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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.
Frontal plane fractures of the accessory carpal bone and implications for the carpal sheath of the digital flexor tendons.
Equine veterinary journal    December 22, 2013   Volume 46, Issue 5 579-584 doi: 10.1111/evj.12203
Minshall GJ, Wright IM.Accurate radiological and ultrasonographic descriptions of frontal plane fractures of the accessory carpal bone (ACB) are lacking, and implications of these fractures for the carpal sheath and its contents have not previously been reported. Objective: Aims were as follows: 1) to describe the location and radiological features of frontal plane fractures of the ACB; 2) to document communication of displaced fractures with the carpal sheath and consequent injury to the deep digital flexor tendon (DDFT); 3) to describe ultrasonographic identification of lesions; and 4) to report tenoscopic evaluat...
Setting up equine embryo gender determination by preimplantation genetic diagnosis in a commercial embryo transfer program.
Theriogenology    December 21, 2013   Volume 81, Issue 5 758-763 doi: 10.1016/j.theriogenology.2013.12.013
Herrera C, Morikawa MI, Bello MB, von Meyeren M, Centeno JE, Dufourq P, Martinez MM, Llorente J.Preimplantation genetic diagnosis (PGD) allows identifying genetic traits in early embryos. Because in some equine breeds, like Polo Argentino, females are preferred to males for competition, PGD can be used to determine the gender of the embryo before transfer and thus allow the production of only female pregnancies. This procedure could have a great impact on commercial embryo production programs. The present study was conducted to adapt gender selection by PGD to a large-scale equine embryo transfer program. To achieve this, we studied (i) the effect on pregnancy rates of holding biopsied e...
Supplementary corpora lutea monitoring allows progestin treatment interruption on day 70 of pregnancy in non-cyclic recipient mares.
Animal reproduction science    December 14, 2013   Volume 144, Issue 3-4 122-128 doi: 10.1016/j.anireprosci.2013.12.004
Silva ES, Frade SC, Ignácio FS, Pantoja JC, Puoli Filho JN, Meira C.The present study evaluated the effect of altrenogest treatment during 70 or 120 days of gestation on pregnancy maintenance in non-cyclic recipient mares and correlated the hormonal interruption findings with number, supplementary corpora lutea (SCL) formation period, and plasma progesterone (P4). Twenty five mares were used as recipients during anestrus, transitional or ovulatory phase and were assigned into groups according to altrenogest treatment period (70ALT, 120ALT or Control groups) or reproductive status at beginning of treatment (Anestrus, Transition or Cyclic/Control groups). Mares ...
Usefulness of Doppler ultrasonography to assess digital vascular dynamics in horses with systemic inflammatory response syndrome or laminitis.
Journal of the American Veterinary Medical Association    December 5, 2013   Volume 243, Issue 12 1756-1761 doi: 10.2460/javma.243.12.1756
Aguirre CN, Talavera J, Fernández Del Palacio MJ.To evaluate the usefulness of Doppler ultrasonography as a method to assess changes in digital vascular dynamics in horses with systemic inflammatory response syndrome (SIRS) or laminitis. Methods: Cross-sectional study. Animals-42 adult Andalusian horses. Methods: Group 1 included 9 healthy horses, group 2 included 19 horses with SIRS without (n = 9) or with (10) a palpable increase in digital pulse intensity, and group 3 included 14 horses with laminitis without (8) or with (6) radiographic evidence of rotation or distal displacement (sinking) of the third phalanx. Qualitative spectrum chara...
Clinical, radiographic, ultrasonographic and computed tomographic features of nonseptic osteitis of the axial border of the proximal sesamoid bones.
Equine veterinary journal    December 5, 2013   Volume 46, Issue 4 463-467 doi: 10.1111/evj.12141
Vanderperren K, Bergman HJ, Spoormakers TJ, Pille F, Duchateau L, Puchalski SM, Saunders JH.Lysis of the axial aspect of equine proximal sesamoid bones (PSBs) is a rare condition reported to have septic or traumatic origins. Limited information exists regarding imaging of nonseptic axial osteitis of a PSB. Objective: To report the clinical, radiographic, ultrasonographic, computed tomographic and intra-arterial contrast-enhanced computed tomographic abnormalities in horses with axial nonseptic osteitis of a PSB. Methods: Retrospective clinical study. Methods: Eighteen horses diagnosed with nonseptic osteitis of the axial border of a PSB between 2007 and 2012 were reviewed retrospecti...
How ultrasound technologies have expanded and revolutionized research in reproduction in large animals.
Theriogenology    November 28, 2013   Volume 81, Issue 1 112-125 doi: 10.1016/j.theriogenology.2013.09.007
Ginther OJ.Gray-scale ultrasonic imaging (UI) was introduced in 1980 and initially was used to examine clinically the reproductive tract of mares. By 1983 in mares and 1984 in heifers/cows, UI had become a tool for basic research. In each species, transrectal gray-scale UI has been used extensively to characterize follicle dynamics and investigate the gonadotropic control and hormonal role of the follicles. However, the use of transrectal UI has also disclosed and characterized many other aspects of reproduction in each species, including (1) endometrial echotexture as a biological indicator of circulati...
Ultrasound-guided atlanto-occipital puncture for cerebrospinal fluid analysis on the standing horse.
The Veterinary record    November 13, 2013   Volume 174, Issue 2 45 doi: 10.1136/vr.101758
Depecker M, Bizon-Mercier C, Couroucé-Malblanc A.The atlanto-occipital site (AO) is convenient for retrieving an adequate volume and quality of cerebrospinal fluid (CSF) in the diagnosis of neurological disease in horses. However, general anaesthesia is not always possible for horses displaying severe neurological signs, or for economical reasons. The objectives of the present work were to determine the feasibility and safety of ultrasound-guided CSF puncture at the AO site on the standing horse. Seven horses (six healthy and one mildly ataxic) were sedated with acepromazine (0.02 mg/kg bodyweight intravenously or 0.04 mg/kg bodyweight intra...
Two-wave behavior under various conditions of transition area from cancellous bone to cortical bone.
Ultrasonics    November 12, 2013   Volume 54, Issue 5 1245-1250 doi: 10.1016/j.ultras.2013.10.016
Nagatani Y, Mizuno K, Matsukawa M.The two-wave phenomenon, the wave separation of a single ultrasonic pulse in cancellous bone, is expected to be a useful tool for the diagnosis of osteoporosis. However, because actual bone has a complicated structure, precise studies on the effect of transition conditions between cortical and cancellous parts are required. This study investigated how the transition condition influenced the two-wave generation using three-dimensional X-ray CT images of an equine radius and a three-dimensional simulation technique. As a result, any changes in the boundary between cortical part and trabecular pa...
Diagnostic stifle joint arthroscopy using a needle arthroscope in standing horses.
Veterinary surgery : VS    October 31, 2013   Volume 43, Issue 1 12-18 doi: 10.1111/j.1532-950X.2013.12068.x
Frisbie DD, Barrett MF, McIlwraith CW, Ullmer J.To assess use of an 18 g arthroscope for diagnostic stifle joint examination in the standing horse. Methods: Phase 1 used cadaver limbs and simultaneous ultrasonographic assessment. Phase 2 used 6 normal horses where stifles were assessed in both a standing and flexed position. Phase 3 used horses with suspected stifle injury or disease. Methods: Normal horses (n = 6) to assess ability to perform diagnostic procedure (phase 2) and 3 clinical cases (phase 3). Methods: Five cadaver limbs were used in phase 1 to assess all stifle joints. Phase 2 used standing sedated and locally anesthetized hors...
Aseptic tenosynovitis of the carpal flexor sheath caused by rupture of the accessory ligament of the deep digital flexor tendon.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 8 765-768 
Taintor J, Caldwell F, Almond G.A mare was evaluated for acute left forelimb lameness with effusion of the carpal flexor sheath. No osseous abnormalities were noted during radiographic examination. Significant disruption of the accessory ligament of the deep digital flexor tendon was seen during ultrasonographic examination. Carpal sheath effusion and lameness resolved after medical treatment. Une jument a été évaluée pour une boiterie aiguë de la patte avant gauche avec effusion de la gaine du fléchisseur carpien. Aucune anomalie osseuse n’a été observée durant l’examen radiographique. Une perturbation importa...
Laparoscopic removal of a bladder urolith in a standing horse.
Journal of the American Veterinary Medical Association    October 19, 2013   Volume 243, Issue 9 1323-1328 doi: 10.2460/javma.243.9.1323
Lund CM, Ragle CA, Lutter JD.An 11-year-old Arabian gelding was evaluated for hematuria, stranguria, and pollakiuria that had been observed for 1 week. Results: Transrectal palpation revealed a 5-cm firm round mass in the urinary bladder. Cystoscopy and transrectal ultrasonography confirmed the diagnosis of urinary bladder urolithiasis. Results: A multiportal transparalumbar fossa laparoscopic approach was selected for cystotomy and urolith removal. Cystotomy and urolith removal was performed with sedation and local anesthesia with the horse standing. No perioperative complications were observed. Urination returned to nor...
Validation of a novel translumbar ultrasound technique for measuring renal dimensions in horses. Habershon-Butcher J, Bowen M, Hallowell G.A reliable method for obtaining renal ultrasonographic measurements in the horse is important for diagnosis and monitoring of clinical renal disease. The aims of this prospective study were to develop and validate a novel translumbar ultrasound technique for measuring renal dimensions in horses. Six Thoroughbred or Thoroughbred part bred horses were recruited. All horses were scheduled for euthanasia due to reasons unrelated to the kidneys. Two observers recorded renal length, width, and depth; and dimensions of the cortex, medulla, pyramids, and pelvis for both kidneys in each horse using nov...
The effect of Clostridium botulinum toxin type A injections on motor unit activity of the deep digital flexor muscle in healthy sound Royal Dutch sport horses.
Veterinary journal (London, England : 1997)    September 27, 2013   Volume 198 Suppl 1 e147-e151 doi: 10.1016/j.tvjl.2013.09.050
Wijnberg ID, Hardeman LC, van der Meij BR, Veraa S, Back W, van der Kolk JH.Therapeutic reduction of the activity of the deep digital flexor (DDF) muscle may play a role in treatment of laminitic horses. Clostridium botulinum toxin type A induces reduced muscle activity and has a spasmolytic effect in horses. In this study, the effectiveness of 200 IU C. botulinum toxin type A on reduction of DDF muscle activity was measured in seven healthy, sound, adult Royal Dutch sport horses. C. botulinum toxin type A was injected using ultrasound and electromyographic (EMG) guidance. The effectiveness was assessed by interference pattern analysis (IPA) and motor unit action pote...
Effect of Clostridium botulinum toxin type A injections into the deep digital flexor muscle on the range of motion of the metacarpus and carpus, and the force distribution underneath the hooves, of sound horses at the walk.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e152-e156 doi: 10.1016/j.tvjl.2013.09.051
Hardeman LC, van der Meij BR, Oosterlinck M, Veraa S, van der Kolk JH, Wijnberg ID, Back W.In the treatment of laminitis, reducing deep digital flexor muscle (DDFM) activity might diminish its pull on the distal phalanx, thereby preventing displacement and providing pain relief. Injection of Clostridium botulinum toxin type A into the DDFM of horses is potentially therapeutic. However, the effects of C. botulinum toxin type A on the gait characteristics of sound horses at the walk are not known. The aim of this study was to test if a reduced DDFM activity would lead to (1) alterations of the sagittal range of motion of the metacarpus (SROM) and range of motion of the carpal joint (C...
Elastographic characteristics of the metacarpal tendons in horses without clinical evidence of tendon injury. Lustgarten M, Redding WR, Labens R, Morgan M, Davis W, Seiler GS.Tendon and ligament injuries are common causes of impaired performance in equine athletes. Gray-scale ultrasonography is the current standard method for diagnosing and monitoring these injuries, however this modality only provides morphologic information. Elastography is an ultrasound technique that allows detection and measurement of tissue strain, and may provide valuable mechanical information about equine tendon and ligament injuries. The purpose of this study was to determine the feasibility, reproducibility, and repeatability of elastography; and to describe elastographic characteristics...
Imaging diagnosis-hypoglycemia associated with cholangiocarcinoma and peritoneal carcinomatosis in a horse. Wong D, Hepworth K, Yaeger M, Miles K, Wilgenbusch C.An 8-year-old Thoroughbred mare presented for decreased appetite, ataxia, and weakness. Abdominal ultrasound revealed a large volume of anechoic fluid along with multiple masses involving the spleen, liver, and diaphragm. Pleural fluid was identified via ultrasonography and thoracic radiography. Thoracic radiographs also identified pulmonary interstitial nodules, an undulant dorsal diaphragmatic margin and enlargement of tracheobronchial lymph nodes. Clinical signs of weakness and mild seizures were concurrent with hypoglycemic episodes. The final diagnosis was cholangiocarcinoma with extensiv...
Effects of a commercial canine gonadotropin releasing hormone vaccine on estrus suppression and estrous behavior in mares.
Animal reproduction science    September 12, 2013   Volume 142, Issue 1-2 42-47 doi: 10.1016/j.anireprosci.2013.09.002
Donovan CE, Hazzard T, Schmidt A, LeMieux J, Hathaway F, Kutzler MA.We investigated the effect of immunization against gonadotropin releasing hormone (GnRH) using a commercial canine GnRH vaccine on estrus suppression and unwanted estrous behavior in mares. In experiment 1, mares were immunized (n = 6) twice with vaccine (5 mL) given intramuscularly 4 weeks apart or received a control diluent (n = 5). Transrectal ultrasonographic examination of the reproductive tracts was performed three days a week for 40 weeks after initial vaccination. Blood samples were collected weekly for GnRH antibody titer and progesterone concentration determination. In experiment 2, ...
Equine ulnar fracture repair with locking compression plates can be associated with inadvertent penetration of the lateral cortex of the radius.
Veterinary surgery : VS    September 9, 2013   Volume 42, Issue 7 790-794 doi: 10.1111/j.1532-950X.2013.12059.x
Kuemmerle JM, Kühn K, Bryner M, Fürst AE.To evaluate if the use of locking head screws (LHS) in the distal holes of a locking compression plate (LCP) applied to the caudal aspect of the ulna to treat equine ulnar fractures is associated with a risk of injury to the lateral cortex of the radius. Methods: Controlled laboratory study. Methods: Cadaveric equine forelimbs (n = 8 pair). Methods: After transverse ulnar osteotomy, osteosynthesis was performed with a narrow 10-13 hole 4.5/5.0 LCP applied to the caudal aspect of each ulna. The distal 3 holes were filled with 4.5 mm cortex screws (CS) in 1 limb (group 1) and with 5.0 mm LHS con...
B-cell multicentric lymphoma as a probable cause of abortion in a Quarter horse broodmare.
The Canadian veterinary journal = La revue veterinaire canadienne    September 3, 2013   Volume 54, Issue 3 288-291 
Canisso IF, Pinn TL, Gerdin JA, Ollivett TL, Buckles EL, Schweizer CM, Ainsworth DM.A 5-year-old Quarter horse broodmare was evaluated for inappetence, depression, and diarrhea 13 days after aborting a 9-month gestation fetus. Clinical and laboratory examination ruled out uterine rupture and peritonitis. Ultrasonography of the uterus combined with cytological analysis of peritoneal fluid suggested the existence of diffuse lymphoma. A multicentric B-cell lymphoma involving the uterus and ovary was confirmed at necropsy and histopathological examination. Lymhome multicentrique à cellules B comme cause possible d’avortement chez une jument poulinière Quarter Horse. Une jumen...
Ultrasound-guided injection of the maxillary nerve in the horse.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 180-184 doi: 10.1111/evj.12106
O'Neill HD, Garcia-Pereira FL, Mohankumar PS.Infiltration of the equine maxillary nerve with local anaesthetic can be useful for both diagnostic and surgical procedures. The deep location and proximity of the nerve to surrounding vascular and orbital structures make an accurate, complication-free injection a challenge using traditional techniques reliant upon surface anatomical landmarks. Objective: To develop an ultrasound-guided injection technique of the maxillary nerve in equine cadavers and to evaluate its efficacy and potential for complications in vivo. Methods: Descriptive cadaver anatomical and clinical study. Methods: The relev...
Ultrasound-guided biopsy of the cricoarytenoideus lateralis muscle: technique and safety in horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 244-248 doi: 10.1111/evj.12105
O'Neill HD, Ballegeer EA, De Feijter-Rupp HL, Stick JA, Derksen FJ, Robinson NE.Current diagnosis of recurrent laryngeal neuropathy (RLN) depends upon disease recognition in the clinically affected horse. Biopsy of the intrinsic laryngeal muscles may provide a method to identify the changes in fibre-type composition that occur in RLN before clinical signs become apparent. Objective: To develop an ultrasound-guided biopsy technique of the left cricoarytenoideus lateralis muscle (CALM) and evaluate its efficacy and safety in vivo. Methods: A longitudinal descriptive study. Methods: Six standing horses underwent ultrasound-guided biopsy of the left CALM. Frozen muscle cores ...
Intradiploic hematoma of the frontal bone with secondary exophthalmos in a mare.
Veterinary ophthalmology    August 18, 2013   Volume 17 Suppl 1 168-173 doi: 10.1111/vop.12091
Kafarnik C, Donaldson D, Payne R, Holloway A.A 13-year-old cob mare was presented with exophthalmos and periocular swelling of the left eye. The diagnostic work-up included ocular ultrasound, sonographic examination through the thinned frontal bone, radiography, standing computed tomography of the skull and exploratory osteoplastic surgery. Histopathology was consistent with an organized hematoma. An intradiploic hematoma of the frontal bone was diagnosed 5 years after head trauma, with progressive expansion and deformation of the skull resulting in exophthalmos. Exophthalmos with facial bone deformation was the only clinical finding of ...
Pharmacokinetics, pharmacodynamics and local tolerance at injection site of marbofloxacin administered by regional intravenous limb perfusion in standing horses.
Veterinary surgery : VS    July 25, 2013   Volume 42, Issue 6 649-657 doi: 10.1111/j.1532-950X.2013.12030.x
Lallemand E, Trencart P, Tahier C, Dron F, Paulin A, Tessier C.To evaluate pharmacokinetic-pharmacodynamic variables and local tolerance at injection-site of marbofloxacin administered via regional intravenous limb perfusion (RIVLP) in standing horses. Methods: Adult horses (n = 6). Methods: RIVLP were performed with rubber tourniquets applied to the forelimbs of standing sedated horses. Marbofloxacin (0.67 mg/kg) was randomly injected in 1 forelimb, with the contralateral limb serving as a control (0.9% NaCl solution). Samples of jugular blood and synovial fluid from the radiocarpal joint of the marbofloxacin-perfused limb were collected before and...
Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: a randomized controlled trial.
Stem cell research & therapy    July 22, 2013   Volume 4, Issue 4 85 doi: 10.1186/scrt236
Carvalho Ade M, Badial PR, Álvarez LE, Yamada AL, Borges AS, Deffune E, Hussni CA, Garcia Alves AL.Tendon injury is a major cause of lameness and decreased performance in athletic equines. Various therapies for tendonitis have been described; however, none of these therapies results in complete tissue regeneration, and the injury recurrence rate is high even after long recovery periods involving rest and physiotherapy. Methods: A lesion was induced with collagenase gel in the superficial digital flexor tendon in the center portion of the metacarpal region of eight equines of mixed breed. After two weeks, the lesions of the animals in the treated and control groups were treated through the i...
Comparison of ultrasonography and histologic examination for identification of ocular diseases of animals: 113 cases (2000-2010).
Journal of the American Veterinary Medical Association    July 20, 2013   Volume 243, Issue 3 376-388 doi: 10.2460/javma.243.3.376
Gallhoefer NS, Bentley E, Ruetten M, Grest P, Haessig M, Kircher PR, Dubielzig RR, Spiess BM, Pot SA.To compare ultrasonographic and histologic examination findings for eyes of animals with ocular diseases. Methods: Retrospective case series. Methods: 116 eyes of 113 animals examined at 2 facilities. Methods: Diseased eyes of animals were examined by means of ultrasonography, removed via enucleation or exenteration, then histologically examined. Ultrasonographic images and histopathologic slides were evaluated, and diseases of eyes were identified with each of those methods and allocated to various categories. For each disease category, agreement between results of ultrasonography and those o...
Computed tomographic features of lesions detected in horses with tarsal lameness.
Equine veterinary journal    July 16, 2013   Volume 46, Issue 2 189-193 doi: 10.1111/evj.12097
Raes E, Bergman HJ, Van Ryssen B, Vanderperren K, Stock E, Saunders JH.Tarsal pain is a common cause of hindlimb lameness in horses. Diagnosis can usually be made with radiography and ultrasonography; however, in some cases, these techniques are inconclusive and additional imaging is necessary. No studies describing computed tomography (CT) features of different tarsal lesions in horses with tarsal lameness are reported. Objective: Our aims were as follows: 1) to characterise CT abnormalities in horses with tarsal lameness; 2) to compare CT findings with those from other imaging techniques; and 3) to assess whether CT can help to diagnose tarsal pathology. ...
Coumestrol and its metabolite in mares’ plasma after ingestion of phytoestrogen-rich plants: potent endocrine disruptors inducing infertility.
Theriogenology    July 9, 2013   Volume 80, Issue 6 684-692 doi: 10.1016/j.theriogenology.2013.06.002
Ferreira-Dias G, Botelho M, Zagrajczuk A, Rebordão MR, Galvão AM, Bravo PP, Piotrowska-Tomala K, Szóstek AZ, Wiczkowski W, Piskula M, Fradinho MJ....Phytoestrogens exist in plants that are present in forages fed to horses. They may compete with 17-β estradiol and influence the estrous cycle. Therefore, the objective was to determine whether coumestrol from clover-mixed pastures is present in mare's plasma after their ingestion (experiment I), and when this phytoestrogen was present in mare's plasma after ingestion (experiment II). The effect of a long-term ingestion of phytoestrogens on estrous cycle disruption was assessed (experiment III; clinical case). Experiment I was carried out in nonpregnant anestrous and cyclic Lusitano mares (n ...
Diagnostic imaging in veterinary dental practice. Equine sialolithiasis.
Journal of the American Veterinary Medical Association    July 5, 2013   Volume 243, Issue 2 203-205 doi: 10.2460/javma.243.2.203
Baratt RM, Rawlinson JE.No abstract available
Fractures of the third trochanter in horses: 8 cases (2000-2012).
Journal of the American Veterinary Medical Association    July 5, 2013   Volume 243, Issue 2 261-266 doi: 10.2460/javma.243.2.261
Bertoni L, Seignour M, de Mira MC, Coudry V, Audigie F, Denoix JM.To determine history; clinical, radiographic, ultrasonographic, and scintigraphic features; management; and outcome associated with third trochanter fractures in horses. Methods: Retrospective case series. Methods: 8 horses. Methods: Records from 2000 to 2012 were reviewed, and signalment, case history, severity and duration of lameness, results of physical and lameness examinations, imaging findings, management, and outcome were evaluated. Results: All horses had a history of acute onset of severe lameness. Four of the 8 horses had localizing physical signs of fracture. No specific gait chara...
Efficacy of transvaginal ultrasound-guided twin reduction in the mare by embryonic or fetal stabbing compared with yolk sac or allantoic fluid aspiration.
Theriogenology    June 6, 2013   Volume 80, Issue 4 346-349 doi: 10.1016/j.theriogenology.2013.04.021
Journée SL, de Ruijter-Villani M, Hendriks WK, Stout TA.Transvaginal ultrasound-guided pregnancy reduction (TUGR) is a procedure described for the management of twins post-fixation in the horse. Success rates are often disappointing but are reported to be more favorable for bilaterally situated twins and when intervention takes place before day 35 of gestation. This study aimed to determine whether stabbing the embryo/fetus rather than aspirating conceptus fluids improved the likelihood of success, measured as the birth of a normal live singleton foal. Data from 103 TUGR interventions were analyzed by logistic regression analysis; method of treatme...
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