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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Whole-genome sequencing and pathogenicity analysis of Rhodococcus equi isolated in horses.
BMC veterinary research    August 12, 2024   Volume 20, Issue 1 362 doi: 10.1186/s12917-024-04167-9
Hu B, Gao S, Zhang H, Li Q, Li G, Zhang S, Xing Y, Huang Y, Han S, Tian Y, Zhang W, He H.Rhodococcus equi (R. equi) is a Gram-positive zoonotic pathogen that frequently leads to illness and death in young horses (foals). This study presents the complete genome sequence of R. equi strain BJ13, which was isolated from a thoroughbred racehorse breeding farm in Beijing, China. Results: The BJ13 genome has a length of 5.30 Mb and consists of a complete chromosome and a plasmid measuring 5.22 Mb and 0.08 Mb, respectively. We predicted 4,929 coding gene open reading frames, along with 52 tRNAs and 12 rRNAs. Through analysis of mobile genetic elements, we identified 6 gene islands and ...
Reduction of egg reappearance period of cyathostomins in naturally infected horses after increasing doses of ivermectin in Brazil: a grim picture for sustainable parasite control. Molento MB, Dall'Anese J, Pontarolo DV, Brandão YO, Yoshitani UY.Cyathostomins are the largest group of parasites in horses that can be controlled by ivermectin (IVM). This study aimed to run a four-dose titration trial of IVM in 28 naturally infected Thoroughbred yearlings. The local Strongyle population had been recorded to be resistant to IVM (200 µg/kg). The parasite fecal egg count (FEC) was performed to investigate the egg reappearance period (ERP) of two and five weeks (w2pt and w5pt) after IVM treatment. FEC was > 1000 on day zero for all groups. Although 100% FEC reduction was reported at w2pt for all concentrations, the FEC at w5pt revealed < 83%...
Equine uterine sanitizer: in vitro inhibition of endometritis-causing microorganisms and its stability to dilute antibiotics.
Journal of equine veterinary science    August 12, 2024   Volume 141 105163 doi: 10.1016/j.jevs.2024.105163
Mazzuchini MP, Lisboa FP, Segabinazzi LG, Canisso IF.Endometritis is the leading cause of mare subfertility. Most mares respond to standard therapy, but alternative therapies have been developed for mares failing to respond. This study aimed to investigate a commercially available, yet unassessed, product labeled as a uterine sanitizer to determine the in vitro antimicrobial activity against microorganisms associated with endometritis and its in vitro stability to dilute antibiotics. In experiment 1, the microdilution broth technique and antimicrobial effects were assessed against Escherichia sp, Staphylococcus sp., Klebsiella sp., Pseudomonas s...
Differences in pulmonary function measured by oscillometry between horses with mild-moderate equine asthma and healthy controls.
Equine veterinary journal    August 12, 2024   doi: 10.1111/evj.14206
The diagnosis of mild-moderate equine asthma (MEA) can be confirmed by airway endoscopy, bronchoalveolar lavage fluid (BALf) cytology, and lung function evaluation by indirect pleural pressure measurement. Oscillometry is a promising pulmonary function test method, but its ability to detect subclinical airway obstruction has been questioned. Objective: To evaluate the differences in lung function measured by oscillometry between healthy and MEA-affected horses. Methods: Prospective case-control clinical study. Methods: Thirty-seven horses were divided into healthy and MEA groups, based on hist...
Bee-Inspired Healing: Apitherapy in Veterinary Medicine for Maintenance and Improvement Animal Health and Well-Being.
Pharmaceuticals (Basel, Switzerland)    August 9, 2024   Volume 17, Issue 8 doi: 10.3390/ph17081050
Stevanović J, Glavinić U, Ristanić M, Erjavec V, Denk B, Dolašević S, Stanimirović Z.This review aims to present current knowledge on the effects of honey bee products on animals based on in vivo studies, focusing on their application in clinical veterinary practice. Honey's best-proven effectiveness is in treating wounds, including those infected with antibiotic-resistant microorganisms, as evidenced in horses, cats, dogs, mice, and rats. Propolis manifested a healing effect in numerous inflammatory and painful conditions in mice, rats, dogs, and pigs and also helped in oncological cases in mice and rats. Bee venom is best known for its effectiveness in treating neuropathy an...
In vivo comparative study of hemp straw exposure and cannabidiol oil administration in horse urine.
Drug testing and analysis    August 8, 2024   doi: 10.1002/dta.3783
Trevisiol S, Popot MA, Garcia P, Boyer S, Caroff M, Drif L, Taleb W, Tendon S, Moulard Y, Bailly-Chouriberry L.The non-psychoactive cannabinoids cannabidiol (CBD) and cannabidiolic acid (CBDA) are available on the market in different forms, mostly for their anti-inflammatory and potential analgesic properties. These substances are prohibited during equine competitions. CBD and CBDA are naturally present in hemp straw, commonly used as a bedding substitute for wheat straw. Unfortunately, horses can eat it, which therefore could lead to a possible risk of positive findings for CBD/CBDA in biological samples after doping control tests. The goals of this study were, first, to provide recommendations on the...
Science-in-brief: The 6th Havemeyer Workshop on Rhodococcus equi-A decade-long journey in advancing research into a major equine pathogen (2012-2023).
Equine veterinary journal    August 8, 2024   Volume 56, Issue 5 838-841 doi: 10.1111/evj.14135
No abstract available
Rapid Detection of Getah Virus Antibodies in Horses Using a Recombinant E2 Protein-Based Immunochromatographic Strip.
Animals : an open access journal from MDPI    August 8, 2024   Volume 14, Issue 16 2309 doi: 10.3390/ani14162309
Zhong D, Zheng J, Ma Z, Wang Y, Wei J.The prevalence and impact of Getah virus (GETV) are significant concerns in China. GETV can infect a wide range of animals, including horses, pigs, sheep, cattle, birds, and humans, resulting in substantial losses in the livestock and agricultural industries. GETV infection can cause the development of ulcers and inflammation in the mouth and gums of horses, which result in pain and discomfort and lead to symptoms such as reduced appetite, drooling, and difficulty chewing. As a result, there is a pressing need for efficient and rapid disease diagnosis methods. However, the currently available ...
Flowmetry and spectrophotometry can detect reduced intestinal microperfusion in nonsurvivors during equine colic surgery for large intestinal strangulation.
American journal of veterinary research    August 8, 2024   Volume 85, Issue 10 doi: 10.2460/ajvr.24.05.0142
Verhaar N, Reineking W, Hewicker-Trautwein M, Grages AM, Kästner SBR, Geburek F.To evaluate the use of laser Doppler flowmetry and spectrophotometry (LDFS) for large intestinal viability assessment in horses with naturally occurring large intestinal strangulations. Methods: By use of LDFS, intestinal microperfusion was quantified as tissue oxygen saturation (tSo2), hemoglobin (tHB), and blood flow (tBF) in cases with large colon volvulus and small colon strangulations undergoing colic surgery (n = 17). Intestinal biopsies were taken from the pelvic flexure in all large colon cases and in small colon cases that underwent intraoperative euthanasia. Measurements were compare...
The Silent Threat: Unraveling the Impact of Rabies in Herbivores in Brazil.
Animals : an open access journal from MDPI    August 8, 2024   Volume 14, Issue 16 doi: 10.3390/ani14162305
Ventura MCDS, Neves JMM, Pinheiro RDS, Santos MVC, de Lemos ERS, Horta MAP.Rabies, a zoonotic viral disease, poses a significant threat due to its adaptability to diverse environments. Herbivore rabies, predominantly affecting cattle, horses, and goats in Brazil, remains a concern, results in substantial losses in the livestock industry, and poses risks to public health. Rabies virus transmission, primarily through hematophagous bats in Latin America, underscores the need for effective strategies, and vaccination plays a crucial role in controlling herbivorous rabies, with systematic vaccination beingly the primary method. Efforts to control rabies in herbivores incl...
Effects of general anesthesia on airway immune cell function in an equine in vivo model.
Veterinary anaesthesia and analgesia    August 8, 2024   Volume 51, Issue 6 621-628 doi: 10.1016/j.vaa.2024.08.001
Woodrow JS, Palmisano M, Kulp J, Hopster K.Complications from general anesthesia, including pneumonia and decreased wound healing, are influenced by changes in immune cell function secondary to sedatives and anesthetics. It was hypothesized that immune cell function would be depressed in the early postanesthetic period. The objective was to investigate airway immune cell function before and after a general anesthetic episode in an equine in vivo model using ex vivo cell stimulations with lipopolysaccharide (LPS) for assessment of immune function. Methods: Prospective experimental study. Methods: Six healthy, adult, institution-owned ...
Lipofuscin accumulates in ganglionic neurons in chronic equine dysautonomia. Tan Yi Shean L, Milne EM, Shaw DJ, Maxwell S, Del-Pozo J.Lipofuscin is a complex mixture of highly oxidized, cross-linked macromolecules that accumulates in neurons with age and some neurodegenerative diseases. Equine dysautonomia (ED) is a polyneuropathy that mainly affects autonomic and enteric nervous systems, resulting in alimentary tract dysfunction. Our main aim was to determine whether neuronal lipofuscin increased with increasing duration of ED. We investigated the prevalence of lipofuscin in cranial cervical ganglia of horses with acute (AED), subacute (SED), and chronic ED (CED), young controls (of similar age to ED cases), and aged contro...
Evaluation of variants in the ENTPD1 and ENTPD2 genes in athletic horses with exercise-induced pulmonary haemorrhage.
BMC veterinary research    August 6, 2024   Volume 20, Issue 1 346 doi: 10.1186/s12917-024-04192-8
Leite RO, Albertino LG, Sperandio LMS, Campos F, Campos R, Borges AS, Oliveira-Filho JP.Exercise-induced pulmonary haemorrhage (EIPH) in athletic horses is characterized by the presence of blood from the lungs in the tracheobronchial tree after intense exercise. Despite the high prevalence of EIPH in horses, the primary aetiology remains unknown. Variants in the genes encoding CD39 and CD39L1 (ENTPD1 and ENTPD2, respectively) were previously reported as potential genetic causes involved in EIPH pathogenesis. However, the role of these variants in haemostatic functions is unknown. Results: To investigate the association between EIPH and missense variants in the ENTPD1 (rs115229627...
Low-dose intravitreal injection of 4 mg preservative-free gentamicin and superficial lamellar keratectomy combined with modified Gundersen grafts to control chronic heterochromic iridocyclitis and secondary keratitis in horses.
Veterinary ophthalmology    August 6, 2024   Volume 28, Issue 2 386-402 doi: 10.1111/vop.13264
Charnock LN, McMullen RJ.To describe a combined treatment approach for heterochromic iridocyclitis and secondary keratitis (HIK) in horses. Methods: A total of 15 horses (16 eyes). Methods: Sixteen eyes from 15 horses (mean age 14.1 years, range 6-26 years) received low-dose (4 mg) intravitreal preservative-free gentamicin injection (IVGI) and modified Gundersen grafts with standing sedation and local anesthesia following a clinical diagnosis of HIK. Additional therapies of suprachoroidal triamcinolone (8 mg) injection, episcleral bromfenac implants, and suprachoroidal cyclosporine implants were performed in i...
Molecular characterisation of Histoplasma capsulatum sensu lato from Ethiopian horses reveals two distinct phylogenetic clades.
Medical mycology    August 5, 2024   myae079 doi: 10.1093/mmy/myae079
Woo PCY, Mheiri FA, Cavalleri J, Joseph S, Tang JYM, Joseph M, Tsang CC, Lau SKP, Wernery U.Epizootic lymphangitis (EL) is a highly prevalent and contagious infectious disease affecting horses in many parts of Ethiopia caused by Histoplasma capsulatum sensu lato ('var. farciminosum'). In this study, 12 suspected isolates of H. capsulatum sensu lato or yeasts unidentified by conventional biochemical tests isolated from Ethiopian horses with EL were characterised by ITS sequencing. Six of the 12 isolates were identified to be members of H. capsulatum sensu lato and the other six were Pichia kudriavzevii (synonym: Candida krusei) (n = 3), Trichosporon asahii (n = 1), Geotrichum silv...
Naturally occurring horse model of miscarriage reveals temporal relationship between chromosomal aberration type and point of lethality.
Proceedings of the National Academy of Sciences of the United States of America    August 5, 2024   Volume 121, Issue 33 e2405636121 doi: 10.1073/pnas.2405636121
Lawson JM, Salem SE, Miller D, Kahler A, van den Boer WJ, Shilton CA, Sever T, Mouncey RR, Ward J, Hampshire DJ, Foote AK, Bryan JS, Juras R, Pynn OD....Chromosomal abnormalities are a common cause of human miscarriage but rarely reported in any other species. As a result, there are currently inadequate animal models available to study this condition. Horses present one potential model since mares receive intense gynecological care. This allowed us to investigate the prevalence of chromosomal copy number aberrations in 256 products of conception (POC) in a naturally occurring model of pregnancy loss (PL). Triploidy (three haploid sets of chromosomes) was the most common aberration, found in 42% of POCs following PL over the embryonic period. O...
Nerve entry points in the mimic musculature of the horse head.
Anatomia, histologia, embryologia    August 5, 2024   Volume 53, Issue 5 e13099 doi: 10.1111/ahe.13099
Wolschrijn CF, Smit IH, Schouten J, Moller Te NCR.Facial expressions are important in pain recognition in horses, but current observation-based pain scales remain subjective. A promising technique to quantitatively measure subtle changes in expression patterns, including changes invisible to the human eye, is surface electromyography (sEMG). To achieve high-quality and reliable sEMG signals, unilateral placement of bipolar electrodes is required in relation to the motor endplates (MEP). We aimed to localize the nerve entry points (NEPs; where the nerve branch first pierced the muscle belly) and the direction of the terminal nerve endings to e...
Review of Pseudomonas aeruginosa and Klebsiella pneumoniae as venereal pathogens in horses.
Equine veterinary journal    August 5, 2024   Volume 57, Issue 3 587-597 doi: 10.1111/evj.14201
Scholtz M, Guthrie AJ, Newton R, Schulman ML.Three bacteria extensively acknowledged as venereal pathogens with the potential to induce endometritis include Taylorella equigenitalis, the causative agent of contagious equine metritis (CEM), specific strains of Pseudomonas aeruginosa, and certain capsule types of Klebsiella pneumoniae. The United Kingdom's Horserace Betting Levy Board recommends pre-breeding screening for these bacteria in their International Codes of Practice and >20 000 samples are tested per annum in the United Kingdom alone. While the pathogenesis and regulatory importance of CEM are well established, an evaluation...
Enhanced analysis of equine plasma for the presence of recombinant human erythropoietin – Implementation of an improved workflow.
Drug testing and analysis    August 4, 2024   Volume 17, Issue 6 786-795 doi: 10.1002/dta.3785
Richards S, Palmer D, Cawley A, Wainscott M, Keledjian J.An improved screening workflow and a robust capillary flow LC-MS confirmatory method for the detection of recombinant human erythropoietin (rHuEPO) has been implemented to increase the sensitivity of rHuEPO detection and to reduce the number of suspect samples committed to confirmatory testing. The influence of repeated dosing of epoetin-β on the detection window of rHuEPO in equine plasma was assessed using the optimised method. Samples were initially assessed using an economical R&D Human EPO Duo-Set ELISA Development System. Samples indicating a result greater than the batch baseline were ...
Serological and molecular detection of Toxoplasma gondii infection in apparently healthy horses in eastern of Spain.
Veterinary parasitology, regional studies and reports    August 3, 2024   Volume 54 101093 doi: 10.1016/j.vprsr.2024.101093
Martínez-Sáez L, Pala S, Marín-García PJ, Llobat L.Toxoplasmosis is one of the most common parasitic zoonoses and represents a significant health risk for humans, especially for immunodeficient patients. The main transmission route is by oral uptake of oocysts and consumption of undercooked meat of infected animals. Different species have been evaluated as possible reservoirs of the parasite, but few studies have been carried out to examine the role of horses in transmission of the disease. Given the proximity of these animals to humans and the widespread consumption of their meat in many countries, including the Mediterranean basin, it is imp...
Feasibility of transthoracic echocardiographic guidance for multicatheter electrophysiological mapping studies in horses.
Journal of veterinary internal medicine    August 3, 2024   Volume 38, Issue 5 2686-2697 doi: 10.1111/jvim.17156
Vernemmen I, Buschmann E, Demeyere M, Verhaeghe LM, Van Steenkiste G, Decloedt A, van Loon G.Improved characterization of arrhythmias is based on minimally invasive catheterizations. However, these catheterizations have been poorly explored in horses because apart from 3-dimensional (3D) mapping systems, continuous guidance of the catheter's position with adequate detail is difficult using current imaging modalities. Objective: Position multiple electrophysiology catheters simultaneously at predetermined strategical positions in the heart using transthoracic echocardiographic guidance. Methods: Eight adult healthy horses. Methods: Observational study. Two electrophysiological studies ...
Molecular testing for equine herpesviruses 1 (EHV-1) in healthy postpartum broodmares.
The Canadian veterinary journal = La revue veterinaire canadienne    August 2, 2024   Volume 65, Issue 8 813-816 
Arroyo LG, Gomez DE, Moore A, Papapetrou M, Lillie BN.Our objective was to determine whether equine herpesviruses 1 (EHV-1) viral nucleic acids could be detected immediately after foaling from nasal and vaginal swabs, whole blood, and placental tissue of healthy mares. Unassigned: Nasal and vaginal swabs, EDTA blood, and placental tissue (296 samples) were collected from 74 clinically healthy postpartum broodmares within 24 h after giving birth to live, clinically healthy foals. All samples were tested (PCR) for nucleic acids of neuropathogenic and non-neuropathogenic strains of EHV-1, and all were negative. Unassigned: As EHV-1 was not detected ...
Inhalational anaesthetic agent consumption within a multidisciplinary veterinary teaching hospital: an environmental audit.
Scientific reports    August 2, 2024   Volume 14, Issue 1 17973 doi: 10.1038/s41598-024-68157-5
Elzahaby D, Mirra A, Levionnois OL, Spadavecchia C.Inhalational anaesthetic agents are routinely used in veterinary anaesthesia practices, yet their consumption contributes significantly to greenhouse gas emissions and environmental impact. We conducted a 55-day observational study at a veterinary teaching hospital in Switzerland, monitoring isoflurane and sevoflurane consumption across small, equine and farm animal clinics and analysed the resulting environmental impact. Results revealed that in total, 9.36 L of isoflurane and 1.27 L of sevoflurane were used to anaesthetise 409 animals across 1,489 h. Consumption rates varied among species...
Effects of intra-articular anesthesia of the tarsometatarsal joint on skin sensation of the distal limb in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    August 2, 2024   Volume 65, Issue 8 808-812 
Osborne C, Elce YA, Byrant B, Meehan-Howard L.To determine with mechanical nociceptive threshold (MNT) testing whether distal limb skin sensation is affected by intra-articular anesthesia of the tarsometatarsal joint (TMTJ). Unassigned: This was a prospective cohort study. Ten client-owned horses that had intra-articular TMTJ anesthesia were included in the study. The MNT was measured at 6 sites on the distal limb at 3 time points: before anesthesia (T0) and at 10 min (T10) and 30 min (T30) post-injection. Linear mixed-model analyses were done, with the significance level set at P < 0.05. Unassigned: There was an increase in MNT (P = 0.00...
Return to sport activity following ultrasonographic diagnosis and conservative management of spontaneous injuries of the serratus cervicis ventralis and serratus thoracis ventralis muscles in 11 endurance horses.
Journal of the American Veterinary Medical Association    August 2, 2024   1-6 doi: 10.2460/javma.24.03.0211
Puccetti M, Pilati N, Beccati F, Denoix JM.To describe the clinical diagnosis, ultrasound findings, and outcome of 11 endurance horses with injuries to the serratus ventralis thoracis (SVT) or serratus ventralis cervicis (SVC) muscle. Methods: 11 endurance horses competing in medium- to high-level competitions and presenting with lameness caused by injuries to the SVT or SVC muscle, as confirmed by ultrasonography. Methods: Physical examinations revealed swelling caudal to the shoulder region associated with dorsocranial displacement of the scapula and edema of the ventral thorax for horses with SVT injuries. Swelling cranial to the sc...
Conserved Antagonization of Type I Interferon Signaling by Arterivirus GP5 Proteins.
Viruses    August 1, 2024   Volume 16, Issue 8 1240 doi: 10.3390/v16081240
Ringo RS, Choonnasard A, Okabayashi T, Saito A. can establish persistent infections in animals such as equids, pigs, nonhuman primates, rodents, and possums. Some can even cause overt and severe diseases such as Equine Arteritis in horses and Porcine Reproductive and Respiratory Syndrome in pigs, leading to huge economic losses. have evolved viral proteins to antagonize the host cell's innate immune responses by inhibiting type I interferon (IFN) signaling, assisting viral evasion and persistent infection. So far, the role of the glycoprotein 5 (GP5) protein in IFN signaling inhibition remains unclear. Here, we investigated the inhibito...
Mastectomy in ten mares: indications, surgical technique, complications, and long-term outcome.
Journal of the American Veterinary Medical Association    July 31, 2024   Volume 262, Issue 10 1397-1404 doi: 10.2460/javma.24.05.0350
Steiner MN, Boone LH, Hayden L, Schumacher J, Arnold CE.To describe the indications for and surgical technique of mastectomy of mares and to describe the outcome of 10 mares that underwent mastectomy in a retrospective case series. Methods: 10 mares having disease of one or both mammary glands. Methods: Medical records (1995 to 2022) from 2 university teaching hospitals were searched to identify mares that had undergone unilateral or bilateral mastectomy. Data regarding history, signalment, diagnostic tests, preoperative treatment, surgical procedure, and postoperative management were reviewed. Follow-up information was obtained by interviewing the...
Intracardiac ultrasound-guided transseptal puncture in horses: Outcome, follow-up, and perioperative anticoagulant treatment.
Journal of veterinary internal medicine    July 31, 2024   Volume 38, Issue 5 2707-2717 doi: 10.1111/jvim.17158
Vernemmen I, Buschmann E, Van Steenkiste G, Demeyere M, Verhaeghe LM, De Somer F, Devreese KMJ, Schauvliege S, Decloedt A, van Loon G.Cardiac catheterizations in horses are mainly performed in the right heart, as access to the left heart traditionally requires an arterial approach. Transseptal puncture (TSP) has been adapted for horses but data on follow-up and closure of the iatrogenic atrial septal defect (iASD) are lacking. Objective: To perform TSP and assess postoperative complications and iASD closure over a minimum of 4 weeks. Methods: Eleven healthy adult horses. Methods: Transseptal puncture was performed under general anesthesia. Serum cardiac troponin I concentrations were measured before and after puncture. Wee...
Survey of state animal health officials reveals lack of personnel and resources to manage equine infectious disease outbreaks.
Journal of the American Veterinary Medical Association    July 31, 2024   1-7 doi: 10.2460/javma.24.04.0248
White NA, Flynn K.The purpose of the study was to assess the challenges faced by state animal health officials (SAHOs) when managing equine disease outbreaks. Methods: A survey was conducted to assess SAHOs' collaboration with horse owners and practicing veterinarians to provide biosecurity and infection disease control. It was sent to 180 email addresses listed in the Equine Disease Communication Center website database. The responses in each category for each question were tabulated and reported as a percentage. Results: There were 72 survey responses from 45 states. The number of states responding suggested ...
Quantitative microCT imaging of a whole equine placenta and its blood vessel network.
Placenta    July 31, 2024   Volume 154 216-219 doi: 10.1016/j.placenta.2024.07.313
Laundon D, Proudley E, Basford PJ, Katsamenis OL, Chatelet DS, Cleal JK, Gostling NJ, Chavatte-Palmer P, Lewis RM.Placental structure is linked to function across morphological scales. In the placenta, changes to gross anatomy, such as surface area, volume, or blood vessel arrangement, are associated with suboptimal physiological outcomes. However, quantifying each of these metrics requires different laborious semi-quantitative methods. Here, we demonstrate how, with minimal sample preparation, whole-organ computed microtomography (microCT) can be used to calculate gross morphometry of the equine placenta and a range of additional metrics, including branching morphometry of placental vasculature, non-dest...