Artificial intelligence model for the assessment of unstained live sperm morphology

Traditional sperm morphology assessment requires staining and high magnification (100×), rendering sperm unsuitable for further use. We aimed to determine whether an in-house artificial intelligence (AI) model could reliably assess normal sperm morphology in living sperm and compare its performance...

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Main Authors: Jermphiphut Jaruenpunyasak, Prawai Maneelert, Marwan Nawae, Chainarong Choksuchat
Format: Article
Language:English
Published: Bioscientifica 2025-05-01
Series:Reproduction and Fertility
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Online Access:https://raf.bioscientifica.com/view/journals/raf/6/2/RAF-25-0014.xml
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author Jermphiphut Jaruenpunyasak
Prawai Maneelert
Marwan Nawae
Chainarong Choksuchat
author_facet Jermphiphut Jaruenpunyasak
Prawai Maneelert
Marwan Nawae
Chainarong Choksuchat
author_sort Jermphiphut Jaruenpunyasak
collection DOAJ
description Traditional sperm morphology assessment requires staining and high magnification (100×), rendering sperm unsuitable for further use. We aimed to determine whether an in-house artificial intelligence (AI) model could reliably assess normal sperm morphology in living sperm and compare its performance with that of computer-aided semen analysis and conventional semen analysis methods. In this experimental study, we enrolled 30 healthy male volunteers aged 18–40 years at the Songklanagarind Assisted Reproductive Centre, Songklanagarind Hospital. We developed a novel dataset of sperm morphological images captured with confocal laser scanning microscopy at low magnification and high resolution to train and validate an AI model. Semen samples were divided into three aliquots and assessed for unstained live sperm morphology using the AI model, whereas computer-aided and conventional semen analysis methods evaluated fixed sperm morphology. The performance of our in-house AI model for evaluating unstained live sperm morphology was compared with that of the other two methods. The in-house AI model showed the strongest correlation with computer-aided semen analysis (r = 0.88), followed by conventional semen analysis (r = 0.76). The correlation between computer-aided semen analysis and conventional semen analysis was weaker (r = 0.57). Both the in-house AI and conventional semen analysis methods detected normal sperm morphology at significantly higher rates than computer-aided semen analysis. The in-house AI model could enhance assisted reproductive technology outcomes by improving the selection of high-quality sperm with normal morphology. This could lead to better outcomes of intracytoplasmic sperm injections and other fertility treatments.
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spelling doaj-art-89646efc5174406eb501d1040d3e977a2025-08-20T03:52:57ZengBioscientificaReproduction and Fertility2633-83862025-05-016210.1530/RAF-25-00141Artificial intelligence model for the assessment of unstained live sperm morphologyJermphiphut Jaruenpunyasak0Prawai Maneelert1Marwan Nawae2Chainarong Choksuchat3Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandDepartment of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandTraditional sperm morphology assessment requires staining and high magnification (100×), rendering sperm unsuitable for further use. We aimed to determine whether an in-house artificial intelligence (AI) model could reliably assess normal sperm morphology in living sperm and compare its performance with that of computer-aided semen analysis and conventional semen analysis methods. In this experimental study, we enrolled 30 healthy male volunteers aged 18–40 years at the Songklanagarind Assisted Reproductive Centre, Songklanagarind Hospital. We developed a novel dataset of sperm morphological images captured with confocal laser scanning microscopy at low magnification and high resolution to train and validate an AI model. Semen samples were divided into three aliquots and assessed for unstained live sperm morphology using the AI model, whereas computer-aided and conventional semen analysis methods evaluated fixed sperm morphology. The performance of our in-house AI model for evaluating unstained live sperm morphology was compared with that of the other two methods. The in-house AI model showed the strongest correlation with computer-aided semen analysis (r = 0.88), followed by conventional semen analysis (r = 0.76). The correlation between computer-aided semen analysis and conventional semen analysis was weaker (r = 0.57). Both the in-house AI and conventional semen analysis methods detected normal sperm morphology at significantly higher rates than computer-aided semen analysis. The in-house AI model could enhance assisted reproductive technology outcomes by improving the selection of high-quality sperm with normal morphology. This could lead to better outcomes of intracytoplasmic sperm injections and other fertility treatments.https://raf.bioscientifica.com/view/journals/raf/6/2/RAF-25-0014.xmlassisted reproductive technologyartificial intelligenceconfocal microscopysemen analysissperm morphology
spellingShingle Jermphiphut Jaruenpunyasak
Prawai Maneelert
Marwan Nawae
Chainarong Choksuchat
Artificial intelligence model for the assessment of unstained live sperm morphology
Reproduction and Fertility
assisted reproductive technology
artificial intelligence
confocal microscopy
semen analysis
sperm morphology
title Artificial intelligence model for the assessment of unstained live sperm morphology
title_full Artificial intelligence model for the assessment of unstained live sperm morphology
title_fullStr Artificial intelligence model for the assessment of unstained live sperm morphology
title_full_unstemmed Artificial intelligence model for the assessment of unstained live sperm morphology
title_short Artificial intelligence model for the assessment of unstained live sperm morphology
title_sort artificial intelligence model for the assessment of unstained live sperm morphology
topic assisted reproductive technology
artificial intelligence
confocal microscopy
semen analysis
sperm morphology
url https://raf.bioscientifica.com/view/journals/raf/6/2/RAF-25-0014.xml
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AT marwannawae artificialintelligencemodelfortheassessmentofunstainedlivespermmorphology
AT chainarongchoksuchat artificialintelligencemodelfortheassessmentofunstainedlivespermmorphology