Evidence map›Paper›PMID 38696439›Full record

ArticlePloS one2024

Development and evaluation of a usable blastocyst predictive model using the biomechanical properties of human oocytes.

Daniel Meyer, Jonathan Kort, Ching Hung Chen, Huan Zhao, Xiaoling Yi, Shin-Yu Lai, Farn Lu, Wen Jui Yang, I-Chiao Hsieh, Chung-Li Chiang and 4 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. From Cytoskeletal Remodeling to Oocyte Quality: The Emerging Role of Mechanics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 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

14 authors.

Daniel MeyerDepartment of Bioengineering, Stanford University, Stanford, CA, United States of America.ORCID 0000-0002-3756-1982
Jonathan KortDivision of Reproductive Endocrinology and Infertility, Stanford University, Stanford, CA, United States of America.
Ching Hung ChenInstitute of Molecular and Cellular Biology, National Tsing Hua University, Hsinchu, Taiwan.ORCID 0000-0003-1397-8334
Huan ZhaoDepartment of Reproductive Medicine, The 3rd Affiliated Hospital of Shenzhen University, Shenzhen, China.
Xiaoling YiDepartment of Reproductive Medicine, The 3rd Affiliated Hospital of Shenzhen University, Shenzhen, China.
Shin-Yu LaiTaiwan IVF Group Center for Reproductive Medicine & Infertility, Hsinchu, Taiwan.
Farn LuDepartment of Obstetrics and Gynecology, Ton Yen General Hospital, Hsinchu, Taiwan.
Wen Jui YangDepartment of Obstetrics and Gynecology, Ton Yen General Hospital, Hsinchu, Taiwan.
I-Chiao HsiehDepartment of Data Science, Inti Taiwan, Inc., Zhubei City, Hsinchu, Taiwan.
Chung-Li ChiangDepartment of Data Science, Inti Taiwan, Inc., Zhubei City, Hsinchu, Taiwan.
Wei-Ming ChenDepartment of Data Science, Inti Taiwan, Inc., Zhubei City, Hsinchu, Taiwan.ORCID 0000-0002-6841-0829
Jack Yu Jen HuangDivision of Reproductive Endocrinology and Infertility, Stanford University, Stanford, CA, United States of America.
David CamarilloDepartment of Bioengineering, Stanford University, Stanford, CA, United States of America.
Barry BehrDivision of Reproductive Endocrinology and Infertility, Stanford University, Stanford, CA, United States of America.

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR003142
6 · The paper itself

Abstract

purposeThe purposes of this study were to determine whether biomechanical properties of mature oocytes could predict usable blastocyst formation better than morphological information or maternal factors, and to demonstrate the safety of the aspiration measurement procedure used to determine the biomechanical properties of oocytes.

methodsA prospective split cohort study was conducted with patients from two IVF clinics who underwent in vitro fertilization. Each patient's oocytes were randomly divided into a measurement group and a control group. The aspiration depth into a micropipette was measured, and the biomechanical properties were derived. Oocyte fertilization, day 3 morphology, and blastocyst development were observed and compared between measured and unmeasured cohorts. A predictive classifier was trained to predict usable blastocyst formation and compared to the predictions of four experienced embryologists.

results68 patients and their corresponding 1252 oocytes were included in the study. In the safety analyses, there was no significant difference between the cohorts for fertilization, while the day 3 and 5 embryo development were not negatively affected. Four embryologists predicted usable blastocyst development based on oocyte morphology with an average accuracy of 44% while the predictive classifier achieved an accuracy of 71%. Retaining the variables necessary for normal fertilization, only data from successfully fertilized oocytes were used, resulting in a classifier an accuracy of 81%.

conclusionsTo date, there is no standard guideline or technique to aid in the selection of oocytes that have a higher likelihood of developing into usable blastocysts, which are chosen for transfer or vitrification. This study provides a comprehensive workflow of extracting biomechanical properties and building a predictive classifier using these properties to predict mature oocytes' developmental potential. The classifier has greater accuracy in predicting the formation of usable blastocysts than the predictions provided by morphological information or maternal factors. The measurement procedure did not negatively affect embryo culture outcomes. While further analysis is necessary, this study shows the potential of using biomechanical properties of oocytes to predict embryo developmental outcomes.

Indexed as

BlastocystEmbryonic DevelopmentFertilization in VitroOocytesAdultBiomechanical PhenomenaFemaleHumansProspective Studies

Identifiers

PMID38696439
PMCPMC11065297

What OpenQuestion holds

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Registered trials

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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.