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Int J Tissue React 21:16 Acknowledgments This study was the post graduate thesis of Dr

A recent study proposed that higher cellular condensation and vascular irrigation are correlated with higher echogenic changes of the testicular parenchyma of rams, and vice versa (58)

However, due to their large number of subjective factors, the West-Haven criteria suffer from significant interobserver deviation, which makes it difficult to diagnose the first stage (grade 1) of HE in a clinical setting

doi: 10.1016/S0140-6736(01)05321-1
