Evidence map›Paper›PMID 37967385›Full record

ArticleBlood advances2024

Deep learning predicts therapy-relevant genetics in acute myeloid leukemia from Pappenheim-stained bone marrow smears.

Jacqueline Kockwelp, Sebastian Thiele, Jannis Bartsch, Lars Haalck, Jörg Gromoll, Stefan Schlatt, Rita Exeler, Annalen Bleckmann, Georg Lenz, Sebastian Wolf and 5 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.0field-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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Review
  3. Digital Pathology in Hematopathology: From Vision to Deployment.International journal of laboratory hematology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Deep Learning in Hematology: From Molecules to Patients.Clinical hematology international · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Jacqueline KockwelpInstitute for Geoinformatics, University of Münster, Münster, Germany.
Sebastian ThieleInstitute for Geoinformatics, University of Münster, Münster, Germany.
Jannis BartschDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Lars HaalckInstitute for Geoinformatics, University of Münster, Münster, Germany.ORCID 0000-0002-3409-6333
Jörg GromollCentre of Reproductive Medicine and Andrology, Institute of Reproductive and Regenerative Biology, Münster, Germany.
Stefan SchlattCentre of Reproductive Medicine and Andrology, Institute of Reproductive and Regenerative Biology, Münster, Germany.
Rita ExelerInstitute of Human Genetics, University Hospital Münster, Münster, Germany.
Annalen BleckmannDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Georg LenzDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Sebastian WolfDepartment of Medicine II, University Hospital Frankfurt, Frankfurt, Germany.
Björn SteffenDepartment of Medicine II, University Hospital Frankfurt, Frankfurt, Germany.
Wolfgang E BerdelDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID 0000-0002-3030-6567
Christoph SchliemannDepartment of Medicine A, University Hospital Münster, Münster, Germany.
Benjamin RisseInstitute for Geoinformatics, University of Münster, Münster, Germany.ORCID 0000-0001-5691-4029
Linus AngenendtDepartment of Medicine A, University Hospital Münster, Münster, Germany.ORCID 0000-0003-2502-9910
University Hospital Münster · DEUniversity of Münster · DEGoethe University Frankfurt · DEETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThe detection of genetic aberrations is crucial for early therapy decisions in acute myeloid leukemia (AML) and recommended for all patients. Because genetic testing is expensive and time consuming, a need remains for cost-effective, fast, and broadly accessible tests to predict these aberrations in this aggressive malignancy. Here, we developed a novel fully automated end-to-end deep learning pipeline to predict genetic aberrations directly from single-cell images from scans of conventionally stained bone marrow smears already on the day of diagnosis. We used this pipeline to compile a multiterabyte data set of >2 000 000 single-cell images from diagnostic samples of 408 patients with AML. These images were then used to train convolutional neural networks for the prediction of various therapy-relevant genetic alterations. Moreover, we created a temporal test cohort data set of >444 000 single-cell images from further 71 patients with AML. We show that the models from our pipeline can significantly predict these subgroups with high areas under the curve of the receiver operating characteristic. Potential genotype-phenotype links were visualized with 2 different strategies. Our pipeline holds the potential to be used as a fast and inexpensive automated tool to screen patients with AML for therapy-relevant genetic aberrations directly from routine, conventionally stained bone marrow smears already on the day of diagnosis. It also creates a foundation to develop similar approaches for other bone marrow disorders in the future.

Indexed as

Bone Marrow DiseasesDeep LearningLeukemia, Myeloid, AcuteBone MarrowHumansNeural Networks, Computer

Identifiers

PMID37967385
PMCPMC10787267
OpenAlexW4388688052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.