Thick-section reformatting of thinly collimated computed tomography for reduction of skull-base-related artifacts in dogs and horses

Computed tomography (CT) of the caudal fossa of 10 canine and nine equine cadaver heads was performed with conventional slice widths of 5 and 10 mm, respectively, and with thin collimations of 1 and 2 mm, respectively. Reformatting of thinly collimated slices was done by addition of thinly collimated slices to section thicknesses of 5 and 10 mm, respectively. Seventy-six pairs of conventional and reformatted images of identical anatomic locations were evaluated for magnitude of skull-base-related artifacts and image noise. A film-based subjective evaluation of artifact and noise was performed by four radiologists on a five-point score system. There was a statistically significant reduction of artifacts of canine and equine heads by 33% and 50%, respectively, on reformatted images compared with conventional ones but no difference in image noise. On objective artifact assessment based on the magnitude of standard deviation of attenuation values in the interpetrosal region, there was a statistically significant reduction of artifacts of canine and equine heads by 23% and 39%, respectively, on reformatted images. Thick-section reformatting significantly improves image quality of CT scans of the caudal fossa in dogs and horses.     

INTRAVASCULAR ULTRASOUND CONTRAST MEDIA

Intravascular ultrasound contrast media are substances that increase the echogenicity of blood. Although not yet completely explored, the clinical applications of intravascular ultrasound contrast media are cardiologic, such as for chamber opacification and myocardial perfusion imaging, the assessment of vascular diseases in general and the study of tumor vessels. Gas-filled bubbles are the preferred echo-enhancing contrast media. Research in this field is concentrating on the creation of very small, stable and non-toxic bubbles, capable of surviving pulmonary transit and appear into the left heart and peripheral vessels. Contrast provided by such media is visible on grey-scale images of the heart and also enhances Doppler signals. The potential clinical applications and the problems related to the creation of ultrasound contrast media suitable for clinical use are reviewed and illustrated by examples of contrast injections performed on patients.     

ABNORMAL BONE SCAN FINDINGS OF THE EQUINE ISCHIAL TUBEROSITY AND THIRD TROCHANTER

Obtaining high-quality radiographs of the proximal aspect of equine limbs is difficult because of the large muscles in these regions. The use of scintigraphy may provide further information. Abnormal bone scan findings of the ischial tuberosity or the third trochanter were found in 29 adult horses with obscure hind limb lameness between 1986 and 1996 at the Large Animal Clinic of the University of Bern. Each had abnormal radiopharmaceutical uptake but not all had radiographic changes. Radio-pharmaceutical uptake ratios between the ischial tuberosity and the greater trochanter were calculated. The uptake ratio in a control group of 11 clinically sound horses was lower than in 11 lame horses with subjectively enhanced radiopharmaceutical uptake.     

Incidence rate of musculoskeletal injuries and determinants of time to recovery in young Australian Thoroughbred racehorses

Objective To describe the incidence rate of musculoskeletal (MS) injuries and investigate the factors that influence recovery from MS injury in young Thoroughbred horses in Australia. Methods Training and injury data were collected at fortnightly intervals from 14 trainers in New South Wales. Incidence rates were calculated for initial injuries stratified by age‐class and sex. Survival analysis methods were used to investigate the time to recovery after the first MS injury (measured as a start in a race or barrier trial). Results For the 248 racehorses enrolled, there were 428 injuries recorded; 2‐year‐olds were 2.99‐fold more likely than 3‐year‐olds to sustain an MS injury. The cumulative percentage of horses that had recovered within 6 months was 55%. The time to recovery was longest in horses whose fast gallop speed prior to injury was < 890 m/min. Conclusion This study supports the finding that shin soreness is the most common MS injury in young Australian Thoroughbreds. There was an increased rate of MS injury in 2‐year‐olds compared with 3‐year‐olds. However, it was impossible to determine if the increased risk in 2‐year‐olds was related to age, the start of training or a combination of both. The study also found that horses performing at higher exercise speeds prior to injury were more likely to recover. There was a significant effect of trainer, suggesting that other factors related to trainer may influence the time to the recovery. Additional research is required to understand the determinants of time to recovery.