| Detailed
Information on Question: What is the embryo score for this blastocyst |
| Status |
This is the 
KEY QAP Question for the Scheme
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| Type |
Calculation Outcome |
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| Order |
Question
Options |
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| 1 |
The calculated score for this embryo is |
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| Title |
Blastocyst Score-Ver 1 |
| Comment |
This score calculates a blastocyst value from the Gardners Grading Scheme |
| This
is a calculated Question. It requires a number of other questions
to be completed. The answer to these questions have each been weighted
(see below). The value submitted for each question is then compiled
as detailed below to provide a SCORE usually out of 100. The higher
the score usually indicates a better quality. The score is an arbitary
one and has been generated within QAPonline to allow all the parameters
embodies in the questions to be assess. |
| Order |
Question |
Calculation
|
Summation
|
| 1 |
What stage of blastocyst formation is evident from the image? |
Value
*4
|
+
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| 2 |
Describe the appearance of the inner cell mass |
Value
*4
|
+
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| 3 |
Describe the appearance of the trophectoderm |
Value
*4
|
+
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| 4 |
Is the rate of cleavage normal? |
Value
*4
|
+
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|
| 1 |
What stage of blastocyst formation is evident from the image? |
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|
Order |
Option |
Value
|
Max
value
|
| 1 |
Hatched blastocyst (Gardners Scale 6) [91-100] |
10
|
10
|
| 2 |
Hatching Blastocyst (Gardners Scale 5) [81-90] |
9
|
10
|
| 3 |
Expanded Blastocyst: The blastocoel appears expanded (Gardners Scale 4) [71-80] |
8
|
10
|
| 4 |
Full Blastocyst: The blastocoel is fully developed (Gardners Scale 3) [61-70] |
7
|
10
|
| 5 |
Blastocyst: The blastocoel is more than half the embryo volume (Gardners Scale 2) [51-60] |
6
|
10
|
| 6 |
Early blastocyst: The blastocoel is less than half the embryo volume (Gardners Scale 1) [41-50] |
5
|
10
|
| 7 |
There is no blastocoel evident- fully compacted. [31-40] |
4
|
10
|
| 8 |
Loosley compacted morula [21-30] |
3
|
10
|
| 9 |
Multicellular embryo with early compaction events [11-20] |
2
|
10
|
| 10 |
Arrested, delayed or abnormal development- [1-10] |
1
|
10
|
|
| 2 |
Describe the appearance of the inner cell mass |
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|
Order |
Option |
Value
|
Max
value
|
| 1 |
Inner Cell Mass is tightly packed with many cells (Gardners Scale A) |
5
|
5
|
| 2 |
Inner Cell Mass is loosely packed with several cells (Gardners Scale B) |
4
|
5
|
| 3 |
Inner Cell Mass has very few cells (Gardners Scale C) |
3
|
5
|
| 4 |
The inner cell mass is not visible or not formed. |
2
|
5
|
| 5 |
The inner cell mass is abnormal |
1
|
5
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|
| 3 |
Describe the appearance of the trophectoderm |
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|
Order |
Option |
Value
|
Max
value
|
| 1 |
Trophectoderm Grade is Good -many cells forming a cohesive epithelium (Gardners Scale A) |
5
|
5
|
| 2 |
Trophectoderm Grade is Average - few cells forming a loose epithelium (Gardners Scale B) |
4
|
5
|
| 3 |
Trophectoderm Grade is Poor - very few large cells(Gardners Scale C) |
3
|
5
|
| 4 |
There is no trophectoderm visible |
2
|
5
|
| 5 |
The trophectoderm is abnormal |
1
|
5
|
|
| 4 |
Is the rate of cleavage normal? |
|
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|
Order |
Option |
Value
|
Max
value
|
| 1 |
YES, this embryo is normal. |
1
|
1
|
| 2 |
No - this embryo has cleaved or developed faster than expected. |
0.75
|
1
|
| 3 |
No, the embryo is delayed. |
0.5
|
1
|
| 4 |
No, the embryo has arrested or significantly delayed. |
0.25
|
1
|
| 5 |
No, the embryo is abnormal. |
0.1
|
1
|
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