Formoso Sara, Khan Sam, Lowrie Mark, Hughes Jonathan, Freeman Paul
Department of Small Animal Medicine Queen's Veterinary School Hospital University of Cambridge Cambridge Cambridgeshire UK.
Dovecote Veterinary Hospital Derby Derbyshire UK.
Vet Rec Open. 2023 Mar 28;10(1):e59. doi: 10.1002/vro2.59. eCollection 2023 Jun.
The aims of this retrospective study were to estimate interobserver agreement in detecting disc calcification with computed tomography (CT) and to compare the number of calcified intervertebral discs identified on CT and radiography in healthy British Dachshund dogs that underwent a screening programme. The current screening programme uses radiography to identify calcified intervertebral discs.
Healthy Dachshunds aged between 2 and 5 years presenting for spinal radiography and CT as part of a disc scoring scheme were included. The spinal radiographs were scored by an independent assessor as per the screening programme protocol. The CT images were blinded and reviewed by three different observers of differing levels of experience. The number of discs identified as being calcified was then compared between imaging modalities and between observers.
Thirteen dogs were included. Overall, 146 calcified discs were identified by CT compared with 42 by radiography. There was an almost perfect agreement among the three observers identifying calcified discs with CT images ( = 0.92). There was a significant difference between the radiography scores and CT scores.
This study demonstrated a significant difference in the number of calcified intervertebral discs identified in the vertebral column of a small population of healthy Dachshunds between CT and radiography. Given the high agreement between the observers with CT, this may be a reliable method for assessing disc calcification in Dachshund dogs and could be a good candidate for future breeding schemes.
本回顾性研究的目的是评估计算机断层扫描(CT)检测椎间盘钙化时观察者间的一致性,并比较在接受筛查计划的健康英国腊肠犬中,CT和X线摄影所识别出的钙化椎间盘数量。目前的筛查计划使用X线摄影来识别钙化椎间盘。
纳入年龄在2至5岁之间、因椎间盘评分计划而接受脊柱X线摄影和CT检查的健康腊肠犬。脊柱X线片由一名独立评估者按照筛查计划方案进行评分。CT图像进行了盲法处理,并由三名经验水平不同的观察者进行阅片。然后比较不同成像方式之间以及观察者之间识别出的钙化椎间盘数量。
共纳入13只犬。总体而言,CT识别出146个钙化椎间盘,而X线摄影识别出42个。在通过CT图像识别钙化椎间盘方面,三名观察者之间几乎完全一致(κ = 0.92)。X线摄影评分与CT评分之间存在显著差异。
本研究表明,在一小群健康腊肠犬的脊柱中,CT和X线摄影所识别出的钙化椎间盘数量存在显著差异。鉴于观察者对CT的高度一致性,这可能是评估腊肠犬椎间盘钙化的一种可靠方法,并且可能是未来育种计划的一个良好选择。