Evidence map›Paper›PMID 41694735›Full record

ArticleHemaSphere2026

Deep cytomorphology identifies erythroid skewing and monocytic morphology to predict TKI sensitivity in CML patients.

Katariina Luukkainen, Mikko Purhonen, Mikael Tatun, Kevin Hung, Oda Tafjord, Henri Sundquist, Stina Söderlund, Shady Adnan-Awad, Anni Dohlen, Johanna Heikkinen and 14 more

Abstract read
In one paragraph

Article in HemaSphere, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

Katariina LuukkainenHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.ORCID https://orcid.org/0009-0007-2429-6570
Mikko PurhonenHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.
Mikael TatunHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.
Kevin HungRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network Adelaide South Australia Australia.ORCID https://orcid.org/0009-0001-9354-5864
Oda TafjordDepartment of Hematology St. Olavs Hospital Trondheim Norway.
Henri SundquistHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.ORCID https://orcid.org/0009-0008-8145-9994
Stina SöderlundDepartment of Medical Science and Division of Hematology University Hospital Uppsala Sweden.
Shady Adnan-AwadHematology Research Unit Helsinki, Department of Hematology University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center Helsinki Finland.
Anni DohlenHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.
Johanna HeikkinenHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.
Perttu KoskenvesaDepartment of Hematology Helsinki University Hospital Comprehensive Cancer Center Helsinki Finland.
Lotta Joutsi-KorhonenDepartment of Clinical Chemistry HUS Diagnostic Center, University of Helsinki and Helsinki University Hospital Helsinki Finland.
Anna LempiäinenDepartment of Clinical Chemistry HUS Diagnostic Center, University of Helsinki and Helsinki University Hospital Helsinki Finland.
Sanna SiitonenHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.
Satu MustjokiHematology Research Unit Helsinki, Department of Hematology University of Helsinki and Helsinki University Hospital Comprehensive Cancer Center Helsinki Finland.
Naranie ShanmuganathanRoyal Adelaide Hospital and SA Pathology, Central Adelaide Local Health Network Adelaide South Australia Australia.
Coral BryceClinical Pathology Department, National Cancer Institute Cairo University Giza Egypt.
Signe DanielssonDepartment of Medicine, Faculty of Medicine and Health Örebro University Örebro Sweden.
Henrik Hjorth-HansenDepartment of Hematology St. Olavs Hospital Trondheim Norway.
Ulla Olsson-StrömbergDepartment of Medical Science and Division of Hematology University Hospital Uppsala Sweden.
Takashi KumagaiDepartment of Hematology Ome Medical Center Ome-Shi Tokyo Japan.
Shinya KimuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine Saga University Saga Japan.
David M RossDepartment of Clinical Chemistry HUS Diagnostic Center, University of Helsinki and Helsinki University Hospital Helsinki Finland.
Oscar BrückHematoscope Lab Comprehensive Cancer Center, Helsinki University Hospital Helsinki Finland.ORCID https://orcid.org/0000-0002-7842-9419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cellular composition of the chronic myeloid leukemia (CML) bone marrow (BM) beyond granulocyte enrichment remains poorly understood. We analyzed 1548 routinely stained BM aspirate slides from 598 patients across seven sites using deep learning-based image analysis to identify cytomorphological markers predictive of major molecular response. Erythroid precursor enrichment, monocyte nuclear lobulation, and low peripheral leukocyte count were associated with improved tyrosine kinase inhibitor (TKI) response. These features were validated both visually and computationally in two independent cohorts. We developed a Morphoclinical model integrating these image-derived and clinical variables, outperforming (area under the receiver-operating curve [AUROC] 0.76) the clinically used EUTOS long-term survival score (AUROC 0.53) and

Identifiers

PMID41694735
PMCPMC12903182

What OpenQuestion holds

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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.