Evidence map›Paper›PMID 38061074›Full record

ReviewHuman reproduction (Oxford, England)2024

A brief history of artificial intelligence embryo selection: from black-box to glass-box.

Tammy Lee, Jay Natalwala, Vincent Chapple, Yanhe Liu

Abstract readReview
In one paragraph

Review in Human reproduction (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
  2. Addressing multiple pregnancies in in vitro fertilization-embryo transfer: Current status, challenges, and solutions.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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

4 authors.

Tammy LeeFertility North, Joondalup Private Hospital, Joondalup, Western Australia, Australia.ORCID 0000-0003-2138-9302
Jay NatalwalaFertility North, Joondalup Private Hospital, Joondalup, Western Australia, Australia.
Vincent ChappleFertility North, Joondalup Private Hospital, Joondalup, Western Australia, Australia.ORCID 0000-0002-0405-006X
Yanhe LiuFertility North, Joondalup Private Hospital, Joondalup, Western Australia, Australia.ORCID 0000-0001-6276-7010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the exponential growth of computing power and accumulation of embryo image data in recent years, artificial intelligence (AI) is starting to be utilized in embryo selection in IVF. Amongst different AI technologies, machine learning (ML) has the potential to reduce operator-related subjectivity in embryo selection while saving labor time on this task. However, as modern deep learning (DL) techniques, a subcategory of ML, are increasingly used, its integrated black-box attracts growing concern owing to the well-recognized issues regarding lack of interpretability. Currently, there is a lack of randomized controlled trials to confirm the effectiveness of such black-box models. Recently, emerging evidence has shown underperformance of black-box models compared to the more interpretable traditional ML models in embryo selection. Meanwhile, glass-box AI, such as interpretable ML, is being increasingly promoted across a wide range of fields and is supported by its ethical advantages and technical feasibility. In this review, we propose a novel classification system for traditional and AI-driven systems from an embryology standpoint, defining different morphology-based selection approaches with an emphasis on subjectivity, explainability, and interpretability.

Indexed as

Artificial IntelligenceMachine LearningEmbryo, MammalianHumansartificial intelligenceblack-boxdeep learningembryo selectionexplainabilityglass-boxinterpretabilitymachine learningsubjectivitytime-lapse videography

Identifiers

PMID38061074
PMCPMC11016335

What OpenQuestion holds

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LicenceCC BY
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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.