在当代生殖医学中,人还不是可有可无的。

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynecology of India Pub Date : 2023-08-01 Epub Date: 2023-04-03 DOI:10.1007/s13224-023-01747-x
Gautam N Allahbadia, Swati G Allahbadia, Akanksha Gupta
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引用次数: 0

摘要

在过去几年中,试管婴儿周期的几乎所有方面都得到了研究,包括精子研究、卵泡研究中的彩色多普勒、胚胎裂解预测、囊胚形成预测、囊胚质量评分、优生囊胚和囊胚活产预测、改进胚胎选择过程,以及为最佳试管婴儿刺激方案开发深度机器学习(ML)算法。此外,基于人工智能(AI)的方法也已应用于试管婴儿的一些临床方面,如评估患者的生殖潜能和个体化促性腺激素刺激方案。由于人工智能具有分析 "大 "数据的内在能力,我们的目标将是把人工智能工具应用到所有胚胎学、临床和遗传数据的分析中,为患者提供量身定制的个性化治疗。包括手眼协调在内的人类技能组合进行胚胎移植可能是当今试管婴儿技术中唯一不属于人工智能和人工智能领域的步骤。目前,胚胎移植的成功与否取决于人类的技能,而随着程序化仿人机器人的出现,深度机器学习有朝一日可能会闯入这一神圣领域。胚胎移植可以说是完成试管婴儿周期的一系列事件中限制速度的一步。胚胎移植的成功与否取决于许多因素,包括导管类型、无创伤技术以及胚胎移植前和移植过程中超声引导的使用。在当代生殖医学中,人类还不是可有可无的。
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In Contemporary Reproductive Medicine Human Beings are Not Yet Dispensable.

In the past few years almost every aspect of an IVF cycle has been investigated, including research on sperm, color doppler in follicular studies, prediction of embryo cleavage, prediction of blastocyst formation, scoring blastocyst quality, prediction of euploid blastocysts and live birth from blastocysts, improving the embryo selection process, and for developing deep machine learning (ML) algorithms for optimal IVF stimulation protocols. Also, artificial intelligence (AI)-based methods have been implemented for some clinical aspects of IVF, such as assessing patient reproductive potential and individualizing gonadotropin stimulation protocols. As AI has the inherent capacity to analyze "Big" data, the goal will be to apply AI tools to the analysis of all embryological, clinical, and genetic data to provide patient-tailored individualized treatments. Human skillsets including hand eye coordination to perform an embryo transfer is probably the only step of IVF that is outside the realm of AI & ML today. Embryo transfer success is presently human skill dependent and deep machine learning may one day intrude into this sacred space with the advent of programed humanoid robots. Embryo transfer is arguably the rate limiting step in the sequential events that complete an IVF cycle. Many variables play a role in the success of embryo transfer, including catheter type, atraumatic technique, and the use of sonography guidance before and during the procedure of embryo transfer. In contemporary Reproductive Medicine human beings are not yet dispensable.

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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
124
期刊介绍: Journal of Obstetrics and Gynecology of India (JOGI) is the official journal of the Federation of Obstetrics and Gynecology Societies of India (FOGSI). This is a peer- reviewed journal and features articles pertaining to the field of obstetrics and gynecology. The Journal is published six times a year on a bimonthly basis. Articles contributed by clinicians involved in patient care and research, and basic science researchers are considered. It publishes clinical and basic research of all aspects of obstetrics and gynecology, community obstetrics and family welfare and subspecialty subjects including gynecological endoscopy, infertility, oncology and ultrasonography, provided they have scientific merit and represent an important advance in knowledge. The journal believes in diversity and welcomes and encourages relevant contributions from world over. The types of articles published are: ·         Original Article·         Case Report ·         Instrumentation and Techniques ·         Short Commentary ·         Correspondence (Letter to the Editor) ·         Pictorial Essay
期刊最新文献
"To Give or Not to Give": Evolution of Recommendations on Administering Antenatal Corticosteroids in Late Preterm or Early Term. Call For Action: The Obstetrician's Role In Peripartum Mental Health. Predictive Role of HE4 in Diagnosis of Ovarian Tumors. The Conundrum of Preterm Labour and Premature Births in Present Day Obstetrics. "Modernizing Cervical Cytology Screening with Liquid-Based Methods at Community-Level Hospitals: A Much-Needed Breakthrough for India".
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