An introduction to equine ultrasonography

An introduction into various applications and required equipment for the use of ultrasonography in equine practice.

Ultrasound technology has advanced in leaps and bounds over the last few years and this has had a huge positive impact on veterinary diagnostic imaging across all species. Ultrasonography has long been a key tool in the diagnostic investigation of equine musculoskeletal disorders, and slightly more recently has facilitated great advances in the field of equine reproduction.

As technology continues to develop the possibilities for the use of ultrasound as a diagnostic tool will expand, and the increasing affordability of high quality equipment should help drive this. Below are some things to consider regarding the use of ultrasonography in equine practice, including its potential applications and the equipment required.



  • Tendons and ligaments of the distal limb, e.g. SDFT core lesions

equine image

  • Pelvis, e.g. ilial wing fractures
  • Joints, e.g. meniscal injury in the stifle

equine image

  • Spine, e.g. cervical facet joints  


  • Pre-breeding, e.g. uterus and ovaries

equine image

  • Pregnancy diagnosis, foetal sexing and twin management
  • Monitoring of the health of a pregnancy, e.g. CTUP measurements

equine image


  • Colic exam
    • Assessment of abdominal organs, e.g. liver

equine image

  • Performing ultrasound-guided biopsies


  • Assessment of cardiac anatomy and function, e.g. investigation of murmurs

equine image

  • Investigation of episodes of ataxia/collapse


  • Investigation of globe disease, e.g. cataracts, retinal detachment 


  • ‘Lumps and bumps’, e.g. haematoma vs. abscess
    • Finding foreign bodies and sequestra
    • Ultrasound-guided diagnostic and therapeutic procedures, e.g. thoracocentesis or injecting tendon core lesions

Equipment Required

Portable ultrasound systems are most suitable for ambulatory practice 

Cart based or mobile ultrasound systems are more commonly used in hospitals and referral centres

Probes –

  • For distal limb musculoskeletal and ophthalmological purposes – a high frequency linear probe is required
  • For pelvic and abdominal scanning – a low frequency convex (curvilinear) probe is needed
  • Reproductive tract – rectal probe (linear)
  • Cardiac – low frequency phased array (sector) probe
  • ‘Lumps and bumps’ – usually high frequency linear probe, though a low frequency convex probe may sometimes be required


  • Portability of equipment
  • Non-invasiveness
  • Low upkeep costs


  • Dependent on operator skill

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