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Topic:Sensitivity and Specificity

Sensitivity and specificity are statistical measures used to evaluate the performance of diagnostic tests in horses. Sensitivity refers to the ability of a test to correctly identify horses with a particular disease or condition, while specificity refers to the ability of the test to correctly identify horses that do not have the disease. These metrics are fundamental in assessing the accuracy and reliability of diagnostic tools used in equine medicine. High sensitivity reduces the chance of false negatives, whereas high specificity reduces the chance of false positives. This page compiles peer-reviewed research studies and scholarly articles that explore the application, interpretation, and implications of sensitivity and specificity in equine diagnostics.
The evaluation of three diagnostic tests for the detection of equine influenza nucleoprotein in nasal swabs.
Influenza and other respiratory viruses    February 7, 2014   Volume 8, Issue 3 376-383 doi: 10.1111/irv.12235
Galvin P, Gildea S, Nelly M, Quinlivan M, Arkins S, Walsh C, Cullinane A.Equine influenza (EI) is a highly contagious respiratory disease of horses. Objective: The aim of this study was to evaluate two rapid antigen detection kits (Directigen or DFA, and Espline) and a commercial ELISA for the detection of EI nucleoprotein in nasal swabs. Methods: Nasal swab samples from naturally and experimentally infected horses were used to compare the sensitivity and specificity of these assays to virus isolation (VI) and real-time RT-PCR. Results: If real-time RT-PCR was considered as the gold standard, the sensitivity of the other tests in field samples was 68% (DFA), 35% (E...
Serodiagnosis of equine leptospirosis by enzyme-linked immunosorbent assay using four recombinant protein markers.
Clinical and vaccine immunology : CVI    January 22, 2014   Volume 21, Issue 4 478-483 doi: 10.1128/CVI.00649-13
Ye C, Yan W, McDonough PL, McDonough SP, Mohamed H, Divers TJ, Chang YF, Yang Z.Leptospirosis, caused by Leptospira spp., is one of the most common zoonotic diseases in the world. We tested four recombinant proteins of Leptospira interrogans, namely, rLipL21, rLoa22, rLipL32, and rLigACon4-8, to evaluate their potential for use as antigens for the diagnosis of equine leptospirosis. We employed equine sera (n = 130) that were microscopic agglutination test (MAT) negative and sera (n = 176) that were MAT positive for the 5 serovars that most commonly cause equine leptospirosis. The sensitivity and specificity of ELISA compared to MAT were 82.39% and 86.15%, respectively, fo...
Evaluation of a diagnostic ELISA for insect bite hypersensitivity in horses using recombinant Obsoletus complex allergens.
Veterinary journal (London, England : 1997)    December 11, 2013   Volume 200, Issue 1 31-37 doi: 10.1016/j.tvjl.2013.12.004
van der Meide NM, Savelkoul HF, Meulenbroeks C, Ducro BJ, Tijhaar E.Culicoides spp. of the Obsoletus complex belong to the most important species of midge, involved in causing insect bite hypersensitivity (IBH) in horses in The Netherlands. The aim of the current study was to evaluate seven different Obsoletus complex-derived recombinant allergens (Cul o 1-Cul o 7) and to compare these with Obsoletus complex whole body extract (WBE) in an IgE ELISA, using sera of 194 clinically-confirmed cases of IBH and 175 unaffected horses. The highest test accuracy was obtained with WBE, followed by Cul o 2, 3 and 5. Two ELISAs with a combination of recombinant allergens, ...
Evaluation of a broad range real-time polymerase chain reaction (RT-PCR) assay for the diagnosis of septic synovitis in horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 9, 2013   Volume 77, Issue 3 211-217 
Elmas CR, Koenig JB, Bienzle D, Cribb NC, Cernicchiaro N, Coté NM, Weese JS.Septic synovitis is a potentially debilitating and life-threatening disorder in horses. We hypothesized that a universal bacterial real-time PCR (RT-PCR) assay would have improved sensitivity and decreased turn-around time for detection of bacteria in synovial fluid (SF) samples. Forty-eight SF samples were collected from 36 horses that presented to two referral institutions with suspected septic synovitis. Universal RT-PCR, bacterial culture and SF analysis were performed on all samples, and an interpretation on the sample being septic or not was derived by three board certified specialists f...
Evaluation of an IgE ELISA with Culicoides spp. extracts and recombinant salivary antigens for diagnosis of insect bite hypersensitivity in Warmblood horses.
Veterinary journal (London, England : 1997)    July 25, 2013   Volume 198, Issue 1 141-147 doi: 10.1016/j.tvjl.2013.06.010
Peeters LM, Janssens S, Goddeeris BM, De Keyser K, Wilson AD, Kaufmann C, Schaffartzik A, Marti E, Buys N.Insect bite hypersensitivity (IBH) in horses represents an immunoglobulin E (IgE)-mediated hypersensitivity to salivary antigens from biting midges (Culicoides spp.). The aim of this study was to evaluate and compare the performances of IgE ELISAs using recombinant Culicoides spp. Obsoletus group salivary gland antigens or crude whole body extracts ('ObsWBE'), C. nubeculosus recombinant proteins (Culn1, 3, 4, 5, 7, 8 and 10) and Obsoletus group recombinant proteins (Culo1 and 2). IgE levels were measured in plasma of 343 Warmblood horses classified as IBH-affected (n=167) and IBH-unaffected (n...
Characterization of long-term memory, resistance to extinction, and influence of temperament during two instrumental tasks in horses.
Animal cognition    June 7, 2013   Volume 16, Issue 6 1001-1006 doi: 10.1007/s10071-013-0648-5
Valenchon M, Lévy F, Górecka-Bruzda A, Calandreau L, Lansade L.The present study investigated the influence of temperament on long-term recall and extinction of 2 instrumental tasks in 26 horses. In the first task (backward task), horses learned to walk backward, using commands given by an experimenter, in order to obtain a food reward. In the second task (active avoidance task), horses had to cross an obstacle after a bell rang in order to avoid emission of an air puff. Twenty-two months after acquisition, horses exhibited perfect recall performance in both tasks. Accordingly, no influence of temperament on recall performance could be observed for either...
Indirect fluorescent antibody test and surface antigen ELISAs for antemortem diagnosis of equine protozoal myeloencephalitis.
Journal of veterinary internal medicine    March 20, 2013   Volume 27, Issue 3 596-599 doi: 10.1111/jvim.12061
Johnson AL, Morrow JK, Sweeney RW.Recent research suggests that serum : CSF titer ratios could provide the most accurate antemortem diagnosis of equine protozoal myeloencephalitis (EPM) caused by Sarcocystis neurona. Objective: The purpose of this study was to assess the utility of two commercially available tests, the indirect fluorescent antibody test (IFAT) and the surface antigen 2, 4/3 ELISA (SAG2, 4/3 ELISA), using archived paired serum and CSF samples. Methods: Samples were obtained from 4 types of clinical patients. Confirmed positive cases (n = 9 horses; 11 sample sets) had neurologic deficits and postmortem lesions c...
High resolution accurate mass screening of prohibited substances in equine plasma using liquid chromatography–Orbitrap mass spectrometry.
Drug testing and analysis    September 3, 2012   Volume 5, Issue 7 509-528 doi: 10.1002/dta.1395
Ho EN, Kwok WH, Wong AS, Wan TS.A recent trend in the use of high resolution accurate mass screening (HRAMS) for doping control testing in both human and animal sports has emerged due to significant improvement in high resolution mass spectrometry in terms of sensitivity, mass accuracy, mass resolution, and mass stability. A number of HRAMS methods have been reported for the detection of multi-drug residues in human or equine urine. As blood has become a common matrix for doping control analysis, especially in equine sports, a sensitive, fast and wide coverage screening method for detecting a large number of drugs in equine ...
Evaluation of recombinant proteins of Burkholderia mallei for serodiagnosis of glanders.
Clinical and vaccine immunology : CVI    June 13, 2012   Volume 19, Issue 8 1193-1198 doi: 10.1128/CVI.00137-12
Pal V, Kumar S, Malik P, Rai GP.Glanders is a contagious disease caused by the Gram-negative bacillus Burkholderia mallei. The number of equine glanders outbreaks has increased steadily during the last decade. The disease must be reported to the Office International des Epizooties, Paris, France. Glanders serodiagnosis is hampered by the considerable number of false positives and negatives of the internationally prescribed tests. The major problem leading to the low sensitivity and specificity of the complement fixation test (CFT) and enzyme-linked immunosorbent assay (ELISA) has been linked to the test antigens currently us...
Evaluation of basal plasma α-melanocyte-stimulating hormone and adrenocorticotrophic hormone concentrations for the diagnosis of pituitary pars intermedia dysfunction from a population of aged horses.
Equine veterinary journal    May 6, 2012   Volume 45, Issue 1 66-73 doi: 10.1111/j.2042-3306.2012.00575.x
Mc Gowan TW, Pinchbeck GP, Mc Gowan CM.The sensitivity and specificity of basal plasma α-melanocyte-stimulating hormone (α-MSH) and adrenocorticotrophic hormone (ACTH) for the diagnosis of pituitary pars intermedia dysfunction (PPID) has not been evaluated in a population-based study. Objective: To evaluate basal plasma α-MSH and ACTH concentrations for the diagnosis of PPID in a population of horses aged ≥ 15 years. Methods: Owner-reported data were obtained using a postal questionnaire distributed to an equestrian group. A subgroup of surveyed owners was visited and veterinary examination performed on horses aged ≥ 15 year...
Comparative evaluation of three commercially available complement fixation test antigens for the diagnosis of glanders.
The Veterinary record    September 6, 2011   Volume 169, Issue 19 495 doi: 10.1136/vr.d5410
Khan I, Wieler LH, Melzer F, Gwida M, Santana VL, de Souza MM, Saqib M, Elschner MC, Neubauer H.The sensitivity and specificity of three commercially available complement fixation test (CFT) antigens from c.c.pro (c.c.pro), Central Veterinary Institute of Wageningen UR (CIDC) and the United States Department of Agriculture (USDA) were comparatively evaluated by testing 410 sera collected from glanders-endemic and non-endemic areas (200 true-negative randomly collected sera and 210 sera collected from experimentally immunised animals (12 rabbits, 19 horses), clinically positive (135) and culture-positive (44) horses, donkeys and mules). Immunoblotting (IB) was used as the gold standard te...
Antibody coefficients for the diagnosis of equine protozoal myeloencephalitis.
Journal of veterinary internal medicine    December 14, 2010   Volume 25, Issue 1 138-142 doi: 10.1111/j.1939-1676.2010.0658.x
Furr M, Howe D, Reed S, Yeargan M.Diagnosis of equine protozoal myeloencephalitis (EPM) remains a challenge for equine practitioners. Current utilized methods have inadequate sensitivity and specificity, because of a high number of false positive results. Objective: Evaluation of antibody indices to Sarcocystis neurona should provide high sensitivity and specificity for diagnosis of EPM. Methods: Archived samples from 29 clinical patients. Methods: Archived serum and cerebrospinal fluid (CSF) samples from clinical patients with either EPM (14) or cervical vertebral compressive myelopathy (CVM) (15) were examined and tested for...
Evaluation of rapid antigen detection kits for diagnosis of equine rotavirus infection.
The Journal of veterinary medical science    April 28, 2010   Volume 72, Issue 9 1247-1250 doi: 10.1292/jvms.10-0064
Nemoto M, Hata H, Higuchi T, Imagawa H, Yamanaka T, Niwa H, Bannai H, Tsujimura K, Kondo T, Matsumura T.We evaluated antigen detection kits for human rotavirus with regard to their usefulness for diagnosing equine rotavirus infection. Limiting dilution analyses showed that of the seven kits investigated the Dipstick `Eiken' Rota (Dipstick) had the highest sensitivity to two serotypes of equine rotavirus. The Dipstick did not cross-react with several equine intestinal pathogens. An investigation using 249 fecal samples indicated that the sensitivity of the Dipstick was 81.9% and 47.3%, and its specificity was 98.2% and 99.0%, and its concordance rate was 92.8% and 68.3%, compared with values obta...
Indirect immunofluorescence test using polyclonal antibodies for the detection of Taylorella equigenitalis.
Research in veterinary science    December 3, 2009   Volume 88, Issue 3 369-371 doi: 10.1016/j.rvsc.2009.11.003
Breuil MF, Duquesne F, Sévin C, Laugier C, Petry S.Contagious equine metritis is a horse disease that causes endometrial inflammation due to Taylorella equigenitalis. Since Taylorella asinigenitalis was characterized, genital swab culture has proved to be an insufficient method for distinguishing between the two Taylorella species. Here, we developed an indirect immunofluorescence (IIF) test using polyclonal antibodies. Specificity, sensitivity, and detection limit were assessed using isolated bacteria (55 T. equigenitalis strains, 46 T. asinigenitalis strains and 18 other bacterial species), experimental and genital swabs in comparison to bac...
Comparison of the clinical, microbiological, radiological and haematological features of foals with pneumonia caused by Rhodococcus equi and other bacteria.
Veterinary journal (London, England : 1997)    November 25, 2009   Volume 187, Issue 1 109-112 doi: 10.1016/j.tvjl.2009.10.025
Leclere M, Magdesian KG, Kass PH, Pusterla N, Rhodes DM.The purpose of this study was to compare the clinical, microbiological, radiological, haematological and cytological features of foals with pneumonia caused by Rhodococcus equi infection and with other bacteria, in order to provide markers for early diagnosis and treatment. A retrospective study of 113 cases of bacterial pneumonia was undertaken. Although there was considerable overlap in the affected populations, foals with R. equi pneumonia were significantly younger and had higher respiratory rates. Radiological evidence of thoracic abscessation had a sensitivity of 71% and a specificity of...
Comparison of radiography and ultrasonography to detect osteochondrosis lesions in the tarsocrural joint: a prospective study.
Equine veterinary journal    March 24, 2009   Volume 41, Issue 1 34-40 doi: 10.2746/042516408x343019
Relave F, Meulyzer M, Alexander K, Beauchamp G, Marcoux M.Lesions located on the medial malleolus of the tarsocrural joint can be difficult to image radiographically. Ultrasonography allows evaluation of articular cartilage and subchondral bone. Objective: To compare dorso30 degrees lateral-plantaromedial-oblique (DL-PIMO) and dorso45 degrees views to detect lesions on the medial malleolus, to validate the use of ultrasonography to show lesions in the tarsocrural joint and to compare its sensitivity to radiography. Methods: Tarsocrural joints (n=111) with osteochondrosis were evaluated ultrasonographically and radiographically prior to arthroscopic l...
Evaluation of duration of corneal anesthesia induced with ophthalmic 0.5% proparacaine hydrochloride by use of a Cochet-Bonnet aesthesiometer in clinically normal horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1655-1658 doi: 10.2460/ajvr.69.12.1655
Kalf KL, Utter ME, Wotman KL.To measure duration of corneal anesthesia and time and degree of maximal anesthetic effect of 0.5% proparacaine hydrochloride by use of a Cochet-Bonnet aesthesiometer in horses. Methods: 10 clinically normal adult horses. Methods: Baseline corneal touch threshold (CTT) was measured in millimeters for 1 randomly selected eye of each horse by use of the aesthesiometer by applying the filament to the cornea at maximum length (60 mm) and decreasing in 5-mm increments until a consistent blink response was elicited. Following baseline CTT measurement, 0.2 mL of 0.5% proparacaine hydrochloride was in...
Validation of an in-clinic enzyme-linked immunosorbent assay kit for diagnosis of Borrelia burgdorferi infection in horses. Johnson AL, Divers TJ, Chang YF.Confirmation of Borrelia burgdorferi infection in horses has required enzyme-linked immunosorbent assay (ELISA) or Western blot tests performed by reference laboratories. An in-clinic C6 ELISA SNAP kit has been marketed for dogs. This canine kit was evaluated for horses using serum from experimentally infected ponies. Serum samples originated from 2 previous studies. In the first study, 7 ponies were exposed to B. burgdorferi-infected ticks; 4 ponies served as uninfected controls. Serum samples were obtained bimonthly for 9 months. In the second study, 16 ponies were exposed to B. burgdorferi-...
Diagnostic sensitivity of nasopharyngeal and nasal swabs for the molecular detection of EHV-1.
The Veterinary record    April 22, 2008   Volume 162, Issue 16 520-521 doi: 10.1136/vr.162.16.520
Pusterla N, Mapes S, Wilson WD.No abstract available
The efficacy of a commercial ELISA as an alternative to virus neutralisation test for the detection of antibodies to EAV.
Equine veterinary journal    February 13, 2008   Volume 40, Issue 2 182-183 doi: 10.2746/042516408X276951
Duthie S, Mills H, Burr P.Infection with equine arteritis virus is a notifiable disease with sporadic occurrence in the UK. As stallions may harbour the virus after infection, horses are screened for exposure by serological testing prior to breeding. The virus neutralisation test is considered the 'gold standard' serological screening test, but it is time-consuming and labour intensive; consequently there is a move towards more rapid screening methodology. In this study, a commercially available EVA antibody ELISA is assessed. The ELISA performed poorly with a specificity [corrected] of 26% and a sensitivity [corrected...
Verification of scintigraphic imaging for injury diagnosis in 264 horses with foot pain.
Equine veterinary journal    August 29, 2007   Volume 39, Issue 4 350-355 doi: 10.2746/042516407x185430
Dyson S, Murray R.Nuclear scintigraphy is commonly used as a diagnostic aid for foot pain, but there is limited information about different patterns of radiopharmaceutical uptake (RU) and their correlation with the results of other imaging modalities. Objective: To describe patterns of RU in horses with foot pain. Methods: Scintigraphic images of the feet of 264 horses with front foot pain were analysed subjectively and using region of interest analysis. Magnetic resonance images of all feet were analysed prospectively; the navicular bones were reassessed retrospectively and assigned a grade. A Spearman rank co...
Validation of the indirect fluorescent antibody and the complement fixation tests for the diagnosis of Theileria equi.
Veterinary parasitology    July 13, 2007   Volume 148, Issue 2 102-108 doi: 10.1016/j.vetpar.2007.06.006
Ogunremi O, Georgiadis MP, Halbert G, Benjamin J, Pfister K, Lopez-Rebollar L.The indirect fluorescent antibody (IFA) test for Theileria equi was evaluated to assess test's suitability for the serological diagnosis of equine piroplasmosis, to provide performance parameters for the purpose of test validation, and to compare it with the complement fixation (CF) test. Using a protocol that included Evan's blue, the specificity of the IFA test was estimated at 99.0% for T. equi by the classical method of analysis, and 96.6% by the Bayesian method. The use of Evan's blue in the test protocol increased test specificity and contributed to an excellent test agreement between tw...
Repeatability of Doppler ultrasonographic measurement of equine digital blood flow. Menzies-Gow NJ, Marr CM.The repeatability and sensitivity of Doppler ultrasonographic measurement of lateral digital arterial and venous blood flow has not been previously determined. Doppler ultrasonography was used to measure blood flow within the forelimb lateral digital vessels in one normal adult Thoroughbred horse on six occasions and in six normal adult Thoroughbred horses on three occasions, each occasion being at least 1 h apart, to determine the within- and between-horse variation. The values obtained from the right and left lateral digital vessels did not differ significantly. The within-horse coefficients...
[Detection of rhodococcus equi by microbiological culture and by polymerase chain reaction in samples of tracheobronchial secretions of foals].
Berliner und Munchener tierarztliche Wochenschrift    April 10, 2007   Volume 120, Issue 3-4 126-133 
Venner M, Heyers P, Strutzberg-Minder K, Lorenz N, Verspohl J, Klug E.The goal of the present study was to investigate whether new PCR-methods would improve diagnostic of R. equi. In a first step, sensitivity and specificity of the PCR-methods in respect to the"gold standard" microbiological culture were determined. Secondly, sensitivity and specificity of both microbiological methods were evaluated in respect to the clinical diagnosis. The tracheobronchial secretions of 48 foals with pulmonary abscesses and of 37 healthy foals were evaluated by bacteriological culture as well as by four PCR-methods: aceA-, ideR-, vapA- and VP-PCR. In respect to the"gold standar...
Evaluation of the combined dexamethasone suppression/ thyrotropin-releasing hormone stimulation test for detection of pars intermedia pituitary adenomas in horses.
Journal of veterinary internal medicine    September 8, 2006   Volume 20, Issue 4 987-993 doi: 10.1892/0891-6640(2006)20[987:eotcdt]2.0.co;2
Frank N, Andrews FM, Sommardahl CS, Eiler H, Rohrbach BW, Donnell RL.A combined dexamethasone (DEX) suppression/thyrotropin-releasing hormone (TRH) test (DEX/TRH test) has been developed to evaluate horses for presence of a pars intermedia pituitary adenoma (PIPA), but to the authors' knowledge, the accuracy of this test has not been previously determined. Objective: The sensitivity and specificity of the DEX/TRH test can be determined by comparing test results with histopathologic examination findings. Methods: Age of 42 horses of various breeds ranged from 2 to 33 years. Methods: Plasma cortisol concentration was measured before and 24 hours after IV administ...
Diagnostic performance of the equine IgM capture ELISA for serodiagnosis of West Nile virus infection.
Journal of veterinary internal medicine    June 1, 2006   Volume 20, Issue 3 608-613 doi: 10.1892/0891-6640(2006)20[608:dpotei]2.0.co;2
Long MT, Jeter W, Hernandez J, Sellon DC, Gosche D, Gillis K, Bille E, Gibbs EP.The objectives of these studies were to assess the diagnostic performance (sensitivity and specificity) of the IgM capture enzyme-linked immunosorbent assay (ELISA; MAC) for diagnosis of West Nile (WN) virus in horses and to examine the performance of this test by using different criteria for seropositivity. A total of 36 horses classified as WN virus infected (group 1) and 383 horses from 4 subpopulations of hoses classified as noninfected (groups 2, 3, 4, and 5) were used in the study. The sensitivity (proportion of infected horses that tested positive for WN virus IgM antibodies) and specif...
Screening for basic drugs in equine urine using direct-injection differential-gradient LC-LC coupled to hybrid tandem MS/MS.
Journal of chromatography. B, Analytical technologies in the biomedical and life sciences    April 17, 2006   Volume 836, Issue 1-2 1-14 doi: 10.1016/j.jchromb.2006.03.034
Stanley SM, Foo HC.A rapid, selective and robust direct-injection LC/hybrid tandem MS method has been developed for simultaneous screening of more than 250 basic drugs in the supernatant of enzyme hydrolysed equine urine. Analytes, trapped using a short HLB extraction column, are refocused and separated on a Sunfire C(18) analytical column using a controlled differential gradient generated by proportional dilution of the first column's eluent with water. Independent data acquisition (IDA) was configured to trigger a sensitive enhanced product ion (EPI) scan when a multiple reaction monitoring (MRM) survey scan s...
Equine Culicoides hypersensitivity: evaluation of a skin test and of humoral response.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    January 18, 2006   Volume 53, Issue 1 30-33 doi: 10.1111/j.1439-0442.2006.00783.x
Ferroglio E, Pregel P, Accossato A, Taricco I, Bollo E, Rossi L, Trisciuoglio A.Intradermal tests were carried out on 18 horses with clinical signs of Culicoides hypersensitivity (CHS) and 23 horses without clinical signs of CHS, and sera from these horses were analysed by SDS-PAGE and Western blotting (W-B). Intradermal injections of 0.1 ml of 25 microg/microl sterile Culicoides extract, 0.1 ml of 1:10,000 histamine (positive control) and 0.1 ml of physiological saline (negative control) were made in the dermis of the middle region of the neck. Analysis of reactions indicated that a 1 cm wheal and a skinfold thickness >10% at 24 h represented a valid cut-off between h...
Observer variation in visual assessment of forelimb horseshoe characteristics on Thoroughbred racehorses.
American journal of veterinary research    January 6, 2005   Volume 65, Issue 12 1674-1679 doi: 10.2460/ajvr.2004.65.1674
Gross DK, Stover SM, Hill AE, Gardner IA.To assess the accuracy and reliability of a visual method of evaluating horseshoe characteristics. Methods: 1,199 Thoroughbred racehorses. Methods: Characteristics of 1 forelimb horseshoe were visually assessed on horses immediately prior to racing by 5 field observers at 5 major racetracks in California. Characteristics evaluated included horseshoe type; toe grab height; and the presence of a rim, pad, and heel traction devices. Sensitivity and specificity for observer assessment of horseshoe characteristics were calculated by comparing observer assessments to a postmortem laboratory standard...
Sensitivity of commercial prothrombin time reagents to detect coagulation factor deficiencies in equine plasma.
Veterinary journal (London, England : 1997)    November 19, 2004   Volume 171, Issue 1 114-119 doi: 10.1016/j.tvjl.2004.09.003
Mischke R, Junker J, Deegen E.The sensitivity of commercial prothrombin time (PT) tests was assessed based on a dilution series of equine pooled plasma (EPP) (experiment 1) and on 40 equine plasma samples with reduced activity of coagulation factors II, V, VII and X (experiment 2). Two different PT reagents (reagent 1, human placental thromboplastin; reagent 2, recombinant human tissue factor) were used according to the manufacturers' instructions (standard test, PT([ST])) and compared to a modified test procedure (modified test, PT([MT])) using sample dilution and fibrinogen addition. In all samples, sensitivity was lower...