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足部疼痛马匹跗关节超声检查与站立位磁共振成像结果的比较。

Comparison Between Ultrasonographic and Standing Magnetic Resonance Imaging Findings in the Podotrochlear Apparatus of Horses With Foot Pain.

作者信息

Evrard Laurence, Joostens Zoë, Vandersmissen Maxime, Audigié Fabrice, Busoni Valeria

机构信息

Department of Clinical Sciences of Companion Animals and Equids, Equine Division, Diagnostic Imaging Section, University of Liège, Liège, Belgium.

Medical Imaging Department, Equitom Equine Clinic, Lummen, Belgium.

出版信息

Front Vet Sci. 2021 Jul 5;8:675180. doi: 10.3389/fvets.2021.675180. eCollection 2021.

Abstract

This prospective study aimed to blindly compare the ultrasonographic and standing magnetic resonance imaging (sMRI) findings in deep digital flexor tendon (DDFT), navicular bone, and navicular bursa in horses with foot pain, positive digital analgesia, and without definitive radiographic diagnosis. Ultrasonography detected more DDFT abnormalities (32/34 feet vs. 27/34 with sMRI) but identified less palmar navicular abnormalities (23/34 feet vs. 30/34 with sMRI). In suprasesamoidean DDFT lesions, which were mainly dorsally located, changes in echogenicity did not correspond to a particular pattern of sMRI signal change. Transcuneal ultrasonography did not allow assessment of morphology and extent of distal DDFT lesions, and sporadically discriminated the affected lobe compared to sMRI. Defects of the palmar compact bone were identified with both modalities except a parasagittal defect, which was only seen at sMRI.

摘要

这项前瞻性研究旨在对足部疼痛、指部阻滞阳性且无明确放射学诊断的马匹的指深屈肌腱(DDFT)、舟骨及舟骨黏液囊进行超声检查和站立位磁共振成像(sMRI)检查结果的盲法比较。超声检查发现更多的DDFT异常(34只蹄中的32只 vs. sMRI检查的34只蹄中的27只),但发现的掌侧舟骨异常较少(34只蹄中的23只 vs. sMRI检查的34只蹄中的30只)。在主要位于背侧的籽骨上指深屈肌腱病变中,回声性变化与sMRI信号变化的特定模式不相符。经楔骨超声检查无法评估指深屈肌腱远端病变的形态和范围,与sMRI相比,偶尔能鉴别出受影响的叶。除了矢状旁缺损仅在sMRI上可见外,两种检查方式均能识别掌侧密质骨的缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f290/8287171/9ef2cbe95ef9/fvets-08-675180-g0001.jpg

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