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Topic:Magnetic Resonance Imaging

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic tool used in veterinary medicine to obtain detailed images of the internal structures of horses. It utilizes strong magnetic fields and radio waves to create cross-sectional images, allowing for the examination of soft tissues, bones, and joints without the need for radiation. MRI is particularly useful for diagnosing conditions in areas that are challenging to assess with other imaging modalities, such as the hoof, distal limb, and head. This page compiles peer-reviewed research studies and scholarly articles that explore the application, techniques, and advancements in MRI technology for equine diagnostics, as well as its role in improving the understanding of equine anatomy and pathology.
Three-Dimensional Segmentation and in silico Comparison of Equine Deep Digital Flexor Tendon Pathology in Horses Undergoing Repeated MRI Examination.
Frontiers in veterinary science    October 21, 2021   Volume 8 706046 doi: 10.3389/fvets.2021.706046
Trolinger-Meadows KD, Biedrzycki AH, He H, Werpy N.The use of magnetic resonance imaging (MRI) has led to increased clinical and research applications using 3D segmentation and reconstructed volumetric data in musculoskeletal imaging. Lesions of the deep digital flexor tendon (DDFT) are a common pathology in horses undergoing MRI. Three-dimensional MRI reconstruction performed for volumetric tendon analysis in horses has not previously been documented. The aim of this proof-of-concept study was to evaluate the 3D segmentation of horses undergoing repeated MRI at several time points and to perform an analysis of the segmented DDFTs across time....
Comparative evaluation of tomosynthesis, computed tomography, and magnetic resonance imaging findings for metacarpophalangeal joints from equine cadavers.
American journal of veterinary research    October 21, 2021   Volume 82, Issue 11 872-879 doi: 10.2460/ajvr.82.11.872
Stewart HL, Kawcak CE, Inscoe CR, Puett C, Lee YZ, Lu J, Zhou OZ, Selberg KT.To describe the technique and assess the diagnostic potential and limitations of tomosynthesis for imaging of the metacarpophalangeal joint (MCPJ) of equine cadavers; compare the tomosynthesis appearance of pathological lesions with their conventional radiographic, CT, and MRI appearances; and evaluate all imaging findings with gross lesions of a given MCPJ. Methods: Distal portions of 4 forelimbs from 4 equine cadavers. Methods: The MCPJs underwent radiography, tomosynthesis (with a purpose-built benchtop unit), CT, and MRI; thereafter, MCPJs were disarticulated and evaluated for the presence...
Imaging the Equine Foot.
The Veterinary clinics of North America. Equine practice    October 19, 2021   Volume 37, Issue 3 563-579 doi: 10.1016/j.cveq.2021.07.003
Gallastegui A.Over the past 5 years, advancements in diagnostic imaging technology have led to improvement of radiographic technique and development of standing computed tomography (CT) and PET-CT scanners. Although these modalities are in their initial stages of development and clinical applications, they are meant to revolutionize the diagnosis and management of diseases of the foot in the standing patient, in particular detecting subclinical lesions, and the establishment of computer-assisted surgical suits. This article also reviews the improved radiographic projections of the equine foot and benefits ...
Equine flexor tendon imaging part 2: Current status and future directions in advanced diagnostic imaging, with focus on the deep digital flexor tendon.
Veterinary journal (London, England : 1997)    October 19, 2021   Volume 278 105763 doi: 10.1016/j.tvjl.2021.105763
Ehrle A, Lilge S, Clegg PD, Maddox TW.Flexor tendon injuries are a common cause of lameness and early retirement in equine athletes. While ultrasonography is most frequently utilised, advanced diagnostic imaging modalities are becoming more widely available for detection and monitoring of flexor tendon lesions. Part two of this literature review details current experience with low- and high-field magnetic resonance imaging (MRI) and computed tomography (CT) for the diagnosis of equine flexor tendinopathy with a focus on the deep digital flexor tendon. Implications of the 'magic angle' artefact as well as injection techniques and t...
Magnetic Resonance Imaging Findings of the Proximal Metacarpal Region in Warmblood Horses: 36 Lame and 26 Control Limbs (2015-2021).
Frontiers in veterinary science    August 12, 2021   Volume 8 714423 doi: 10.3389/fvets.2021.714423
van Veggel E, Selberg K, van der Velde-Hoogelander B, Bolas N, Vanderperren K, Bergman HJ. This study aims to evaluate the distribution and severity of bone and soft tissue lesions in the proximal metacarpal region of warmblood horses in lame and control groups. Correlation between lesions and ability to return to work was evaluated in the lame group. This restrospective analysis evaluated 62 horses with MRI examination of the proximal metacarpal region between Sept 2015 and Feb 2021. There were 36 lame limbs and 26 control limbs. The control group included seven contralateral limbs. Proximal suspensory ligament (PSL) size was not different between the lame and control groups. Hy...
Distal Gracilis Tear in an Equestrian.
American journal of physical medicine & rehabilitation    July 29, 2021   Volume 101, Issue 1 e8-e10 doi: 10.1097/PHM.0000000000001854
Chen YT, Mills C, von Rickenbach KJ, McInnis KC.A 61-yr-old female equestrian presented after 2 wks of left medial thigh pain, which developed suddenly while exiting a car. She denied any history of recent trauma or falls. On examination, she was found to have tenderness at the left distal medial thigh with a palpable region of decreased tissue volume at the gracilis myotendinous junction. Point-of-care ultrasound and magnetic resonance imaging confirmed a high-grade partial thickness tear of the left distal gracilis at the myotendinous junction, as well as pes anserine bursal distention. She received physical therapy and underwent a 1-time...
Assessment of qualitative and quantitative parameters of healthy thyroid gland in adult horses by magnetic resonance imaging.
Anatomia, histologia, embryologia    July 28, 2021   Volume 50, Issue 5 839-848 doi: 10.1111/ahe.12726
Viana GF, Midon M, Fonseca MW, Hataka A, Carandina L, Bueno LMC, Puoli Filho JNP, Machado VMV.In humans and pets, magnetic resonance imaging (MRI) provides important adjunctive anatomic information about the thyroid and its adjacent structures. To the best of our knowledge, however, no studies have been reported regarding the use of MRI for thyroid evaluation in horses. The aim of this study was to obtain qualitative and quantitative parameters of healthy thyroid gland in adult horses by MRI. Eleven horses were submitted to thyroid MRI evaluation. The healthy thyroid of these animals was ensured by normal examinations performed before (free thyroxine and ultrasound) and after (cytology...
Corrigendum: Standing MRI lesions of the distal interphalangeal joint and podotrochlear apparatus occurs with a high frequency in Warmblood horses. The research paper involves a study targeting lesions in the foot joints of Warmblood horses, which was found to be common. However, the authors acknowledge that the initial paper contained […]
Use of cone-beam computed tomography for advanced imaging of the equine patient.
Equine veterinary journal    July 14, 2021   Volume 53, Issue 5 872-885 doi: 10.1111/evj.13473
Stewart HL, Siewerdsen JH, Nelson BB, Kawcak CE.Access to volumetric imaging modalities, such as magnetic resonance imaging (MRI) and computed tomography (CT), has increased over the past decade and has revolutionised the way clinicians evaluate equine anatomy. More recent advancements have resulted in the development of multiple commercially available cone-beam CT (CBCT) scanners for equine use. CBCT scanners modify the traditional fan-shaped beam of ionising radiation into a three-dimensional pyramidal- or cone-shaped beam of radiation. This modification enables the scanner to acquire sufficient data to create diagnostic images of a regio...
Comparison Between Ultrasonographic and Standing Magnetic Resonance Imaging Findings in the Podotrochlear Apparatus of Horses With Foot Pain.
Frontiers in veterinary science    July 5, 2021   Volume 8 675180 doi: 10.3389/fvets.2021.675180
Evrard L, Joostens Z, Vandersmissen M, Audigié F, Busoni V.This prospective study aimed to blindly compare the ultrasonographic and standing magnetic resonance imaging (sMRI) findings in deep digital flexor tendon (DDFT), navicular bone, and navicular bursa in horses with foot pain, positive digital analgesia, and without definitive radiographic diagnosis. Ultrasonography detected more DDFT abnormalities (32/34 feet vs. 27/34 with sMRI) but identified less palmar navicular abnormalities (23/34 feet vs. 30/34 with sMRI). In suprasesamoidean DDFT lesions, which were mainly dorsally located, changes in echogenicity did not correspond to a particular patt...
Deep digital flexor tendon lesions in the pastern are associated with the presence of distal tendinopathy.
Equine veterinary journal    June 28, 2021   Volume 54, Issue 3 502-512 doi: 10.1111/evj.13470
Acutt EV, Contino EK, Frisbie DD, Barrett MF.Correct diagnosis and characterisation of deep digital flexor tendon (DDFT) lesions in equine athletes allows targeted treatment and improved prognostication. Objective: To assess the prevalence and character of pathological change within the DDFT in the pastern with concurrent tendon injury distally. It is hypothesised that tendon lesions in the pastern will be associated with tendinopathy within the hoof capsule. Methods: Retrospective descriptive case series. Methods: Cases with DDFT lesions in the pastern and magnetic resonance imaging (MRI) or ultrasonography of the foot were evaluated re...
18 Fluorine-fluorodeoxyglucose positron emission tomography for assessment of deep digital flexor tendinopathy: An exploratory study in eight horses with comparison to CT and MRI. Wilson S, Spriet M, Mur PE, Anishchenko S, Beylin D, Katzman S, Galuppo L.Lesions of the deep digital flexor tendon (DDFT) are a cause for foot lameness in horses. Positron emission tomography (PET) could provide valuable information regarding the metabolic activity of these lesions. The aims of this exploratory, prospective, methods comparison study were to assess the ability of fluorine-fluorodeoxyglucose ( F-FDG) PET to detect DDFT lesions and to compare the PET findings with CT and MRI findings. Eight horses with lameness due to pain localized to the front feet were included. Both front limbs of all horses were imaged with F-FDG PET, noncontrast CT, and arteri...
Longitudinal tendon healing assessed with multi-modality advanced imaging and tissue analysis.
Equine veterinary journal    June 8, 2021   doi: 10.1111/evj.13478
Johnson SA, Valdés-Martínez A, Turk PJ, Wayne McIlwraith C, Barrett MF, McGilvray KC, Frisbie DD.The range of diagnostic modalities available to evaluate superficial digital flexor tendon (SDFT) injury includes magnetic resonance imaging (MRI), computed tomography (CT) and ultrasonography (US). Direct, comprehensive comparison of multi-modality imaging characteristics to end-point data has not previously been performed using a model of tendinopathy but is required to obtain a better understanding of each modality's diagnostic capabilities. Objective: To compare CT, MRI and US evaluation to outcome measures for histologic, biochemical and biomechanical parameters using an equine surgical m...
A study of ultrasound-guided perineural injection of the caudal cervical spinal nerve roots in equine cadavers.
Veterinary anaesthesia and analgesia    May 5, 2021   Volume 48, Issue 4 603-611 doi: 10.1016/j.vaa.2021.04.002
Cruz-Sanabria JA, Gaschen L, Bragulla HH, Mitchell M, Leise BS.To develop an ultrasound-guided cervical perineural injection technique for horses and to evaluate and compare the distribution of contrast agent among perineural, intra-articular and periarticular injections. Methods: Prospective, experimental cadaveric study. Methods: A total of 14 equine cadaveric necks. Methods: Bilateral ultrasound-guided perineural injection technique for the caudal cervical spinal nerve roots (CSNRs 5-7) was developed. Paramagnetic or iodinated contrast was injected and the distribution of contrast was evaluated using magnetic resonance (MR) or computed tomography (CT) ...
Retrospective analysis of oblique and straight distal sesamoidean ligament desmitis in 52 horses.
Equine veterinary journal    March 11, 2021   Volume 54, Issue 2 312-322 doi: 10.1111/evj.13438
Hawkins A, O'Leary L, Bolt D, Fiske-Jackson A, Berner D, Smith R.Injuries to the oblique (ODSL) or straight (SDSL) distal sesamoidean ligaments are a recognised cause of distal limb lameness in the horse. However, there are only limited publications addressing common diagnostic features and prognosis. Objective: (a) Report findings on ultrasonography and standing low-field magnetic resonance imaging (sMRI) in horses with ODSL or SDSL injury; (b) Identify clinical variables associated with lesion type and (c) Identify factors associated with return to soundness in horses with ODSL or SDSL injury. Methods: Retrospective case series. Methods: Horses with a pri...
Does the Low-Field MRI Appearance of Intraosseous STIR Hyperintensity in Equine Cadaver Limbs Change when Subjected to a Freeze-Thaw Process?
Animals : an open access journal from MDPI    February 11, 2021   Volume 11, Issue 2 475 doi: 10.3390/ani11020475
Johnston GCA, Ahern BJ, Woldeyohannes SM, Young AC.Equine advanced imaging research involving racehorse fetlock pathology commonly uses cadaver limbs and a freeze-thaw process. The presence of short tau inversion recovery (STIR) signal intensity in the distal third metacarpal/metatarsal bone is of particular interest and may be clinically relevant in the diagnosis of horses at risk of fracture. However, little is known about the effect of the freeze-thaw process on the MRI appearance of STIR hyperintensity in these bones. This study compares the low-field MRI appearance of the distal third metacarpal/metatarsal bone from cadaver limbs of Thoro...
Neural changes following equine-assisted therapy for posttraumatic stress disorder: A longitudinal multimodal imaging study.
Human brain mapping    February 5, 2021   Volume 42, Issue 6 1930-1939 doi: 10.1002/hbm.25360
Zhu X, Suarez-Jimenez B, Zilcha-Mano S, Lazarov A, Arnon S, Lowell AL, Bergman M, Ryba M, Hamilton AJ, Hamilton JF, Turner JB, Markowitz JC....While effective treatments for posttraumatic stress disorder (PTSD) exist, many individuals, including military personnel and veterans fail to respond to them. Equine-assisted therapy (EAT), a novel PTSD treatment, may complement existing PTSD interventions. This study employs longitudinal neuro-imaging, including structural magnetic resonance imaging (sMRI), resting state-fMRI (rs-fMRI), and diffusion tensor imaging (DTI), to determine mechanisms and predictors of EAT outcomes for PTSD. Nineteen veterans with PTSD completed eight weekly group sessions of EAT undergoing multimodal MRI assessme...
Surgical Repair of a Unicortical Condylar Fracture in a Thoroughbred Racehorse Using a Bioabsorbable Screw.
Journal of equine veterinary science    January 16, 2021   Volume 99 103384 doi: 10.1016/j.jevs.2021.103384
Ravanetti P, Hamon M, Lechartier A, Zucca E.Surgical repair of unicortical fractures of the distal condyles of the third metacarpal/metatarsal bones (MCIII/MTIII) has been described. In the present case, a bioabsorbable screw was used to stabilize a unicortical fracture in the palmar aspect of the medial condyle of MCIII in a National Hunt Thoroughbred racehorse. The clinical, radiographic, and magnetic resonance imaging findings before and after surgery were recorded. Eighteen weeks after surgery, the lameness had resolved and the bone surrounding the fracture had recovered its normal architecture. One year after surgery, the horse was...
Chronic Collateral Sesamoidean Desmopathy in Draft Horses: Magnetic Resonance Imaging and Histopathological Findings.
Journal of equine veterinary science    January 7, 2021   Volume 98 103362 doi: 10.1016/j.jevs.2020.103362
Abu-Seida AM, Elemmawy YM.Desmopathy of the collateral sesamoidean ligament (CSL) is an unusual disorder in draft horses. This study records the magnetic resonance imaging (MRI) features of chronic CSL desmopathy in eight draft horses and confirms these features by histopathology. The recorded chronic CSL desmopathy has usually affected the forelimbs (100%) and commonly bilateral (62.5%). All horses showed positive proximal digital nerve block, positive front digital flexion test, and negative interphalangeal extension test. Radiography revealed no osseous abnormalities in all feet. MRI features of chronic CSL desmopat...
CT more accurately detects foreign bodies within the equine foot than MRI or digital radiography. Ogden NKE, Milner PI, Stack JD, Talbot AM.Identification and characterization of foreign bodies in the distal limb of horses poses a diagnostic challenge. The aims of this prospective experimental cadaver study were to describe the appearance of five foreign body materials within the equine hoof using CT, MRI, and digital radiography (DR) and to compare interrater agreement among three reviewers. Fifty foreign bodies consisting of five materials were implanted at a solar location or a coronary location in 25 equine cadaver feet. The images were reviewed by three equine veterinarians experienced in advanced imaging interpretation, who ...
Quantitative assessment of left ventricular volume and function by transthoracic and transesophageal echocardiography, ultrasound velocity dilution, and gated magnetic resonance imaging in healthy foals.
American journal of veterinary research    December 1, 2020   Volume 81, Issue 12 930-939 doi: 10.2460/ajvr.81.12.930
Fries RC, Clark-Price SC, Kadotani S, Stack JP, Schaeffer DJ, Lascola KM.To compare measurements of left ventricular volume and function derived from 2-D transthoracic echocardiography (2DE), transesophageal echocardiography (TEE), and the ultrasound velocity dilution cardiac output method (UDCO) with those derived from cardiac MRI (cMRI) in healthy neonatal foals. Methods: 6 healthy 1-week-old Standardbred foals. Methods: Foals were anesthetized and underwent 2DE, TEE, and cMRI; UDCO was performed simultaneously with 2DE. Images acquired by 2DE included the right parasternal 4-chamber (R4CH), left apical 4- and 2-chamber (biplane), and right parasternal short-axis...
Magnetic Resonance Imaging Findings in the Proximal Metacarpal Region of 359 Horses and Proximal Metatarsal Region of 64 Horses Acquired Under Standing Sedation.
Journal of equine veterinary science    September 17, 2020   Volume 94 103268 doi: 10.1016/j.jevs.2020.103268
Murray RC, Tranquille CA, Walker VA, Milmine RC, Bak L, Tacey JB, Bolas NM.Standing magnetic resonance (MR) images of proximal metacarpal/metatarsal regions are increasingly being acquired. This study aimed at describing ranges of abnormalities detected in sport/racehorses, using retrospective evaluation of magnetic resonance imaging (MRI) reports from horses with lameness isolated to proximal metacarpal/metatarsal regions with images acquired standing. It was hypothesized that MRI features are different between metacarpal and metatarsal regions and between horses doing different sports. Reports from 359 forelimbs and 64 hindlimbs were included. Palmar/plantar metaca...
Clinical magnetic resonance image quality of the equine foot is significantly influenced by acquisition system.
Equine veterinary journal    September 5, 2020   Volume 53, Issue 3 469-480 doi: 10.1111/evj.13330
Byrne CA, Marshall JF, Voute LC.Investigation of image quality in clinical equine magnetic resonance (MR) imaging may optimise diagnostic value. Objective: To assess the influence of field strength and anaesthesia on image quality in MR imaging of the equine foot in a clinical context. Methods: Analytical clinical study. Methods: Fifteen equine foot studies (five studies per system) were randomly selected from the clinical databases of three MR imaging systems: low-field standing (LF St), low-field anaesthetised (LF GA) and high-field anaesthetised (HF GA). Ten experienced observers graded image quality for entire studies an...
High-Power Laser Therapy Improves Healing of the Equine Suspensory Branch in a Standardized Lesion Model.
Frontiers in veterinary science    September 3, 2020   Volume 7 600 doi: 10.3389/fvets.2020.00600
Pluim M, Martens A, Vanderperren K, van Weeren R, Oosterlinck M, Dewulf J, Kichouh M, Van Thielen B, Koene MHW, Luciani A, Plancke L, Delesalle C.High-power laser therapy is often used as a treatment for human sport injuries but controlled standardized studies on its efficacy are lacking. The technique has also been introduced in the equine field and recently promising results were reported in a retrospective study focusing on 150 sporthorses suffering from tendinopathy and desmopathy of the SDFT, DDFT, suspensory ligament, and suspensory branches. The goal of the present study was to evaluate the effect of high-power laser in a standardized lesion model in horses. Lesions were created in all lateral suspensory branches of 12 warmblood ...
Effect of Scan Plane and Arthrography on Visibility and Interobserver Agreement of the Equine Distal Sesamoidean Impar Ligament on Magnetic Resonance Images.
Journal of equine veterinary science    August 15, 2020   Volume 94 103227 doi: 10.1016/j.jevs.2020.103227
Berner D, Mader D, Groß C, Gerlach K.In magnetic resonance imaging (MRI) examinations, moderate to severe changes of the distal sesamoidean impar ligament (DSIL) were found in horses with lameness localized to their feet. Histologic abnormalities were detected more commonly in lame horses. Because of its heterogeneity and small thickness, evaluation of the DSIL in MRI can be challenging. The aim of the study was to determine the optimal sequence and the ideal transverse perpendicular angle for visualization of the DSIL before and after arthrography of the distal interphalangeal joint (DIPJ). Twenty-five cadaver forelimbs were exa...
Computed Tomography and Magnetic Resonance Imaging of an Epidermoid Cyst in a Foot of a Horse.
Journal of equine veterinary science    August 14, 2020   Volume 94 103223 doi: 10.1016/j.jevs.2020.103223
Mageed M, Elfadl A.An 18-year-old Quarter Horse mare was evaluated because of moderate left forelimb lameness of 4 weeks' duration. The clinical evaluation and diagnostic perineural analgesia localized the lameness to the distal portion of the left forelimb. There was swelling on the dorsal and lateral aspect of the coronary band. Radiography, ultrasound, magnetic resonance imaging, and computed tomography of the foot revealed circumscribed well-capsulated soft tissue mass causing a focal deformation of the dorsolateral border of the middle phalanx. The treatment aimed to remove the mass surgically and stabiliz...
Diffusion Tensor Imaging Tractography of White Matter Tracts in the Equine Brain.
Frontiers in veterinary science    July 30, 2020   Volume 7 382 doi: 10.3389/fvets.2020.00382
Boucher S, Arribarat G, Cartiaux B, Lallemand EA, Péran P, Deviers A, Mogicato G.Tractography, a noninvasive technique tracing brain pathways from diffusion tensor magnetic resonance imaging (DTI) data, is increasingly being used for brain investigation of domestic mammals. In the equine species, such a technique could be useful to improve our knowledge about structural connectivity or to assess structural changes of white matter tracts potentially associated with neurodegenerative diseases. The goals of the present study were to establish the feasibility of DTI tractography in the equine brain and to provide a morphologic description of the most representative tracts in t...
Degenerative Lumbar Spinal Stenosis.
Revista brasileira de ortopedia    July 23, 2020   Volume 56, Issue 1 9-17 doi: 10.1055/s-0040-1712490
Hennemann S, de Abreu MR.Degenerative lumbar spinal stenosis is the most frequent cause of low back pain and/or sciatica in the elderly patient. Epidemiology, pathophysiology, clinical manifestations and testing are reviewed in a wide current bibliographic investigation. The importance of the relationship between clinical presentation and imaging study, especially magnetic resonance imaging (MRI), is emphasized. Prior to treatment indication, it is necessary to identify the precise location of pain, as well as the differential diagnosis between neurological and vascular lameness. Conservative treatment combining medic...
Fluoroquinolone exposure in utero did not affect articular cartilage of resulting foals.
Equine veterinary journal    July 20, 2020   Volume 53, Issue 2 385-396 doi: 10.1111/evj.13295
Ellerbrock RE, Canisso IF, Larsen RJ, Garrett KS, Stewart MC, Herzog KK, Kersh ME, Moshage SG, Podico G, Lima FS, Childs BA.Recent studies have shown that fluoroquinolones, specifically, enrofloxacin and its active metabolite (ciprofloxacin), cross the equine placenta without causing gross or histological lesions in the first and third trimester fetuses or resulting foal. However, it is possible that in utero exposure to fluoroquinolones may cause subtle lesions not detectable by standard means; thus, a more in-depth assessment of potential toxicity is warranted. Objective: To use quantitative magnetic resonance imaging (qMRI), biomechanical testing, and chondrocyte gene expression to evaluate the limbs of foals ex...
Variation in the MRI signal intensity of naturally occurring equine superficial digital flexor tendinopathies over a 12-month period.
The Veterinary record    July 20, 2020   Volume 187, Issue 7 e53 doi: 10.1136/vr.105800
Berner D, Brehm W, Gerlach K, Offhaus J, Scharner D, Burk J.Signal intensity (SI) of equine tendinopathies in MRI differs between the superficial digital flexor tendon (SDFT) and the deep digital flexor tendon (DDFT). In DDFT lesions, short tau inversion recovery (STIR) SI decreases earlier than T2-weighted (T2w) SI, while the latter decreases earlier in SDFT lesions, but long-term results using STIR sequences are lacking. Methods: Standing MRI of eight horses with naturally occurring SDFT lesions was performed at the day of treatment as well as 2, 6 and 12 months after treatment. Results: After 12 months, six horses were sound and showed complete reso...