Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance

BACKGROUND: Preimplantation genetic testing for aneuploidy has been proven to be effective in determining the embryo's chromosomal or ploidy status. The test requires a biopsy of embryonic cells on day 3, 5, or 6 from which complete information on the chromosomes would be obtained. The main dra...

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Main Authors: Gunawan Bondan Danardono, SKom, BEng, Nining Handayani, DVM, MBiomed, Claudio Michael Louis, SKom, BEng, Arie Adrianus Polim, MD, SpOG, DMAS, MBHRE, Batara Sirait, SpOG, Gusti Periastiningrum, SSi, Szeifoul Afadlal, PhD, Arief Boediono, DVM, Ivan Sini, MD, FRANZOG, GDRM, MMIS, SpOG
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:AJOG Global Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666577823000503
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author Gunawan Bondan Danardono, SKom, BEng
Nining Handayani, DVM, MBiomed
Claudio Michael Louis, SKom, BEng
Arie Adrianus Polim, MD, SpOG, DMAS, MBHRE
Batara Sirait, SpOG
Gusti Periastiningrum, SSi
Szeifoul Afadlal, PhD
Arief Boediono, DVM
Ivan Sini, MD, FRANZOG, GDRM, MMIS, SpOG
author_facet Gunawan Bondan Danardono, SKom, BEng
Nining Handayani, DVM, MBiomed
Claudio Michael Louis, SKom, BEng
Arie Adrianus Polim, MD, SpOG, DMAS, MBHRE
Batara Sirait, SpOG
Gusti Periastiningrum, SSi
Szeifoul Afadlal, PhD
Arief Boediono, DVM
Ivan Sini, MD, FRANZOG, GDRM, MMIS, SpOG
author_sort Gunawan Bondan Danardono, SKom, BEng
collection DOAJ
description BACKGROUND: Preimplantation genetic testing for aneuploidy has been proven to be effective in determining the embryo's chromosomal or ploidy status. The test requires a biopsy of embryonic cells on day 3, 5, or 6 from which complete information on the chromosomes would be obtained. The main drawbacks of preimplantation genetic testing for aneuploidy include its relatively invasive approach and the lack of research studies on the long-term effects of preimplantation genetic testing for aneuploidy. OBJECTIVE: Computer-assisted predictive modeling through machine learning and deep learning algorithms has been proposed to minimize the use of invasive preimplantation genetic testing for aneuploidy. The capability to predict morphologic characteristics of embryo ploidy status creates a meaningful support system for decision-making before further treatment. STUDY DESIGN: Image processing is a component in developing a predictive model specialized in image classification through which a model is able to differentiate images based on unique features. Image processing is obtained through image augmentation to capture segmented embryos and perform feature extraction. Furthermore, multiple machine learning and deep learning algorithms were used to create prediction-based modeling, and all of the prediction models undergo similar model performance assessments to determine the best model prediction algorithm. RESULTS: An efficient artificial intelligence model that can predict embryo ploidy status was developed using image processing through a histogram of oriented gradient and then followed by principal component analysis. The gradient boosting algorithm showed an advantage against other algorithms and yielded an accuracy of 0.74, an aneuploid precision of 0.83, and an aneuploid predictive value (recall) of 0.84. CONCLUSION: This research study proved that machine-assisted technology perceives the embryo differently than human observation and determined that further research on in vitro fertilization is needed. The study finding serves as a basis for developing a better computer-assisted prediction model.
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spelling doaj.art-e8dedfcb033c46cfae23482eeb6fb39f2023-06-10T04:28:39ZengElsevierAJOG Global Reports2666-57782023-08-0133100209Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a GlanceGunawan Bondan Danardono, SKom, BEng0Nining Handayani, DVM, MBiomed1Claudio Michael Louis, SKom, BEng2Arie Adrianus Polim, MD, SpOG, DMAS, MBHRE3Batara Sirait, SpOG4Gusti Periastiningrum, SSi5Szeifoul Afadlal, PhD6Arief Boediono, DVM7Ivan Sini, MD, FRANZOG, GDRM, MMIS, SpOG8IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Corresponding author: Gunawan Bondan Danardono, SKom, BEng.IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Department of Obstetrics and Gynecology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia (Dr Polim)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Faculty of Medicine, Department of Obstetrics and Gynaecology, Universitas Kristen Indonesia, Jakarta, Indonesia (Dr Sirait)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Department of Anatomy, Physiology, and Pharmacology, Bogor Agricultural Institute University, Bogor, Indonesia (Dr Boediono)IRSI Research and Training Centre, Jakarta, Indonesia (Mr Danardono, Ms Handayani, Mr Louis, Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini); Morula IVF Jakarta Clinic, Jakarta, Indonesia (Drs Polim and Sirait, Ms Periastiningrum, and Mr Afadlal, Drs Boediono, and Sini)BACKGROUND: Preimplantation genetic testing for aneuploidy has been proven to be effective in determining the embryo's chromosomal or ploidy status. The test requires a biopsy of embryonic cells on day 3, 5, or 6 from which complete information on the chromosomes would be obtained. The main drawbacks of preimplantation genetic testing for aneuploidy include its relatively invasive approach and the lack of research studies on the long-term effects of preimplantation genetic testing for aneuploidy. OBJECTIVE: Computer-assisted predictive modeling through machine learning and deep learning algorithms has been proposed to minimize the use of invasive preimplantation genetic testing for aneuploidy. The capability to predict morphologic characteristics of embryo ploidy status creates a meaningful support system for decision-making before further treatment. STUDY DESIGN: Image processing is a component in developing a predictive model specialized in image classification through which a model is able to differentiate images based on unique features. Image processing is obtained through image augmentation to capture segmented embryos and perform feature extraction. Furthermore, multiple machine learning and deep learning algorithms were used to create prediction-based modeling, and all of the prediction models undergo similar model performance assessments to determine the best model prediction algorithm. RESULTS: An efficient artificial intelligence model that can predict embryo ploidy status was developed using image processing through a histogram of oriented gradient and then followed by principal component analysis. The gradient boosting algorithm showed an advantage against other algorithms and yielded an accuracy of 0.74, an aneuploid precision of 0.83, and an aneuploid predictive value (recall) of 0.84. CONCLUSION: This research study proved that machine-assisted technology perceives the embryo differently than human observation and determined that further research on in vitro fertilization is needed. The study finding serves as a basis for developing a better computer-assisted prediction model.http://www.sciencedirect.com/science/article/pii/S2666577823000503artificial intelligenceimage processingin vitro fertilizationnoninvasive embryo assessmentpreimplantation genetic testing for aneuploidploidy status
spellingShingle Gunawan Bondan Danardono, SKom, BEng
Nining Handayani, DVM, MBiomed
Claudio Michael Louis, SKom, BEng
Arie Adrianus Polim, MD, SpOG, DMAS, MBHRE
Batara Sirait, SpOG
Gusti Periastiningrum, SSi
Szeifoul Afadlal, PhD
Arief Boediono, DVM
Ivan Sini, MD, FRANZOG, GDRM, MMIS, SpOG
Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
AJOG Global Reports
artificial intelligence
image processing
in vitro fertilization
noninvasive embryo assessment
preimplantation genetic testing for aneuploid
ploidy status
title Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
title_full Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
title_fullStr Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
title_full_unstemmed Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
title_short Embryo ploidy status classification through computer-assisted morphology assessmentAJOG MFM at a Glance
title_sort embryo ploidy status classification through computer assisted morphology assessmentajog mfm at a glance
topic artificial intelligence
image processing
in vitro fertilization
noninvasive embryo assessment
preimplantation genetic testing for aneuploid
ploidy status
url http://www.sciencedirect.com/science/article/pii/S2666577823000503
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