ) is recognized as a source of lameness in horses. Intralesional injection has been advocated to increase return to performance. This study was a proof-of-concept study in standing horses to evaluate success of a palmar radiographic-guided approach for injecting insertions of the DIPJ CLs previously described in cadaver limbs. Horses were sedated, nerve blocked, and placed on wooden blocks with the limb to be injected staggered approximately 20cm cranially to the other limb. The DIPJ CL insertion was injected, usin...
Brown KA, Engiles JB, de Solis CN, Bills KW, Johnson AL, Davidson EJ.To determine the accuracy of a dorsal ultrasound-guided approach for perineural injection of the sixth and seventh cervical spinal nerves (CSNs) with the use of a clinically relevant volume of injectate (2 mL). We hypothesized that the majority of injections would result in identification of contrast solution in the intervertebral foramen (IVF) on CT and corresponding methylene blue dye staining of the CSN on postmortem evaluation, and distribution of injectate into the epidural space would not occur. Unassigned: 7 horses donated to the University of Pennsylvania New Bolton Center for euthanas...
Vernemmen I, Demeyere M, Van Steenkiste G, Buschmann E, Decloedt A, van Loon G.Ultrasonographic guidance of catheter-based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Objective: Use an echocardiography simulator for horses to determine specific ICE views for catheter-based interventions and validate these in live horses. Methods: Six adult healthy experimental horses. Methods: Observational study. An echocardiographic ph...
Berner D, Hellige M, Harvey GG, Gerlach K, Iglesias-Garcia M, Manso-Diaz G.Paranasal sinus cysts (PSC) and progressive ethmoid haematomas (PEH) are regularly observed in the paranasal sinus system. Due to their different prognosis and treatment options, differentiation of both lesions prior to surgery on computed tomographic (CT) images is important for guidance. It was hypothesised that PSC and PEH can be reliably differentiated on CT images. The database of four European equine referral centres were retrospectively searched for horses that had undergone a CT examination of the head and had a confirmed PSC or PEH. Additionally, cases with confirmed sinusitis were se...
Mendes RP, Lima AE, da Cunha R, Bittar MJ, Vasconcelos CC, Piñeros DDV, Corrêa RR.Radiographic examination of the skull is a well-established and indispensable procedure for the diagnostic evaluation of dental and paranasal sinus disorders in horses. Complementary projections make significant contributions to radiographic diagnosis in nasal conchae disorders. This article describes a complementary radiographic projection designed for the evaluation of the conchal sinuses and bullae in horses. Six equine cadaveric heads were used. Specimens were dissected, and openings were created in the ventral and dorsal nasal conchae for the introduction of radiopaque material. The new r...
Kodama S, Maeda T, Mita H, Tamura N, Chiba K, Matsukawa M.Despite the prevalence of lower limb disease in racehorses, outdoor bone evaluation equipment is lacking. Consequently, a secure and cost-effective field screening system for bones is required to identify early-stage leg illness. Elastic stiffness cannot be measured using x-ray techniques and is closely associated with bone quality, which is recognized as a significant determinant of fracture risk. Quantitative ultrasound has garnered attention as a viable option, offering insights into elastic stiffness. Understanding the characteristic behaviors of ultrasonic wave properties (velocity, atten...
Gaida JL, Steinberg T, Stieger-Vanegas SM, Merle R, Lischer CJ.Recent technological advancements in CT have improved the ability to scan standing sedated horses. However, the impact of radiation exposure on veterinary staff while scanning the extremities of standing horses using this technique, compared with digital radiography (DR), remains unknown. This study compares the radiation exposure of imaging technicians assisting with multidetector CT (MDCT) and DR of the distal thoracic limb and tarsus in standing horses. Personal dose equivalent was measured on four body locations: thyroid gland, gonads, hand, and feet. Images of the distal thoracic limb (n ...
Lai CS, Wong ASY, Wong KS, Wan TSM, Ho ENM.In the screening of prohibited substances (PS) in horse biological samples with gas chromatography/mass spectrometry (GC/MS) and liquid chromatography/mass spectrometry (LC/MS) for doping control, an enormous number of chromatograms are generated. Reviewing these chromatograms to identify suspicious findings requires an extensive manual effort. Recent advancements in Artificial Intelligence (AI) enable its use to classify images into different categories. This can potentially be utilized to perform first-line analysis of chromatograms, which are usually displayed as images, by classifying them...
Pelli A, Schütrumpf L, Büttner J, Blomeyer S, Gerlach K, Troillet A.Feeding disorders in horses may have various underlying causes. A thorough clinical examination of the oral cavity is essential for clarification and is often supplemented by imaging techniques such as oral endoscopy, radiography, and computed tomography (CT) of the head. Sonographic examinations of the head and oral cavity are less commonly described diagnostic methods for the investigation of feeding disorders. This case report describes 2 horses presented to the clinic due to impaired feed intake. In both cases the radiographic examination of the head did not reveal any abnormalities relate...
Tually P, Currie G.The horse racing industry, like any sport, must contend with the effects of injuries on an athlete's performance and longevity. Catastrophic fractures linked to preexisting bone fatigue can be prevented with the use of imaging technology, such as the nuclear medicine bone scan. The accessibility and affordability of imaging for racehorses remain obstacles. The conventional role of bone scintigraphy has evolved with the advent of advanced techniques, including MRI, CT, and PET. Concurrently, SPECT has expanded the role of scintigraphy in the racehorse. This article explores the conventional and...
