Andrade João Paulo, Anteveli Gabriela, de Andrade Alves Bárbara, Ferreira Layanne D, Mendonça Filipe L M, Silva Rafael J, Catarina Camillo Jerusa, Araújo Markus V V, Ferreira Luana C A, Carvalho Nepomuceno Anelise, Resende Faleiros Rafael, Facury Moreira Tiago, Jorge Facury Filho Elias, Melo Meneses Rodrigo, Último de Carvalho Antônio
Department of Veterinary Clinics and Surgery, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Vet Med Int. 2025 Apr 23;2025:5539202. doi: 10.1155/vmi/5539202. eCollection 2025.
The most commonly used techniques in the field are the pulmonary auscultation, Wisconsin score (WI), California score (CA), and pulmonary ultrasonography. However, with the exception of the latter, no studies have compared thoracic radiography with other possible techniques in calves. Therefore, the objective of the study was to compare and verify the agreement between clinical score techniques, pulmonary auscultation, and ultrasonographic and radiographic evaluations, considering the latter as reference test. Thirty-three calves were evaluated from 17 to 60 days of age using pulmonary auscultation, Wisconsin score (WI), California score (CA), thoracic radiography, and pulmonary ultrasonography at five preestablished moments and at any time when presenting clinical respiratory disease. Of the 160 evaluations, 21% were positive for thoracic radiography, 21% for ultrasonography, 10% for pulmonary auscultation, 16% for CA score, and 14% for WI score. In the concordance analysis, there was a moderate correlation between thoracic radiography and ultrasonography ( = 0.6035) and between pulmonary auscultation and WI score ( = 0.5833) and CA score ( = 0.5277), and substantial between the WI and CA score methods ( = 0.7258). All techniques used in the study were useful for the diagnosis of pneumonia; however, due to high accuracy and practicality, ultrasonography proved to be an interesting method to be implemented on farms.
该领域最常用的技术是肺部听诊、威斯康星评分（WI）、加利福尼亚评分（CA）和肺部超声检查。然而，除了后者外，尚无研究在犊牛中将胸部X线摄影与其他可能的技术进行比较。因此，本研究的目的是比较并验证临床评分技术、肺部听诊、超声检查和X线摄影评估之间的一致性，并将后者作为参考测试。在五个预先设定的时间点以及出现临床呼吸道疾病的任何时间，对33头17至60日龄的犊牛进行了肺部听诊、威斯康星评分（WI）、加利福尼亚评分（CA）、胸部X线摄影和肺部超声检查。在160次评估中，胸部X线摄影阳性率为21%，超声检查为21%，肺部听诊为10%，CA评分为16%，WI评分为14%。在一致性分析中，胸部X线摄影与超声检查之间存在中度相关性（=0.6035），肺部听诊与WI评分（=0.5833）和CA评分（=0.5277）之间存在中度相关性，WI和CA评分方法之间存在高度相关性（=0.7258）。本研究中使用的所有技术都有助于肺炎的诊断；然而，由于准确性高和实用性强，超声检查被证明是一种在农场实施的有趣方法。
