Evidence map›Paper›PMID 36991420›Full record

ArticleBMC medical informatics and decision making2023

Artificial intelligence of digital morphology analyzers improves the efficiency of manual leukocyte differentiation of peripheral blood.

Ying Xing, Xuekai Liu, Juhua Dai, Xiaoxing Ge, Qingchen Wang, Ziyu Hu, Zhicheng Wu, Xuehui Zeng, Dan Xu, Chenxue Qu

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

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  14. ChatGPT's innovative application in blood morphology recognition.Journal of the Chinese Medical Association : JCMA · 2024
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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

10 authors at 7 institutions in 1 country.

Ying XingDepartment of Clinical Laboratory, Peking University First Hospital, Beijing, China.
Xuekai LiuDepartment of Clinical Laboratory, Aerospace Center Hospital, Beijing, China.
Juhua DaiDepartment of Clinical Laboratory, Peking University International Hospital, Beijing, China.
Xiaoxing GeDepartment of Clinical Laboratory, Miyun District Hospital, Beijing, China.
Qingchen WangDepartment of Clinical Laboratory, Peking University First Hospital, Beijing, China.
Ziyu HuDepartment of Clinical Laboratory, Beijing Nuclear Industry Hospital, Beijing, China.
Zhicheng WuDepartment of Clinical Laboratory, Peking University Shenzhen Hospital, Shenzhen, China.
Xuehui ZengDepartment of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Dan XuDepartment of Clinical Laboratory, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Chenxue QuDepartment of Clinical Laboratory, Peking University First Hospital, Beijing, China. qucx2012@163.com.
Peking University · CNAerospace Center Hospital · CNPeking University First Hospital · CNPeking University International Hospital · CNPeking University Shenzhen Hospital · CNShenzhen Pingle Orthopedic Hospital · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveMorphological identification of peripheral leukocytes is a complex and time-consuming task, having especially high requirements for personnel expertise. This study is to investigate the role of artificial intelligence (AI) in assisting the manual leukocyte differentiation of peripheral blood.

methodsA total of 102 blood samples that triggered the review rules of hematology analyzers were enrolled. The peripheral blood smears were prepared and analyzed by Mindray MC-100i digital morphology analyzers. Two hundreds leukocytes were located and their cell images were collected. Two senior technologists labeled all cells to form standard answers. Afterward, the digital morphology analyzer unitized AI to pre-classify all cells. Ten junior and intermediate technologists were selected to review the cells with the AI pre-classification, yielding the AI-assisted classifications. Then the cell images were shuffled and re-classified without AI. The accuracy, sensitivity and specificity of the leukocyte differentiation with or without AI assistance were analyzed and compared. The time required for classification by each person was recorded.

resultsFor junior technologists, the accuracy of normal and abnormal leukocyte differentiation increased by 4.79% and 15.16% with the assistance of AI. And for intermediate technologists, the accuracy increased by 7.40% and 14.54% for normal and abnormal leukocyte differentiation, respectively. The sensitivity and specificity also significantly increased with the help of AI. In addition, the average time for each individual to classify each blood smear was shortened by 215 s with AI.

conclusionAI can assist laboratory technologists in the morphological differentiation of leukocytes. In particular, it can improve the sensitivity of abnormal leukocyte differentiation and lower the risk of missing detection of abnormal WBCs.

Indexed as

Artificial IntelligenceLeukocytesCell DifferentiationHumansSensitivity and SpecificityAccuracyArtificial intelligenceDigital morphology analyzerLeukocyte differentiationPeripheral blood smearSensitivitySpecificitySpecimen turnaround time

Identifiers

PMID36991420
PMCPMC10061886
OpenAlexW4361297747

What OpenQuestion holds

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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.