Evidence map›Paper›PMID 36275401›Full record

ArticleAJOG global reports2022

Application of machine learning to predict aneuploidy and mosaicism in embryos from in vitro fertilization cycles.

José A Ortiz, Ruth Morales, Belén Lledó, Juan A Vicente, Julio González, Eva M García-Hernández, Alba Cascales, Jorge Ten, Andrea Bernabeu, Rafael Bernabeu

Open access · goldAbstract read
In one paragraph

Article in AJOG global reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. A review of artificial intelligence applications in in vitro fertilization.Journal of assisted reproduction and genetics · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
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 2 institutions in 1 country.

José A OrtizDepartment of Molecular Biology and Genetics, Instituto Bernabeu, Alicante, Spain (Drs Ortiz, Morales, Lledó, and García-Hernández, and MSc Cascales).
Ruth MoralesDepartment of Molecular Biology and Genetics, Instituto Bernabeu, Alicante, Spain (Drs Ortiz, Morales, Lledó, and García-Hernández, and MSc Cascales).
Belén LledóDepartment of Molecular Biology and Genetics, Instituto Bernabeu, Alicante, Spain (Drs Ortiz, Morales, Lledó, and García-Hernández, and MSc Cascales).
Juan A VicenteDepartamento de Economía Aplicada y Estadística, Universidad Nacional de Educación a Distancia, Madrid, Spain (Dr Vicente).
Julio GonzálezDepartamento de Economía de la Empresa y Contabilidad, Universidad Nacional de Educación a Distancia, Madrid, Spain (Dr González).
Eva M García-HernándezDepartment of Molecular Biology and Genetics, Instituto Bernabeu, Alicante, Spain (Drs Ortiz, Morales, Lledó, and García-Hernández, and MSc Cascales).
Alba CascalesDepartment of Molecular Biology and Genetics, Instituto Bernabeu, Alicante, Spain (Drs Ortiz, Morales, Lledó, and García-Hernández, and MSc Cascales).
Jorge TenDepartments of Reproductive Biology (Dr Ten).
Andrea BernabeuReproductive Medicine (Drs A Bernabeu and R Bernabeu), Instituto Bernabeu, Alicante, Spain.
Rafael BernabeuReproductive Medicine (Drs A Bernabeu and R Bernabeu), Instituto Bernabeu, Alicante, Spain.
Instituto Bernabeu · ESUniversidad Nacional de Educación a Distancia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe factors associated with embryo aneuploidy have been extensively studied. Mostly maternal age and to a lesser extent male factor and ovarian stimulation have been related to the occurrence of chromosomal alterations in the embryo. On the other hand, the main factors that may increase the incidence of embryo mosaicism have not yet been established.

objectiveThis study aimed to establish a machine learning model that would allow prediction of aneuploidies and mosaicism in embryos conceived via in vitro fertilization, and thus help to determine which variables are associated with these chromosomal alterations. STUDY

designThe study design was observational and retrospective. A total of 6989 embryos from 2476 cycles of preimplantation genetic testing for aneuploidies were included (January 2013 to December 2020). The trophoectoderm biopsies on day-5, -6, or -7 blastocysts were analyzed by preimplantation genetic testing for aneuploidies (PGT-A). The different maternal, paternal, couple, embryo, and in vitro fertilization cycle characteristics were recorded in a database (22 predictor variables) from which predictive models of embryo aneuploidy and mosaicism were developed; 16 different unsupervised classification machine learning algorithms were used to establish the predictive models.

resultsTwo different predictive models were performed: one for aneuploidy and the other for mosaicism. The predictor variable was of multiclass type because it included the segmental- and whole-chromosome alteration categories. The best predicting models for both aneuploidies and mosaicism were those obtained from the Random Forest algorithm. The area under ROC curve (AUC) value was 0.792 for the aneuploidy explanatory model and 0.776 for mosaicism. The most important variable in the final aneuploidy model was maternal age, followed by paternal and maternal karyotype and embryo quality. In the predictive model of mosaicism, the most important variable was the technique used in preimplantation genetic testing for aneuploidies and embryo quality, followed by maternal age and day of biopsy.

conclusionIt is possible to predict embryo aneuploidy and mosaicism from certain characteristics of the patients and their embryos.

Indexed as

array comparative genomic hybridizationartificial intelligenceembryo aneuploidyembryo mosaicismmachine learningnext-generation sequencingpreimplantation genetic testing for aneuploidies

Identifiers

PMID36275401
PMCPMC9574883
OpenAlexW4296260816

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.