CASA: tracking the past and plotting the future
M. T. Gallagher A B C , D. J. Smith A B C and J. C. Kirkman-Brown B C DA School of Mathematics, University of Birmingham, Birmingham, B15 2TT, UK.
B Institute for Metabolism and Systems Research, University of Birmingham, Birmingham, B15 2TT, UK.
C Centre for Human Reproductive Science, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, B15 2TG, UK.
D Corresponding author. Email: j.kirkmanbrown@bham.ac.uk
Reproduction, Fertility and Development 30(6) 867-874 https://doi.org/10.1071/RD17420
Submitted: 12 October 2017 Accepted: 6 April 2018 Published: 29 May 2018
Journal Compilation © CSIRO 2018 CC BY
Abstract
The human semen sample carries a wealth of information of varying degrees of accessibility ranging from the traditional visual measures of count and motility to those that need a more computational approach, such as tracking the flagellar waveform. Although computer-aided sperm analysis (CASA) options are becoming more widespread, the gold standard for clinical semen analysis requires trained laboratory staff. In this review we characterise the key attitudes towards the use of CASA and set out areas in which CASA should, and should not, be used and improved. We provide an overview of the current CASA landscape, discussing clinical uses as well as potential areas for the clinical translation of existing research technologies. Finally, we discuss where we see potential for the future of CASA, and how the integration of mathematical modelling and new technologies, such as automated flagellar tracking, may open new doors in clinical semen analysis.
Additional keywords: clinical diagnostics, flagellar analysis, glyphs, image analysis, machine learning, mathematical modelling, sperm, viscosity.
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