Lamellar Lucent Zone analysis

Lamellar Lucent Zone widths and ratios, from the points you approve.

For the cases where the lamellae are the question. DigiHoof places the LLZ landmarks on your lateromedial and dorsopalmar views. The veterinarian reviews and corrects the landmark geometry before accepting widths, ratios, or related measurements.

Review LLZ outputs Review clinical limitations
Primary LM outputs Proximal, middle, distal LLZ
Normalized output LLZmid:PCL ratio
Clinical control Editable, veterinarian-reviewed landmarks

Why I built DigiHoof

A clearer conversation with the farrier—and a record for the next one.

I created DigiHoof to make my own communication with farriers clearer and more practical. I could take and review the radiographs, but I could not always be standing with the farrier when the horse was shod.

LLZ measurement matters when I am monitoring a case. I built this workflow so the veterinarian can review every point, follow the measurements over time, and give the people involved a regular, reviewable report. Each new veterinarian account includes five free Regular Hoof Balance studies, so a veterinarian can become familiar with the review, report, and sharing workflow before choosing Membership.

Dr Alexander Daniel, BVetMed MS DACVS
Founder, DigiHoof

Dr Alexander Daniel, equine surgeon and founder of DigiHoof
DigiHoof Lamellar Lucent Zone screen showing a de-identified lateromedial radiograph with editable LLZ landmarks
De-identified LLZ training study Genuine radiograph with synthetic horse and owner identities.

LLZ landmark control

Check the zone before you accept a ratio.

The LLZ workspace displays the proposed LLZ, hoof-capsule, P3, sole, and PCL points on the source radiograph. Move an inaccurate point before DigiHoof recalculates the related widths and ratios.

Watch the LLZ walkthrough →

Calculated outputs

What you get, by level and by view.

Lateral LLZ widths are calculated perpendicular to the dorsal P3 reference axis using the final approved landmarks. Ratio outputs reduce, but do not eliminate, the effects of magnification and projection.

LM

Lateromedial projection

Widths, ratios, angles, and sole depth

  • LLZ widthProximal, middle, and distal levels
  • Palmar cortical length of P3PCL
  • LLZmid:PCLMiddle LLZ divided by PCL
  • LLZ:DHW-PdLevel-specific dorsal wall–P3 ratios
  • Inner and outer hoof wall–P3 anglesBest-fit dorsal reference lines
  • Sole depthP3 tip to solar surface
DP

Dorsopalmar projection

Medial and lateral measurements

  • Medial LLZ widthMedial dorsal wall–P3 region
  • Lateral LLZ widthLateral dorsal wall–P3 region
  • Medial and lateral sole depthSeparate solar measurements
  • Medial and lateral hoof wall widthReported by side
Side-to-side values require positioning review.

Rotation, obliquity, and marker placement can change the apparent medial/lateral relationship.

Image requirements

The zone has to be visible.

  • Correctly identified lateromedial or dorsopalmar projection
  • Appropriate positioning and beam alignment
  • Diagnostic exposure and post-acquisition windowing
  • Visible dorsal hoof wall and distal phalanx margins
  • Valid calibration information
  • Correct laterality and marker placement

Landmark review

Move a point and the number follows it.

DigiHoof does not treat a proposed landmark as final. The veterinarian can move LLZ, P3, hoof-capsule, sole, and PCL points before recalculation. Values should be excluded when the underlying structures cannot be identified reliably.

Clinical evidence and limitations

LLZ measurements support assessment; they do not establish a diagnosis alone.

Skelton and colleagues evaluated LLZ measurements on equine hoof radiographs from acute, subacute, and control groups. The study reported that magnification and obliquity affected absolute LLZ measurements but did not alter the evaluated LLZ ratios. The authors also identified the absence of histologic confirmation as a study limitation.

DigiHoof displays measurements and literature-derived reference context for veterinarian review. Diagnosis and case classification still require clinical signs, history, examination, image technique, and professional interpretation.

Skelton et al., Equine Veterinary Journal, 2025 → Grundmann et al., Equine Veterinary Journal, 2015 →

Serial LLZ studies

Ratios help with magnification. They do not fix positioning.

Compare the same foot and projection using consistent positioning, calibration, windowing, landmark definitions, and method versions. Review the radiographs alongside the numerical change.

Review serial comparison and reporting →

DigiHoof Membership

Use LLZ with Membership for $15 a month.

Membership includes LLZ from the start and continued Regular Hoof Balance studies after the five-study trial. Cancel at any time.

Start Membership Review pricing