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.
Marr CM.Microwave thermographs were recorded from 77 normal horses. In 51% the lowest temperature was recorded in the mid-metacarpal region, and in 41% it was in the distal metacarpal region. The mean temperature of the normal limbs ranged from 25.04 to 37.4 degrees C. Maximum temperature differences between symmetrical points in both forelimbs ranged from 0 to 5.33 degrees C and differences in mean limb temperatures between both forelimbs ranged from 0 to 2.91 degrees C. In 48 horses with acute (less than 4 weeks' duration) injury of the superficial digital flexor tendon (SDFT) (36 unilateral, 12 bil...
Scott TW, Olson JG, All BP, Gibbs EP.Sensitivity and specificity of an antigen-capture ELISA vs virus isolation in cell culture were evaluated for the detection of eastern equine encephalomyelitis (EEE) virus in the brain tissue of naturally infected equids. Brain specimens from 16 equids with neurologic disease were examined by ELISA and by inoculation onto baby hamster kidney cell cultures. Of 10 brain samples from which virus was isolated in the cell culture bioassay, all were correctly identified as containing EEE virus antigen by ELISA. None of the remaining 6 specimens, without detectable infectious EEE virus, contained det...
Moorman GH, van Noort JH, Németh F, Breukink HJ, Gootjes P, Verzijlenberg F.A method for detection of neurectomy by electrical stimulation of the skin, distal to the neurectomy site, was tested for accuracy and feasibility. An electrical stimulation device was designed and tested to find the minimum peak voltage that would elicit a response in normal horses. Twenty seven horses were then tested at regular intervals following neurectomy and their responses recorded. Immediately following neurectomy there was an area of insensitivity with sharply defined borders extending in an arc from the back of the pastern down towards the bulbs of the heels. In the months following...
Cambridge H, Reynoldson JA, Dunsmore JD, Hilbert BJ.A radioimmunoassay for thromboxane B2 (TXB2) in unextracted horse plasma was evaluated. Sensitivity of the assay was 14.0 (SD 5.6) pg ml-1 of plasma. Interassay and intra-assay variation were 21.3 per cent and 4.3 per cent, respectively. The percentage of tracer bound in unextracted plasma in the absence of TXB2 was often higher than that in buffer. Therefore standard curves were obtained using standards diluted in plasma from horses treated with aspirin or in charcoal treated TXB2-free plasma. Standard curves determined in plasma and buffer were parallel. This assay was used to determine the ...
Yamagishi H, Nagamine T, Shimoda K, Ide S, Igarashi Y, Yoshioka I, Matumoto M.Single radial hemolysis (SRH), neutralization (NT), and hemagglutination inhibition (HI) tests were carried out on sera from horses immunized against the Prague and Miami strains of equine influenza virus. The HI and NT tests demonstrated good sensitivity; the sensitivity of the SRH test was somewhat lower. The NT titers of individual sera were correlated very closely with the HI titers, although the NT titers were higher. SRH zone diameters of individual sera also showed significant correlation with the NT and NI titers. The SRH test appears to be suitable for large-scale serological surveys ...
Larghi OP, González E, Held JR.The corneal test (CT) for rabies diagnosis was evaluated in samples from 313 subjects of different species. Some of the subjects were inoculated experimentally and others were naturally infected. When the CT was compared with immunofluorescence staining and mouse inoculation tests on brains of the same subjects, a sensitivity of 41.7% and a specificity of 100% were found. The authors conclude that a positive CT result would confirm the diagnosis of rabies, but a negative one would not exclude the possibility of disease.
The goal of this work was the development of suitable (real-time) RT-PCR techniques for fast and sensitive diagnosis of EAV and for molecular-epidemiological characterisation of viral strains, as an alternative to virus isolation. To this purpose two conventional RT-PCR methods and one real-time RT-PCR were adapted to detect the broadest possible spectrum of viral strains. Several dilutions with Bucyrus strain showed a 100-fold higher sensitivity of real-time RT-PCR and heminested RT-PCR compared to simple RT-PCR. Making use of 11 cell culture supernatants of different EAV isolates and 7 semen...
Lap A, Gudden DDM, Lashley MJJO, van Loon JPAM, Naoum E.Pain assessment can support monitoring welfare in working equids. Objective: To assess agreement of structured pain scores before and after training observers and to assess differences in pain scores between working equids with or without acute or chronic pain and to compare them to non-working equids. Methods: In part 1, eleven veterinarians and nine technicians performed pain scores before and after training. Agreement with reference scores was analyzed with Intra Class Correlation (ICC) analysis. In part 2, pain assessments were performed in 96 donkeys (n=40 fit-to-work, n=21 acute pain, n=...
Domínguez-Odio A, González LIC, Alfonso DM, Martínez ER, Ríos MÁB, Cala-Delgado DL.The international scientific community continues to promote the development of diagnostic techniques with improved performance and novel capture antigens. On this basis, two synthetic peptides derived from gp45 and gp90 were evaluated to identify the best candidate for the indirect immunodetection of infection. In both assays, 68 serum samples from naturally infected horses in Granma Province (59 seropositive and 9 seronegative), previously classified using the agar gel immunodiffusion (AGID) test, were analyzed. The diagnostic performance of each candidate peptide was assessed by calculating ...
Jasiński T, Zdrojkowski Ł, Turek B, Kaczorowski M, Pawliński B, Brehm W, Domino M.Computed tomography (CT) is used to support the diagnosis of equine temporomandibular joint (TMJ) disease; however, its diagnostic accuracy remains unclear. This study aimed to evaluate the relationship between CT findings and histopathological manifestations of osteoarthritis (OA) in equine TMJs. A total of 82 TMJs were CT-imaged, sampled, grouped into age-related and OA-related groups, and analyzed for frequency distributions, correlations, and CT-based TMJ OA diagnosis. CT findings were observed in 79% of joints, including 'CT anatomical variations' considering to reflect age-related remode...
Barnabé MA, Bamford NJ, Elliott J, Chang YM, Rickards K, Menzies-Gow NJ.Systemic inflammatory response syndrome (SIRS) is associated with increased mortality in horses with gastrointestinal (GI) disease. However, there are no data relating to naturally occurring SIRS in donkeys. Objective: To determine SIRS frequency in donkeys with GI disease. To develop a donkey-specific prognostic SIRS score. Methods: Retrospective case series. Methods: Clinical records from donkeys presenting with GI disease in two independent cohorts (development cohort: n = 400, UK; validation cohort: n = 36, Australia) were reviewed. Age, sex, heart rate, respiratory rate, rectal te...
Al-Khafaji A, Alsultan A, Alsallami D.Equine piroplasmosis (EP) is a protozoan disease in horses, mainly caused by Theileria equi, and is associated with non-specific signs such as fever, anemia, and edema. The lack of specific clinical signs, coupled with the high prevalence of carrier horses, highlights the critical need for a rapid and highly accurate diagnostic test for the detection of Theileria equi. Existing methods, including molecular, serological, and microscopic techniques, require specialized equipment, skilled personnel, and considerable time. The current study aims to develop a rapid and accurate assay for the detect...
Finnholm M, Niemelä T, Eerikäinen N, Junnila J, Hyytiäinen HK.The purpose of this study was to evaluate the utility of palpation as a diagnostic tool for supraspinous ligament injuries in horses. Diagnosis of SSL injuries typically relies on a combination of clinical examination and ultrasonographic findings. To the authors' knowledge, no previous studies have specifically investigated palpation as a diagnostic measure for these injuries. Unassigned: This retrospective study analyzed data from 126 horses resented to the University Veterinary Teaching Hospital for back pathology. Inclusion criteria required horses to have a documented descriptive palpator...
Akköse M, İnal Ş, Karabulut E, Yılmaz İÇ, Yağlıcı A, Kuzhan M, Özbeyaz C, Kaya U, Çam M.Failure of transfer of passive immunity (FTPI) is the most important cause of sepsis and mortality in neonatal foals. Unassigned: This study aimed to evaluate the performance of the digital Brix refractometer for the diagnosis of FTPI in 12-h-old foals. Unassigned: Cross-sectional, diagnostic accuracy study. Unassigned: Jugular blood samples were collected from 124 foals at 12 ± 0.5 h after birth. IgG concentrations were estimated using a digital Brix refractometer and measured using the radial immunodiffusion test (RID). Correlation coefficients were calculated between serum Brix percentages...
Martynski P, Kent A, Bathe A.the protocol for mobilization of the fetlock region prior to acquiring a contrast tenogram radiograph is not clearly defined. Objective: to determine if walking exercise improves identification of DFTS pathology on contrast tenography. Methods: Prospective cohort study. Nineteen horses that underwent contrast tenography and subsequent surgical tenoscopy were included. A tenogram protocol was developed to enable comparison of diagnostic accuracy after increasing mobilization of the affected limb post-injection. Following contrast injection three tenogram radiographs were taken, (1) immediately ...
Hickey C, Guedes A, Byrne J, Hatschbach E, Walters B, Rendahl A, Tearney C.Defining the reliability of oscillometry (NIBP) for measuring mean arterial pressure (MAP) during normotension and hypovolaemic hypotension could help with cardiovascular monitoring and management in horses anaesthetised in dorsal recumbency. Objective: To assess agreement between NIBP and invasive MAP during normotension and hypovolaemic hypotension in dorsally-recumbent, anaesthetised horses. Methods: Prospective experimental study using 11 horses. Methods: Under isoflurane anaesthesia, blood was removed at 5 mL/kg bwt increments up to 25 mL/kg bwt and returned in a similar fashion. Pair...
