Evidence map›Paper›PMID 36097248›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2023

Combining Machine Learning with Metabolomic and Embryologic Data Improves Embryo Implantation Prediction.

Aswathi Cheredath, Shubhashree Uppangala, Asha C S, Ameya Jijo, Vani Lakshmi R, Pratap Kumar, David Joseph, Nagana Gowda G A, Guruprasad Kalthur, Satish Kumar Adiga

Open access · hybridFull text read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Semen HPV and IVF: insights from infection prevalence to embryologic outcomes.Journal of assisted reproduction and genetics · 2025
    Article
  8. The Integration of Artificial Intelligence inJournal of pharmacy & bioallied sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Aswathi CheredathDivision of Clinical Embryology, Department of Reproductive Science, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
Shubhashree UppangalaDivision of Reproductive Genetics, Department of Reproductive Science, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
Asha C SDepartment of Mechatronics Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, 576 104, India.
Ameya JijoDivision of Clinical Embryology, Department of Reproductive Science, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
Vani Lakshmi RDepartment of Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, 576 104, India.
Pratap KumarDepartment of Reproductive Medicine and Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
David JosephNMR Research Centre, Indian Institute of Science, Bangalore, 560 012, India.
Nagana Gowda G ANorthwest Metabolomics Research Center, Mitochondria and Metabolism Center, Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
Guruprasad KalthurDivision of Reproductive Biology, Department of Reproductive Science, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
Satish Kumar AdigaDivision of Clinical Embryology, Department of Reproductive Science, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India. satish.adiga@manipal.edu.ORCID 0000-0002-2897-4697
Manipal Academy of Higher Education · INIndian Institute of Science Bangalore · INUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated whether combining metabolomic and embryologic data with machine learning (ML) models improve the prediction of embryo implantation potential. In this prospective cohort study, infertile couples (n=56) undergoing day-5 single blastocyst transfer between February 2019 and August 2021 were included. After day-5 single blastocyst transfer, spent culture medium (SCM) was subjected to metabolite analysis using nuclear magnetic resonance (NMR) spectroscopy. Derived metabolite levels and embryologic parameters between successfully implanted and failed groups were incorporated into ML models to explore their predictive potential regarding embryo implantation. The SCM of blastocysts that resulted in successful embryo implantation had significantly lower pyruvate (p<0.05) and threonine (p<0.05) levels compared to medium control but not compared to SCM related to embryos that failed to implant. Notably, the prediction accuracy increased when classical ML algorithms were combined with metabolomic and embryologic data. Specifically, the custom artificial neural network (ANN) model with regularized parameters for metabolomic data provided 100% accuracy, indicating the efficiency in predicting implantation potential. Hence, combining ML models (specifically, custom ANN) with metabolomic and embryologic data improves the prediction of embryo implantation potential. The approach could potentially be used to derive clinical benefits for patients in real-time.

Indexed as

Embryo ImplantationEmbryo TransferBlastocystEmbryo Culture TechniquesEmbryo, MammalianHumansProspective StudiesRetrospective StudiesANNBlastocystMachine learningMetabolomicsNMR spectroscopy

Identifiers

PMID36097248
PMCPMC10014658
OpenAlexW4295514396

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LicenceCC BY
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.