Abstract: Chronic laminitis is a severe disease affecting the equine digit. It was hypothesized that magnetic resonance (MR) imaging would improve visualization of structures within the foot and pathology associated with chronic laminitis. This study aimed to describe the MR imaging findings in chronic laminitis, compare different pulse sequences for visualization of pathology, and to compare MR imaging with standard radiography. Twenty (10 forelimb, 10 hindlimb) cadaver limbs from 10 horses clinically diagnosed with chronic laminitis (group L) and 10 limbs without laminitis (group N) were used. Lateromedial radiographs and sagittal and transverse MR images of the foot were obtained. Radiographs and MR images were evaluated for anatomic definition and evidence of pathology. Dorsal hoof wall thickness and angle of rotation and displacement distance of the distal phalanx were measured. Comparisons were made between group L and N, forelimb and hindlimb within each horse, and MR imaging and radiography. Features consistently noted with MR images in group L, but not detected using radiography, included laminar disruption, circumscribed areas of laminar gas, laminar fluid, and bone medullary fluid. Other findings seen only on MR images included increased size and number of vascular channels, alterations in the corium coronae, and distal interphalangeal joint distension. Magnetic resonance imaging allowed better definition of laminar gas lines and P3 surface irregularity observed on radiographs. Based on measurements, group L had a greater angle of rotation, distal displacement, and dorsal hoof wall thickness than group N; forelimb hoof wall thickness was greater than hindlimb; and distal displacement and hoof wall thickness measurements were smaller using MR imaging than radiography, but had a similar pattern. It is concluded that there are features of chronic laminitis consistently observed using MR imaging and that these may be additional to features observed radiographically.
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The research paper discusses medical imaging techniques for chronic laminitis in horses, comparing the effectiveness of traditional radiography with magnetic resonance imaging (MRI).
Objective of the study
The study aimed to investigate whether MRI can improve the visualization of the equine foot structure and the pathology associated with chronic laminitis more than standard x-ray radiography. To achieve this, the researchers compared MRI imaging results of equine digits from horses with and without chronic laminitis.
Research methodology
The study involved twenty cadaver horse limbs, ten of which came from horses clinically diagnosed with chronic laminitis while the other ten came from horses without the disease.
Both lateral radiographs (x-rays) and MR images of the equine foot were obtained and evaluated for anatomical preciseness and indicators of ailment
Measurements were taken for dorsal hoof wall thickness, angle of rotation, and displacement of the last bone in the toe (the distal phalanx)
The obtained measurements and findings were then compared across groups, among forelimb and hindlimb within each horse, and between MR imaging and radiography
Key findings
The study found features unique to the chronic laminitis group such as laminar disruption, the presence of gas and fluid within the laminae and bone marrow fluid, which were not detected using radiography but were visible with MRI.
Other MRI specific findings included an increased number and size of vascular channels, changes in the coronary band (the area where the horse’s hoof meets the skin), and distal interphalangeal joint distension.
Further, the study found that MRI offered a better definition of gas lines in the laminae and irregularity on the surface of the bone – findings that were also observable in radiography, but were better defined in MRI.
Based on measurements, the chronic laminitis group (Group L) exhibited a higher angle of rotation, distal displacement, and dorsal hoof wall thickness than the non-laminitis group (Group N).
In terms of limb specific measurements, the forelimbs’ hoof wall thickness was found to be greater than that of the hindlimbs.
Lastly, while the MRI yielded smaller measurements of distal displacement and hoof wall thickness than radiography, the patterns observed were similar between the two imaging techniques.
Conclusion
The study concluded that MRI can detect features of chronic laminitis that are otherwise not observed in radiography, making it a valuable tool in diagnosing and understanding the disease.
Cite This Article
APA
Murray RC, Dyson SJ, Schramme MC, Branch M, Woods S.
(2004).
Magnetic resonance imaging of the equine digit with chronic laminitis.
Vet Radiol Ultrasound, 44(6), 609-617.
https://doi.org/10.1111/j.1740-8261.2003.tb00519.x