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将基于智能手机的远程精液评估与未被选中生育问题的男性的实验室评估进行比较,令人担忧
Makiko Mitsunami1, Hemanth Kandula2, Anjali Devi Sivakumar2
1Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts; Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Fertility and sterility
|July 12, 2025
概括
智能手机精液分析为传统的实验室评估提供了可行的替代方案,证明了研究和潜在的临床查的高可重复性和后勤优势. 这项技术显示出在现实环境中评估精子度和运动性的前景.
科学领域:
- 生殖健康 生殖健康
- 安德罗学与人类学
- 生物技术是生物技术.
背景情况:
- 传统的精液分析需要专门的实验室设备和训练有素的人员.
- 远程精液采集和分析方法正在出现,以提高可访问性和便利性.
- 评估新型诊断工具与既有方法的准确性对于临床采用至关重要.
研究的目的:
- 评估远程精液采集和基于智能手机的精液分析的质量.
- 将基于智能手机的精液分析与实验室评估在现实条件下进行比较.
- 评估智能手机系统对未经选择的人群的实用性.
主要方法:
- 一项前性研究,涉及150名来自化学品和空气污染 (RECAP) 生殖影响研究的男性.
- 参与者进行了基于智能手机的远程精液分析,并提交了样本进行实验室评估.
- 评估了智能手机分析仪和延迟实验室计算机辅助精子分析 (CASA) 之间的精子度和运动性的协议.
主要成果:
- 92名参与者拥有智能手机和延迟CASA分析的可用数据.
- 智能手机分析显示精子度 (ICC,0.98) 和运动率 (ICC,0.90) 的高可重现性.
- 智能手机系统在识别低精子度方面表现出高特异性 (86.2%) 和NPV (93.8%).
结论:
- 基于智能手机的精液分析系统可与单个实验室CASA测量相提并论.
- 这些系统为研究和潜在使用作为临床查工具提供了后勤优势.
- 需要进一步的研究来确认基于智能手机的精液分析的有效性和更广泛的实用性.
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