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Advanced Multi-Level Ensemble Learning Approaches for Comprehensive Sperm Morphology Assessment
Abdulsamet Aktas1, Taha Cap2, Gorkem Serbes3
1Department of Computer Engineering, Faculty of Technology, Marmara University, 34840 Istanbul, Turkey.
Diagnostics (Basel, Switzerland)
|June 26, 2025
Summary
This study developed an automated system for classifying sperm morphology, improving male infertility diagnosis. The novel ensemble model achieved 67.70% accuracy, outperforming traditional methods.
Area of Science:
- Reproductive Medicine
- Artificial Intelligence in Healthcare
- Computational Biology
Background:
- Sperm morphology is crucial for male infertility diagnosis and assisted reproductive technologies like IVF and ICSI.
- Manual evaluation of sperm morphology is subjective and inconsistent, necessitating automated solutions.
- Accurate sperm morphology assessment aids in reproductive healthcare decision-making.
Purpose of the Study:
- To develop a robust, fully automated framework for classifying sperm morphology.
- To minimize observer variability in sperm morphology assessment.
- To improve diagnostic support in male fertility evaluation.
Main Methods:
- An ensemble-based classification approach combining Convolutional Neural Network (CNN) features.
- Feature-level and decision-level fusion techniques using EfficientNetV2 variants.
- Classification via Support Vector Machines (SVM), Random Forest (RF), and Multi-Layer Perceptron with Attention (MLP-Attention), with soft voting for decision fusion.
Main Results:
- The ensemble framework achieved 67.70% accuracy on the Hi-LabSpermMorpho dataset (18 classes).
- The fusion-based model significantly outperformed individual classifiers.
- Ensemble techniques and multi-CNN integration addressed class imbalance and improved generalizability.
Conclusions:
- The proposed methodology offers a substantial improvement over traditional and single-model approaches for automated sperm morphology classification.
- Ensemble learning and multi-level fusion provide a reliable and scalable solution for clinical male fertility assessment.
- This automated system enhances diagnostic accuracy and consistency in reproductive healthcare.

