Mizuno S, Matsumoto H, Hashimoto S, Brahmajosyula M, Ohgaki A, Tarui S, Matoba M, Satoh M, Fukuda A, Morimoto Y. A novel embryo quality scoring system to compare groups of embryos at different developmental stages.
J Assist Reprod Genet 2021;
38:1123-1132. [PMID:
33646470 PMCID:
PMC8190420 DOI:
10.1007/s10815-021-02117-0]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 02/15/2021] [Indexed: 10/22/2022] Open
Abstract
PURPOSE
To construct a new embryonic quality scoring system to compare groups of embryos at different developmental stages.
METHODS
Based on a hypothesis that the implantation potential of any embryo in an ovum pickup (OPU) cycle remains the same at any stage of development, be it day 2, 3, or 5, a new embryo quality scoring (EQS) system was designed. It was based on the analysis of the clinical results of 1610 single embryo transfers. We validated this scoring system in the comparison of embryonic quality between groups by evaluating the mean scores calculated at day 2, day 3, and day 5 for 957 embryos (150 cycles) from 3 different groups. We then compared EQSs of patients with pregnancy favorable factors (group A) such as young age and high AMH levels, with the patients with contra features (group B).
RESULTS
We confirmed that each mean EQS assessed at different stages of embryonic development within the same group was similar. The mean EQSs on day 3 and day 5 in group A were significantly higher than the mean EQSs on days 2, 3, and 5 in group B.
CONCLUSION
The novel EQS system proposed by us enables embryonic quality comparison between groups of embryos at different developmental stages.
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