relationship between ultrasonographic assessment of the corpus luteum and plasma progesterone...

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Reprod Dom Anim 24\ 54Ð57 "1999# Þ 1999 Blackwell Wissenschafts!Verlag\ Berlin ISSN 9825!5657 Relationship between Ultrasonographic Assessment of the Corpus Luteum and Plasma Progesterone Concentration during the Oestrous Cycle in Monovular Ewes A Gonzalez de Bulnes\ J Santiago Moreno\ A Gomez Brunet and A Lopez Sebastian Dpto de Reproduccion Animal\ SGIT!INIA\ Avda[ Puerta de Hierro s:n\ Madrid\ Spain Contents Ultrasonographic observations of the corpus luteum "CL# and collection of blood samples for progesterone radioimmuno! assay were performed daily during 04 oestrous cycles in Spanish Merino ewes\ a consistently monovular breed[ Ultra! sonographic image of the CL changed during the oestrous cycle\ increasing its echogenic pattern from ovulation to luteolysis[ The size of the CL and mean progesterone levels were sig! ni_cantly a}ected by day of cycle "p ³ 9[94 and p ³ 9[990\ respectively#[ Both increased their values from day 0 to day 01 "from 38[5 2 6[3 to 043[5 2 00[7 mm 1 and from 9[1 2 9[9 to 1[7 2 9[4 ng:ml\ respectively# and then declined sharply until day 9 "17[1 2 4[2 mm 1 and 9[0 2 9[9 ng:ml\ respectively#[ There was a signi_cant correlation between CL area and plasma pro! gesterone concentrations during the entire oestrous cycle\ tak! ing the developing and regressing phases of the CL separately "p ³ 9[94#[ A central cavity was observed in 22[2) of the CL studied[ The presence of this cavity had no e}ect in total luteal! tissue area of the CL nor on oestrous cycle length or on pro! gesterone concentrations[ Likewise\ the cavity did not a}ect the correlations observed between CL size and progesterone levels\ CL size and day of cycle and progesterone levels and day of cycle[ It is concluded that ultrasonographic assessment of CL area is a reliable method for estimating peripheral plasma pro! gesterone levels\ regardless to the presence or absence of a cavity in the CL[ Introduction Ovarian ultrasonographic observation was initially reported in cattle during the 0879s by Pierson and Gin! ther "0873# and Reeves et al[ "0873#[ Since then\ this noninvasive technique has been widely used to visualize either physiological or pathological ovarian structures "Gri.n and Ginther 0881^ Kahn 0881#[ Ovarian ultra! sonography is very useful among other things to assess ovulation and corpus luteum "CL# size[ Ultrasound measurement of the CL size has proven to be a very reliable method to estimate peripheral progesterone con! centrations in cattle since luteal!tissue area was correlated with progesterone concentrations in plasma "Sprecher et al[ 0878^ Kastelic et al[ 0889a# and milk "Son et al[ 0884#[ The presence of a central cavity of variable size in 26) "Kito et al[ 0875# to 68) "Kastelic et al[ 0889b# of the CL in heifers did not a}ect the total luteal!tissue area nor progesterone concentration in plasma "Kastelic et al[ 0889a# or milk "Son et al[ 0884#[ Unlike the cow\ ovarian examination by ultra! sonographic techniques in sheep has not been well developed[ Common trans!abdominal probes used in sheep allows imaging of the ovaries\ but not the structures U[ S[ Copyright Clearance Center Code Statement] 9825Ð5657:1999:2491Ð9954,04[99:9 within them "Bor et al[ 0881#[ Schrick et al[ "0882# _rst used a 6[4 MHz transrectal probe to image follicles and CL[ The accuracy for estimating the presence and number of CL by transrectal probes in polyovular ewes was estab! lished to be between 78 and 099) "Gonzalez de Bulnes et al[ 0883#[ In this study\ 07) of the detected CL exhi! bited a central cavity\ which did not a}ect the e.ciency of detection[ However\ there is not yet any information on the relationship between CL area measured by ultra! sonography and plasma progesterone levels during the oestrous cycle[ Such information would allow ultra! sonography to be used as an alternative method for esti! mating luteal function in sheep\ as described in heifers[ The objectives of this study were to determine "0# a conceivable relationship between CL area and plasma progesterone concentrations during the oestrous cycle in ewes^ and "1# the in~uence of a central cavity in the CL on progesterone levels[ The Spanish Merino sheep was chosen for this study as it is known to be consistently monovular[ This should avoid possible mistakes in the study due to the presence of two or more CL[ Materials and Methods Animals The trial was conducted towards the end of the late breed! ing season and involved a total of 04 nonlactating 2! to 5!year!old ewes[ They were kept outdoors with access to indoor facilities at the SGIT:INIA experimental farm in Madrid\ Spain\ where the latitude is 39>N[ For each ewe\ the study began the day after spontaneous oestrus was detected and _nished on the day of the following oestrus[ Oestrus detection was carried out using vasectomized rams[ Ultrasonographic equipment and procedure Ultrasonographies were made daily with an Aloka 499 SSD "Ecotron\ Madrid\ Spain# using a 6[4 MHz linear array transrectal transducer\ designed for examination of the human prostate[ Observations were conducted with the ewes placed in dorsal recumbence in a metallic cradle as used for laparoscopy[ After introducing an hydro! soluble contact gel into the rectum to enhance the ultra! sound transmission\ the probe was placed in the rectum with the transducer orientated perpendicularly to the ven! tral abdominal wall[ When the urinary bladder was sur! passed and the uterine horns located\ the probe was

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Reprod Dom Anim 24\ 54Ð57 "1999#Þ 1999 Blackwell Wissenschafts!Verlag\ BerlinISSN 9825!5657

Relationship between Ultrasonographic Assessment of the Corpus Luteum and Plasma

Progesterone Concentration during the Oestrous Cycle in Monovular Ewes

A Gonzalez de Bulnes\ J Santiago Moreno\ A Gomez Brunet and A Lopez Sebastian

Dpto de Reproduccion Animal\ SGIT!INIA\ Avda[ Puerta de Hierro s:n\ Madrid\ Spain

Contents

Ultrasonographic observations of the corpus luteum "CL# andcollection of blood samples for progesterone radioimmuno!assay were performed daily during 04 oestrous cycles in SpanishMerino ewes\ a consistently monovular breed[ Ultra!sonographic image of the CL changed during the oestrous cycle\increasing its echogenic pattern from ovulation to luteolysis[The size of the CL and mean progesterone levels were sig!ni_cantly a}ected by day of cycle "p ³ 9[94 and p ³ 9[990\respectively#[ Both increased their values from day 0 to day 01"from 38[5 2 6[3 to 043[5 2 00[7 mm1 and from 9[1 2 9[9 to1[7 2 9[4 ng:ml\ respectively# and then declined sharply untilday 9 "17[1 2 4[2 mm1 and 9[02 9[9 ng:ml\ respectively#[ Therewas a signi_cant correlation between CL area and plasma pro!gesterone concentrations during the entire oestrous cycle\ tak!ing the developing and regressing phases of the CL separately"p ³ 9[94#[ A central cavity was observed in 22[2) of the CLstudied[ The presence of this cavity had no e}ect in total luteal!tissue area of the CL nor on oestrous cycle length or on pro!gesterone concentrations[ Likewise\ the cavity did not a}ect thecorrelations observed between CL size and progesterone levels\CL size and day of cycle and progesterone levels and day ofcycle[ It is concluded that ultrasonographic assessment of CLarea is a reliable method for estimating peripheral plasma pro!gesterone levels\ regardless to the presence or absence of a cavityin the CL[

Introduction

Ovarian ultrasonographic observation was initiallyreported in cattle during the 0879s by Pierson and Gin!ther "0873# and Reeves et al[ "0873#[ Since then\ thisnoninvasive technique has been widely used to visualizeeither physiological or pathological ovarian structures"Gri.n and Ginther 0881^ Kahn 0881#[ Ovarian ultra!sonography is very useful among other things to assessovulation and corpus luteum "CL# size[ Ultrasoundmeasurement of the CL size has proven to be a veryreliable method to estimate peripheral progesterone con!centrations in cattle since luteal!tissue area was correlatedwith progesterone concentrations in plasma "Sprecher etal[ 0878^ Kastelic et al[ 0889a# and milk "Son et al[ 0884#[The presence of a central cavity of variable size in 26)"Kito et al[ 0875# to 68) "Kastelic et al[ 0889b# of theCL in heifers did not a}ect the total luteal!tissue areanor progesterone concentration in plasma "Kastelic et al[0889a# or milk "Son et al[ 0884#[

Unlike the cow\ ovarian examination by ultra!sonographic techniques in sheep has not been welldeveloped[ Common trans!abdominal probes used insheep allows imaging of the ovaries\ but not the structures

U[ S[ Copyright Clearance Center Code Statement] 9825Ð5657:1999:2491Ð9954,04[99:9

within them "Bor et al[ 0881#[ Schrick et al[ "0882# _rstused a 6[4MHz transrectal probe to image follicles andCL[ The accuracy for estimating the presence and numberof CL by transrectal probes in polyovular ewes was estab!lished to be between 78 and 099) "Gonzalez de Bulneset al[ 0883#[ In this study\ 07) of the detected CL exhi!bited a central cavity\ which did not a}ect the e.ciencyof detection[ However\ there is not yet any informationon the relationship between CL area measured by ultra!sonography and plasma progesterone levels during theoestrous cycle[ Such information would allow ultra!sonography to be used as an alternative method for esti!mating luteal function in sheep\ as described in heifers[

The objectives of this study were to determine "0# aconceivable relationship between CL area and plasmaprogesterone concentrations during the oestrous cycle inewes^ and "1# the in~uence of a central cavity in the CLon progesterone levels[ The Spanish Merino sheep waschosen for this study as it is known to be consistentlymonovular[ This should avoid possible mistakes in thestudy due to the presence of two or more CL[

Materials and Methods

Animals

The trial was conducted towards the end of the late breed!ing season and involved a total of 04 nonlactating 2! to5!year!old ewes[ They were kept outdoors with access toindoor facilities at the SGIT:INIA experimental farm inMadrid\ Spain\ where the latitude is 39>N[ For each ewe\the study began the day after spontaneous oestrus wasdetected and _nished on the day of the following oestrus[Oestrus detection was carried out using vasectomizedrams[

Ultrasonographic equipment and procedure

Ultrasonographies were made daily with an Aloka 499SSD "Ecotron\ Madrid\ Spain# using a 6[4MHz lineararray transrectal transducer\ designed for examination ofthe human prostate[ Observations were conducted withthe ewes placed in dorsal recumbence in a metallic cradleas used for laparoscopy[ After introducing an hydro!soluble contact gel into the rectum to enhance the ultra!sound transmission\ the probe was placed in the rectumwith the transducer orientated perpendicularly to the ven!tral abdominal wall[ When the urinary bladder was sur!passed and the uterine horns located\ the probe was

55 A Gonzalez de Bulnes\ J Santiago Moreno\ A Gomez Brunet and A Lopez Sebastian

rotated laterally 89> clockwise and 079> counterclockwiseto observe both ovaries and their structures[

Each ovary was scanned several times in di}erentplanes in order to obtain the largest diameter of the CL\and the image was frozen at that stage[ Using electroniccalipers\ the CL area was then determined by measuringthe interface of luteal tissue with ovarian stroma in caseswhere the shape was spherical\ or multiplying "9[4×height#× "9[4×width#×p "�2[03# in cases whereshape was not spherical[ The same procedure was usedto measure the central CL cavity\ by placing the calipersin the interface between the luteal tissue and the cavity[

Blood collection and progesterone assay

Samples "4ml# of jugular blood were drawn before everyultrasonographic observation using vacuum bloodevacuation tubes with heparin "VacutainerR SystemsEurope 4ml\ Becton Dickinson\ Meylan Cedex\ France#[Blood samples were centrifuged at 2499 r[p[m[ "0499 g#for 04min and the plasma was stored at −19>C untilassayed[ Progesterone concentration was measured byradioimmunoassay as described by Lopez!Sebastian etal[ "0873#[ Sensitivity was 9[95 ng:ml\ e.ciency was73[2)\ and the inter! and intra!assay variationcoe.cients were 09[3 and 02[5)\ respectively[

Statistical analysis

The statistical model determined the e}ect of day on CLarea and on plasma progesterone concentrations[ Threegroups\ namely all ewes together\ ewes with a CL with acavity and ewes with a CL without a cavity\ were usedfor comparisons[ Because of considerable variation inlength of cycle\ the developing "days 0 to 01# and regress!ing "days −3 to 9# periods of CL were examined separ!ately[ Data for day −3 to the day of the new oestrus "day9# were normalized to the day of the new oestrus[ Thee}ects of day of oestrous cycle were partitioned into alinear component and remainder "lack of _t# in re!analy!sis of variables for which day of cycle di}ered from day0 to day 01 or day −3 to day 9[ All comparisons weremade by analysis of variance "Steel and Torrie 0879# usingthe {analysis of variance and covariance with repeatedmeasures| and {one! and two!way analysis of variancewith data screening| procedures of BMDP "BMDP Sta!tistical Software Inc[\ Los Angeles\ CA\ USA#[ Data wereexpressed as mean2SEM and di}erences were con!sidered to be statistically signi_cant at p³ 9[94[ The cor!relation coe.cients between day of oestrous cycle\ CLsize and progesterone levels was analysed for the threegroups of ewes by the Pearson correlation procedure ofBMDP Statistical Software "{linear regression by groups|and {bivariate scatter plots|# and correlations were con!sidered to be statistically signi_cant at p³ 9[94[

Results

The ovulation rate was 0 for the 04 oestrous cycles stud!ied[ Presence of ovulation was _rst identi_ed on day 0"day 9�day of oestrus#\ and mean _rst day of detectionof ovulation was 1[32 9[5[ Ultrasonographic images

were very in~uenced by the stage of the cycle\ showing anhypoechogenic pattern just after ovulation[ Echogenicityincreased from day 2 to 3 of the oestrous cycle\ beinghomogeneous and normoechogenic or slightly hyper!echogenic during luteal phase\ and hyperechogenic afterluteolysis[ Margins between CL and ovarian tissue wereirregular in both follicular and early luteal phase but well!de_ned during mesoluteal phase[

The mean inter!ovulatory interval for the 04 oestrouscycles was 06[42 9[4 days\ with a range from 03 to 08days[ No relationship was observed between inter!ovu!latory interval and ewe|s age CL size and mean pro!gesterone levels were signi_cantly a}ected by day of cycle"p³ 9[94 and p³ 9[990\ respectively^ Fig[ 0#[ The CLarea was smaller than 099mm1 during the _rst 2 days ofcycle\ and then it increased linearly until day 01"043[52 00[7mm1#\ after which it decreased pro!gressively to 17[12 4[2mm1 on day 9[ Progesterone con!centrations increased sharply from day 0 to day 01"9[12 9[9 to 1[72 9[4 ng:ml#\ and then decreased to9[02 9[9 ng:ml on day 9[ There was a signi_cant cor!relation between CL area and plasma progesterone con!centrations throughout the entire oestrous cycle"p³ 9[94#\ both during the developing "p³ 9[90# andduring regressing phase "p³ 9[94# of the CL[

The presence of a central cavity showing an irregularshape and hypoechogenic pattern was observed in _veof the 04CL "22[2)#[ Mean days for the _rst and lastdetection of the cavity were 1[92 9[2 "0Ð2# and 8[52 0[1"5Ð01#\ respectively[ No relationship was found betweenthe existence of cavity and oestrous cycle length"06[72 9[3 days for ewes that had a CL with cavity versus06[12 9[4 days for ewes that had no cavity within theCL#\ nor with plasma progesterone levels throughout thecycle[ Measurements of the luteal tissue area showed nosigni_cant di}erences between CL with or without cavity"Fig[ 1#[ Presence or absence of the cavity did not a}ectthe relationship between total luteal!tissue area and dayof cycle or between progesterone concentrations andluteinized area[

Discussion

The results of this study indicate that transrectal ultra!sonography allows observation and evaluation of theovine CL along the oestrous cycle[ Both the ultra!sonographic image and size varied from ovulation toluteolysis\ the size in mm1 being correlated with day ofcycle and plasma progesterone levels[ The presence of acentral cavity within the CL did not have any e}ect onoestrous cycle length\ nor total luteal!tissue area orplasma progesterone concentrations[ Therefore\ ultra!sonographic assessment of CL area is a reliable methodfor estimating peripheral plasma progesterone levels\regardless to the presence or absence of a cavity into theCL[

Our observations showed that it is possible to detectthe corpus haemorrhagicum from the moment ofovulation[ However\ it is better to wait until days 2Ð3 ofthe cycle in practice\ when the CL is well!luteinized[ Asdescribed in a prior study "Gonzalez de Bulnes et al[0883#\ e.ciency of detection without prior scanning is atits lowest on the day after ovulation "49)#^ it increases

56Corpus Luteum and Progesterone in Ewes

Fig[ 0[ Mean diameter of CL areain mm1 "Ž# and mean plasmaprogesterone concentration inng:ml "ž# on each day ofoestrous cycle of monovularSpanish Merino ewes

Fig[ 1[ Mean diameter of CL areain mm1 "Ž# and mean plasmaprogesterone concentration inng:ml "ž# on each day ofoestrous cycle of monovularSpanish Merino ewes that had aCL with "A# or without cavity "B#

to 51[2) on day 3 and rises to 099) from day 4[ Thepresent data indicate that ultrasound e.ciency for detec!tion of luteal tissue depends on its ultrasonographiccharacteristics[ The corpus haemorrhagicum is hypo!echogenic\ irregular in shape and di.cult to di}erentiatefrom an ovulatory!size follicle[ On the other hand\ theCL is homogeneous\ normoechogenic and well!de_nedfrom days 2Ð3 and during the early luteal phase[ Whenthe cycle advances\ luteal tissue becomes slightly hyper!echogenic in the mesoluteal phase and markedly hyper!echogenic after luteolysis\ whereas shape outlining ishighest in midcycle and decreases during the follicularphase[ These variations in ultrasonographic morphology

along the cycle are in agreement with previous descrip!tions in cows "Pierson and Ginther 0873^ Chevalier 0877#[

Moreover\ the increased e.ciency for detecting theCL as the cycle advances "Gonza�lez de Bulnes et al[ 0883#is also favoured by the luteal!tissue growth\ which wassigni_cantly correlated with day of cycle and showed itslargest area during mesoluteal phase in current study[Total luteal!tissue area in Spanish Merino ewes was alsocorrelated with plasma progesterone concentrations[ Therelationship between ultrasonographic assessment of CLand peripheral progesterone levels has been establishedin cattle\ both in plasma "Sprecher et al[ 0878^ Kastelic etal[ 0889a# and in milk "Son et al[ 0884#[ The present

57 A Gonzalez de Bulnes\ J Santiago Moreno\ A Gomez Brunet and A Lopez Sebastian

observations strongly support the usefulness of ultra!sonography as a tool to assess functionality of CL inruminants\ particularly during the developing lutealphase\ when our results showed a high correlationbetween luteal area and progesterone levels[ Similarresults were previously observed by Kastelic et al[ "0889a#in cattle\ who reported that luteal tissue area and plasmaprogesterone concentrations increased at a similar rateduring luteal growth[ However\ they also noticed thatwhen luteal regression began\ progesterone levels de!creased faster than the luteal area "Kastelic et al[ 0889a#[That observation\ con_rmed in this study\ could indicatethat functional regression is earlier than morphologicregression of the CL\ as suggested by Assey et al[ "0882#[

Presence of a central cavity of variable size wasdetected in 22[2) of the CL studied\ a higher percentagethan the 07) previously reported in the same Merinobreed after ovariectomy "Gonza�lez de Bulnes et al[ 0883#[In accordance with the observations of Kastelic et al["0889b# in heifers\ this discrepancy may be due to anunderestimation in prior data\ since observations wereperformed at di}erent stages of the oestrous cycle[ Thus\it is possible that some failures to detect the cavityoccurred in CL evaluated after day 02\ since this studyshows that cavities can disappear between days 5 and 01[Presence of a cavity in the CL could be a source of errorwhen detecting the CL due to confusion with luteinizedanovulatory follicles[ The CL cavity is usually hypo!echoic\ but occasionally exhibits a slightly increased anddi}use pattern or the presence of echogenic lines[ Analy!ses performed in heifers showed that the former was theultrasonic image of haemolysed blood accumulations\whereas the latter was _brin!like strands "Pierson andGinther 0876#[ Luteinized follicles were not identi_ed inthis study\ but unpublished data obtained in our lab!oratory with gonadotrophin!treated ewes indicated thatluteinized follicles show a thicker\ larger as well as more!de_ned and anechogenic cavity than CL[

When the presence of a central cavity in the ovine CLwas considered\ there was no relationship between luteal!tissue area and progesterone levels\ as described in pre!vious studies on heifers "Kito et al[ 0875^ Kastelic et al[0889b^ Son et al[ 0884#[ This fact\ together with the lackof in~uence of the cavity on cycle length\ as seen in cows"Kito et al[ 0875^ Kastelic et al[ 0889b# and mares "Town!son and Ginther 0878#\ could indicate that cavities do nota}ect luteal!tissue functionality nor half!life in sheep[ Thisassumption was con_rmed by unpublished preliminarystudies performed in our laboratory in which the presenceof cavity did not in~uence pregnancy rates\ as previouslyreported in cattle "Kito et al[ 0875^ Kastelic et al[ 0889b#[

Acknowledgements

This research was supported by a C[I[C[Y[T[ project "AGF83Ð0359\ Spain#[ AGde B and JSM were supported by a researchgrant of the Ministry of Agriculture of Spain[ Special thanks toBlanca Cabellos for progesterone radioimmunoassays and DrRC Mainar for kind revision of the manuscript[

References

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cattle after cloprostenol!induced luteolysis[ Theriogenology28\ 0210Ð0229[

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Kastelic JP\ Pierson RA\ Ginther OJ\ 0889b] Ultrasonic mor!phology of corpora lutea and central luteal cavities duringthe estrous cycle and early pregnancy in heifers[ Therio!genology 23\ 376Ð387[

Kito S\ Okuda K\ Miyazawa K\ Sato K\ 0875] Study on theappearance of the cavity in the corpus luteum of cows byusing ultrasonic scanning[ Theriogenology 14\ 214Ð222[

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Schrick FN\ Surface RA\ Pritchard JY\ Dailey RA\ TownsendEC\ Inskeep EK\ 0882] Ovarian structures during the estrouscycle and early pregnancy in ewes[ Biol Reprod 38\ 0022Ð0039[

Son CH\ Schwarzenberger F\ Arbeiter K\ 0884] Relationshipbetween ultrasonic assessment of the corpus luteum area andmilk progesterone concentration during the estrous cycle inheifers[ Reprod Dom Anim 29\ 86Ð099[

Sprecher DJ\ Nebel RL\ Whitman SS\ 0878] The predictivevalue\ sensitivity and speci_city of palpation per rectum andtransrectal ultrasonography for the determination of bovineluteal status[ Theriogenology 20\ 0054Ð0061[

Steel RGD\ Torrie JH 0879] Principles and Procedures of Stat!istics\ 1nd edn[ McGraw Hill Inc[\ New York[

Townson DT\ Ginther OJ\ 0878] Characterization of plasmaprogesterone concentrations for two distinct luteal mor!phologies in mares[ Theriogenology 21\ 086Ð193[

Submitted] 3[2[0888

Authors| address] A Gonzales de Bulnes "for correspondence#\ Dpto[de Reproduccion Animal\ Subdireccion General de Investigacion yTecnologia Istituto Nacional de Investigaciones Agrarias y Ali!mentarias "SGIT:INIA#\ Avda[ Puerta de Hierro s:n\ 17939!Madrid\Spain[ E!mail] bulnesÝinia[es