Summary
Pre-operative digital radiographs from 50 dogs undergoing a tibial plateau leveling
osteotomy were evaluated. Tibial plateau angles were measured directly on printed
films and measured on digital images using two different commercial DICOM viewers.
The radiographs were scored for osteoarthritis and positioning. Using pooled results,
the mean TPA from the digital images employing Web1000 (26.47° ± 3.90) was significantly
higher then the mean TPA using film radiographs (25.41° ± 3.51), or IQ-View Pro (25.48°
± 3.89). There was not a significant difference between mean TPA using radiographs
or IQ-view. Digital TPA measurement using built-in angle calipers in the clinical
setting is a valid technique compared to measurements from film radiographs, and produces
reproducible results. However, before changing to digital measurements, the chosen
software programme should be validated against measurements using film radiographs
to determine the magnitude of differences.
Keywords
TPA - TPLO - digital measurement - canine