Page 13 - GTM-2-2
P. 13

Global Translational Medicine                                                  Clinical algorithms in ART



            decreased ovarian reserve and increased risk of conditions   on patient characteristics and treatment data.
            such as endometriosis. Another potential explanation   v.  Random forest: This algorithm is used to analyze
            is that women with higher levels of education may be      data  sets  with  many  variables  and  identify
            more likely to engage in behaviors that can contribute to   the most important factors that influence the
            infertility, such as smoking, excessive alcohol consumption,   outcome. In IVF, random forest can be used to
            and exposure to environmental toxins.                     predict the probability of success or failure based
                                                                      on patient and treatment characteristics.
              On the contrary, education may impact access to
            healthcare and reproductive technologies. Women with   These algorithms can be trained using large data sets
            higher levels of education may have greater knowledge   of IVF treatment outcomes, patient characteristics, and
            of and access to fertility treatments such as IVF. In   treatment data. Once trained, they can be used to predict
            comparison, women with lower levels of education may   the probability of success or failure for a given patient
            face barriers to accessing these treatments, leading to a   based on their individual characteristics and treatment
            higher risk of infertility. Finally, socioeconomic factors   plan. These predictions can help doctors to personalize
            such as income and access to healthcare may also play a   treatment plans and improve IVF success rates.
            role in the relationship between education and female   Increasing  AI  applications  in  the  field  of  reproductive
            infertility. Women with higher levels of education may have   medicine to improve the treatment of infertility are already
            higher incomes and greater access to healthcare, which can   established. Some of the applications are elaborated as follows:
            improve  their  overall  reproductive  health  and decrease   i.   Oocyte ovarian reservoir estimation: This can
            the  risk  of  infertility.  While  the  relationship  between   help fertility specialists to make more accurate
            female educational attainment and infertility is complex, it   predictions about the number of oocytes that can
            highlights the need for comprehensive reproductive health   be retrieved during the IVF cycle.
            education and access to fertility treatments for all women,   ii.  Sperm analysis: AI can analyze and classify sperm
            regardless of their educational background.               morphology, motility, and concentration with
              AI can potentially transform infertility diagnosis and   greater accuracy and speed than manual methods,
            treatment by enabling more accurate diagnoses, personalized   improving the diagnosis of male infertility.
            treatment plans, and improved patient outcomes. There are   iii.  COS: It is done by predicting the optimal dose
            several algorithms that can be used to predict the success of   and duration of gonadotropin administration.
            IVF treatments. Here are some of the most common ones:  iv.  Fertilization: AI can help embryologists to
               i.   Logistic regression: This algorithm is used to predict   identify the best quality embryos by analyzing
                                                                      various morphological and kinetic parameters of
                   the probability of success or failure of IVF treatments   the developing embryos.
                   based on patient and treatment characteristics. It   v.  Blastulization:  AI can  help to  identify which
                   uses a mathematical model to analyze data from     embryos are more likely to develop into blastocysts,
                   previous IVF cycles and identify the factors that are   improving the success rates of IVF treatments.
                   most predictive of success or failure.         vi.  Implantation of human embryo: AI can assist
               ii.  Decision trees: This algorithm is used to analyze   fertility specialists in selecting the best clinical
                   complex data sets and create decision trees that   and embryological parameters to optimize the
                   map out the most likely outcomes based on          implantation rate.
                   various factors. In IVF, decision trees can be used
                   to predict the probability of success or failure   In the present review, we analyzed the most promising
                   based on patient age, ovarian reserve, embryo   applications to improve results and compliance with IVF
                   quality, and other factors.                 procedures, leaving those without clear validation out of
                                                                      [16]
               iii.  Neural networks: This algorithm is designed to   our focus .
                   simulate the function of the  human brain and   IVF programs require a high degree of laboratory
                   can be used to analyze large and complex data   efficiency to optimize outcomes and ensure the safety
                   sets. In IVF, neural networks can be used to   of patients. Several algorithms have been developed and
                   analyze patient data and identify patterns that are   validated to improve the laboratory efficiency of IVF
                   predictive of success or failure.           programs, including:
               iv.  Support vector machines (SVM): This algorithm   i.   Time-lapse imaging algorithms: Time-lapse
                   is used to analyze and classify data based on      imaging algorithms use computer vision
                   complex patterns. In IVF, SVM can be used to       techniques to analyze time-lapse images of
                   predict the probability of success or failure based   developing embryos. These algorithms can


            Volume 2 Issue 2 (2023)                         7                        https://doi.org/10.36922/gtm.0308
   8   9   10   11   12   13   14   15   16   17   18