Comparison of Bone Mineral Content of the Equine Third Metacarpal to Total Radiographic Bone Aluminum Equivalents From Unprocessed Digital Radiographs.

Digital radiographs are common for estimating bone mineral content (BMC) in horses with radiographic bone aluminum equivalents (RBAE). Processing algorithms are used to produce clearer images of digital radiographs in clinical settings, but this distorts RBAE. This study compared RBAE from digital radiographs to BMC from bone ash, and physical and digital morphology measurements. Digital radiographs were taken of six third metacarpals (MCIII) from equine cadavers with an aluminum step wedge penetrometer. A 2-cm transverse section of bone was digitally analyzed and excised from each MCIII. For each image, a linear regression was created using the step wedge thicknesses (R > 0.99) and used to obtain total and individual RBAE. Outer and inner diameters of both dorsal-palmar (DP) and lateral-medial (LM) aspects, as well as cortical thicknesses, were measured physically and digitally. Bone samples were ether-extracted, oven-dried, and ashed. Statistics were analyzed as correlations between variables. Physical and digital measurements of dorsal, medial, and lateral cortices, as well as DP outer diameter, tended to be similar (r > 0.74, P < .09) but palmar cortex measurements did not (r = 0.41, P = .42). The LM outer and DP/LM inner diameters were similar between the two methods (r > 0.95, P < .05). Total RBAE was strongly correlated to BMC (r > 0.93, P < .01). These results suggest that using digital radiographs to make morphological measurements is accurate and confirm the strong relationship between total RBAE and bone ash. However, this study emphasizes the need to use unprocessed radiographs for analysis.