Evidence map›Paper›PMID 40993685›Full record

ArticleJournal of translational medicine2025

Predictive models for live birth outcomes following fresh embryo transfer in assisted reproductive technologies using machine learning.

Shengnan Wu, Xinbo Wang, Yuechen Liu, Yongyong Ren, Mei Zhao, Haitao Song, Hao Shen, Yueting Wu, Zhiyun Wei, Hui Lu and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Shengnan Wu *Department of Integrated Traditional Chinese Medicine (TCM) & Western Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 201204, China.
Xinbo Wang *Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, 200240, China.
Yuechen LiuSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, 200240, China.
Yongyong RenSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, 200240, China.
Mei ZhaoCenter for Reproductive Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 201204, China.
Haitao SongSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, 200240, China.
Hao ShenShanghai Artificial Intelligence Research Institute, Shanghai, 200240, China.
Yueting WuDepartment of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, 200240, China.
Zhiyun WeiDepartment of Integrated Traditional Chinese Medicine (TCM) & Western Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 201204, China. zhiyun_wei@163.com.ORCID 0000-0002-3554-4142
Hui LuDepartment of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, 200240, China. huilu@sjtu.edu.cn.
Kunming LiDepartment of Integrated Traditional Chinese Medicine (TCM) & Western Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 201204, China. drlikunming@qq.com.

Funding

Key Technologies Research and Development Program 2022YFC2704702Science and Technology Commission of Shanghai Municipality 22ZR1480400Science and Technology Commission of Shanghai Municipality 23JS1400700Science and Technology Commission of Shanghai Municipality 23ZR1450400Science and Technology Innovation Plan Of Shanghai Science and Technology Commission 23002430100Science and Technology Innovation Plan Of Shanghai Science and Technology Commission 23DZ1204200Shanghai Municipal Health Commission 2024QN065
6 · The paper itself

Abstract

backgroundInfertility affects approximately 15% of couples globally, with assisted reproductive technologies (ARTs) becoming the primary interventions. Despite the growing use of ARTs, success rates have plateaued at around 30%, highlighting the need for improved predictive models to enhance outcomes. This study aimed to develop a machine learning-based predictive model for live birth outcomes following fresh embryo transfer.

methodsA total of 51,047 ART records were collected from 2016 to 2023 at the Shanghai First Maternity and Infant Hospital. After data preprocessing, 11,728 records and 55 pre-pregnancy features were analyzed. Six machine learning models-Random Forest (RF), eXtreme Gradient Boosting (XGBoost), Gradient Boosting Machines (GBM), Adaptive Boosting (AdaBoost), Light Gradient Boosting Machine (LightGBM), and Artificial Neural Network (ANN)-were employed to construct the prediction model.

resultsAmong the models, RF demonstrated the best predictive performance, achieving an area under the curve (AUC) value exceeding 0.8. Key predictive features included female age, grades of transferred embryos, number of usable embryos, and endometrial thickness. A web tool was developed to assist clinicians in predicting outcomes and individualizing treatments based on patient data.

conclusionsThis study presents a significant advancement in predicting live birth outcomes prior to embryo transfer, moving beyond traditional assessments. The findings underscore the potential of machine learning to improve clinical decision-making and enhance patient counseling in ARTs.

Indexed as

Embryo TransferLive BirthMachine LearningPregnancy OutcomeReproductive Techniques, AssistedAdultFemaleHumansPregnancyAssisted reproductive techniquesEnsemble learningPrediction modelPregnancy outcomes

Identifiers

PMID40993685
PMCPMC12462326

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.