Evidence map›Paper›PMID 42645391›Full record

ArticleCurrent oncology (Toronto, Ont.)2026

Deep Learning-Based Detection Model for Leukemia Cells in Peripheral Blood Smears Using YOLOv11-Large.

Johan M Diaz, Arunima Deb, Alexandra Lyubimova, Cedric Nasnas, Leily Santos, Carla Romagnoli, Jacqueline C Barrientos

Abstract read
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Article in Current oncology (Toronto, Ont.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Johan M DiazDepartment of Internal Medicine, Mount Sinai Medical Center of Florida, Miami Beach, FL 33140, USA.ORCID 0009-0005-9381-0065
Arunima DebDepartment of Pathology, Mount Sinai Medical Center of Florida, Miami Beach, FL 33140, USA.
Alexandra LyubimovaDepartment of Internal Medicine, Mount Sinai Medical Center of Florida, Miami Beach, FL 33140, USA.
Cedric NasnasDepartment of Internal Medicine, Mount Sinai Medical Center of Florida, Miami Beach, FL 33140, USA.
Leily SantosDepartment of Hematology/Oncology, Mount Sinai Comprehensive Cancer Center, Miami Beach, FL 33140, USA.
Carla RomagnoliDepartment of Hematology/Oncology, Mount Sinai Comprehensive Cancer Center, Miami Beach, FL 33140, USA.ORCID 0009-0005-8176-2342
Jacqueline C BarrientosDepartment of Hematology/Oncology, Mount Sinai Comprehensive Cancer Center, Miami Beach, FL 33140, USA.ORCID 0000-0001-6018-5535

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate identification and classification of white blood cell (WBC) subtypes in peripheral blood smears (PBS) is essential for the diagnosis and monitoring of hematological malignancies, including leukemia. Conventional manual microscopy, although clinically established, is labor-intensive and subject to inter- and intra-observer variability. Deep learning-based object detection offers a route to automation, yet most prior studies are limited by small datasets, restricted cell taxonomies, or single-microscope acquisition. This study evaluates a YOLOv11-large (YOLOv11L) detector for simultaneous localization and classification of 13 leukemia-relevant WBC subtypes plus an artifact class (14 classes total), trained on the large-scale, multi-domain, open-source LeukemiaAttri dataset.

methodsFrom the LeukemiaAttri dataset, 18,664 annotated images (67,347 objects) acquired at 40× and 100× magnification were partitioned by stratified sampling into training (70%), validation (15%), and test (15%) sets. The training set was expanded to 65,785 images through extensive geometric, photometric, and AugMix augmentation. A YOLOv11L model pretrained on MS COCO was fine-tuned for 250 epochs (640 × 640 input) on a single NVIDIA H200 SXM GPU, using an auto-selected optimizer (momentum 0.9; weight decay 5 × 10

resultsOn an internal held-out test set, the model achieved an mAP50 of 93.9%, mAP50-95 of 77.9%, precision of 94.1%, recall of 88.8%, and an F1 score of 0.913, with similar performance in the validation and test sets. Class-wise average precision (AP) ranged from 89.3% (monocyte) to 98.2% (monoblast), confirming consistent detection across morphologically diverse subtypes.

conclusionsThe YOLOv11L detector achieved high performance across all 14 categories on the internal test set, with metrics exceeding those previously reported for subset-specific baselines. These findings support further evaluation of the model as a decision-support tool for peripheral blood smear analysis. External validation is required to determine its clinical utility and generalizability.

Indexed as

Deep LearningLeukemiaLeukocytesDetection AlgorithmsHumansdeep learninghematologyleukemiaobject detectionperipheral blood smearwhite blood cellsYOLOv11

Identifiers

PMID42645391
PMCPMC13510383

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