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Dancot M, Joostens Z, Audigié F, Busoni V. The plantar proximal cortex of the third metatarsal bone shows raised longitudinal ridges at the suspensory ligament enthesis in normal equine isolated limbs - a radiographic, computed tomography, and MRI study. Front Vet Sci 2023; 10:1265116. [PMID: 38033644 PMCID: PMC10687415 DOI: 10.3389/fvets.2023.1265116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 10/12/2023] [Indexed: 12/02/2023] Open
Abstract
Introduction Knowledge of normal radiographic appearance is essential to avoid misinterpretation of radiographs. This study aimed to assess the computed tomographic (CT) appearance of the plantar surface of the proximal metatarsus and evaluate the influence of the radiographic angle on the trabecular/cortical interface of the proximal plantar metatarsal cortex on lateromedial and slightly oblique radiographs. Methods Eight hindlimbs were collected from six horses with no known history of lameness and euthanized for reasons unrelated to the study. Limbs underwent computed tomographic (CT) and radiographic examination (dorsoplantar, lateromedial, and slightly oblique radiographic views obtained by angling the beam dorsally and plantarly from the plane used for the lateromedial projection). Standing magnetic resonance (MR) imaging and computed tomography (CT) were used to confirm normalcy. Images were compared side-by-side by two experienced readers. Results Limbs were normal at MR imaging. Longitudinal linear ridges were present on the proximal plantar metatarsal surface in all limbs (1-2 sagittal ridges and 1 ridge located at the medial or lateral margin of the suspensory ligament). Longitudinal ridges were positioned facing an adipose-muscular bundle of the suspensory ligament on CT images and were visible as linearly increased opacities on dorsoplantar radiographs. The delineation of the trabecular/cortical interface of the proximal metatarsus changed with radiographic projection and was the sharpest on the plantaro 85° lateral to the dorsomedial oblique view. Conclusion The proximal third metatarsal bone shows individual morphological variations, with longitudinal linear ridges that alter the bone homogeneity on dorsoplantar radiographs. An oblique plantaro 85° lateral to the dorsomedial view is suggested to better assess the presence of subcortical sclerosis when proximal suspensory enthesopathy is suspected.
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Affiliation(s)
- Michaël Dancot
- Department of Medical Imaging, Faculty of Veterinary Medicine, Université de Liège, Liège, Belgium
| | | | - Fabrice Audigié
- CIRALE, Ecole Nationale Vétérinaire d’Alfort, Goustranville, France
| | - Valeria Busoni
- Department of Medical Imaging, Faculty of Veterinary Medicine, Université de Liège, Liège, Belgium
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Daniel CR, Taylor SE, McPhee S, Wolfram U, Schwarz T, Sommer S, Kershaw LE. Relationship between CT-Derived Bone Mineral Density and UTE-MR-Derived Porosity Index in Equine Third Metacarpal and Metatarsal Bones. Animals (Basel) 2023; 13:2780. [PMID: 37685045 PMCID: PMC10487176 DOI: 10.3390/ani13172780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/28/2023] [Accepted: 08/29/2023] [Indexed: 09/10/2023] Open
Abstract
Fatigue-related subchondral bone injuries of the third metacarpal/metatarsal (McIII/MtIII) bones are common causes of wastage, and they are welfare concerns in racehorses. A better understanding of bone health and strength would improve animal welfare and be of benefit for the racing industry. The porosity index (PI) is an indirect measure of osseous pore size and number in bones, and it is therefore an interesting indicator of bone strength. MRI of compact bone using traditional methods, even with short echo times, fail to generate enough signal to assess bone architecture as water protons are tightly bound. Ultra-short echo time (UTE) sequences aim to increase the amount of signal detected in equine McIII/MtIII condyles. Cadaver specimens were imaged using a novel dual-echo UTE MRI technique, and PI was calculated and validated against quantitative CT-derived bone mineral density (BMD) measures. BMD and PI are inversely correlated in equine distal Mc/MtIII bone, with a weak mean r value of -0.29. There is a statistically significant difference in r values between the forelimbs and hindlimbs. Further work is needed to assess how correlation patterns behave in different areas of bone and to evaluate PI in horses with and without clinically relevant stress injuries.
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Affiliation(s)
- Carola Riccarda Daniel
- Royal (Dick) School of Veterinary Studies, The Roslin Institute, The University of Edinburgh, Edinburgh EH25 9RG, UK
| | - Sarah Elizabeth Taylor
- Royal (Dick) School of Veterinary Studies, The Roslin Institute, The University of Edinburgh, Edinburgh EH25 9RG, UK
| | - Samuel McPhee
- Institute of Mechanical, Process and Energy Engineering, School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK; (S.M.)
| | - Uwe Wolfram
- Institute of Mechanical, Process and Energy Engineering, School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK; (S.M.)
| | - Tobias Schwarz
- Royal (Dick) School of Veterinary Studies, The Roslin Institute, The University of Edinburgh, Edinburgh EH25 9RG, UK
| | - Stefan Sommer
- Siemens Healthcare, 8047 Zurich, Switzerland;
- Swiss Center for Musculoskeletal Imaging (SCMI), Balgrist Campus, 8008 Zurich, Switzerland
- Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare AG, 1015 Lausanne, Switzerland
| | - Lucy E. Kershaw
- Centre for Cardiovascular Sciences and Edinburgh Imaging, The University of Edinburgh, Edinburgh EH16 4TJ, UK;
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Hansen RT, Chenu C, Sofat N, Pitsillides AA. Bone marrow lesions: plugging the holes in our knowledge using animal models. Nat Rev Rheumatol 2023; 19:429-445. [PMID: 37225964 DOI: 10.1038/s41584-023-00971-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2023] [Indexed: 05/26/2023]
Abstract
Bone marrow lesions (BMLs), which are early signs of osteoarthritis (OA) that are associated with the presence, onset and severity of pain, represent an emerging imaging biomarker and clinical target. Little is known, however, regarding their early spatial and temporal development, structural relationships or aetiopathogenesis, because of the sparsity of human early OA imaging and paucity of relevant tissue samples. The use of animal models is a logical approach to fill the gaps in our knowledge, and it can be informed by appraising models in which BMLs and closely related subchondral cysts have already been reported, including in spontaneous OA and pain models. The utility of these models in OA research, their relevance to clinical BMLs and practical considerations for their optimal deployment can also inform medical and veterinary clinicians and researchers alike.
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Affiliation(s)
- Rebecca T Hansen
- Skeletal Biology Group, Comparative Biomedical Sciences, Royal Veterinary College, London, UK
| | - Chantal Chenu
- Skeletal Biology Group, Comparative Biomedical Sciences, Royal Veterinary College, London, UK
| | - Nidhi Sofat
- Institute for Infection and Immunity, St George's, University of London, London, UK
- Department of Rheumatology, St George's, University Hospitals NHS Foundation Trust, London, UK
| | - Andrew A Pitsillides
- Skeletal Biology Group, Comparative Biomedical Sciences, Royal Veterinary College, London, UK.
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Does the Low-Field MRI Appearance of Intraosseous STIR Hyperintensity in Equine Cadaver Limbs Change when Subjected to a Freeze-Thaw Process? Animals (Basel) 2021; 11:ani11020475. [PMID: 33670209 PMCID: PMC7916973 DOI: 10.3390/ani11020475] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 02/04/2021] [Accepted: 02/05/2021] [Indexed: 12/02/2022] Open
Abstract
Simple Summary Research into the advanced imaging appearance of Thoroughbred racehorse fetlocks is receiving increased attention in an effort to better understand and potentially reduce the occurrence of catastrophic fracture in these horses. Studies in this area commonly use cadaver equine limbs from racehorses and a freeze-thaw process prior to imaging. The low-field magnetic resonance imaging (MRI) appearance of the bones of the fetlock joint is of particular interest in the diagnosis of impending fracture in this location. However, little is known about the effect of the freeze-thaw process on the appearance of certain signal changes (“STIR hyperintensity”) seen commonly in racehorses. This study compares the low-field MRI appearance of short tau inversion recovery (STIR) hyperintensity in the bones of cadaver fetlocks from Thoroughbreds in race training, before and after a freeze-thaw protocol. Fifteen cadaver fetlocks with abnormal bone signal were included in the study. Blinded and unblinded statistical comparisons were made. No overall clinical or statistical difference was detected in intensity and distribution of the STIR signal before and after freeze-thaw. This indicates that the MRI appearance of STIR hyperintensity in freeze-thawed cadaver fetlocks can be considered representative of the appearance of pathology in the recently euthanized horse. This is important information to further advance research in the area of Thoroughbred racing fatality reduction. Abstract Equine advanced imaging research involving racehorse fetlock pathology commonly uses cadaver limbs and a freeze-thaw process. The presence of short tau inversion recovery (STIR) signal intensity in the distal third metacarpal/metatarsal bone is of particular interest and may be clinically relevant in the diagnosis of horses at risk of fracture. However, little is known about the effect of the freeze-thaw process on the MRI appearance of STIR hyperintensity in these bones. This study compares the low-field MRI appearance of the distal third metacarpal/metatarsal bone from cadaver limbs of Thoroughbreds in race training before and after a freeze-thaw protocol. Blinded and unblinded comparisons were made using objective SNR values and subjective grading. Fifteen cadaver limbs with STIR hyperintensity in the distal third metacarpal/metatarsal bone were included. No overall clinical or statistical significance was detected in STIR signal intensity and distribution after freeze-thaw. Three limbs from one horse had individual changes in STIR hyperintensity that were hypothesized to be attributable to ante-mortem haemodynamic abnormalities caused by anaesthesia. These results indicate that the distribution and intensity of STIR hyperintensity in freeze-thawed cadaver fetlocks can be considered representative of the appearance of pathology in the recently euthanized horse. However, care should be taken with horse selection and handling of the cadaver limbs to ensure reliable appearance of STIR signal after freeze-thaw.
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Röttiger C, Hellige M, Ohnesorge B, Bienert-Zeit A. Magnetic resonance imaging and computed tomography of equine cheek teeth and adjacent structures: comparative study of image quality in horses in vivo, post-mortem and frozen-thawed. Acta Vet Scand 2019; 61:62. [PMID: 31823831 PMCID: PMC6905104 DOI: 10.1186/s13028-019-0495-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Accepted: 12/02/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The use of cadavers for radiology research methodologies involving subjective image quality evaluation of anatomical criteria is well-documented. The purpose of this method comparison study was to evaluate the image quality of dental and adjacent structures in computed tomography (CT) and high-field (3 T) magnetic resonance (MR) images in cadaveric heads, based on an objective four-point rating scale. Whilst CT is a well-established technique, MR imaging (MRI) is rarely used for equine dental diagnostics. The use of a grading system in this study allowed an objective assessment of CT and MRI advantages in portraying equine cheek teeth. As imaging is commonly performed with cadaveric or frozen and thawed heads for dental research investigations, the second objective was to quantify the impact of the specimens' conditions (in vivo, post-mortem, frozen-thawed) on the image quality in CT and MRI. RESULTS The CT and MR images of nine horses, focused on the maxillary premolar 08s and molar 09s, were acquired post-mortem (Group A). Three observers scored the dental and adjacent tissues. Results showed that MR sequences gave an excellent depiction of endo- and periodontal structures, whereas CT produced high-quality images of the hard tooth and bony tissues. Additional CT and MRI was performed in vivo (Group B) and frozen-thawed (Group C) in three of these nine horses to specify the condition of the best specimens for further research. Assessing the impact of the specimens' conditions on image quality, specific soft tissues of the maxillary 08s and 09s including adjacent structures (pulps, mucosa of the maxillary sinuses, periodontal ligament, soft tissue inside the infraorbital canal) were graded in group B and C and analysed for significant differences within CT and MR modalities in comparison to group A. Results showed that MRI scores in vivo were superior to the post-mortem and frozen-thawed condition. CONCLUSIONS On comparing the imaging performance of CT and MRI, both techniques show a huge potential for application in equine dentistry. Further studies are needed to assess the clinical suitability of MRI. For further research investigations it must be considered, that the best MR image quality is provided in live horses.
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Suarez Sanchez-Andrade J, Richter H, Kuhn K, Bischofberger AS, Kircher PR, Hoey S. Comparison between magnetic resonance imaging, computed tomography, and arthrography to identify artificially induced cartilage defects of the equine carpal joints. Vet Radiol Ultrasound 2018; 59:312-325. [DOI: 10.1111/vru.12598] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 11/16/2017] [Accepted: 11/16/2017] [Indexed: 10/18/2022] Open
Affiliation(s)
| | - Henning Richter
- Diagnostic Imaging Clinic, Vetsuisse Faculty; University of Zurich; CH-8057 Zurich Switzerland
| | - Karolin Kuhn
- Diagnostic Imaging Clinic, Vetsuisse Faculty; University of Zurich; CH-8057 Zurich Switzerland
| | - Andrea S. Bischofberger
- Equine Hospital, Equine Department, Vetsuisse-Faculty; University of Zurich; CH-8057 Zurich Switzerland
| | - Patrick R. Kircher
- Diagnostic Imaging Clinic, Vetsuisse Faculty; University of Zurich; CH-8057 Zurich Switzerland
| | - Séamus Hoey
- School of Veterinary Medicine; University College Dublin; Dublin Ireland
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Bajd F, Škrlep M, Čandek-Potokar M, Vidmar J, Serša I. Application of quantitative magnetization transfer magnetic resonance imaging for characterization of dry-cured hams. Meat Sci 2016; 122:109-118. [PMID: 27513945 DOI: 10.1016/j.meatsci.2016.08.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 07/13/2016] [Accepted: 08/01/2016] [Indexed: 11/24/2022]
Abstract
Quantitative magnetization transfer magnetic resonance imaging (qMT-MRI) was employed to characterize dry-cured ham tissues differing in anatomical positions and processing protocols. Experimentally obtained MR images of dry-cured ham sections were analyzed by the well-established binary-spin-bath (BSB) model. The model enabled an efficient discrimination between a free-water proton pool and a restricted-macromolecular proton pool. Significant differences in restricted pool sizes were found among different ham sections. Values of the restricted pool size obtained by the model were in a good agreement with chemically determined protein content. The study confirmed the feasibility of the applied qMT-MRI as a nondestructive tool for characterization of dry-cured ham tissues.
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Affiliation(s)
- Franci Bajd
- Jožef Stefan Institute, Jamova 39, Ljubljana 1000, Slovenia; Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19, Ljubljana 1000, Slovenia
| | - Martin Škrlep
- Agricultural Institute of Slovenia, Hacquetova 17, Ljubljana 1000, Slovenia
| | | | - Jernej Vidmar
- Jožef Stefan Institute, Jamova 39, Ljubljana 1000, Slovenia; Institute of Physiology, Medical Faculty, University of Ljubljana, Zaloška 4, Ljubljana 1000, Slovenia
| | - Igor Serša
- Jožef Stefan Institute, Jamova 39, Ljubljana 1000, Slovenia; Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19, Ljubljana 1000, Slovenia.
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Sherlock CE, Mair TS, Ireland J, Blunden T. Do low field magnetic resonance imaging abnormalities correlate with macroscopical and histological changes within the equine deep digital flexor tendon? Res Vet Sci 2014; 98:92-7. [PMID: 25555604 DOI: 10.1016/j.rvsc.2014.12.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2013] [Revised: 11/24/2014] [Accepted: 12/04/2014] [Indexed: 10/24/2022]
Abstract
Correlating magnetic resonance (MR) imaging and histopathological findings is essential to validate low field MR imaging in lame horses. This study aimed to compare signal changes in the deep digital flexor tendon (DDFT) of the distal limb on low field MR imaging with macroscopical and histological findings. Cadaver limbs from lame horses with DDFT lesions were selected. The DDFT MR imaging findings and histopathological results were graded, and macroscopical abnormalities were recorded. There was a strong correlation between MR imaging and histopathology grades (rs = 0.76, p < 0.001) in the foot. There was moderate agreement (Kappa statistic 0.52) between the MR and histopathology grades; agreement was superior further proximal in the foot. The presence and severity of pathology in the DDFT are well represented by the presence and severity of MR imaging signal changes. The study supports the use of low field MR imaging for diagnosis of equine distal limb DDFT lesions.
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Affiliation(s)
- C E Sherlock
- Bell Equine Veterinary Clinic, Mereworth, Kent ME18 5GS, UK.
| | - T S Mair
- Bell Equine Veterinary Clinic, Mereworth, Kent ME18 5GS, UK
| | - J Ireland
- Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK
| | - T Blunden
- Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK
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Hauspie S, Vanderperren K, Gielen I, Pardon B, Kromhout K, Martens A, Saunders JH. Magnetic Resonance Imaging of the Dorsal Proximal Synovial Plica of the Equine Metacarpo-/Metatarsophalangeal Joint. Anat Histol Embryol 2014; 45:19-27. [DOI: 10.1111/ahe.12166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Accepted: 11/04/2014] [Indexed: 11/26/2022]
Affiliation(s)
- S. Hauspie
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - K. Vanderperren
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - I. Gielen
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - B. Pardon
- Department of Internal Medicine and Clinical Biology of Large Animals; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - K. Kromhout
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - A. Martens
- Department of Surgery and Anaesthesiology; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
| | - J. H. Saunders
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics; Faculty of Veterinary Medicine; Ghent University; B-9820 Merelbeke Belgium
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van der Made AD, Maas M, Beenen LFM, Oostra RJ, Kerkhoffs GMMJ. Postmortem imaging exposed: an aid in MR imaging of musculoskeletal structures. Skeletal Radiol 2013; 42:467-72. [PMID: 22976477 DOI: 10.1007/s00256-012-1515-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2012] [Revised: 08/20/2012] [Accepted: 08/26/2012] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To identify factors that influence the quality of postmortem magnetic resonance (MR) images of musculoskeletal (MSK) structures as described in the literature, and to evaluate the extent to which these MR images are affected. MATERIALS AND METHODS Four useful studies were retrieved from a PubMed and EMBASE search, covering the literature up to 1 March 2012. Three additional studies were included after a manual search from reference lists. RESULTS Four human studies and three animal studies are considered in this review. Postmortem MRI quality can be affected by storage temperature, repeated freezing and thawing and fixation. Provided there was an adequate, but above-freezing storage temperature, postmortem changes in fresh cadavers did not appear to affect the MR image quality of MSK structures up to 14 days after death. Image contrast, signal intensities, and relaxation times are temperature-dependent, regardless of whether the specimen was fresh or postmortem for up to 7 days. Bad image quality can occur owing to accelerated autolysis. Freezing and thawing did not affect image quality, unless repeated too often, or whenever a heating pad was used to speed up the thawing process. Conventional formalin-based fixation leads to swelling of soft tissue and fluid accumulation in joints, and therefore to deteriorated images, with image quality just sufficient to visualize gross anatomy. CONCLUSION Various factors were identified that affect postmortem MR image quality of MSK structures. Postmortem MR image quality was good, except for images of the fixated specimen. Freezing is the preferred method of conservation for specimens that are to be subjected to postmortem MRI.
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Affiliation(s)
- A D van der Made
- Department of Radiology, Academic Medical Center, Amsterdam, The Netherlands
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