Evaluation of a new early pregnancy test in mares

The goal of this study was to evaluate the accuracy of the early conception factor (ECF) assay test to answer the following questions: (1) Can the test be used reliably to make a decision to flush an embryo donor mare? (2) Can the test be used to detect early embryo loss before day 17 in the mare? (3) Can the test accurately diagnose non-pregnancy? The performance of the test (sensitivity, specificity, positive predictive value [PPV], and negative predictive value [NPV]) was measured against the results of embryo flushing (n = 28) in 1 group and against ultrasound pregnancy diagnosis in another group (n = 17). Serum samples were taken from embryo donor mares on day 8 post-ovulation (day of embryo flushing) and from the embryo transfer recipient mares on days 6 to 8 after embryo transfer (day of pregnancy diagnosis by ultrasound). The tests were set up and read on the same day by 3 blinded observers. The kappa (κ) value, for agreement among the 3 blinded readers of the test, was 0.64. The sensitivity, specificity, PPV, NPV, and accuracy were, respectively, 42.6%, 51.9%, 63.8%, 31.1%, and 46.8%. Under the conditions of the current study, the test proved to be unreliable for detection of the presence of an embryo.