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J Vet Intern Med. 2015 Jul-Aug;29(4):1112-6. doi: 10.1111/jvim.12657. Epub 2015 Jun 8.

Evaluation of a Computer-aided Lung Auscultation System for Diagnosis of Bovine Respiratory Disease in Feedlot Cattle.

Author information

1
Department of Production Animal Health, Faculty of Veterinary Medicine, University of Calgary, Calgary, AB, Canada.
2
Department of Clinical Science, Faculté de Médecine Vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada.
3
Feedlot Health Management Services, Okotoks, AB, Canada.

Abstract

BACKGROUND:

A computer-aided lung auscultation (CALA) system was recently developed to diagnose bovine respiratory disease (BRD) in feedlot cattle.

OBJECTIVES:

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.

ANIMALS:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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.

KEYWORDS:

Bayesian latent class analysis; Electronic stethoscope; Whisper®

PMID:
26059327
PMCID:
PMC4895372
DOI:
10.1111/jvim.12657
[Indexed for MEDLINE]
Free PMC Article

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