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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Tail-Aware Sperm Analysis for Transparent Tracking of Spermatozoa</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Tuan-Luc Huynh</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Huu-Hung Nguyen</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Xuan-Nhat Hoang</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Thao Thi Phuong Dao</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Tien-Phat Nguyen</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Viet-Tham Huynh</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Hai-Dang Nguyen</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Trung-Nghia Le</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Minh-Triet Tran</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>John von Neumann Institute</institution>
          ,
          <addr-line>VNU-HCM</addr-line>
          ,
          <country country="VN">Vietnam</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>No Tail Tail</institution>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>University of Science</institution>
          ,
          <addr-line>VNU-HCM</addr-line>
          ,
          <country country="VN">Vietnam</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Viet Nam National University Ho Chi Minh City</institution>
          ,
          <country country="VN">Vietnam</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Semen analysis is crucial to determine men's fertility; however, microscope-based manual spermatozoa evaluation is time-consuming and costly. Therefore, it has become essential to develop computeraided-semen-analysis systems. To facilitate automated spermatozoa analysis, we propose a simple yet eficient framework for tracking sperms and predicting their motility. Diferent from existing methods, our proposed framework centralizes a new paradigm, dubbed sperm having a tail. We develop a novel tail-aware sperm detection model to advance the detection ability of dense, tiny, and transparent sperm cells. Furthermore, to enhance sperm tracking, a scene change detection technique is utilized to suppress identity assignment errors of similar sperms, resulting in improved sperm motility measurement. Experimental results show that our framework works well with an insignificant trade-of in execution time, which is suitable for the real-time clinical setting requirement.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Manual sperm quality assessment using microscopes is time-consuming and requires costly
experts with extensive training. In addition, the validity of manual sperm analysis becomes
unreliable due to limited reproducibility and high inter-personnel variations [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Therefore,
Computer-Aided-Sperm-Analysis (CASA) systems have been introduced to reduce errors in
identifying, tracking, and counting spermatozoa (i.e., living sperm) in fresh samples. As a result,
CASA has been the most popular method for male fertility appraisal. However, CASA reportedly
sufers from many drawbacks, such as inaccurately predicting the fertility of a given sample [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]
and requiring expensive instruments [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
      </p>
      <p>
        To promote automated sperm analysis, artificial intelligence has been developed and
substantially improved the assessment of the sperm [
        <xref ref-type="bibr" rid="ref1 ref4 ref5 ref6">1, 4, 5, 6</xref>
        ]. Particularly deep learning based
methods [
        <xref ref-type="bibr" rid="ref5 ref6 ref7 ref8 ref9">5, 6, 7, 8, 9</xref>
        ] utilized various CNN architectures to improve the semen analysis.
      </p>
      <p>
        The Medical Multimedia track of the MediaEval 2022 challenge, dubbed Medico 2022, tackles
the challenge of automatically tracking sperm cells in video recordings of spermatozoa [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]
using the new dataset VISEM-tracking [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. We participate in the Medico 2022 challenge and
solve issues of correctly detecting and tracking sperm cells, i.e., Subtask 1 and utilizing the
tracking results to predict sperm motility of each video sample, i.e., Subtask 2.
      </p>
      <p>
        Unlike previous works, which only focus on using diferent feature engineering techniques
and CNN architectures to improve the eficiency of CASA, we aim to tackle the challenges of
the small number of data and significant class imbalance. We propose a novel framework for
tracking sperms and predicting their motility. Our framework is concentrated on the
biologyinspired paradigm "sperm having a tail." Our contributions can be summarized as follows: (1)
We develop a simple yet eficient framework for tracking sperm cells and predicting sperm
motility. Our framework can meet the real-time clinical requirements. (2) We propose a novel
tail-aware sperm detection model. Our detection model can suppress uncertain detections near
the borders of video frames. We also empirically evaluate diferent implementation settings
of our detection model using YoloV7 [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]. (3) We introduce a detect change detection method
based on Peak Signal-to-Noise Ratio (PSNR) to prevent trailing of undesired tracking from the
previous unrelated video frame.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Methodology</title>
      <sec id="sec-2-1">
        <title>2.1. Subtask 1: Sperm Cell Tracking</title>
        <p>
          Our preliminary detection results using YoloV5[
          <xref ref-type="bibr" rid="ref13">13</xref>
          ] indicate that the data of the Medico 2022
challenge is exceptionally challenging to train detection models due to the small number of
samples and the heavy class imbalance where the major class sperm accounts for over 93%
sperm cells. Thus, we solved these issues using several simple strategies, including weighted
sampling and background oversampling. We then doubled the video resolution to tackle the
issues of relatively small and dense ground truth bounding boxes.
        </p>
        <p>
          By exploiting the underlying properties of the data, we found that sperms on the border of
the videos tended to be ignored since annotators were uncertain (see Fig. 1(Right). Hence, we
propose suppressing the bounding box near the video frame borders. To achieve this goal, we
devise a biology-based solution that leverages the hypothesis that spermatozoa have tails (see
Fig. 1(Right). We propose a novel tail-aware sperm detection, which focuses on detecting
only sperm cells whose head is surrounded by a black line - the sperm tail. Particularly, we
combine various edge detection algorithms [
          <xref ref-type="bibr" rid="ref14 ref15 ref16">14, 15, 16</xref>
          ] to extract sperm tails. Detected sperms
without tails are then eliminated to avoid false alarm detection. We empirically conducted
experiments to compare the performance of edge-cutting object detection models in terms of
the trade-of between accuracy and eficiency (i.e., running time) and finally employed and
trained YoloV7 [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ] as the core of our tail-aware sperm detection model.
        </p>
        <p>
          As in the dataset description [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ], there are view changes in videos because the sample is
moved below the microscope to observe the complete sample area. Therefore, incorrect sperm
tracking usually happens due to the similar appearance of sperms. To thoroughly mitigate
the propagation of movement trails to new scenes, we force the tracking model to assign new
identities to sperms whenever the view changes. We introduce a scene change detection
method based on Peak Signal-to-Noise Ratio (PSNR) to identify abrupt changes in the
video. Candidate video frames, which have abnormal PSNR values, are further filtered out if
there is an abrupt change in the number of detected sperms. In our implementation of sperm
cell tracking, we employed the SORT method [
          <xref ref-type="bibr" rid="ref17">17</xref>
          ] to fulfill the real-time requirement of the
Medico 2022 challenge. We followed an 80%/20% stratified train-test split strategy.
        </p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2. Subtask 2: Sperm Motility Prediction</title>
        <p>We propose a simple yet eficient feature extraction followed by a shallow network to predict
sperm motility (i.e., progressive and non-progressive). We first aggregate movement statistics
of every tracked sperm resulting in features of each patient. For each sperm, we exploit three
movement characteristics: (1) Total movement distance between neighboring frames; (2) Average
velocity between two neighboring frames; (3) Distance between the first and the last location.
These measurements are then averaged over the number of sperm, and the number of sperm
cells is considered the fourth feature.</p>
        <p>To avoid overfitting when training on limited data, we implemented a shallow network
instead of using popular deep neural networks. The network contains one hidden layer with
four hidden units, four input units, and three output units, followed by an extra soft-max layer.
The network architecture corresponds to four feature inputs and three category outputs (e.g.,
motility rate, progressive rate, and non-progressive rate). We used L1 distance to calculate loss.</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. Experimental Results</title>
      <sec id="sec-3-1">
        <title>3.1. Medico 2022 Challenge Results</title>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. Ablation Study</title>
        <p>We tested our tail-aware sperm detection on the validation set. Table 2 demonstrates only results
of the "sperm" category since the organizers concentrate on evaluating this weighty class. In
our initial attempts, we naively suppressed all detections in the region near the borders, which
led to a degradation in performance. Tail-aware sperm detection circumvents the mentioned
problem by detecting sperms with tails, but it only improves precision. We argue that the model
was not robust enough; thus, we added a confidence threshold to prevent it from discarding
highly confident bounding boxes. Due to the class imbalance, we did not discard any cluster
or small-pin-head sperm to prevent overuse of the tail-aware mechanism, which may lead to
false positive results. This gives the class sperm a substantial 2.2% boost in terms of precision.
Finally, we added the confidence threshold and the "only sperm filter" to our tail-aware sperm
detection. The extra cost of tail-aware sperm detection is negligible since it only lowers the FPS
by a margin of less than ten.</p>
        <p>
          We verified our scene change detection (SCD) using the latest HOTA [
          <xref ref-type="bibr" rid="ref18">18</xref>
          ] and IDF1 [
          <xref ref-type="bibr" rid="ref19">19</xref>
          ]
metrics. We chose IDF1 since we aim to eliminate the potential trailing ID problem from previous
irrelevant frames, which might degrade the tracking performance. Further investigation shows
that the tracking without SCD has two issues: (1) associating new sperms with previous
unrelated sperms causing unwanted trailings; (2) failure to associate trailings. We confirm that
the suppression does mitigate the above issues. Indeed, as seen in Table 3, increases in IDF1
prove the efectiveness of our proposed method. We also conclude that the proposed tail-aware
sperm detection does not favor HOTA, likely due to the decreases in the recall.
        </p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Discussion and Outlook</title>
      <p>In this work, we proposed a novel tail-aware sperm analysis framework for transparent tracking
of spermatozoa in the Medico 2022 challenge. Leveraging the biology-inspired paradigm "sperm
having a tail," we proposed a tail-aware sperm detection to reduce false alarm detection of
non-tail spermatozoa and a PSNR-based scene change detection to suppress incorrectly tracked
trails. Experimental results on the Medico 2022 challenge demonstrated the potential of our
proposed framework. We firmly believe that "sperm having a tail" is a strong cue for developing
promising techniques for semen analysis.</p>
      <p>In the future, we aim to investigate robust metrics for detecting scene changes to remove
the performance dependent on Yolo. We also will study approaches that can overcome the
limitation of currently implemented tail-aware sperm detection, such as hard-coded confidence
thresholds and limited to regions near video frame borders.</p>
      <p>Acknowledgement. This work is supported by Vingroup Innovation Foundation (VINIF)
under project code VINIF.2019.DA19.</p>
    </sec>
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