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Artificial Intelligence in Health                                           AI in embryo selection for ART



            technically demanding than vaginal insemination. Despite   focuses on algorithms enabling computers to learn from
            its complexity, artificial insemination may be necessary for   data, while AI is a vast field that aims to replicate human
            specific infertility treatments or breeding initiatives. It allows   intelligence through reasoning, problem-solving, and
            for the conservation of genetic lines, acceleration of line   learning. Although AI is widely used in many sectors, ML
            extension, or the synchronization of embryo development by   is essential for enhancing decision-making and prediction
            enabling one male’s sperm to inseminate multiple females.    skills in these applications.  AI and ML have the
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            This method addresses the issue of male-factor infertility and   potential to revolutionize basic science, clinical practice,
            can be used with various species, including gorillas, lions,   healthcare administration, and medicinal economics.  In
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            bears, and tuna fish. Infertility in both males and females   reproductive medicine, predictive modeling using AI can
            can be successfully treated using artificial insemination, with   accurately predict fertility outcomes. However, challenges
            a success rate of up to 18.2% every cycle and 58.4% after   such as managing large-scale data, identifying valuable
            6 months of treatment. 69                          features, and validating models with gold-standard study
                                                               designs remain.  Further precision, standardization,
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            3.8. Relationship between ART and AI               and automation in the field of reproductive medicine
            A significant portion of people worldwide experience   could be achieved using AI-guided procedures.  For
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            infertility, which is defined as the inability to achieve   example, AI-based ART software can reduce interobserver
            a clinical pregnancy following 12  months of regular,   variability, personalize drug doses, and improve clinical
            unprotected  sexual  intercourse. 10  Treatment  for  and operational efficiency, particularly in sperm selection
            subfertility, infertility, or genetic disorders that hinder   and oocyte quality assessment.  Most importantly, AI has
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            natural conception is referred to as ART. Common   shown potential in reproductive urology by predicting
            ART methods include ET, IVF, ICSI, and GIFT.  Recent   semen parameters, identifying candidates for genetic
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            technological advancements aim to automate processes   testing, and automating sperm detection.  In addition, AI
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            such as sperm selection, fertilization, and embryo culture,   in ART improves efficiency by identifying patients at risk
            which could enhance consistency and reduce the stress   for conditions such as endometriosis, detecting gamete
            caused by manual manipulation.  The integration of AI   production values, and optimizing controlled ovarian
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            with ART enhances the effectiveness and success rates   stimulation by calculating ideal starting drug doses and
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            of ART treatments. AI algorithms can assess and predict   trigger timing using deep learning algorithms.  Recently,
            the quality of gametes and embryos, which are vital to the   Levenberg–Marquardt neural networks trained on local
            success of ART. At present, morphological examinations,   binary patterns have demonstrated promising outcomes
            which are prone to subjectivity and human error, are the   in terms of oocyte and embryo quality prediction, offering
            primary method used by embryologists to manually assess   potential improvements in ART, especially in nations with
            the quality of gametes and embryos.  By eliminating inter-  restricted embryo selection practices. 68
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            observer and inter-objective variations, AI algorithms may
            provide a more standardized and objective evaluation.    3.10. Integration of AI in embryo selection
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            This integration enhances reproductive health outcomes   In the past, doctors have utilized ML algorithms to assist
            by increasing implantation success rates, reducing   in selecting embryos for human-assisted reproduction.
            the incidence of multiple pregnancies, and improving   The challenges of embryo selection have gained significant
            single-ET.  Moreover, AI can predict embryos’ viability   attention  with  the  advent  of  ART.  Invasive  techniques,
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            and oocytes’ developmental capability using ML algorithms   including preimplantation genetic screening, as well
            and morphokinetic parameter analysis. By selecting   as transcriptome and proteome analyses of biopsied
            the  most  viable  embryos,  this  method  can  increase  the   embryonic tissue, were initially emphasized and are
            chances of implantation and successful pregnancy.  In   currently being explored to obtain direct insights into
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            addition, AI can aid in automating tedious and repetitive   embryonic development. In ART, a variety of deep
            ART  laboratory  duties,  thereby  increasing  productivity   learning and ML models are applied to enhance embryo
            and minimizing errors.  However, to achieve extensive   selection processes. For example, AI models such as
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            integration into clinical practice, ethical considerations   ERICA use blastocyst images to estimate euploidy in
            and the imperative for transparency in AI algorithms must   embryos.  To enhance embryo selection processes in IVF,
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            be duly acknowledged and resolved.                 AI analyzes complex data, identifies trends, and provides
                                                               an objective evaluation of embryos.  Furthermore, AI is
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            3.9. Advancements in AI and ML in ART
                                                               used to determine the optimal quantity of metaphase II
            AI and ML are two related yet distinct disciplines within   oocytes required for ART to produce viable blastocysts and
            the field of computer intelligence. ML is a subset of AI that   embryos. 73


            Volume 2 Issue 3 (2025)                         12                        https://doi.org/10.36922/aih.7170
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