Magnetic Resonance Imaging (MRI) is a relatively new type of imaging for
horses. It works differently from x-rays and ultrasound by detecting
abnormal tissue density and fluid in both soft tissue and bone based on the
tissue response to magnetization. In humans, it is used for almost all body
systems to identify both bone, joint and soft tissues including the brain
and spinal cord. This has revolutionized detection of disease by
understanding the metabolism changes, which occur in different tissues with
a disease.
MRI for horses has been used for approximately 2 decades. Initially, MRI
studies could only be completed with horses under general anesthesia in high
field units made for humans. In 2003 a low field open magnet was created by
Hallmarq Veterinary Imaging for use in standing horses. The Marion duPont
Scott Equine Medical Center (EMC) installed the Hallmarq MRI in 2004. Since
then, the predominant use has been for foot diseases, but with improved
software images of the pastern, fetlock, cannon bone and knee are now
possible if the horse stays still during image capture.
Horses need to be sedated so they can stand quietly in open magnet. The
magnet moves so that the region of interest (ROI) is in the center of the
magnet. Different image sequences are used to identify the different tissues
and the abnormalities. This can take from 1-3 hours to get all the
different image slices needed to see all the structures.
The greatest advantage of MRI in horses is the ability to detect damage to bones, tendons, and ligaments that can't be diagnosed in any other way.
This is particularly true in the horse's foot, which because of the hoof
visualization of the soft tissue structures is limited. Because MRI creates
images in multiple slim slices, a 3-dimensional reconstruction can provide
the exact location and severity of the injury.
The most common injuries in the foot are deep digital flexor tendinopathy,
navicular bone inflammation, coffin joint collateral ligament desmopathy,
bone bruises and joint distention. These injuries can only be detected by
MRI. Additionally, EMC has developed MRI guided injection techniques for
injuries to the deep digital flexor tendon and collateral ligaments in the
foot. This provides an accurate placement of platelet-rich plasma (PRP) and
stem cells to help treat these injuries.
Nathaniel A. White, II
DVM, MS, Diplomate ACVS
Professor Emeritus of Equine Surgery
The Marion duPont Scott Equine Medical Center is a premier, full-service
equine hospital located in Leesburg, Virginia, and one of two hospitals of
the Virginia-Maryland College of Veterinary Medicine. We offer advanced
specialty care, 24-hour emergency treatment, and diagnostic services for all
ages and breeds of horses. Our team of equine specialists in internal
medicine, reproduction, sports medicine and rehabilitation, and surgery is
committed to providing exceptional treatment for patients; superior service
to clients; education for referring veterinarians, future veterinarians, and
clients; and cutting-edge research to the equine industry.
Images to accompany this article are available if required. For more
information about the Marion duPont Scott Equine Medical Center, please
visit https://emc.vetmed.vt.edu/ or email us at speart@vt.edu
<mailto:speart@vt.edu> , or call us at (703) 771-6842. Don't forget to
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