Evidence map›Paper›PMID 41016945›Full record

ReviewContraception and reproductive medicine2025

Predicting pregnancy outcomes in IVF cycles: a systematic review and diagnostic meta- analysis of artificial intelligence in embryo assessment.

Ataei Mina, Masumeh Younesi, Tahereh Doohandeh, Soheila Darzi, Negar Ajabi Ardehjani, Samaneh Sheibani, Hossein Hosseinirad, Rohollah Valizadeh

Abstract readReview
In one paragraph

Review in Contraception and reproductive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

8 authors.

Ataei MinaDepartment of Obstetrics and Gynecology, Research Center, School of Medical Sciences, Social Determinants of Health, Alborz University of Medical Sciences, Karaj, Iran.
Masumeh YounesiAvicenna Infertility Clinic, Avicenna Research Institute, ACECR, Tehran, Iran.
Tahereh DoohandehDepartment of Obstetrics and Gynecology, Preventive Gynecology Reproductive Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran.
Soheila DarziDepartment of Obstetrics and Gynecology, Nikan hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Negar Ajabi ArdehjaniDepartment of Anatomy, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Samaneh Sheibani *Department of Obstetrics and Gynecology, Preventive Gynecology Reproductive Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran. samane.sheibani@yahoo.com.
Hossein Hosseinirad *Department of Obstetrics, Gynecology and Women's Health, University of Missouri, Columbia, MO, USA. shfcn@umsystem.edu.
Rohollah ValizadehUrmia University of Medical Sciences, Urmia, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmbryo selection remains a key challenge in in vitro fertilization (IVF), as many morphologically "normal" embryos fail to implant. Artificial intelligence (AI) offers a promising tool for improving embryo assessment by providing more objective and accurate predictions of pregnancy outcomes. This study aims to systematically review and conduct a diagnostic meta-analysis to evaluate the effectiveness of AI-based tools in embryo selection for predicting pregnancy outcomes in IVF.

methodsWe conducted a systematic review following PRISMA guidelines, searching Web of Science, Scopus, and PubMed. Original research articles evaluating AI's diagnostic accuracy in embryo selection were included, while duplicates, non-peer-reviewed papers, abstracts, and conference proceedings were excluded. Data on sample sizes, AI tools, and diagnostic metrics were extracted, with quality assessed using the QUADAS-2 tool.

resultsAI-based embryo selection methods showed strong diagnostic performance, with pooled sensitivity of 0.69 and specificity of 0.62 in predicting implantation success. The positive likelihood ratio was 1.84 and the negative likelihood ratio was 0.5. The area under the curve reached 0.7, indicating high overall accuracy. The Life Whisperer AI model achieved 64.3% accuracy in predicting clinical pregnancy, while the FiTTE system, which integrates blastocyst images with clinical data, improved prediction accuracy to 65.2% with an AUC of 0.7.

conclusionAI offers a promising advancement in embryo selection for IVF, with the potential to enhance clinical outcomes and improve decision-making. Future studies should focus on refining these models to achieve the ultimate goal of a healthy live birth by developing more sophisticated algorithms and validating them with larger, diverse datasets.

Indexed as

Artificial intelligence (AI)Diagnostic accuracyEmbryo assessmentIn vitro fertilization (IVF)Pregnancy

Identifiers

PMID41016945
PMCPMC12476623

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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.