Evaluation of a Computer‐aided Lung Auscultation System for Diagnosis of Bovine Respiratory Disease in Feedlot Cattle. (8th June 2015)

• Record Type: Journal Article
• Authors: Mang, A.V.; Buczinski, S.; Booker, C.W.; Timsit, E.
• Is Part Of: Journal of veterinary internal medicine. Volume 29:Number 4(2015:Jul./Aug.)
• Page Start: 1112
• Page End: 1116
• Publication Date: 2015-06-08
• Subjects: Veterinary medicine -- Periodicals; 636.0896
• DOI: 10.1111/jvim.12657
• Languages: English
• ISSNs: 0891-6640

Abstract

<abstract abstract-type="main" id="jvim12657-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jvim12657-sec-0001" sec-type="section"> <title>Background</title> <p>A computer‐aided lung auscultation (CALA) system was recently developed to diagnose bovine respiratory disease (BRD) in feedlot cattle.</p> </sec> <sec id="jvim12657-sec-0002" sec-type="section"> <title>Objectives</title> <p>To determine, in a case–control study, the level of agreement between CALA and veterinary lung auscultation and to evaluate the sensitivity (Se) and specificity (Sp) of CALA to diagnose BRD in feedlot cattle.</p> </sec> <sec id="jvim12657-sec-0003" sec-type="section"> <title>Animals</title> <p>A total of 561 Angus cross‐steers (initial body weight = 246 ± 45 kg) were observed during the first 50 day after entry to a feedlot.</p> </sec> <sec id="jvim12657-sec-0004" sec-type="section"> <title>Methods</title> <p>Case–control study. Steers with visual signs of BRD identified by pen checkers were examined by a veterinarian, including lung auscultation using a conventional stethoscope and CALA that produced a lung score from 1 (normal) to 5 (chronic). For each steer examined for BRD, 1 apparently healthy steer was selected as control and similarly examined. Agreement between CALA and veterinary auscultation was assessed by kappa statistic. CALA's Se and Sp were estimated using Bayesian latent class analysis.</p> </sec> <sec id="jvim12657-sec-0005" sec-type="section"> <title>Results</title> <p>Of the 561 steers, 35 were identified with visual signs of BRD and 35 were selected as controls. Comparison of veterinary auscultation and CALA (using a CALA score ≥2 as a cut off) revealed a substantial agreement (kappa = 0.77). Using latent class analysis, CALA had a relatively high Se (92.9%; 95% credible interval [CI] = 0.71–0.99) and Sp (89.6%; 95% CI = 0.64–0.99) for diagnosing BRD compared with pen checking.</p> </sec> <sec id="jvim12657-sec-0006" sec-type="section"> <title>Conclusions</title> <p>CALA had good diagnostic accuracy (albeit with a relatively wide CI). Its use in feedlots could increase the proportion of cattle accurately diagnosed with BRD.</p> </sec> </abstract>