Predictive value of 3D ultrasound assessment of endometrial receptivity for PGD/PGS for transfer pregnancy outcome

Abstract

Objective: To investigate the predictive value of three-dimensional ultrasound assessment of endometrial receptivity in PGD/PGS transplantation patients on pregnancy outcome. Methods: 280 patients undergoing PGD/PGS transplantation were selected and divided into group A and group B according to the patients' pregnancy outcomes. The general conditions, endometrial receptivity indexes of the two groups were compared. Multifactorial logistic regression analysis was used to determine the factors influencing pregnancy outcome in PGD/PGS transplant patients. ROC curves were plotted to analyze the predictive value of 3D ultrasound parameters on pregnancy outcome. The results of the study were validated with patients who underwent FET transplantation, and the patients in the validation group were treated with the same 3D ultrasound examination method and treatment plan as the observation group. Results: The differences in basic situations between two groups were not statistically significant (P > 0.05). The percentage of endometrial thickness, number of blood flow branches, and blood flow typing type II+II were higher in group A than in group B (P < 0.05). Multifactorial logistic regression analysis showed that endometrial thickness, number of endometrial blood flow branches and endometrial blood flow typing were influencing factors of pregnancy outcome in PGD/PGS patients. The sensitivity of predicting pregnancy outcome based on the results of transcatheter 3D ultrasound was 91.18%, the specificity was 82.35%, and the accuracy was 90.00%, which has a high predictive value. Conclusion: 3D ultrasound can predict pregnancy outcome by assessing the endometrial receptivity of PGD/PGS transplantation, in which endometrial thickness and endometrial blood flow branch number have a good predictive value.

Evaluation of the role of three-dimensional ultrasound and power Doppler in prediction of endometrial receptivity in ICSI patients

“…Conversely, the likelihood of pregnancy improves when blood vessels can be seen extending into the sub endometrial halo and the endometrium. The assessment of ultrasound parameters related to the endometrium and the examination of blood flow in the uterus and endometrium have been widely regarded as indicators of implantation in in vitro fertilization (IVF) and embryo transfer procedures [7] . The use of 3D US-PDA offers the distinct benefit of concurrently evaluating both the blood flow inside the endometrium and the volume of the endometrium (EV) [8] .…”