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Topic:Radiography

Radiography for horses involves the use of X-ray imaging to evaluate the internal structures of equine patients. This diagnostic tool is employed to visualize bones, joints, and soft tissues, assisting veterinarians in diagnosing fractures, detecting joint abnormalities, and assessing conditions such as laminitis. Radiographic techniques in equine medicine include both traditional film-based methods and digital radiography, which offers enhanced image quality and storage capabilities. The application of radiography in horses requires specific positioning and techniques to accommodate their size and anatomy. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, advancements, and clinical applications of radiography in equine veterinary practice.
Evaluation of the diagnostic value of transcranial electrical stimulation (TES) to assess neuronal functional integrity in horses.
Frontiers in neuroscience    April 11, 2024   Volume 18 1342803 doi: 10.3389/fnins.2024.1342803
Journée SL, Journée HL, Bergmann W, Chantziaras I, Vanderperren K, Raes E, Reed SM, de Bruijn CM, Berends HI, Delesalle CJG.Medical imaging allows for the visualization of spinal cord compression sites; however, it is impossible to assess the impact of visible stenotic sites on neuronal functioning, which is crucial information to formulate a correct prognosis and install targeted therapy. It is hypothesized that with the transcranial electrical stimulation (TES) technique, neurological impairment can be reliably diagnosed. Unassigned: To evaluate the ability of the TES technique to assess neuronal functional integrity in ataxic horses by recording TES-induced muscular evoked potentials (MEPs) in three different mu...
Advances in the Clinical Diagnostics to Equine Back Pain: A Review of Imaging and Functional Modalities.
Animals : an open access journal from MDPI    February 23, 2024   Volume 14, Issue 5 doi: 10.3390/ani14050698
Domańska-Kruppa N, Wierzbicka M, Stefanik E.Back pain is common in ridden horses. Back diseases in horses include Impinging Dorsal Spinous Processes, Ventral Spondylosis, Osteoarthritis of Articular Process, Intervertebral Discs Disease, Vertebral Fractures, Conformational Abnormalities, Desmopathy of the Supraspinous Ligament, Desmopathy of the Intraspinous Ligament, and Longissimus Muscle Strain. Back pain may also develop as a result of lameness (particularly hindlimb lameness). A poorly fitting saddle and an unbalanced rider are also considered important factors influencing the development of back pain in horses. The conventional di...
Prejudicial findings regarding suitability for intended purpose during pre-purchase examinations in a mixed horse population-A retrospective observational study in the United Kingdom.
Equine veterinary journal    January 17, 2024   doi: 10.1111/evj.14061
Shelton AV, Tupper J, Bolt DM.Pre-purchase examinations (PPEs) are performed for prospective purchasers of horses to identify prejudicial findings that could make animals unsuitable for an intended use. Although this examination process is often standardised, PPEs remain, in large parts, a subjective procedure. In the United Kingdom, PPEs generally consist of either a two stage (two stage vetting [2SV], i.e., general physical examination at rest and basic trot in-hand) or a five stage-examination (five stage vetting [5SV], i.e., general physical exam at rest and after exercise, lameness evaluation including strenuous exerc...
Diagnostic accuracy of plain radiography to identify synovial penetration in horses with traumatic limb wounds.
Equine veterinary journal    January 10, 2024   Volume 57, Issue 1 62-68 doi: 10.1111/evj.14050
Michotte M, Raes E, Oosterlinck M.The diagnostic value of plain radiography for diagnosing synovial penetration in limb wounds near synovial structures has not been determined. Objective: To assess diagnostic accuracy of plain radiography to identify synovial penetration in horses with traumatic limb wounds. Methods: Retrospective case study. Methods: Case records of horses presented to the Faculty of Veterinary Medicine of Ghent University (2011-2021) with limb wounds near synovial structures were categorised in groups with and without synovial penetration using results of synovial fluid analysis and surgical findings. Plain ...
Osteoarthritis of the coxofemoral joint in 24 horses: Evaluation of radiography, ultrasonography, intra-articular anaesthesia, treatment and outcome.
Equine veterinary journal    January 7, 2024   doi: 10.1111/evj.14053
Sauer FJ, Hellige M, Beineke A, Geburek F.Few case reports describe equine coxofemoral joint osteoarthritis (CFJOA). Objective: To evaluate diagnostic findings and outcome of horses with CFJOA and to provide a score facilitating radiographic assessment. Methods: Retrospective case series. Methods: History, clinical signs, ultrasonographic, radiographic and intra-articular anaesthesia findings, treatments, outcome, and necropsy results of horses with CFJOA presented between 2002 and 2023 were collated. Radiographic findings were categorised to develop a radiographic score which was applied by two masked examiners. Intra- and inter-obse...
Radiation from the equine perineal region is low compared with the elbow and head 24 hours after bone scintigraphic examination. Marcelino L, Falk E, Johansson J, Rydén J, Uhlhorn M, Ley CJ.The timing of follow-up radiography and ultrasound in horses that undergo skeletal scintigraphy for lameness investigation varies internationally and between equine hospitals. The prospective, one-group, pretest, posttest study aimed to estimate radiation levels from horses three and 24 h after injection of hydroxydiphosphonate labeled with metastable technetium ( Tc-HDP) and investigate which anatomical locations of the horse had higher radiation levels. Included were 46 horses referred for lameness investigation between June and December 2021. Radiation levels from the horse surface were me...
Image processing setting adaptions according to image dose and radiologist preference can improve image quality in computed radiography of the equine distal limb: A cadaveric study. Seeber M, Lederer KA, Rowan C, Strohmayer C, Ludewig E.Image processing (IP) in digital radiography has been steadily refined to improve image quality. Adaptable settings enable users to adjust systems to their specific requirements. This prospective, analytical study aimed to investigate the influence of different IP settings and dose reductions on image quality. Included were 20 cadaveric equine limb specimens distal to the metacarpophalangeal and metatarsophalangeal joints. Images were processed with the Dynamic Visualization II system (Fujifilm) using five different IP settings including multiobjective frequency processing, flexible noise cont...
Comparison of ultrasonographic and computed tomographic imaging of equine thoracolumbar articular process joints.
Equine veterinary journal    October 30, 2023   Volume 56, Issue 5 989-998 doi: 10.1111/evj.14017
Morgan RE, Fiske-Jackson A, Chang YM.Osteoarthritis of the equine thoracolumbar articular process joints (APJs) has been linked to back pain. Changes are commonly diagnosed through nuclear scintigraphy, radiography and ultrasonography (US). Objective: (1) To assess the agreement of APJ grades between US and computed tomography (CT) images; (2) to assess the effect of location on the agreement of APJ grades between US and CT images. It was hypothesised that: (1) Periarticular modelling and modification of the joint space would have the highest and lowest agreement between US and CT images, respectively; (2) Caudal thoracolumbar AP...
Evaluation of clinical and diagnostic imaging findings of bilateral superficial digital flexor tendon luxation in the tarsus of a gelding.
Veterinary research forum : an international quarterly journal    October 15, 2023   Volume 14, Issue 10 579-582 doi: 10.30466/vrf.2023.1989381.3780
Anoushepour A, Eftekhari S, Masoudifard M.Superficial digital flexor tendon (SDFT) plays an important role in the locomotion of the horses with flexion of the limbs. In the hind limb, it passes over the calcaneal bone and attaches to medial and lateral surfaces of calcaneous by two bands of connective tissue; while, the medial band is weaker than the lateral one. Occasionally, severe trauma, over-extension or fracture of the calcaneous may cause rupture of the supportive bands leading to tendon luxation. An 11-year-old Thoroughbred jumping gelding with symptoms of lameness in both legs, after examination by an internal specialist vete...
Comparison of equine paranasal sinus trephination complications and outcome following standing computed tomography, radiography and sinoscopy guided approaches for the treatment of sinusitis.
Veterinary surgery : VS    August 21, 2023   doi: 10.1111/vsu.14013
Hopfgartner T, Brown JA, Adams MN, Werre SR.The recent availability of standing computed tomography (CT) for equine paranasal sinus disease has enhanced diagnosis and enabled more targeted surgery compared to radiography and sinoscopy. To date, there have been no studies which have critically evaluated the benefit of preoperative CT versus radiography and sinoscopy on complications and outcome in horses undergoing sinus trephination. Methods: Retrospective study. Methods: A total of 229 equids. Methods: The medical records of equids (229) presented for sinusitis treated via trephination that had CT, radiography and/or sinoscopy at time ...
Survey of equine veterinarians regarding primary equine back pain in the United States.
Frontiers in veterinary science    July 26, 2023   Volume 10 1224605 doi: 10.3389/fvets.2023.1224605
Marshall-Gibson ME, Durham MG, Seabaugh KA, Moorman VJ, Ferris DJ.Back pain is a common complaint, clinical finding and performance limiting factor in sport horses. This study sought to gather current veterinary trends in the diagnosis, treatment and management of primary equine back pain in the United States. A 22 question survey was distributed electronically to equine practitioners through AAEP and ACVSMR listservs and through closed social media groups. The survey was open from April 20, 2022 to July 5, 2022. Responses were analyzed using Microsoft excel pivot tables. Ninety-seven survey responses were obtained and analyzed. Respondents reported the clin...
Imaging and Gross Pathological Appearance of Changes in the Parasagittal Grooves of Thoroughbred Racehorses.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3366 doi: 10.3390/ani11123366
Johnston GCA, Ahern BJ, Palmieri C, Young AC.(1) Background: Parasagittal groove (PSG) changes are often present on advanced imaging of racing Thoroughbred fetlocks and have been suggested to indicate increased fracture risk. Currently, there is limited evidence differentiating the imaging appearance of prodromal changes in horses at risk of fracture from horses with normal adaptive modelling in response to galloping. This study aims to investigate imaging and gross PSG findings in racing Thoroughbreds and the comparative utility of different imaging modalities to detect PSG changes. (2) Methods: Cadaver limbs were collected from twenty ...
Diagnostic imaging in acute interstitial pneumonia in foals: High variability of interpretation of chest radiographs and good conformity between ultrasonographic and post-mortem findings. Punsmann S, Hellige M, Hoppe J, Freise F, Venner M.Acute interstitial pneumonia (AIP) in foals is a rare but challenging syndrome. Diagnostic imaging is crucial for its diagnosis. While there are some reports on radiographic findings, ultrasound is sparsely described. Variability in the evaluation of radiographs in AIP has been well described in human literature. Part one of this study is a prospective, observational, observer agreement study investigating inter- and intraobserver agreement in the assessment of thoracic radiographs. Part two is a prospective, controlled, descriptive study on thoracic ultrasonography in foals with AIP. Eighteen...
Modified Proximal Interphalangeal Joint Arthrodesis in a Yearling Filly with an Osseous Cyst-Like Lesion in the Proximal Phalanx.
Animals : an open access journal from MDPI    March 28, 2021   Volume 11, Issue 4 948 doi: 10.3390/ani11040948
Kol'vek F, Krešáková L, Vdoviaková K, Medvecký Ľ, Žert Z.After the medial femoral condyle (MFC), the phalanges are the second most common site for osseous cyst-like lesions (OCLLs). Conservative treatment of phalangeal cysts on the convex surface of proximal phalanx presents a technical problem with access to the stoma of the cyst. Surgical therapy options usually aim to avoid cyst enlargement through drilling or screw placement or to encourage lesion filling with osteoconductive material. This paper describes a case of treatment of the OCLL in a yearling Czech warmblood filly with surgical arthrodesis, together with the packing of the OCLL with cal...
Meningitis After Tooth Extraction and Sinus Lavage in a Horse.
Journal of equine veterinary science    November 16, 2020   Volume 97 103323 doi: 10.1016/j.jevs.2020.103323
Zetterström S, Groover E, Lascola K, Cole R, Velloso A, Boone L.A five-year-old Thoroughbred mare was evaluated because of chronic, malodorous, unilateral nasal discharge, and suspected maxillary cheek tooth root abscess. Skull radiographs revealed bilateral sinusitis suspected secondary to tooth root abscessation of 109 and 210. Following oral extraction of 109, bilateral conchofrontal sinus trephination and lavage; fever, tachycardia, and cervical stiffness developed. A lumbosacral cerebrospinal fluid tap was performed, and a presumptive diagnosis of bacterial meningitis was made. Targeted therapy consisted of antibiotic treatment with penicillin, enrofl...
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...
Case-Control Comparison of Cervical Spine Radiographs From Horses With a Clinical Diagnosis of Cervical Facet Disease With Normal Horses.
Journal of equine veterinary science    June 20, 2020   Volume 92 103176 doi: 10.1016/j.jevs.2020.103176
Koenig JB, Westlund A, Nykamp S, Kenney DG, Melville L, Cribb N, Oberbichler D.The accuracy of using radiographs to diagnose cervical facet osteoarthritis (CFA) in horses is undetermined. Further investigation is required to determine the clinical significance of radiographic evidence of CFA, the prevalence of radiographic changes in horses without clinical signs, and the long-term efficacy of intra-articular CFA treatment. The objectives of this study is to compare degenerative changes of the cervical facet joints of the cervical vertebrae on radiographs of horses with clinical signs of CFA with healthy cohort-matched horses, to compare clinical findings between groups,...
Caudal cervical vertebral morphological variation is not associated with clinical signs in Warmblood horses.
Equine veterinary journal    July 16, 2019   Volume 52, Issue 2 219-224 doi: 10.1111/evj.13140
Veraa S, de Graaf K, Wijnberg ID, Back W, Vernooij H, Nielen M, Belt AJM.Variation in equine caudal cervical spine morphology at C6 and C7 has high prevalence in Warmblood horses and is suspected to be associated with pain in a large mixed-breed group of horses. At present no data exist on the relationship between radiographic phenotype and clinical presentation in Warmblood horses in a case-control study. Objective: To establish the frequency of radiographically visible morphologic variation in a large group of Warmblood horses with clinical signs and compare this with a group without clinical signs. We hypothesised that occurrence of morphologic variation in the ...
Paranasal sinus cysts in the horse: Complications related to their presence and surgical treatment in 37 cases.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 57-63 doi: 10.1111/evj.12959
Fenner MF, Verwilghen D, Townsend N, Simhofer H, Schwarzer J, Zani DD, Bienert-Zeit A.Paranasal sinus cysts (PSC) are a common cause of equine secondary sinusitis. The outcome and associated complications have not been frequently reported. Objective: To review the associated clinical signs, associated morbidities and outcomes of horses treated for PSC. Methods: Retrospective multicentre case series. Methods: Retrospective analysis of case records and telephone follow up survey. Results: Subjects were 37 horses 1-24 years old that were presented with nasal discharge (n = 31), facial swelling (n = 25) and epiphora (n = 19). Radiography and computed tomography allowed identificati...
Correlations between the equine metacarpophalangeal joint angulation and toe conformation in statics.
Open veterinary journal    March 22, 2018   Volume 8, Issue 1 96-103 doi: 10.4314/ovj.v8i1.15
Hagen J, Kojah K, Geiger M.The angulation of the equine fetlock determines the load of associated tendons and probably their predisposition for injuries. However, it is questionable how the individual toe conformation and tendon properties interact with the dorsal metacarpophalangeal joint angle (DMPJ). Data are needed for a tangible evaluation of the equine limb conformation for more specific orthopaedic treatment. The aim was to evaluate the correlation between the DMPJ, toe conformation and cross-sectional area (CSA) of both flexor tendons; the superficial digital flexor tendon (SDFT) and deep digital flexor tendon (...
Microglia and astrocyte activation in the spinal cord of lame horses.
Veterinary anaesthesia and analgesia    November 2, 2017   Volume 45, Issue 1 92-102 doi: 10.1016/j.vaa.2017.10.001
Meneses CS, Müller HY, Herzberg DE, Uberti B, Werner MP, Bustamante HA.To determine the microglial and astrocyte response to painful lameness in horses. Methods: Ionized calcium binding adaptor molecule 1 (Iba-1) and glial fibrillary acidic protein (GFAP) expression, cell density and morphology were determined through immunofluorescence within the dorsal horn of equine spinal cord. Methods: A total of five adult horses with acute or chronic unilateral lameness, previously scheduled for euthanasia. Methods: Musculoskeletal lameness was evaluated in five horses through visual evaluation according to clinical guidelines. Spinal cord samples were obtained immediately...
Preexisting lesions associated with complete diaphyseal fractures of the third metacarpal bone in 12 Thoroughbred racehorses. Gray SN, Spriet M, Garcia TC, Uzal FA, Stover SM.We characterized features of complete diaphyseal fractures of third metacarpal bones in Thoroughbred racehorses. Given that stress fractures are known to occur in the third metacarpal bone, an additional aim was to determine if complete fractures are associated with signs of a preexisting incomplete stress fracture. Bilateral metacarpi from 12 Thoroughbred racehorses euthanized because of complete unilateral metacarpal diaphyseal fracture were examined visually and radiographically. Open, comminuted, transverse or short oblique fractures occurred in the middle of the diaphysis or supracondylar...
Repair of large osteochondritis dissecans lesions using a novel multilayered tissue engineered construct in an equine athlete.
Journal of tissue engineering and regenerative medicine    May 20, 2016   Volume 11, Issue 10 2785-2795 doi: 10.1002/term.2173
Stack JD, Levingstone TJ, Lalor W, Sanders R, Kearney C, O'Brien FJ, David F.Osteochondral lesions resulting from osteochondritis dissecans are problematic to treat and present a significant challenge for clinicians. The aims of this study were to investigate the use of a scaffold-assisted microfracture approach, employing a novel, multilayered, collagen-based, osteochondral graft substitute in the treatment of severe osteochondritis dissecans of both lateral femoral trochlear ridges in an equine athlete, and to assess the potential of this novel scaffold to enhance repair of the osteochondral unit. A 15 month-old female filly presented with large osteochondritis diss...
Pneumonia Caused by Klebsiella spp. in 46 Horses.
Journal of veterinary internal medicine    October 23, 2015   Volume 30, Issue 1 314-321 doi: 10.1111/jvim.13653
Estell KE, Young A, Kozikowski T, Swain EA, Byrne BA, Reilly CM, Kass PH, Aleman M.Klebsiella spp. are implicated as a common cause of bacterial pneumonia in horses, but few reports describe clinical presentation and disease progression. Objective: To describe the signalment, clinicopathologic data, radiographic and ultrasonographic findings, antimicrobial susceptibility, outcome, and pathologic lesions associated with Klebsiella spp. pneumonia in horses. Methods: Forty-six horses from which Klebsiella spp. was isolated from the lower respiratory tract. Methods: Retrospective study. Medical records from 1993 to 2013 at the William R. Pritchard Veterinary Medical Teaching Hos...
Caudal lumbar vertebral fractures in California Quarter Horse and Thoroughbred racehorses.
Equine veterinary journal    October 9, 2014   Volume 47, Issue 5 573-579 doi: 10.1111/evj.12334
Collar EM, Zavodovskaya R, Spriet M, Hitchens PL, Wisner T, Uzal FA, Stover SM.To gain insight into the pathophysiology of equine lumbar vertebral fractures in racehorses. Objective: To characterise equine lumbar vertebral fractures in California racehorses. Methods: Retrospective case series and prospective case-control study. Methods: Racehorse post mortem reports and jockey injury reports were retrospectively reviewed. Vertebral specimens from 6 racehorses affected with lumbar vertebral fractures and 4 control racehorses subjected to euthanasia for nonspinal fracture were assessed using visual, radiographic, computed tomography and histological examinations. Results: ...
Sinusitis associated with nasogastric intubation in 3 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2014   Volume 55, Issue 6 554-558 
Nieto JE, Yamout S, Dechant JE.Sinusitis has not been reported as a complication of long-term nasogastric intubation in horses. We describe 3 horses that developed nosocomial sinusitis following abdominal surgery with associated perioperative nasogastric intubation. Sinusitis was suspected by the presence of malodorous discharge and confirmed by percussion, upper airway endoscopy, radiographs (n = 3), and bacterial culture (n = 1). La sinusite n’a a pas été signalée comme une complication de l’intubation naso-gastrique à long terme chez les chevaux. Nous décrivons 3 chevaux qui ont développé une sinusite nosocom...
Advances in equine dental radiology.
The Veterinary clinics of North America. Equine practice    June 5, 2013   Volume 29, Issue 2 367-vi doi: 10.1016/j.cveq.2013.04.001
Baratt R.Although diagnostic images can be obtained with traditional rare-earth film-screen combinations, digital radiography (DR) has enhanced the ability of the general practitioner to obtain diagnostic radiographs of the equine head. With the widespread availability of DR in equine practices, the practitioner can more readily learn the correct positioning for the various projections of the equine head that are used to evaluate the dentition and sinuses. Digital systems provide rapid processing of the image, enabling the practitioner to correct positioning errors and retake the image without signific...
Surgical treatment of distal tarsal joint luxations in three horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 10, 2013   Volume 26, Issue 4 304-310 doi: 10.3415/VCOT-12-07-0094
Abuja GA, Bubeck KA, Quinteros DD, García-López JM.The clinical signs, radiographic findings, surgical treatment, and outcome of three horses with luxation of the distal tarsal joints are reported. Two patients showed luxations of the tarsometatarsal joint whereas luxation of the proximal intertarsal joint was found in one case. Open reduction, followed by internal fixation was performed in two horses and closed reduction with a transfixation pin cast was performed in the third. The treatment in all three cases resulted in a satisfactory clinical outcome.
Enthesopathy and desmitis of the medial collateral ligament of the cubital joint in 4 horses.
Journal of the American Veterinary Medical Association    April 4, 2013   Volume 242, Issue 8 1152-1158 doi: 10.2460/javma.242.8.1152
Dabareiner RM, Chaffin MK, Quirham H, Carter GK.4 horses with enthesopathy and desmitis of the medial collateral ligament of the cubital joint were examined. Results: All 4 horses had a history of acute, severe, unilateral forelimb lameness and had signs of pain during manipulation of the affected upper forelimb; 2 also had swelling in the axillary region. There was no improvement in lameness after diagnostic local analgesia below the carpal region, and 1 of 4 horses had mild improvement after cubital joint analgesia. Radiography revealed enthesophyte formation on the radial tuberosity and linear mineralization of the medial collateral liga...
Steroid diffusion into the navicular bursa occurs in horses affected by palmar foot pain.
The Veterinary record    November 7, 2012   Volume 171, Issue 25 642 doi: 10.1136/vr.101075
Manfredi JM, Boyce M, Malone ED, Anderson C, Anderson LB, Trumble TN.Palmar foot pain is frequently treated by steroid injections into the distal interphalangeal joint (DIPJ) in the anticipation that the steroid will diffuse to the navicular bursa and palmar foot structures. The object of this study was to determine if triamcinolone acetonide (TA) would in fact be able to locally diffuse from the DIPJ into the navicular bursa in horses affected by palmar foot pain. Both forelimb DIPJs (nine horses) were injected with 10 mg of TA. Navicular bursa fluid samples, both forelimb and one hind limb (systemic control), were analysed for TA with high-performance liquid ...
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