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25A - Embryo Morphokinetic Analysis (Time-Lapse Imaging) Is Helpful in Selecting Euploid Blastocysts

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from Section IV - Embryology

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
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Summary

Over the last two decades, embryology laboratories have shifted from using large tissue culture incubators to smaller, streamlined tabletop incubation systems, which appear to allow for more precise control of temperature, pH, and gas homeostasis. A welcome added feature to these incubators has been the ability to continuously photograph embryo development without disturbing culture conditions. This emerging technology has fostered the adoption of time-lapse microscopy (TLM) in many in vitro fertilisation laboratories. Beyond optimising culture conditions, the use of these incubators for continuous observation of embryo development has provided an opportunity to expand our fundamental knowledge of early embryogenesis. Indeed, the adoption of these devices in the ART laboratory is not only invaluable in advancing our scientific understanding of early human development, it also optimises clinical outcomes by enhancing our ability to select morphologically superior embryos for transfer.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Meseguer, M, Herrero, J, Tejera, A, Hilligsoe, KM, Ramsing, NB, Remohi, J. The use of morphokinetics as a predictor of embryo implantation. Hum Reprod. 2011;26:2658–71.CrossRefGoogle ScholarPubMed
Dal Canto, M, Coticchio, G, Mignini Renzini, M, et al. Cleavage kinetics analysis of human embryos predicts development to blastocyst and implantation. Reprod Biomed. 2012;25:474–80.CrossRefGoogle ScholarPubMed
Chan, Y, Zhu, B, Jiang, H, Zhang, J, Luo, Y, Tang, W. Influence of TP53 codon 72 polymorphism alone or in combination with HDM2 SNP309 on human infertility and IVF outcome. PLoS ONE. 2016;11:e0167147.CrossRefGoogle ScholarPubMed
Ergin, EG, Caliskan, E, Yalcinkaya, E, et al. Frequency of embryo multinucleation detected by time-lapse system and its impact on pregnancy outcome. Fertil Steril. 2014;102:1029–33, e1021.CrossRefGoogle ScholarPubMed
Rocafort, E, Enciso, M, Leza, A, Sarasa, J, Aizpurua, J. Euploid embryos selected by an automated time-lapse system have superior SET outcomes than selected solely by conventional morphology assessment. J Assist Reprod Genet. 2018;35:1573–83.CrossRefGoogle ScholarPubMed
Goodman, LR, Goldberg, J, Falcone, T, Austin, C, Desai, N. Does the addition of time-lapse morphokinetics in the selection of embryos for transfer improve pregnancy rates? A randomized controlled trial. Fertil Steril. 2016;105:275–85, e210.CrossRefGoogle ScholarPubMed
Pribenszky, C, Nilselid, AM, Montag, M. Time-lapse culture with morphokinetic embryo selection improves pregnancy and live birth chances and reduces early pregnancy loss: a meta-analysis. Reprod Biomed. 2017;35:511–20.CrossRefGoogle ScholarPubMed

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