COMPARISON OF THORACIC ULTRASONOGRAPHY AND RADIOGRAPHY FOR THE DETECTION OF INDUCED SMALL VOLUME PNEUMOTHORAX IN THE HORSE.
Identifieur interne : 001065 ( Main/Curation ); précédent : 001064; suivant : 001066COMPARISON OF THORACIC ULTRASONOGRAPHY AND RADIOGRAPHY FOR THE DETECTION OF INDUCED SMALL VOLUME PNEUMOTHORAX IN THE HORSE.
Auteurs : Jessica Partlow [Australie] ; Florent David [Norvège] ; Luanne Michelle Hunt [Royaume-Uni] ; Fabien Relave [France] ; Laurent Blond [France] ; Manuel Pinilla [Royaume-Uni] ; Jean-Pierre Lavoie [Canada]Source :
- Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association [ 1740-8261 ] ; 2017.
Descripteurs français
- KwdFr :
- Animaux, Equus caballus, Femelle, Maladies des chevaux (imagerie diagnostique), Maladies des chevaux (étiologie), Mâle, Pneumothorax (imagerie diagnostique), Pneumothorax (médecine vétérinaire), Pneumothorax (étiologie), Radiographie thoracique (), Radiographie thoracique (médecine vétérinaire), Sensibilité et spécificité, Échographie (), Échographie (médecine vétérinaire).
- MESH :
- imagerie diagnostique : Maladies des chevaux, Pneumothorax.
- médecine vétérinaire : Pneumothorax, Radiographie thoracique, Échographie.
- étiologie : Maladies des chevaux, Pneumothorax.
- Animaux, Equus caballus, Femelle, Mâle, Radiographie thoracique, Sensibilité et spécificité, Échographie.
English descriptors
- KwdEn :
- Animals, Female, Horse Diseases (diagnostic imaging), Horse Diseases (etiology), Horses, Male, Pneumothorax (diagnostic imaging), Pneumothorax (etiology), Pneumothorax (veterinary), Radiography, Thoracic (methods), Radiography, Thoracic (veterinary), Sensitivity and Specificity, Ultrasonography (methods), Ultrasonography (veterinary).
- MESH :
- diagnostic imaging : Horse Diseases, Pneumothorax.
- etiology : Horse Diseases, Pneumothorax.
- methods : Radiography, Thoracic, Ultrasonography.
- veterinary : Pneumothorax, Radiography, Thoracic, Ultrasonography.
- Animals, Female, Horses, Male, Sensitivity and Specificity.
Abstract
Small volume pneumothorax can be challenging to diagnose in horses. The current standard method for diagnosis is standing thoracic radiography. We hypothesized that thoracic ultrasonography would be more sensitive. Objectives of this prospective, experimental study were to describe a thoracic ultrasound method for detection of small volume pneumothorax in horses and to compare results of radiography and ultrasound in a sample of horses with induced small volume pneumothorax. Six mature healthy horses were recruited for this study. For each horse, five 50 ml air boluses were sequentially introduced via a teat cannula into the pleural space. Lateral thoracic radiographs and standardized ultrasound (2D and M-mode) examinations of both hemithoraces were performed following administration of each 50 ml air bolus. Radiographs and ultrasound images/videos were analyzed for detection of pneumothorax by four independent investigators who were unaware of treatment status. Sensitivity, specificity, positive predictive values, negative predictive values, and agreement among investigators (Kappa test, κ) were calculated for radiography, 2D and M-mode ultrasound. Comparisons were made using a chi-squared exact test with significance set at P < 0.05. Two-dimensional (84%) and M-mode (80%) ultrasound were more sensitive than radiography (48%) for pneumothorax detection (P = 0.02 and P = 0.04, respectively). Specificity and positive predictive values were similar for all three imaging modalities (P = 1). Agreement between investigators for pneumothorax detection was excellent for 2D ultrasound (κ = 1), very good for M-mode ultrasound (κ = 0.87), and good for radiography (κ = 0.79). Findings from this experimental study supported the use of thoracic ultrasonography as a diagnostic method for detecting pneumothorax in horses.
DOI: 10.1111/vru.12480
PubMed: 28264227
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pubmed:28264227Le document en format XML
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<series><title level="j">Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association</title>
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<term>Female</term>
<term>Horse Diseases (diagnostic imaging)</term>
<term>Horse Diseases (etiology)</term>
<term>Horses</term>
<term>Male</term>
<term>Pneumothorax (diagnostic imaging)</term>
<term>Pneumothorax (etiology)</term>
<term>Pneumothorax (veterinary)</term>
<term>Radiography, Thoracic (methods)</term>
<term>Radiography, Thoracic (veterinary)</term>
<term>Sensitivity and Specificity</term>
<term>Ultrasonography (methods)</term>
<term>Ultrasonography (veterinary)</term>
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<term>Equus caballus</term>
<term>Femelle</term>
<term>Maladies des chevaux (imagerie diagnostique)</term>
<term>Maladies des chevaux (étiologie)</term>
<term>Mâle</term>
<term>Pneumothorax (imagerie diagnostique)</term>
<term>Pneumothorax (médecine vétérinaire)</term>
<term>Pneumothorax (étiologie)</term>
<term>Radiographie thoracique ()</term>
<term>Radiographie thoracique (médecine vétérinaire)</term>
<term>Sensibilité et spécificité</term>
<term>Échographie ()</term>
<term>Échographie (médecine vétérinaire)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Horse Diseases</term>
<term>Pneumothorax</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Horse Diseases</term>
<term>Pneumothorax</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maladies des chevaux</term>
<term>Pneumothorax</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Radiography, Thoracic</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="MESH" qualifier="médecine vétérinaire" xml:lang="fr"><term>Pneumothorax</term>
<term>Radiographie thoracique</term>
<term>Échographie</term>
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<term>Radiography, Thoracic</term>
<term>Ultrasonography</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies des chevaux</term>
<term>Pneumothorax</term>
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<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
<term>Female</term>
<term>Horses</term>
<term>Male</term>
<term>Sensitivity and Specificity</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Animaux</term>
<term>Equus caballus</term>
<term>Femelle</term>
<term>Mâle</term>
<term>Radiographie thoracique</term>
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<front><div type="abstract" xml:lang="en">Small volume pneumothorax can be challenging to diagnose in horses. The current standard method for diagnosis is standing thoracic radiography. We hypothesized that thoracic ultrasonography would be more sensitive. Objectives of this prospective, experimental study were to describe a thoracic ultrasound method for detection of small volume pneumothorax in horses and to compare results of radiography and ultrasound in a sample of horses with induced small volume pneumothorax. Six mature healthy horses were recruited for this study. For each horse, five 50 ml air boluses were sequentially introduced via a teat cannula into the pleural space. Lateral thoracic radiographs and standardized ultrasound (2D and M-mode) examinations of both hemithoraces were performed following administration of each 50 ml air bolus. Radiographs and ultrasound images/videos were analyzed for detection of pneumothorax by four independent investigators who were unaware of treatment status. Sensitivity, specificity, positive predictive values, negative predictive values, and agreement among investigators (Kappa test, κ) were calculated for radiography, 2D and M-mode ultrasound. Comparisons were made using a chi-squared exact test with significance set at P < 0.05. Two-dimensional (84%) and M-mode (80%) ultrasound were more sensitive than radiography (48%) for pneumothorax detection (P = 0.02 and P = 0.04, respectively). Specificity and positive predictive values were similar for all three imaging modalities (P = 1). Agreement between investigators for pneumothorax detection was excellent for 2D ultrasound (κ = 1), very good for M-mode ultrasound (κ = 0.87), and good for radiography (κ = 0.79). Findings from this experimental study supported the use of thoracic ultrasonography as a diagnostic method for detecting pneumothorax in horses.</div>
</front>
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