Evidence map›Paper›PMID 42633347›Full record

ReviewCureus2026

Diagnostic Accuracy and Prognostic Value of Flow Cytometry Versus PCR-Based Minimal Residual Disease Assessment in Leukemia: A Systematic Review and Meta Analysis.

Afaf Alalwy, Bandar S Alshreef, Iman Semoud, Bayan Ahmed, Samaher A Alyousfi, Manal M Sayed, Tahani R Alshammari, Tahani A Alaslani, Abdulrhaman F Alanazi, Shatha A Alaufi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 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

11 authors.

Afaf AlalwyForensic Toxicology and Criminal Evidence, University of Tabuk, Tabuk, SAU.
Bandar S AlshreefHealthcare Management, College of Applied Medical Sciences, Shaqra University, Shaqra, SAU.
Iman SemoudHematology, University of Algiers Benyoucef Benkhedda, Algiers, DZA.
Bayan AhmedHematology, Saudi Arabia Ministry of Health, Jazan, SAU.
Samaher A AlyousfiLaboratory Medicine, Al Borg Diagnostics, Abha, SAU.
Manal M SayedClinical Pathology, Thagher Hospital, Jeddah, SAU.
Tahani R AlshammariLaboratory Medicine, Hail University, Hail, SAU.
Tahani A AlaslaniHematology Laboratory, King Fahad Hospital Jeddah, Jeddah, SAU.
Abdulrhaman F AlanaziClinical Laboratory Science, SDMC Diriyah Health-Medical Complex, Riyadh, SAU.
Shatha A AlaufiGeneral Medical Laboratory, Alborg Laboratories, Madinah, SAU.
Ali S MetwalyPrecision Medicine, Faculty of Pharmacy, Alexandria University, Alexandria, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurable/minimal residual disease (MRD) is the most critical prognostic biomarker in leukemia. Multiparameter flow cytometry (MFC) and polymerase chain reaction (PCR)-based assays are the clinical standards for MRD detection; however, inter-method discordance complicates the clinical decision-making process. A systematic review and meta-analysis were conducted to evaluate the diagnostic accuracy of MFC compared to PCR and to delineate the prognostic significance of discordant MRD results. Following the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines, major databases were systematically searched for studies comparing MFC and PCR-based MRD assessments in acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). Diagnostic test accuracy was pooled using a bivariate random-effects model, and prognostic hazard ratios were synthesized using the restricted maximum likelihood models. Twenty-three non-randomized studies met the inclusion criteria of this review. In the diagnostic meta-analysis (12 studies), MFC demonstrated a pooled sensitivity of 76.2% (95% CI, 55.2-89.3) and a high pooled specificity of 96.0% (95% CI, 93.2-97.7) when compared with PCR, yielding an excellent area under the curve (AUC) of 0.965. Meta-regression identified leukemia subtype as a significant moderator (

Indexed as

diagnostic accuracyflow cytometryleukemiameta-analysisminimal residual diseasepolymerase chain reactionprognostic value

Identifiers

PMID42633347
PMCPMC13499652

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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.