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Published on: December 9, 2015
Magnetic resonance imaging application to live horse for diagnosis of tendinitis
Yoshinori Kasashima1, Atsutoshi Kuwano, Yoshinari Katayama
1Laboratory of Clinical Science and Pathobiology, Equine Research Institute, Japan Racing Association, 321-4 Tokami-cho, Utsunomiya 320-0856, Japan.
Abstract:
Six live horses with various stages of acute to chronic superficial digital flexor (SDF) tendinitis were examined using magnetic resonance imaging (MRI). In each case, MRI findings were compared to the corresponding ultrasonographic (USD) and histologic findings, to establish the usefulness of MRI. In the acute cases, lesions characterized by hemorrhage were well defined as high signal intensity on MRI and hypoechoic regions on USD. Chronic tendon fibrosis was slightly hyperechoic and difficult to distinguish from the normal tendon tissue around the original injury by using USD. In contrast, MRI visualized the chronic lesion as a low intensity signal, which could be distinguished from the black background of the normal SDF tendon tissue. This study clearly demonstrated MRI was the better imaging modality for the objective detection of chronic scar tissue in live horses. These findings, from living horses, suggest an advantage of MRI in the clinical application to diagnose tendinitis in cases where there is chronic scar tissue that is difficult to discern on USD.
Insights
Magnetic resonance imaging (MRI) offers superior detection of chronic scar tissue in horses with superficial digital flexor (SDF) tendinitis compared to ultrasonography (USD). MRI clearly visualizes chronic lesions, aiding in accurate diagnosis of equine tendinitis.
Area of Science:
- Veterinary Medicine
- Diagnostic Imaging
- Equine Sports Medicine
Background:
- Superficial digital flexor (SDF) tendinitis is a common cause of lameness in horses.
- Accurate diagnosis is crucial for effective treatment and prognosis.
- Distinguishing chronic scar tissue from normal tendon can be challenging with conventional imaging.
Purpose of the Study:
- To evaluate the diagnostic utility of magnetic resonance imaging (MRI) for equine SDF tendinitis.
- To compare MRI findings with ultrasonography (USD) and histologic findings.
- To determine if MRI offers advantages in detecting chronic tendinopathic changes.
Main Methods:
- Six horses with varying stages of SDF tendinitis underwent MRI.
- MRI findings were correlated with concurrent USD and histologic results.
- Image analysis focused on lesion characterization and tissue differentiation.
Main Results:
- Acute tendinitis lesions with hemorrhage were identifiable by high signal intensity on MRI and hypoechoic regions on USD.
- Chronic fibrosis in SDF tendons appeared hyperechoic and difficult to differentiate using USD.
- MRI effectively visualized chronic lesions as low signal intensity against normal tendon tissue.
Conclusions:
- MRI is a superior imaging modality for objective detection of chronic scar tissue in equine SDF tendinitis.
- MRI offers a distinct advantage over USD in diagnosing tendinitis with difficult-to-discern chronic scar tissue.
- These findings support the clinical application of MRI for diagnosing tendinitis in horses.
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