Bayesian comparison of transcranial magnetic stimulation, cervical radiography and clinical examination to diagnose spinal cord dysfunction in horses (original) (raw)
2019
Abstract
| EUROPEAN VETERINARY CONFERENCE | VOORJAARSDAGEN 2019 WWW.VOORJAARSDAGEN.EU Abstract presentations Results The prevalence of spinal cord dysfunction was estimated at 45.7 (95% CI 35.9-54.3) %. In all models, TMSMMEP had the highest sensitivity followed by the neurological examination and finally cervical X-rays. Also specificity of MMEP was superior to the specificity of X-rays and clinical examination. In the model with all informative priors, sensitivities of TMS-MMEP, clinical examination and X-rays were 98.1 (91.4-99.9)%, 94.7 (87.099.7)% and 45.0 (34.5-55.6)%. The specificities were 90.7 (71.6-99.6), 74.7 (60.2-86.4)% and 81.5 (70.390.5)% respectively. Conclusion TMS-MMEP appears a very valuable, non-invasive test for spinal cord dysfunction, by far exceeding diagnostic accuracy of X-ray.
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