Automatic ploidy prediction and quality assessment of human blastocysts using time-lapse imaging.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
05 Sep 2024
Historique:
received: 03 08 2023
accepted: 15 08 2024
medline: 6 9 2024
pubmed: 6 9 2024
entrez: 5 9 2024
Statut: epublish

Résumé

Assessing fertilized human embryos is crucial for in vitro fertilization, a task being revolutionized by artificial intelligence. Existing models used for embryo quality assessment and ploidy detection could be significantly improved by effectively utilizing time-lapse imaging to identify critical developmental time points for maximizing prediction accuracy. Addressing this, we develop and compare various embryo ploidy status prediction models across distinct embryo development stages. We present BELA, a state-of-the-art ploidy prediction model that surpasses previous image- and video-based models without necessitating input from embryologists. BELA uses multitask learning to predict quality scores that are thereafter used to predict ploidy status. By achieving an area under the receiver operating characteristic curve of 0.76 for discriminating between euploidy and aneuploidy embryos on the Weill Cornell dataset, BELA matches the performance of models trained on embryologists' manual scores. While not a replacement for preimplantation genetic testing for aneuploidy, BELA exemplifies how such models can streamline the embryo evaluation process.

Identifiants

pubmed: 39237547
doi: 10.1038/s41467-024-51823-7
pii: 10.1038/s41467-024-51823-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7756

Subventions

Organisme : U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS)
ID : R35GM138152

Informations de copyright

© 2024. The Author(s).

Références

Ma, R. C. W., Ng, N. Y. H. & Cheung, L. P. Assisted reproduction technology and long-term cardiometabolic health in the offspring. PLoS Med. 18, e1003724 (2021).
doi: 10.1371/journal.pmed.1003724 pubmed: 34491992 pmcid: 8423255
Niakan, K. et al. Human pre-implantation embryo development. Development 139, 829–841 (2012).
doi: 10.1242/dev.060426 pubmed: 22318624 pmcid: 3274351
Niederberger, Craig et al. Forty years of IVF. Fertil. Steril. 110, 185–324.e5 (2018).
doi: 10.1016/j.fertnstert.2018.06.005 pubmed: 30053940
Greco, E. et al. Preimplantation genetic testing: where we are today. Int. J. Mol. Sci. 21, 4381 (2020).
doi: 10.3390/ijms21124381 pubmed: 32575575 pmcid: 7352684
Zhang, Y. X. et al. The pregnancy outcome of mosaic embryo transfer: a prospective multicenter study and meta-analysis. Genes 11, 973 (2020).
doi: 10.3390/genes11090973 pubmed: 32825792 pmcid: 7565393
Khosravi, P. et al. Deep learning enables robust assessment and selection of human blastocysts after in vitro fertilization. NPJ Digit. Med. 2, 21 (2019).
doi: 10.1038/s41746-019-0096-y pubmed: 31304368 pmcid: 6550169
Chavez-Badiola, Alejandro et al. Embryo Ranking Intelligent Classification Algorithm (ERICA): artificial intelligence clinical assistant predicting embryo ploidy and implantation. Reprod. Biomed. Online 41, 585–593 (2020).
doi: 10.1016/j.rbmo.2020.07.003 pubmed: 32843306
Barnes, Josue et al. A non-invasive artificial intelligence approach for the prediction of human blastocyst ploidy: a retrospective model development and validation study. Lancet Digit. Health 5, e28–e40 (2023).
doi: 10.1016/S2589-7500(22)00213-8 pubmed: 36543475 pmcid: 10193126
Silver, D. H. et al. Data-driven prediction of embryo implantation probability using IVF time-lapse imaging. Medical Imaging With Deep Learning. 1–6 (2020).
Lee, C.-I. et al. End-to-end deep learning for recognition of ploidy status using time-lapse videos. J. Assist. Reprod. Genet. 38, 1655–1663 (2021).
doi: 10.1007/s10815-021-02228-8 pubmed: 34021832 pmcid: 8324635
Gardner, D. K. & Balaban, B. Assessment of human embryo development using morphological criteria in an era of time-lapse, algorithms and ‘OMICS’: is looking good still important? Mol. Hum. Reprod. 22, 704–718 (2016).
doi: 10.1093/molehr/gaw057 pubmed: 27578774
Campbell, A. et al. Modelling a risk classification of aneuploidy in human embryos using non-invasive morphokinetics. Reprod. Biomed. Online 26, 477–485 (2013).
doi: 10.1016/j.rbmo.2013.02.006 pubmed: 23518033
Rienzi, L. et al. No evidence of association between blastocyst aneuploidy and morphokinetic assessment in a selected population of poor-prognosis patients: a longitudinal cohort study. Reprod. Biomed. Online 30, 57–66 (2015).
doi: 10.1016/j.rbmo.2014.09.012 pubmed: 25458852
Zhan, Q. et al. Blastocyst score, a blastocyst quality ranking tool, is a predictor of blastocyst ploidy and implantation potential. F S Rep. 1, 133–141 (2020).
pubmed: 34223229 pmcid: 8244376
Pierce, N. & Mocanu, E. Female age and assisted reproductive technology. Glob. Reprod. Health 3, e9 (2018).
doi: 10.1097/GRH.0000000000000009
Alon, I. & Pinilla, J. Assisted reproduction in Spain, outcome and socioeconomic determinants of access. Int. J. Equity Health 20, 156 (2021).
doi: 10.1186/s12939-021-01438-x pubmed: 34229664 pmcid: 8259134
Bardos, J. et al. Reproductive genetics laboratory may impact euploid blastocyst and live birth rates: a comparison of 4 national laboratories’ PGT-A results from vitrified donor oocytes. Fertil. Steril. 119, 29–35 (2023).
doi: 10.1016/j.fertnstert.2022.10.010 pubmed: 36460523
Munné, S. et al. Preimplantation genetic testing for aneuploidy versus morphology as selection criteria for single frozen-thawed embryo transfer in good-prognosis patients: a multicenter randomized clinical trial. Fertil. Steril. 112, 1071–1079.e7 (2019).
doi: 10.1016/j.fertnstert.2019.07.1346 pubmed: 31551155
VeriSeq PGS Kit. https://www.illumina.com/products/by-type/clinical-research-products/veriseq-pgs.html (2023).
MiSeq System. https://www.illumina.com/systems/sequencing-platforms/miseq.html (2023).
García-Pascual, C. M. et al. Optimized NGS approach for detection of aneuploidies and mosaicism in PGT-A and imbalances in PGT-SR. Genes 11, 724 (2020).
doi: 10.3390/genes11070724 pubmed: 32610655 pmcid: 7397276
Lee, H. J. et al. Six consecutive time-lapse images over 2 hours on day 3 can predict blastulation better than a single image. Fertil. Steril. 118, e263 (2022).
doi: 10.1016/j.fertnstert.2022.08.739
Mohamed, Y. A., Yusof, U. K., Isa, I. S. & Zain, M. M. An automated blastocyst grading system using convolutional neural network and transfer learning. In Proc. 2023 IEEE 13th International Conference on Control System, Computing and Engineering (ICCSCE), 202–207 (2023).
Lockhart, L., Saeedi, P., Au, J. & Havelock, J. Multi-label classification for automatic human blastocyst grading with severely imbalanced data. In Proc. 2019 IEEE 21st International Workshop on Multimedia Signal Processing (MMSP), 1–6 (2019).
Wang, L. et al. Trends in the application of deep learning networks in medical image analysis: evolution between 2012 and 2020. Eur. J. Radiol. 146, 110069 (2022).
doi: 10.1016/j.ejrad.2021.110069 pubmed: 34847395
Yousaf, K. & Nawaz, T. A deep learning-based approach for inappropriate content detection and classification of YouTube videos. IEEE Access 10, 16283–16298 (2022).
doi: 10.1109/ACCESS.2022.3147519
Romeo, L., Marani, R., D’Orazio, T. & Cicirelli, G. Video based mobility monitoring of elderly people using deep learning models. IEEE Access 11, 2804–2819 (2023).
doi: 10.1109/ACCESS.2023.3234421
Jamal, I. H. et al. Systematic literature review: human gait cycle model using image-temporal feature. In Proc. 2021 6th IEEE International Conference on Recent Advances and Innovations in Engineering (ICRAIE), 1–6 (2021).
Caruana, R. Multitask learning. Mach. Learn. 28, 41–75 (1997).
doi: 10.1023/A:1007379606734
Zisimopoulos, P., Sigaras, A. & ih-lab. ih-lab/stork-v: v1.0.0.patched20230130. Zenodo https://doi.org/10.5281/zenodo.11999737 (2024).

Auteurs

Suraj Rajendran (S)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.
Tri-Institutional Computational Biology & Medicine Program, Weill Cornell Medicine, New York, NY, USA.

Matthew Brendel (M)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Josue Barnes (J)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Qiansheng Zhan (Q)

The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA.

Jonas E Malmsten (JE)

The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA.

Pantelis Zisimopoulos (P)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Alexandros Sigaras (A)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Kwabena Ofori-Atta (K)

Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, NY, USA.

Marcos Meseguer (M)

IVI Valencia, Health Research Institute la Fe, Valencia, Spain.

Kathleen A Miller (KA)

IVF Florida Reproductive Associates, Fort Lauderdale, Florida, USA.

David Hoffman (D)

IVF Florida Reproductive Associates, Fort Lauderdale, Florida, USA.

Zev Rosenwaks (Z)

The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA.

Olivier Elemento (O)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

Nikica Zaninovic (N)

The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA.

Iman Hajirasouliha (I)

Institute for Computational Biomedicine, Department of Physiology and Biophysics, Weill Cornell Medicine of Cornell University, New York, NY, USA. imh2003@med.cornell.edu.
Caryl and Israel Englander Institute for Precision Medicine, The Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA. imh2003@med.cornell.edu.

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