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运动马骨骼损伤的诊断

Diagnosis of Skeletal Injury in the Sport Horse.

作者信息

Wulster Kathryn B

机构信息

Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, 382 West Street Road, Kennett Square, PA 19348, USA.

出版信息

Vet Clin North Am Equine Pract. 2018 Aug;34(2):193-213. doi: 10.1016/j.cveq.2018.04.014.

Abstract

This article discusses the basis of image formation of radiography, scintigraphy, PET, computed tomography (fan beam and cone beam), and magnetic resonance as it relates to imaging of musculoskeletal injury in the sport horse. The benefits and drawbacks of each modality are discussed with particular emphasis on sensitivity, specificity, and accuracy of identification of subchondral bone injury. Examples of straightforward as well as confounding lesions are provided, emphasizing the need for appropriate clinical workup and diagnostic analgesia, where appropriate.

摘要

本文讨论了X射线摄影、闪烁扫描、正电子发射断层扫描(PET)、计算机断层扫描(扇形束和锥形束)以及磁共振成像的成像基础,及其与运动马肌肉骨骼损伤成像的关系。文中讨论了每种成像方式的优缺点,特别强调了对软骨下骨损伤识别的敏感性、特异性和准确性。文中给出了简单病变以及复杂病变的实例,强调了在适当情况下进行恰当的临床检查和诊断性镇痛的必要性。

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