Abstract

BackgroundRecently, the combination of deep learning and time-lapse imaging provides an objective, standard and scientific solution for embryo selection. However, the reported studies were based on blastocyst formation or clinical pregnancy as the end point. To the best of our knowledge, there is no predictive model that uses the outcome of live birth as the predictive end point. Can a deep learning model predict the probability of live birth from time-lapse system?MethodsThis study retrospectively analyzed the time-lapse data and live birth outcomes of embryos samples from January 2018 to November 2019. We used the SGD optimizer with an initial learning rate of 0.025 and cosine learning rate reduction strategy. The network is randomly initialized and trained for 200 epochs from scratch. The model is quantitively evaluated over a hold-out test and a 5-fold cross-validation by the average area under the curve (AUC) of the receiver operating characteristic (ROC) curve.ResultsThe deep learning model was able to predict live birth outcomes from time-lapse images with an AUC of 0.968 in 5-fold stratified cross-validation.ConclusionsThis research reported a deep learning model that predicts the live birth outcome of a single blastocyst transfer. This efficient model for predicting the outcome of live births can automatically analyze the time-lapse images of the patient’s embryos without the need for manual embryo annotation and evaluation, and then give a live birth prediction score for each embryo, and sort the embryos by the predicted value.

Highlights

  • Since Louis Brown was born, the first test tube baby [1], more than seven million babies have been born around the world attribute to assisted reproduction technology (ART) [2]

  • Embryologists evaluated and observed the embryos used optical microscope, which was taken out from the conventional incubator at a specific time point during the first 5 days of life before the time-lapse imaging system was applied to the clinic [11]

  • The fertilization time of these embryos were from January 2018 to November 2019, and we continuously pay return visits until January 2021 to confirm whether these IVF treatments lead to live birth outcomes

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Summary

Introduction

Since Louis Brown was born, the first test tube baby [1], more than seven million babies have been born around the world attribute to assisted reproduction technology (ART) [2]. Embryologists evaluated and observed the embryos used optical microscope, which was taken out from the conventional incubator at a specific time point during the first 5 days of life before the time-lapse imaging system was applied to the clinic [11]. Because of this disadvantage, many events in the embryonic development process have been missed [12]. Can a deep learning model predict the probability of live birth from timelapse system?

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