Automated Bergmann-Kliesch Score assessment in testicular biopsies using artificial intelligence-based whole-slide image analysis: a retrospective monocentric development and validation study
Background The Bergmann-Kliesch Score is a histopathological grading system used to evaluate spermatogenesis in testicular biopsies, quantifying the fraction of seminiferous tubules containing elongated spermatids. It serves as a key parameter in the clinical process of men with non-obstructive azoospermia (NOA) undergoing testicular sperm extraction (TESE) for subsequent intracytoplasmic sperm injection (ICSI). Manual Bergmann-Kliesch Score assessment is time-consuming and subject to inter- and intraobserver va…
An AI pipeline automated Bergmann-Kliesch Score assessment from biopsy slide images and agreed strongly with pathologist reference scores on a held-out test set of 15 patients.
Evidence
- Peer-reviewedBasic and Clinical Andrology2026-10-06
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Truvace Impact Record TRV-2026-1796, v1: “Automated Bergmann-Kliesch Score assessment in testicular biopsies using artificial intelligence-based whole-slide image analysis: a retrospective monocentric development and validation study.” Truvace, 2026-10-18. /record/TRV-2026-1796 (accessed at citation time). sha256 767464391b69fcc6…
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