Referral guidelines for medical imaging in children: an ESR-EuroSafe Imaging survey on availability, awareness and use in clinical practice among European radiologists.

OBJECTIVES: Justification of medical exposures from medical imaging is fundamental to radiation protection. Referral guidelines are intended to help physicians decide when an imaging study is justified. For two decades, referral guidelines have been a legally binding requirement for European Union member states. Recently, the European Society of Radiology (ESR) developed iGuide tool, which provides evidence-based referral guidance for imaging inclusive of children. The aim of this survey was to assess the availability, use and familiarity of referral guidelines for medical imaging in children and knowledge about the availability of ESR iGuide among ESR member radiologists. METHODS: Over a 2-month period (15 September-15 November 2019), 33,257 ESR member radiologists were invited to respond to an anonymised web-based questionnaire, which consisted of 12 multiple-choice questions. RESULTS: In total, 2067/33,257 responses (6.3%) were received from 52 countries. A total of 1068 out of 2067 (51.7%) respondents were aware that imaging referral guidelines are a legal requirement. One thousand five (48.6%) of all respondents did not know whether dedicated guidelines for imaging in children were available, and only 653 (31.2%) were aware of the mainstays of the available guidelines. Similarly, just 746 (36.1%) of all respondents were aware of ESR iGuide availability and features. CONCLUSIONS: The information gathered confirms that effective and widespread adoption of imaging referral guidelines is lacking, especially in children. Further work is required to improve uptake and awareness. KEY POINTS: • Justification of medical exposures is fundamental to radiation protection and evidence-based referral guidelines are crucial for practical implementation of this principle. • About half of survey respondents are aware that the availability of imaging referral guidelines is a legal requirement, despite this being mandated since 1997. • The information gathered from this survey confirms that, especially in children, an effective and widespread adoption of imaging referral guidelines is lacking.

Current and future approaches to large airways imaging in adults and children.

"Large airways disease" is a catch-all phrase encompassing a wide variety of pathology affecting the trachea, main, lobar, segmental, and proximal sub-segmental bronchi. Relevant pathologies can be divided into focal or diffuse processes and many conditions have classic appearances on computed tomography (CT). We provide a review of the imaging specifics of a wide range of large airway pathologies in adult, childhood, and fetal life with examples of common and rare pathologies ranging from well-known entities such as cystic fibrosis and allergic bronchopulmonary aspergillosis to rarities such as Williams-Campbell, primary ciliary dyskinesia, and congenital high-airway obstruction syndrome (CHAOS). Although the spatial and temporal resolution of modern multidetector CT lends itself well to the depiction of small structures such as the peripheral airways, concerns regarding radiation exposure and increasing interest in the role of functional and quantitative imaging have led to a surge in research into dose reduction in CT and both structural and functional airway imaging via magnetic resonance imaging. We discuss the current literature on these emerging techniques along with some exiting near future directions for large airways imaging.

Absorption and deposition of xanthophylls in broilers challenged with three dosages of Eimeria acervulina oocysts.

1. An experiment was designed to evaluate the effect of different doses of oocysts of Eimeria acervulina on intestinal absorption and skin deposition of xanthophylls (XAs) in broilers. 2. A total of 192 broiler chickens were randomly assigned to 4 groups: an uninfected control group and three groups inoculated with either 1 × 10(2), 1 × 10(4) or 1 × 10(5) sporulated oocysts of E. acervulina by gavaging at 21 d. There were 4 replicate pens (2 male and 2 female) per group. 3. Plasma xanthophyll (PX) and skin yellowness (SY) were measured in live birds weekly. At 42 d of age, SY was measured in the breast and abdomen after chilling and in the breast 24 h post-processing on refrigerated carcasses. 4. In general, in all challenged treatments, and for the duration of the study, the average PX decreased by 0.02 µg/ml (R(2) = 61.6%) for every 1000 inoculated oocysts, whereas PX increased by 1.26 µg/ml/d in uninfected birds. 5. The average SY in live birds from 21 to 42 d of age decreased by 0.019 b*/every 1000 oocysts administered, while SY of uninfected controls increased by 0.57 b*/d. It was also noted that in all treatments females had a greater SY (6.17 b*) than males for the duration of the study. The SY of the breast and abdomen was correlated (r = 0.76) in chilled carcasses. Breast SY in 24 h refrigerated carcasses was greater in the control group and for female birds. 6. Oocyst excretion was different between inoculated treatments only on 7 d post-inoculation (PI). Coccidia lesion scores in the duodenum averaged 1+ in infected birds and 2+ in birds given the highest oocyst dose.

Pathological changes associated with white striping in broiler breast muscles.

White striping is a condition in broiler chickens characterized grossly by the occurrence of white striations, seen parallel to the direction of muscle fibers, on broiler breast fillets and thighs. Based on visual evaluation of the intensity of white striping, breast fillets can be categorized into normal (NORM), moderate (MOD), and severe (SEV) categories. This study was undertaken to evaluate the details of changes in histology as well as proximate composition occurring in the fillets with respect to the 3 degrees of white striping. In experiment 1, representative breast fillets for each degree of white striping (n = 20) were collected from 45-d-old broilers, approximately 2 h postmortem. From each fillet, 2 skeletal muscle samples were obtained and fixed in 10% neutral buffered formalin. To identify and differentiate the histological changes, slides were prepared and stained using hematoxylin and eosin, Masson's Trichrome, and Oil Red O stains. In experiment 2, samples with 3 degrees of white striping were collected from 57-d-old birds for conducting proximate analysis. Major histopathological changes observed in the MOD and SEV samples consisted of loss of cross striations, variability in fiber size, floccular/vacuolar degeneration and lysis of fibers, mild mineralization, occasional regeneration (nuclear rowing and multinucleated cells), mononuclear cell infiltration, lipidosis, and interstitial inflammation and fibrosis. Microscopic lesions were visually scored for degeneration and necrosis, fibrosis, and lipidosis. The scale used to score the samples ranged from 0 (normal) to 3 (severe). There was an increase (P < 0.05) in mean scores for degenerative or necrotic lesions, fibrosis, and lipidosis as the degree of white striping increased from NORM to SEV. The results from the histopathological study were supported by the findings from proximate analysis confirming that the fat and protein contents of muscle increased (P < 0.05) and decreased (P < 0.05), respectively, as the degree of white striping increased. In conclusion, the histopathological changes occurring in white striping indicate a degenerative myopathy that could be associated with increased growth rate in birds.

Comparison of hematologic and serologic profiles of broiler birds with normal and severe degrees of white striping in breast fillets.

White striping is the white striation occasionally observed parallel to the direction of muscle fibers in broiler breast fillets and thighs at the processing plant. Broiler breast fillets can be categorized as normal (NORM), moderate (MOD), or severe (SEV) based on the degree of white striping. Histologically, SEV fillets are characterized by the highest degree of degeneration of muscle fibers along with fibrosis and lipidosis when compared with NORM. The present study was undertaken to compare the hematologic and serologic profiles of broilers with NORM and SEV degrees of white striping to get more information on the systemic changes associated with the condition. Day-old male broiler chicks of a commercial strain were grown on the same diet in 6 replicate pens (n = 32 birds/pen). Blood samples (5 mL) were collected from the wing vein of each bird on the day before processing for analyzing hematologic and serologic profiles. At 63 d, the birds were weighed and processed in a commercial inline processing system. Weight of the butterfly fillets, liver, and abdominal fat pad were recorded. Left-side fillets were scored to obtain the degree of white striping for each bird. Representative samples for NORM (n = 24) and SEV (n = 17) categories were selected to compare the hematologic and serologic profiles. The SEV birds had greater (P < 0.05) live, fillet, and liver weights, as well as fillet yield, compared with the NORM birds, but the abdominal fat yield was less (P < 0.05) in SEV birds. The NORM and SEV birds did not show any differences in various hematological parameters, including the differential leukocyte count. Conversely, SEV birds had elevated (P < 0.05) serum levels of creatine kinase, alanine transaminase, aspartate aminotransferase, and lactate dehydrogenase. These results suggest that there is no systemic infectious or inflammatory condition associated with a SEV degree of white striping. The elevated serum enzyme levels confirm the muscle damage associated with the degenerative myopathy in SEV birds.

Estimation of factors associated with the occurrence of white striping in broiler breast fillets.

Broiler breast fillets are sometimes characterized grossly by white parallel striations in the direction of the muscle fibers, and the condition is referred to as white striping. Depending on the severity of white striping, fillets can be classified as normal (NORM), moderate (MOD), or severe (SEV). The present study was intended to determine the factors associated with the occurrence of white striping in broiler breast fillets. Broiler birds (59 to 63 d) of 4 different commercial high-yielding strains (both males and females) fed with industrial type or phase-feeding regimens, were processed and ready-to-cook carcass weight was recorded. The carcasses were deboned at either 4 or 6 h postmortem. Fillets were scored for the degree of white striping at 24 h postmortem, and dimensions of fillets (length, width, cranial thickness, and caudal thickness), pH, color (L*, a* and b* values), cook loss, and Meullenet-Owens razor shear energy (MORSE) values were determined. About 55.8% of the birds used in the study showed some degree of white striping with MOD and SEV categories as 47.5 and 8.3%, respectively. Higher degrees of white striping were significantly (P < 0.05) related to higher cranial fillet thickness and ready-to-cook weights. The occurrence of SEV degrees of white striping was accompanied with increased b* values or yellowness of the meat. The growth differences in strains could influence the incidence of this condition, but feeding regimens and chill hour during processing did not. In addition, the degree of white striping did not show any significant (P > 0.05) relationship between various meat quality parameters such as pH, L*, a*, cook loss, and MORSE. In conclusion, the results of this study suggest that there is a greater chance of higher degrees of white striping associated with heavier birds, but the condition is not related to any major changes in cooked meat quality.

Characterization of growth patterns and carcass characteristics of male and female broilers from four commercial strains fed high or low density diets.

Over the last few decades, the poultry industry has seen the emergence of various market segments that are beneficial for rearing various flock sizes. Two concurrent experiments consisting of 1,200 broilers each were conducted to evaluate the effects of broiler size and diet on the performance of four commercially available broiler strains, including 2 standard yielding (SY) and 2 high yielding (HY) strains. Within each experiment (Experiment 1: males, Experiment 2: females), a small bird (38 and 40 d processing) and big bird (47 and 54 d processing) debone market were targeted to give variable carcass size. Two polyphasic diets were fed based on varying of amino acid densities. The low-density diet (L) consisted of 1.20, 1.10, 1.00, and 0.96% digestible Lys and the high-density diet (H) consisted of 1.32, 1.21, 1.10, and 1.06% across the 4-phases, respectively, with similar essential amino acid to digestible Lys ratios between the L and H diets in each phase. Weekly BW, BW gain, feed intake, and feed conversion ratio were assessed, as well as processing yields during both experiments. Broilers fed the H diets responded better than those fed the L diets, regardless of sex, with increased BW and decreased FCR (P < 0.05). Male HY strains provided the highest carcass yields (P < 0.05) compared to SY strains, with no differences observed in females (P > 0.05). High density diets (Diet H) also produced increases in carcass, breast, and tender yield (P < 0.05) for males, but that trend was not present in carcass yield for females (P < 0.05). Overall, strain impacted performance traits and carcass yields. Therefore, the use of specific strains and amino acid density for various market segments is beneficial for integrators to maximize return.

Meat quality attributes of male and female broilers from 4 commercial strains processed for 2 market programs.

In recent times, meat quality has become a key aspect of poultry production. In the current study, 2,400 sex separate broilers from 4 commercial strains were placed in 6 replications to evaluate various meat quality characteristics when grown to 2 market weights. Broilers were fed 1 of 2 diets with varying degrees of amino acid inclusion to evaluate meat quality of broiler raised on varying planes of nutrition. Birds were processed to meet 2 specified target weights (2.5 and 3.8 kg) representing small bird and big bird debone markets in the United States, respectively. Birds were processed using commercial methods, deboned at 3-h postmortem, and meat quality was assessed. Myopathies (woody breast, white striping, spaghetti meat, along with tenderloin quality), fillet dimensions, color, water-holding capacity (e.g., drip loss, cook loss), and Meullenet Owens Razor Shear was determined. Data were analyzed using the Mixed Model platform of JMP Pro 15.2 (SAS Institute, Cary, NC). Diet had no effect (P > 0.05) on the key quality responses; data were then pooled resulting in main effects of sex, strain, and target weight (noted as carcass size). On the day of processing, high yielding (HY) strains produced higher breast and tender yields (P < 0.05) when compared to standard yielding (SY) strains. In addition, and as expected, females exhibited higher breast and tender yields (P < 0.05) than males. However, males had significantly thicker (P < 0.05) and longer (P < 0.05) fillets, higher incidences (P < 0.05) of white striping, and higher (P < 0.05) cook loss when compared to females. Differences were also observed in tenderness as SY strain A produced the lowest shear values, whereas SY strain B produced the highest shear values across parameters (P < 0.05). SY strains in the small bird (SB) market performed better than SY strains in the big bird (BB) market as indicated by lower incidences of breast and tender myopathies white striping, woody breast, spaghetti meat, woody-like tender, and tender feathering and improved quality attributes (P < 0.05). Similar trends were observed (P < 0.05) in HY strains as SB carcasses produced a better overall product than BB. Differences in carcass size directly impacted quality (P < 0.05) as SB markets showed improvements in most parameters assessed, but broilers representing BB markets had greater breast yield. Although strain had minimal impacts on quality measures, carcass size, and sex had a greater impact on muscle myopathies, water-holding capacity, and shear properties.

Assessment of meat quality attributes of four commercial broiler strains processed at various market weights.

As the demand for poultry meat continues to rise, industry production is constantly challenged with obtaining consumer needs. Integrators have answered this increasing demand by improving the growth rate of broilers allowing for increased production efficiently. The resulting broiler produces higher yields and a larger quantity of fresh poultry to satisfy consumer needs. However, this increase in efficiency has cost integrators as new quality issues continue to manifest through global production. Therefore, the objective of the current experiment was to evaluate the effect of genetic strain (standard and high yielding) and target weight on meat quality attributes such as pH, water holding capacity (WHC), and tenderness, alongside meat quality defects such as breast and tender myopathies. In the current study, 1,800 broilers from 4 commercial strains (2 high breast yielding (HY) and 2 standard yielding (SY) were raised sex separate to evaluate meat quality trends over time at 6 previously defined market weights. Birds were processed at weights ranging from 2,043 to 4,313 g in 454 g increments. HY strains produced higher breast and tender yields than those of SY strains (P < 0.05). There was an increase in breast and tender yield as target weight increased (P < 0.05) for both HY and SY strains. Differences were observed between strains for all fillet dimensions (P < 0.05); however, these measurements increased as target weight increased as expected. Woody breast (WB) had a higher severity (P < 0.05) in HY strains over SY strains, for both males and females. Differences were observed in white striping (WS; P < 0.05) for females in both strains, but no differences were observed in males. A main effect of target was noticed for both WB and WS (P < 0.05), expressing increased severity as target weight increased. Shear values were influenced more by target weight (P < 0.05), but inconsistent differences were observed between HY and SY groups. Meullenet-Owens Razor Shear (MORS) energy values increased slightly as target weights increased (P < 0.05) from 2,951 to 4,313 g in both males and females, but differences were minor and inconsistent with the smaller carcass weights. The MORS peak counts generally increased as target weight increased for both sexes. While strain had minimal effects on meat quality attributes, processing weight had a greater influence on quality, specifically muscle myopathies, WHC, and shear properties.

Phase feeding in a big-bird production scenario: effect on growth performance, yield, and fillet dimension.

Phase feeding (PF) has been effective at maintaining broiler growth while reducing production cost, but the effect on different broiler strains and sex has not been assessed. An experiment was conducted using 4 commercial broiler strains grown up to 63 d of age (n = 1,440), comparing a PF approach to an industry-type diet. At d 17, birds began either the industry or PF regimen. The industry regimen consisted of average industry nutrient levels with periods from 17 to 32 d, 32 to 40 d, 40 to 49 d, and 49 d to the end of trial. For PF, diets were prepared that contained Lys, sulfur amino acids, and Thr levels matching the predicted requirements for birds at the beginning (high nutrient density) and end (low nutrient density) of PF. Pelleted high and low nutrient density diets were blended to produce rations containing amino acid levels that matched the predicted PF requirements over 2-d intervals. Weight gain, feed intake, and feed efficiency were calculated through d 58. Birds were commercially processed at 59, 61, or 63 d; yield and fillet dimensions were measured. Phase feeding did not effect weight gain or feed intake of broilers during the overall growth period (17-58 d). For most strains, PF did not effect final BW, yield, or fillet dimensions. However, strain and sex had greater effects on growth performance, yields, and fillet dimensions. Strains B and D had greater breast yield than strains A and C. Reduced feed costs ($0.01 to $0.04 per kilogram of gain, depending on strain) were observed for all strains with PF for the overall growth period (17-58 d). Therefore, potential savings on feed costs are possible for all strains used in this study with the incorporation of the PF regimen.

Phase feeding in a small-bird production scenario: effect on growth performance, yield, and fillet dimension.

Phase feeding (PF) has been effective at maintaining broiler growth while reducing production cost, but the effect on different broiler strains grown in a small-bird production scenario has not been assessed. Three strains of commercial broilers were fed a diet containing average industry nutrient levels from 0 to 18 d. From 18 to 32 d, birds were fed either diets with average industry nutrient levels or diets with phased levels of amino acids. For PF, diets were prepared that contained Lys, sulfur amino acids, and Thr levels matching the predicted requirements for birds at the beginning (high nutrient density) and end (low nutrient density) of PF. Pelleted high and low nutrient-density diets were blended to produce rations containing amino acid levels that matched the predicted PF requirements over 2-d intervals, and diets were switched every other day during PF. Treatments were replicated in 6 pens; each pen contained 15 males and 15 females. Weight gain, feed intake, and feed efficiency were calculated. All birds were commercially processed; yield and fillet dimensions were calculated. Differences among strain BW were noted on d 0, 18, 32, and at processing. Males weighed more than females on d 18 (excluding strain C), 32, and the day of processing. Weight gain was affected by strain (P < 0.05) but not by feeding regimen in the overall growth period (18-39 d). Feed efficiency was improved by PF in strains B and C during the overall growth period. Fillet yield was improved with PF for strain B, and there were no significant differences between PF and industry fillet yields for the other 2 strains. Phase feeding had no effect on fillet dimensions, and there was little effect of strain. These results suggest that different strains may vary in their response to PF, although performance was similar or better in PF birds compared with birds fed the industry diet, regardless of strain.

Big-bird programs: Effect of strain, sex, and debone time on meat quality of broilers.

The industry trend toward early deboning of chickens has led to the need to explore the effect on meat quality, including the effects of strain and sex. An experiment was conducted using broilers of 4 different high-yielding commercial strains chosen because of their common use in big-bird production. Of each strain, 360 birds were commercially processed at 59, 61, and 63 d of age in 2 replicates per day. Breast fillets were harvested at 2, 4, and 6 h postmortem (PM). Muscle pH and instrumental color (L*, a*, and b*) were measured at the time of deboning and at 24 h PM. Fillets were cooked to 76°C and cook loss was calculated, followed by Meullenet-Owens razor shear (MORS) analysis. Muscle pH significantly decreased over time as aging before deboning increased. Furthermore, L* values significantly increased as aging time increased, with the fillets deboned at 6 h PM having the highest L* value, followed by 4 h, and then 2 h PM. After 24 h, the fillets deboned at 6 h still had the highest L* compared with those deboned at 2 or 4 h PM. Fillets from strain B had the highest L* values. Fillets deboned at 2 h PM had significantly higher cook losses and MORS energy (indicating tougher fillets) than fillets deboned at 4 or 6 h PM, but there was no difference in cook loss due to strain at any deboning time. Fillets deboned at 4 h PM also had higher MORS energy than fillets deboned at 6 h PM, and differences in MORS energy among the strains were observed at 4 h PM. There was no difference in instrumental color values or cook loss due to sex. However, fillets of males had significantly greater MORS energy (tougher fillets) when deboned at 2, 4, and 6 h PM than those of females. Results of this study suggest that deboning time, sex, and strain can affect meat quality in big-bird market programs.

Small bird programs: effect of phase-feeding, strain, sex, and debone time on meat quality of broilers.

Phase-feeding (PF) has been effective in maintaining broiler growth while reducing production cost, but the effect on different broiler strains grown in a small-bird production scenario has not been assessed. The objective of this study was to evaluate 3 commercial broiler strains typically used in a small-bird production scenario to assess the effect of various debone times and PF on yield and meat quality. Birds (n = 1,080) were fed either diets with average industry nutrient levels or diets with phased levels of amino acids. In total, 540 birds were commercially processed at 40 and 42 d of age. Breast fillets were harvested at 2, 4, and 6 h postmortem (PM). Muscle pH was measured at the time of debone and fillet dimensions, instrumental color (L*, a*, and b*), and pH were measured at 24 h PM. Fillets were cooked to 76°C and cook loss was calculated, followed by Meullenet-Owens Razor shear (MORS) analysis. Phase-feeding, strain, and sex had little effect on fillet yield, but deboning at 2 h PM resulted in a higher fillet yield compared with that of later debone times. Strain, sex, and debone hour had significant effects on fillet dimensions, with strain A producing longer and wider fillets than strains B and C. Males had larger fillets than females (longer and wider), whereas deboning early resulted in significantly thicker fillets compared with those of later deboning. There were no differences in fillet dimensions due to PF, however, uniformity was improved. The PF treatment did not affect pH, color, cook loss, or MORS energy. Deboning at 2 h PM resulted in higher MORS energy, indicating decreased tenderness in 2 of the strains, whereas in one strain, tenderness was not affect by debone time. Results of this study suggest PF does not adversely affect yield or meat quality of broilers in small-bird programs but strain, sex, and debone time can affect quality. Results also suggest that strain can effect tenderness of breast fillets when deboned prerigor.

Influence of growth rate on the occurrence of white striping in broiler breast fillets.

White striping refers to the occurrence of different degrees of white striations on broiler breast fillets and thighs of larger broilers, yet little is known about its causes. Thus, the objective of the study was to estimate the occurrence of normal (NORM), moderate (MOD), and severe (SEV) degrees of white striping with respect to the growth rate of broilers and to compare their proximate composition without the confounding effect of diet. Straight-run 1-d-old chicks (n = 280) were randomly assigned to either a low- (LED) or high-energy (HED) diet (5 replicates of 28 birds/dietary treatment). Birds were processed at 54 d of age, and live weight, deboned fillet weight, and occurrence of white striping were recorded. As expected, birds fed the HED had lower (P < 0.05) feed conversion ratios than birds fed LED (2.08 vs. 2.28). Also, HED-fed birds had heavier P < 0.05) live and fillet weights when compared with the LED-fed birds. A greater (P < 0.05) percentage of breast fillets from LED-fed birds were scored NORM, whereas HED-fed birds produced a greater (P < 0.05) percentage of SEV fillets. Fillet weight and yield (percent of live weight) increased (P < 0.05) as the degree of white striping increased from NORM to SEV. Additionally, NORM fillets had greater (P < 0.05) lipid and lower (P < 0.05) protein content when compared with SEV fillets. Also, NORM fillets had greater (P < 0.05) percentages of SFA than SEV fillets; however, proportions of all monounsaturated fatty acids, as well as linoleic and linolenic acids, were greater (P < 0.05) in SEV than NORM fillets. These results suggest that an increased growth rate results in increased occurrence of higher degrees of white striping in broiler breast fillets, and the various degrees of white striping are associated with differences in chemical composition of breast fillets.

Effect of different levels of dietary vitamin E (DL-α-tocopherol acetate) on the occurrence of various degrees of white striping on broiler breast fillets.

White striping could be a potential reason for the rejection of raw breast fillets in the market. The condition is characterized grossly by the white striations occurring on the fillets showing myopathic changes on microscopic examination. Early research has shown similar lesions in the case of nutritional muscular dystrophy, which is a condition caused mainly by the deficiency of vitamin E in the diet. The present study was intended to evaluate the effect of different levels of dietary vitamin E (dl-α-tocopherol acetate) on the incidence of normal, moderate, and severe degrees of white striping, by modern description, on broiler breast fillets. Basal diets adequate for starter (0 to 18 d), grower (19 to 32 d), and finisher (33 to 49 d) age periods supplemented with 15, 50, 100, 200, and 400 IU of vitamin E/kg of feed were used in the study. Each of the 5 diet treatments were fed to 8 pens (53 birds each) of male broilers from a commercial strain. At 49 d, 5 birds were randomly selected from each pen (n = 40 birds/diet treatment) and were processed. Live weight, ready-to-cook weight, weight of the fillets, wings, tenders, legs, and the racks were obtained. The fillets were scored for the 3 degrees of white striping. There were no significant differences among the diet treatments with respect to the weight and carcass yield parameters. Furthermore, the diet treatments did not show any significant effect on the occurrence of normal, moderate, and severe degrees of white striping. However, fillet weight was the only parameter that had a significant effect on the occurrence of white striping. Higher degrees of white striping were seen associated with heavier fillets, which is in accordance with previous studies. Different levels of vitamin E levels used in the present study did not show any significant effect on the occurrence of 3 degrees of white striping. These results suggest that dietary vitamin E level is not associated with the modern condition of white striping in broiler breast meat.

Consumer acceptance of visual appearance of broiler breast meat with varying degrees of white striping.

White striping is a condition associated with heavier broiler breast fillets and is observed grossly as white striations seen parallel to the direction of the muscle fibers. The present study was intended to assess the consumer acceptance of broiler fillets with different degrees of white striping condition. High resolution digital images of fillets, representative of varying degrees of white striping, were shown to 75 consumers in a blind study. Individual images were presented using a completely randomized design. There were 4 replicates of individual fillets within each white striping category (normal = NORM, moderate = MOD, and severe = SEV) and one picture of tray pack (3 fillets) for each category. The consumers were asked to express their overall liking for appearance with a 9-point hedonic scale (9 = like extremely; 1 = dislike extremely) and purchase intent using a 5-point scale (5 = definitely would buy; 1 = definitely would not buy). An open-ended comments section was also included. The results showed that NORM fillets had a significantly higher hedonic score (6.9) than the MOD fillets (6.1), which was also significantly higher than the SEV fillets (4.5), indicating that as severity of white striping increased, the consumer acceptance decreased. From the distribution of the responses, 10.7, 22.4, and 56.7% of the consumers disliked the NORM, MOD, and SEV fillets, respectively. Furthermore, the average purchase intent score for the NORM fillets (3.6) was significantly higher than those with 2 degrees of white striping (2.4 and 2.5, respectively), suggesting that the consumers were more likely to buy NORM fillets. Over 50% of the consumers indicated that they would probably not or definitely not buy MOD or SEV fillets. The correspondence analysis of open-ended comments revealed the major reasons for the dislike of the white-striped meat was that the fillets had a more fatty or marbled appearance. The results of the study suggest that the white striping does affect the consumer acceptance based on the appearance of the fillets.

Constant and cyclic chronic heat stress models differentially influence growth performance, carcass traits and meat quality of broilers.

This experiment compared the effects of 2 chronic heat stress (HS) models, constant (coHS), and cyclic (cyHS), on broiler performance, carcass characteristics, and meat quality. A total of 720 male chicks from a Cobb 500 line were placed in 12 environmentally controlled chambers divided into 2 pens of 30 birds. Before the experimental HS models were applied, chamber temperatures were gradually decreased from 32°C at placement to 24°C on d 20. From 20 to 41 d, 4 chambers were set to 35°C (coHS), and 4 chambers were set to 35°C for 12 h and 24°C for the next 12 h (cyHS). Four thermoneutral chambers were maintained at 24°C with half of the birds pair-fed to equalize feed intake (FI) with coHS birds (TN-coPF) and half fed ad-libitum (TN-al). From 20 to 41 d, FI and BW gain (BWG) of cyHS, coHS and TN-coPF birds were decreased (P < 0.001), whereas feed conversion ratio (FCR) was increased (P < 0.001) for coHS and TN-coPF birds compared with TN-al birds. The overall BWG and FCR of coHS birds were lower (P < 0.001) than TN-coPF birds. Both HS models reduced (P < 0.001) carcass weight, pectoralis major yield, total breast meat yield, and increased (P < 0.001) wing yield relative to TN-al birds, with each of these measurements more impacted by coHS than by cyHS. Pair-fed birds had lower (P < 0.001) fat pad and a higher total breast meat yield than coHS birds. They also had the lowest (P < 0.001) pectoralis major ultimate pH and yellowness, and these parameters were lower (P < 0.001) for coHS birds than for TN-al birds. Both HS models reduced (P < 0.001) the incidence of woody breast and white striping. Thus, these data indicate that the detrimental effects of HS cannot be entirely explained by reduced FI and that HS per se affects metabolic pathways associated with muscle and lipid accretion in broilers.

Lung Clearance Index and HRCT are complementary markers of lung abnormalities in young children with CF.

RATIONALE: High resolution computed tomography (HRCT) is a more sensitive tool for detecting early cystic fibrosis (CF) lung disease than either spirometry or plain radiography, but its relationship to other measures of lung function has not been established in young children. OBJECTIVES: (1) To assess whether the lung clearance index (LCI) derived from multiple breath inert-gas washout (MBW) is as effective as HRCT in identifying pulmonary abnormalities; and (2) explore the relationships between abnormalities detected by HRCT and by spirometry, plethysmography and MBW (collectively, LFTs) in young children with CF. METHODS: Children with CF underwent LFTs and volumetric HRCT on the same day. Healthy age-matched controls underwent identical LFTs without HRCT. Scans were anonymised, and scored using the Brody-II CT scoring system, to assess for presence and extent of bronchiectasis, airway wall thickening, mucus plugging, and parenchymal opacities. RESULTS: Assessments were undertaken in 60 children with CF (mean (SD) 7.8 (1.3 years) and 54 healthy controls (7.9 (1.2) y). Among children with CF, 84% (47/56) had abnormal LCI, 58% (27/47) abnormal plethysmographic lung volumes (FRC(pleth) or RV), 35% (21/60) abnormal sRaw and 47% (28/60) abnormal spirometry (FEV1 or FEF(25-75)); whereas HRCT scans were abnormal in 85% (51/60): median total Brody-II score: 9.5% (range 0-51%). Total CT score correlated more strongly with LCI (Spearman correlation = 0.77) than with spirometry (R = -0.43) or any other marker of lung function. Of the nine children with normal LCI, five had abnormalities on HRCT, whereas five children with normal HRCT had raised LCI. CONCLUSIONS: These results suggest that while LCI and HRCT have similar sensitivity to detect CF lung disease, complimentary information may be gained in individual patients.

The paediatric wrist revisited: redefining MR findings in healthy children.

OBJECTIVES: During a multicentre study on juvenile idiopathic arthritis, wide variations were observed in bone shape, signal intensity and volume of joint fluid as shown by MRI which in part appeared to be unrelated to disease activity. A study was undertaken to examine these features in a cohort of healthy children. METHODS: 88 children of mean age 9.8 years (range 5-15) underwent MRI imaging (T1-weighted Spin Echo and Spectral Selection Attenuated Inversion Recovery (SPAIR)) of the left wrist. The number of bony depressions, distribution and amount of joint fluid and the presence of bone marrow changes were assessed. RESULTS: Bony depressions were present in all children, increasing with age from a mean of 4.0 in children aged 4-6 years to 9.2 in those aged 12-15 years (p<0.001)). 45 of 84 children (53.6%) had a high signal on SPAIR with a corresponding low signal on T1 in at least one bone. No associations were seen between bone marrow change (present or not) and sex (p=0.827) or sports club membership (p=0.616). All children had visible joint fluid in at least one of the joints assessed. No associations were seen between the presence of joint fluid and age group, except for the radius/scaphoid and capitate-scaphoid joints and a recess lateral to the hamate. CONCLUSIONS: It is important to be aware of the high prevalence of bony depressions, signal changes suggestive of bone marrow oedema and the volume of joint fluid seen in normal children. Such findings must be interpreted with care in children with suspected disease such as juvenile arthritis.

Marination properties and sensory evaluation of breast fillets from air-chilled and immersion-chilled broiler carcasses.

The purpose of this study was to evaluate the effect of carcass chilling methods on marination properties, tenderness, sensory attributes, and consumer acceptance of broiler breast fillets. A total of 120 broilers were slaughtered at 6 wk of age. Carcasses were either immersion chilled (in a 2-stage prechill-chill system; IC) or air chilled (AC) and then deboned at 3 h postmortem to allow sufficient chilling time for the AC carcasses. Fillets were tumble marinated in a 16.5% solution (0.75% salt and 0.45% phosphate, final concentration) at 24 h postmortem for 30 min. Weight change attributable to chilling of the ready-to-cook carcasses, marination pickup, marination retention, cook loss, and total loss of raw fillets was measured. Instrumental tenderness of cooked fillets was measured using the Meullenet-Owens razor shear method. Fillets were also evaluated by a consumer sensory panel (n = 72) for texture, flavor, and juiciness, including overall acceptance. During the chilling process, the IC birds had a significantly greater percentage of weight change in the ready-to-cook carcass (3.94%) than did the AC birds (-2.02%). Although carcasses had weight changes caused by the chilling method, chilling method did not affect marination properties, as indicated by no significant differences between treatments in marination pickup and marination retention. However, significant differences were observed in cook loss and total loss in marinated breast fillets, with lower losses in the AC method, whereas nonmarinated fillets from the 2 chilling methods demonstrated similar cook losses and total losses. Tenderness was not affected by chilling method (IC and AC), based on instrumental Meullenet-Owens razor shear values of marinated and nonmarinated breast fillets. Results of consumer testing followed similar trends, showing no significant differences in overall acceptance, texture, and flavor attributes between IC and AC broiler breast fillets regardless of the chilling method. When marinating breast fillets, air chilling had a yield advantage over immersion chilling, as evidenced by the lower cook loss in breast fillets.