Syringomyelia Screening Form

Chiari-like Malformation / Syringomyelia Screening

Please note that this service is for dog breeders only.

CM/SM MRI screening (sometimes called mini MRI) is a limited MRI study of the back of the brain and upper neck provided at low cost and intended as an economical screening test for dog breeders. Due to the limited nature of the scan carried this type of scan cannot be used as a ‘budget’ scan for patients with neck pain or other types of brain disease.

Magnetic resonance imaging (MRI) makes a picture of the water molecules in the body. It is an excellent way of looking at the central nervous system which does not image well using traditional x-ray technology. The pictures are presented as a series of “slices”; analogous to a sliced loaf of bread. CM/SM MRI screening (sometimes called mini MRI) is limited MRI study of the back of the brain and upper neck only.
This service is for dog breeders only, for the health screening of healthy dogs intended for breeding for the purposes of Chiari malformation and syringomyelia only. There is no consultation to discuss the dog or the MRI scan results.  
Fitzpatrick Referrals subsidises the cost of screening MRIs to help breeders make better decisions about which animals to breed from. The cost of a screening MRI is £240 (inc VAT) + BVA reading fee £100 (inc VAT). We ask that you pay the £100 BVA fee directly to the BVA in the form of the cheque or by phoning the BVA and paying over the phone. It is the owner’s responsibility to pay and the BVA does not process the documents until they receive the ID.

Prior to completing this form, we recommend you visit your vet to discuss your intention to breed your dog and plans to arrange health screening requiring general anaesthetic, to ensure your vet is satisfied.

Complete the form below and we will get back to you within 48 hours to arrange the booking. The dog must have permanent identification i.e. microchip or tattoo. A microchip can be implanted at the time of the MRI scan (cost £15 inc VAT). If the patient is Kennel Club registered the appropriate Kennel Club certificate must be brought to the clinic on the day of scanning. Patients do not have to be Kennel Club registered to be eligible for BVA screening.

The results are obtained in the form of a certificate from the BVA which we will forward to the client – we are not able to discuss the results prior to this. Please note the results can take approximately 4 weeks to be received. Read more about the BVA screening scheme.

  1. This service is for dog breeders only, for the health screening of healthy dogs intended for breeding for the purposes of Chiari malformation and syringomyelia only. It is a limited scan that is not sufficient for full investigation of neurological disease. If you have a dog with neck pain, neurological deficits or suspected Syringomyelia please see your veterinary surgeon who can arrange a referral to one of our neurology consultants.
  2. There is no consultation to discuss the results.
  3. The minimum age is 1 year old.
  4. The dog must not be pregnant or nursing unweaned puppies.
  5. The dog must be microchipped or tattooed.
  6. The breeder must bring the relevant Kennel Club (KC) Registration Certificate (if it is registered with the KC) or an appropriate form of identification for dogs not registered with the KC, such as identification used by the owner’s veterinary practice or the breed club.
  7. The MRI will be obtained under a general anaesthetic and as such the dog must be starved 8 hours before the procedure.
  8. Please pay the £100 BVA fee directly to the BVA in the form of the cheque or by phoning the BVA and paying over the phone. It is the owner’s responsibility to pay and the BVA does not process the documents until they receive the ID.
  9. The results are obtained in the form of a certificate from the BVA which we will forward to the client – we are not able to discuss the results prior to this. Please note the results can take approximately 4 weeks to be received. Read more about the BVA screening scheme.
  10. By completing the form you accept these terms and conditions.

Oops! Missing Fieldset

If you are seeing this message, it means you need to add a Fieldset to the beginning of your form. Your form may not function or display properly without one.

  • 1

      Step 1

    • Owner information

    • Next 1 / 4
     

    2

      Step 2

      Animal information

    • Next 2 / 4
     

    3

      Step 3

      Medical history

    • Next 3 / 4
     

    4

      Step 4

      Imaging questionnaire

    • Consent confirmation

    • I confirm that I am a qualified veterinary surgeon and informed consent was obtained from the patient's owner to act on behalf of the animal described above.
    • I hereby give permission for the administration of an anaesthetic to the above animal and to the surgical or other procedures detailed on this form together with any other procedures which may prove necessary.
    • I understand the nature and requirements of these procedures and of other such procedures as might prove necessary.
    • I understand that there are some risks involved in all anaesthetic techniques and surgical procedures.
     

    Verification

    • 4 / 4
     

 

Fitzpatrick Referrals