ESHRE PGT Consortium and SIG Embryology good practice recommendations for polar body and embryo biopsy for PGT†

Author:

Kokkali Georgia1ORCID,Coticchio Giovanni2ORCID,Bronet Fernando3,Celebi Catherine4,Cimadomo Danilo5,Goossens Veerle6,Liss Joanna78,Nunes Sofia9,Sfontouris Ioannis1011,Vermeulen Nathalie6,Zakharova Elena12,De Rycke Martine1314,

Affiliation:

1. Reproductive Medicine Unit, Genesis Athens Clinic, 14-16 Papanicoli street, Chalandri, Athens, Greece

2. 9.baby Family and Fertility Center, Bologna, Italy

3. IVI, IVF and PGT Lab, Madrid, Spain

4. Laboratoire de Biologie de la Reproduction, CMCO, Schiltigheim, France

5. G.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy

6. ESHRE Central Office, Grimbergen, Belgium

7. Fertility and Reproductive Center, INVICTA, Gdańsk, Poland

8. Department of Medical Biology and Genetics, University of Gdańsk, Gdańsk, Poland

9. IVI-RMA, Lisbon, Portugal

10. Eugonia IVF Clinic, Nottingham, UK

11. Division of Child Health, Obstetrics and Gynaecology, University of Nottingham, Nottingham, UK

12. Center for Reproductive Medicine MAMA, Moscow, Russian Federation

13. Centre for Medical Genetics, Universitair Ziekenhuis Brussel, Brussels, Belgium

14. Reproduction and Genetics, Vrije Universiteit Brussel (VUB), Brussels, Belgium

Abstract

Abstract The field of preimplantation genetic testing (PGT) is evolving fast, and best practice advice is essential for regulation and standardisation of diagnostic testing. The previous ESHRE guidelines on best practice for PGD, published in 2005 and 2011, are considered outdated, and the development of new papers outlining recommendations for good practice in PGT was necessary. The current paper provides recommendations on the technical aspects of embryo biopsy and covers recommendations on the biopsy procedure, cryopreservation and laboratory issues and training, in addition to technical aspects and strengths and limitations specific for currently used techniques at different stages (polar body, cleavage stage and blastocyst biopsy). Furthermore, alternative sampling methods are briefly described.This paper is one of a series of four papers on good practice recommendations on PGT. The other papers cover the organisation of PGT, and the different technical aspects of PGT for monogenic/single-gene defects (PGT-M) and PGT for chromosomal structural rearrangements/aneuploidies (PGT-SR/PGT-A). Together, these papers should assist everyone interested in PGT in developing the best laboratory and clinical practice possible.

Funder

European Society of Human Reproduction and Embryology

Publisher

Oxford University Press (OUP)

Subject

Industrial and Manufacturing Engineering,Environmental Engineering

Reference14 articles.

1. ESHRE PGD Consortium data collection XIV-XV: cycles from January 2011 to December 2012 with pregnancy follow-up to October 2013;De Rycke,2017

2. Revised guidelines for good practice in IVF laboratories (2015);De los Santos,2016

3. ESHRE PGT Consortium good practice recommendations for the organisation of preimplantation genetic testing;Carvalho;Hum Reprod Open,2020

4. Recent developments in genetics and medically assisted reproduction: from research to clinical applications;Harper;Eur J Hum Genet,2018

5. ESHRE PGD consortium best practice guidelines for organization of a PGD centre for PGD/preimplantation genetic screening;Harton;Hum Reprod,2011

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