COMPARISON OF THE IMAGE QUALITY OF A HIGH-RESOLUTION SCREEN-FILM SYSTEM AND A DIGITAL FLAT PANEL DETECTOR SYSTEM IN AVIAN RADIOGRAPHY

Radiation Dose Reduction in Different Digital Radiography Systems: Impact on Assessment of Defined Bony Structures in Bearded Dragons (Pogona vitticeps)

Three different digital detector systems were used to study the effect of a defined radiation dose reduction on the image quality of digital radiographs in bearded dragons (Pogona vitticeps). A series of radiographs of seven bearded-dragon cadavers with a body mass ranging from 132 g to 499 g were taken in dorsoventral projection. The digital systems employed included two computed radiography systems (CR) (one system with a needle-based and one with a powdered-based scintillator) and one direct radiography system (DR). Three levels of the detector dose were selected: A standard dose (defined based on the recommended exposure value of the CR_P, D/100%), a half dose (D/50%), and a quarter dose (D/25%). Four image criteria and one overall assessment were defined for each of four anatomic skeletal regions (femur, rib, vertebra, and phalanx) and evaluated blinded by four veterinarians using a predefined scoring system. The results were assessed for differences between reviewers (interobserver variability), radiography systems, and dosage settings (intersystem variability). The comparison of the ratings was based on visual grading characteristic (VGC) analysis. Dose reduction led to significantly lower scores in all criteria by every reviewer, indicating a linear impairment of image quality in different skeletal structures in bearded dragons. Scores did not differ significantly between the different systems used, indicating no advantage in using a computed or direct radiography system to evaluate skeletal structures in bearded dragons. The correlation was significant (p ≤ 0.05) for interobserver variability in 100% of the cases, with correlation coefficients between 0.50 and 0.59. While demonstrating the efficacy of the use of digital radiography in bearded dragons and the similar quality in using different computed or direct radiography systems, this study also highlights the importance of the appropriate level of detector dose and demonstrates the limits of post-processing algorithm to compensate for insufficient radiation doses in bearded dragons.

Comparison of Dorsoventral Erect and Ventrodorsal Supine Radiographic Views for the Evaluation of Intracoelomic Organs in Clinically Normal African Grey Parrots (Psittacus erithacus)

Standard positioning for radiographic evaluation may require sedation and can be deleterious in critically ill birds. A prospective crossover study was performed in 15 clinically normal African grey parrots (Psittacus erithacus) to describe an alternative, unrestrained radiographic view. Whole-body radiographs were obtained in unrestrained dorsoventral erect (DVE) views and in anesthetized ventrodorsal supine (VDS) views. Visualization of various anatomic items in each view was scored by 3 observers. The surface area of the air sacs and the width of the heart, liver, thorax, and cardiohepatic waist were measured in DVE and VDS views. Measurements were obtained by 3 observers, and 1 observer repeated the measurements twice. Intraobserver and interobserver agreement were assessed. Major rotation of the coelom and superimposition of the limbs over the coelom were, respectively, observed in 4 of 15 (27%) and 15 of 15 (100%) of the DVE views and not observed in VDS views. The evaluation of the respiratory tract structures was considered limited in DVE views compared with VDS views, and the surface areas of the air sacs were significantly smaller. The proventriculus and ventriculus were more visible in the DVE view. The visualization of the heart was not significantly different between the 2 views. The absolute measures of heart, liver, and cardiohepatic waist width were significantly larger in the DVE view compared with the VDS view. Moderate intraobserver and interobserver agreement was observed in the evaluation of the 2 views. In conclusion, the DVE view could be adequate to assess the heart and the upper digestive tract. This positioning is likely to provide clinically relevant information for cases in which general anesthesia or dorsal recumbency is contraindicated.

Diagnostic Imaging of the Avian Urinary Tract

Due to the special anatomy and physiology of the avian urinary system, the value of diagnostic imaging techniques differs from the use in mammals. The diagnostic imaging methods regularly used in practice to evaluate the avian kidneys are often limited to traditional radiography and ultrasonography, whereas other imaging modalities (urography, scintigraphy, computed tomography, MRI) are rarely used. Furthermore endoscopy may be performed and taking a renal biopsy may be considered. The article describes common indications for imaging techniques used to diagnose urinary tract disease as well as its anatomic and pathologic demonstration.

Needle-based storage-phosphor detector radiography is superior to a conventional powder-based storage phosphor detector and a high-resolution screen-film system in small patients (budgerigars and mice)

This method comparison study used radiographs of 20 mice and 20 budgerigars to investigate comparability between computed radiography (CR) and high-resolution screen-film systems and study the effects of reduced radiation doses on image quality of digital radiographs of small patients. Exposure settings used with the mammography screen-film system (SF) were taken as baseline settings. A powder-based storage-phosphor system (CR_P) and a needle-based storage-phosphor system (CR_N) were used with the same settings (D/100%) and half the detector dose (D/50%). Using a scoring system four reviewers assessed five criteria per species covering soft tissue and bone structures. Results were evaluated for differences between reviewers (interobserver variability), systems and settings (intersystem variability, using visual grading characteristic analysis). Correlations were significant (p ≤ 0.05) for interobserver variability in 86.7% of the cases. Correlation coefficients ranged from 0.206 to 0.772. For mice and budgerigars, the CR_N system was rated as superior to the SF and CR_P system for most criteria, being significant in two cases each. Comparing the SF and CR_P system, the conventional method scored higher for all criteria, in one case significantly. For both species and both digital systems, dose reduction to 50% resulted in significantly worse scores for most criteria. In summary, the needle-based storage-phosphor technique proved to be superior compared to the conventional storage-phosphor and mammography screen-film system. Needle-based detector systems are suitable substitutes for high-resolution screen–film systems when performing diagnostic imaging of small patients. Dose reduction to 50% of the corresponding dose needed in high-resolution film-screen systems cannot be recommended.