ABSTRACT
A detecção superprecoce de gestação é de grande relevância quando se trata do aumento da produtividade dos rebanhos, na tentativa de redução do tempo de serviço desses animais. Por tal relevância, objetivou-se utilizar a ultrassonografia (US) Doppler como ferramenta para predição de gestação, avaliando a irrigação do corpo lúteo (CL), vinte dias após IATF. Setenta e três vacas mestiças foram avaliadas 20 dias após IATF por US transretal. Para obtenção do diâmetro do CL (DCL) e sua área (ACL) utilizou-se o modo B, na mensuração da área de vascularização (VCL) e seu percentual no CL (VCL%) empregou-se o Doppler Colorido. As imagens foram classificadas com base na quantidade de pixels coloridos e sua distribuição no CL, em dois grupos: diagnóstico preditivo negativo de gestação (DPN) e preditivo positivo (DPP). No mesmo dia, a funcionalidade do CL foi determinada pela concentração plasmática de P4. O diagnóstico de gestação definitivo foi realizado por US 35 dias após as IATFs. Utilizou-se o teste t de Student (com P<0,05) na avaliação das variáveis. Grupo gestantes apresentou médias superiores (P<0,05) para todas as variáveis ao Grupo Não Gestantes. O diagnóstico preditivo demonstrou 83,33% de especificidade, sensibilidade de 100% e acurácia de 91,79%. Conclui-se que a US doppler do CL aos 20 dias pós IATF é um método confiável no diagnóstico precoce de gestação.(AU)
The super early gestation detection is of great relevance considering the increase of the herds' productivity, in an attempt to reduce the time of service of these animals. Due to this relevance, this study aimed to use Doppler ultrasonography as a tool for gestation prediction, evaluating the luteal body (CL) irrigation twenty days after FTAI. 73 crossbred cows were evaluated 20 days after FTAI through trans rectal US. In order to obtain the diameter of the CL (DCL) and its area (ACL), B mode was used. The Color Doppler was applied to measure the vascularization area (CLV) and its percentage in the CL (VCL %). The images were classified, based on the number of colored pixels and their distribution in CL, in two groups: negative predictive diagnosis of gestation (NPD) and positive predictive value (PPV). On the same day, LC functionality was determined based on P4 plasma concentration. The definitive gestation diagnosis was confirmed through US 35 days after the FTAIs. Student's T test (with P<0.05) was used to evaluate the variables. Pregnant group presented higher averages (P<0.05) for all variables compared to the Non-Pregnant Group. The predictive diagnosis showed 83.33% of specificity, 100% of sensitivity and 91.79% of accuracy. The conclusion is that the US Doppler at 20 days post FTAI is a reliable method for early gestation diagnosis.(AU)
Subject(s)
Animals , Female , Pregnancy , Cattle , Pregnancy/physiology , Pregnancy, Animal/physiology , Cattle/physiology , Insemination, Artificial/veterinary , Corpus Luteum/diagnostic imaging , Ultrasonography, Doppler/veterinaryABSTRACT
OBJECTIVE: To estimate the predictive value of initial serum B-hCG and progesterone measurement for pregnancy outcome in IVF-ET. METHODS: Serum B-hCG at 11-12th day after embryo transfer and progesterone at 7th day after oocyte aspiration were measured in 48 successful pregnant IVF-ET cases from July 1993 to June 1997. RESULTS: Of 48 cases, 26 cases (54.2%) successfully carried to sustaining gestation and 22 cases (45.8%) failed to sustain gestation. The estimated initial serum B-hCG levels in the normal sustaining pregnancy group (132.28+ 22.42 mlU/ml) were statistical significantly higher than 29.43+8.08 mIU/ml in the failed sustaining pregnancy group (p<0.001), while the estimated initial serum progesterone levels showed no significant differences (p=0.159). In order to determine the predictive values using the Receiver Operator Curve (ROC), an appropriate cutoff value of 38 mIU/ml for initial serum B-hCG was obtained. In IVF-ET pregnancies, the estimated serum B-hCG levels in cases of chemical abortion in failed sustaining pregnancy were significantly lower compared to the normal sustaining pregnancy group (p<0.001). CONCLUSION: The initial serum B-hCG levels at 11 days after embryo transfer could be used to predict the pregnancy outcome in an IVF program. An initial progesterone level acquired on the 7th day after oocyte retrieval is not a useful indicator to predict pregnancy outcome.