{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:30:51Z","timestamp":1790404251294,"version":"4.1.0"},"reference-count":98,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.mdpi.com"],"crossmark-restriction":true},"short-container-title":["IJMS"],"abstract":"<jats:p>Time-lapse imaging (TLI) has emerged as a transformative technology in in vitro fertilization (IVF). This is because it offers continuous, non-invasive embryo assessment through morphokinetic profiling. It demonstrates key advantages such as reduced embryologist subjectivity, detection of dynamic anomalies, and improved implantation rates in niche populations. However, its clinical utility remains debated. Large trials and meta-analyses reveal no universal improvement in live birth rates compared to conventional methods. Key challenges underlying the outcome include algorithm generalizability, lab-specific protocol variability, and high costs. Nevertheless, TLI shows promise in specific contexts. For instance, Preimplantation Genetic Testing for Aneuploidies (PGT-A) cycles where it reduces unnecessary biopsies by predicting euploidy. However, even in this, its benefits are marginal in unselected populations. This review synthesizes evidence to highlight that TLI\u2019s value is context-dependent, not universal. As such, adoption must be cautious to avoid resource misallocation without significant IVF outcome improvements. In future, personalized protocols, integration with non-invasive biomarkers, and multicenter collaboration are crucial to optimize TLI\u2019s potential in assisted reproduction.<\/jats:p>","DOI":"10.3390\/ijms26199609","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T14:27:42Z","timestamp":1759328862000},"page":"9609","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Time-Lapse Imaging in IVF: Bridging the Gap Between Promises and Clinical Realities"],"prefix":"10.3390","volume":"26","author":[{"given":"Grzegorz","family":"Mrugacz","sequence":"first","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 26 Akademicka St., 15-267 Bia\u0142ystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Bo\u0142kun","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 26 Akademicka St., 15-267 Bia\u0142ystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Mago\u0144","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 31 Podwis\u0142ocze St., 35-309 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izabela","family":"Korowaj","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 31 Podwis\u0142ocze St., 35-309 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Golka","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 13 D\u0105br\u00f3wki St., 40-081 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Pluta","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 31 Podwis\u0142ocze St., 35-309 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena","family":"Fedak","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 31 Podwis\u0142ocze St., 35-309 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Cie\u015bla","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 13 D\u0105br\u00f3wki St., 40-081 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Zowczak","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 13 D\u0105br\u00f3wki St., 40-081 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewelina","family":"Sk\u00f3rka","sequence":"additional","affiliation":[{"name":"Center for Reproductive Medicine Bocian, 13 D\u0105br\u00f3wki St., 40-081 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1007\/s43032-022-00941-y","article-title":"Automation in ART: Paving the way for the future of infertility treatment","volume":"30","author":"Abdullah","year":"2023","journal-title":"Reprod. 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