• Emre Seli, Denny Sakkas, Richard Scott, Shing C Kwok, Scott M Rosendahl, and David H Burns.
• Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06520-8063, USA. emre.seli@yale.edu
• Fertil. Steril. 2007 Nov 1; 88 (5): 1350-7.

ObjectiveTo determine if metabolomic profiling of embryo culture media correlates with reproductive potential of individual embryos.DesignProspective study.SettingAn academic and a private assisted reproduction program; a university research center.Patient(S)Women undergoing assisted reproduction treatment.Intervention(S)Sixty-nine spent media samples from 30 patients with known outcome (0 or 100% sustained implantation rates) were individually collected after embryo transfer on day 3 and were evaluated using Raman and/or near-infrared spectroscopy. The spectra obtained from each instrument were separately analyzed using a wavelength selective genetic algorithm to determine regions predictive of pregnancy outcome. Viability indices reflective of reproductive potential were calculated for each sample. To avoid random correlations, a leave-one-out cross-validation was used. Sensitivity and specificity of predicting viability (described as implantation and delivery) were calculated.Main Outcome Measure(S)Metabolomic profile of culture media and embryo viability.Result(S)Viability indices calculated by Raman or near-infrared spectroscopy were higher for embryos that implanted and resulted in a delivery, compared with those that failed to implant. Raman spectroscopy predicted viability of individual embryos with a sensitivity of 86% and a specificity of 76.5%; near-infrared provided a sensitivity of 75% and a specificity of 83.3%.Conclusion(S)Rapid, noninvasive metabolomic profiling of human embryo culture media using Raman or near-infrared spectroscopy combined with bioinformatics correlates with pregnancy outcome.

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