COMPARISON OF DIGITIZED AND DIRECT VIEWED (ANALOG) RADIOGRAPHIC IMAGES FOR DETECTION OF PULMONARY NODULES

The purpose of this study was to compare direct (analog) viewing of thoracic radiographs with digitized images obtained with a radiographic scanner and seven digital cameras for detection of pulmonary nodules. Direct viewing of the analog radiographs was significantly better than all digitized methods (P<0.01). Significant variations exist between the radiographic scanner and the digital cameras. The scanner (Kodak LS75) was significantly better than the Kodak DC 4800 and the Sony DSC-707 cameras (P<0.05). The Nikon 995, Canon EOS-D30, and Ricoh i500 were significantly better than the Sony DSC-707 (P<0.05). There was no significant difference between the Kodak DC 3800, Kodak DC 4800, and the Sony DSC-707. For pairwise comparison of raters (when evaluating the radiographs individually compared with the consensus), the raters matched the consensus rating from 85% to 92% with no significant difference between raters.     

基于UAV技术和MODIS遥感数据的高寒草地盖度动态变化监测研究—以黄河源东部地区为例

利用黄河源东部地区野外实测样地数据和MODIS卫星遥感资料,结合农业多光谱相机(agricultural digital camera,ADC)、普通数码相机(Canon)、无人机(unmanned aerial vehicle,UAV)等设备获取的高寒草地盖度数据,构建了基于MODIS NDVI、EVI的草地盖度反演模型,比较分析了不同草地盖度监测方法的精度,确立了黄河源区草地盖度遥感监测的最优反演模型,并分析了研究区近16年草地植被盖度的动态变化。结果表明,1) MODIS NDVI与基于UAV相片计算的草地盖度间的相关性优于MODIS EVI,而MODIS EVI与ADC和Canon照片计算的草地盖度之间的相关性则优于MODIS NDVI;2) 就Canon和ADC方法构建的草地盖度反演模型而言,前者精度远高于后者,普通数码相机方法更适宜于高寒草地植被盖度的估算;3) 对比分析两种植被指数与Canon相机、ADC和大疆(DJI)无人机航拍(航高30和100 m两种方法)相片计算的草地盖度之间的关系表明,MODIS NDVI对航高30 m UAV航拍相片计算的盖度数据的响应最敏感,基于UAV航高30 m的相片和NDVI构建的草地盖度反演模型最优;4) 黄河源东部地区2000-2015年间草地盖度稳定不变的区域达71.46%,多分布在东南部;呈增加趋势的区域占研究区草地面积的22.01%,由西向东、由北向南增加幅度呈减少趋势;盖度减少区域零星分布在黄河源北部和南部的部分地区,仅占研究区草地面积的6.53%。     

Anterior segment fluorescein angiography of the normal feline eye using a dSLR camera adaptor

Purpose To describe anterior segment fluorescein angiography (ASFA) of the normal feline eye using a digital single‐lens reflex (dSLR) camera adaptor. Animals Ten cats free of ocular and systemic disease were evaluated. Methods All cats received maropitant citrate (1.0 mg/kg SQ) and diphenhydramine (2.0 mg/kg SQ) 20 min prior to anesthesia using propofol (4 mg/kg IV bolus, 0.2 mg/kg/min CRI). Standard color and red‐free images were obtained prior to the administration of 10% sodium fluorescein (20 mg/kg IV). Imaging was performed using a dSLR camera (Canon 7D), dSLR camera adaptor, camera lens (Canon EF‐S 60 mm f/2.8 macro), and an accessory flash (Canon 580EXII). Imaging occurred at a rate of 1/second immediately following IV bolus of sodium fluorescein for a total of 30 s, then at 1, 2, 3, 4, 5, and 10 min. Results Ten cats with an average age of 3.7 ± 0.9 years and various iris colors were imaged. Arterial, capillary, and venous phases occurred 4.6, 7.8, and 8.9 s postinjection, respectively. Visibility of the vasculature was not impaired by the degree of iris pigmentation. Patency of a persistent pupillary membrane was noted in one cat. Vessel leakage was common, as well as, leakage into the aqueous humor. Proper patient positioning and restricted ocular movements were critical. No adverse events were noted. Conclusions This study demonstrates ASFA findings in normal feline eyes using a cost‐effective dSLR camera adaptor. Fluorescein leakage from vessels and into the aqueous humor was a common finding. Visibility of iris vasculature was not impaired by the degree of iris pigmentation.     

Anterior and posterior segment photography. An alternative approach using a dSLR camera adaptor

Purpose To describe a novel digital single lens reflex (dSLR) camera adaptor for anterior and posterior segment photography. Methods The adaptor was used to evaluate canine, feline, and equine patients presenting to Tufts Ophthalmology service. Anterior segment imaging was conducted with the adaptor mounted between a dSLR camera body (Canon 7D) and a macro lens (Canon EF‐S 60mm/f2.8). Posterior segment imaging was performed with the aid of an indirect ophthalmic lens mounted in front of the macro lens. Coaxial illumination during viewing was provided by a single white light‐emitting diode (LED) within the adaptor, while illumination during exposure was provided by the pop‐up flash or an accessory flash. Corneal and/or lens reflections were eliminated using a pair of linear polarizers, having their azimuths at right angles to one another. Results This dSLR camera adaptor provides quality high‐resolution, reflection‐free, images of both the anterior and posterior segments. It was easy to transport, assemble, and handle. The necessary adjustments, positioning, and focusing required for quality images were easily performed. Conclusion The described dSLR camera adaptor provides an alternative to existing imaging systems. High‐resolution image acquisition occurred at a fraction of the cost of established imaging system, particularly those devoted to the posterior segment.     

Anterior segment fluorescein angiography of the normal canine eye using a dSLR camera adaptor

Purpose To describe anterior segment fluorescein angiography (ASFA) of the normal canine eye using two different sedation/anesthetic protocols and a digital single lens‐reflex (dSLR) camera adaptor. Methods Dogs free of ocular and systemic disease were used for this study. Dogs received maropitant citrate (1.0 mg/kg SQ) and diphenhydramine (2.0 mg/kg SQ) 20 min prior to butorphanol [n = 6] (0.2 mg/kg IV) or propofol [n = 6] (4 mg/kg IV bolus, 0.2 mg/kg/min CRI). Standard color and red‐free images were obtained prior to administration of 10% sodium fluorescein (20 mg/kg IV). Image acquisition was performed using a dSLR camera (Canon 7D), dSLR camera adaptor, camera lens (Canon EF‐S 60 mm f/2.8 macro), and an accessory flash (Canon 580EXII). Imaging occurred at a rate of 1/s immediately following bolus for a total of 30 s, then at 1, 2, 3, 4, 5, and 10 min. Results Twelve dogs with a combined mean age of 5.1 years and various iris colors were imaged. Arterial, capillary, and venous phases were identified and time sequences recorded. Visibility of the vascular pattern was inversely related to iris pigmentation. Complete masking of blood flow was noted with heavily pigmented irises. Vessel leakage was noted in some eyes. Proper patient positioning and restricted ocular movements were critical in acquiring quality images. No adverse events were noted. Conclusion This study demonstrated that quality high resolution ASFA images were obtainable using a novel dSLR camera adaptor. ASFA of the normal canine eye is limited to irises, which are moderately to poorly pigmented. Use of general anesthesia produced higher quality images and is recommended for ASFA in the dog.     

基于小型无人机与MODIS数据的草地植被覆盖度研究——以甘南州为例

以甘南州为研究区,采用Canon数码相机和小型无人机搭载相机在不同大小样方上获取草地植被覆盖度数码照片,结合2015年5月-10月的Terra/MODIS植被指数产品MOD13Q1,分析了增强型植被指数(EVI)和归一化植被指数(NDVI)与草地植被覆盖度之间的相关性,建立了研究区草地植被覆盖度的回归模型,并对模型进行了精度评价,筛选出甘南州草地植被覆盖度最优遥感反演模型,并对草地生长季时期覆盖度时空上的动态特征进行分析。结果表明,1)利用小型无人机搭载相机获取草地大样方植被数码照片的方法能用于地面草地覆盖度数据的获取;2)与NDVI相比,用EVI估算草地覆盖度更优,因此确定基于EVI构建的对数模型为甘南州草地植被覆盖度最优反演模型,模型精度可达88.00%;3)研究区2015年生长季草地植被覆盖度除了低平地草甸在8月达到最大值外,其它草地类型均在7月达到最大值;4)甘南州以中高植被覆盖度为主,主要分布在玛曲、碌曲、夏河以及合作四县市。整体而言,中西部和西南部区域草地覆盖度高于东部。通过精确草地植被覆盖度模型的建立,不仅有利于及时准确的了解草地植被覆盖度的时空分布状况和季节性动态变化,也有利于维护甘南州草地生态系统的持续稳定发展。     

TOMY OF THE CANINE BRAIN USING HIGH RESOLUTION OMPUTED TOMOGRAPHY*

High resolution computed tomography (CT) was used to determine the normal appearance of the brain of an adult Beagle dog. Objects as small as 0.6 mm for bony structures (high contrast) and 1.5–2.0 mm for soft tissue structures (low contrast) could be resolved in the CT images. Multiplanar imaging using direct transverse and reformatted dorsal and sagittal images made it possible to obtain a three dimensional presentation of anatomy. Selective viewing, where CT number window and level settings were varied, was used to optimize visualization of specific brain structures. Normal high contrast components, cerebrospinal fluid, and osseous land-marks, were important aids in identification of various intracranial structures. Quantitative densitometry was performed to characterize various regions of the brain in terms of their x-ray attenuation values or CT numbers. This study indicated that high resolution CT provides a qualitative and quantitative appraisal of the canine brain that is unavailable using conventional radiographic technics.     

ULTRASONOGRAPHIC FINDINGS IN 14 DOGS WITH ECTOPIC URETER

To evaluate ultrasonography as an alternative to contrast radiography for diagnosis of ectopic ureter in dogs, ultrasonography of the urinary tract was performed prospectively in a series of urinary incontinent dogs anesthetized for contrast radiography. Fourteen dogs had ectopic ureter based on surgical, necropsy or unequivocal contrast radiographic findings. There were eight females and six males of a variety of breeds; five were Labrador retrievers. Mean (range) age at the time of diagnosis was 1.2 (0.2–4) years for females and 3.5 (0.3–5) for males (p < 0.05). Ectopic ureters were unilateral in five dogs (2 left; 3 right) and bilateral in nine dogs. Both ultrasound images and contrast radiographs were positive for 21 (91%) ectopic ureters; the same two ectopic ureters were not detected using either modality. The termination of each of the five normal ureters was visible on ultrasound images; two (40%) were visible on radiographs. Other ultrasonographic findings included dilatation of the ectopic ureter and/or ipsilateral renal pelvis in ten (43%) instances, evidence of pyelonephritis in two dogs (with enlargement of the contralateral kidney in one dog), and urethral diverticuli in one dog. Ultrasonography is a practical diagnostic test for ectopic ureter in dogs. In this series there was close correlation between the ultrasonographic and contrast radiographic findings for each ectopic ureter, but ultrasonography enabled more accurate determination of normal ureteral anatomy.     

EXPERT INTERPRETATION COMPENSATES FOR REDUCED IMAGE QUALITY OF CAMERA‐DIGITIZED IMAGES REFERRED TO RADIOLOGISTS

We compared the accuracy of five veterinary radiologists when reading 20 radiographic cases on both analog film and in camera‐digitized format. In addition, we compared the ability of five veterinary radiologists vs. 10 private practice veterinarians to interpret the analog images. Interpretation accuracy was compared using receiver operating characteristic curve analysis. Veterinary radiologists' accuracy did not significantly differ between analog vs. camera‐digitized images (P=0.13) although sensitivity was higher for analog images. Radiologists' interpretation of both digital and analog images was significantly better compared with the private veterinarians (P<0.05).     

RADIOGRAPHIC PROTOCOL AND NORMAL ANATOMY OF THE HIND FEET IN THE WHITE RHINOCEROS (CERATOTHERIUM SIMUM)

Foot pathology is a common and important health concern in captive rhinoceroses worldwide, but osteopathologies are rarely diagnosed, partly because of a lack of radiographic protocols. Here, we aimed to develop the first radiographic protocol for rhinoceros feet and describe the radiographic anatomy of the white rhinoceros (Ceratotherium simum) hind foot (pes). Computed tomographic images were obtained of nine cadaver pedes from seven different white rhinoceroses and assessed for pathology. A single foot deemed free of pathology was radiographed using a range of different projections and exposures to determine the best protocol. 3D models were produced from the CT images and were displayed with the real radiographs to describe the normal radiographic anatomy of the white rhinoceros pes. An optimal radiographic projection was determined for each bone in the rhinoceros pes focusing on highlighting areas where pathology has been previously described. The projections deemed to be most useful were D60Pr‐PlDiO (digit III), D45Pr45M‐PlDiLO (digit II), and D40Pr35L‐PlDiLO (digit IV). The primary beam was centered 5–7 cm proximal to the cuticle on the digit of interest. Articular surfaces, ridges, grooves, tubercles, processes and fossae were identified. The radiographic protocol we have developed along with the normal radiographic anatomy we have described will allow for more accessible and effective diagnosis of white rhinoceros foot osteopathologies.     

Comparison of computed tomographic and standard radiographic determination of tibial torsion in the dog

OBJECTIVE: To compare the effect of internal tibial rotation on the computed tomographic (CT) and standard radiographic assessment of tibial torsion (TT) in dogs. STUDY DESIGN: In vitro study. SAMPLE POPULATION: Cadaveric canine hind limbs (6 pairs). METHODS: The cranial cruciate ligament was transected, and caudo-cranial radiographic and transverse CT images were obtained with the femur and tibiae in a neutral position, and after 15 degrees internal tibial rotation. Radiographic TT was determined by measuring the distance (d) between the calcaneus and the sulcus of the talus. CT determination of TT was performed using the proximal transcondylar and the distal cranial tibial axes. The distance (d) in the 2 groups and the difference in the CT determination of TT between groups were compared with a hypothetical mean value of 0 mm and 0 degrees, respectively. RESULTS: The mean distance (d) for the neutral radiographic group was not significantly different from 0 (P=.473); however, for the 15 degree group it was significantly different (P<.0001). The difference in the CT determination of TT did not differ from 0 (P=.317). CONCLUSION: The standard radiographic technique does not discriminate between internal TT and internal rotation of the tibia. Thus, dogs with normal tibial conformation can be depicted by radiography as torsed, whereas dogs with TT may be misinterpreted as normal because of arbitrary positioning. CLINICAL RELEVANCE: Lateral displacement of the medial border of the calcaneus on a caudo-cranial radiograph should not be used as the sole arbiter of TT before surgical correction.     

Administration of certain sedative drugs is associated with variation in sonographic and radiographic splenic size in healthy cats

Ultrasonography and radiography are standard diagnostic tests for cats with suspected splenic disease, however published information on outside sources of variation are currently lacking. The purpose of this prospective, randomized, crossover group study was to evaluate effects of common sedative drugs on the sonographic and radiographic characteristics of the spleen in healthy cats. Fifteen healthy adult research cats were randomly assigned into one of three groups corresponding to different sequences of administration of five sedative drugs/drug combinations (acepromazine; butorphanol; dexmedetomidine; midazolam and butorphanol (MB); and dexmedetomidine, butorphanol, and ketamine (DBK)), administered at 1‐week intervals. At each visit, three‐view abdominal radiographic and ultrasonographic examinations were performed prior to sedation and repeated 15‐30 min and 2‐3 h post sedation. Two board‐certified radiologists (one ACVR and one ACVR/ECVDI) evaluated the anonymized and randomized images. Acepromazine resulted in significantly increased sonographic and radiographic splenic measurements from baseline, which remained significantly increased 2‐3 h post sedation. The mean magnitude of this change ranged from 0.9 mm (tail height, SD 1.4 mm) to 1.8 mm (body height, SD 1.7 mm) for ultrasound, and was 2.2 mm (ventrodorsal width, SD 2.3 mm) for radiographs. With butorphanol, there was no significant change in splenic size. For dexmedetomidine, MB, and DBK, there was a trend toward increased splenic size from baseline to the first post‐sedation timepoint, which was statistically significant for radiographic measurements, although not for ultrasound. Findings indicated that acepromazine should be avoided prior to imaging while butorphanol may be used when sedation is needed in cats presenting for potential splenic disease.     

Fluorescein angiography of the canine ocular fundus in ketamine-xylazine anesthesia

Fluorescein fundus angiography was performed on 30 dogs with no pathologic fundus findings using a Canon CF 60 Z wide angle camera. In serial photography of the dye passage 4 different circulatory phases could be distinguished: choroidal, retinal anteriolar, capillary and venous phase. The dye passage in the retinal vessels was described in detail. For aesthesia the combination of ketamine and xylazine proved to be suitable.     

COMPARISON OF ULTRASONOGRAPHIC AND RADIOGRAPHIC MEASUREMENTS OF CANINE PROSTATE DIMENSIONS

The purposes of this study were to: 1) compare prostatic dimensions measured on radiographic and ultrasonographic images and 2) compare a subjective radiographic assessment of prostate size with a previously-described objective method. Thirty-four male dogs undergoing investigation of prostatic disorders were used. Prostate length and depth were measured from ultrasonographic and radiographic images. A subjective assessment of prostate size ('small', 'normal', or 'enlarged') was made in 29 animals by one of the authors who was unaware of radiographic or ultrasonographic measurements. In addition, the distance from sacral promontory to the pubic brim was also measured. A prostate length or depth of >70% of this distance was defined as 'enlarged' and <70% as 'normal'. After the effects of magnification on radiographic measurements were eliminated, there were no significant differences between prostatic length measured by the two methods. However, a significant difference was obtained between prostatic depth measurements. The subjective assessment agreed with a previously described objective assessment of prostatic size in 21/29 dogs for prostate length but in only 12/29 for depth. Prostatic length varied from 46.6 to 116.4% (mean 75.7%) of the distance from the pubic brim to the sacral promontory. Prostatic depth varied from 33.0% to 94.6% (mean 59.7%) of the same distance. It is recommended that prostate length, rather than depth, be used when evaluating prostate size from lateral abdominal radiographs.     

Ultrasonographic aspects and biometry of Striped owl’s eyes (Rhinoptynx clamator)

Objective To report the biometric values and ultrasonographic aspects of the normal eye of the Striped owl (Rhinoptynx clamator). Sample population Twenty‐seven healthy, free‐living, adult Striped owls from the Ecological Park of Tiete Veterinary Ambulatory (Sao Paulo, Brazil). Procedures Both eyes of all owls underwent B‐mode ultrasonographic examination and biometry was performed for lens axial length (WL), depth of the anterior (AC) and vitreous (VC) chambers, axial length of the globe (LB) and the pecten oculi (LP) of both eyes, using a 12 MHz probe. The owls were manually restrained without sedation and the eyes were topically anesthetized. Results Biometric and statistical findings were as follows: in the left eye, the means and standard deviations were: LB = 23.76 ± 0.92 mm, WL = 7.79 ± 0.27 mm, AC = 4.27 ± 0.47 mm, VC = 11.36 ± 0.29 mm and LP = 5.69 ± 0.50 mm; in the right eye, the values were: LB = 24.25 ± 0.79 mm, WL = 8.03 ± 0.40 mm, AC = 4.56 ± 0.52 mm, VC = 11.40 ± 0.25 mm, and LP = 5.68 ± 0.41 mm. No significant differences were found between left and right eyes measurements of LB, WL, AC, VC, and LP dimensions. Conclusions Ocular ultrasound aspects and biometric values of the Striped owl are reported. The study’s results provide means for various ocular measurements. The ultrasound is an easy and safe exam to be performed in the Striped owl’s eyes.     

Criteria to evaluate bone mineralization in cattle: I. Effect of dietary phosphorus on chemical, physical, and mechanical properties

Fourteen Angus heifers (210 +/- 6 kg initial BW) were allotted randomly to either a low P (LP: .12% P, DM basis) or an adequate P (AP: .20% P, DM basis) diet fed for 14 to 16 mo under drylot conditions on concrete floors to determine the influence of dietary P on chemical, physical, and mechanical properties of bone. Three weeks postpartum, after 14 to 16 mo on their diets, heifers were slaughtered and the right and left third metacarpals (McIII) were excised; soft tissue was removed and metacarpals were frozen in .9% saline. Metacarpals were subjected to a three-point flexure test using an Instron Testing Machine with a crossload speed of 50 mm/min to determine mechanical properties. Broken McIII were reassembled and a 2-cm section was removed at point of loading for determination of chemical and physical properties. Breaking load (BL) was greater (P less than .05) for McIII from the AP than for those from LP heifers (1,348 vs 1,179 kg). Breaking strength (BS) was greater (P less than .05) for AP than for LP heifers (202.5 vs 189.2 MPa). Animals receiving AP diets had greater (P less than .01) bone mineral content (12.6 vs 11.2 g/2-cm slice) and percentage of bone ash (68.0 vs 67.2%) than did LP animals. No differences (P greater than .10) were observed between treatment groups in Ca, P, or Mg percentage in bone ash. Circular, elliptical, radiographic, and planimeter area indices all were greater (P less than .05) in AP than in LP animals (1,048, 729, 1,069, and 570 vs 932, 660, 957, and 523 mm2, respectively). These data indicate that mechanical properties of bovine third metacarpals are sensitive to dietary P and reflect P status in the bovine. Mineral content of bone was highly correlated with its mechanical and physical properties.     

Ultrasonographic uterine changes and vaginal discharges following intrauterine infusion of liquid paraffin in cows

This study was conducted to examine uterine changes and uterocervical discharges following intrauterine infusion with liquid paraffin (LP) during the luteal phase by ultrasonic and vaginoscopic examinations in cows. Multiparous dairy cows (n=10) were infused with 50 ml physiological saline (PS group; n=5) or liquid paraffin (LP group; n=5) on day 10 or 11 after ovulation (day 0: ovulation). Vaginoscopic, rectal and ultrasonogaphic examinations were carried out at 0.25, 1, 2, 3, 4, 6, 8, 12 and 24 h after the LP and PS infusion and then at daily intervals until subsequent ovulation after the infusions. The mean volumes of recovered discharges from the vagina within 6 h after infusion were significantly greater (P<0.05) in the LP group than in the PS group (33.0 +/- 9.9 vs.14.0 +/- 13.9 ml). Yellowish-white discharge was first observed at 3.2 +/- 0.5 and 3.6 +/- 0.6 h after infusion and lasted for 12.2 +/- 2.9 and 2.1 +/- 1.5 days for the LP and PS groups, respectively, showing a significant difference (P<0.05) in duration. Subsequently, transparent discharge appeared again 2-3 days before the subsequent ovulation after the treatments in both groups and disappeared on the day prior to or the day of ovulation. During the immediate examination after the infusion, the cavity of the uterine horn appeared anechoic and dilated in the images of both groups. The anechoic images changed to echoic images at 2.2 +/- 0.8 and 2.6 +/- 0.9 h after the infusion in the LP and PS groups, respectively, and the echoic images lasted for 12.2 +/- 2.9 and 2.1 +/- 1.5 days in the LP and PS groups, respectively. These results suggest that the appearance and disappearance of intrauterine anechoic and echoic images reflect the appearance and disappearance of the characteristics of the recovered LP/PS-like liquid and yellowish-white and transparent discharges from the vagina.     

INTRAARTERIAL CONTRAST-ENHANCED COMPUTED TOMOGRAPHY OF THE EQUINE DISTAL EXTREMITY

A technique for regional delivery of contrast medium to the foot of the horse to increase the diagnostic utility of computed tomography (CT) for the characterization of soft tissue structures within the hoof capsule was developed. An intraarterial catheter was placed under ultrasound guidance into the medial palmar artery at the level of the carpus to facilitate a steady-state infusion of iodinated contrast medium. Two 5 mm collimated contiguous acquisition CT scans were performed in 10 horses without lameness or radiographic evidence of distal sesamoid bone degeneration. CT examination was performed before and during regional arterial infusion of iodinated contrast medium administered at a rate of 2 ml/s. Cross-sectional area and mean pre- and post-contrast attenuation of the deep digital flexor tendon and the collateral ligaments of the distal interphalangeal joint were quantified from CT images. Soft tissue anatomy of the foot was also qualitatively characterized from pre- and postcontrast images. Catheterization was successful and without complication in all horses. The evaluated tendons and ligaments were clearly visible and had a small (8-20 Hounsfield Unit) but significant (P < 0.05, paired t-test) increase in attenuation during the steady-state infusion of contrast medium. This study should enhance the diagnostic potential of CT by providing baseline quantitative data for comparison with horses affected with soft tissue injuries in the distal extremity causing lameness that is alleviated with a palmar digital nerve block.     

Infrared digital imaging of the equine anterior segment

Ocular photographs are an increasingly important method of documenting lesions for inclusion in medical records, teaching purposes, and research. Availability of affordable high-quality digital imaging equipment has allowed for enhanced capture of desired images because of immediate on-camera viewing and editing. Conversion of the standard digital camera sensor to one that is sensitive to infrared light (i.e. > 760 nm < 1 mm wavelength) can be done inexpensively. In the equine eye, advantages of infrared digital photography include increased contrast of anterior segment images, identification and monitoring of pigmentary changes, and increased visualization of the anterior segment through a cloudy or edematous cornea.     

Comparison of radiography and scintigraphy in the diagnosis of dental disorders in the horse

Scintigraphy, with 99mTechnetium methylenediphosphonate (99mTc-MDP) and 99mTc-labelled leucocytes, was compared to radiography in the diagnosis of dental disease in the horse in a prospective case-controlled study, comprising 30 horses with clinical signs of dental disease and 30 control horses. In each case, right and left lateral, ventral and dorsal soft tissue and bone phase scintigraphic images were obtained after i.v. injection of 1 GBq/100 kg bwt 99mTc-MDP, using a gamma camera. The same views were acquired in 10 horses with clinical signs of dental disease and 12 control horses after injection of 99mTc-labelled leucocytes. Standard radiographic projections of the paranasal sinuses and of the apices of the maxillary and mandibular teeth were obtained. The scintigraphs and radiographs were assessed subjectively by 2 board-certified surgeons and one board-certified radiologist, with extensive experience of equine radiology, from who the clinical history was withheld. Sensitivity, specificity and kappa, as a measure of agreement, were calculated for the different methods. Bone phase images were also scored subjectively on a scale from 0 to 3 on the basis of isotope uptake over the teeth. Regions of interest were defined over the teeth, and normal teeth compared to diseased counterparts. Total scintigraphic counts were related to the age of the animal and to the disease process. Differences in density ratios between left and right teeth were evaluated using the Mann-Whitney Test. Dental disease was confirmed in 22 horses at surgery or postmortem examination. Horses with dental disease showed a significant increase in scintigraphic activity over the affected tooth compared to the contralateral tooth, with a typical pattern for different diseases. The sensitivity of scintigraphy with 99mTc-MDP proved to be excellent (95.5%), whereas the specificity was moderate (86.4%). In contrast, radiography had excellent specificity (95.0%) and a low sensitivity (51.5%). The greatest sensitivity and specificity were achieved by evaluating radiographs and scintigrams together. The objective scintigraphic density ratios were found to be significantly different between diseased and control horses. The results of this study suggest that, if a density ratio of 1.5 or greater between a suspected diseased tooth and its contralateral number is regarded as abnormal, only 1% false positive diagnoses and 20% false negative diagnoses will occur. In contrast, scintigraphy with 99mTc-labelled leucocytes was not very successful, due to the lack of anatomical detail provided by this technique, which made identification of the diseased tooth impossible. Accurate radiographic interpretation of dental disease presents difficulties, both in terms of missed diagnoses and mistaken diagnoses. Scintigraphy complements radiographic examination of dental structures by providing information important for accurate diagnosis and is, therefore, conceived to be essential for selection of the appropriate treatment for dental disease.