Wang Jia, Liu Zitao, Zhang Chenxi, Cao Yu, Liu Benyuan, Shu Yimin, Thum Yau, Zhang John
New Hope Fertility Center, New York, 10019, US.
Department of Computer Science, University of Massachusetts Lowell, Lowell, 01854, US.
Sci Rep. 2025 Mar 6;15(1):7821. doi: 10.1038/s41598-025-92186-3.
Infertility, recognized by the World Health Organization (WHO) as a disease affecting the male or female reproductive system, presents a global challenge due to its impact on one in six individuals worldwide. Given the high prevalence of infertility and the limited available resources in fertility care, infertility creates substantial obstacles to reproductive autonomy and places a considerable burden on fertility care providers. While existing research are exploring to use artificial intelligence (AI) methods to assist fertility care providers in managing in vitro fertilization (IVF) cycles, these attempts fail in accurately predicting specific aspects such as medication dosage and intermediate ovarian responses during controlled ovarian stimulation (COS) within IVF cycles. Our current work developed Edwards, a deep learning model based on the Transformer-Encoder architecture to improve the prediction outcomes. Edwards is designed to capture the temporal features within the sequential process of IVF cycles, It could provide the options of treatment plans as well as predict hormone profiles, and ovarian responses at any stage upon both current and historical data. By considering the full context of the process, Edwards demonstrates improved accuracy in predicting the final outcomes of the IVF process compared to previous approaches based on traditional machine learning. The strength of our current deep learning model stems from its ability to learn the intricate endocrinological mechanisms of the female reproductive system, especially for the context of COS in IVF cycles.
不孕症被世界卫生组织(WHO)认定为一种影响男性或女性生殖系统的疾病,由于其对全球六分之一人口的影响,它构成了一项全球性挑战。鉴于不孕症的高发病率以及生育护理方面可用资源的有限性,不孕症给生殖自主权带来了巨大障碍,并给生育护理提供者带来了相当大的负担。虽然现有研究正在探索使用人工智能(AI)方法来协助生育护理提供者管理体外受精(IVF)周期,但这些尝试在准确预测IVF周期中控制性卵巢刺激(COS)期间的特定方面(如药物剂量和中期卵巢反应)时失败了。我们目前的工作开发了Edwards,这是一个基于Transformer-Encoder架构的深度学习模型,以改善预测结果。Edwards旨在捕捉IVF周期连续过程中的时间特征,它可以提供治疗方案选项,并根据当前和历史数据预测任何阶段的激素水平和卵巢反应。通过考虑整个过程的背景,与基于传统机器学习的先前方法相比,Edwards在预测IVF过程的最终结果方面表现出更高的准确性。我们当前深度学习模型的优势源于其学习女性生殖系统复杂内分泌机制的能力,特别是在IVF周期中COS的背景下。