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Department of Dairy Science, University of Wisconsin, Madison 53706
| ABSTRACT |
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Key Words: ultrasound dairy cattle reproductive management)
| INTRODUCTION |
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Practical applications of ultrasound include early assessment of pregnancy status, identification of cows carrying twin fetuses, detection of ovarian and uterine pathologies, and determination of fetal sex. Each of these applications presents opportunities for improving reproductive efficiency on a dairy farm. Unfortunately, most veterinary students continue to be taught that ultrasound is a secondary technology for bovine reproductive work; however, the information-gathering capabilities of ultrasonic imaging far exceed those of rectal palpation (Ginther, 1995). Extension education programs to train bovine practitioners to use ultrasound for routine reproductive examinations are a critical step toward rapid implementation of this technology into the dairy industry.
Veterinary Ultrasound Equipment
Detailed information on the principles of ultrasonography is beyond the scope of this review and has been reviewed elsewhere (Ginther, 1995). In general, linear-array, real-time, B-mode (brightness modality) ultrasound scanners are best suited for veterinary applications involving dairy cattle reproduction. Most ultrasound machines consist of a console unit that contains the electronics, controls, and a screen upon which the ultrasound image is visualized by the operator, and a transducer, which emits and receives high-frequency ultrasound waves. Linear-array transducers consist of a series of piezo electric crystals arranged in a row. These crystals emit high frequency sound waves upon being energized. The configuration of a linear-array transducer results in a rectangular image on the field of scan (as opposed to a pie shaped image produced by a sector transducer). Currently, a veterinary-grade ultrasound machine equipped with one rectal transducer can be purchased for $8000 to $16,000. Image quality varies widely among veterinary-grade ultrasound machines and generally increases with the cost of the unit. More expensive machines are available but are not necessary for routine reproductive examinations in dairy cattle.
Bovine reproductive organs are most commonly scanned per rectum using a linear-array transducer specifically manufactured for transrectal use. However, specialized applications including ovum pickup and follicle ablation involve a transvaginal approach using a sector transducer. Linear-array transducers of 5.0 and 7.5 MHz frequency ranges are most commonly used in cattle to perform reproductive ultrasound examinations, and most veterinary ultrasound scanners are compatible with probes of different frequencies. The depth of tissue penetration of sound waves and image resolution is dependent upon and inversely related to the frequency of the transducer. Thus, a 5.0-MHz transducer results in greater depth of tissue penetration and lesser image detail, whereas a 7.5-MHz transducer results in lesser depth of tissue penetration and greater image detail. An ultrasound scanner equipped with a 5.0-MHz transducer is most useful for bovine practitioners conducting routine reproductive examinations; however, small ovarian structures such as developing follicles are best imaged with a 7.5-MHz transducer.
| IMAGING THE BOVINE OVARY |
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Corpora Lutea
The CL is a transient endocrine gland that forms after ovulation from the tissues that previously constituted the ovarian follicle. Thus, the CL can be viewed as the terminal stage of follicular development. Corpora lutea appear as distinctly echogenic areas within the ovarian stroma. Many corpora lutea appear as a solid tissue masses but may also contain fluid-filled cavities. Based on ultrasonographic examinations in dairy heifers, 79% of otherwise normal CL contain cavities ranging from less than 2 to greater than 10 mm in diameter at some time during the estrus cycle and early pregnancy (Kastelic et al., 1990b; Singh et al., 1997). Ovarian cysts containing luteinized tissue should not be confused with a normal CL containing a fluid-filled cavity.
Ultrasonographic attributes of CL including cross-sectional diameter, luteal area, and echogenicity have been correlated to luteal structure and function (Kastelic et al., 1990a; Singh et al., 1997; Battocchio et al., 1999). Use of luteal characteristics to improve the accuracy of pregnancy diagnosis has been reported in dairy heifers (Kastelic et al., 1991), but similar data have not been reported for lactating dairy cows. Luteal size and echogenic characteristics assessed at specific times postbreeding may prove useful as a method to improve the accuracy of early pregnancy diagnosis in dairy and beef cattle. Although ultrasound is more accurate than rectal palpation for assessing ovarian follicles, it is difficult to distinguish between developing corpora lutea and older regressing corpora lutea using either technique (Pieterse et al., 1990b).
Ovarian Cysts
Currently, diagnosis of cysts in cattle most often occurs during routine postpartum rectal examinations conducted by a bovine practitioner. Palpation per rectum of a large, fluid-filled structure is commonly used as a clinical indication of a follicular cyst. Differentiation between follicular and luteal cysts via rectal palpation is difficult, even for experienced practitioners (Dawson, 1975; Farin et al., 1992). Accuracy of diagnosis increases when using transrectal ultrasonography, with correct identification of greater than 90% of luteal and nearly 75% of follicular cysts (Farin et al., 1990, 1992).
Ovarian Structures as Diagnostic Aids
A thorough reproductive examination in cattle includes visualization of the major structures (or the lack thereof) on both ovaries. Although rectal palpation can be an accurate method for diagnosing pregnancy, rectal palpation is a poor method for resolving ovarian follicles (Pieterse et al., 1990b). By contrast, ultrasonic imaging is a highly accurate and rapid method for assessing ovarian structures (Griffin and Ginther, 1992). Too often, bovine practitioners proceed directly to scanning the uterus during reproductive examinations and neglect the ovaries all together. This is unfortunate because the ovaries contain a wealth of information that can be used to aid in diagnosing the reproductive status of the cow and for selecting appropriate therapies or reproductive interventions. For example, the presence or absence of a corpus luteum aids in diagnosing pregnancy status, especially when conducting pregnancy exams early postbreeding. When present, the size and location (i.e., left vs. right ovary) of the corpus luteum indicate the location of the conceptus within the uterus if the cow is pregnant. Because most twinning in cattle is dizygotic (Fricke, 2001), the presence of multiple corpora lutea is a diagnostic indicator for cows at risk for conceiving twins. Ovarian pathologies and dysfunction including "static ovaries" (e.g., ovaries of anovular cows with no discernable follicular or luteal structures) and follicular and luteinized cysts can easily be distinguished.
| IMAGING THE BOVINE UTERUS AND CONCEPTUS |
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Under most on-farm conditions, pregnancy diagnosis can be rapidly and accurately diagnosed using ultrasound as early as 26 d post AI (Kastelic et al., 1991; Filteau and DesCôteaux, 1998). Sensitivity and specificity of pregnancy diagnosis with ultrasound was 44.8 and 82.3%, respectively, when conducted between 21 and 25 d post AI but increased to 97.7 and 87.7%, respectively, when conducted between 26 and 33 d post AI (Pieterse et al., 1990a). Although pregnancy status can be established early, care must be taken to ensure the accuracy of a diagnosis. For example, a false-negative diagnosis was more likely when the uterus was located cranial to the pelvic inlet in beef cattle than when the uterus was within the pelvic cavity (Szenci et al., 1995).
Ultrasound is a rapid method for pregnancy diagnosis, and experienced palpators adapt to ultrasound technology quickly. The time required to assess pregnancy in beef heifers at the end of a 108-d breeding season averaged 11.3 s using palpation per rectum versus 16.1 s required to assess pregnancy and fetal age using ultrasound (Galland et al., 1994). Fetal age also affected time required for diagnosis with older fetuses requiring less total time for diagnosis (Galland et al., 1994). Although ultrasound at
45 d of gestation did not increase the accuracy of pregnancy diagnosis for an experienced palpator, it may improve diagnostic accuracy of a less experienced one (Galland et al., 1994). Generally, two factors affect the speed at which ultrasound examinations can be conducted on a dairy farm: operator proficiency and availability and restraint of animals. When both factors are optimized, the speed of ultrasonography can approach that of palpation, while exceeding palpation in the amount of information gathered from each animal.
Early Embryonic Loss
Pregnancy loss contributes to reproductive inefficiency because fertility assessed at any point during pregnancy is a function of both conception rate and pregnancy loss. Conception rates at 28 to 32 d post AI in lactating dairy cows range from 40 to 47% (Pursley et al, 1997; Fricke et al., 1998), whereas, conception rates in dairy heifers are nearly 75% (Pursley et al., 1997). Similarly, pregnancy loss in lactating dairy cows is greater than that in dairy heifers (20 vs. 5%; Smith and Stevenson, 1995). Although the specific factors responsible for early embryonic loss in dairy cows are not known, they may be similar to those factors responsible for reduced conception rates.
Because pregnancy status can be determined earlier by ultrasound compared with palpation, the rate of pregnancy loss detected is often higher when a positive diagnosis is made earlier postbreeding. Of cows diagnosed pregnant at 28 d post AI, 10 to 16% experience early embryonic loss by 56 d post AI (Mee et al., 1994; Vasconcelos et al., 1997; Fricke et al., 1998). Therefore, cows diagnosed pregnant at 28 d post AI using ultrasound should be scheduled for a subsequent examination around 60 d post AI, when the rate of embryonic loss per day decreases dramatically (Vasconcelos et al., 1997). Although the rate of pregnancy loss is significant in studies using ultrasound to assess the rate of loss, the technique of ultrasound itself has not been implicated as a cause of embryonic death in cattle (Ball and Logue, 1994; Baxter and Ward, 1997). Furthermore, ultrasound is a much less invasive technique for early pregnancy diagnosis than is rectal palpation (Paisley et al., 1978; Vaillancourt et al., 1979) and may minimize the rare incidence of palpation-induced abortions.
At present, there is no practical way to reduce early embryonic loss in lactating dairy cows. However, recognizing the occurrence and magnitude of early embryonic loss may actually present management opportunities by taking advantage of new reproductive technologies that increase AI service rate in a dairy herd. If used routinely, transrectal ultrasonography has the potential to improve reproductive efficiency within a herd by reducing the period from AI to pregnancy diagnosis to 26 to 28 d with a high degree of diagnostic accuracy (Pieterse et al., 1990a). Early pregnancy diagnosis can, however, only improve reproductive efficiency when a nonpregnancy diagnosis is coupled with a management strategy to rapidly return cows to AI service, and such strategies have not yet been empirically tested for their effects on conception rate. In addition, cows diagnosed pregnant at an early ultrasound exam have a greater risk of early embryonic loss and, therefore, must undergo subsequent pregnancy examinations to identify and rebreed cows that experience such loss. If left unidentified, cows experiencing embryonic loss after an early pregnancy diagnosis would actually reduce reproductive efficiency by extending their calving interval. This concept applies not only to ultrasound, but also to any method used to assess pregnancy status early post breeding.
Identification of Cows Carrying Twins
Twinning is an unavoidable outcome of reproduction in dairy cattle and is undesirable because it reduces overall dairy farm profitability and reproductive efficiency (Eddy et al., 1991; Beerepoot et al., 1992). The reported incidence of twinning in dairy cattle ranges from 2.5 to 5.8% and is dramatically affected by parity, ranging from 1% for first parity to nearly 10% during later parities (Table 2
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Several management scenarios could be considered upon identification of a cow carrying twins including culling, abortion and rebreeding, or continued management until parturition (Fricke, 2001). Continued management of the cow could be avoided either by culling the cow or by aborting the twin pregnancy, usually through administration of an ecbolic agent such as PGF2
. Several factors would argue against aborting a twin pregnancy with the intent of rebreeding the cow. First, although the calving interval would vary widely among cows subjected to abortion, the estimated average calving interval of cows subjected to induced abortion and rebreeding would exceed 500 d (
18 mo) based on average reproductive performance and management indices for lactating cows (Fricke, 2001). Second, the risk for a twin pregnancy during the subsequent gestation is increased because cows calving twins are at greater risk for subsequent twinning (Nielen et al., 1989). Third, establishing pregnancy in lactating dairy cows is difficult, and a pregnancy represents an inherent value to the dairy farm that is forfeited by electively aborting the pregnancy. Finally, cows carrying twins experience greater rates of early embryonic loss than cows carrying singletons and, on occasion, loose one fetus while maintaining the other (Day et al., 1995). Elective abortion of a twin pregnancy early during gestation that may result in the birth of a singleton calf at parturition is not a sound management practice. Based on these considerations and depending on the value of the dam and calf, culling to avoid continued management of a cow carrying twins is a better alternative to aborting the pregnancy. At present, information on twinning management in dairy cattle is inadequate, and further research is needed to make sound management decisions regarding twinning (Fricke, 2001).
Determination of Fetal Sex
Transrectal ultrasound can be used to detect the sex of bovine fetuses in utero. Sex is determined by evaluating the morphology and location of the genital tubercle using ultrasound and is a reliable and accurate method for sex determination beginning on d 55 to 60 of gestation (Curran et al., 1989). Because the reproductive tract and conceptus descend beyond the pelvic rim and into the abdominal cavity as gestation ensues, it becomes increasingly difficult to physically reach the fetus using a transrectal approach during later stages of gestation. Generally, a greater level of operator experience and proficiency is required for sex determination using ultrasound compared with that required for early pregnancy diagnosis or examination of ovarian structures.
In a production dairy system, determination of fetal sex is useful when combined with a management decision or strategy that justifies the expense of fetal sexing. In other words, a dairy producer who pays for information regarding fetal sex must economically justify the usefulness of that information. Fulfilling sales contract obligations regarding the sex of a calf carried by a pregnant cow to be sold is one scenario that may justify this expense. If the sex of a calf is a determining factor for culling decisions regarding a pregnant cow, fetal sexing might also be justified. In contrast, the cost associated with fetal sexing is unwarranted if the information is not used to make a management decision. Because of the economic and management considerations associated with fetal sexing, routine fetal sexing of all pregnant cows in a herd will not likely become a standard reproductive management practice unless bovine practitioners choose to conduct fetal sexing at little or no additional expense beyond pregnancy diagnosis.
| DIAGNOSTIC LIMITATIONS OF ULTRASONIC IMAGING |
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| ECONOMIC CONSIDERATIONS OF ULTRASOUND |
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Ultrasound has previously been reported to be an economically profitable reproductive management strategy for dairy farms (DesCôteaux, and Fetrow, 1998). Economic models were structured to evaluate the annual impact of ultrasonography in reducing average days open. The models included the cost and depreciation of ultrasound equipment, 70% pregnant cows at initial pregnancy examinations, and a cost of each day open past 100 DIM of $4.00. The estimated breakeven costs of ultrasound examinations conducted weekly, bimonthly, and monthly were $8.40, $16.80, and $36.00, respectively (DesCôteaux, and Fetrow, 1998). These authors concluded that experienced veterinarians could easily pay back their investment in an ultrasound machine within 3 yr when charging half of the breakeven cost of ultrasound while servicing 15 well-managed 100-cow dairies (DesCôteaux, and Fetrow, 1998). Furthermore, as the proportion of pregnant cows at pregnancy evaluation decreases below 70%, the economic impact of ultrasound increased (DesCôteaux, and Fetrow, 1998). Despite this report, however, a more thorough evaluation of the economics of ultrasound use in conjunction with timed insemination protocols must be undertaken before use of ultrasound can be justified for reproductive management of dairy cattle.
| INTEGRATION OF ULTRASOUND INTO THE DAIRY INDUSTRY |
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(Pursley et al., 1995, 1997) and is an effective method for hormonally programming cows to receive a timed AI service. Hormonal resynchronization systems that program nonpregnant cows to receive a subsequent AI service need to be developed and assessed to aggressively manage reproduction in lactating dairy cows.
The upper protocol in Figure 1
shows a scenario for combining use of Ovsynch and early pregnancy diagnosis using ultrasound. Groups of cows past the voluntary waiting period would receive their first postpartum insemination after synchronization of ovulation using Ovsynch. This would dramatically reduce median days to first AI by eliminating estrus detection for the first postpartum breeding. On d 25 post AI, nonpregnant cows would be identified using ultrasound, and would receive the first GnRH injection for resynchronization using Ovsynch. This would result in an average interval between services of 35 d for cows requiring resynchronization. The lower protocol in Figure 1
shows a more aggressive scenario for combining use of Ovsynch and early pregnancy diagnosis using ultrasound. Groups of cows past the voluntary waiting period would receive their first postpartum insemination after synchronization of ovulation using Ovsynch. On d 18 post AI, all cows would receive an injection of GnRH regardless of their pregnancy status. Ultrasound would be used on d 25 to identify nonpregnant cows, which would receive a PGF2
injection for resynchronization using Ovsynch.
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The Role of Bovine Practitioners
Currently, the use of ultrasound by bovine practitioners for routine reproductive management on dairy farms is limited. Veterinarians serve as a key information source for US dairy producers with nearly 80% of dairy producers citing veterinarians as a very important source of information for making health care decisions for their operations (NAHMS, 1996). Furthermore, 98.1% of dairy producers surveyed used a veterinarian to diagnose or treat dairy animals on their operation in 1995 and, of those operations that used a veterinarian, 74.4% used their veterinarian for reproductive consultation/services (NAHMS, 1996). Because of their role in reproductive management decisions made on dairy farms, effective Extension efforts in dairy cattle reproduction must include veterinarians to effect widespread change in the dairy industry. On average, each bovine veterinarian in Wisconsin has the potential to impact 36 dairy producers (based on 18,000 dairy farms and approximately 500 dairy veterinarians). Although dairy producers can purchase their own ultrasound machine and conduct reproductive examinations on their own cows, they generally lack the knowledge, training, and experience needed to adequately perform such examinations. Furthermore, veterinarians are currently the only group who can legally perform reproductive ultrasound examinations for hire on dairy farms in Wisconsin and most other states in the United States.
Bovine Reproductive Ultrasound Workshops
Development of Extension education programs to train bovine practitioners to use ultrasound for routine reproductive examinations is a critical step toward implementation of ultrasound technology into the dairy industry. In 1999, an Extension education workshop was developed and implemented in Wisconsin to train bovine practitioners in the practical applications of ultrasound for reproductive management of dairy cattle. The structure of the workshop provides timely, research-based reproductive information and practical hands-on ultrasound experience in an integrated manner.
To date, veterinarians from 20 different US states and 2 Canadian provinces have attended the Bovine Reproductive Ultrasound Workshops held in Wisconsin. That veterinarians travel from across the United States and Canada to attend these workshops in Wisconsin underscores the widespread demand for such training and the lack of adequate training opportunities in other regions of the country. On-farm Extension programs that bring the university together with veterinarians and individual farm owners and operators provide the structure from which significant change in the dairy industry can occur. The concept behind the Bovine Reproductive Ultrasound Workshops draws from the fundamental basis upon which university Extension and the Land Grant System were founded: to enhance the application of useful and practical information beyond the university campus through cooperative Extension efforts with states and local communities (NASULG, 1995).
| CONCLUSION |
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| FOOTNOTES |
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1 This paper was presented at the "Applications of Ultrasound in Livestock Production Systems" symposium at the Joint ADSA/ASAS meeting in Indianapolis, IN, July 27, 2001. ![]()
Received for publication July 13, 2001. Accepted for publication October 4, 2001.
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