2D-SWE of the Metacarpophalangeal Joint Capsule in Horses.
Abstract: (1) Two-dimensional shear wave elastography (2D-SWE) employs an ultrasound impulse to produce transversely oriented shear waves, which travel through the surrounding tissue according to the stiffness of the tissue itself. The study aimed to assess the reliability of 2D-SWE for evaluating the elastosonographic appearance of the distal attachment of the fetlock joint capsule (DJC) in sound horses and in horses with osteoarthritis (OA) (2). According to a thorough evaluation of metacarpophalangeal joint (MCPJ), adult horses were divided in a sound Group (H) and in OA Group (P). Thereafter, a 2D-SWE of MCPJs was performed. Shear wave velocity (m/sec) and Young's modulus (kPa) were calculated independently by two operators at each selected ROI. Statistical analysis was performed with R software. (3) Results: 2D-SWE had good-excellent inter-CC and intra-CC in both groups. Differences in m/s and kPa between Groups H and P were found in transverse scans with lower values in Group P. No correlation with age or DJC thickness was found. (4) Conclusions: 2D-SWE was repeatable and reproducible. In Group H, DJC was statistically stiffer than in Group P only in transverse scan. The technique showed poor sensitivity and specificity in differentiating fetlocks affected by OA.
Publication Date: 2022-09-04 PubMed ID: 36136694PubMed Central: PMC9501397DOI: 10.3390/vetsci9090478Google Scholar: Lookup
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- Journal Article
- Adult Horses
- Biomechanics
- Clinical Pathology
- Clinical Study
- Comparative Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Equine Diseases
- Equine Health
- Horses
- Imaging Techniques
- Joint Health
- Metacarpophalangeal Joint
- Musculoskeletal System
- Osteoarthritis
- Physiology
- Statistical Analysis
- Ultrasound
- Veterinary Medicine
- Veterinary Research
Summary
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This research examines the reliability of two-dimensional shear wave elastography (2D-SWE) as a method for assessing the stiffness of the joint capsule in horses’ fetlocks. Healthy horses and horses with osteoarthritis were studied to determine whether ultrasound elastography could differentiate between the two groups.
Objective and Methodology
- The researchers aimed to evaluate the usefulness of 2D-SWE in analyzing the distal attachment of the fetlock joint capsule in horses, including those with osteoarthritis (OA).
- 2D-SWE uses ultrasound impulses to produce shear waves that travel through tissues based on the tissue’s stiffness, which can reflect the state of health or disease in the tissue.
- The horses were divided into two groups: a healthy group (H) and an osteoarthritic group (P).
- A 2D-SWE of the metacarpophalangeal joints (MCPJ) of the horses in both groups was conducted.
- Two operators calculated the shear wave velocity and Young’s modulus (two measures of tissue elasticity) independently at selected regions of interest within the joint capsule.
Results
- The study found that 2D-SWE showed good to excellent agreement among operators and within individual measurements, indicating that the method is repeatable and reproducible.
- However, differences in the shear wave velocity and Young’s modulus between the healthy and OA groups were found only in transverse scans, with OA horses showing lower values, indicating less stiffness of the joint capsule.
- There was no correlation with age or joint capsule thickness.
Conclusions
- The joint capsules in healthy horses were statistically stiffer than those in OA horses in transverse scans.
- However, the method showed limited sensitivity and specificity in differentiating between healthy horses and those with osteoarthritis, indicating that while 2D-SWE might be a useful part of a diagnostic toolbox, it would likely need to be supplemented with additional tests or assessments to reliably identify osteoarthritis in horses.
Cite This Article
APA
Guerri G, Palozzo A, Straticò P, Varasano V, Celani G, Di Francesco P, Vignoli M, Petrizzi L.
(2022).
2D-SWE of the Metacarpophalangeal Joint Capsule in Horses.
Vet Sci, 9(9).
https://doi.org/10.3390/vetsci9090478 Publication
Researcher Affiliations
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Arma dei Carabinieri, Viale Romania, 45, 00197 Roma, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D'Accio, 64100 Teramo, Italy.
Grant Funding
- CUP_C46C18000530001 / Italian Ministry for Education, University and Research
Conflict of Interest Statement
The authors declare no conflict of interest.
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