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Prediction of Embryo Viability by Morphokinetic Evaluation to Facilitate Single Transfer

  • Chapter
Screening the Single Euploid Embryo

Abstract

The recent development of clinical time-lapse instruments has enabled continuous monitoring of human embryos to facilitate single embryo transfers in IVF. Time-lapse imaging (TLI) allows for a refined evaluation of known morphological parameters along with dynamic parameters and represents a new method of evaluating embryo viability morphologically. Timing of development has been correlated to blastocyst development, pregnancy outcome, and recently, chromosomal content, which suggests time-lapse imaging as a promising method for a more reliable embryo selection than morphology alone. The present challenge is that no consensus exists on which parameters are the most predictive, and only a few publications have offered clinically applicable models of embryo selection. Furthermore, due to the influence of culture conditions on development, selection models need modifications before transfer between clinics. This chapter addresses the use of TLI in the evaluation of pre-implantation embryo development and pregnancy potential in an effort to provide an overview of the feasibility and potential use of TLI in IVF treatment and single embryo transfer.

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Ahlström, A., Campbell, A., Ingerslev, H.J., Kirkegaard, K. (2015). Prediction of Embryo Viability by Morphokinetic Evaluation to Facilitate Single Transfer. In: Sills, E. (eds) Screening the Single Euploid Embryo. Springer, Cham. https://doi.org/10.1007/978-3-319-16892-0_10

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