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Advanced Embryo Ploidy Classification Using Vision Transformers: Integration of Sequential Time-Lapse Imaging and

Muhammad Fauzan Avidiansyah1, Nining Handayani1, Tri Aprilliana1

  • 1IRSI Research Centre, Jakarta, Indonesia.

Journal of Human Reproductive Sciences
|January 21, 2026
PubMed
Summary

Vision Transformers (ViTs) combined with time-lapse imaging and random undersampling (RUS) improve embryo ploidy classification. This approach enhances accuracy for mosaic embryos, crucial for optimizing assisted reproductive technology (ART) outcomes.

Keywords:
Assisted reproductive technologyembryo ploidy classificationtime-lapse imagingvision transformers

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Area of Science:

  • Assisted Reproductive Technology (ART)
  • Computational Biology
  • Genetics

Background:

  • Accurate embryo ploidy identification is vital for successful assisted reproductive technology (ART) outcomes.
  • Conventional deep learning models struggle with class imbalance, especially underrepresenting mosaic embryos.
  • Mosaic embryos pose a significant challenge in ploidy classification.

Purpose of the Study:

  • To enhance embryo ploidy classification accuracy using Vision Transformers (ViTs).
  • To integrate sequential time-lapse imaging with ViTs for improved embryo assessment.
  • To address data imbalance, particularly the underrepresentation of mosaic embryos, through random undersampling (RUS).

Main Methods:

  • A retrospective analysis of 1020 blastocyst-stage time-lapse videos was conducted.
  • Customized deep learning models, specifically ViT-B/16 and ViT-B/32, were fine-tuned.
  • Random undersampling (RUS) was applied to create a balanced dataset of 17,000 images per class (Euploid, aneuploid, mosaic).

Main Results:

  • The ViT-B/16 model achieved 0.84 accuracy in binary and 0.67 in multiclass classification on the balanced dataset.
  • Performance significantly dropped to 0.49 on the imbalanced dataset, highlighting the effectiveness of RUS.
  • Random undersampling notably improved the prediction accuracy for minority classes, including mosaic embryos.

Conclusions:

  • Integrating ViTs with sequential time-lapse imaging and RUS offers a promising non-invasive method for embryo ploidy classification.
  • This approach enhances the accuracy of identifying mosaic embryos.
  • The findings support more informed embryo selection in ART, potentially improving success rates.