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作为腊肠犬椎间盘钙化筛查试验的脊柱X光片的准确性。

Precision of spinal radiographs as a screening test for intervertebral disc calcification in Dachshunds.

作者信息

Rosenblatt Alana J, Hill Peter B, Davies Sarah E, Webster Natalie S, Lappalainen Anu K, Bottema Cynthia D K, Caraguel Charles G B

机构信息

School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy, SA, Australia.

School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy, SA, Australia.

出版信息

Prev Vet Med. 2015 Nov 1;122(1-2):164-73. doi: 10.1016/j.prevetmed.2015.09.015. Epub 2015 Sep 30.

Abstract

Among dog breeds, the Dachshund has the highest lifetime incidence of intervertebral disc disease (IVDD). Intervertebral disc (IVD) calcification is an indicator of severe degeneration that predisposes to disc herniation. IVDD is heritable in Dachshunds, and in some countries, breeding candidates are screened to reduce IVDD occurrence by selecting dogs according to their score of radiographically detectable intervertebral disc calcification (RDIDC) and excluding dogs with ≥5 RDIDCs from breeding. This study evaluated the precision of scoring spinal radiographs for IVD calcification and subsequent classification of Dachshund dogs for breeding based on their RDIDC score. Digital radiographs of the spine were obtained in 19 clinically healthy, young adult Dachshunds, and scored for RDIDC independently by five scorers with varying levels of experience, three times each. Within scorer (repeatability) and between scorer (reproducibility) variability was estimated both at the individual IVD level and at the whole dog level for breeding classification purposes. At the IVD level, some degree of scorer effect was supported by the pairwise repeatability (92.3%; 95% CI: 88.8-94.7%) being marginally higher than the reproducibility (89.2%; 95% CI: 85.7-91.8%). Scorer-specific patterns confirmed the presence of scorer subjectivity. Repeatability significantly increased with scorer experience but the reproducibility did not. RDIDC scoring repeatability and reproducibility substantially decreased at the cervicothoracic spine region, likely due to anatomical superimpositions. At the dog level, a breeding classification could be repeated by the same scorer for 83.6% (95% CI: 73.8-90.2%) of the dogs, and was reproduced between two scorers for 80.2% (95% CI: 66.6-89.1%) of the dogs. The repeatability of breeding classification also seemed to increase with scorer experience but not the reproducibility. Overall, RDIDC scoring revealed some degree of inconsistency explained by scorer subjectivity and inexperience, and anatomical superimpositions. Scorer training and experience is strongly recommended to improve test precision and ensure appropriate classification of Dachshunds for breeding.

摘要

在犬种中,腊肠犬的椎间盘疾病(IVDD)终生发病率最高。椎间盘(IVD)钙化是严重退变的一个指标,易导致椎间盘突出。IVDD在腊肠犬中具有遗传性,在一些国家,对繁殖候选犬进行筛查,通过根据X线可检测到的椎间盘钙化(RDIDC)评分来选择犬只,并将RDIDC≥5分的犬只排除在繁殖之外,以减少IVDD的发生。本研究评估了对IVD钙化进行脊柱X线片评分以及随后根据腊肠犬的RDIDC评分进行繁殖分类的准确性。对19只临床健康的年轻成年腊肠犬进行了脊柱数字X线摄影,并由5名经验水平不同的评分者独立对RDIDC进行评分,每人评分3次。为了繁殖分类的目的,在个体IVD水平和整只犬水平上估计了评分者内部(重复性)和评分者之间(再现性)的变异性。在IVD水平上,配对重复性(92.3%;95%CI:88.8 - 94.7%)略高于再现性(89.2%;95%CI:85.7 - 91.8%),这支持了一定程度的评分者效应。评分者特异性模式证实了评分者主观性的存在。重复性随评分者经验显著增加,但再现性没有。在颈胸段脊柱区域,RDIDC评分的重复性和再现性大幅下降,可能是由于解剖结构重叠。在犬只水平上,同一评分者对83.6%(95%CI:73.8 - 90.2%)的犬只能够重复繁殖分类,两名评分者之间对80.2%(95%CI:66.6 - 89.1%)的犬只能够再现繁殖分类。繁殖分类的重复性似乎也随评分者经验增加,但再现性并非如此。总体而言,RDIDC评分显示出一定程度的不一致性,这可以由评分者主观性、经验不足以及解剖结构重叠来解释。强烈建议对评分者进行培训并积累经验,以提高检测准确性,并确保对腊肠犬进行适当的繁殖分类。

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