arXiv:2501.16386q-bio.QMcs.LG2025-01被引 1

用AI预测促孕方案中取卵最佳时机,提升试管婴儿成功率

ILETIA: An AI-enhanced method for individualized trigger-oocyte pickup interval estimation of progestin-primed ovarian stimulation protocol

  • 基于Transformer和梯度提升树的机器学习模型
  • 预测准确率AUC达0.889,优于医生和传统模型
  • 可辅助判断提前排卵风险,适合生殖医学研究者

体外受精-胚胎移植(IVF-ET)是治疗不孕症的主要手段之一。在IVF-ET周期中,触发注射与取卵(OPU)之间的时间间隔对卵泡成熟至关重要,直接影响成熟卵子数量及后续治疗效果。然而,临床医生经验差异导致该间隔预测困难,常造成取卵率不理想。为此,我们提出ILETIA——首个基于机器学习的、针对促孕素预处理卵巢刺激(PPOS)方案的个体化触发-取卵间隔预测方法。该方法利用Transformer从临床表格数据中学习特征表示,并采用梯度提升树进行时间预测。为训练与评估模型,我们构建了包含近万例患者的PPOS-DS数据集,是目前已知规模最大的同类数据集。实验结果表明,该方法性能优异(AUROC = 0.889),显著优于临床医生及其他主流计算模型。此外,ILETIA还可预测特定取卵时间下的早发排卵风险(AUROC = 0.838)。总体而言,通过实现更精准的个性化决策,ILETIA有望改善临床结局,并为未来IVF-ET研究奠定基础。

原文摘要 · Abstract (English)

In vitro fertilization-embryo transfer (IVF-ET) stands as one of the most prevalent treatments for infertility. During an IVF-ET cycle, the time interval between trigger shot and oocyte pickup (OPU) is a pivotal period for follicular maturation, which determines mature oocytes yields and impacts the success of subsequent procedures. However, accurately predicting this interval is severely hindered by the variability of clinicians'experience that often leads to suboptimal oocyte retrieval rate. To address this challenge, we propose ILETIA, the first machine learning-based method that could predict the optimal trigger-OPU interval for patients receiving progestin-primed ovarian stimulation (PPOS) protocol. Specifically, ILETIA leverages a Transformer to learn representations from clinical tabular data, and then employs gradient-boosted trees for interval prediction. For model training and evaluating, we compiled a dataset PPOS-DS of nearly ten thousand patients receiving PPOS protocol, the largest such dataset to our knowledge. Experimental results demonstrate that our method achieves strong performance (AUROC = 0.889), outperforming both clinicians and other widely used computational models. Moreover, ILETIA also supports premature ovulation risk prediction in a specific OPU time (AUROC = 0.838). Collectively, by enabling more precise and individualized decisions, ILETIA has the potential to improve clinical outcomes and lay the foundation for future IVF-ET research.

AI医疗辅助生殖机器学习预测模型

Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。