» Articles » PMID: 39604481

Advanced KPI Framework for IVF Pregnancy Prediction Models in IVF Protocols

Overview
Journal Sci Rep
Specialty Science
Date 2024 Nov 28
PMID 39604481
Authors
Affiliations
Soon will be listed here.
Abstract

The utilization of neural networks in assisted reproductive technology is essential due to their ability to process complex and multidimensional data inherent in IVF procedures, offering opportunities for clinical outcome prediction, personalized treatment implementation, and overall advancement in fertility treatment. The aim of this study was to develop a novel approach to IVF laboratory data analysis, employing deep neural networks to predict the likelihood of clinical pregnancy occurrence within an individual treatment cycle, integrating both key performance indicators and clinical data. We conducted a retrospective analysis spanning 11 years, encompassing 8732 treatment cycles, to extract the most relevant features to our goal and train the model. Internal validation was performed on 1600 preimplantation genetic testing for aneuploidy embryo transfers, while external was conducted across two independent clinics (over 10,000 cases). Leveraging recurrent neural networks, our model demonstrates high accuracy in predicting the likelihood of clinical pregnancy within specific IVF treatment cycles (AUC = 0.68-0.86; test accuracy = 0.78, F1 score = 0.71, sensitivity = 0.62; specificity = 0.86) comparable to time-lapse system but with a simpler approach. Our model facilitates both retrospective analysis of outcomes and prospective evaluation of clinical pregnancy chances, thus presenting a promising avenue for quality management programs and promotes their realization in medical centers.

References
1.
Esteves S, Alviggi C, Humaidan P, Fischer R, Andersen C, Conforti A . The POSEIDON Criteria and Its Measure of Success Through the Eyes of Clinicians and Embryologists. Front Endocrinol (Lausanne). 2019; 10:814. PMC: 6880663. DOI: 10.3389/fendo.2019.00814. View

2.
Blank C, Wildeboer R, DeCroo I, Tilleman K, Weyers B, De Sutter P . Prediction of implantation after blastocyst transfer in in vitro fertilization: a machine-learning perspective. Fertil Steril. 2019; 111(2):318-326. DOI: 10.1016/j.fertnstert.2018.10.030. View

3.
Franco Jr J, Petersen C, Mauri A, Vagnini L, Renzi A, Petersen B . Key performance indicators score (KPIs-score) based on clinical and laboratorial parameters can establish benchmarks for internal quality control in an ART program. JBRA Assist Reprod. 2017; 21(2):61-66. PMC: 5473694. DOI: 10.5935/1518-0557.20170016. View

4.
Basile N, Vime P, Florensa M, Aparicio Ruiz B, Garcia Velasco J, Remohi J . The use of morphokinetics as a predictor of  implantation: a multicentric study to define and validate an algorithm for embryo selection. Hum Reprod. 2014; 30(2):276-83. DOI: 10.1093/humrep/deu331. View

5.
Dal Canto M, Bartolacci A, Turchi D, Pignataro D, Lain M, De Ponti E . Faster fertilization and cleavage kinetics reflect competence to achieve a live birth after intracytoplasmic sperm injection, but this association fades with maternal age. Fertil Steril. 2020; 115(3):665-672. DOI: 10.1016/j.fertnstert.2020.06.023. View