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. 2024 Oct 30;18(4):378–383. doi: 10.22074/ijfs.2024.2008339.1510

Table 4.

Cohen’s Kappa coefficients from the evaluation by artificial intelligence compared by the mode from 5 embryologist of the three features of blastocysts: grade of expansion, inner cell mass and trophectoderm


Morphological feature Class 2 Class 3 Class 4 Average

Blastocyst expansion
Kappa 0.751 (0.620-0.883) 0.652 (0.521-0.783) 0.790(0.659-0.921) 0.729(0.632-0.826)
P value <0.001 <0.001 <0.001 <0.001
Inner cell mass Grade A Grade B Grade C Average
Kappa 0.779 (0.648-0.910) 0.688 (0.558-0.818) 0.681(0.551-0.811) 0.705 (0.606-0.804)
P value <0.001 <0.001 <0.001 <0.001
Trophectoderm Grade A Grade B Grade C Average
Kappa 0.382(0.256-0.507) 0.402 (0.273-0.531) 0.501 (0.370-0.631) 0.438(0.332-0.544)
P value <0.001 <0.001 <0.001 <0.001

Kappa values are expressed with confidence intervals (CI) 95% between brackets. Class 2; Early blastocyst, Class 3; Full blastocyst, and Class 4; Expanded blastocyst.