Evidence map›Paper›PMID 36921004›Full record

ArticlePLOS digital health2023

Explainable AI identifies diagnostic cells of genetic AML subtypes.

Matthias Hehr, Ario Sadafi, Christian Matek, Peter Lienemann, Christian Pohlkamp, Torsten Haferlach, Karsten Spiekermann, Carsten Marr

Open access · goldFull text read
In one paragraph

Article in PLOS digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
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

18 citing papers in PubMed, 51 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Matthias HehrInstitute of AI for Health, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
Ario SadafiInstitute of AI for Health, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
Christian MatekInstitute of AI for Health, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
Peter LienemannInstitute of AI for Health, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
Christian PohlkampMunich Leukemia Laboratory, Munich, Germany.
Torsten HaferlachMunich Leukemia Laboratory, Munich, Germany.
Karsten SpiekermannLaboratory of Leukemia Diagnostics, Department of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Carsten MarrInstitute of AI for Health, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.ORCID https://orcid.org/0000-0003-2154-4552
Helmholtz Zentrum München · DEMunich Leukemia Laboratory (Germany) · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Explainable AI is deemed essential for clinical applications as it allows rationalizing model predictions, helping to build trust between clinicians and automated decision support tools. We developed an inherently explainable AI model for the classification of acute myeloid leukemia subtypes from blood smears and found that high-attention cells identified by the model coincide with those labeled as diagnostically relevant by human experts. Based on over 80,000 single white blood cell images from digitized blood smears of 129 patients diagnosed with one of four WHO-defined genetic AML subtypes and 60 healthy controls, we trained SCEMILA, a single-cell based explainable multiple instance learning algorithm. SCEMILA could perfectly discriminate between AML patients and healthy controls and detected the APL subtype with an F1 score of 0.86±0.05 (mean±s.d., 5-fold cross-validation). Analyzing a novel multi-attention module, we confirmed that our algorithm focused with high concordance on the same AML-specific cells as human experts do. Applied to classify single cells, it is able to highlight subtype specific cells and deconvolve the composition of a patient's blood smear without the need of single-cell annotation of the training data. Our large AML genetic subtype dataset is publicly available, and an interactive online tool facilitates the exploration of data and predictions. SCEMILA enables a comparison of algorithmic and expert decision criteria and can present a detailed analysis of individual patient data, paving the way to deploy AI in the routine diagnostics for identifying hematopoietic neoplasms.

Identifiers

PMID36921004
PMCPMC10016704
OpenAlexW4324304911

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read24
identifiers read4
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.