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Reprod Dom Anim 43 (Suppl. 2), 113–121 (2008); doi: 10.1111/j.1439-0531.2008.01150.

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ISSN 0936-6768

Improved Detection of Reproductive Status in Dairy Cows Using Milk Progesterone


Measurements
NC Friggens1, M Bjerring1, C Ridder1,2, S Højsgaard1 and T Larsen1
1
Faculty of Agricultural Sciences, University of Aarhus, Research Centre Foulum, Tjele; 2Lattec I ⁄ S, Hillerød, Denmark

Contents correctly categorize reproductive status becomes increas-


This study tested a model for predicting reproductive status ingly important as automated in-line progesterone mon-
from in-line milk progesterone ‘measurements. The model is itoring systems are implemented on commercial farms.
that of Friggens and Chagunda [Theriogenology 64 (2005) Clearly, the value of a progesterone monitoring system
155]. Milk progesterone measurements (n = 55 036) repre- depends to a large extent upon how good the biological
senting 578 lactations from 380 cows were used to test the model is. The objective of this study was to test the ability
model. Two types of known oestrus were identified: (1) of a model based on in-line milk progesterone measure-
confirmed oestrus (at which insemination resulted in a
ments to predict reproductive status. The model tested is
confirmed pregnancy, n = 121) and (2) ratified oestrus (where
the shape of the progesterone profile matched that of the that of Friggens and Chagunda (2005).
average progesterone profile of a confirmed oestrus, n = 679). Time-series models exist for detecting oestrus from
The model detected 99.2% of the confirmed oestruses. This milk traits other than progesterone (de Mol et al. 1999;
included a number of cases (n = 16) where the smoothed Firk et al. 2003), and decision strategies for interpreting
progesterone did not decrease below 4 ng ⁄ ml. These cows had progesterone data have been suggested (Lamming and
significantly greater concentrations of progesterone, both Darwash 1998; Opsomer et al. 1998; Prandi et al. 1999;
minimum and average, suggesting that between cow variation Delwiche et al. 2001). However, to our knowledge, the
exists in the absolute level of the progesterone profile. Using only published full biological model to predict repro-
ratified oestruses, model sensitivity was 93.3% and specificity ductive status based on a time-series of milk progester-
was 93.7% for detection of oestrus. Examination of false
one measurements is that of Friggens and Chagunda
positives showed that they were largely associated with low
concentrations of progesterone, fluctuating around the (2005).
4 ng ⁄ ml threshold. The distribution of time from insemination The normal procedure for testing a new predictor of a
until the model detected pregnancy failure had a median of given state is to compare it with some ‘gold standard’
22 days post-insemination. In this test, the model was run reference measure. However, in the present case the
using limited inputs, the potential benefits of including model is based on the measure, progesterone, which is
additional non-progesterone information were not evaluated. the accepted gold standard for assessing the reproduc-
Despite this, the model performed at least as well as other tive status of dairy cows (Peters and Ball 1995; Cavalieri
oestrus detection systems. et al. 2003). Any conventional test of progesterone
against another indicator (e.g. visually determined
Introduction oestrus or pedometers) rapidly reverses polarity, becom-
ing instead a test of the other indicator against
Progesterone measurements have been used for some progesterone. Thus, testing of such a model requires a
time now, and are accepted as a valid indicator, for non-conventional approach, which to a large extent
assessing the reproductive status of dairy cows (Bulman becomes an exploration of the shapes of the progester-
and Lamming 1978; Royal et al. 2000). Implicit in this one profiles. Consequently, this study also characterizes
process is a set of biological rules that are used to key aspects of progesterone profiles according to
convert the progesterone data into different reproduc- reproductive status.
tive statuses (e.g. postpartum anoestrus, luteal and
follicular phases of the oestrous cycle and pregnancy).
Traditionally, these rules were expert opinions usually Materials and Methods
applied manually to progesterone data (e.g. Lamming Test data collection
and Darwash 1998). As measuring technology has Milk progesterone measurements were made on pro-
advanced from the original radioimmunoassays, portional whole milk samples collected from all milking
through laboratory based ELISA methods (Waldmann cows in one research herd (Danish Cattle Research
1993), to on-farm manual tests (Simersky et al. 2007), Centre) during the period 12 September 2002 to 30
biosensors (Delwiche et al. 2001), and ultimately September 2006. Cows were milked in a robotic milking
towards automated in-line systems for measuring milk system with free traffic (mean no. visits ⁄ day = 2.4). One
progesterone (Lattec 2007), these rules become both progesterone measure was to be made daily during the
explicit and fixed. This is because automated systems first 120 days from calving. For the remainder of
necessarily incorporate a model to process and condense lactation, progesterone measurements were to be made
the raw data, providing the end-user with the relevant every second day. Actual average intervals between
biological interpretation in a palatable form. progesterone samples before and after 120 days from
The fact that these biological rules are codified allows calving were: 1.4 and 2.4 days, respectively. Progesterone
them to be tested. Testing the ability of these rules to

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114 NC Friggens, M Bjerring, C Ridder, S Højsgaard and T Larsen

was analysed using the Ridgeway ELISA-kit (Ridgeway are also included as inputs. To make use of other known
Science Ltd, Gloucestershire, UK). Milk samples were effectors of reproductive performance that are not
pipetted, diluted and distributed using a Biomek 2000 necessarily reflected in progesterone concentrations,
(Laboratory Automation Workstation, Beckman Coul- the model is designed to incorporate a number of
ter, Fullerton, CA, USA). Milk samples (25 ll, diluted additional inputs. However, the model is designed to
1 + 2 with water) were handled according to the function in the absence of these additional inputs
manufacturer’s instructions, however incubation R4 (although with some loss of accuracy in some outputs).
was increased to 1 h 30 min. Plates were read using a The model outputs are all reproductive Status specific
spectrophotometer ⁄ fluorometer, Fluostar (BMG Lab- with the exception of days to next sample (DNS) which
technologies, Offenburg, Germany) (575 nm). Analyses is calculated in each model run regardless of reproduc-
were performed in 96-well plates; two sets of seven tive Status. Days to next sample is an important output
standards (0–30 ng ⁄ ml), locally made using milk from with respect to the progesterone measurements being
an ovariectomized cow and ethanolic progesterone automated. It is designed to feedback to the sampling
solutions, and two sets of two control samples were system so that the frequency of milk sampling (i.e.
used for every analysis and plate. For the low and high progesterone measurement) can be varied according to
controls, the intra assay precision (CV%) was 14.9 and the predicted likelihood of a future reproductive event
1.4, respectively; the inter-assay precision (CV%) was such as onset of oestrus cycles. The other model outputs
32.7 and 20.1, respectively; and the average inaccuracy are: risk of prolonged postpartum anoestrus, risk and
(bias) was +0.82 and )0.60 ng ⁄ ml, respectively. type of ovarian cyst (i.e. prolonged luteal or follicular
The time series of milk progesterone measurements phase), onset of oestrus, likelihood of a potential
was examined for gaps longer than 14 days with no insemination succeeding and likelihood of being preg-
progesterone values. All data following such gaps were nant (following oestrus).
excluded. Further, the entire cow-lactation was excluded The shift from Status 0 (postpartum anoestrus) to
if there was insufficient data to identify the end of the Status 1 (oestrus cycling) is caused by two consecutive
postpartum anoestrus period (i.e. the time series did not smoothed progesterone measurements above the thresh-
start at calving and there were less than five measure- old value (LThresh) which is 4 ng ⁄ ml. (If EOD inputs
ments before the cow was detected to have elevated are available these can also provoke this shift). As
progesterone and resumed oestrous cycles). The result- described by Friggens and Chagunda (2005), once a cow
ing data represented information during 578 lactations is in Status 1 the shift to Status 2 is caused by the
from 380 cows. The total number of milk progesterone smoothed progesterone value decreasing below
measurements was 55 036. LThresh. This shift generates a model-detected indica-
Timing of inseminations was based on visual tion of oestrus. If no insemination is recorded in the
detection of oestrus backed up by activity meter following 5 days, the cow automatically reverts to Status
indications (DeLaval, Tumba, Sweden). Farm staff 1. If there is a timely insemination and subsequent
had no access to the progesterone data. Visual progesterone concentrations increase, then the cow
observations for oestrus signs were made daily at remains in status 2 (potentially pregnant) as long as
06:00, 12:00 and 16:00, each period lasted 20 min. Cows the model predicted likelihood of pregnancy remains
showing oestrus earlier than 35 days from calving were above a pregnancy threshold. Typically, if progesterone
not inseminated to that oestrus. All cows were concentrations decrease, then the model shifts back
inseminated to oestrus regardless of other management from Status 2 to Status 1.
factors such as age, milk yield, and whether the cow was The model tested in the present study contained the
designated for subsequent culling. Inseminations were following major modification relative to the model
carried out the same day for oestruses detected at the described by Friggens and Chagunda (2005). Visual
morning observation, and the next morning for inspection of the earliest progesterone profiles collected
oestruses detected in the afternoon and evening. showed a number of oestrus-like decreases in proges-
terone that did not decrease below LThresh. To deal
with this an additional threshold, HThresh was intro-
The model being tested duced (6 ng ⁄ ml). This allowed identification of these
The model being tested here has been described in detail ‘high-progesterone oestruses’ conditional on the maxi-
by Friggens and Chagunda (2005). Briefly, the model is mum progesterone concentration in the preceding cycle
based on the cow always being in one of three being greater than 15 ng ⁄ ml, and the present decrease
reproductive states (Status), these are: postpartum being >10 days since a preceding oestrus.
anoestrus (Status 0), oestrus cycling (Status 1), and The model tested in the present study also contained
potentially pregnant (Status 2). In the model these the following minor modifications relative to the model
statuses are mutually exclusive. The Status the cow was described by Friggens and Chagunda (2005). The slope
found to be in by the previous run of the model is always of the progesterone profile is used, for example in the
the Status at the start of the current run. By default, the function calculating the predicted likelihood of AI
cow is assumed to be in Status 0 at calving. The model is success. The slope can have extreme values particularly
dynamic and deterministic, designed to run each time a with short intervals between measurements, thus an
new trigger input occurs using both the current and adjusted slope (a sigmoid transformation) was used
previous values. The main model inputs are a smoothed instead. Over the normal range this makes virtually no
(extended Kalman filter) progesterone concentration difference but it caps the extremes. In Status 2, when the
and slope. Inseminations and pregnancy determinations calculated likelihood of pregnancy (LikePreg) decreases

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Reproductive Status Assessed by Milk Progesterone 115

below a pregnancy threshold, the cow is deemed no not calved by the end of the experiment period. When
longer pregnant and reverts to Status 1. In the current more than one insemination occurred within a time
implementation of the model, a modification was made window, then the last one was chosen. For the purpose
such that once the cow was more than 30 days after of testing the progesterone model, it was required that
insemination, 2 consecutive low LikePreg (i.e. low confirmed oestruses had more than 2 progesterone
progesterone) values are required to cause the change measurements in both the 5 days preceding and the
back to Status 1. Finally, the DNS functions in the 5 days following dfo = 0. There were 121 oestruses that
luteal phase and during pregnancy were modified to fulfilled these criteria. The average progesterone profile
better optimize the sampling frequency relative to time of confirmed oestruses is shown in Fig. 1.
of expected next oestrus (equations in Appendix).
Because sampling frequency in the present study was
not based on DNS, this change had no bearing on the Ratified oestruses
results presented here, except for those relating directly A high degree of consistency in the shape of the
to changing the sampling frequency. progesterone profiles of confirmed oestruses exists
(Fig. 1). This feature was used as a template to identify
segments of the progesterone profiles that match the
Model testing profile of the confirmed oestruses, hereafter called
The model has many features that warrant testing but in ratified oestruses, using the following profile matching
the present study we have chosen to focus on the procedure. By using the progesterone profiles from
detection of oestrus, end of postpartum anoestrus, and confirmed oestruses, the means (l) for each time point
onset of pregnancy, because these are the major outputs, (dfo = )5 to +10 in half-day steps) and the covariance
and those by which the usefulness of the model in matrix (P) were estimated. (To ensure that P is not ill-
commercial application will be primarily judged. For conditioned, the diagonal entries of P were multiplied by
this study, the model was run in its most basic form with 2 prior to further calculations). Then, for any given 15-
no additional inputs other than inseminations. day segment of a progesterone profile (x), the Maha-
lanobis distance D (Mahalanobis 1936) was calculated
as: D = ((x - l)TP)1(x - l))1 ⁄ 2 D will, under regularity
Oestrus detection conditions, have a v2 distribution with degrees of
Testing the ability of the model to identify oestrus freedom equal to the number of components in x. Large
implies that there are a series of known oestruses within values of D indicate that x is not consistent with l and
the data against which to compare the progesterone- P. Based on D, we calculated the corresponding tail-
based model detected oestruses. Both visual observa- probabilities p, and high values of p thus indicates that x
tions of oestrus and activity measurement-based oestrus is consistent with l and P. Log-transformed progester-
alarms were available on the test farm. However, it is one values were used because the error associated with
well known from other studies (Rossing and Spahr progesterone measurements is approximately propor-
1992), and was patently clear from inspection of the tional to the concentration of progesterone.
data, that these external oestrus detection methods were This basic procedure was carried out for a rolling 15-
not sufficiently reliable for the purpose of testing the day window through each individual progesterone
model. Accordingly, an alternative approach to defining profile (i.e. n ) 15 times for a profile of n daily
a reference set of known oestruses was made. Two types measurements). In order to convert the probabilities
of known oestrus were identified: confirmed and ratified into identifications of ratified oestrus, the following
oestruses. A confirmed oestrus was defined as an oestrus
at which insemination resulted in a confirmed preg-
28
nancy. A ratified oestrus is one in which the shape of the
progesterone profile matches that of the average pro- 24
gesterone profile of the confirmed oestruses.
Progesterone (ng/ml)

20

Confirmed oestruses 16
Inseminations that occurred within the time window 12
±10 days around the time-point 284 days before a
subsequent calving or 40 days before a positive preg- 8
nancy determination (rectal palpation 6 weeks post-
insemination) were assumed to be associated with a true, 4
confirmed oestrus (because pregnancy resulted). The 0
start of these confirmed oestruses was defined as the –10 –8 –6 –4 –2 0 2 4 6 8 10
time of the first smoothed milk progesterone measure- Days from onset of oestrus
ment <4 ng ⁄ ml (days from start of oestrus (dfo) = 0).
For those cows that subsequently calved, the calving Fig. 1. The average unsmoothed progesterone concentration (bold
date was used to define the time-window of conception line) of pregnancy-confirmed oestruses relative to days from onset of
oestrus. The 75% and 25% quartiles of the distribution of progester-
irrespective of any pregnancy determinations. Preg- one concentrations at each time-point are shown as dotted lines. Onset
nancy determination dates were only used to determine of oestrus was defined as the first decrease <4 ng ⁄ ml in smoothed
the time window of conception in those cows that had progesterone concentration

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116 NC Friggens, M Bjerring, C Ridder, S Højsgaard and T Larsen

thresholds were applied. The probabilities had to be respectively. With each of these reduced data sets, the
greater than 0.95 and the weighted number of observa- model was run and the proportion of ratified oestruses
tions had to be greater than 3. The weighted number of that was detected by the model using the original data
observations was calculated as: set was calculated. In addition, the model was run using
X only those progesterone measurements that it would
(absðt  tmidpoint Þ þ 1Þ1 ; have requested if it had been running in real-time
according to the model output DNS function. This is a
where t is time from the midpoint of the segment for any variable sampling frequency as described previously
given observation. For observations 7.5, 5, 2.5 and (and in Appendix). The total number of progesterone
0 days from the midpoint the individual weights were; samples used in this case was 11 957.
0.12, 0.17, 0.29 and 1, respectively. The threshold of
three for the sum of the individual weights corresponds Results and Discussion
to an observation frequency of two progesterone mea-
surements per 3 days for evenly spread observations, or Confirmed oestruses
a hole of )3 to +3 days from the midpoint in an Out of 121 confirmed oestruses, 104 were associated
otherwise complete set of observations. with a model-detected oestrus based on a decrease in
In order to avoid the same oestrus being repeatedly smoothed progesterone below 4 ng ⁄ ml. An additional
identified as the rolling 15-day window moves through 16 of the confirmed oestruses were model-detected on
the progesterone time series, the following filtering rules the basis of the supplementary oestrus detection rule
were applied. In addition to p being >0.95, p for the that smoothed progesterone decreased below 6 ng ⁄ ml
preceding observation had to be >0.90. Once an having previously been >15 ng ⁄ ml. Thus, the model as
observation was ratified, then subsequent observations implemented detected 99.2% of the confirmed oestruses,
meeting the above criteria were not accepted as ratified whereas the simpler model (4 ng ⁄ ml threshold) resulted
unless the probability had decreased to <0.5 in the in 85.6% of confirmed oestruses being detected.
interim. In addition, an observation was not ratified The majority of studies in the literature have used
when the progesterone concentration was >8 ng ⁄ ml 3 ng ⁄ ml as a threshold for detecting oestrus (Lamming
(Mahalanobis distance is scale invariant, i.e. it assesses and Bulman 1976). Thus, a discrepancy exists between
the shape of the segment and not the absolute level of this definition and the fact that insemination of cows
the segment). The total number of ratified oestruses was having these ‘high progesterone oestruses’ still resulted
679. The shape of the progesterone profile shown in in conception. A possible explanation for this discrep-
Fig. 1 is that which is associated with oestruses that ancy could be related to the smoothing of the proges-
occur after a prior period of luteal activity. Oestruses terone profiles. The very nature of smoothing is that it is
that occur in conjunction with the end of the post- resistant to extreme values. Indeed, this was one reason
partum anoestrus period do not match this profile and for using a threshold of 4 rather than 3 ng ⁄ ml in the
have thus been excluded from the test of the models’ model. So, if insufficient low progesterone values are
ability to detect oestrus. available, the smoothed profile may not decrease below
4 ng ⁄ ml even when individual observations are
<4 ng ⁄ ml. This would especially be the case when
Pregnancy determination observations are missing during the follicular phase.
The ability of the model to identify cows as pregnant This possibility was examined by comparing the number
following insemination was evaluated in two ways. By of observations for the low threshold (LThresh; thresh-
definition, the progesterone profile following confirmed old = 4 ng ⁄ ml) with high threshold (HThresh; thresh-
oestruses should always be identified by the model as the old = 6 ng ⁄ ml) types of model-detected confirmed
cow being in Status 2 (pregnant). The proportion of oestrus. Equal numbers of progesterone measurements
cases in which this was so was calculated, and any existed in the window )5 to +10 dfo (mean = 16). The
exceptions were examined. For those inseminations that same was true for a narrower ()2 to +3 dfo) window
did not result in a confirmed pregnancy (n = 375), the around the time of detected oestrus. Likewise, the
distribution of time intervals between insemination and weights used in the Mahalanobis procedure did not
model detected pregnancy failure (return from Status 2 differ, i.e. no difference was detected in the spread of
to 1) was examined. observations. Thus, no significant differences were
detected in the sampling frequency between LThresh
and HThresh model-detected confirmed oestruses. In
Sampling frequency contrast, the minimum unsmoothed progesterone con-
The effects of reducing the progesterone measurement centrations for the HThresh detected oestruses were
frequency on model performance were evaluated by greater (P < 0.001) than for the LThresh detected
generating new data sets from the original, full, proges- oestruses (2.4 vs 0.7 ng ⁄ ml, SE = 0.9). Across the
terone data in which a proportion of the original whole time window )5 to +10 dfo, the progesterone
progesterone measures were removed. This was done by concentration of HThresh detected oestruses was
imposing a minimum interval between consecutive 3.1 ng ⁄ ml greater than LThresh detected oestruses
progesterone measurements (within each cow-lactation (P < 0.001). The results of the present study indicate
time-series). For minimum intervals of 1, 2, 3, 4 and that cows whose smoothed progesterone profile does not
5 days, the resulting data sets contained: 42 459, 26 455, decrease below 4 ng ⁄ ml can conceive. Although all these
16 756, 8713 and 1535 progesterone measurements cows had a minimum unsmoothed progesterone level

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Reproductive Status Assessed by Milk Progesterone 117

<4 ng ⁄ ml, they had significantly greater progesterone >4 ng ⁄ ml (31 of 59 of false negatives). Of these, in 24
concentrations, both minimum and average, suggesting cases smoothed progesterone did not decrease below
that between cow variation occurs in the absolute 6 ng ⁄ ml. This high-progesterone oestrus increasingly
concentrations of the progesterone profile. This implies seems to be a real biological phenomenon (Fig. 2). Of
that simple threshold rules may not ultimately be the the remaining 28 false negatives, enlarging the window
optimal way of detecting oestrus when using progester- ()3 to + 5 dfo) around oestrus for aligning model
one profiles. detected and ratified oestruses by ±3 days of the oestrus
Confirmed oestruses permit calculation of model captured 21 cases. Accepting these 21 cases as a match
sensitivity (99.2%), the proportion of true oestruses reduced the number of false negatives to 38 resulting in a
detected by the model, but they have two limitations. model sensitivity of 93.3%. This sensitivity compared
Confirmed oestruses represent a small subset of the total very favourably with the sensitivities reported for other
number of oestruses because a maximum of one methods of oestrus detection (Firk et al. 2002), even
confirmed oestrus occurs per parity. Further, although when these methods are used in very favourable
conception provides proof of oestrus, the converse, lack circumstances such as high intensity visual oestrus
of conception, does not mean that the oestrus in detection (85.7% Van Eerdenburg 2006) or after oestrus
question was false. Thus, it is not possible to calculate synchronisation (91.3% for tail paint, 81.4% for
model specificity (false positives) using the confirmed pedometers Cavalieri et al. 2003). Only the combined
oestruses. Both of these limitations are overcome by use activity, milk yield, milk temperature and conductivity
of the ratified oestruses. model of de Mol et al. (1999) had a sensitivity (94%)
that matched that for the ratified oestruses. Although
this sensitivity was less than the 99% found using the
Ratified oestruses confirmed oestruses.
A total of 679 ratified oestruses were detected, of which In addition to enlarging the number of oestruses
62 were associated with the onset of oestrus cycles at the accepted as ‘true’, the profile matching procedure allows
end of postpartum anoestrus. These are discussed examination of those cases in which the model indicated
separately. There were also 22 cases occurring more oestrus in the absence of a ratified oestrus, and thus
than 5 days post-insemination, visual inspection allows calculation of model specificity. There were 171
revealed that 11 of 22 were caused by a prolonged model-detected oestruses (excluding first increases in
follicular phase often with missing observations allow- progesterone >4 ng ⁄ ml) that did not match a ratified
ing a very late ‘re-identification’ by the profile matching oestrus (i.e. false positives). Thus, the model had a
procedure. These were judged to have been falsely positive predictive value (proportion of model detected
identified as ratified oestruses and thus were also oestruses that are true oestruses) of 72.2%
excluded from the data used to test the ability of the [445 ⁄ (445 + 171)]. The total number of progesterone
model to detect oestrus. There were 606 ratified measures in the period of oestrus cycling (Status = 1
oestruses used, of which the model detected 445 using and profile matching weight <3) was 13 613 giving a
the 4 ng ⁄ ml rule and 83 using the high progesterone
oestrus rule, resulting in a sensitivity of 87.1%. As this
30
sensitivity of 87% is markedly lower than the sensitivity
calculated using confirmed oestruses, the 78 ratified
Progesterone (ng/ml)

oestruses that were not detected by the model were 24


examined further. Of the 78 ratified oestruses that
were not detected by the model (i.e. false negatives), 19 18
were considered to be a detection failure of the profile
matching procedure (primarily associated with pro- 12
longed follicular phase) rather then a detection failure
of the model. Excluding these 19 cases reduced the
6
number of false negatives to 59 and consequently
increased model sensitivity to 89.9%.
Making this visual adjustment of the procedure for 0
identifying ratified oestruses may be viewed as inappro- 0 30 60 90 120 150 180
Days from calving
priate. However, it can also be viewed as reflecting the
fact that inherent in any automated procedure to detect Fig. 2. An example of a progesterone profile showing a very high
features of a profile of real, and thus noisy data, there progesterone oestrus. Because the smoothed progesterone profile (solid
will always be cases where the procedure fails. Because line) did not decrease below 6 ng/ml, the model failed to detect this
the most reliable measure of the model’s sensitivity is the oestrus (at day 92). Subsequent constantly elevated progesterone and a
one calculated from the confirmed oestruses, and given positive pregnancy determination by rectal palpation (at day 128)
indicated that this cow conceived despite the very high concentration
that there is no a priori reason for expecting the true of progesterone at oestrus. Raw, unsmoothed progesterone values are
sensitivity to be different for ratified oestruses, this latter shown by the open circles, the smoothed progesterone profile is
justification seems reasonable (for completeness, all the shown by the solid line. Pluses indicate model-determined Status 0
different sensitivities have been presented). As with the (postpartum an oestrus), solid triangles indicate Status 1 (oestrus
cycling), and solid squares indicate Status 2 (potentially pregnant).
confirmed oestruses, the main reason for false negatives The downward pointing open triangles indicate inseminations, the
(i.e. the model not detecting true ratified oestruses) is upwards pointing open triangles indicate pregnancy determinations
that these oestruses all had minima substantially (1 ‘‘ng/ml’’ = not pregnant, 9 ‘‘ng/ml’’ = pregnant)

 2008 The Authors. Journal compilation  2008 Blackwell Verlag


118 NC Friggens, M Bjerring, C Ridder, S Højsgaard and T Larsen

basic specificity of 98.7%. However, this assumes that are obvious to the end user of the system. The predicted
for any given progesterone observation oestrus could be likelihood of a potential insemination succeeding also
indicated. This was not the case, because in the model, provides the end user with helpful information for
once oestrus was indicated, a waiting period of 5 days making a decision about whether or not to inseminate
was mandatory before a new oestrus can be indicated the cow. This has been explored further by Friggens and
(Friggens and Chagunda 2005). Allowing for this Løvendahl (2008).
waiting period, the total number of progesterone mea- In the model, the first increase in the smoothed
surements for which oestrus could be determined was progesterone profile above 4 ng ⁄ ml indicates the end of
2 723 resulting in a specificity of 93.7%. This specificity the postpartum anoestrus and coincidentally the first
is similar to that found by de Mol et al. (1999). oestrus. For those first oestruses that were ratified, the
Examination of the false positives showed that they average difference between the time of model detected
were largely associated with low progesterone concen- first oestrus and ratified oestrus was 1.5 days
trations fluctuating around the 4 ng ⁄ ml threshold (SD = 1.6). The distribution of the differences was left
(Fig. 3). Nearly 53% (90 ⁄ 171) of the false positives skewed by those cases in which a period of fluctuation
came at the end of ‘oestrus’ cycles in which the occurred around the 4-ng ⁄ ml threshold (Fig. 3). The
maximum progesterone concentration did not exceed median difference was 2.2 days. Thus, the model is in
10 ng ⁄ ml. Only in 56 out of the 171 cases had the good agreement with the ratified oestruses. However,
maximum progesterone concentration in the preceeding because the ‘Mahalanobis template’ was based on
cycle exceeded 15 ng ⁄ ml. Clearly, every time such a oestruses that occurred after a prior period of luteal
fluctuating profile decreased below 4 ng ⁄ ml, the model activity, it did not identify all first increases in proges-
indicated oestrus. This is the major drawback of a terone above the threshold. The distribution of these
simple threshold-based rule, which cannot be overcome model-detected durations of postpartum anoestrus was
by a simple smoothing of the progesterone profiles. The similar to that reported by Royal et al. (2002).
number of false positives could be reduced by simply
using a much greater threshold, thus increasing model
specificity. Unfortunately, a greater threshold has a Pregnancy determination
significant unwanted cost in terms of reducing model Of the 121 confirmed pregnancies, 108 remained in
sensitivity (de Mol et al. 2001). Instead, each time Status 2 (model-detected pregnant) from conception
oestrus is detected the model calculates a likelihood of a until at least positive pregnancy determination (by rectal
potential insemination succeeding. Because this calcula- palpation), the sensitivity of the model for detecting
tion includes information about the height and length of pregnancy was thus 89.3%. Of the 11 cases in which the
the preceding oestrus cycle, these false positive oestruses model falsely detected the cow as no longer pregnant, 2
are associated with a very low likelihood of insemination were due to gaps in the progesterone data, 5 failed
succeeding. Average values of the predicted likelihood because the model judged that the insemination was
of a potential insemination succeeding when the max- mistimed, and 6 were caused by decreases in progester-
imum progesterone concentration in the preceding cycle one concentration. These decreases were in some cases
did not exceed 5, 10 or 15 ng ⁄ ml were: 0.01, 0.17 and indistinguishable from those one would detect if the cow
0.45 respectively (on a scale 0–0.9). Thus, false positives was returning to oestrus following early embryo loss
(e.g. a sudden decrease to < 10 ng ⁄ ml) but these cows
remained pregnant and subsequently calved. Given
30 these types of cases, it is hard to envisage being able
to substantially improve pregnancy detection without
24 simultaneously increasing the number of false negatives.
Progesterone (ng/ml)

However, of greater important to the end user is


18 detecting true pregnancy failure.
The distribution of model detected pregnancy lengths,
for those pregnancies that did not result in a positive
12
pregnancy determination or a calf, provides useful
information (Fig. 4). The distribution of time from
6 insemination to model-detected pregnancy failure is
bimodal reflecting the two reasons for the model
0 assessing the cow to not be pregnant: (1) inappropriate
0 30 60 90 120 150 180 timing of insemination and (2) progesterone concentra-
Days from calving tions too low (first and second peaks, respectively). The
median of the distribution was 22 days, reflecting the
Fig. 3. An example of a progesterone profile showing a fluctuating low
progesterone after calving. Because the smoothed progesterone profile
second peak. By 27 days 60% of pregnancy failures had
(solid line) repeatedly decreases below 4 ng/ml during this period, the occurred, and by 34 days 70% had occurred. These
model repeatedly detected false positive oestruses. Raw, unsmoothed figures reflect a typical time pattern of early embryonic
progesterone values are shown by the open circles. Pluses indicate loss (Sreenan et al. 2001). Reliable detection of preg-
model-determined Status 0 (postpartum an oestrus), solid triangles nancy using progesterone is not possible much earlier
indicate Status 1 (oestrus cycling), and solid squares indicate Status 2
(potentially pregnant). The downward pointing open triangles indicate than 18–23 days post-insemination because the proges-
inseminations, the upwards pointing open triangles indicate pregnancy terone profile during the luteal phase is not affected by
determinations (1 ‘‘ng/ml’’ = not pregnant, 9 ‘‘ng/ml’’ = pregnant) presence of an embryo (Bulman and Lamming 1978).

 2008 The Authors. Journal compilation  2008 Blackwell Verlag


Reproductive Status Assessed by Milk Progesterone 119

0.16 to request samples. In a situation in which the model is


part of an automated in-line progesterone measuring
0.14
system, it controls sampling frequency through the DNS
Proportion of cases

0.12 function. The DNS function implements a variable


0.10
sampling frequency that is low immediately after
oestrus, and then increases as a function of both
0.08 duration of luteal phase and any evidence of a decrease
0.06 in progesterone (Friggens and Chagunda 2005; see also
Appendix). Using this variable function to reduce the
0.04 sampling frequency in the test data resulted in an
0.02 average sampling frequency of 3.3 days, but the pro-
portional reduction in oestrus detection was only 0.73.
0.00 This is notably smaller than the 0.45 reduction for the
10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170
Days from calving equivalent equally distributed sampling frequency
(Fig. 5). Even in this conservative test of sampling
Fig. 4. Distribution of pregnancy lengths for cows in which pregnancy frequency effects there is a clear benefit of having a
failed (model detected reproductive status reverted from pregnancy to variable sampling frequency.
oestrus cycling)

The present results indicate that after 23 days the model General considerations
reliably detected pregnancy failure. This is substantially This paper provides a test of one particular model for
earlier than the timing of reliable pregnancy determina- interpreting progesterone time-series data. In this test
tion by rectal palpation at 6 weeks post-insemination the model was run using limited inputs, for simplicity
(Peters and Ball 1995). the potential benefits of including additional non-pro-
gesterone information such as input from other external
Sampling frequency oestrus-detection methods (e.g. pedometers), body
energy status, and urea concentrations were not evalu-
The above results were generated from a data set in ated. Despite this, the model performed at least as well
which average time between collection of samples was as other oestrus-detection systems (Firk et al. 2002;
1.4 days (for the period 0–120 days from calving). Cavalieri et al. 2003; Van Eerdenburg 2006). In this
Because these results are expected to be influenced by context, it would have been relevant to compare this
sampling frequency, we examined the effect of reducing model with other models for interpreting progesterone
sampling frequency. As shown in Fig. 5, the relative profiles. At the time of writing, we could find no other
proportion of ratified oestruses detected by the model published progesterone models, thus comparison is
decreased with decreasing sampling frequency. These limited to specific aspects such as oestrus detection
results were achieved by simulating an evenly spread measured by indicators other than progesterone (virtu-
reduction in samples and thus sampling frequency. ally all tests use progesterone as the reference measure).
However, this contrasts with the way the model is set up Although the present model performed substantially
better in terms of sensitivity than the majority of
methods in the literature (Firk et al. 2002; Cavalieri et
1.0 al. 2003; Van Eerdenburg 2006), this is not in itself a
Proportion of oestruses detected

definitive assessment of the models quality. As demon-


0.8 strated by numerous authors, sensitivity and specificity
can be altered by varying the thresholds used, and
generally have an inverse relation to each other (de Mol
0.6 et al. 2001; Faustini et al. 2007). In the context of time-
series measurements such as progesterone profiles,
0.4 sensitivity and specificity measures are particularly
unsatisfactory because they are calculated for fixed
time-points or windows (Friggens et al. 2007). For
0.2
example, Faustini et al. (2007) reported a sensitivity for
progesterone determination of pregnancy of 98.2%,
0.0 substantially greater than the 89.3% reported in the
1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 present study, whereas Romano et al. (2006) reported a
Interval between progesterone measurements sensitivity of 74.5%. The difference was in large part
Fig. 5. The effect of reducing progesterone sampling frequency
because of the time (days post-insemination) at which
(increasing the average interval between progesterone measurements the sensitivity was calculated. Indeed, Romano et al.
[units = days]) on the proportion of ratified oestruses detected by the (2006) reported increasing sensitivity with increasing
model. The proportion is expressed relative to the case with the full days post-insemination. Clearly, factors such as the
progesterone data set. The solid line indicates the effect of reduced chosen time-point and sampling frequency make direct
sampling frequency using fixed sampling schedules. The solid circle
indicates the proportion of oestruses detected when using the model comparison of methods difficult.
output days to next sample function that results in a variable sampling It should also be noted that in the present study,
frequency progesterone measurements were made in a laboratory

 2008 The Authors. Journal compilation  2008 Blackwell Verlag


120 NC Friggens, M Bjerring, C Ridder, S Højsgaard and T Larsen

by a classical ELISA method. It may be expected that DNSLProp, DNSLRat, DNSLlag, SModRat, and SModT are con-
such a method is more precise than the types of stants with the following values: 0.25, )0.4, 5, 0.75 and 4, respectively.
measurement resulting from in situ biosensors. Con- The DNS function during pregnancy was modified in a similar way to
versely, milk samples used in the present study were concentrate sampling frequency around the time approximately
collected from cows milked robotically, resulting in 22 days post-insemination and reduce it thereafter:
variable inter milking intervals, and thus variable milk PregStepT = Cyclen + PregStepLag
fat content (Friggens and Rasmussen 2001). This
introduces a greater variability in the milk progester- MaxStepPreg ¼ ðTopPregStep  BotPregStepÞ
one measurements (Waldmann et al. 1999) than would  expðexpðPregStepRat  ððRunTime  AITimeÞ
be expected from milk samples collected more con-  PregStepTÞÞÞ þ BotPregStep
ventionally. On balance, the results presented in this
study probably reflect what can be expected under DNS2def ¼ MaxStepPreg  expðexpðDNSLRat
commercial conditions, but this remains to be quan-
 ðDayFromNextOest  DNSLlagÞÞÞ
tified.
TimeFromAIFun ¼ expð expðTfAIRat*((RunTime
Conclusions  AITime) - TfAIT)))

The type of model needed to condense and interpret


offsetLevTime ¼ expðexpðPLevRat  ðLevelðPLevT
progesterone profile data in real-time on-farm has been
þ DNS2LevToffsetÞ  TimeFromAIFunRÞÞÞ
tested and found to perform substantially better in terms
of sensitivity of oestrus detection than other existing
DNS2LevTime ¼ ð1  ð1  TimeFromAIFunÞÞ
detection systems. The model also was shown to provide
valuable information about other aspects of reproduc-  offsetLevTime þ ð1  TimeFromAIFunÞ
tive status such as pregnancy determination and com-
DNSR ¼ DNS2def  DNS2LevTime
mencement of luteal activity.
where RunTime is the current time and AITime is the time of
insemination. PregStepLag, TopPregStep, BotPregStep, PregStepRat,
Acknowledgements TfAIRat, TfAIT, PLevRat, PLevT and DNS2LevToffset are constants
with the following values: 6, 10, 5, )0.4, )0.3, 12, )0.5, 12 and 6,
We gratefully acknowledge the valuable contribution of the farm staff respectively.
at KFC, Jens Clausen, Carsten Berthelsen, Peter Løvendahl, Jes
Nielsen, and Connie Middelhede for their efforts in securing this
massive number of samples. This study, which was part of the Biosens
project, was funded by the Danish Ministry of Food, Agriculture and References
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as duration of oestrus cycle (cyclen) increased towards 21 but then dairy cattle based on time series analysis combined with a
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Correlation between reproductive efficiency, as determined Author’s address (for correspondence): NC Friggens, Faculty of
by new mathematical indexes, and the body condition score Agricultural Sciences, University of Aarhus, Research Centre Foulum,
in dairy cows. Theriogenology 52, 1251–1265. PO Box 50, 8830 Tjele, Denmark. E-mail: n.friggens@agrsci.dk
Romano JE, Thompson JA, Forrest DW, Westhusin ME,
Tomaszweski MA, Kraemer DC, 2006: Early pregnancy Conflict of interest: NC Friggens has received a research grant for this
diagnosis by transrectal ultrasonography in dairy cattle. work, part-funded by Lattec I ⁄ S; C Ridder is employed by Lattec I ⁄ S;
Theriogenology 66, 1034–1041. all remaining authors declare no conflict of interests.

 2008 The Authors. Journal compilation  2008 Blackwell Verlag

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