Evidence map›Paper›PMID 34661156›Full record

ArticleBlood cancer discovery2021

Machine Learning of Bone Marrow Histopathology Identifies Genetic and Clinical Determinants in Patients with MDS.

Oscar E Brück, Susanna E Lallukka-Brück, Helena R Hohtari, Aleksandr Ianevski, Freja T Ebeling, Panu E Kovanen, Soili I Kytölä, Tero A Aittokallio, Pedro M Ramos, Kimmo V Porkka and 1 more

Open access · bronzeAbstract readComment
In one paragraph

Article in Blood cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Hematopathology Practice in the Digital Era: What has Changed?International journal of laboratory hematology · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. PredictingiScience · 2025
    Article
  13. Review
  14. Review
  15. European health regulations reduce registry-based research.Health research policy and systems · 2024
    Article
  16. Morphomics via next-generation electron microscopy.Journal of molecular cell biology · 2024
    Review
  17. Article
  18. Artificial Intelligence in Bone Marrow Histological Diagnostics: Potential Applications and Challenges.Pathobiology : journal of immunopathology, molecular and cellular biology · 2024
    Review
  19. Deep Learning in Hematology: From Molecules to Patients.Clinical hematology international · 2024
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Oscar E BrückHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Susanna E Lallukka-BrückHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Helena R HohtariHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Aleksandr IanevskiInstitute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Helsinki, Finland.
Freja T EbelingHelsinki University Hospital Comprehensive Cancer Center, Department of Hematology, Helsinki, Finland.
Panu E KovanenDepartment of Pathology, HUSLAB, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Soili I KytöläHUS Diagnostic Center, HUSLAB, Helsinki University Hospital, Helsinki, Finland.
Tero A AittokallioiCAN Digital Precision Cancer Medicine Flagship, Helsinki, Finland.
Pedro M RamosNovartis Pharmaceuticals, Basel, Switzerland.
Kimmo V PorkkaHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Satu M MustjokiHematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
University of Helsinki · FIHospital District of Helsinki and Uusimaa · FIInstitute for Molecular Medicine Finland · FINovartis (Switzerland) · CHOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In myelodysplastic syndrome (MDS) and myeloproliferative neoplasm (MPN), bone marrow (BM) histopathology is assessed to identify dysplastic cellular morphology, cellularity, and blast excess. Yet, other morphologic findings may elude the human eye. We used convolutional neural networks to extract morphologic features from 236 MDS, 87 MDS/MPN, and 11 control BM biopsies. These features predicted genetic and cytogenetic aberrations, prognosis, age, and gender in multivariate regression models. Highest prediction accuracy was found for SIGNIFICANCE: Histopathology is elementary in the diagnostics of patients with MDS, but its high-dimensional data are underused. By elucidating the association of morphologic features with clinical variables and molecular genetics, this study highlights the vast potential of convolutional neural networks in understanding MDS pathology and how genetics is reflected in BM morphology.

Indexed as

Myelodysplastic-Myeloproliferative DiseasesMyelodysplastic SyndromesBone MarrowHumansMachine LearningMutation

Identifiers

PMID34661156
PMCPMC8513905
OpenAlexW3136768428

What OpenQuestion holds

Textmetadata
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.