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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.
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...
Cardiac morphologic changes induced by a 10-week water treadmill training for show jumping horses: A preliminary evaluation. This study aimed to investigate cardiac adaptations and energy expenditure of jumping horses after water treadmill (WT) training. Six trained horses were evaluated before (PRETR) and after (TR) a WT training (20 min, twice/week, water at carpus height) for 10 weeks. Transthoracic echocardiography was performed at PRETR and TR with phased array transducer (1.9-4 MHz) to obtain interventricular septal thickness (IVS), LV internal diameter (LVID), and posterior wall thickness (LVPW) at end-diastole (d) and systole (s) and heart rate (HR). Left ventricule end diastolic volume (Vd) and end syst...
Photodynamic therapy with infracyanine green induces keratocyte depopulation in the normal equine cornea. Use of photodynamic therapy (PDT) for the treatment of immune-mediated keratitis (IMMK) in horses is becoming common. The safety and morphologic impact on the normal equine cornea have not been investigated, and the mechanism of its efficacy is unknown. Objective: To investigate the morphologic effects and safety of in vivo PDT on healthy equine corneas. Methods: In vivo experiment. Methods: Six university-owned horses underwent unilateral corneal PDT with intrastromal infracyanine green (EmunDo®) and photoactivation with an 810 nm diode laser (500 mW for 2.5 min = 75 Joules). Compl...
Relationship between the duration of endometrial edema and reproductive parameters of estrus, diestrus, and fertility in mares: a field study. The duration of endometrial edema has been positively correlated with uterine receptivity and likelihood of pregnancy. Therefore, this study aimed to evaluate whether there is a relationship between the duration of endometrial edema (DEdema) and other key parameters of the estrous cycle: maximum edema (MEdema), largest follicle diameter (LPF), corpus luteum and uterine tone on day 5 post ovulation (CLD5 and TD5), progesterone concentration (P4) and fertility. A total of 88 cycles from 36 mares were evaluated and divided into Short Estrus (SE), Long Estrus (LE), Inseminated (AI) and Non-insemin...
Bilateral hindlimb superficial digital flexor tendinopathy in a sports horse. Superficial digital flexor tendinopathy is a common cause of forelimb lameness in Thoroughbred racehorses and sports horses; however, this condition is rarely observed in the hindlimb. A 16-year-old Irish sports horse gelding was presented with bilateral swelling in the plantar metatarsal region and severe bilateral hindlimb lameness visible at the walk. The lameness occurred after the cross-country phase of an eventing competition. The clinical suspicion of superficial digital flexor tendon (SDFT) injury was confirmed after ultrasonographic examination, which revealed an extensive core lesion...
Functional and histopathologic evidence of laryngeal reinnervation using the spinal accessory nerve in horses. To evaluate functional and histopathologic outcomes of standing selective laryngeal reinnervation using the spinal accessory nerve (SAN) in horses with experimentally induced recurrent laryngeal neuropathy (RLN). Methods: Five Thoroughbred mares. Methods: Prospective cohort study. Methods: The horses underwent left recurrent laryngeal neurectomy followed 8 weeks later by selective laryngeal reinnervation using the SAN. Follow-up evaluations at 4.5, 6, 8, and 12 months included treadmill exercising endoscopy, ultrasonography of intrinsic laryngeal muscles, and percutaneous electrical stimul...
Comparative Evaluation of Follicular Flushing Frequency and Scraping Time During Ovum Pick-Up in Mares: Effects on Oocyte Recovery Rate and Technical Considerations. Transvaginal ultrasound-guided follicular aspiration or ovum pick-up (OPU) has become the standard technique for oocyte collection in mares for intracytoplasmic sperm injection (ICSI). Although repeated follicular flushes and wall scraping are commonly used to improve oocyte recovery rate (ORR), the relative contribution of each remains unclear. This study aimed to compare the effects of multiple flushes versus controlled scraping time on ORR in mares. A controlled trial was conducted in two phases: (1) an ex vivo phase using slaughterhouse ovaries (n = 32), and (2) an in vivo phase in c...
Disorders of the Equine Head and Neck: Larynx and Pharynx. This comprehensive review outlines the anatomy, diagnostic methods, pathophysiology, treatment, and prognosis of common equine upper airway disorders. It discusses the structure and function of the larynx and pharynx, and details diagnostic tools such as endoscopy and ultrasound. Major conditions-recurrent laryngeal neuropathy, arytenoid chondropathy, epiglottic entrapment, dorsal displacement of the soft palate, and nasopharyngeal collapse-are described with emphasis on their etiology, clinical signs, and management options for optimizing performance outcomes.
GnRH Administration Increases Synchronisation of Ovulation in Mares. The objective of this study was to evaluate the effects of exogenous GnRH administration at the beginning of estrus synchronisation in mares during the spring transitional period. Estrus was synchronised using a progesterone releasing intravaginal device (PRID). The PRID was left in the vagina for 10 days, followed by an injection of 0.4 mg of cloprostenol at PRID removal. The GnRH group (n = 32) was subjected to intramuscular administration of 100 μg of the GnRH agonist triptorelin at PRID insertion, while the control group (n = 32) received 1 mL of sterile physiological sali...
Infertility in an American Quarter Horse mare with cervical duplication. Cervical duplication is a disorder of sexual development (DSD) that may be present in the absence of chromosomal aberrations. It is a rare cause of infertility in mares and is attributed to the failure of the Müllerian ducts to fuse properly, leading to the persistence of the median walls along the whole length of the cervix. This case report involves a 13-year-old American Quarter Horse mare with cervical duplication. Prior to this diagnostic, the mare was bred multiple times, but pregnancy was not achieved. The mare presented for a breeding soundness evaluation. During the examination an ab...
Doppler assessment of testicular arterial blood flow in stallions: influence of age and 180° spermatic cord torsion. Doppler ultrasonography is a valuable tool for monitoring testicular hemodynamics, offering improved diagnostic insight and supporting treatment monitoring. However, its use in equine andrology remains limited due to a scarcity of published data and reference values. Therefore, this study aimed to characterize the testicular arterial blood flow patterns in clinically normal stallions and stallions with 180° spermatic cord torsion. Spectral Doppler ultrasonography was performed on both testes of 48 Mangalarga Marchador stallions. Thirty stallions with normal testes were divided into three age ...
A rare and unusual case of advanced complete molar pregnancy in an Arabian mare: first report. Molar pregnancy is a rare condition in women, referring to the development of fetal membranes with or without an embryo. A 22-year-old mare referred to the veterinary faculty clinic due to the delayed parturition. In the ultrasound examination, the uterine membranes were seen suspended in fluids without any trace of the fetal organs. The mare underwent caesarean section, a mixture of brown fluid with fragments of fetal membranes was removed, but no fetus or any remnants of the fetus were found in the uterus. In the histopathological examinations, the fetal membranes showed severe degenerative ...
Enrofloxacin induces mild and transient vascular alterations following regional limb perfusion in horses. Regional intravenous limb perfusion (RILP) is widely used in equine practice for achieving high local antimicrobial concentrations while minimizing systemic exposure. However, certain drugs, including enrofloxacin, have been associated with vascular irritation and thrombosis, and their thrombogenic potential remains poorly characterized. Objective: This study aimed to evaluate the thrombogenic potential of enrofloxacin administered via RILP in the cephalic vein of clinically healthy horses. Methods: Ten adult horses underwent RILP in both forelimbs: the right limb received 10 % enrofloxacin (1...
Intra-rater and inter-rater reliability of ultrasonographic intestinal wall thickness measurements in healthy horses. Abdominal ultrasound is widely used to evaluate the intestinal tract of horses. Despite being a routine examination, there is limited data on the reliability of this diagnostic procedure. Objective: To investigate intra- and inter-rater reliability of ultrasonographic intestinal wall thickness measurements in healthy horses. A second aim was to assess variance within repeated measurements to determine threshold values that distinguish whether differences between repeated examinations are true findings versus solely due to measurement variation. Methods: In vivo reliability study. Methods: Eigh...
Femoral nerve neuropathy of an endurance horse as a sequela of iliopsoas muscle myopathy diagnosed by transrectal ultrasonography. Femoral nerve neuropathy causes lameness, a condition clinically characterized by stifle's lack of extension with subsequent diminished lower limb function. This case report describes the ultrasonographic diagnosis of femoral neuropathy secondary to compression caused by myopathy of the iliopsoas muscle of an endurance horse during a competition. Transrectal ultrasonography played a pivotal role in diagnosis of the injury by assessment of the involved structures and monitoring of the healing process throughout the recovery period. The horse achieved complete recovery and successfully returned ...
Seasonal effects on follicular dynamics and hemodynamics, ovarian hormone levels, nitric oxide levels, and lactate dehydrogenase levels in native mares. Summer heat stress affects the regularity of the estrous cycle in different animal species. Unassigned: This study aimed to investigate seasonal effects on follicular dynamics, hemodynamics, and associated biomarkers across the estrous cycle in native mares. Unassigned: Doppler ultrasound examinations and blood samples were collected along three sequential estrous cycles during the cold (November to March) and the hot months of the year (May to August). The diameter, antrum diameter, and color area of the dominant follicle (DF) were determined. The diameters, uterine horns, and corpus luteum (...
Development and application of a focused ultrasound protocol in neonatal foals. This study aimed to develop a standardized ultrasound (US) protocol using selected thoracic and abdominal acoustic windows, to assess its feasibility and applicability in healthy foals, and to evaluate its usefulness for detecting common thoracic and abdominal conditions in sick foals. The Focused US (FUS) protocol included 12 thoraco-abdominal windows (4 right-side, 3 ventral, 5 left-side) using a curved-array probe. It was applied to cohorts of healthy (n = 17) and sick (n = 23) foals by a veterinary clinician with limited US experience. The FUS showed good feasibility and applicabil...
Treatment evaluation using ultrasonographic scanning of the spleen in Arabian horses affected by babesiosis. Equine babesiosis is a widespread protozoan disease in Saudi Arabia. The most common finding of clinical babesiosis is splenomegaly, which can be detected using non-invasive splenic ultrasonography. Unassigned: This study aimed to investigate changes in the spleen size in horses infected with babesiosis using ultrasonography before and after treatment. Unassigned: This study employed 15 male and female Arabian horses. Each animal was examined clinically for clinical signs, and blood samples were collected in plain tubes to detect antibodies against . The spleens of healthy and affected horses ...
