Evidence map›Paper›PMID 31527646›Full record

ArticleScientific reports2019

A novel automated image analysis system using deep convolutional neural networks can assist to differentiate MDS and AA.

Konobu Kimura, Yoko Tabe, Tomohiko Ai, Ikki Takehara, Hiroshi Fukuda, Hiromizu Takahashi, Toshio Naito, Norio Komatsu, Kinya Uchihashi, Akimichi Ohsaka

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Cross-modal fusion of cytomorphology andFrontiers in immunology · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Deep Learning: A Primer for Neurosurgeons.Advances in experimental medicine and biology · 2024
    Review
  17. Review
  18. Article
  19. Article
  20. Review
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

10 authors at 2 institutions in 1 country.

Konobu KimuraDepartment of Next Generation Hematology Laboratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5479-4609
Yoko TabeDepartment of Next Generation Hematology Laboratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan. tabe@juntendo.ac.jp.ORCID http://orcid.org/0000-0002-3734-0346
Tomohiko AiDepartment of Clinical Laboratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Ikki TakeharaSysmex Corporation, Kobe, Japan.
Hiroshi FukudaDepartment of General Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Hiromizu TakahashiDepartment of General Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Toshio NaitoDepartment of General Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Norio KomatsuDepartment of Hematology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Kinya UchihashiSysmex Corporation, Kobe, Japan.
Akimichi OhsakaDepartment of Next Generation Hematology Laboratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Juntendo University · JPSysmex (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Detection of dysmorphic cells in peripheral blood (PB) smears is essential in diagnostic screening of hematological diseases. Myelodysplastic syndromes (MDS) are hematopoietic neoplasms characterized by dysplastic and ineffective hematopoiesis, which diagnosis is mainly based on morphological findings of PB and bone marrow. We developed an automated diagnostic support system of MDS by combining an automated blood cell image-recognition system using a deep learning system (DLS) powered by convolutional neural networks (CNNs) with a decision-making system using extreme gradient boosting (XGBoost). The DLS of blood cell image-recognition has been trained using datasets consisting of 695,030 blood cell images taken from 3,261 PB smears including hematopoietic malignancies. The DLS simultaneously classified 17 blood cell types and 97 morphological features of such cells with >93.5% sensitivity and >96.0% specificity. The automated MDS diagnostic system successfully differentiated MDS from aplastic anemia (AA) with high accuracy; 96.2% of sensitivity and 100% of specificity (AUC 0.990). This is the first CNN-based automated initial diagnostic system for MDS using PB smears, which is applicable to develop new automated diagnostic systems for various hematological disorders.

Indexed as

Neural Networks, ComputerAnemia, AplasticAutomationDiagnosis, Computer-AssistedDiagnosis, DifferentialHumansImage Interpretation, Computer-AssistedMyelodysplastic Syndromes

Identifiers

PMID31527646
PMCPMC6746738
OpenAlexW2973490577

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.