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胚胎质量评估中卵裂期的延时成像

Time-lapse imaging of cleavage divisions in embryo quality assessment.

作者信息

Milewski Robert, Ajduk Anna

机构信息

Department of Statistics and Medical InformaticsMedical University of Bialystok, Bialystok, Poland

Department of EmbryologyFaculty of Biology, University of Warsaw, Warsaw, Poland

出版信息

Reproduction. 2017 Aug;154(2):R37-R53. doi: 10.1530/REP-17-0004. Epub 2017 Apr 13.

DOI:10.1530/REP-17-0004
PMID:28408705
Abstract

fertilization (IVF) is one of the most important procedures for treating infertility. As several embryos are usually produced in a single IVF cycle, it is crucial to select only the most viable ones for transfer to the patient. Morphokinetics, i.e. analysis of the dynamics of cleavage divisions and processes such as compaction and cavitation, has provided both biologists and clinicians with a new set of data regarding embryonic behaviour during preimplantation development and its association with embryo quality. In the current review, we focus on biological significance of morphokinetic parameters and show how they can be used to predict a reproductive outcome. We also explain the statistics behind the predictive algorithms and discuss the future perspectives of morphokinetics.

摘要

体外受精(IVF)是治疗不孕症最重要的方法之一。由于在单个IVF周期中通常会产生多个胚胎,因此仅选择最具活力的胚胎移植给患者至关重要。胚胎动力学,即对卵裂分裂以及致密化和空化等过程的动力学分析,为生物学家和临床医生提供了一组关于植入前发育期间胚胎行为及其与胚胎质量关系的新数据。在本综述中,我们重点关注胚胎动力学参数的生物学意义,并展示它们如何用于预测生殖结果。我们还解释了预测算法背后的统计学原理,并讨论了胚胎动力学的未来前景。

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1
Time-lapse imaging of cleavage divisions in embryo quality assessment.胚胎质量评估中卵裂期的延时成像
Reproduction. 2017 Aug;154(2):R37-R53. doi: 10.1530/REP-17-0004. Epub 2017 Apr 13.
2
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3
Morphokinetic analysis and embryonic prediction for blastocyst formation through an integrated time-lapse system.通过集成延时系统对囊胚形成进行形态动力学分析和胚胎预测。
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Automatic time-lapse instrument is superior to single-point morphology observation for selecting viable embryos: retrospective study in oocyte donation.自动延时仪器在选择存活胚胎方面优于单点形态学观察:卵母细胞捐赠的回顾性研究
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Does the addition of time-lapse morphokinetics in the selection of embryos for transfer improve pregnancy rates? A randomized controlled trial.在胚胎移植选择中加入延时形态动力学是否能提高妊娠率?一项随机对照试验。
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Blastomere cleavage plane orientation and the tetrahedral formation are associated with increased probability of a good-quality blastocyst for cryopreservation or transfer: a time-lapse study.卵裂球切割面方向和四面体形成与冷冻保存或移植的优质囊胚形成的可能性增加有关:一项延时研究。
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Timing of human preimplantation embryonic development is confounded by embryo origin.人类植入前胚胎发育的时间因胚胎来源而变得复杂。
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