Intra-observer comparison between conventional and oblique radiography of the pelvis of polytraumatized cats and dogs
DOI:
https://doi.org/10.1590/1983-21252025v3812705rcKeywords:
Pelvic cavity. Small animals. Pubis. Orthopedics.Abstract
Many bone lesions are missed by plain radiography in small animals with polytrauma in the pelvis due to the many bone overlaps.Thus, this study aimed to compare intra-observer agreement between the conventional two-projection technique (laterolateral and ventrodorsal; LL and VD) and the 45° rolling projection (right/left ventromedial oblique to dorsolateral flexed leg; OBL) in the evaluation of fractures and dislocations in polytraumatized animals. The images were evaluated intra-observer by two radiologists (control group) and compared with the evaluation of two orthopedists,residents and students. When comparing fractures between the projections, a statistical difference was observed between the three projections, LL, VD, and OBL (N=288, df= 2, wald= 24.7 p= 0.0000). The VD projection (n=188) was the most efficient, followed by the OBL (n=174) and the LL (n=105). For the evaluation of sacroiliac dislocations, it was found that the VD (n=33) and OBL (n=33) projections were equal and more sensitive than the LL (n=0) (N= 288, df=2, Wald= 1964.2, P˂0.01-10). In the intra-observer comparison, it was not possible to observe a significant difference in the assessment of fractures, even though the group of radiologists observed a greater number of injuries. In general, abnormalities (fractures and dislocations) were seen with greater accuracy in the VD view (n=237), followed by the OBL (n=225) and LL (n=120) (N= 288, df=2, Wald = 40.2, P˂0.01-10). The study suggests that evaluation by a radiologist should be preferred and that the OBL projection should also be included in the feline routine as it reduces bone overlap.
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