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Related Concept Videos

In Vitro Fertilization01:24

In Vitro Fertilization

879
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
879

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Semiconductor Sequencing for Preimplantation Genetic Testing for Aneuploidy
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Optimizing Non-Invasive PGT-A: A Multi-Factorial Approach for Enhanced Accuracy and Seamless Integration Into

Hsien-An Pan1,2, Yen-An Tang3,4, I-Ning Huang3

  • 1An-An Women and Children Clinic Tainan Taiwan.

Reproductive Medicine and Biology
|October 20, 2025
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Summary
This summary is machine-generated.

Non-invasive preimplantation genetic testing for aneuploidy (niPGT-A) offers accurate chromosomal assessment, improving IVF outcomes. This optimized workflow enhances embryo selection and reduces invasive procedures for better reproductive medicine.

Keywords:
assisted hatchingmeta‐analysisnon‐invasive preimplantation genetic testing for aneuploidy (niPGT‐A)ongoing pregnancy ratespent culture media

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Area of Science:

  • Reproductive Medicine
  • Genetics
  • Embryology

Background:

  • Preimplantation genetic testing for aneuploidy (PGT-A) is crucial for in vitro fertilization (IVF) success.
  • Traditional PGT-A involves invasive trophectoderm (TE) biopsy, posing risks to embryo development.
  • Non-invasive PGT-A (niPGT-A) using spent culture medium (SCM) offers a less invasive alternative.

Purpose of the Study:

  • To identify factors influencing niPGT-A accuracy and effectiveness.
  • To develop clinical integration workflows for niPGT-A.
  • To provide alternative embryo assessment and improve pregnancy outcomes in IVF.

Main Methods:

  • A two-phase study analyzed 341 blastocysts and SCM from 90 IVF patients.
  • Phase 1: Assessed niPGT-A accuracy by comparing SCM/TE with whole blastocysts (100 embryos).
  • Phase 2: Examined concordance, assisted hatching, and culture duration effects on outcomes after frozen embryo transfer (241 embryos); included meta-analysis.

Main Results:

  • Optimized niPGT-A workflow achieved 92.1% PPV and 91.3% accuracy, outperforming conventional PGT-A.
  • Ploidy and sex concordances were 76.5% and 98.9% for fresh embryos.
  • SCM-guided embryo transfer significantly improved pregnancy outcomes compared to TE biopsy in meta-analysis.

Conclusions:

  • Optimized niPGT-A provides accurate chromosomal assessment and integrates into IVF workflows.
  • It supports informed embryo transfer decisions, improving outcomes and reducing invasive procedure risks.
  • This method enhances clinical management in reproductive medicine by offering a less invasive approach.