Technical note: Development and evaluation of a standard operating procedure for ultrasound-based measurements of teat canal dimensions in dairy cows.

The objectives were to (1) develop a standard operating procedure (SOP) for ultrasound-based measurements of teat canal dimensions and (2) determine the precision of ultrasound-based measurements of teat canal dimensions in dairy cows. Teat scans (n = 64) of the right hind and left front teats from 16 cows were obtained with a portable ultrasound device before and after machine milking. Teat dimensions measured were teat canal length (TCL), teat canal diameter at the proximal end of the teat canal (TCDPROX), teat canal diameter at the midpoint between the proximal and distal ends of the teat canal (TCDMID), teat canal diameter at the distal end of the teat canal (TCDDIS), teat end diameter at the midpoint between the proximal and distal ends of the teat canal (TMD), and teat canal cross-sectional area (TCLAREA). An SOP was developed, reviewed, and modified by 3 operators. Measurements were performed by the same 3 operators using an open source software program. To assess the effect of implemented modifications and the precision of ultrasound-based measurements, concordance correlation coefficients (CCC) were calculated to determine interoperator reproducibility and intraoperator repeatability. Through modifications in the SOP, interoperator CCC increased from 0.45 to 0.86 for TCL, from 0.14 to 0.66 for TCDPROX, from 0.24 to 0.66 for TCDMID, from 0.06 to 0.56 for TCDDIS, from 0.64 to 0.91 for TMD, and from 0.17 to 0.64 for TCLAREA. Intraoperator CCC over all operators were 0.91 for TCL, 0.73 for TCDPROX, 0.80 for TCDMID, 0.69 for TCDDIS, 0.94 for TMD, and 0.75 for TCLAREA. Our results indicate that measurements of teat canal dimensions can be conducted with satisfactory precision when following an SOP. Development and strict implementation of an SOP has the potential to decrease inadvertent variability of ultrasound-based measurements among operators for ultrasonographic assessment of teat dimensions.