Blasto-Net: An Explainable Multi-Task Learning for Blastocyst Segmentation, Grading, and Implantation Prediction

This study introduces Blasto-Net, a multi-task deep learning model for comprehensive blastocyst analysis. The proposed model performs three tasks simultaneously in a single forward pass: segmentation of the ZP, TE, and ICM compartments, morphological grading, and implantation outcome prediction. Accurate blastocyst analysis in in vitro fertilization (IVF) is challenging. The compartments often have similar textures but very different structures. To address these challenges, Blasto-Net employs an EfficientNet-B3 encoder with a UNet-style decoder enhanced by the Convolutional Block Attention Module (CBAM) and a novel Edge-Aware Attention Module (EAAM) to effectively capture both semantic and boundary information. To handle distinct compartment topologies, the network employs specialized segmentation heads and a composite region- and boundary-based loss. Additionally, Grad-CAM++ visualizations are used to verify the anatomical consistency of the model's predictions. Evaluated on a public HMC blastocyst dataset, Blasto-Net achieves Dice scores of 94.93%, 91.60%, and 88.82% for ICM, ZP, and TE, respectively, alongside an implantation F1-score of 80.0%. These results demonstrate that Blasto-Net offers an accurate, interpretable, and efficient solution for automated blastocyst assessment, with strong potential to support clinical decision-making in IVF.

Context-Aware Hierarchical Bayesian Modeling of IVF Laboratory Environmental Conditions

IVF pregnancy rates are routinely modeled using patient-level variables, while high-resolution laboratory environmental data remain underutilized. We show that this is a missed opportunity. Rather than relying on raw sensor averages, we engineer 55 context-aware temporal features, including rolling thermal stability, simultaneous temperature-humidity adherence, peak stress duration, and post-stress recovery speed, that capture the dynamics of incubator microenvironments. On 61 weeks of data from an Asian IVF clinic, these features reduce cross-validated prediction error to 1.27%, compared to 3-5% for raw averages. We then train a hierarchical Bayesian Beta regression model that shares environmental effects across an Asian and a Northern European clinic via partial pooling, while preserving site-specific baselines. On held-out data from the Northern European clinic, the model achieves R2 = 0.86 and a 64% error reduction for the 35-39 age group over a naive baseline, demonstrating that structured environmental monitoring contains clinically meaningful, transferable signal.

Interpretable Sperm Morphology Classification via Attention-Guided Deep Learning

Male infertility is a major cause of couple infertility, often linked to abnormal sperm morphology. While deep learning models offer automated analysis, most lack interpretability, limiting their clinical adoption. This study proposes an attention-guided deep learning framework for sperm morphology classification. We combine a pretrained EfficientNet-B0 with a Convolutional Block Attention Module (CBAM) to focus on key areas of the sperm head, improving both accuracy and interpretability. Evaluated on the SMIDS and HuSHem public datasets, our model achieves accuracies of 90.2% and 93.9% (macro F1 scores of 0.913 and 0.948), outperforming SimpleCNN and standard EfficientNet-B0. Furthermore, we use Grad-CAM++ visualizations to highlight features influencing the model's decisions. The results demonstrate that this accurate and transparent framework is a practical tool for automated sperm analysis in fertility clinics.

InVitroVision: a Multi-Modal AI Model for Automated Description of Embryo Development using Natural Language

The application of artificial intelligence (AI) in IVF has shown promise in improving consistency and standardization of decisions, but often relies on annotated data and does not make use of the multimodal nature of IVF data. We investigated whether foundational vision-language models can be fine-tuned to predict natural language descriptions of embryo morphology and development. Using a publicly available embryo time-lapse dataset, we fine-tuned PaliGemma-2, a multi-modal vision-language model, with only 1,000 images and corresponding captions, describing embryo morphology, embryonic cell cycle and developmental stage. Our results show that the fine-tuned model, InVitroVision, outperformed a commercial model, ChatGPT 5.2, and base models in overall metrics, with performance improving with larger training datasets. This study demonstrates the potential of foundational vision-language models to generalize to IVF tasks with limited data, enabling the prediction of natural language descriptions of embryo morphology and development. This approach may facilitate the use of large language models to retrieve information and scientific evidence from relevant publications and guidelines, and has implications for few-shot adaptation to multiple downstream tasks in IVF.

Multitasking Embedding for Embryo Blastocyst Grading Prediction (MEmEBG)

Reliable evaluation of blastocyst quality is critical for the success of in vitro fertilization (IVF) treatments. Current embryo grading practices primarily rely on visual assessment of morphological features, which introduces subjectivity, inter-embryologist variability, and challenges in standardizing quality assurance. In this study, we propose a multitask embedding-based approach for the automated analysis and prediction of key blastocyst components, including the trophectoderm (TE), inner cell mass (ICM), and blastocyst expansion (EXP). The method leverages biological and physical characteristics extracted from images of day-5 human embryos. A pretrained ResNet-18 architecture, enhanced with an embedding layer, is employed to learn discriminative representations from a limited dataset and to automatically identify TE and ICM regions along with their corresponding grades, structures that are visually similar and inherently difficult to distinguish. Experimental results demonstrate the promise of the multitask embedding approach and potential for robust and consistent blastocyst quality assessment.