James J. Hoskinson

Equine Nuclear Scintigraphy: Indications, Uses, and Techniques

The demand for advanced and correlative imaging methods in equine medicine is growing. Scintigraphy can provide unique information about the physiologic status of an animal that cannot be discerned by other imaging modalities.

Improved osseointeraction of calcium phosphate-coated external fixation pins Studies in calves

We investigated osseointeraction of solution-precipitated calcium phosphate (SPCP)-coated transfixation pins used in external skeletal fixation of a calf stable fracture model. One group (SPCP) received centrally-threaded transfixation pins which had SPCP coating; the other group (control) received identical, but not coated, pins. Radiographs were obtained 1 and 40 days after surgery and examined for evidence of osteolysis. Bone phase 99mTc-MDP studies were performed 6 and 28 days after surgery. Calves were killed 40 days after surgery and mechanical tests performed. Dual-energy x-ray absorptiometry (DEXA) and histomorphometric analyses were done. A smaller proportion of SPCP pins (5/24) had evidence of discharge during the study compared with control pins (21/24). A smaller proportion of SPCP pins (4%) had radiographic evidence of osteolysis compared with control pins (42%). Uptake of 99mTc-MDP was similar for SPCP and control calves. Uptake was significantly greater in bone segments showing radiographic evidence of osteolysis than in bone segments not having osteolysis. Yield stress (MPa) for axial displacement was similar in the treatment groups. Bone mineral density was less in SPCP pins. Affinity index and interface histologic score were greater and osteoclastic index less in SPCP calves. Coating of transfixation pins with solution-precipitated calcium phosphate improved the osseointeraction of pin and bone during this 40-day study.

Case examples demonstrating the clinical utility of obtaining both right and left lateral abdominal radiographs in small animals

Seven case examples are presented which illustrate the utility of using both right to left and left to right laterolateral abdominal radiographs (left lateral and right lateral recumbent radiographs, respectively) when evaluating gastrointestinal disease. These cases demonstrate the benefits of obtaining both lateral abdominal radiographs in disease of the stomach, small intestine, and large intestine. A review of the literature concerning this technique is provided.

The Accessory Lung Lobe in Thoracic Disease: A Case Series and Anatomical Review

Diseases of the accessory lung lobe (AccLL) are often overlooked in dogs and cats, perhaps because of its recessed location. Diseases of this lobe also can mimic diseases of the diaphragm or structures comprising the caudal mediastinum. Normal anatomy of the AccLL and the diagnostic tools used today will be reviewed to help differentiate disease of adjacent organs. Four cases will also be described to illustrate disease presentation and radiographic findings affecting this lobe.

Advanced Diagnostic Imaging Modalities Available at the Referral Center

While many equine diagnostic imaging procedures can be done in field, some procedures require specialized facilities, equipment or expertise which are generally only available in referral or specialty practices. As client awareness of the availability and advantages of these diagnostic procedures increases, veterinarians are faced with the increasing opportunity to utilize these services to provide optimal patient care. A working knowledge of the value and limitations of these methods is required to help guide veterinarians and clients in the selection of additional, and sometimes costly, diagnostic tests.

Compression radiography: an old technique revisited.

Five case examples are provided to illustrate the use of compression radiography in the dog and cat. Abdominal compression radiography provides for evaluation of the size, shape, location, and opacity of a specific area without the degree of superimposition encountered with survey radiographs. The following cases illustrate compression techniques of the intestinal tract, uterus, kidney, bladder, and spleen. A review of the technique as well as a discussion of the advantages and limitations are presented.