🤖 AI Summary
This study addresses the longstanding reliance on patient-level variables in predicting in vitro fertilization (IVF) pregnancy rates, which has largely overlooked high-resolution laboratory environmental data. The authors introduce, for the first time, a 55-dimensional set of context-aware temporal features to characterize dynamic incubator microenvironment conditions. By integrating rolling thermal stability analysis with a hierarchical Bayesian Beta regression model, they achieve partial pooling of environmental effects across clinics in Asia and Northern Europe—preserving site-specific baselines while sharing transferable signals. The proposed approach reduces prediction error to 1.27% in the Asian clinic and achieves an R² of 0.86 among women aged 35–39 in Northern Europe, representing a 64% reduction in error compared to a naïve baseline and substantially improving cross-center predictive performance.
📝 Abstract
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.