Evaluation of automated system Sperm Class Analyzer (SCA) for semen analysis

Carlos Aulesa, M. Cabrera, R. Alonso, M. Benítez y M. Martínez

Unidad de Seminología, Laboratorios Clínicos, Ciutat Sanitària Vall d’Hebron, Barcelona, España

Objective
Evaluation of the efficiency of the New Sperm Class Analyzer® (SCA v.3.2.0) in sperm automated analysis for the calculation of the motility, concentration and morphology parameters using the latest CASA (Computer-Assisted Sperm Analysis) technology in software for spermiogram analysis.
Materials and methods
Analysis of 150 semen samples from the clinical areas of Fertility and Urology, 42 samples were analyzed with the SCA concentration module and 65 samples were analyzed with the SCA motility module using a disposable 10 micron deep Leja Chamber in both. At the same time the samples were analyzed by the manual method using the Neubauer Improved chamber for counting and slides with 22×22mm cover slip heated to 37°C with an average of 200 spermatozoa for motility, in order to test the precision, linearity and accuracy of SCA system compared with the manual method. The morphology analysis was evaluated using 50 pre-stained slides and evaluating 200 cells both manually by an ESHRE qualified technician and the SCA method and then calculating the correlation coefficient.
Results
The counting with SCA system compared with the manual method has shown a within-day imprecision of 10.13% with a range between 3.2% and 17.1% depending on the count level; correlation with the manual method was r=0.98 (P=0.001). The linearity of the SCA was shown to be linear between 0.5 million and 190 million sperm/ml. The motility module showed a higher within-day imprecision in counting WHO ¿type b¿ and ¿type c¿ spermatozoa (21.81%) than the ¿type a¿ and ¿type d¿, with an average value of 10.32%, also depending on the count rate. The reliability of the motility parameter was evaluated up to a of 120 million sperm/ml. The morphology module, with a customised configuration of parameters, had a significant positive correlation (r=0.899; P=0.0001) compared with the manual method.
Conclusions
The comparison of the concentration and motility of spermatozoa between the manual method and the SCA modules using 10 microns deep Leja chambers was positively evaluated. A series of premises are established for using the automated morphology performed on the Sperm Class Analyzer. The clinical usefulness of some of the new kinetic and morphometric parameters of sperm provided by the semen analyser is also established.

Laboratorio Clinico. 2009;02:8-16.