Cargando…

Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system

BACKGROUND: Thoracic ultrasonography (TUS) is widely used in equine practice but comparison to radiography is limited in horses. OBJECTIVES: To validate a novel, objective scoring system for TUS in adult horses and to compare ultrasonographic and radiographic findings. ANIMALS: 13 healthy horses and...

Descripción completa

Detalles Bibliográficos
Autores principales: Hepworth-Warren, Kate L., Nelson, Nathan, Dembek, Katarzyna A., Young, Kimberly A. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608548/
https://www.ncbi.nlm.nih.gov/pubmed/36311667
http://dx.doi.org/10.3389/fvets.2022.991634
_version_ 1784818799841640448
author Hepworth-Warren, Kate L.
Nelson, Nathan
Dembek, Katarzyna A.
Young, Kimberly A. S.
author_facet Hepworth-Warren, Kate L.
Nelson, Nathan
Dembek, Katarzyna A.
Young, Kimberly A. S.
author_sort Hepworth-Warren, Kate L.
collection PubMed
description BACKGROUND: Thoracic ultrasonography (TUS) is widely used in equine practice but comparison to radiography is limited in horses. OBJECTIVES: To validate a novel, objective scoring system for TUS in adult horses and to compare ultrasonographic and radiographic findings. ANIMALS: 13 healthy horses and 9 with confirmed bacterial pneumonia METHODS: Prospective study in which TUS and radiography were performed on healthy horses and those with bacterial pneumonia confirmed by clinical signs and results of transtracheal wash analysis. Ultrasonography was scored utilizing a novel scoring system evaluating number of comet tail lesions, the presence or absence of pleural effusion and/or pulmonary consolidation in each intercostal space. Eighteen horses had thoracic radiographs taken that were scored by a board-certified radiologist utilizing a previously described system. Total scores were recorded and compared between control and diseased patients. RESULTS/FINDINGS: Ultrasonographic scores were significantly higher in the diseased group (median= 126) than in the control group (median = 20, p = 0.01). Receiver operating characteristics (ROC) analysis identified a sensitivity of 66.7% (95% CI 0.417–1) and specificity of 92.3% (95% CI 0.462–1) for the ability of ultrasonography to identify bacterial pneumonia utilizing a TUS score cutoff of 37. CONCLUSIONS AND CLINICAL IMPORTANCE: TUS had moderate sensitivity and high specificity for identification of bacterial pneumonia in adult horses. TUS appears to be an acceptable stand-alone imaging modality for diagnosis of bacterial pneumonia in horses when radiography is not practical.
format Online
Article
Text
id pubmed-9608548
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-96085482022-10-28 Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system Hepworth-Warren, Kate L. Nelson, Nathan Dembek, Katarzyna A. Young, Kimberly A. S. Front Vet Sci Veterinary Science BACKGROUND: Thoracic ultrasonography (TUS) is widely used in equine practice but comparison to radiography is limited in horses. OBJECTIVES: To validate a novel, objective scoring system for TUS in adult horses and to compare ultrasonographic and radiographic findings. ANIMALS: 13 healthy horses and 9 with confirmed bacterial pneumonia METHODS: Prospective study in which TUS and radiography were performed on healthy horses and those with bacterial pneumonia confirmed by clinical signs and results of transtracheal wash analysis. Ultrasonography was scored utilizing a novel scoring system evaluating number of comet tail lesions, the presence or absence of pleural effusion and/or pulmonary consolidation in each intercostal space. Eighteen horses had thoracic radiographs taken that were scored by a board-certified radiologist utilizing a previously described system. Total scores were recorded and compared between control and diseased patients. RESULTS/FINDINGS: Ultrasonographic scores were significantly higher in the diseased group (median= 126) than in the control group (median = 20, p = 0.01). Receiver operating characteristics (ROC) analysis identified a sensitivity of 66.7% (95% CI 0.417–1) and specificity of 92.3% (95% CI 0.462–1) for the ability of ultrasonography to identify bacterial pneumonia utilizing a TUS score cutoff of 37. CONCLUSIONS AND CLINICAL IMPORTANCE: TUS had moderate sensitivity and high specificity for identification of bacterial pneumonia in adult horses. TUS appears to be an acceptable stand-alone imaging modality for diagnosis of bacterial pneumonia in horses when radiography is not practical. Frontiers Media S.A. 2022-10-13 /pmc/articles/PMC9608548/ /pubmed/36311667 http://dx.doi.org/10.3389/fvets.2022.991634 Text en Copyright © 2022 Hepworth-Warren, Nelson, Dembek and Young. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Veterinary Science
Hepworth-Warren, Kate L.
Nelson, Nathan
Dembek, Katarzyna A.
Young, Kimberly A. S.
Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title_full Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title_fullStr Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title_full_unstemmed Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title_short Comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
title_sort comparison of thoracic ultrasonography and thoracic radiography between healthy adult horses and horses with bacterial pneumonia using a novel, objective ultrasonographic scoring system
topic Veterinary Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608548/
https://www.ncbi.nlm.nih.gov/pubmed/36311667
http://dx.doi.org/10.3389/fvets.2022.991634
work_keys_str_mv AT hepworthwarrenkatel comparisonofthoracicultrasonographyandthoracicradiographybetweenhealthyadulthorsesandhorseswithbacterialpneumoniausinganovelobjectiveultrasonographicscoringsystem
AT nelsonnathan comparisonofthoracicultrasonographyandthoracicradiographybetweenhealthyadulthorsesandhorseswithbacterialpneumoniausinganovelobjectiveultrasonographicscoringsystem
AT dembekkatarzynaa comparisonofthoracicultrasonographyandthoracicradiographybetweenhealthyadulthorsesandhorseswithbacterialpneumoniausinganovelobjectiveultrasonographicscoringsystem
AT youngkimberlyas comparisonofthoracicultrasonographyandthoracicradiographybetweenhealthyadulthorsesandhorseswithbacterialpneumoniausinganovelobjectiveultrasonographicscoringsystem