Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Contents Small follicle………………………………………………………………………….. 3 Medium size follicle…………………………………………………………………. 5 Dominant follicle……………………………………………………………………. 8 Ovulatory follicle………………………………………………………………………11 Corpora Lutea……………………………………………………………………….. 13 CL of pregnancy……………………………………………………………………... 16 Corpora Hemorrhagicum…………………………………………………………... 17 Follicular Dynamics………………………………………………………………… 18 Superovulation……………………………………………………………………… 23 Luteal Cyst………………………………………………………………………….. 1 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. 24 Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Ovarian structure: The ovaries are examined by using linear array (6-8 MHZ) probe. The probe is introduced through the rectum and placed over the ovaries (one by one) through this method we must avoid ballooning of the rectum or making any Injuries. A- Follicles: Follicles are the easiest structure that we could recognize during examination of the ovaries. They appear as a black circumscribed area with different diameter according to their stage of growth. The Ultrasonography can detect follicle as small as 2-3 mm in diameter until the ovulatory follicle which may reach 1.8 cm in buffalo or 2.5 cm in cattle. In this chapter, we will discuss the different shape and size of the follicles and how we could make interpretation from this shape to detect different stages of follicular waves. 2 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary A.1-small follicles: Fig A.1.1: This sonogram shows a cohorts of four small follicles (35 mm) which grow with each other making what is called the (recruitment stage). This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal. FigA.1.2: This sonogram shows the selection stage. One of the recruited follicles (which is mainly the largest one ≥ 1mm) become selected to be the dominant follicle while the other follicles have been regressed and disappeared. This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal 3 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig A.1.3 This picture shows ovary contains 3 small follicles ( blue circles). Interpretation of the presence of small follicles: The beginning of Emergence of new wave: in this case, all the follicles have approximately the same diameter with difference about 1 mm. Degenerated small follicles: in this case a dominant follicle or at least selected follicle > 7mm presents with them. 4 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry A.2-Medium Size Follicle: The medium size follicle is ( 6-8 mm in buffalo) which is mainly selected at 7-8 mm and after this diameter it takes its dominant effect by suppressing the other small follicle leading to decrease in their growth rate and Fig A.2.1 This sonogram show medium size follicle ( 8.8 mm).This follicle passes the selection stage and enter the dominant phase. This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal. 5 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Fig A.2.2 This sonogram shows 2 medium sized follicles, one of them became the dominant follicle while the other get regressed (subordinate follicle). This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal. 6 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig A.2.3 This picture shows ovary contains a medium sized follicle 9 mm ( blue circles). Interpretation of the presence of medium size follicle: It can be considered as selected follicle if the other follicles on both ovaries are smaller than it. It can be subordinate follicles , if there is a dominant follicle larger than it It could be a degenerated dominant follicle if there is another dominant follicle. 7 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry A.3-The Dominant Follicle: The dominant follicle is larger than 8 mm. It has a negative effect on the other recruited follicle causing a decline in their growth rate. At the end of the cycle, the dominant follicle continues towards ovulation, an events which coincides with the luteal regression. Fig A.3.1 This sonogram shows Dominant follicle (red circle) and subordinate follicle (blue circle). The dominant follicle exerts a negative effect on the subordinate arrow and so it could not grow above this diameter. This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal 8 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig A.3.2 Large size follicle (red arrow) and subordinate follicle (blue arrow). Buffalo ovary 9 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig A.3.3 Another picture for the Dominant follicle (red arrow) and subordinate follicle (blue arrow) in the same time with the presence of CL (in the mid luteal phase). Buffalo ovary Interpretation of the presence of medium sized follicle: It may be the dominant follicle of the follicular wave. It may be a regressed dominant follicle from a previous wave and to exclude this possibility, the ovaries must be scanned for several days after to follow up the decline in its growth rate. 10 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry A.4-Ovulatory follicle: It is a Dominant follicle which coincides with the regression of the CL so the negative feed back of the progesterone is removed giving the chance for the dominant follicle to ovulate. The ovulation could be detected ultrasonography by the disappearance of the Ovulatory follicle. Fig A.4.1 This sonogram show Ovulatory follicle on day 21 of the cycle. This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal Fig A.4.2 This sonogram shows the ovary after ovulation. (The disappearance of the ovulatory follicle from the previous sonogram). Note: the ovary contains a cohort of small follicles which represent an emergence of first wave of the new cycle (red cycle). 11 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig A.4.3 Ovary contains large ovulatory follicle Buffalo ovaries Fig A.4.4 Ovaries contain OVD (ovulation depression) which occurs after the rupture of the ovulatory follicle (red circle). 12 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry B.1-Corpora lutea: The CL has, in contrast to the fluid filled structures, a granular echogenic appearance which intensifies during the luteal phase. A line of demarcation can be recognized between the CL and the ovarian stroma. Fig B.1.1 The sonogram shows a well developed mature CL on day 13 (white line). 2 medium sized follicles are present below it. The whole ovary is surrounded by yellow circle. This sonogram was obtained transrectally with 8.0 MHZ linear array transducer at a display depth 10 cm. The left side of the sonogram is cranial and the right side is caudal. 13 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Fig B.1.2 This sonogram shows a well developed mature CL on day 17. The CL contains white thin line (Trabeculum) in the center of the Corpus luteum. This trabeculum, seen regularly in the midcycle CL is probably the center part of connective tissue in the CL. It is never marked as a special structure after dissection of these CL. This Trabeculum is only distinguished ultrasonographically in functional CL and it provides vascularisation in the luteal tissue of CL. 14 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig B.1.3 Mature CL (mid luteal phase). Note the CL has a prominent crown demarcated neck bulging out the ovarian stroma. The majority of the luteal tissue impeded in the ovary. Fig B.1.4 Ovarian stroma Cut section in the CL shows how deep the CL is impeded. Note it is difficult to see the trabeculum which distinguished ultrasonographically in the Cut section of mature CL. Luteal tissue 15 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary B.2-CL of pregnancy: Fig B.2.1 CL of pregnancy is larger and deeper than the cyclic CL. Fig B.2.2 The sonogram shows the CL of pregnancy which is more defined found on the left ovary which is episilateral to the pregnant horn while the contra lateral ovary contains small follicle. 16 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Taymour M.EL-Sherry B.3-Corpus Hemorrhagicum (CH): While the CH is easily distinguished in the slaughterhouse material by its red coloration, it is difficult to be recognized ultrasonically. It appears as a light grey echogenic structures two to four days after ovulation. It is sometimes hard to discern in the ovarian stroma even when an 8 MHz trans-vaginal scanner is used, as it has the same echogenicity of the ovarian stroma. Fig B.3.1 The Sonogram shows a corpus Hemorrhagicum (CH). It is small in size about (8 mm) and its echogenicity is some what similar to the echogenicity of the ovary. 17 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig B.3.2 The picture shows CH 2 which is smaller than the CL and red in color. C-Follicular dynamics: It is very important to know how we can interpret these sonograms and use them to determine the different stages of the follicular wave 18 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Each wave consists of the following stages: 1- Recruitment stage. 2- Selection stage. 3- Dominant stage. 4- Regression stage in the mid-luteal phase. 5- Ovulation of the dominant follicle. 19 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Animal no (1) cycle no 2 16 diameter of follicle with mm The estrous cycle consists of many waves (2-3 waves/ cycle). This photo demonstrates 2 waves per cycle. Taymour M.EL-Sherry 12 1st wave 8 2nd wave 4 0 0 1 1 day of estrous 20 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. 21 Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Three waves cycle: In this page we will demonstrate a 3 wave's cycle and the changes occur on both ovaries. The left ovary contain nothing Fig C.1 The Right ovary contains small follicles which represent the recruitment of a new wave (1st wave). While the other ovary contain nothing. The left ovary contain nothing Fig C.2 One of the small follicles grew and became the selected follicle after while it increase in size and pass an 8 mm diameter to become the dominant follicle. 21 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. 1st DF CL Ultrasonography of Buffalo ovary The left ovary contain nothing Fig C.3 After while, another wave starts and its dominant follicle increases in size while 1st wave dominant follicle decreases and regresses. 22 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry 1st DF 2nd DF Ultrasonography of Buffalo ovary The left ovary contain nothing Fig C.4 In this sonogram we could see the growth of the 2nd dominant follicle while the 1st dominant follicle decreases in size. Fig .C.5 The left ovary showed the recruitment stage of the third wave. While the right ovary contain the regressed 1st and 2nd dominant follicles 23 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry Ultrasonography of Buffalo ovary Taymour M.EL-Sherry 3rd DF Fig C. 6 the left ovary contain the 3rd dominant follicle (Ovulatory follicle). D.Superovulation: One of the most important applications of the ultrasonography is the follow up the superovulation technique. 24 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Taymour M.EL-Sherry Fig D.1 This sonogram shows superovulated follicles after 4 days of PMSG injection. The photo contains 8 follicles. Fig D.2 This sonogram shows an ovary after 9 days of superovulation with PMSG. The ovary contains the following. 1- Luteal cyst (red arrow). 2- Normal CL (blue circle). 3- CL with cavity (green circle). F.Luteal cyst: The differentiation by means of rectal palpation between luteal cyst and CL with cavities is not easy 25 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Ultrasonography of Buffalo ovary Ultrasonography helps to differentiate between these structures. Fig F.1 This sonogram shows luteal cyst which consist of the following. 1-A lining of luteal granulose cells. (Red arrow). 2- Trabeculae which divide the cyst in a network of compartments (green arrow). 26 Please purchase PDF Split-Merge on www.verypdf.com to remove this watermark. Taymour M.EL-Sherry