Non-invasive measurement of bone: a review of clinical and research applications in the horse.

The current methods for non-invasive measurement of bone quality are reviewed. In the horse this has traditionally involved the use of radiography, but there are now two other modalities available for the critical evaluation of cortical bone quality and strength. These utilise single photon absorptiometry and ultrasound velocity. Photon absorptiometry gives a direct measurement of bone mineral content, by using a monoenergetic radionuclide source, and transverse ultrasound velocity in bone gives a measure of bone stiffness or elasticity. They can both be used conveniently on the metacarpus of the conscious horse. Both ultrasound velocity and bone mineral content can be used as accurate indicators of skeletal maturity. In addition, the effects of disuse on bone and certain types of lameness can be monitored accurately. Preliminary data show an association with exercise in young and mature horses. There also appears to be considerable scope for in vivo research of bone changes in horses produced by immobilisation, weightlessness, exercise and nutrition.