Evidence map›Paper›PMID 39927600›Full record

ArticleJournal of clinical laboratory analysis2025

Improving the Diagnosis and Follow-Up of Chronic Myeloid Leukemia Using Conventional and Molecular Techniques.

Noor Al-Huda A Bahar, Mushtak T S Al-Ouqaili, Nabeel M Talib

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

3 authors.

Noor Al-Huda A BaharCollege of Medicine, Department of Microbiology, University of Anbar, Ramadi, Iraq.ORCID https://orcid.org/0009-0006-3323-4067
Mushtak T S Al-OuqailiCollege of Medicine, Department of Microbiology, University of Anbar, Ramadi, Iraq.ORCID https://orcid.org/0000-0002-0454-8351
Nabeel M TalibAnbar Health Directorate, Anbar Cancer Center, Ramadi, Iraq.ORCID https://orcid.org/0009-0002-3831-1720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Philadelphia chromosome (Ph) represented a finding of chronic myeloid leukemia (CML) in most cases which formed from t (9; 22) (q34; q11) resulting in the Breakpoint cluster region-Abelson tyrosine-protein kinase1 (BCR-ABL1) fusion gene. Assuming CCE's inaccuracies in diagnosing CML and FISH's limitations with low BCR-ABL1 percentages, a Predicted-FISH (Pred-FISH) was developed. This model predicts treatment response during follow-up by integrating qRT-PCR results, White Blood Cell (WBC) counts, and Cytogenetic Response data.

methodsQuantitative Real-Time Polymerase Chain Reaction Analysis (qRT-PCR), fluorescence in situ hybridization (FISH), and Conventional Cytogenetic Examination (CCE or Karyotyping) have been used in the detection and follow-up of CML patients. The study included 110 individuals, divided into three groups: 31.82% (35 individuals) were newly diagnosed CML patients, another 22.73% (25 individuals) were healthy control samples, and the remaining 45.45% (50 individuals) were previously diagnosed CML patients.

resultsInclude BCR-ABL1 fusion gene levels detected by qRT-PCR, Ph chromosome presence t (9; 22) (q34; q11) observed by CCE, and WBC counts. The FISH test, used to confirm disease in new patients before treatment, was compared to CCE results due to its insensitivity in certain conditions. Data from CCE, FISH, qRT-PCR, and WBC for newly diagnosed patients provided a standard for evaluating the Predicted-FISH.

conclusionThe FISH technique excels in disease detection with over 98% accuracy and high sensitivity. QRT-PCR is effective for monitoring CML and BCR-ABL1 gene levels, indicating MMR and DMR. CCE, while useful for posttreatment monitoring, is less accurate in measuring treatment response over time.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveAdolescentAdultAgedCytogenetic AnalysisFemaleFollow-Up StudiesFusion Proteins, bcr-ablHumansIn Situ Hybridization, FluorescenceKaryotypingMaleMiddle AgedReal-Time Polymerase Chain ReactionYoung AdultBCR-ABL1 fusion protein, humanFusion Proteins, bcr-ablBCR‐ABL1 fusion geneCMLFISHkaryotypemolecular cytogenetic responseqRT‐PCRthe predicted‐FISH

Identifiers

PMID39927600
PMCPMC11904808

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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.