Event Abstract Back to Event Interactive talk and discussion on CT and MRI of the proximal suspensory ligament Marieke Zimmerman1* 1 Equine Diagnostic Centre, Head Medical Imaging, Belgium ABSTRACT Proximal suspensory ligament injuries are a common cause of fore- and hindlimb lameness in sports horses. However, diagnostic imaging of proximal suspensory ligament desmitis can be challenging. Ultrasonographic examination is complicated by the presence of fat and muscle tissue in the suspensory ligament. Additionally in many cases suspensory ligament desmitis is associated with bone pathology at the origin of the ligament. Radiographic examination of the proximal third metacarpal/metatarsal bone can give us some information but will often underestimate the severity of bone pathology. MRI or CT examination gives us a detailed 3D image of the origin of the suspensory ligament and is therefore very helpful for the diagnosis of suspensory ligament pathology. MRI of the origin of the suspensory ligament provides us with a detailed image of the suspensory ligament and the bony structures. MRI is the only modality that allows us to visualise bone oedema of the palmar/plantar aspect of the third metacarpal/metatarsal bone. It gives us a detailed image of the soft tissues, and the fat and muscle fibres can be distinguished from the fibrous part of the suspensory ligament. Standing low-field MRI however can be challenging due to movement artefact and, especially in hindlimbs, lack of patient compliance. CT of the origin of the suspensory ligament gives us a very detailed image of the bony structures, and especially osteophytes and small fragments are better visualised with CT compared to standing MRI. Contrast CT is performed to better visualise the soft tissues. Omnipaque is injected intra-arterial before and during the entire length of the CT scan. This allows us to differentiate between normal fat and muscle tissue, and a lesion. CT of the origin of the suspensory ligament is performed under general anaesthesia. When comparing both techniques, MRI has the advantage of being able to visualise bone oedema and it allows in theory a better visualisation of the soft tissues, however, image quality is often impaired by motion artefact, especially in hind legs. CT is better for depicting the osseous borders, and as there is no movement artefact, contrast CT is often more sensitive for the diagnosis of mild soft tissue lesions. AUTHOR BIOGRAPHY Marieke Zimmerman graduated in 2008 from the Faculty of Veterinary Medicine, Ghent University. Then she completed a one-year rotating internship at the Ecole Nationale Vétérinaire de Maisons-Alfort and in the CIRALE headed by Prof. Jean-Marie Denoix. Afterwards, she performed a second internship, focused on the orthopedic and medical imaging in the horse in the Animal Health Trust in Newmarket, led by Dr. Sue Dyson. From 2010 to 2013 she worked at Practice Dr. Suls in The Netherlands, where she has focussed on orthopedics and medical imaging. In 2013 and 2014 Marieke further specialized in MRI, CT and scintigraphy in horses by visiting UC Davis, Washington State University, Colorado State University and the Ecole Nationale Vétérinaire de Lyon. Since 2014 she has been working at Equine Diagnostic Centre (EDC), where she is responsible for MRI, CT and nuclear scintigraphy. Keywords: MRI, Veterinary, medical imaging, CT, Equine, Suspensory ligament Conference: First and Second Conference on Current Veterinary Practices, Meldert-Lummen and Evergem, Belgium, 5 Mar - 26 Mar, 2016. Presentation Type: Oral Presentation Topic: Current Veterinary Practices Citation: Zimmerman M (2016). Interactive talk and discussion on CT and MRI of the proximal suspensory ligament. Front. Vet. Sci. Conference Abstract: First and Second Conference on Current Veterinary Practices. doi: 10.3389/conf.FVETS.2016.01.00004 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 27 Jan 2016; Published Online: 29 Jan 2016. * Correspondence: DVM. Marieke Zimmerman, Equine Diagnostic Centre, Head Medical Imaging, Meldert-Lummen, 3560, Belgium, marieke.zimmerman@skynet.be Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Marieke Zimmerman Google Marieke Zimmerman Google Scholar Marieke Zimmerman PubMed Marieke Zimmerman Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.