Three-dimensional T1-weighted gradient echo is a suitable alternative to two-dimensional T1-weighted spin echo for imaging the canine brain

Volumetric imaging (VOL), a three‐dimensional magnetic resonance imaging (MRI) technique, has been described in the literature for evaluation of the human brain. It offers several advantages over conventional two‐dimensional (2D) spin echo (SE), allowing rapid, whole‐brain, isotropic imaging with submillimeter voxels. This retrospective, observational study compares the use of 2D T1‐weighted SE (T1W SE), with T1W VOL, for the evaluation of dogs with clinical signs of intracranial disease. Brain MRI images from 160 dogs who had T1W SE and T1W VOL sequences acquired pre‐ and postcontrast, were reviewed for presence and characteristics of intracranial lesions. Twenty‐nine of 160 patients were found to have intracranial lesions, all visible on both sequences. Significantly better grey‐white matter (GWM) differentiation was identified with T1W VOL (P < .001), with fair agreement between the two sequences (weighted κ = 0.35). Excluding a mild reduction in lesion intensity in three dogs precontrast on the T1W VOL images compared to T1W SE, and meningeal enhancement noted on the T1W VOL images in one dog, not identified on T1W SE, there was otherwise complete agreement between the two sequences. The T1W VOL sequence provided equivalent lesion evaluation and significantly improved GWM differentiation. Images acquired were of comparable diagnostic quality to those produced using a conventional T1W SE technique, for assessment of lesion appearance, number, location, mass effect, and postcontrast enhancement. T1W VOL, therefore, provides a suitable alternative T1W sequence for canine brain evaluation and can facilitate a reduction in total image acquisition time.

Validation of the accuracy of needle placement as used in diagnostic local analgesia of the maxillary nerve for investigation of trigeminally mediated headshaking in horses

Diagnostic local anaesthesia of the maxillary nerve is a valuable aid in the diagnosis of trigeminally mediated headshaking in horses. Our objective is to validate the accuracy of needle placement in this procedure and to identify any correlation between accuracy of the technique and operator experience. Using a small volume of contrast medium, the procedure was performed bilaterally on 30 horse cadaver heads by three groups with different levels of experience with the technique. The location of deposition was then identified using computed tomography (CT). Contrast medium was deposited around the target site in 53.3% (32/60) of injections. An experienced operator succeeded in deposition around the target area significantly (p<0.05) more often (80%, 16/20) than did the less and non-experienced performers (40%, 16/40). A negative response to diagnostic local anaesthesia of the maxillary nerve does not disprove facial dysaesthesia as the cause of headshaking in that horse as a false negative response could arise due to failure to deposit local anaesthetic around the target area. Increased experience in performing the procedure decreases the probability of false negative results.

CT assessment of the influence of dynamic loading on physiological incongruency of the canine elbow

OBJECTIVES

To present a novel technique for loading of the canine elbow joint and to quantify changes in congruency with increasing load using computed tomography.

MATERIALS AND METHODS

Five pairs of thoracic limbs were mounted at a mid stance angle in a custom made jig. Elbow joints were loaded to 0, 33, 66 and 100% of total individual cadaver bodyweight. At each load computed tomography of the elbow was performed. Joint space measurement was performed on sagittal plane central, lateral and medial compartment images at humero-radial (R1 , R2 , R3 ), humero-ulnar (U1 , U2 ) and radio-ulnar loci. The effect of loading on joint spaces was assessed (P<0.05).

RESULTS

With increasing load; for central an increase in R1 and radio-ulnar distance and decreased R3  occurred; for medial R1 increased; and for lateral R1 and radio-ulnar distance increased. The largest increases were seen in the lateral compartment.

CLINICAL SIGNIFICANCE

Significant changes in humero-radio-ulnar congruency occurred suggesting pronation of the radius with respect to the ulna was induced during loading. This movement may influence the load experienced by the medial coronoid process and could play a role in the aetiopathogenesis of medial coronoid process disease.