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Topic:Ultrasound
Ultrasound in horses is a diagnostic imaging technique that utilizes high-frequency sound waves to produce images of the horse's internal structures. It is commonly used in veterinary medicine to evaluate soft tissues, tendons, ligaments, and organs. This non-invasive method allows for real-time visualization of physiological and pathological conditions, aiding in the diagnosis and management of various equine health issues. Ultrasound is particularly valuable for assessing musculoskeletal injuries, reproductive health, and abdominal conditions in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the application, methodology, and advancements in ultrasound technology within equine veterinary practice.
The effects of clomiphene citrate on reproductive parameters in the mare. Clomiphene citrate (CC) is a longstanding human fertility drug that has yet to be investigated in horses. The objective was to evaluate effects of CC on mare reproduction. After follicle ablation on Day 0, treatment mares (n=5) received 2 grams of CC intravenously on Days 1-5 while control mares (n=4) received no treatment. Transrectal ultrasonography was performed on Days 1-5 and 8, and transvaginal oocyte aspiration occurred on Day 8. Hormones were analyzed on Days 0-5, 8, 11, and 15. Mares receiving CC exhibited higher uterine edema grades compared to control mares (P=0.009). Antral follicl...
Technical note on cervical epidural catheterization in two adult horses: Injectate distribution and epidural space effects. To determine the caudalmost extent of diffusion of contrast media administered through a cervical epidural catheter (CEC) and to describe pathologic changes associated with maintaining an indwelling CEC for up to 17 days. Methods: Pilot study. Methods: Two mature horses. Methods: CECs were placed under ultrasound guidance in two horses. Both horses were injected with 5 mL 50% Iohexol contrast solution, followed by radiographs of catheter insertion site to confirm placement. A total volume of 15 mL contrast solution was injected in 5 mL aliquots up to 25 min post-initial injection. La...
Evaluation of Microvascular Flow Imaging and Power Doppler Ultrasonography in an Equine Model of Induced Superficial Digital Flexor Tendonitis. Superficial digital flexor tendon (SDFT) injuries are common in athletic horses and are associated with prolonged healing and high reinjury rates. Conventional ultrasonography provides structural information but limited physiologic assessment. This study compared microvascular imaging (MVI) and Power Doppler (PD) for evaluating vascular changes in a collagenase-induced equine SDFT injury model and assessed the effect of scanning technique on vascular signal detection. Eight adult Thoroughbred horses underwent bilateral collagenase-induced SDFT injury, with one forelimb randomly assigned to int...
Clinical and pathologic findings of splenic tumours in four horses: a case series. Splenic tumours are rare in horses, with limited published literature consisting primarily of individual case reports and one hepato-splenic lymphoma case series. This case series analyses the clinical presentation, diagnostic findings and clinical outcomes of four cases of splenic neoplasia that presented to a university referral hospital over a three year period (2022-2025). Methods: Presented are two cases of primary splenic lymphoma, and two cases of metastatic melanoma. Three cases (75%) presented with chronic, non-specific clinical signs including weight loss, colic and ventral oedema. O...
Clinical and microbiota alterations in performance horses undergoing long-distance transport. Transport-associated pneumonia contributes substantially to morbidity, impaired welfare, and economic loss in high-performance horses and may be associated with alterations in the respiratory microbiota. Objective: Examine the effect of long-distance transport on the respiratory microbiota and correlate changes in microbiota diversity and composition with systemic and airway inflammation. Methods: Seventeen client-owned performance horses transported from New England to Florida under optimized trailering conditions, and 12 non-traveling horses. Methods: Physical examination, blood testing, nas...
Diagnostic Ultrasound of the Equine Liver. Ultrasound is readily available to most practitioners and can be used in a straightforward manner to assess the liver. The liver can be assessed for size, shape, echogenicity, and architecture. Findings such as masses, cysts, granulomas, and biliary distention can be relatively specific as to suspected disease process. Other findings may be nonspecific but are useful to confirm concerns and aid in refining differential diagnosis. Findings should be interpreted considering the clinicopathologic picture and sampling performed when appropriate. Ultrasound can and should be used to identify optima...
Straight sesamoidean ligament desmopathy commonly occurs with proximal interphalangeal joint osteoarthritis. Proximal interphalangeal joint osteoarthritis (PIPJ OA) is a common cause of poor performance in the equine athlete; however, the supporting soft tissue structures surrounding the joint are seldom evaluated. Straight sesamoidean ligament injuries have been previously hypothesised to be concomitant with PIPJ OA; however, the frequency of these lesions coinciding with PIPJ OA has not been fully investigated. Objective: To investigate the prevalence of straight sesamoidean ligament desmopathy (SSLD) in horses presenting with PIPJ OA. Methods: Retrospective clinical study. Methods: Horses presenti...
Imaging of the Equine Abdomen Using Point of Care Ultrasound (POCUS)-A Resource for the Equine Practitioner. Wireless ultrasound (US) probes for point of care (POC) evaluation of horses presented for veterinary evaluation of colic have become widely available in recent years. The availability and performance of this technology mean POCUS is readily available to the equine practitioner and the technology is well suited to patient evaluation or serial monitoring in first opinion practice. In human health care and veterinary contexts, it has been suggested that there is a need for practitioners to better appreciate the value of POCUS for assessment of gastrointestinal structure and function. This study ...
Renal Perfusion in Healthy Horses: A Feasibility Study With Contrast-Enhanced Ultrasound. This study assessed the feasibility of contrast-enhanced ultrasound (CEUS) for evaluating renal perfusion in horses and compared perfusion parameters between age groups. In a prospective study, eight healthy horses were divided into young (3-5 years, n = 4) and old (16-17 years, n = 4) groups. All animals underwent B-mode, Doppler ultrasonography, and CEUS of the right kidney after an intravenous bolus of SonoVue (0.02 mL/kg). Qualitative analysis assessed contrast kinetics, whereas quantitative parameters (peak intensity, time to peak [TP], area under the curve, and wash-out time) were o...
Prognosis of Equine Liver Diseases. Prognostic information in equine liver disease can be gleaned from historical, clinical, clinicopathological, ultrasonographic, and histopathological features. However, given the multiple causes and subtypes of liver disease affecting horses worldwide, prognostic data might not be suitable for universal application across all cases. Most evidence has been established for horses with chronic hepatopathies and extrapolation to acute cases should be avoided. In chronic liver disease the presence and severity of clinical signs and serum markers including total globulins, albumin, and bile acids ar...
Evaluation of doppler indexes of the lateral palmar digital artery in lame sport horses. Although lateral palmar digital artery (LPDA) flow velocity does not differ between forelimbs, horses with lameness typically reduce loading of the affected limb during the weight-bearing phase. This study aimed to assess whether Pulsed-Wave (PW) Doppler indices of the (LPDA) blood flow differ between the two forelimbs in horses with unilateral forelimb lameness, and whether these differences correlate with lameness severity. Twenty-seven lame and 15 healthy horses were enrolled. All Doppler ultrasonographic examinations were performed by a single operator, blinded to both the presence or abse...
Anatomical distribution of meconium detected by focused abdominal ultrasound in hospitalized healthy and sick neonatal foals. Meconium impaction is a common cause of neonatal colic in foals, yet its ultrasonographic appearance and distribution remain poorly characterized. Objective: This study aimed to describe the frequency, distribution, and ultrasonographic appearance of meconium in hospitalized neonatal foals using a standardized focused ultrasound (FUS) abdominal protocol. Methods: The FUS protocol included 9 acoustic windows (3 left-sided, 3 ventral, 3 right-sided) and was performed once during hospitalization by a single operator using a curvilinear transducer. Results: Thirty-six foals (16 healthy and 20 sick...
Ovarian follicle dynamics in the plains zebra (Equus quagga). Understanding follicular dynamics during the estrous cycle is essential for developing breeding programs and assisted reproductive technologies (ARTs) in any species. In this context, knowledge of follicular dynamics and related uterine changes in the plains zebra (Equus quagga) is essential to increase the declining population of this vital African species and to provide comparative insights into more endangered zebra species. Likely due to the difficulty of handling these wild species, no detailed reproductive study using ultrasonography has been performed in any zebra. Therefore, the presen...
Use of strain and shear wave elastography in the ultrasonographic evaluation of the intermediate patellar ligament in horses: comparison and consistency of data. The clinical significance and ultrasonographic features of intermediate patellar ligament (IPL) desmopathy in horses are still debated and considered nonspecific. Elastosonography allows assessment of tissue elasticity in response to an external stimulus. The aim of the study was to describe the elastosonographic characteristics of the equine IPL, evaluate the feasibility of both strain (SE) and two-dimensional shear wave elastography (2D-SWE), and assess the consistency of the data obtained from these techniques. 20 adult horses of mixed breed, sex and athletic use were selected and allocated...
Bronchoalveolar lavage changes the ultrasonographic and radiographic appearances of lungs in adult horses. To describe the effect of bronchoalveolar lavage (BAL) on the ultrasonographic and radiographic appearances of lungs of horses being evaluated for equine asthma syndrome (EAS). Unassigned: Prospective observational study enrolling 32 adult horses evaluated for EAS. Ultrasonographic and radiographic examinations of the thorax were performed before and within 3 hours following BAL and scored using previously validated systems. The differences in scores between groups (normal, mild EAS, moderate/severe EAS) were evaluated through the Kruskal-Wallis test, and the differences in scores before and f...
Ultrasound guidance aids in determining the success of equine temporomandibular joint arthrocentesis. The equine temporomandibular joint (TMJ) is divided into two non-communicating joint (discotemporal DTJ and discomandibular DMJ) compartments. Ultrasound has been extensively used as a diagnostic tool in the horse, but previous work has reported that ultrasound-guidance did not improve the success rate of TMJ arthrocentesis. However, this research focused only on the larger, easily accessed, DTJ compartment. However, most of the osseous pathology of the equine TMJ has been reported to be in the smaller DMJ. Unassigned: To determine whether using ultrasound-guidance would reduce the number of a...
Feasibility study of microbubble enhanced echocardiography in normal horses. Intrapulmonary shunting, a contributor to hypoxemia in both anesthetized and spontaneously breathing horses, may occur in association with pulmonary disease, general inhalation anesthesia, or systemic inflammation. In human medicine, transthoracic microbubble-enhanced echocardiography is a widely used method to detect intrapulmonary right-to-left shunting, especially in hepatopulmonary syndrome. This study aimed to adapt and evaluate the feasibility of this technique in horses, laying the groundwork for future clinical applications. Twelve healthy horses underwent two treatments: (1) infusion ...
Prepubic Tendon Rupture and Uterine Herniation in a Late-Term Kurdish Mare: A Case Report. Prepubic tendon rupture (PPTR) is a rare but life-threatening complication in late-term pregnant mares. It results in abdominal wall failure, ventral oedema and a poor prognosis for both the mare and foetus. A 14-year-old multiparous Kurdish mare at approximately 310 days of gestation presented with acute ventral distension, reluctance to walk and cranial displacement of the udder. Clinical evaluation revealed tachycardia, pallor and Grade 3/4 ventral oedema. Haematology indicated leucocytosis and haemoconcentration. Transabdominal ultrasonography showed a viable foetus and severe thinning of ...
Atropine induces narrowing of the superior and inferior iridocorneal angle and ciliary cleft in normal horse eyes. To investigate the effects of atropine on the iridocorneal angle (ICA) and ciliary cleft (CC) of normal equine eyes using ultrasound biomicroscopy (UBM). Unassigned: 12 normal adult horses underwent measurement of intraocular pressure (IOP), vertical and horizontal pupil diameter, and UBM of the superior, temporal, inferior, and nasal ICA/CC in both eyes. Measurements were repeated 2 hours following ophthalmic atropine 1% solution application. Measurements of the ICA and CC, including pectinate ligament distance (PLD), CC length (CCL), height of opening distance (HOD), CC area (CCA), and pecti...
Advanced Imaging of the Cranium and the Cervical Spine for Equine Neurologic Disease. Diagnostic imaging is essential for evaluating and managing neurologic disease in horses. Following clinical lesion, neurolocalization imaging modalities are often necessary to further characterize the disease process. However, which technology to use depends on various factors, including the patient's size, clinical signs, and the anatomic region. Current advances in imaging technology, in general, and the adaptation of different modalities for equine patients, in particular, have substantially improved our ability to evaluate the equine central nervous system. This article will summarize the...
Ultrasound-guided injection of bupivacaine into the cricoarytenoid dorsalis muscle as a novel technique for transiently inducing laryngeal hemiplegia in horses. In clinical research, laryngeal hemiplegia (LH) is induced by temporarily supressing recurrent laryngeal nerve function; however, the technique is challenging. The aim was to develop a novel method to induce LH by injecting bupivacaine directly into the cricoarytenoid dorsalis (CAD) muscle with ultrasound guidance. Unassigned: 5 cadaver larynges and 9 Thoroughbreds with normal laryngeal function. Unassigned: Part 1: A high-frequency (6.5- to 13.0-MHz) linear ultrasound probe was used to inject methylene blue (5 mL) into the CAD of 5 cadaver larynges. Part 2: The left side of the larynges of 9 ...
Pharmacokinetics of 2 mg/kg Bupivacaine in a Rectus Abdominis Sheath Block in Horses. Administering large volumes of bupivacaine in the rectus abdominis sheath (RAS) block in horses could cause local anesthetic toxicity. This study aimed to evaluate the pharmacokinetics of 2 mg/kg bupivacaine in RAS blocks and the associated toxicity risk. Six healthy adult horses were sedated with xylazine and received an ultrasound-guided bilateral 2-point RAS block. Plasma samples were collected at baseline and from 5 min to 24 h after the block and analyzed using liquid chromatography-tandem mass spectrometry. A noncompartmental analysis was performed to determine the maximum concentr...
Case Report: Mesh repair of a urinary bladder dorsal wall defect following repeated cystorrhaphy in a warmblood foal. A three-day-old male Warmblood foal presented with inability to urinate. Primary diagnostic findings included abdominal distension, hyperkalemia, azotemia, and ultrasonographic evidence for free anechoic fluid in the abdominal cavity. Abdominocentesis confirmed the diagnosis of an uroperitoneum [peritoneal fluid to serum creatinine ratio (>2:1)]. Suture repair of a dorsal urinary bladder wall defect was performed, but leakage along the suture tracts resulted in recurrent uroperitoneum confirmed by computed tomographic urography after two days. Repeated cystorrhaphy was performed but uroperi...
Endometrial Evaluation Using Video-Assisted Hysteroscopy After Uterine Prolapse Management in a Mare. This case report describes the successful application of video-assisted hysteroscopy to evaluate endometrial recovery in a 6-year-old mare following treatment for complete uterine prolapse secondary to dystocia. Upon presentation, the uterus was manually reduced and supported with a Buhner's suture. A multimodal medical protocol, including broad-spectrum antibiotics, anti-inflammatory drugs and uterine lavage, was initiated. Five days after reduction, an endoscopic evaluation was performed using a dedicated videovaginoscope without uterine insufflation. The procedure provided high-resolution i...
Comparative analysis of uterine inflammation in jennies and mares after insemination with cryopreserved donkey semen. The limited fertility of jennies inseminated with frozen donkey semen remains a major challenge for donkey reproduction and conservation, contrasting with the more favorable outcomes observed in mares. Species-specific differences in post-breeding uterine inflammation have been proposed as a key factor underlying this disparity. This study compared the uterine inflammatory response and pregnancy outcomes of jennies and mares inseminated with frozen donkey semen. Twelve jennies and eleven mares were monitored over 48 and 44 estrous cycles, respectively. Artificial insemination (AI) was performe...
Macroscopic comparison of open Metzenbaum and ultrasound-guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study. To macroscopically characterize and compare the open Metzenbaum (FOM) and ultrasound-guided (FUG) plantar fasciotomy techniques for decompression of the hindlimb proximal suspensory ligament (PSL), and to determine whether either approach induces intraligamentous splitting (ILS). Methods: Cadaveric experimental study. Methods: Paired hindlimbs from 10 adult horses with no history of hindlimb lameness. Methods: Each horse contributed one limb to FOM and the contralateral to FUG. All procedures were performed by a single surgeon, and incision measurements were obtained by a blinded examiner. Ski...
Imaging of the equine abdomen using point of care ultrasound (POCUS): Effects of sedation on intestinal motility in horses. Point of care ultrasonographic (POCUS) assessment of the equine abdomen is now readily available to the equine practitioner using hand-held ultrasound transducers. Commonly used medications may alter the sonographic appearance or function of the small intestine, caecum or colon. Objective: To demonstrate qualitative and quantitative effects of xylazine sedation on intestinal motility of healthy horses using hand-held, wi-fi ultrasound transducers and validate POCUS methodology by determination of intra- and interobserver agreement. Methods: Double-blind cross-over study of eight healthy horses...
Ultrasound-guided intralesional tendon and ligament injections in the horse. To describe principles of ultrasound-guided injection techniques for intralesional delivery of regenerative orthobiologics into equine tendon and ligament core lesions. Unassigned: A university-owned horse and equine cadaver forelimbs. Unassigned: A reproducible protocol for ultrasound-guided injection is demonstrated with the superficial digital flexor tendon used as an example. Following diagnosis of the lesion, the horse should be sedated and the affected limb desensitized with perineural anesthesia. The lesion is identified ultrasonographically in transverse and longitudinal planes, marked...
Embryonic vesicle diameter at first pregnancy diagnosis in in vivo- and in vitro-derived pregnancies and its relationship with pregnancy loss in the mare. This retrospective study compared the relationship between embryonic vesicle diameter at first pregnancy diagnosis and early embryonic loss (EEL) across three pregnancy types: artificially inseminated broodmares (AI; n = 263), recipients carrying in vivo-derived flushed embryos (IVD-F; n = 312), and recipients carrying in vitro-produced embryos by intracytoplasmic sperm injection (IVP-ICSI; n = 161). Vesicle diameter was recorded at Day 12 post-ovulation in AI, Day 4 post-embryo transfer (ET) for IVD-F, and Day 7 post-ET for IVP-ICSI pregnancies. Mean (±SD) vesicle diameters and E...
Sequential Application of Autologous Platelet Rich Plasma and Muscle-Derived Mesenchymal Stem Cells for Acute Tendon Injuries in Horses: Early Clinical and Ultrasonographic Outcomes in a Randomized, Double-Blind Controlled Study. Tendon and ligament injuries are frequent in sport horses and are prone to recurrence due to incomplete healing. Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are increasingly used, but data controlled on the early effects of autologous MSCs remain limited. A prospective randomized, double-blind, placebo-controlled trial was conducted in horses with naturally occurring tendinopathies. After standardized PRP pretreatment, non-responders were randomized to receive intralesional autologous muscle-derived MSCs (mdMSCs, = 17) or placebo ( = 6). Clinical and ultrasonographic paramete...
