ESHRE PGT Consortium good practice recommendations for the organisation of PGT†

HUMAN REPRODUCTION OPEN - Tập 2020 Số 3 - 2020
Filipa Carvalho1, Edith Coonen2,3, V. Goossens4, Georgia Kokkali5, Carmen Rubio6, M. Meijer‐Hoogeveen7, Céline Moutou8, Nathalie Vermeulen4, Martine De Rycke9,10
1Genetics – Department of Pathology, Faculty of Medicine, University of Porto and i3s – Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal
2Departments of Clinical Genetics and Reproductive Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands
3School for Oncology and Developmental Biology, GROW, Maastricht University, Maastricht, The Netherlands
4ESHRE Central Office, Grimbergen, Belgium
5Reproductive Medicine Unit, Genesis Athens Clinic, 14-16 Papanicoli street, Chalandri, Athens, Greece
6PGT-A Research, Igenomix, Valencia, Spain
7Department Woman and Baby, University Medical Centre Utrecht, Utrecht, The Netherlands
8Laboratoire de Diagnostic Préimplantatoire, Université de Strasbourg / Hôpitaux Universitaires de Strasbourg, Schiltigheim, France
9Centre for Medical Genetics, Universitair Ziekenhuis Brussel, Brussels, Belgium
10Reproduction and Genetics, Vrije Universiteit Brussel (VUB), Brussels, Belgium

Tóm tắt

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ESHRE guidelines on best practice for preimplantation genetic diagnosis, published in 2005 and 2011, are considered outdated and the development of new papers outlining recommendations for good practice in PGT was necessary.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 updated version of the recommendations for good practice is, similar to the 2011 version, split into four documents, one of which covers the organisation of a PGT centre. The other documents focus on the different technical aspects of embryo biopsy, PGT for monogenic/single-gene defects (PGT-M) and PGT for chromosomal structural rearrangements/aneuploidies (PGT-SR/PGT-A). The current document outlines the steps prior to starting a PGT cycle, with details on patient inclusion and exclusion, and counselling and information provision. Also, recommendations are provided on the follow-up of PGT pregnancies and babies. Finally, some further recommendations are made on the practical organisation of an IVF/PGT centre, including basic requirements, transport PGT and quality management. This document, together with the documents on embryo biopsy, PGT-M and PGT-SR/PGT-A, should assist everyone interested in PGT in developing the best laboratory and clinical practice possible.

Từ khóa


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