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                                                               What Is Normal?
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                                                               Diagnostic imaging technologies are powerful tools that have
                                                               greatly advanced veterinary medicine. “Radiographs and CT are a
                                                               routine part of our preventative health program,” said Chinnadurai.
                                                              “They allow us to see signs of internal changes we wouldn’t be able
                                                               to see with just a physical exam.”
                                                                 The use of diagnostic imaging can decrease the time a
                                                               veterinarian needs to make a diagnosis and improve the accuracy
                                                               of the diagnosis, leading to more effective treatments for animals.
                                                               Diagnostic imaging can eliminate or reduce the need for surgery,
                                                               anesthesia, and other invasive and potentially risky medical
                                                               procedures. Furthermore, the modalities, particularly ultrasound
                                                               and radiographs (X-ray), are widely available today.
                                                                 For decades, Brookfield Zoo has been at the forefront of
                                                               the field of veterinary diagnostic imaging, which has ensured
                                                               that our animals receive the most advanced medical care. Our
                                                              Animal Hospital houses the most comprehensive and advanced
                                                               imaging suite dedicated to zoo animals, including a large-bore
                                                               CT scanner with an animal table that accommodates the largest
                                                               patients, including lions, gorillas, dolphins, and okapi. In 2022,
                                                              1,086 diagnostic imaging studies (CT, ultrasound, X-rays) were
                                                               performed at the Zoo.
                                                                 As in Layla’s case, however, zoo veterinarians have difficulty
                                                               discerning what radiographic and CT studies show without being
                                                               able to compare them to reference images of normal radiographic
                                                               anatomy. “We can always radiograph or CT an animal to be able to
                                                               understand its internal anatomy,” said Chinnadurai. “It’s just that
                                                               next step of understanding what’s normal and what’s abnormal that
                                                               we’re still developing.”
                                                                 Radiographs of zoo animals often show structures that would be
                                                               abnormal in a dog or cat, but might be a normal anatomic feature
                                                               for that animal, he said. “Without reference to what is normal or
                                                               abnormal, it’s hard for us to identify significant lesions somewhere
                                                               within their body and know if we should intervene with a surgery
                                                               or with another diagnostic test.”




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