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    Estimating the chance of success in IVF treatment using a ranking algorithm
    (Springer Heidelberg, 2015) Güvenir, H. Altay; Mısırlı, Gizem; Dilbaz, Serdar; Özdeğirmenci, Özlem; Demir, Berfu; Dilbaz, Berna
    In medicine, estimating the chance of success for treatment is important in deciding whether to begin the treatment or not. This paper focuses on the domain of in vitro fertilization (IVF), where estimating the outcome of a treatment is very crucial in the decision to proceed with treatment for both the clinicians and the infertile couples. IVF treatment is a stressful and costly process. It is very stressful for couples who want to have a baby. If an initial evaluation indicates a low pregnancy rate, decision of the couple may change not to start the IVF treatment. The aim of this study is twofold, firstly, to develop a technique that can be used to estimate the chance of success for a couple who wants to have a baby and secondly, to determine the attributes and their particular values affecting the outcome in IVF treatment. We propose a new technique, called success estimation using a ranking algorithm (SERA), for estimating the success of a treatment using a ranking-based algorithm. The particular ranking algorithm used here is RIMARC. The performance of the new algorithm is compared with two well-known algorithms that assign class probabilities to query instances. The algorithms used in the comparison are Na < ve Bayes Classifier and Random Forest. The comparison is done in terms of area under the ROC curve, accuracy and execution time, using tenfold stratified cross-validation. The results indicate that the proposed SERA algorithm has a potential to be used successfully to estimate the probability of success in medical treatment.
  • Küçük Resim Yok
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    Reproductive performance after hysteroscopic metroplasty in infertile women: complete versus partial uterine septum
    (I R O G Canada, Inc, 2016) Karadağ, Burak; Dilbaz, Berna; Demir, Bülent; Özgürlük, I.; Koçak, M.; Karasu, Yetkin; Dilbaz, S.
    Objective: To investigate the impact of hysteroscopic metroplasty on pregnancy outcome in women with complete or incomplete uterine septum (US) accompanying infertility. Materials and Methods: Seventy-three patients who had hysteroscopic metroplasty for complete and incomplete US with primary and secondary infertility were reviewed. Obstetric outcomes (number of pregnancies, live births, and miscarriages) up to 36 months follow up period were investigated. Results: Twenty-five patients in complete US and 28 patients in incomplete US became pregnant in 36 months follow up. Postoperative miscarriage rate was significantly lower in patients with complete US (p = 0.0001, p = 0.0001, respectively). The mean gestational week at the time of birth and mean birth weight of the infants were significantly lower in patients with complete US compared to the incomplete US cases (p = 0.026, p = 0.049, respectively). Postoperative pregnancy rate was significantly lower in incomplete US patients with primary infertility compared with secondary infertility (p = 0.037). Conclusion: Hysteroscopic metroplasty improves fertility and pregnancy performance. This improvement is more prominent in patients with complete US, mid incomplete US patients with secondary infertility.
  • Küçük Resim
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    Total fertilization failure: is it the end of the story?
    (Springer/Plenum Publishers, 2014) Kahyaoğlu, İnci; Demir, Berfu; Türkkanı, Ayten; Çınar, Özgür; Dilbaz, Serdar; Dilbaz, Berna; Mollamahmutoğlu, Leyla
    To study parameters that could predict in-vitro fertilization (IVF) success in patients who experienced total fertilization failure (TFF) with intracytoplasmic sperm injection (ICSI) in their previous cycles. Cycle characteristics of patients with TFF (Group I, n = 136 cycles), cycles resulting in embryo transfer (ET) following TFF (Group II, n = 36 cycles) and recurrent TFF (Group III, n = 25 cycles) and were studied retrospectively. Demographic features, cycle characteristics of three groups were compared. Follicle count measuring 15-17 mm was significantly higher in group II when compared to group I (p = 0.02). Total number of retrieved oocytes and mature oocytes were significantly higher in group II when compared to groups I and III (p = 0.001). Estradiol level at oocyte pick up (OPU) day was significantly higher in group II when compared to group I (p = 0.02). When the characteristics of ET cycles and preceding TFF cycles of the same patient were compared, total number of retrieved oocytes (5.11 +/- 0.72 (95 % CI 3.69-6.52) vs. 11.44 +/- 1.60 (95 % CI 5.29-17.59)) and mature oocytes (3.26 +/- 3.66 (95 % CI 2.04-4.47) vs. 6.92 +/- 5.61 (95 % CI 5.09-8.75)) were found to be significantly lower in TFF cycles (p = 0.001). Five biochemical and 5 clinical pregnancies occurred while only 2 healthy babies were born, corresponding to a live birth rate 5.5 %. Increasing the number of retrieved and mature oocytes may increase the success of fertilization in patients with a history of previous failed fertilization. However, live birth rate is still low in embryo transfer cycles.