Revolutionizing Sperm Analysis with AI: A Review of Computer-Aided Sperm Analysis Systems
Francisco J. Baldán, Diego García‐Gil, Carlos Fernandez‐Basso
Abstract
Advances in artificial intelligence (AI) are transforming assisted reproductive technologies by significantly enhancing fertility diagnostics. This review focuses on integrating AI with Computer-Aided Sperm Analysis (CASA) systems to improve assessments of sperm motility, morphology, and DNA integrity. By employing a spectrum of techniques, from classic machine learning (ML), often valued for its interpretability and efficiency with structured data, to deep learning (DL), which excels at extracting intricate features directly from image and video data, the field now achieves more accurate, automated, and high-throughput evaluations. These advanced systems offer significant advantages, including enhanced objectivity, improved consistency over manual methods, and the ability to detect subtle predictive patterns not discernible by human observation. The emergence of extensive open datasets and big data analytics has enabled the development of more robust models. However, limitations persist, such as the dependency on large, high-quality annotated datasets for training DL models, potential challenges in model generalizability across diverse clinical settings, and the “black-box” nature of some complex algorithms, alongside crucial needs for rigorous clinical validation, data standardization, and ethical management of sensitive information. Despite promising progress, these challenges must be addressed. Overall, this review outlines current innovations and future research directions essential for advancing personalized, efficient, and accessible fertility care.