Evidence map›Paper›PMID 39982651›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2025

Effect of Blastocyst Morphology and Developmental Rate on Euploidy and Live Birth Rates in PGT-A Cycles: A Retrospective Cohort Study.

Xiaojiao Chen, Yong Fan, Hui Ji, Lin Zhou, Xun Wu, Yi Wei, Shanren Cao, Junqiang Zhang, Xiufeng Ling

Abstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Factors associated withFrontiers in endocrinology · 2026
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xiaojiao ChenDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Yong FanDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Hui JiDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Lin ZhouDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Xun WuDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Yi WeiDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China.
Shanren CaoDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China. caoshanren@126.com.
Junqiang ZhangDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China. zhangjunqiang_njfy@163.com.
Xiufeng LingDepartment of Reproductive Medicine, Women'S Hospital of Nanjing Medical University, Nanjing Women and Children'S Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing, 210004, Jiangsu, China. lingxiufeng_njfy@163.com.ORCID 0000-0001-7820-9152

Funding

National Key Research and Development Program of China 2021-YFC2700601-1National Natural Science Foundation of China 82171645National Natural Science Foundation of China 82301874National Natural Science Foundation of China 82371670Project supported by Nanjing Science and technology development Foundation YKK23158
6 · The paper itself

Abstract

This study was to evaluate the relationship between morphology or developmental rate of blastocysts and ploidy status in preimplantation genetic testing for aneuploidy (PGT-A) cycles, or live birth rates in single euploid frozen-thawed embryo transfer (FET) cycles. We focused on infertile patients who underwent PGT-A procedures, following with single euploid FET cycles in the assisted reproduction center from January 2016 to December 2022. Blastocysts were categorized for biopsy, and euploid embryos would be selected for transfer. Multivariate logistic regression was used to assess the effects of blastocoel expansion degree, inner cell mass (ICM) and trophectoderm (TE) grades and developmental stage (Day 5, 6 and 7) on euploidy and live birth rates. A total of 4172 blastocysts from 941 PGT-A cycles were included. Expansion 4 were associated with lower euploidy rate than expansion 5 (P = 0.011) and 6 (P = 0.001). Better ICM (P < 0.05 for A compared to B grade) increased blastocyst euploidy. Euploidy rate was significantly associated with A grade TE (P < 0.001). However, no relationship existed between blastocyst euploidy and developmental rate. Furthermore, live birth rates had no significant effect on most of morphological parameters in euploidy blastocyst FET cycles, only A grade TE was shown higher live birth rate than C grade (P = 0.024). The rate of euploidy in morphologically poor blastocysts is low in the cohort, but the developmental rate does not associate with euploidy. Moreover, only TE grades take association with live birth rates, when the single euploidy blastocyst was transplanted.

Indexed as

AneuploidyBirth RateBlastocystEmbryonic DevelopmentLive BirthPreimplantation DiagnosisAdultEmbryo TransferFemaleGenetic TestingHumansPregnancyPregnancy RateRetrospective StudiesBlastocyst morphologyDevelopmental rateEuploidy rateLive birth ratePGT-A

Identifiers

PMID39982651
PMCPMC12041180

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.