Semin Reprod Med 2014; 32(02): 134-140
DOI: 10.1055/s-0033-1363555
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Time-Lapse Imaging of Preimplantation Embryos

Joe Conaghan
1   Pacific Fertility Center, San Francisco, California
› Author Affiliations
Further Information

Publication History

Publication Date:
10 February 2014 (online)

Abstract

Time-lapse imaging of preimplantation embryos is a relatively new and developing technology that may allow embryologists to be more objective in scoring embryos, and allow better selection of embryos for transfer and cryopreservation. The technology is easily assimilated into the in vitro fertilization (IVF) laboratory and is used with any preferred culture medium and culture environment. Embryos are loaded into dedicated culture dishes or trays which allow for individual embryo tracking and in some devices, group culture and individual embryo scoring at the same time. The embryos are imaged at regular intervals without removal from the culture environment, and the images can be viewed individually or stitched together to form a video showing complete development from oocyte to blastocyst. Automated or manual review of time-lapse videos can assist in identifying embryos with normal developmental profiles, and in deselecting embryos for consideration for transfer based on abnormal phenotypes. Time-lapse data are used in conjunction with traditional embryo scoring based on morphology to make embryo selection decisions. Improved embryo selection for transfer could allow for more widespread use of elective single embryo transfer without compromising pregnancy rates after IVF.

 
  • References

  • 1 Buitendijk SE. Children after in vitro fertilization. An overview of the literature. Int J Technol Assess Health Care 1999; 15 (1) 52-65
  • 2 De Sutter P. Single embryo transfer (set) not only leads to a reduction in twinning rates after IVF/ICSI, but also improves obstetrical and perinatal outcome of singletons. Verh K Acad Geneeskd Belg 2006; 68 (5-6) 319-327
  • 3 Pinborg A. IVF/ICSI twin pregnancies: risks and prevention. Hum Reprod Update 2005; 11 (6) 575-593
  • 4 Källén B, Finnström O, Lindam A, Nilsson E, Nygren KG, Otterblad Olausson P. Trends in delivery and neonatal outcome after in vitro fertilization in Sweden: data for 25 years. Hum Reprod 2010; 25 (4) 1026-1034
  • 5 Pinborg A, Loft A, Rasmussen S , et al. Neonatal outcome in a Danish national cohort of 3438 IVF/ICSI and 10,362 non-IVF/ICSI twins born between 1995 and 2000. Hum Reprod 2004; 19 (2) 435-441
  • 6 Healy DL, Breheny S, Halliday J , et al. Prevalence and risk factors for obstetric haemorrhage in 6730 singleton births after assisted reproductive technology in Victoria Australia. Hum Reprod 2010; 25 (1) 265-274
  • 7 Society for Assisted Reproductive Technology (SART) Clinic Summary Report 2011. Available at: https://www.sartcorsonline.com/rptCSR_PublicMultYear.aspx?ClinicPKID=0 . Accessed June 20, 2013
  • 8 Adashi EY, Barri PN, Berkowitz R , et al. Infertility therapy-associated multiple pregnancies (births): an ongoing epidemic. Reprod Biomed Online 2003; 7 (5) 515-542
  • 9 Bissonnette F, Phillips SJ, Gunby J , et al. Working to eliminate multiple pregnancies: a success story in Québec. Reprod Biomed Online 2011; 23 (4) 500-504
  • 10 Hamberger L, Hardarson T, Nygren KG. Avoidance of multiple pregnancy by use of single embryo transfer. Minerva Ginecol 2005; 57 (1) 15-19
  • 11 Cutting R, Morroll D, Roberts SA, Pickering S, Rutherford A ; BFS and ACE. Elective single embryo transfer: guidelines for practice British Fertility Society and Association of Clinical Embryologists. Hum Fertil (Camb) 2008; 11 (3) 131-146
  • 12 Rai V, Betsworth A, Beer C, Ndukwe G, Glazebrook C. Comparing patients' and clinicians' perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS). J Assist Reprod Genet 2011; 28 (1) 65-72
  • 13 Leese B, Denton J. Attitudes towards single embryo transfer, twin and higher order pregnancies in patients undergoing infertility treatment: a review. Hum Fertil (Camb) 2010; 13 (1) 28-34
  • 14 Hope N, Rombauts L. Can an educational DVD improve the acceptability of elective single embryo transfer? A randomized controlled study. Fertil Steril 2010; 94 (2) 489-495
  • 15 Gardner DK, Lane M. Towards a single embryo transfer. Reprod Biomed Online 2003; 6 (4) 470-481
  • 16 Quinn P. Culture systems: sequential. Methods Mol Biol 2012; 912: 211-230
  • 17 Cooke S, Quinn P, Kime L, Ayres C, Tyler JP, Driscoll GL. Improvement in early human embryo development using new formulation sequential stage-specific culture media. Fertil Steril 2002; 78 (6) 1254-1260
  • 18 Machtinger R, Racowsky C. Culture systems: single step. Methods Mol Biol 2012; 912: 199-209
  • 19 Practice Committees of the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology. Blastocyst culture and transfer in clinical-assisted reproduction: a committee opinion. Fertil Steril 2013; 99 (3) 667-672
  • 20 Kresowik JDK, Sparks AET, Van Voorhis BJ. Clinical factors associated with live birth after single embryo transfer. Fertil Steril 2012; 98 (5) 1152-1156
  • 21 Gardner DK, Lane M, Schoolcraft WB. Physiology and culture of the human blastocyst. J Reprod Immunol 2002; 55 (1-2) 85-100
  • 22 Liebermann J, Conaghan J. Artificial collapse prior to blastocyst vitrification: improvement of clinical outcomes. Journal of Clinical Embryology 2013; 16 (1) 107-118
  • 23 Veleva Z, Karinen P, Tomás C, Tapanainen JS, Martikainen H. Elective single embryo transfer with cryopreservation improves the outcome and diminishes the costs of IVF/ICSI. Hum Reprod 2009; 24 (7) 1632-1639
  • 24 Scott Jr RT, Upham KM, Forman EJ , et al. Blastocyst biopsy with comprehensive chromosome screening and fresh embryo transfer significantly increases in vitro fertilization implantation and delivery rates: a randomized controlled trial. Fertil Steril 2013; 100 (3) 697-703
  • 25 Gardner DK, Surrey E, Minjarez D, Leitz A, Stevens J, Schoolcraft WB. Single blastocyst transfer: a prospective randomized trial. Fertil Steril 2004; 81 (3) 551-555
  • 26 Styer AK, Wright DL, Wolkovich AM, Veiga C, Toth TL. Single-blastocyst transfer decreases twin gestation without affecting pregnancy outcome. Fertil Steril 2008; 89 (6) 1702-1708
  • 27 Schoolcraft WB, Gardner DK. Blastocyst versus day 2 or 3 transfer. Semin Reprod Med 2001; 19 (3) 259-268
  • 28 Centers for Disease Control and Prevention, American Society for Reproductive Medicine, Society for Assisted Reproductive Technology. 2010 Assisted Reproductive Technology Fertility Clinic Success Rates Report. Available at: http://www.cdc.gov/art/ART2010/index.htm . Accessed on December 23, 2013
  • 29 Mio Y, Maeda K. Time-lapse cinematography of dynamic changes occurring during in vitro development of human embryos. Am J Obstet Gynecol 2008; 199 (6) e1-e5
  • 30 Mio Y. Morphological analysis of human embryonic development using time-lapse cinematography. J Mamm Ova Res 2006; 23: 27-35
  • 31 Payne D, Flaherty SP, Barry MF, Matthews CD. Preliminary observations on polar body extrusion and pronuclear formation in human oocytes using time-lapse video cinematography. Hum Reprod 1997; 12 (3) 532-541
  • 32 Wong CC, Loewke KE, Bossert NL , et al. Non-invasive imaging of human embryos before embryonic genome activation predicts development to the blastocyst stage. Nat Biotechnol 2010; 28 (10) 1115-1121
  • 33 Barlow P, Puissant F, Van der Zwalmen P, Vandromme J, Trigaux P, Leroy F. In vitro fertilization, development, and implantation after exposure of mature mouse oocytes to visible light. Mol Reprod Dev 1992; 33 (3) 297-302
  • 34 Grisart B, Massip A, Dessy F. Cinematographic analysis of bovine embryo development in serum-free oviduct-conditioned medium. J Reprod Fertil 1994; 101 (2) 257-264
  • 35 Pribenszky C, Mátyás S, Kovács P, Losonczi E, Zádori J, Vajta G. Pregnancy achieved by transfer of a single blastocyst selected by time-lapse monitoring. Reprod Biomed Online 2010; 21 (4) 533-536
  • 36 Cruz M, Gadea B, Garrido N , et al. Embryo quality, blastocyst and ongoing pregnancy rates in oocyte donation patients whose embryos were monitored by time-lapse imaging. J Assist Reprod Genet 2011; 28 (7) 569-573
  • 37 Kirkegaard K, Hindkjaer JJ, Grøndahl ML, Kesmodel US, Ingerslev HJ. A randomized clinical trial comparing embryo culture in a conventional incubator with a time-lapse incubator. J Assist Reprod Genet 2012; 29 (6) 565-572
  • 38 Van Royen E, Mangelschots K, Vercruyssen M , et al. Multinucleation in cleavage stage embryos. Hum Reprod 2003; 18 (5) 1062-1069
  • 39 Rubio I, Kuhlmann R, Agerholm I , et al. Limited implantation success of direct-cleaved human zygotes: a time-lapse study. Fertil Steril 2012; 98 (6) 1458-1463
  • 40 Chen AA, Tan L, Suraj V, Reijo Pera R, Shen S. Biomarkers identified with time-lapse imaging: discovery, validation, and practical application. Fertil Steril 2013; 99 (4) 1035-1043
  • 41 Cruz M, Garrido N, Herrero J, Pérez-Cano I, Muñoz M, Meseguer M. Timing of cell division in human cleavage-stage embryos is linked with blastocyst formation and quality. Reprod Biomed Online 2012; 25 (4) 371-381
  • 42 Lee MJ, Lee RK, Lin MH, Hwu YM. Cleavage speed and implantation potential of early-cleavage embryos in IVF or ICSI cycles. J Assist Reprod Genet 2012; 29 (8) 745-750
  • 43 Racowsky C, Stern JE, Gibbons WE, Behr B, Pomeroy KO, Biggers JD. National collection of embryo morphology data into Society for Assisted Reproductive Technology Clinic Outcomes Reporting System: associations among day 3 cell number, fragmentation and blastomere asymmetry, and live birth rate. Fertil Steril 2011; 95 (6) 1985-1989
  • 44 Wong C, Chen AA, Behr B, Shen S. Time-lapse microscopy and image analysis in basic and clinical embryo development research. Reprod Biomed Online 2013; 26 (2) 120-129
  • 45 McLaren A. Early mammalian development. Prog Clin Biol Res 1985; 163A: 29-40
  • 46 Dumoulin JC, Land JA, Van Montfoort AP , et al. Effect of in vitro culture of human embryos on birthweight of newborns. Hum Reprod 2010; 25 (3) 605-612
  • 47 Thompson JG, Kind KL, Roberts CT, Robertson SA, Robinson JS. Epigenetic risks related to assisted reproductive technologies: short- and long-term consequences for the health of children conceived through assisted reproduction technology: more reason for caution?. Hum Reprod 2002; 17 (11) 2783-2786
  • 48 Hlinka D, Kaľatová B, Uhrinová I , et al. Time-lapse cleavage rating predicts human embryo viability. Physiol Res 2012; 61 (5) 513-525
  • 49 Meseguer M, Herrero J, Tejera A, Hilligsøe KM, Ramsing NB, Remohí J. The use of morphokinetics as a predictor of embryo implantation. Hum Reprod 2011; 26 (10) 2658-2671
  • 50 Azzarello A, Hoest T, Mikkelsen AL. The impact of pronuclei morphology and dynamicity on live birth outcome after time-lapse culture. Hum Reprod 2012; 27 (9) 2649-2657
  • 51 Chavez SL, Loewke KE, Han J , et al. Dynamic blastomere behaviour reflects human embryo ploidy by the four-cell stage. Nat Commun 2012; 3: 1251
  • 52 Conaghan J, Chen AA, Willman SP , et al. Improving embryo selection using a computer-automated time-lapse image analysis test plus day 3 morphology: results from a prospective multicenter trial. Fertil Steril 2013; 100 (2) 412-419 , e5
  • 53 Hossain A. Potential for empowering and broadening the application of the SART embryo grading system. Journal of Clinical Embryology 2012; 15 (3) 54-66
  • 54 Vaccari S, Gvakharia M, Ivani K, Le A, Suarez M, Conaghan J. Adding Time-Lapse Imaging Parameters to Morphology for Embryo Selection May Improve Implantation Rates for Cleavage-Stage or Blastocyst Transfer. Fertil Steril 2013; 99 (3) S23-S24