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1.
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2.
OBJECTIVES: To determine radiation exposure to personnel during fluoroscopic imaging of limbs of horses with a portable unit and to determine distance from the c-arm at which radioprotective clothing is not required. DESIGN: Repeated-measures cohort study. SAMPLE POPULATION: Part 1, 1 forelimb and 1 hind limb from each of 5 equine cadavers; parts 2 and 3, personnel involved during imaging of limbs of 5 and 9 horses, respectively. PROCEDURE: Radiation exposure rates were mapped around the suspended c-arm of a portable fluoroscopy unit during imaging of various joints of equine cadaver limbs. During similar examinations in live horses, exposure rates to the fluoroscopist and assistant were measured. Mean duration for fluoroscopy of various joints was determined by observing an experienced fluoroscopist. Exposure to fluoroscopists and assistants per examination and per annum was estimated. RESULTS: Radiation exposure rates were dependent on distance and direction relative to the c-arm and consistently highest on the tube side of the unit. Exposure was significantly greater than background amounts until approximately 4.7 m from the c-arm. During examination of live horses, exposure was highest to the fluoroscopist's hand nearest the tube. Typically, exposure to the fluoroscopist and assistant during carpal examination was 25 to 40 times greater than that for comparable radiographic examination. Annual exposure for fluoroscopists was more than twice the recommended maximum permissible dose. CONCLUSIONS AND CLINICAL RELEVANCE: Fluoroscopic imaging of limbs of horses represents a major source of radiation exposure. Annual maximum permissible doses of radiation will be rapidly exceeded if required radioprotective clothing is not worn.  相似文献   

3.
Radiographic technology has rapidly advanced over the last decade with the use of both computed radiography and digital radiography now being common in equine practice. Image quality is critical for optimal diagnostic accuracy, so identification of factors that negatively influence quality is vital. The most commonly encountered problems include positioning errors, exposure anomalies, movement artefacts, labelling errors and image processing faults. The aim of this review is to describe common radiographic faults that will allow the equine practitioner to recognise and learn how to prevent these issues, thus improving image quality. This will aid in improving diagnostic accuracy and will enhance radiation safety by reducing the number of repeat exposures required.  相似文献   

4.
Hand holding of portable X‐ray units is common in large animal ambulatory veterinary practice. Portable X‐ray equipment manuals, veterinary teaching institutions, and state regulations discourage, or prohibit, hand holding of portable X‐ray units. Our goal was to quantify surface radiation leakage of a typical portable X‐ray unit and to measure operator exposure at simulated hand and collar positions during imaging of the equine distal extremity. Each exposure for the study was performed at 80 kVp and 7.5 mAs and repeated 10 times. Measurement of tube radiation leakage was performed along each surface of the portable X‐ray unit. To determine the operator exposure more accurately, an equine cadaver limb was used to generate scatter radiation for the following views: lateral carpus, lateral foot, palmaroproximal–palmarodistal, and dorsal 60° proximal–palmarodistal obliques of the navicular region. A Pancake Ion Chamber was placed at the handle and at simulated collar position to record estimated occupational exposure. To estimate the effect of lead shielding, exposure measurements were performed within the primary beam and behind a 0.5 mm lead equivalent apron and within an >0.5 mm lead equivalent glove. The average hand and collar dose was 0.471 and 0.327 mR/exposure, respectively. The lead apron and glove attenuated the primary beam 96.9 and 99.2%, respectively. This reduced average hand and collar exposures to 0.0038 and 0.0101 mR/exposure, respectively. Theoretical occupational limits are reached for the collar (whole body) before the hand (extremity).  相似文献   

5.
A method is described for routine radiography of the horse's thoracolumbar (TL) spine from T2 to L3 in the standing position. Stocks were used for restraint, and the x-ray tube, which was mounted on an overhead gantry, was linked automatically to a cassette holder on the far side of the animal. A crosshatch grid with an ultra-fast system of screens and film was employed to provide adequate radiographic quality. An aluminum wedge filter (dodger) was used to help compensate for the marked variation in spine thickness. For radiography of the caudal lumbar spine and lumbosacral region, it was necessary to anesthetize the horse and make radiographs in the ventrodorsal position. Exposures of up to 150 kV and 400 mAs were required for heavy horses weighing up to 750 kg. Scatter radiation was kept to a minimum by using crossed high-ratio grids and by putting additional lead on the back of the cassette to prevent back scatter.  相似文献   

6.
The construction of a variable kVp, variable mA radiographic technique chart for the equine thorax using linear regression analysis is described. The independent variables in the analysis were body weight (pounds) and thoracic girth (inches) and the dependent variables were the radiographic exposure techniques (mAs, kV.p). Four areas (lateral views only) of each horse's thorax were radiographed using a focal spot-film distance (FFD) of 200 cm with the animal standing. The four views were craniodorsal, cranioventral, caudodorsal and caudoventral. For comparison, an additional caudodorsal view was made at 100 cm FFD to quantitate the decrease in exposure, the increased magnification and the decreased area of the lung exposed on the x-ray tube side of the horse compared with 200 cm FFD technique. Body weight was a satisfactory means to determine radiographic technique factors for thoracic radiographs in the horse. Thoracic girth (inches) was also measured and used to determine radiographic technique factors but was less exacting and less convenient than body weight.  相似文献   

7.
Radiographs were made of a canine pelvis using 60, 90, and 117 kVp. Thermoluminescent dosimeters were used to measure absorbed dose within the primary beam and from scattered radiation in adjacent regions. Lithium fluroide (LiF) dosimeters were selected because of the similarity of their radiation absorption to that of soft tissue. The absorted dose to the dog per radiograph was reduced as kVp increased. A similar trend was observed in dose equivalent from scattered radiation to adjacent regions. In all cases the dose equivalent per radiograph from scattered radiation was less than three orders of magnitude below the recommended maximum permissible dose for radiation workers.  相似文献   

8.
Radiographic diagnosis of equine bone disease using digital radiography is prevalent in veterinary practice. However, the diagnostic quality of digital vs. conventional radiography has not been compared systematically. We hypothesized that digital radiography would be superior to film-screen radiography for detection of subtle lesions of the equine third metacarpal bone. Twenty-four third metacarpal bones were collected from horses euthanized for reasons other than orthopedic disease. Bones were dissected free of soft tissue and computed tomography was performed to ensure that no osseous abnormalities were present. Subtle osseous lesions were produced in the dorsal cortex of the third metacarpal bones, and the bones were radiographed in a soft tissue phantom using indirect digital and conventional radiography at standard exposures. Digital radiographs were printed onto film. Three Diplomates of the American College of Veterinary Radiology evaluated the radiographs for the presence or absence of a lesion. Receiver operator characteristic curves were constructed, and the area under these curves were compared to assess the ability of the digital and film-screen radiographic systems to detect lesions. The area under the ROC curves for film-screen and digital radiography were 0.87 and 0.90, respectively ( P =0.59). We concluded that the digital radiographic system was comparable to the film-screen system for detection of subtle lesions of the equine third metacarpal bone.  相似文献   

9.
Major advantages of computed radiography are the potential reduction of dose and the possibility of postprocessing. In our study, we compared conventional radiographs to digital radiographs of the equine stifle by subjective evaluation of diagnostic quality when using a decreasing photon flux (mAs). Twelve equine stifle joints from horses of different weight and size were examined. Conventional and digital radiographs were performed identically in a caudocranial projection with the tube angled 15 degrees. A series of four radiographs was performed in each technique with an increasing photon flux starting with 2.5 mAs and going up to 5, 10, and 20 mAs. All radiographs were evaluated subjectively in a blinded fashion by seven readers in terms of contrast, bone structure, and diagnostic value and were graded using a 1-5 scale. Results from conventional and digitized radiographs were compared, and differences between the individual observers were analyzed statistically. Contrast, bone structure, and diagnostic value from digital images were rated significantly better than from conventional images (p < .001). For both techniques, a decrease in ranking was found with a decrease of photon flux. There was only slight interobserver variability. A dose reduction up to a factor of 4 compared to a 100 speed film-screen system seems to be possible without loss of information. Weight and size of the horse are not major influences.  相似文献   

10.
The objective of this study was to report observed radiation safety practices among equine workers using portable X-ray units at 3 veterinary practices in Canada. Practice 1 was comprised of equine field service workers from an academic institution, whereas Practices 2 and 3 were comprised of workers from private equine referral practices. Out of 2969 exposure-worker observations, protective aprons were worn for > 99% (2968/2969), thyroid shields for 87% (2584/2969), and eyeglasses for 10% (310/2969). The cassette was held by hand for 97% (1078/1114) of observations, and the X-ray unit was held by hand for 100% (1293/1293) of observations. Gloves were used for 54% (606/1114) and < 1% (5/1293) of observations involving cassette holders and X-ray tube operators, respectively. Use of gloves was more frequent among technologists than DVMs (P = 0.004), and among workers in Practices 1 and 3 than in Practice 2 (P < 0.001). In conclusion, given that workers commonly hold cassettes and X-ray tubes by hand, improvement in shielding use is needed. Consideration should be given to specific behavior recommendations in radiation regulations.  相似文献   

11.
Charles R.  Pugh  DVM  MS  Phillip J.  Johnson  BVSc  MS  Gregory  Crawley  DVM  MS  Susan T.  Finn  DVM  MS 《Veterinary radiology & ultrasound》1994,35(3):183-188
The equine shoulder region is difficult to investigate by conventional imaging modalities. Diagnostic ultrasound has proven valuable for investigation of soft tissue injuries of the human shoulder. In a horse with shoulder lameness, the authors employed diagnostic ultrasound to augment the use of conventional radiography. A defect in the subchondral bone layer of the medial humeral tuberosity, with adjacent bony fragments were clearly identified with ultrasound. Ultrasound was used for initial evaluation of the bicipital tendon and bursa. The technique was subsequently used to follow and evaluate the post-operative condition of the proximal cranial humerus, bicipital tendon and bursa in this patient. The bicipital regions of 2 immature and 3 adult normal horses were also examined with to illustrate the normal ultrasonographic anatomy of the cranial shoulder region.  相似文献   

12.
Ahealthy, 565-kg, 14-year-old Quarter Horse gelding, negative for equine protozoal myelitis on serum Western blot and for hyperkalemic periodic paralysis (HYPP) by polymerase chain reaction, was selected for use in an electrophysiology study performed under inhalation anesthesia. The study was performed by following the guidelines of an Animal Use and Care Committee Protocol of the University of California at Davis (UCD 8578). Anesthesia was induced with halothane delivered via a face-mask. The horse was intubated 17 minutes later with an orotracheal tube and anesthesia was maintained with halo-thane by using a semiclosed, large-animal breathing circuit. Although muscle relaxation was otherwise good, the horse's ears remained tensed in a caudal direction throughout the study  相似文献   

13.
Thermography is a practical aid in the clinical evaluation of the equine patient. It is particularly germane to the evaluation of lameness. This modality specifically increases the accuracy of diagnosis. Thermography is the pictorial representation of skin temperature. The technique involves the detection of infrared radiation, which can be directly correlated to blood flow. To be accurate, thermography must be performed in a controlled area free of drafts. The area should be protected from sunlight to avoid erroneous heating of the skin, and the horse's hair length should be uniform. Thermography detects heat before it is perceptible during routine physical examination and thus is useful for the early detection of laminitis, stress fractures, and tendinitis. It offers a noninvasive means of evaluating the blood supply to an injured region and represents one of the only reliable noninvasive means to evaluate blood flow to the foot of the horse. Thermography is also useful for the early identification of stress injuries to the contralateral limb of convalescing orthopedic patients. Thermography is an excellent adjunct to clinical examination as well as being complementary to other imaging techniques such as radiology, ultrasonography, and scintigraphy.  相似文献   

14.
Scatter radiation is a source of noise and results in decreased signal-to-noise ratio and thus decreased image quality in digital radiography. We determined subjectively whether a digitally processed image made without a grid would be of similar quality to an image made with a grid but without image processing. Additionally the effects of exposure dose and of a using a grid with digital radiography on overall image quality were studied. Thoracic and abdominal radiographs of five dogs of various sizes were made. Four acquisition techniques were included (1) with a grid, standard exposure dose, digital image processing; (2) without a grid, standard exposure dose, digital image processing; (3) without a grid, half the exposure dose, digital image processing; and (4) with a grid, standard exposure dose, no digital image processing (to mimic a film-screen radiograph). Full-size radiographs as well as magnified images of specific anatomic regions were generated. Nine reviewers rated the overall image quality subjectively using a five-point scale. All digitally processed radiographs had higher overall scores than nondigitally processed radiographs regardless of patient size, exposure dose, or use of a grid. The images made at half the exposure dose had a slightly lower quality than those made at full dose, but this was only statistically significant in magnified images. Using a grid with digital image processing led to a slight but statistically significant increase in overall quality when compared with digitally processed images made without a grid but whether this increase in quality is clinically significant is unknown.  相似文献   

15.
The X-ray synchrotron is quite different from conventional radiation sources. This technique may expand the capabilities of conventional radiology and be applied in novel manners for special cases. To evaluate the usefulness of X-ray synchrotron radiation systems for real time observations, mouse fetal skeleton development was monitored with a high resolution X-ray synchrotron. A non-monochromatized X-ray synchrotron (white beam, 5C1 beamline) was employed to observe the skeleton of mice under anesthesia at embryonic day (E)12, E14, E15, and E18. At the same time, conventional radiography and mammography were used to compare with X-ray synchrotron. After synchrotron radiation, each mouse was sacrificed and stained with Alizarin red S and Alcian blue to observe bony structures. Synchrotron radiation enabled us to view the mouse fetal skeleton beginning at gestation. Synchrotron radiation systems facilitate real time observations of the fetal skeleton with greater accuracy and magnification compared to mammography and conventional radiography. Our results show that X-ray synchrotron systems can be used to observe the fine structures of internal organs at high magnification.  相似文献   

16.
The peculiarities of the equine species present a number of unique situations that must be addressed when horses are anesthetized. Perhaps the most troublesome situation is related to the horse's size. Though the horse's large lungs are responsible in part for its sustainable athletic ability, they are detrimental to effective ventilation when the horse is anesthetized and placed in a recumbent position. Of major concern is depression of ventilation and cardiovascular function. Hypercapnia and hypoxemia usually result from hypoventilation, and with time all anesthetized horses suffer from some degree of cardiovascular depression. Decreased blood flow coupled with the horse's weight pressing downward on the undermost tissues frequently disturbs microcirculation and causes injury to muscle tissue. Of major importance is the product of anesthetic depth and anesthetic time. Only through careful observation and initiation of supportive measures can injuries related to anesthesia or surgery be kept to a minimum. Because of the horse's nature, safe anesthesia cannot always be assured, even when state-of-the-art anesthetic techniques are practiced.  相似文献   

17.
The objective of this study was to describe method of placement, and frequency and severity of complications associated with a subpalpebral lavage system placed in the medial aspect of the equine inferior eyelid. The inferomedial subpalpebral lavage (ISPL) tube is positioned deep in the medial aspect of the inferior conjunctival fornix so that the footplate lies flat between the lower eyelid and the anterior surface of the nictitans. Retrospective data from the placement of 92 ISPL systems placed in 86 horses during a 31-month period were examined. Tube placement was performed using sedation and regional anesthesia only in 59% of horses. The median duration of tube placement was 19 days (range: 1-61 days). Seventy-one horses were treated for up to 55 days following discharge from hospital with an ISPL tube in place. No complications were reported with 59% of ISPL systems. Non-ocular complications were found in 38% of ISPL systems and included tube displacement from the conjunctival fornix (18%), suture loss requiring resuturing of the system to the horse's head (14%), and damage necessitating replacement of the injection port (6%). Ocular complications were recorded in 3% of horses and were limited to inferior eyelid swelling. Vision was retained in 88% of horses. The ISPL system is easily and safely placed, and well tolerated for extended periods. It appears to be associated with infrequent and minor complications when compared with placement of subpalpebral lavage tubes in the superior eyelid.  相似文献   

18.
A 3-year-old Thoroughbred colt was presented to the University Veterinary Centre Camden for evaluation of ataxia. The horse was anaesthetised to facilitate cervical radiography and myelographic examination of the spinal cord. Recovery from anaesthesia was uneventful. Five days after general anaesthesia the horse re-presented with pleuropneumonia. It was euthanased 24 hours after presentation on humane grounds. Necropsy revealed severe tracheal erosion over the middle third of the ventral surface of the trachea, pleuropneumonia and narrowing of the cervical cord between C4 and C6. It is postulated that extension and flexion of the neck during myelography resulted in movement of the endotracheal tube cuff, causing the tracheal lesion and predisposing the colt to pleuropneumonia. Severe tracheal lesions and pleuropneumonia have not been reported as sequela of equine myelography, and should be considered as possible complications following repeated cervical manipulation during myelography in the horse.  相似文献   

19.
Radiation exposure of body parts of persons, needed to restrain small animal during the examination, varies depending on the distance and position in relation to the patient, the region investigated, and the exposure settings applied. The aim of the study was to quantify the effects of these factors on the ambient dose. The dosimeter was positioned with varying distance from the direct beam (from 30 to 150 cm) and on different level above the floor (55 cm, 85 cm, and 150 cm. The study consisted of two parts. In the first part a plastic water tank (thickness: 18 cm) was used as source of scatter radiation. Different exposure settings (77 kVp; 20 - 10 - 5 - 2.5 - 1.25 mAs) were applied. In the second part dose was measured during the examination of the abdomen of a large dog (thickness: 18 cm; 77 kVp, 20 mAs) and of the skull of a cat (thickness: 6 cm; 55 kVp, 20 mAs). At the level of the patient (85 cm above the floor) the dose decline relative to the distance followed a quadratic function. In the series "abdomen-dog" the mean dose values ranged from 51.6 microSv (30 cm distance) to 1.02 microSv (150 cm distance). The corresponding doses for the series "skull-cat" were 0.98 microSv and 0.02 microSv, respectively. Comparably lower doses were measured on the lines along the table, when non-irradiated parts of the body were located between the exposed patient volume and the dosimeter. At 150 cm above the floor higher doses were observed relative to the doses at the level of the table. The following conclusions can be drawn: (1.) Depending on the target volume the ambient dose varies in a wide range. (2.) An increase of the distance of only few centimetres is reducing exposure considerably. Therefore persons should make use of it whenever this is possible. (3.) Persons should stand on the short sides of the table while fixing the patient. (4.) Head and neck are relatively highly exposed. Methods to protect the thyroid gland and the eye lens are indicated. (5.) Since different exposure levels can be applied in digital radiography, the range of dose levels is rather wide. Therefore strict dose discipline (e.g. by use of exposure tables and dose indicators) is necessary to avoid continuing overexposure.  相似文献   

20.
The issue of biological effects caused by low-level exposure to ionizing radiation (0.1Sv/yr or 10 rem) is a concern of veterinary radiologists, clinicians and radiotherapists. Cellular damge from ionizing radiation is mediated by injury to DNA, some of which can be repaired. The most important harmful effects attributed to low-level exposure are carcinogenesis and mutation. Ionizing radiation may also cause embryonic and fetal damage, life span shortening and cataractogenesis. The estimated excess risk of mortality for all human cancers is 0.8% (800 deaths per 100,000) per 0.10 Sv of acute exposure; at low dose-rates, risk is presumed to be less. Ionizing radiation increases the frequencey of spontaneous genic and chromosomal mutations in man and animals. Studies of atomic bomb survivors imply that at least 1 Sv would be needed to double the spontaneous mutation rate for acute exposure to low-LET radiation. However, the doubling dose for chronic, low-level exposure may be 4 Sv or more. The human embryo and fetus are sensitive to excessive doses of ionizing radiation, with mental retardation the main concern in the low dose range. Paradoxically, there is scientific evidence that in some instances, chronic low-level exposure to ionizing radiation causes a beneficial or hormonic effect. For veterinary workers, occupational exposures appear to be well below the maximum permissible dose limit and the risk or probability of harmful effects is low if stringent radiation safety practices are maintained.  相似文献   

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