B-Mode and Doppler Sonography of the Mammary Glands in Dairy Goats for
Mastitis Diagnosis
VJC Santos
1
, K Simpl ıcio
2
, D Sanchez
2
, L Coutinho
1
, P Teixeira
3
, F Barros
1
, V Almeida
1
, L Rodrigues
4
, P Bartlewski
5
,
M Oliveira
1
, M Feliciano
1
and W Vicente
1
1
Animal Reproduction, College of Agricultural and Veterinary Sciences, Sao Paulo State University, Jaboticabal, Brazil;
2
Veterinary Preventive
Medicine, College of Agricultural and Veterinary Sciences, Sao Paulo State University, Jaboticabal, Brazil;
3
Veterinary Medicine, Midwest State
University, Guarapuava, Brazil;
4
Animal Reproduction, Amazon Federal Rural University, Bel em, Brazil;
5
Biomedical Sciences, University of
Guelph, Guelph, ON, Canada
Contents
This study aimed to evaluate the sonographic characteristics of
the udder and teats and to determine the Doppler indexes of
mammary artery in healthy and undergoing subclinical and
clinical mastitis goats. Thirty animals among Saanen and
Alpine Brown goats were arranged in three groups, healthy
goats (HG), goats with subclinical mastitis (SMG) and goats
with clinical mastitis (CMG). Using the B-mode, the sono-
graphic characteristics (echotexture and echogenicity) and
biometry (diameter and area of the udder cistern, diameter and
area of the teat cistern and thickness of the teat wall) were
evaluated. Using Doppler ultrasonography, the vascular
indexes of the mammary artery were obtained. It was observed
hyperechogenicity with solid component in the gland cistern
when comparing animals with clinical mastitis and healthy
mammary tissue. Regarding the echotexture of the breast
tissue, there was heterogeneity in the mammary parenchyma
on the three groups, for the milk, it was observed homogeneity
for animals on HG and SMG and heterogeneity for animals
on CMG. Grey-scale quantitative assessment revealed increase
in echogenicity (mean value) for all the structures when
comparing the three groups. Biometry did not reveal statistical
difference between groups, for none of the evaluated struc-
tures. Doppler examination of the mammary artery showed
the decrease of end diastolic velocity and raise of pulsatility
index between groups. The association of B-mode and
Doppler ultrasonography is useful for the evaluation of the
udder of dairy goats with mastitis. It is a sensitive and specific
method for the study of this disease. Doppler mode was unable
to establish reliable criteria for diagnosis of subclinical
mastitis. Moreover, the quantification of echogenicity is a
useful technique for the evaluation of the milk in animals with
mastitis; therefore, it is suggested that it can be used as
complementary technique for the diagnosis of mastitis in
goats.
Introduction
Conventional ultrasonographic imaging is a non-inva-
sive diagnostic method that allows for the repeated and
safe evaluation of various regions of the internal organs
(Sim~ oes 2008). The application of this technique to
examine the mammary gland has been evaluated in
several animal species of veterinary interest (Kirk and
Glenn 1996; Fl € ock and Winter 2006; Melo et al. 2012).
The Doppler technique provides a means to assess the
vascular indices of blood flow that can aid in the
differential diagnosis of the primary mammary gland
disorders (Feliciano et al. 2012). In goats, however, the
Doppler sonography has only been employed to assess
blood flow velocity in the milk vein (Nielsen et al. 1990).
Considering the potential applicability of both the
grey-scale and Doppler imaging modalities for the
diagnosis of mammary gland disorders, the sole objec-
tive of this study was to determine the B-mode and
Doppler sonographic characteristics of the mammary
gland in healthy, dairy goats as well as in dairy goats
undergoing mastitis in both the subclinical and clinical
forms and assess if they are related to the disease,
specially the subclinical form for being of difficult
diagnosis.
Materials and Methods
The present study was carried out in the College of
Agriculture and Veterinary Sciences of the S~ ao Paulo
State University facilities, located in the city of Jaboti-
cabal (latitude 21°15
0
17″S and longitude 48°19
0
20″W,
605 m above the sea level), S~ ao Paulo State, Brazil.
Climate of this region is classified as mesothermal
subtropical, with mean annual temperature of 22°C.
Thirty goats, Saanen (26) and Alpine Brown (4), aged
between 2 and 4 years, multiparous, fed with commer-
cial balanced ration, coast cross hay, mineral salt and
water ad libitum were examined 7 days post-partum and
were arranged in three groups of 10 animals each: health
goats (HG), goats undergoing subclinical mastitis
(SMG) and goats with clinical mastitis (CMG). The
animals were manually milked twice a day and the
samples were obtained before the first milking; there-
fore, the udders were full, also the goats had no contact
with their offspring.
Careful clinical examinations were performed accord-
ing to Pugh (2005). Strip cup test and California
Mastitis Test (CMT) were used to evaluate the milk,
also, its characteristics were evaluated according to
criteria collated by Quadros (2007). The ultrasonograms
were obtained with the MyLabTM30 VET (Esaote
S.p.A., Genova, Lig uria, Italy) with a microconvex
multifrequency (5–7.5 MHz) probe, frequency used was
6.6 MHz. To perform B-mode examination, the probe
Reprod Dom Anim doi: 10.1111/rda.12479
ISSN 0936–6768
© 2015 Blackwell Verlag GmbH