Evidence map›Paper›PMID 34497326›Full record

ArticleLeukemia2022

Deep learning detects acute myeloid leukemia and predicts NPM1 mutation status from bone marrow smears.

Jan-Niklas Eckardt, Jan Moritz Middeke, Sebastian Riechert, Tim Schmittmann, Anas Shekh Sulaiman, Michael Kramer, Katja Sockel, Frank Kroschinsky, Ulrich Schuler, Johannes Schetelig and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

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

14 authors at 2 institutions in 1 country.

Jan-Niklas Eckardt *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany. jan-niklas.eckardt@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0002-3649-2823
Jan Moritz Middeke *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0003-3250-293X
Sebastian RiechertInstitute of Circuits and Systems, Technical University Dresden, Dresden, Germany.
Tim SchmittmannInstitute of Circuits and Systems, Technical University Dresden, Dresden, Germany.
Anas Shekh SulaimanDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Michael KramerDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Katja SockelDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0003-1732-7299
Frank KroschinskyDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Ulrich SchulerDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.
Johannes ScheteligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0002-2780-2981
Christoph RölligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0002-3791-0548
Christian ThiedeDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0003-1241-2048
Karsten Wendt *Institute of Circuits and Systems, Technical University Dresden, Dresden, Germany.
Martin Bornhäuser *Department of Internal Medicine I, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID http://orcid.org/0000-0002-5916-3029
University Hospital Carl Gustav Carus · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The evaluation of bone marrow morphology by experienced hematopathologists is essential in the diagnosis of acute myeloid leukemia (AML); however, it suffers from a lack of standardization and inter-observer variability. Deep learning (DL) can process medical image data and provides data-driven class predictions. Here, we apply a multi-step DL approach to automatically segment cells from bone marrow images, distinguish between AML samples and healthy controls with an area under the receiver operating characteristic (AUROC) of 0.9699, and predict the mutation status of Nucleophosmin 1 (NPM1)-one of the most common mutations in AML-with an AUROC of 0.92 using only image data from bone marrow smears. Utilizing occlusion sensitivity maps, we observed so far unreported morphologic cell features such as a pattern of condensed chromatin and perinuclear lightening zones in myeloblasts of NPM1-mutated AML and prominent nucleoli in wild-type NPM1 AML enabling the DL model to provide accurate class predictions.

Indexed as

Deep LearningMutationAdultAgedBiomarkers, TumorBone MarrowCase-Control StudiesFemaleFollow-Up StudiesHumansLeukemia, Myeloid, AcuteMaleMiddle AgedNucleophosminPrognosisRetrospective StudiesBiomarkers, TumorNPM1 protein, humanNucleophosmin

Identifiers

PMID34497326
PMCPMC8727290
OpenAlexW3196551901

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.