Argue Brodie J, Ahern Benjamin J
School of Veterinary Science, University of Queensland, Gatton Campus, Gatton, QLD, Australia.
Front Vet Sci. 2024 Oct 3;11:1430993. doi: 10.3389/fvets.2024.1430993. eCollection 2024.
The veterinary yearling pre-sale repository radiographs have the potential to impact both vendor and prospective purchaser. The primary aim of this study was to determine inter-observer agreement for orthopaedic lesions identified in thoroughbred yearling repository radiographs. A secondary goal was to determine agreement when using a pre-defined risk rating classification.
Three experienced specialist equine surgeons (2 ACVS & 1 FANZCVS) interpreted thirty repository radiographs once each for radiographic abnormalities. Each radiographic abnormality was given an associated risk assessment for future racing performance.
The use of a pre-defined risk rating grading scale resulted in good to excellent agreement as observers reached a consensus on risk ratings for lesions 97.1% of the time. The highest agreement was for the proximal interphalangeal joint and distal interphalangeal joint, with 99.9 and 98.2% agreement, respectively. The tarsal region was the joint with the highest disagreement with respect to pathology, with observers disagreeing 5.2% of the time.
This study found that experienced veterinary surgeons reliably agreed on the absence of lesions but showed disagreement on the specific risk rating of common lesions.
兽医一岁马售前储备X光片可能会对卖家和潜在买家产生影响。本研究的主要目的是确定在纯种一岁马储备X光片中发现的骨科病变的观察者间一致性。次要目标是确定使用预先定义的风险评级分类时的一致性。
三位经验丰富的专科马外科医生(2名美国兽医外科医师学会会员和1名澳大利亚和新西兰兽医科学家学院会员)分别对30张储备X光片进行一次解读,以检查影像学异常。对每个影像学异常给出与未来比赛表现相关的风险评估。
使用预先定义的风险评级分级量表时,观察者对病变风险评级达成共识的时间为97.1%,一致性良好至优秀。近端指间关节和远端指间关节的一致性最高,分别为99.9%和98.2%。跗骨区域是在病变方面分歧最大的关节,观察者有5.2%的时间存在分歧。
本研究发现,经验丰富的兽医外科医生在病变不存在方面能可靠地达成一致,但在常见病变的具体风险评级上存在分歧。