Jennifer L. Giffin

A study of morphological and haemodynamic determinants of testicular echotexture characteristics in the ram.

The ultrasonographic image of an organ is a product of scattering and reflection of high-frequency ultrasound beams by discrete units of tissue. The number of acoustic tissue interfaces and vascularity affects the quantitative characteristics of grey-scale ultrasonographic images. This study was undertaken to examine the influences of scrotal/testicular integument and blood flow on testicular echotexture parameters in the ram. Serial ultrasonographic images were obtained during surgical castration of 7 Rideau Arcott rams aged 20–22 weeks. The first 2 sets of images were taken through the scrotum, prior to and after induction of anaesthesia. The third set was taken through the tunica vaginalis, the fourth set was obtained through the tunica albuginea, the fifth set was taken when the testicular cord and internal blood vessels were clamped, and the final set of images was recorded after allowing the blood to drain from dissected testicles (5 min). All images were then subjected to computerized image analyses and the testicles were processed for histology. The removal of the scrotal skin and tunica vaginalis both resulted in significant (P < 0.05) increments in numerical pixel values (NPVs) and pixel heterogeneity (standard deviation of pixel values) of the testicular parenchyma. There were no differences (P > 0.05) in testicular echotexture between images taken just before or after clamping the testicular cord vessels, or after draining. At all stages, NPVs were correlated (P ≤ 0.10) to the seminiferous tubule (ST) area and the ST lumen area, except for NPVs and the ST lumen area in images obtained through the tunica albuginea (P = 0.20). We concluded that: 1) attenuation of ultrasound waves by the scrotal skin and tunica vaginalis significantly altered testicular echotexture characteristics; 2) vascular blood flow did not affect the echotextural attributes of the rams’ testes; and 3) NPVs were a good indicator of ST microstructure in situ and ex vivo.

Suitability of epididymal and testicular ultrasonography and computerized image analysis for assessment of current and future semen quality in the ram.

Breeding soundness evaluation (BSE) is the primary assessment for determining the reproductive potential of male animals. This method, however, cannot be used to evaluate semen frequently or to predict future semen quality. Computerized analysis of ultrasonographic images provides information on histophysiological changes in male reproductive organs. We hypothesized that: (i) semen parameters would correlate with ultrasonographic characteristics of the distal region (cauda) of the epididymis and (ii) testicular ultrasound images and/or circulating testosterone concentration would predict future semen quality in the ram. Six adult rams underwent BSE and scrotal ultrasonography approximately 60 d apart (average duration of the spermatogenic cycle) both during the breeding (December and February) and non-breeding (June and August) seasons. An inverse correlation was found between pixel intensity (numerical pixel values) of the epididymes and percentage of sperm in semen with normal morphology (r = −0.46, P < 0.05). Pixel heterogeneity (standard deviation of pixel values) correlated negatively with percentage of sperm with normal morphology (r = −0.42, P < 0.05) and directly with percentage of spermatozoa with abnormal tails (r = 0.43, P < 0.05). Pixel heterogeneity of testicular parenchyma obtained approximately 60 d prior to semen evaluation inversely correlated with percentage of sperm with normal morphology (r = −0.73, P < 0.01) and sperm progressive motility (r = −0.76, P < 0.01), and directly with percentage of sperm with abnormal tails (r = 0.72, P < 0.01) and loose heads (r = 0.79, P < 0.01). We concluded that scrotal ultrasonography combined with computer-assisted analyses of epididymal and testicular echotexture in the ram was a valuable method for determining certain current and future semen parameters, respectively.

Relationships of ultrasonographic and magnetic resonance image attributes to the histomorphology of ram testes

Declining male fertility has prompted investigations into the diagnostic methods that would permit frequent, non-invasive and accurate detection of changes in testicular histomorphology and the reproductive status of individuals. Ultrasonographic (U/S) and magnetic resonance (MR) imaging both have the potential to be used in this manner as associations have previously been described between the U/S and MR image attributes and histopathological changes in testicular tissue. The present study set out to determine if correlations exist between quantitative U/S and MR image attributes and histomorphological characteristics (total and luminal seminiferous tubule, ST area, and parenchymal cell density) of the excised ram testes, and to compare relative sensitivities of the imaging techniques. The echotextural/MR (input variables) and histological parameters (output variables) were analyzed by the Pearsons product moment correlations. Significant correlations were found for all imaging modalities, with the strongest overall correlation recorded for the T2 FAST SPIN ECHO (T2FSE) MR series (between mean numerical pixel values (NPVs) and total ST area; r=-0.93, p<0.001). The greatest number of significant correlations among quantitative image characteristics and histological attributes of testicular tissue were found for the 3 PLANE LOCALIZER (3 PLANE LOC) MR series, followed by the T2FSE MR, 3D FAST-SPOILED GRADIENT ECHO (3D FSPGRE) MR, U/S (7.5 MHz) imaging, and finally T1 SPIN ECHO (T1SE) MR series. No significant correlations were recorded between the quantitative attributes of T1SE images and ST lumen area or parenchymal cell density, or between the attributes of the 3D FSPGRE images and cell density. We concluded that there existed a potential practical application for both U/S and MR image techniques, combined with computer-assisted image analysis, to monitor the changes in testicular histomorphology and male reproductive health and fertility. Scrotal U/S remains a first-line imaging technique for the assessment of male reproductive health due mainly to its versatility and lower cost.

Correlations among ultrasonographic and microscopic characteristics of prepubescent ram lamb testes

The onset of spermatogenesis during prepubertal development is accompanied by dynamic changes in testicular microstructure. Computer-assisted analysis of scrotal ultrasonograms may allow us to track these changes in a noninvasive manner; however, the echotextural characteristics of different histomorphological variables remain unclear. Hence the objective of this study was to compare echotextural and microscopic attributes of the testis over the first wave of spermatogenesis in prepubescent ram lambs. Bi-weekly ultrasound examinations and weekly testicular biopsies were carried out in 22 ram lambs from 9.5–10 weeks of age or the attainment of 15 cm3 in testicular volume, respectively, to the first detection of elongated spermatids (ESt). Testicular echogenicity was highly variable with age; however, after the alignment of data to the first detection of ESt, there was an initial increase followed by a decline, corresponding to the mitotic and postmitotic phases of spermatogenesis in prepubescent ram lambs. Testicular echotextural attributes (mean numerical pixel values and pixel heterogeneity) correlated with seminiferous tubule (ST) diameter, the number of degenerating cells/ST cross-section (XS), and the number of ubiquitin C-terminal hydrolase L-1 (a marker for prespermatogonia and undifferentiated spermatogonia) staining cells/ST XS during the mitotic and postmitotic phases. Additionally, in the postmitotic phase, significant correlations were recorded between the quantitative echotextural characteristics and ST cell density, nuclear:ST area and percentages of STs with different spermatogenic cells as the most mature germ cell type present. These results indicate that ram testes exhibit distinctive echotextural characteristics during the mitotic and postmitotic phases of germ cell differentiation. It is concluded that scrotal ultrasonography in conjunction with computerized image analysis holds potential as a noninvasive alternative to testicular biopsy in monitoring the reproductive status throughout different stages of testicular development.

Relationships of changes in ultrasonographic image attributes to ovulatory and steroidogenic capacity of large antral follicles in sheep

Ovarian steroidogenesis and antral follicular development in ewes, following the treatment with medroxyprogesterone acetate (MAP) and equine chorionic gonadotrophin (eCG), are affected by the reproductive season. The objective of this study was to compare the ultrasonographic attributes of large antral follicles between cyclic (December) and seasonally anovular (June-July) ewes, after a 12-day treatment with MAP-soaked intravaginal sponges, with or without the administration of 500IU of eCG at sponge removal, and to determine whether there is a correlation between the ultrasonographic attributes of the follicular wall and serum concentrations of oestradiol. Digital images of ovulatory follicles from cyclic ewes and eCG-treated anoestrous ewes (n=34 follicles), and of anovulatory follicles attaining > or =5mm in control anoestrous ewes (n=8 follicles), were analysed using the spot and line techniques designed to determine the echotextural characteristics of the follicular antrum (central and peripheral), follicular wall and perifollicular ovarian stroma. The mean diameter of ovulatory follicles was greater (P<0.001) in cyclic than anoestrous ewes, with or without the eCG treatment. The mean pixel heterogeneity (SD of numerical pixel values) of the follicular antrum (P<0.05), as well as mean pixel intensity and heterogeneity of the peripheral antrum, follicular wall proper and perifollicular ovarian stroma (P<0.05), were consistently greater in anoestrous than cyclic ewes at the time of sponge removal and 24h after the treatment with MAP sponges or MAP/eCG. Mean oestradiol concentrations were greater (P<0.05) in cyclic compared to anoestrous ewes in both MAP- and MAP/eCG-treated animals, from 1 to 2 days after sponge withdrawal. There was a moderate negative correlation (r(2)=0.12, P<0.05; Pearsons Product Moment and r(2)=0.23, P<0.05; ANCOVA) between mean pixel heterogeneity (standard deviation of mean pixel values) of the follicular wall proper (all follicles > or =5mm in diameter) and serum concentrations of oestradiol after sponge withdrawal. Our results indicate that large antral follicles from cyclic and seasonally anovular ewes exhibit distinctive ultrasonographic characteristics. The differences in follicular echotexture appear to be related mainly to seasonal variations in ovarian follicular morphology and oestradiol production.

Retinoic acid treatment alters germ cell heterogeneity and testicular echotexture in prepubescent ram lambs

Testicular echotextural attributes are closely associated with spermatogenic development; however, precise characterisation of specific germ cell types is difficult due to tremendous germ cell heterogeneity. Recently, retinoic acid (RA) administration in neonatal mice was found to induce highly synchronised spermatogenesis as adults. A RA-treatment protocol was tested in 17 ram lambs treated with or without RA at 8 weeks of age, with scrotal ultrasonography and blood samples collected until castration 24h or 2.5 weeks later. At 8.2 weeks of age, the nuclear:seminiferous tubule (ST) area was higher in the treated compared with the control group. Serum testosterone concentrations and numerical pixel values (NPVs) of the testicular parenchyma reached a peak at 9 weeks of age in both groups of ram lambs studied. At 10.5 weeks of age, the percentage of ST cross-sections with different germ cells as the most mature germ cell type was lower and the inter-tubular heterogeneity and NPVs were also lower in the treated compared with the control animals. RA manipulation of spermatogenesis in prepubertal ram lambs may provide a suitable model for further investigation of the echotextural characteristics of specific germ cell types and critical developmental events.

Prospective ultrasonographic and endocrine predictors of spermatogenic onset in ram lambs

The objective of this study was to examine testicular ultrasonographic characteristics and endocrine profiles in prepubescent ram lambs for correlations with the age at first detection of elongated spermatids (ESt age). Bi-weekly ultrasound examinations and weekly testicular biopsies began at 10 weeks of age or at the time that testicular volume reached 15cm3, and continued until 1-2 weeks after Ests were first detected by histological examination of testicular biopsies in twenty-two spring-born Rideau Arcott×Polled Dorset lambs. Computer-assisted analysis of testicular ultrasonograms was performed using commercially available image analytical software. Blood samples were drawn before each ultrasonographic examination and were used for measurements of free triiodothyronine (fT3) and thyroxine (fT4), and follicle-stimulating hormone (FSH) concentrations. The mean (±SEM) age at first detection of ESts was 15.9±0.5 weeks. Testicular volumes recorded between 10 and 12 weeks of age correlated inversely with the ESt age (r=-0.44 to -0.50, P≤0.05). Statistically significant correlations were recorded between the ESt age and numerical pixel values of testicular parenchyma at 10 (r=-0.48, P=0.05) and 15 (r=0.52, P=0.05) weeks of age, and between the ESt age and testicular pixel heterogeneity in ram lambs aged 14.5 weeks (r=0.60, P=0.007). Lastly, circulating FSH concentrations at 10 weeks (r=-0.43, P=0.05), serum fT3 concentrations at 13 weeks (r=0.44, P=0.04) and fT4 concentrations at 11.5 weeks of age (r=0.48, P=0.03) were all correlated with the ESt age. The present results show that testicular volume has the most stable relationship with pubertal onset; however, testicular echotexture as well as circulating concentrations of FSH and free fractions of thyroid hormones at specific ages may be indicative of more intricate developmental events heralding puberty.