MRI of the equine digit with a dedicated low-field magnet

Correlation of magnetic resonance images with anatomic features of the equine tarsus

OBJECTIVE

To correlate anatomic features of the equine tarsus identified in plastinated sections with images obtained via magnetic resonance imaging (MRI).

ANIMALS

4 horses.

PROCEDURE

MRI (1.5-Tesla magnet) of the tarsus was performed on the pelvic limbs of 4 clinically normal horses following euthanasia. After imaging, tarsocrural joint spaces and vasculature were injected with colored latex. Sagittal and transverse sections of the tarsi were plastinated to facilitate interpretation of MR images.

RESULTS

Relevant anatomic structures were identified and labeled on the plastinated tissue slices and corresponding MR images. Results indicated high correlations between MRI findings and those of plastinated sections.

CONCLUSIONS AND CLINICAL RELEVANCE

The data obtained provided certain reference standards for normal anatomic structure sizes and positions in the equine tarsus. This information may aid future physiologic or clinical studies of this joint.

DEEP DIGITAL FLEXOR TENDONITIS IN THE EQUINE FOOT DIAGNOSED BY LOW-FIELD MAGNETIC RESONANCE IMAGING IN THE STANDING PATIENT: 18 CASES

Injury to the distal aspects of the deep digital flexor tendon (DDFT) is an important cause of lameness in horses. The purpose of this study was to review the magnetic resonance imaging (MRI) findings of 18 horses affected by DDFT injuries in the foot. The MRI was performed with the horses standing using an open low-field (0.21 T) MRI scanner. The results were compared with those previously reported for horses using high-field MRI. Eighteen of 84 horses (21%) with undiagnosed forefoot pain were found to have lesions affecting the DDFT. The history, clinical findings and results of radiography, diagnostic ultrasonography and nuclear scintigraphy of these horses were reviewed. The duration of lameness ranged from 1 to 12 months, and the severity varied from 1/10 to 6/10. Fifteen horses had unilateral lameness (right fore in nine, left fore in six), whereas three horses were bilaterally foreleg lame. Radiological changes, considered of equivocal significance, were found in six of 18 horses. Ultrasonographic changes involving the DDFT were identified in only one of nine horses. DDFT lesions were detected in both T1- and T2-weighted MRI sequences. Four different types of lesions were identified: core lesions, sagittal splits, dorsal border lesions, and insertional lesions. Combinations of different lesion types within the same horse were common. The types and locations of the DDFT lesions were similar to those previously reported using high-field MRI. The use of low-field standing MRI avoids the necessity for general anesthesia and access to conventional high-field MRI scanners. However, studies comparing the results of standing low-field MRI with high-field MRI (and other imaging procedures) are required before the sensitivity and specificity of the technique can be assessed.

Magnetic resonance for evaluation of neurologic disease in 12 horses

Magnetic resonance (MR) imaging was used as a neurodiagnostic modality in the assessment of 12 horses with neurologic disease localized cranial to the foramen magnum. This retrospective study included a mixed population of horse breeds and consisted of three foals and nine adult horses. MR sequences of the head and central nervous system of each horse were acquired. Routine MR sequences included transverse T1 weighted (T1wt), T2 weighted (T2wt), and proton density images. Additional imaging sequences were obtained on a patient-dependent basis. Eight neurologic related diseases were diagnosed. MRI imaging of the horse head is a feasible and valuable neurodiagnostic modality in the assessment of equine neurologic diseases.

Use of multisite quantitative ultrasonography for noninvasive assessment of bone in horses

OBJECTIVE

To evaluate the usefulness of multisite quantitative ultrasonography for noninvasive assessment of bone in horses.

SAMPLE POPULATION

12 healthy horses and both forelimbs from 8 clinically normal horses.

PROCEDURE

For in vivo measurements, various regions of interest (ROI) were examined on the third metacarpal bone, radius, and tibia. Precision error for speed of sound (SOS) measurements was obtained by measuring each ROI of 4 horses 10 times with probe repositioning. Additionally, 3 operators measured each aspect of the third metacarpal bone of 6 horses 5 times each. For ex vivo measurements, third metacarpal bones were examined at 9 ROI, and SOS measurements were performed before and after soft tissue removal. One ROI of a single forelimb was subjected to 96 ex vivo measurements with 3 different contact media.

RESULTS

The lateral aspect of the third metacarpal bone had significantly higher SOS values than the dorsal and medial aspect of the third metacarpal bone. No difference was obtained between SOS values of the lateral and medial aspect of the radius. The tibia had significantly higher SOS values than the lateral aspect of the radius and the dorsal and medial aspect of the third metacarpal bone. Intraoperator coefficients of variation ranged from 0.62 to 3.15%, and interoperator coefficients of variation ranged from 0.78 to 2.70%. Values of SOS were highest when silicone oil was used as the contact medium.

CONCLUSIONS AND CLINICAL RELEVANCE

Speed of sound measurements obtained by quantitative ultrasonography in axial transmission mode can be used to precisely measure superficial cortical bone properties of third metacarpal bone, radius, and tibia in horses.

Computed tomography and magnetic resonance imaging of the equine musculoskeletal conditions

There is a growing interest in the use of computed tomography (CT) and magnetic resonance (MR) imaging in equine orthopedic patients. It is well established that CT and MR imaging offer superior diagnostic information in a wide variety of musculoskeletal injuries in human beings and small animals. The highly detailed cross-sectional images obtained with these two modalities can often demonstrate pathologic changes undetected with other common imaging techniques. Based on their multiple applications in human beings and small animals, CT or MR imaging may prove to be the optimal diagnostic imaging technique for several types of musculoskeletal disorders of horses.