Musculoskeletal Nuclear Scintigraphy in the Sports Horse - Usefulness & Limitations in the day and age of CT/MRI
Species
Equine
Contact Hours
3 Hours - RACE Approved
Language
English
Discipline
Diagnostic Imaging
Orthopaedics
Sports Medicine
Toxicology & Pharmacology
Veterinary Partner
Equine
Recorded on: 18th October 2022
Panelists:
Sue Dyson MA, Vet, MB, PhD, DEO - Consultant, UK
Mathieu Spriet MS, DVM, DACVR, DECVDI - UC Davis, USA
Filip Vandenberghe DVM, AssocECVDI-LA - Equine Hospital Bosdreef, Belgium
Moderator:
Sarah Puchalski BSc, DVM, DACVR - Puchalski Equine Imaging, USA
CONTENT DESCRIPTION
Nuclear scintigraphy is a tried and tested imaging modality in horses. Has it however become obsolete in the wake of MRI & CT imaging more readily available across the equine veterinary sector?
An international panel of world-renowned specialists with decades of experience with advanced imaging will be discussing the use of nuclear scintigraphy for musculoskeletal disorders in sports horses. This lively exchange will cover key points, chiefly amongst them the utility of the technology in a world full of other diagnostic imaging choices. Other topics such as clinical indications, pitfalls with the interpretation, expectations from the results, and peculiarities associated with scanning in the equine patient will also be addressed. The emergence, indications and usefulness of Positron Emission Tomography (PET) scans will also be discussed.
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Sue is a world-renowned expert in equine orthopaedics, with a particular interest in lameness and poor performance in sports horses. Having trained horses and competed at Advanced level eventing and Grade A showjumping, and with a passionate interest in sports horses, Sue has an in-depth knowledge and understanding of performance problems in horses from all disciplines. She is highly skilled in the diagnosis of both subtle and complex lameness cases. She is also an expert in diagnostic imaging, including radiography, ultrasonography, scintigraphy and magnetic resonance imaging.
Sue has lectured internationally and published more than 200 refereed papers in scientific journals, relating to lameness and diagnostic imaging in the horse. She is co-Editor and major author of ‘Diagnosis and Management of Lameness in the Horse’, ‘Equine Scintigraphy’ and ‘Clinical Radiology of the Horse’. In 2000 she was awarded the British Equine Veterinary Association John Hickman Orthopaedic Award for outstanding contributions to equine orthopaedics. In 2005 Sue was made an Honorary Member of the British Equine Veterinary Association. In 2007 she was awarded the Tierklinik Hochmoor award for outstanding, innovative and lasting contributions to equine veterinary medicine world-wide.
Sue works extensively correlating the results of clinical investigation and diagnostic imaging, and responses to treatment providing evidence-based results. This meticulous approach to diagnosis also results in the recognition of new clinical conditions. Correlation of diagnostic imaging findings with detailed post mortem examinations helps to advance knowledge about image interpretation and to understand better how some lameness conditions develop, and thus how they may be prevented.
More InfoSarah Puchalski is a native of Roberts Creek, British Columbia, Canada, and grew up riding horses in the BC countryside, competing actively in 3-day eventing. She obtained a B.S. in Biology from Simon Fraser University in Burnaby, BC and went to veterinary school in Saskatoon, Saskatchewan, where she graduated with distinction in 1999. From Saskatoon, she moved to Pennsylvania as an intern/resident in field service sports medicine at the University of Pennsylvania’s New Bolton Center from 1999-2001. From New Bolton Center, Dr. Puchalski entered a four-year residency in diagnostic imaging at the University of California, Davis. She obtained board certification in the American College of Veterinary Radiology in 2004, passing the grueling examination on her first attempt.
In 2005, Dr. Puchalski joined the faculty in diagnostic imaging in the Department of Surgical and Radiological Sciences, UC Davis School of Veterinary Medicine, as an Assistant Professor. During this time, she divided her focus between didactic and clinical teaching, research, service to the school and clinical radiology. In the classroom, she led the general large animal radiology course and was a co-instructor in the equine lameness and radiology course. Her research interests predominantly surround the use of novel imaging techniques for the diagnosis of lameness conditions in equine athletes. As she has gained experience in this field, she has developed an international reputation for her expertise. Dr. Puchalski was awarded tenure at the University in 2012 and promoted to Associate Professor, and has authored scientific, educational and lay articles as well as contributed to numerous textbooks.
Dr. Puchalski left the University in late 2013 to open her own practice as a diagnostic imaging consultant. In the winter months she is based in Wellington, Florida at Palm Beach Equine Clinic and during the remainder of the year in Petaluma, California at Circle Oak Equine. As a show jumper, competing actively in Wellington, Florida at the Winter Equestrian Festival and in Northern California, she understands the challenges of equine ownership and what may be needed to keep these athletes sound.
More Info
Dr. Mathieu Spriet is a Professor of Diagnostic Imaging at the School of Veterinary Medicine at the University of California, Davis. He obtained his DVM degree from the National Veterinary School of Lyon (France) in 2002 and a Master Degree from the University of Montreal (Canada) in 2004. He has been a diplomate of both the American College of Veterinary Radiology and the European College of Veterinary Diagnostic Imaging since 2007, after completing his radiology residency at the University of Pennsylvania. Dr Spriet joined UC Davis as a faculty member in 2007. He became a diplomate of the newly created ACVR- Equine Diagnostic Imaging specialty in 2019. Dr Spriet has over 75 peer-reviewed publications (full list of publications: https://www.ncbi.nlm.nih.gov/myncbi/mathieu.spriet.1/bibliography/public/). He is a frequent speaker at national and international conferences. His main area of interest is equine musculoskeletal imaging. He has pioneered the use of positron emission tomography in horses, leading to the development of a scanner specifically designed to image standing horses. He is a consultant for advanced imaging in racehorses at several racetracks in the USA, including Santa Anita and Churchill Downs. He serves as an expert on the Racing Victoria imaging panel.
More InfoFilip graduated in 2001 and joined immediately after the orthopaedics department of the Faculty of Veterinary Medicine of Ghent University. In 2004 Filip joined the Bosdreef and became partner in 2008. Over 15 years ago Filip pioneered amongst few others in the world, on the clinical use of standing MRI in the horse. In 2011 he was awarded Associate LA ECVDI, the European College of Veterinary Diagnostic Imaging. The last years Filip has focused as well on the poor performance of the competition horse. Filip is a frequently invited speaker on national and international scientific congresses. FANC license nuclear medicine.
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