IEEE Trans Biomed Eng. 2017 Dec;64(12):2968-2978. doi: 10.1109/TBME.2017.2759665. Epub 2017 Oct 5.
Choosing the most viable embryo during human in vitro fertilization (IVF) is a prime factor in maximizing pregnancy rate. Embryologists visually inspect morphological structures of blastocysts under microscopes to gauge their health. Such grading introduces subjectivity amongst embryologists and adds to the difficulty of quality control during IVF. In this paper, we introduce an algorithm for automatic segmentation of two main components of human blastocysts named: Trophectoderm (TE) and inner cell mass (ICM). We utilize texture information along with biological and physical characteristics of day-5 human embryos (blastocysts) to identify TE or ICM regions according to their intrinsic properties. Both these regions are highly textured and very similar in the quality of their texture, and they often look connected to each other when imaged. These attributes make their automatic identification and separation from each other a difficult task even for an expert embryologist. By automatically identifying TE and ICM regions, we offer the opportunity to perform more detailed assessment of blastocysts. This could help in analyzing, in a quantitative way, various visual/geometrical characteristics of these regions that when combined with the pregnancy outcome can determine the predictive values of such attributes. Our work aids future research in understanding why certain embryos have higher pregnancy success rates. This paper is tested on a set of 211 blastocyst images. We report an accuracy of 86.6% for identification of TE and 91.3% for ICM.
在人类体外受精 (IVF) 中选择最可行的胚胎是最大限度提高妊娠率的主要因素。胚胎学家在显微镜下观察囊胚的形态结构,以评估其健康状况。这种分级在胚胎学家之间引入了主观性,并增加了 IVF 期间质量控制的难度。在本文中,我们介绍了一种用于自动分割人类囊胚两个主要成分的算法,分别是滋养外胚层 (TE) 和内细胞团 (ICM)。我们利用纹理信息以及第 5 天人类胚胎(囊胚)的生物学和物理特性,根据其内在特性识别 TE 或 ICM 区域。这两个区域都具有高度的纹理,纹理质量非常相似,当成像时它们经常看起来相互连接。这些属性使得即使对于专家胚胎学家来说,自动识别和分离它们也成为一项艰巨的任务。通过自动识别 TE 和 ICM 区域,我们提供了对囊胚进行更详细评估的机会。这有助于以定量方式分析这些区域的各种视觉/几何特征,将这些特征与妊娠结果相结合,可以确定这些属性的预测值。我们的工作有助于未来研究理解为什么某些胚胎具有更高的妊娠成功率。本文在一组 211 个囊胚图像上进行了测试。我们报告了 TE 识别的准确率为 86.6%,ICM 识别的准确率为 91.3%。