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Genetic Solutions > PGT-A

PGT-A Preimplantation Genetic Testing for Aneuploidies

Improves the chances of reproductive success by selecting chromosomally normal embryos

  • Technical Overview
  • Documentation
  • Scientific evidence
  • I’m not a health specialist

Proprietary Artificial
intelligence algorithm

98% accuracy

Superior reviews from
independent studies

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Overview
  • PGT-A
  • Benefits
  • Indications

What is PGT-A test?

PGT-A is a genetic test performed on embryos to identify numerical chromosomal abnormalities (aneuploidy).

Our technology, Next-Generation Sequencing (NSG), allows us to analyze all 24 chromosomes. Chromosomal abnormalities are detected prior to embryo transfer to enable ranking of embryos for transfer and increase pregnancy rates.

Clinical Outcome with and without PGT-A based on SART 2016 public database

SART 2016 (https://www.sartcorsonline.com/rptCSR_PublicMultYear.aspx?reportingYear=2016)

What is the procedure?

Why use PGT-A?

  • Increases pregnancy rates per transfer:
    Selecting chromosomally normal embryos can increase the rate of pregnancy after transfer.
  • Reduction in miscarriage rate:
    In the general population, 25% of all clinical pregnancies end in miscarriage. The risk for miscarriage is reduced if a euploid embryo is transferred.
  • Increase in the likelihood of having a healthy baby:
    Some pregnancies with aneuploidies can result in babies affected with chromosomal syndromes.
  • Reduction in time and necessary resources:
    The time and resources necessary to achieve a pregnancy are reduced.
  • Reduces risk of multiple pregnancy:
    Patient can utilize a single embryo transfer of a euploid embryo rather than transferring multiple untested embryos to reduce the risk of multiple pregnancy.

Why Igenomix PGT-A?

  • Superior reviews

Independent studies have compared our PTG-A vs other labs and the key facts are as follows:

*ABSTRACT – ASRM 2018: A comparison of diagnostic results of Preimplantation Genetic Testing for Aneuploidy (PGT-A) from reference laboratories during a period of transition; trends and inherences for patient care. D. Ioannou, M. D. Baker, S. D. Jones, l. R. Grass, K. A. Miller. Embryology, IVF Florida Reproductive Associates, Margate, FL.

**POSTER – PGDIS 2019: Clinical comparison of two pgt-a PLATFORMS UTILIZING DIFFERENT THRESHOLDS TO DETERMINE PLOIDY STATUS. D. Monahan, G. Harton, D. Griffin, M. Angle, C. Smikle. Laurel Fertility Care, San Francisco, CA.

  • Smart PGT-A

By applying the unique Smart PGT-A technology, Igenomix is able to constantly refine and improve our ability to analyze embryo samples. Wehave developed a proprietary bioinformatic calling algorithm based on over 100,000 embryo samples which minimizes human errors and bias/subjectivity. 

  • Igenomix Mitoscore

MitoScore is a mitochondrial biomarker developed by Igenomix which gives us an indicator of the energy status of an embryo.

MitoScore allows us to identify embryos with the greatest probabilities for implantation, and a viable pregnancy through IVF/ PGT-A.*

  • Most DNA is in chromosomes within the nucleus, but mitochondria have their own DNA. This genetic material is known as mitochondrial DNA or mtDNA. 
  • mtDNA in an embryo is an index of energetic stress, which can be used to predict its implantation potential. 
  • Our studies indicate that an increase in the mitochondrial DNA in the embryo is indicative of an insufficient level of energy and a low implantation potential.

Who should use PGT-A?

  • PGT-A is particularly important for female patients over age 35, as aneuploidy rate increases with maternal age. Women under 35 have a uniform aneuploidy rate below 40%, while women above 42 have a uniform aneuploidy rate above 70%.
  • PGT-A can greatly reduce the odds of a patient having multiple pregnancies by providing information to select the best embryo for an elective Single Embryo Transfer or SET.

Test limitations

  • Accuracy is ~98%: There is a chance for a false positive or false negative result. Prenatal diagnostic testing (amniocentesis or CVS) is recommended to confirm the results of PGT-A. 
  • PGT-A tests only embryo biopsies, not whole embryos. Therefore, mosaicism cannot be ruled out.
  • There is a chance of problems with transportation, such as weather and air travel issues, or other circumstances beyond the control of Igenomix that would not allow results to be obtained in time for embryo  There is also a chance that the sample received in Igenomix laboratory is unacceptable for analysis and results cannot be obtained from the sample provided. 
  • On rare occasions, genetic testing cannot be performed due to improper biopsy techniques, loss of biopsied cells, or poor DNA quality. 
Documentation
  • PGT-A Specialists' documents

Clinical Sheets

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Brochure

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Scientific evidence
  • Igenomix
  • External

Rubio et al: In vitro fertilization with preimplantation genetic diagnosis for aneuploidies in advanced maternal age: a randomized, controlled study. Fertil Steril. 2017 May;107(5):1122-1129. 

Yang Z, Liu J, Collins GS, Salem SA, Liu X, Lyle SS, et al. Selection of single blastocysts for fresh transfer via standard morphology assessment alone and with array CGH for good prognosis IVF patients: results from a randomized pilot study. Mol Cytogenet 2012 May 2; 5(1):24.  

Coates A, Kung A, Mounts E, Hesla J, Bankowski B, Barbieri E, Ata B, Cohen J, Munné S. Optimal euploid embryo transfer strategy, fresh versus frozen, after Preimplantation Genetic Testing for Aneuploidies with next generation sequencing: a randomized controlled trial.  Fertil Steril. 2017 Mar;107(3):723-730.e3.   

Coates A, Bankowski BJ, Kung A, Griffin DK, Munne S. Differences in pregnancy outcomes in donor egg frozen embryo transfer (FET) cycles following Preimplantation Genetic Testing for Aneuploidies (PGT-A): a single center retrospective study. J Assist Reprod Genet. 2017 Jan;34(1):71-78.    

Sanchez-Ribas et al., Transcriptomic behavior of genes associated with chromo some 21 aneuploidies in early embryo development. Fertility and Sterility, 2019; 111, 5:991-1001. 

Goldwaser, Tamar et al. Cell-free DNA for the detection of fetal aneuploidy. Fertility and Sterility, 2018; 109, 2, 195 – 200. 

Kuznyetsov V, Madjunkova S, Antes R, Abramov R, Motamedi G, Ibarrientos Z, et al.  Evaluation of a novel non-invasive preimplantation genetic screening approach. PLoS ONE; 2018; 13(5): e0197262. 

Munné S, Status of preimplantation genetic testing and embryo selection. RBMO. 2018; 37(4):393-396. 

Levy et al., Prenatal diagnosis by chromosomal microarray analysis. Fertility and Sterility, 2017; 109, 2, 201–212.  

Ottolini C. et al., Scientific Reports. Tripolar mitosis and partitioning of the genome arrests human preimplantation development in vitro, 2017;7:9744. 

Ottolini C. et al., Scientific Reports. Tripolar mitosis and partitioning of the genome arrests human preimplantation development in vitro, 2017;7:9744. 

Munné, Santiago et al. Mosaicism: “survival of the fittest” versus “no embryo left behind”. Fertility and Sterility, 2016; 105, 5, 1146 – 1149. 

Bolton et al., Mouse model of chromosome mosaicism reveals lineage-specific depletion of aneuploid cells and normal developmental potential. Nature Communications, 2016; 29;7:11165. 

Cimadomo D. et al, The Impact of Biopsy on Human Embryo Developmental Potential during Preimplantation Genetic Diagnosis. Hindawi, 2016, 7193075. 

Scott RT, Galliano D., The challenge of embryonic mosaicism in preimplantation genetic screening. Fertility and Sterility, 2016; 105, 5. 

McCoy RC, Demko ZP, Ryan A, Banjevic M, Hill M, Sigurjonsson S, et al.  Evidence of Selection against Complex Mitotic-Origin Aneuploidy during Preimplantation Development. PLoS Genet, 2015; 11 (10): e1005601.  

Kung A. et al., Validation of next-generation sequencing for comprehensive chromosome screening of embryos. Reproductive BioMedicine, 2015; 1472-6483. 

Greco E, Minasi MG, Fiorentino F. Healthy Babies after Intrauterine Transfer of Mosaic Aneuploid Blastocysts, N Engl J Med, 2015; Nov 19;373(21):2089-90.  

Yang Z et al., Selection of single blastocysts for fresh transfer via standard morphology assessment alone and with array CGH for good prognosis IVF patients: results from a randomized pilot study., 2012, 5:24. 

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