Evidence map›Paper›PMID 39779682›Full record

ArticleNature communications2025

Explainable artificial intelligence to identify follicles that optimize clinical outcomes during assisted conception.

Simon Hanassab, Scott M Nelson, Artur Akbarov, Arthur C Yeung, Artsiom Hramyka, Toulin Alhamwi, Rehan Salim, Alexander N Comninos, Geoffrey H Trew, Tom W Kelsey and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  6. Review
  7. Explainability in AI-enabled medical neurotechnology: a scoping review.Journal of neuroengineering and rehabilitation · 2026
    Article
  8. Article
  9. Article
  10. Late follicular phase progesterone levels andFrontiers in endocrinology · 2026
    Article
  11. Article
  12. [Progress in the application of artificial intelligence in assisted reproduction].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  13. Article
  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Simon HanassabDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.
Scott M NelsonSchool of Medicine, University of Glasgow, Glasgow, UK.
Artur AkbarovDepartment of Computing, Imperial College London, London, UK.
Arthur C YeungDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.
Artsiom HramykaSchool of Computer Science, University of St Andrews, St Andrews, UK.
Toulin AlhamwiDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.
Rehan SalimImperial College Healthcare NHS Trust, London, UK.
Alexander N ComninosDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.ORCID 0000-0002-7104-2297
Geoffrey H TrewDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.
Tom W KelseySchool of Computer Science, University of St Andrews, St Andrews, UK.ORCID 0000-0002-8091-1458
Thomas HeinisDepartment of Computing, Imperial College London, London, UK.
Waljit S DhilloDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK.ORCID 0000-0001-5950-4316
Ali AbbaraDepartment of Metabolism, Digestion, and Reproduction, Imperial College London, London, UK. ali.abbara@imperial.ac.uk.ORCID 0000-0003-2795-5256

Funding

DH | National Institute for Health Research (NIHR) CS-2018-18-ST2-002DH | National Institute for Health Research (NIHR) NIHR202371RCUK | Engineering and Physical Sciences Research Council (EPSRC) EP/S023283/1
6 · The paper itself

Abstract

Infertility affects one-in-six couples, often necessitating in vitro fertilization treatment (IVF). IVF generates complex data, which can challenge the utilization of the full richness of data during decision-making, leading to reliance on simple 'rules-of-thumb'. Machine learning techniques are well-suited to analyzing complex data to provide data-driven recommendations to improve decision-making. In this multi-center study (n = 19,082 treatment-naive female patients), including 11 European IVF centers, we harnessed explainable artificial intelligence to identify follicle sizes that contribute most to relevant downstream clinical outcomes. We found that intermediately-sized follicles were most important to the number of mature oocytes subsequently retrieved. Maximizing this proportion of follicles by the end of ovarian stimulation was associated with improved live birth rates. Our data suggests that larger mean follicle sizes, especially those >18 mm, were associated with premature progesterone elevation by the end of ovarian stimulation and a negative impact on live birth rates with fresh embryo transfer. These data highlight the potential of computer technologies to aid in the personalization of IVF to optimize clinical outcomes pending future prospective validation.

Indexed as

Artificial IntelligenceFertilization in VitroOvarian FollicleOvulation InductionAdultEmbryo TransferFemaleHumansOocyte RetrievalOocytesPregnancyPregnancy RateProgesteroneTreatment OutcomeProgesterone

Identifiers

PMID39779682
PMCPMC11711444

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.