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In Thomsen 2024 et al., on CT accuracy for liver tumors, which phase of contrast-enhanced CT was most helpful in localization?

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Correct. Both were reported as useful in roughly 30–38% of cases.
Incorrect. The correct answer is Both portal and hepatic venous.
Both were reported as useful in roughly 30–38% of cases.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-3

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Jenkins 2022 et al., on medial epicondylar fissure fracture, what was the general clinical outcome for cases with MEFF during the perioperative period?

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Correct. MEFF was usually minor, and most cases healed uneventfully with conservative management.
Incorrect. The correct answer is Were treated conservatively and healed in most cases.
MEFF was usually minor, and most cases healed uneventfully with conservative management.

🔍 Key Findings

  • MEFF occurred in 11.4% (10/88 elbows) following medial-to-lateral transcondylar screw placement in dogs with HIF.
  • Screw size to condylar height ratio >41% significantly increased MEFF risk (P = .004, OR 1.52).
  • MEFF was not recognized intraoperatively in 60% of cases and was only seen on follow-up or retrospective imaging review.
  • Screw loosening was the most common complication (11.2%), observed both with and without MEFF.
  • MEFF tended to increase the risk of screw loosening (P = .06), but was not statistically significant.
  • Most MEFFs did not require treatment and healed radiographically by 14–17 weeks in monitored cases.
  • Shaft screws were used in all MEFF cases, but shaft vs cortical design was not significantly associated with MEFF.
  • The clinical impact of MEFF was minor in most cases, although long-term significance is unknown.

Jenkins

Veterinary Surgery

4

2022

Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

2022-4-VS-jenkins-5

Article Title: Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, how did implants placed 2 mm into the joint perform in terms of accurate classification?

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Correct. Implants placed 2 mm into the joint were correctly classified in 97.2% of cases.
Incorrect. The correct answer is 97.2% correct.
Implants placed 2 mm into the joint were correctly classified in 97.2% of cases.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-5

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, what level of inter-rater agreement (kappa) was reported for liver division localization?

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Correct. Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.
Incorrect. The correct answer is Excellent.
Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-4

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, what was the overall recurrence rate reported for dogs treated with ventral slot decompression?

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Correct. The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.
Incorrect. The correct answer is 25%.
The study reported a 25% recurrence rate overall, with all recurrences in the non-fenestrated group.

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-1

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

In Jones 2024 et al., on surgical technique mortality, which technique was associated with the highest perioperative mortality?

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Correct. BVSD was significantly associated with increased mortality risk (OR = 6.0, p = .023).
Incorrect. The correct answer is Bipolar vessel sealing device (BVSD) technique.
BVSD was significantly associated with increased mortality risk (OR = 6.0, p = .023).

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-1

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what was the reported 3-month survival rate?

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Correct. Three dogs died, leading to a survival rate of 96.1%.
Incorrect. The correct answer is 96.1%.
Three dogs died, leading to a survival rate of 96.1%.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-4

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Kokkinos 2025 et al., on THR age effects, what best describes the clinical recommendation based on the study findings?

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Correct. Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.
Incorrect. The correct answer is Early-age THR should be approached with caution.
Due to higher complication rates in young dogs, surgeons are advised to exercise caution in elective early-age THR.

🔍 Key Findings

  • Study population: 116 dogs underwent cementless THR; grouped by age:
    • Group A: ≤6 months (n = 27)
    • Group B: >6 to ≤12 months (n = 41)
    • Group C: >12 months (n = 48)
  • Overall perioperative complication rate: 31.9% (37/116)
    • Group A: 22.2%
    • Group B: 26.8%
    • Group C: 41.7%
  • No significant difference in total complication rate by age (p = .207), though older dogs (Group C) had numerically higher rates.
  • Luxation was significantly more common in dogs >12 months:
    • Group C: 14.6% vs. Group A (0%) and Group B (2.4%) → p = .049
  • Most common complications: luxation (9.5%) and intraoperative fissure or fracture (9.5%)
  • Time under anesthesia and surgery duration were not associated with complication risk (p = .297 and p = .781)
  • No infections or aseptic loosening observed during the 8-week follow-up.

Kokkinos

Veterinary Surgery

3

2025

The influence of age at total hip replacement on perioperative complications in dogs

2025-3-VS-kokkinos-5

Article Title: The influence of age at total hip replacement on perioperative complications in dogs

Journal: Veterinary Surgery

In Miller 2024 et al., which postoperative complication occurred at a similar frequency between groups?

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Correct. Postoperative aspiration pneumonia occurred rarely and similarly (S: 4, FFP: 5; no significant difference).
Incorrect. The correct answer is Aspiration pneumonia.
Postoperative aspiration pneumonia occurred rarely and similarly (S: 4, FFP: 5; no significant difference).

🔍 Key Findings Summary

  • Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
  • Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
  • Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
  • Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
  • Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
  • Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
  • Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
  • Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
  • Revision surgery: Needed in 7/124 (3 S, 4 FFP)

Miller

Veterinary Surgery

1

2024

Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

2024-1-VS-miller-3

Article Title: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what was the most challenging intraoperative step during AA-HTS in cats?

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Correct. Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.
Incorrect. The correct answer is Toggle passage through the femoral tunnel.
Authors reported toggle passage through the femoral tunnel as the most challenging step, difficult in 6 joints.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-1

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

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