Evidence map›Paper›PMID 40610551›Full record

ArticleScientific reports2025

Multiclass leukemia cell classification using hybrid deep learning and machine learning with CNN-based feature extraction.

Sazzli Kasim, Sorayya Malek, JunJie Tang, Xue Ning Kiew, Song Cheen, Bryan Liew, Norashikin Saidon, Raja Ezman, Raja Shariff

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
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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

9 authors.

Sazzli KasimCardiology Department, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Shah Alam, Malaysia.
Sorayya MalekInstitute of Biological Sciences, Faculty of Science, University Malaya, Kuala Lumpur, Malaysia. sorayya@um.edu.my.
JunJie TangInstitute of Biological Sciences, Faculty of Science, University Malaya, Kuala Lumpur, Malaysia.
Xue Ning KiewInstitute of Biological Sciences, Faculty of Science, University Malaya, Kuala Lumpur, Malaysia.
Song CheenMicrobiome Research Centre, Monash University Malaysia, Subang Jaya, Malaysia.
Bryan LiewInstitute of Biological Sciences, Faculty of Science, University Malaya, Kuala Lumpur, Malaysia.
Norashikin SaidonFaculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Sungai Buloh, Malaysia.
Raja EzmanCardiology Department, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Shah Alam, Malaysia.
Raja ShariffCardiology Department, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Shah Alam, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leukemia is the most prevalent form of blood cancer, affecting individuals across all age groups. Early and accurate diagnosis is crucial for effective treatment and improved clinical outcomes. Peripheral blood smear analysis, a key non-invasive diagnostic tool, often suffers from subjective interpretation, inter-observer variability, and a lack of readily available expertise. Although deep learning approaches, particularly Convolutional Neural Networks (CNNs), have demonstrated exceptional performance in binary classification tasks, multiclass classification of leukemia subtypes remains challenging due to limited data availability and morphological similarities between subtypes. This study presents a novel hybrid methodology that combines pre-trained CNN architectures, including VGG16, InceptionV3, and ResNet50, with advanced classification models such as Random Forest (RF), Support Vector Machine (SVM), Extreme Gradient Boosting (XGBoost), and the deep learning-based Multi-Layer Perceptron (MLP). The method leverages publicly available datasets, the Acute Lymphoblastic Leukemia Image Database (ALL-IDB) and the Munich AML Morphology Dataset, to classify healthy cells, lymphoblasts, and myeloblasts. Pre-trained CNNs are employed for feature extraction, while the classifiers refine the predictions for improved accuracy. The proposed approach demonstrated exceptional performance, with the InceptionV3 + SVM combination achieving the highest accuracy of 88%, followed closely by VGG16 + XGBoost at 87%. MLP-based models also achieved strong results, effectively capturing non-linear patterns in the data. In contrast, ResNet50 exhibited limitations, likely due to overfitting caused by the small dataset. The novelty of this work lies in the integration of pre-trained deep learning architectures with hybrid classification techniques, enabling robust multiclass classification in data-constrained scenarios. This innovative approach offers a scalable and precise diagnostic tool, improving the speed and reliability of leukemia subtype identification and providing significant potential to enhance clinical decision-making and patient care.

Indexed as

Deep LearningLeukemiaMachine LearningNeural Networks, ComputerPrecursor Cell Lymphoblastic Leukemia-LymphomaHumansSupport Vector MachineAcute lymphoblastic leukemia image databaseCNNDeep learningLeukemiaMunich AML morphology dataset

Identifiers

PMID40610551
PMCPMC12229521

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Registered trials

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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.