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Updated: Jul 9, 2026

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FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
Preimplantation genetic diagnosis.
Karen Sermon1, André Van Steirteghem, Inge Liebaers
1Centre for Medical Genetics, University Hospital and Medical School, Dutch-speaking Brussels Free University, Brussels, Belgium. Karen.sermon@az.vub.ac.be
Lancet (London, England)
|May 18, 2004
Summary
Preimplantation genetic diagnosis (PGD) prevents genetic diseases by analyzing embryos before implantation. This technology has evolved significantly since the 1990s, offering new hope for at-risk families.
Area of Science:
- Reproductive Medicine
- Medical Genetics
- Embryology
Background:
- Preimplantation genetic diagnosis (PGD) emerged in the early 1990s.
- Initially, PGD focused on sex selection for sex-linked genetic disorders to avoid pregnancy termination.
- Couples at high risk for offspring with genetic diseases sought alternatives to prenatal diagnosis.
Purpose of the Study:
- To provide an overview of PGD indications and techniques.
- To discuss the results and pregnancy outcomes associated with PGD.
- To review emerging technologies in PGD.
Main Methods:
- Single-cell genetic analysis of oocyte polar bodies or embryo blastomeres.
- Fluorescence in-situ hybridisation (FISH) for chromosomal analysis.
- Polymerase chain reaction (PCR) for monogenic disease gene analysis.
- Improved in-vitro embryo culture using sequential media.
Main Results:
- PGD techniques have advanced significantly, enabling single-cell genetic analysis.
- FISH and PCR are established methods for chromosomal and gene analysis, respectively.
- Improvements in embryo culture have enhanced PGD success rates.
Conclusions:
- PGD offers a valuable alternative to prenatal diagnosis for high-risk couples.
- Continuous advancements in genetic analysis and embryo culture are expanding PGD's capabilities.
- PGD contributes to preventing the transmission of genetic diseases and improving pregnancy outcomes.
Keywords:
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