Evaluation of mare endometrial cytology using the novel cytotape technique.
Abstract: The cytobrush is considered the method of choice to obtain endometrial samples. Rigid brush fibers, however, may induce endometrial irritation and bleeding, or cell fragmentation, decreasing quality and diagnostic value of the samples. It was hypothesized that samples collected using a novel cytotape would provide sample smears of greater quality and less blood contamination than the cytobrush. Endometrial samples were collected with a cytotape and a cytobrush from ten mares without endometritis. Endometritis was then induced with artificial insemination, and samples were again collected 6 h after insemination. A cytology smear and bacterial culture were prepared from each sample. The collection methods and times were compared in terms of number and integrity of endometrial cells; number, integrity, and percentage of neutrophils; number of red blood cells, and number of colony-forming units. Frequency of positive cytology and culture was compared when there was use of each technique. The sensitivity, specificity, positive predictive value, and negative predictive value of cytology and culture for each technique was calculated using endometrial biopsy as the gold standard. While all samples had adequate and comparable cellularity and cell integrity, cytotape samples had less red blood cell contamination compared to cytobrush samples (P < 0.05). The number and percentage of PMNs, frequency of positive cytology diagnosis, number of colony-forming units and frequency of positive cultures did not differ between collection methods. In conclusion, the cytotape is a rapid, easy, and practical technique that can provide endometrial samples with similar diagnostic value to the cytobrush, but with less blood contamination.
Copyright © 2021 Elsevier B.V. All rights reserved.
Publication Date: 2021-05-18 PubMed ID: 34030070DOI: 10.1016/j.anireprosci.2021.106770Google Scholar: Lookup
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- Journal Article
Summary
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This research investigates the effectiveness of a new method, the ‘cytotape’, for collecting endometrial samples from mares (female horses), and compares it to the traditional ‘cytobrush’ method. The aim was to find a technique that provides better sample quality with lesser likelihood of blood contamination.
Methodology
- The research included ten mares that were initially free of endometritis (an inflammation of the uterine lining).
- Both cytotape and cytobrush were used to collect endometrial samples from each mare.
- Endometritis was then artificially induced on the mares via artificial insemination, and the sample collection was repeated 6 hours after this procedure.
- A cytology smear (cell sample for microscopic examination) and bacterial culture were prepared from every collected sample.
- The researchers then compared the efficiency of both methods, looking at the number and condition of endometrial cells, the quantity, state, and percentage of neutrophils (a type of white blood cell), the number of red blood cells, and the amount of colony-forming units (a measure of viable bacterial numbers).
Findings
- Both methods produced comparable results in terms of cell quantity and integrity, but cytotape caused less blood contamination compared to cytobrush.
- The number and ratio of neutrophils, rate of positive cytology diagnoses, number of colony-forming units, and rate of positive cultures were similar irrespective of the sample-collection method used.
- The researchers utilized endometrial biopsy as the ‘gold standard’ to measure the reliability of cytology and culture results for both techniques.
Conclusion
- The research concludes that the cytotape method is swift, simple, and practical for obtaining endometrial samples.
- It offers the same diagnostic value as the cytobrush method, with the added advantage of less blood contamination.
This article suggest that cytotape could be a better alternative to cytobrush for more comfortable and less invasive endometrial sampling in mares, potentially leading to higher welfare standards in equine reproductive medicine practices.
Cite This Article
APA
Ibrahim M, Ferrer MS, Ellerbrock RE, Rollin E.
(2021).
Evaluation of mare endometrial cytology using the novel cytotape technique.
Anim Reprod Sci, 230, 106770.
https://doi.org/10.1016/j.anireprosci.2021.106770 Publication
Researcher Affiliations
- Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, 30605, USA.
- Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, 30605, USA. Electronic address: msferrer@uga.edu.
- Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, 30605, USA.
- Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA, 30605, USA.
MeSH Terms
- Animals
- Bacteria / isolation & purification
- Bacteriological Techniques / veterinary
- Cytological Techniques / veterinary
- Endometritis / diagnosis
- Endometritis / microbiology
- Endometritis / veterinary
- Endometrium / cytology
- Endometrium / microbiology
- Female
- Horse Diseases / diagnosis
- Horses
Citations
This article has been cited 3 times.- Prete CD, Nocera FP, Piegari G, Palumbo V, Martino L, Cocchia N, Paciello O, Montano C, Pasolini MP. Use of cytobrush for bacteriological and cytological diagnosis of endometritis in mares. Vet World 2024 Feb;17(2):398-406.
- Cecchini Gualandi S, Di Palma T, Boni R. Serological and Uterine Biomarkers for Detecting Endometritis in Mares. Animals (Basel) 2023 Jan 11;13(2).
- Boni R, Cecchini Gualandi S. Relationship between Oxidative Stress and Endometritis: Exploiting Knowledge Gained in Mares and Cows. Animals (Basel) 2022 Sep 13;12(18).
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