Artificial Intelligence in Unexplained Infertility: A Systematic Review of Machine Learning-Based Predictive Models.

Introduction: This systematic review evaluates the methodological rigor and risk of bias of machine learning-based predictive models developed to estimate the success of assisted reproductive technologies in cases of unexplained infertility, using the Prediction Model Risk of Bias Assessment Tool. M...

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Published in:Lokman Hekim Health Sciences Vol. 6; no. 2; pp. 290 - 305
Main Authors: Tahta, Tugba, Afir, Özge Aydogan
Format: research systematic review tables/charts Journal Article
Published: KARE Publishing Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
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      pub: KARE Publishing
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        atl: Artificial Intelligence in Unexplained Infertility: A Systematic Review of Machine Learning-Based Predictive Models.
      aug:
        au:
          Tahta, Tugba
          Afir, Özge Aydogan
        affil: Department of Midwifery, Ankara Medipol University Faculty of Health Sciences, Ankara, Türkiye
      sug:
        subj:
          Infertility Diagnosis
          Artificial Intelligence
          Reproduction Techniques
          Machine Learning
          Prediction Models
          Human
          Systematic Review
          Embase
          PubMed
          Cochrane Library
          Descriptive Statistics
          Data Analysis, Statistical
          Treatment Outcomes
          Risk Assessment
          Checklists
          Research Methodology
          Predictive Value of Tests
      ab: Introduction: This systematic review evaluates the methodological rigor and risk of bias of machine learning-based predictive models developed to estimate the success of assisted reproductive technologies in cases of unexplained infertility, using the Prediction Model Risk of Bias Assessment Tool. Methods: A systematic review was conducted to assess predictive modeling studies focused on unexplained infertility and based on machine learning, guided by the framework of the Prediction Model Risk of Bias Assessment Tool. After rigorously screening 912 records, only three studies met the inclusion criteria. While limited in number, these studies highlight emerging evidence in this underexplored area. Results: The included studies applied supervised machine learning algorithms, such as Random Forest, Support Vector Machines, Partial Least Squares Discriminant Analysis, and neural networks, across various biomedical data types. Reported predictive performance varied by data modality: spectroscopy-based models demonstrated high classification accuracy, ranging from 92% to 100%, while a couple-based metabolic model with external validation achieved an accuracy of 73.8%. According to the PROBAST assessment, two studies were rated as low risk of bias, whereas one study exhibited an unclear risk, primarily due to limitations in external validation and analytical transparency. Discussion and Conclusion: This systematic review demonstrates the potential of machine learning-based models to enhance clinical decision-making in the context of unexplained infertility.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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