Evidence map›Paper›PMID 29089646›Full record

ArticleLeukemia2018

Automated database-guided expert-supervised orientation for immunophenotypic diagnosis and classification of acute leukemia.

L Lhermitte, E Mejstrikova, A J van der Sluijs-Gelling, G E Grigore, L Sedek, A E Bras, G Gaipa, E Sobral da Costa, M Novakova, E Sonneveld and 23 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
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  8. Novel Tools for Diagnosis and Monitoring of AML.Current oncology (Toronto, Ont.) · 2023
    Review
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  15. Computational flow cytometry as a diagnostic tool in suspected-myelodysplastic syndromes.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 12 institutions in 9 countries.

L LhermitteUniversité Paris Descartes-Sorbonne Paris Cité, Institut Necker-Enfants-Malades, INSERM UMR1151, Paris, France.
E MejstrikovaCLIP-Childhood Leukaemia Investigation Prague, Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
A J van der Sluijs-GellingDutch Childhood Oncology Group, The Hague, The Netherlands.
G E GrigoreCytognos SL, Salamanca, Spain.
L SedekDepartment of Microbiology and Immunology, Zabrze, Medical University of Silesia (SUM), Katowice, Poland.
A E BrasDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
G GaipaTettamanti Research Center, Pediatric Clinic University of Milano Bicocca, Monza (MB),Italy.
E Sobral da CostaDepartment of Pediatrics, Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
M NovakovaCLIP-Childhood Leukaemia Investigation Prague, Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
E SonneveldDutch Childhood Oncology Group, The Hague, The Netherlands.
C BuracchiDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
T de Sá BacelarDepartment of Pediatrics, Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
J G Te MarveldeDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
A TrinquandUniversité Paris Descartes-Sorbonne Paris Cité, Institut Necker-Enfants-Malades, INSERM UMR1151, Paris, France.
V AsnafiUniversité Paris Descartes-Sorbonne Paris Cité, Institut Necker-Enfants-Malades, INSERM UMR1151, Paris, France.
T SzczepanskiDepartment of Pediatric Hematology and Oncology, Zabrze, Medical University of Silesia (SUM), Katowice, Poland.ORCID 0000-0001-5336-261X
S MatarrazCancer Research Center (IBMCC-CSIC), Department of Medicine and Cytometry Service, University of Salamanca (USAL), Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain and Centro de Investigación Biomédica en Red de Cáncer, Instituto Carlos III, Madrid, Spain.
A LopezCancer Research Center (IBMCC-CSIC), Department of Medicine and Cytometry Service, University of Salamanca (USAL), Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain and Centro de Investigación Biomédica en Red de Cáncer, Instituto Carlos III, Madrid, Spain.
B VidrialesHematology Service, University Hospital of Salamanca, Salamanca, Spain.
J BulsaDepartment of Pediatric Hematology and Oncology, Zabrze, Medical University of Silesia (SUM), Katowice, Poland.
O HrusakCLIP-Childhood Leukaemia Investigation Prague, Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
T KalinaCLIP-Childhood Leukaemia Investigation Prague, Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.ORCID 0000-0003-4475-2872
Q LecrevisseCancer Research Center (IBMCC-CSIC), Department of Medicine and Cytometry Service, University of Salamanca (USAL), Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain and Centro de Investigación Biomédica en Red de Cáncer, Instituto Carlos III, Madrid, Spain.
M Martin AyusoCytognos SL, Salamanca, Spain.
M BrüggemannDepartment of Hematology, University of Schleswig-Holstein, Campus Kiel, Kiel, Germany.
J VerdeCytognos SL, Salamanca, Spain.
P FernandezInstitute for Laboratory Medicin, Kantonsspital Aarau AG, Aarau, Switzerland.ORCID 0000-0003-3237-6283
L BurgosClinica Universidad de Navarra-Centro De Investigaciones Medicas Aplicadas (CIMA), University of Navarra, Pamplona, Spain.
B PaivaClinica Universidad de Navarra-Centro De Investigaciones Medicas Aplicadas (CIMA), University of Navarra, Pamplona, Spain.
C E PedreiraCOPPE-Computation Engineering & Systems Post-graduation, Federal University of Rio de Janeiro, Rio de Janeiro(UFRJ), Brazil.
J J M van DongenDepartment of Immunohematology and Blood Transfusion (IHB), Leiden University Medical Center, Leiden, The Netherlands.
A OrfaoCancer Research Center (IBMCC-CSIC), Department of Medicine and Cytometry Service, University of Salamanca (USAL), Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain and Centro de Investigación Biomédica en Red de Cáncer, Instituto Carlos III, Madrid, Spain.
V H J van der VeldenDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Universidad de Salamanca · ESCharles University · CZErasmus MC · NLDélégation Paris 5 · FRMedical University of Silesia · PLUniversidade Federal do Rio de Janeiro · BRClinica Universidad de Navarra · ESLeiden University Medical Center · NLChristian-Albrechts-Universität zu Kiel · DEKantonsspital Aarau · CHStichting Kinderoncologie Nederland · NLUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Precise classification of acute leukemia (AL) is crucial for adequate treatment. EuroFlow has previously designed an AL orientation tube (ALOT) to guide towards the relevant classification panel (T-cell acute lymphoblastic leukemia (T-ALL), B-cell precursor (BCP)-ALL and/or acute myeloid leukemia (AML)) and final diagnosis. Now we built a reference database with 656 typical AL samples (145 T-ALL, 377 BCP-ALL, 134 AML), processed and analyzed via standardized protocols. Using principal component analysis (PCA)-based plots and automated classification algorithms for direct comparison of single-cells from individual patients against the database, another 783 cases were subsequently evaluated. Depending on the database-guided results, patients were categorized as: (i) typical T, B or Myeloid without or; (ii) with a transitional component to another lineage; (iii) atypical; or (iv) mixed-lineage. Using this automated algorithm, in 781/783 cases (99.7%) the right panel was selected, and data comparable to the final WHO-diagnosis was already provided in >93% of cases (85% T-ALL, 97% BCP-ALL, 95% AML and 87% mixed-phenotype AL patients), even without data on the full-characterization panels. Our results show that database-guided analysis facilitates standardized interpretation of ALOT results and allows accurate selection of the relevant classification panels, hence providing a solid basis for designing future WHO AL classifications.

Indexed as

Acute DiseaseAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansImmunophenotypingInfantInfant, NewbornLeukemia, Myeloid, AcuteMaleMiddle AgedPrecursor Cell Lymphoblastic Leukemia-Lymphoma

Identifiers

PMID29089646
PMCPMC5886046
OpenAlexW2766547530

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.