Assessing the true incidence of mosaicism in preimplantation embryos

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Assessing the true incidence of mosaicism in preimplantation embryos Maria Vera-Rodriguez, Ph.D., Carmen Rubio, Ph.D.  Fertility and Sterility  Volume 107, Issue 5, Pages 1107-1112 (May 2017) DOI: 10.1016/j.fertnstert.2017.03.019 Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Types of blastocyst mosaicism and options of trophectoderm (TE) biopsy. There are several types of blastocyst mosaicism according to the cell lineage affected. When the TE cell population includes aneuploid and euploid cells (“Total Mosaic” or “TE Mosaic”), the biopsy could include both cell lineages or just euploid or aneuploid cells. According to the biopsy location, the diagnoses will be more or less accurate. When the mosaicism is confined to the inner cell mass (“ICM Mosaic”), the TE biopsy will be always fully euploid, as the TE is, and will not represent the whole cell population in the embryo, giving a misdiagnosis. Similarly, when the ICM and TE are chromosomally distinct (ICM/TE Mosaic”), the trophectoderm biopsy will always show the contrary diagnoses, aneuploid versus euploid, to the one observed in the ICM. Fertility and Sterility 2017 107, 1107-1112DOI: (10.1016/j.fertnstert.2017.03.019) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions