Time-lapse imaging derived morphokinetic variables reveal association with implantation and live birth following in vitro fertilization: A retrospective study using data from transferred human embryos

PLoS One. 2020 Nov 19;15(11):e0242377. doi: 10.1371/journal.pone.0242377. eCollection 2020.

Abstract

The purpose of this retrospective time-lapse data analysis from transferred preimplantation human embryos was to identify early morphokinetic cleavage variables that are related to implantation and live birth following in vitro fertilization (IVF). All embryos were monitored from fertilization check until embryo transfer for a minimum of 44 hours. The study was designed to assess the association between day 2 embryo morphokinetic variables with implantation and live birth based on Known Implantation Data (KID). The kinetic variables were subjected to quartile-based analysis. The predictive ability for implantation and live birth was studied using receiver operator characteristic (ROC) curves. Three morphokinetic variables, time to 2-cells (t2), duration of second cell cycle (cc2) below one threshold and cc2 above another threshold had the highest predictive value with regards to implantation and live birth following IVF treatment. The predictive pre-transfer information has little divergence between fetal heartbeat and live birth data and therefore, at least for early morphokinetic variables up to the four-cell stage (t4), conclusions and models based on fetal heartbeat data can be expected to be valid for live birth datasets as well. The three above mentioned variables (t2, cc2 below one threshold and cc2 above another threshold) may supplement morphological evaluation in embryo selection and thereby improve the outcome of in vitro fertilization treatments.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Blastocyst
  • Cleavage Stage, Ovum
  • Embryo Culture Techniques
  • Embryo Implantation*
  • Embryo Transfer
  • Female
  • Fertilization in Vitro*
  • Humans
  • Infant, Newborn
  • Live Birth*
  • Pregnancy
  • Pregnancy, Multiple
  • Retrospective Studies
  • Time-Lapse Imaging*

Grants and funding

The Authors received no specific funding for this work.