{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:25:05Z","timestamp":1776731105332,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T00:00:00Z","timestamp":1626912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Vet Radiology Ultrasound"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Qualitative assessment of individual cardiac chamber enlargement on thoracic radiographs was assessed using echocardiography as the gold standard in dogs. Using this method, the presence of severe left\u2010sided cardiomegaly was hypothesized to contribute to the false identification of right\u2010sided cardiomegaly on radiographs. 175 dogs with three\u2010view thoracic radiographs were retrospectively included in this diagnostic accuracy study if echocardiography was done within 24\u00a0h, and no rescue therapy was provided in the interim. All radiographic studies were reviewed by two groups of five board\u2010certified veterinary radiologists with greater and less than 10 years of experience for grading of cardiac chamber enlargement as normal or mildly, moderately, or severely enlarged. The agreement, sensitivity, and specificity of the radiologists\u2019 interpretation of cardiac chamber size on thoracic radiographs to measured echocardiographic grades were evaluated. A total of 147 cases had complete echocardiographic data available for analysis. Intragroup agreement was moderate for the evaluation of left atrial enlargement and slight to fair for all other cardiac chambers. Between the mode of the radiologists\u2019 responses in the two groups and the echocardiographic grades, there was slight agreement for all cardiac chambers with higher severity grades reported using echocardiography. When moderate to severe left\u2010sided cardiomegaly was identified on echocardiography, the sensitivity, specificity, and accuracy of radiographs were low, identifying dogs with radiographic evidence of right\u2010sided cardiomegaly in the absence of corresponding right\u2010sided cardiomegaly on echocardiography. Therefore, thoracic radiographs should be used with caution for the evaluation of cardiac chamber enlargement, particularly in the presence of severe left\u2010sided cardiomegaly.<\/jats:p>","DOI":"10.1111\/vru.13006","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T06:38:47Z","timestamp":1627022327000},"page":"637-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Interpretation of cardiac chamber size on canine thoracic radiographs is limited and may result in the false identification of right\u2010sided cardiomegaly in the presence of severe left\u2010sided cardiomegaly"],"prefix":"10.1111","volume":"62","author":[{"given":"Elodie E.","family":"Huguet","sequence":"first","affiliation":[{"name":"Department of Small Animal Clinical Sciences University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Vilaplana Grosso","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whitney R.","family":"Lamb","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital of the Carolinas  Cary North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret M.","family":"Sleeper","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Mattoon","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences Washington State University  Pullman Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Molecular and Biomedical Sciences, College of Veterinary Medicine North Carolina State University  Raleigh North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Brown","sequence":"additional","affiliation":[{"name":"IDEXX Laboratories, Inc.  Clackamas Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bennett","family":"Deddens","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital of the Carolinas  Cary North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hock Gan","family":"Heng","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences Purdue University College of Veterinary Medicine  West Lafayette Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Knapp","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital of the Carolinas  Cary North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Levesque","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital of the Carolinas  Cary North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudy","family":"Rivas","sequence":"additional","affiliation":[{"name":"Columbia Veterinary Emergency Trauma and Specialty  Columbia South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James C.","family":"Colee","sequence":"additional","affiliation":[{"name":"Institute of Farm and Agricultural Sciences, Statistics Consulting Unit University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford R.","family":"Berry","sequence":"additional","affiliation":[{"name":"Department of Molecular and Biomedical Sciences, College of Veterinary Medicine North Carolina State University  Raleigh North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-48247-9.00048-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2009.0359.x"},{"key":"e_1_2_8_4_1","first-page":"86","article-title":"BSAVA manual of canine and feline thoracic imaging","author":"Schwarz T","year":"2008","journal-title":"British Small Animal Veterinary Association"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.146.24.687"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.148.23.707"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002460010207"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7020-2894-6.00007-X"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.14884"},{"key":"e_1_2_8_10_1","unstructured":"SaundersF FiskeKE BerryCR The sternal contact score compared to the vertebral heart score in dogs with right and left ventricular hypertrophy. 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