{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:35:50Z","timestamp":1762432550167,"version":"3.40.3"},"reference-count":18,"publisher":"American Veterinary Medical Association (AVMA)","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"sc_a1\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To evaluate the utility of routine preanesthetic screening thoracic radiographs in dogs without a specific clinical indication for this test.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a2\">\n<jats:title>Methods<\/jats:title>\n<jats:p>All patients presented for elective tibial plateau leveling osteotomy between January 1, 2022, and December 31, 2022, were enrolled if there were no clinical signs or history of neoplasia or cardiopulmonary or thoracic disease. Three-view thoracic radiographic studies were performed and evaluated by the attending surgeon and a board-certified veterinary radiologist. The incidence of radiographic abnormalities and agreement between the attending clinician and the radiologist were analyzed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a3\">\n<jats:title>Results<\/jats:title>\n<jats:p>Of the 281 cases evaluated in this study, 10 (3.6%) were found to have radiographic abnormalities that were likely to affect the clinician's decision to proceed with elective surgery. There was no association between patient age and the probability of diagnosing a significant radiographic abnormality. There was poor agreement between the findings of the clinician and radiologist for cardiovascular and pulmonary abnormalities. There was slight agreement between the findings of the clinician and the radiologist for extrathoracic abnormalities.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a4\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our data suggest that the utility of preoperative screening thoracic radiographs in dogs with no specific clinical indications for this test appears to be low. Given the poor agreement between clinician and radiologist findings, clinicians should consider routine evaluation of thoracic radiographs by a radiologist.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a5\">\n<jats:title>Clinical Relevance<\/jats:title>\n<jats:p>These findings should be considered by a clinician when deciding whether to recommend thoracic radiographs as a screening tool for a patient without history or physical examination findings suggestive of intrathoracic disease.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.24.11.0352","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T20:38:42Z","timestamp":1738874322000},"source":"Crossref","is-referenced-by-count":1,"title":["Preoperative screening thoracic radiographs yield few significant abnormalities in dogs with no history or exam findings suggestive of thoracic disease"],"prefix":"10.2460","volume":"86","author":[{"given":"Kristine M.","family":"Moss","sequence":"first","affiliation":[{"name":"Chesapeake Veterinary Surgical Specialists, Cockeysville, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4801-9715","authenticated-orcid":true,"given":"Christopher M.","family":"Gauthier","sequence":"additional","affiliation":[{"name":"Chesapeake Veterinary Surgical Specialists, Cockeysville, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elissa K.","family":"Randall","sequence":"additional","affiliation":[{"name":"Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"2","key":"B1","series-title":"J Am Anim Hosp Assoc","first-page":"59","article-title":"2020 AAHA anesthesia and monitoring guidelines for dogs and cats","volume":"56","author":"Grubb T","year":"2020","unstructured":"Grubb T, Sager J, Gaynor JS, et al. 2020 AAHA anesthesia and monitoring guidelines for dogs and cats. J Am Anim Hosp Assoc. 2020;56(2):59\u201382. doi:10.5326\/JAAHA-MS-7055"},{"issue":"1","key":"B2","series-title":"J S Afr Vet Ass","first-page":"31","article-title":"Pre-anesthesia screening of geriatric dogs","volume":"78","author":"Joubert KE","year":"2007","unstructured":"Joubert KE. Pre-anesthesia screening of geriatric dogs. J S Afr Vet Ass. 2007;78(1):31\u201335. doi:10.4102\/jsava.v78i1.283"},{"issue":"7","key":"B3","series-title":"Can Vet J","first-page":"773","article-title":"Effect of routine pre-anesthesia laboratory screening on pre-operative anesthesia-related decision-making in healthy dogs","volume":"59","author":"Mitchell K","year":"2018","unstructured":"Mitchell K, Barletta M, Quandt J, Shepard M, Kleine S, Hofmeister E. Effect of routine pre-anesthesia laboratory screening on pre-operative anesthesia-related decision-making in healthy dogs. 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Accessed April 8, 2024. https:\/\/www.R-project.org\/"},{"issue":"5","key":"B8","series-title":"Vet Radiol Ultrasound","first-page":"503","article-title":"Evaluation of thoracic radiographs as a screening test for dogs and cats admitted to a tertiary-care veterinary hospital for noncardiopulmonary disease","volume":"58","author":"Keyserling CL","year":"2017","unstructured":"Keyserling CL, Buriko Y, Lyons BM, Drobatz KJ, Fischetti AJ. Evaluation of thoracic radiographs as a screening test for dogs and cats admitted to a tertiary-care veterinary hospital for noncardiopulmonary disease. Vet Radiol Ultrasound. 2017;58(5):503\u2013511. doi:10.1111\/vru.12519"},{"issue":"10","key":"B9","series-title":"Can Vet J","first-page":"1065","article-title":"Diagnostic utility of thoracic radiographs and abdominal ultrasound in immune-mediated hemolytic anemia","volume":"60","author":"Andres M","year":"2019","unstructured":"Andres M, Hostnik E, Green E, et al. Diagnostic utility of thoracic radiographs and abdominal ultrasound in immune-mediated hemolytic anemia. Can Vet J. 2019;60(10):1065\u20131071."},{"issue":"5","key":"B10","series-title":"J Vet Emerg Crit Care (San Antonio)","first-page":"595","article-title":"Preoperative thoracic radiographs findings in dogs presenting for gastric dilatation-volvulus (2000\u20132010): 101 cases","volume":"22","author":"Green JL","year":"2012","unstructured":"Green JL, Cimino Brown D, Agnello KA. Preoperative thoracic radiographs findings in dogs presenting for gastric dilatation-volvulus (2000\u20132010): 101 cases. J Vet Emerg Crit Care (San Antonio). 2012;22(5):595\u2013600."},{"issue":"6","key":"B11","series-title":"Vet Anaesth Analg","first-page":"854","article-title":"Preanesthetic blood tests in cats and dogs older than 8 years: anesthetists\u2019 prediction and peri-anesthetic changes","volume":"48","author":"D\u00edaz M","year":"2021","unstructured":"D\u00edaz M, Kaartinen J, Allison A. Preanesthetic blood tests in cats and dogs older than 8 years: anesthetists\u2019 prediction and peri-anesthetic changes. Vet Anaesth Analg. 2021;48(6):854\u2013860. doi:10.1016\/j.vaa.2021.04.010"},{"key":"B12","series-title":"Vet J","first-page":"55","article-title":"Veterinary diagnostic imaging: probability, accuracy and impact","volume":"215","author":"Lamb CR","year":"2016","unstructured":"Lamb CR. Veterinary diagnostic imaging: probability, accuracy and impact. Vet J. 2016;215:55\u201363. doi:10.1016\/j.tvjl.2016.03.017"},{"issue":"3","key":"B13","series-title":"J Vet Intern Med","first-page":"893","article-title":"Effect of screening abdominal ultrasound examination on the decision to pursue advanced diagnostic tests and treatment in dogs with neurologic disease","volume":"29","author":"Tong NM","year":"2015","unstructured":"Tong NM, Zwingenberfer AL, Blair WH, Taylor SL, Chen RX, Sturges BK. Effect of screening abdominal ultrasound examination on the decision to pursue advanced diagnostic tests and treatment in dogs with neurologic disease. J Vet Intern Med. 2015;29(3):893\u2013899. doi:10.1111\/jvim.12602"},{"issue":"8","key":"B14","series-title":"J Am Vet Med Assoc","first-page":"998","article-title":"Intra- and interobserver variability of board-certified veterinary radiologists and veterinary general practitioners for pulmonary nodule detection in standard and inverted display mode images of digital thoracic radiographs of dogs","volume":"238","author":"Reese DJ","year":"2011","unstructured":"Reese DJ, Green EM, Zekas LJ, et al. Intra- and interobserver variability of board-certified veterinary radiologists and veterinary general practitioners for pulmonary nodule detection in standard and inverted display mode images of digital thoracic radiographs of dogs. 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