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Autor(en) / Beteiligte
Titel
Deep learning versus manual morphology-based embryo selection in IVF: a randomized, double-blind noninferiority trial
Ist Teil von
  • Nature medicine, 2024-08
Ort / Verlag
United States
Erscheinungsjahr
2024
Beschreibungen/Notizen
  • To assess the value of deep learning in selecting the optimal embryo for in vitro fertilization, a multicenter, randomized, double-blind, noninferiority parallel-group trial was conducted across 14 in vitro fertilization clinics in Australia and Europe. Women under 42 years of age with at least two early-stage blastocysts on day 5 were randomized to either the control arm, using standard morphological assessment, or the study arm, employing a deep learning algorithm, intelligent Data Analysis Score (iDAScore), for embryo selection. The primary endpoint was a clinical pregnancy rate with a noninferiority margin of 5%. The trial included 1,066 patients (533 in the iDAScore group and 533 in the morphology group). The iDAScore group exhibited a clinical pregnancy rate of 46.5% (248 of 533 patients), compared to 48.2% (257 of 533 patients) in the morphology arm (risk difference -1.7%; 95% confidence interval -7.7, 4.3; P = 0.62). This study was not able to demonstrate noninferiority of deep learning for clinical pregnancy rate when compared to standard morphology and a predefined prioritization scheme. Australian New Zealand Clinical Trials Registry (ANZCTR) registration: 379161 .
Sprache
Englisch
Identifikatoren
ISSN: 1078-8956, 1546-170X
eISSN: 1546-170X
DOI: 10.1038/s41591-024-03166-5
Titel-ID: cdi_proquest_miscellaneous_3091282777
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