Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears

Abstract Given the high prevalence of artificial intelligence (AI) research in medicine, the development of deep learning (DL) algorithms based on image recognition, such as the analysis of bone marrow aspirate (BMA) smears, is rapidly increasing in the field of hematology and oncology. The models a...

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Main Authors: Tabita Ghete, Farina Kock, Martina Pontones, David Pfrang, Max Westphal, Henning Höfener, Markus Metzler
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:HemaSphere
Online Access:https://doi.org/10.1002/hem3.70048
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author Tabita Ghete
Farina Kock
Martina Pontones
David Pfrang
Max Westphal
Henning Höfener
Markus Metzler
author_facet Tabita Ghete
Farina Kock
Martina Pontones
David Pfrang
Max Westphal
Henning Höfener
Markus Metzler
author_sort Tabita Ghete
collection DOAJ
description Abstract Given the high prevalence of artificial intelligence (AI) research in medicine, the development of deep learning (DL) algorithms based on image recognition, such as the analysis of bone marrow aspirate (BMA) smears, is rapidly increasing in the field of hematology and oncology. The models are trained to identify the optimal regions of the BMA smear for differential cell count and subsequently detect and classify a number of cell types, which can ultimately be utilized for diagnostic purposes. Moreover, AI is capable of identifying genetic mutations phenotypically. This pipeline has the potential to offer an accurate and rapid preliminary analysis of the bone marrow in the clinical routine. However, the intrinsic complexity of hematological diseases presents several challenges for the automatic morphological assessment. To ensure general applicability across multiple medical centers and to deliver high accuracy on prospective clinical data, AI models would require highly heterogeneous training datasets. This review presents a systematic analysis of models for cell classification and detection of hematological malignancies published in the last 5 years (2019–2024). It provides insight into the challenges and opportunities of these DL‐assisted tasks.
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institution Kabale University
issn 2572-9241
language English
publishDate 2024-12-01
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spelling doaj-art-93799c7e1ce94f9db15e8610bce4996b2025-01-07T12:35:28ZengWileyHemaSphere2572-92412024-12-01812n/an/a10.1002/hem3.70048Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smearsTabita Ghete0Farina Kock1Martina Pontones2David Pfrang3Max Westphal4Henning Höfener5Markus Metzler6Department of Pediatrics and Adolescent Medicine University Hospital Erlangen Erlangen GermanyComputational Pathology Fraunhofer Institute for Digital Medicine (MEVIS) Bremen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Erlangen GermanyComputational Pathology Fraunhofer Institute for Digital Medicine (MEVIS) Bremen GermanyComputational Pathology Fraunhofer Institute for Digital Medicine (MEVIS) Bremen GermanyComputational Pathology Fraunhofer Institute for Digital Medicine (MEVIS) Bremen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Erlangen GermanyAbstract Given the high prevalence of artificial intelligence (AI) research in medicine, the development of deep learning (DL) algorithms based on image recognition, such as the analysis of bone marrow aspirate (BMA) smears, is rapidly increasing in the field of hematology and oncology. The models are trained to identify the optimal regions of the BMA smear for differential cell count and subsequently detect and classify a number of cell types, which can ultimately be utilized for diagnostic purposes. Moreover, AI is capable of identifying genetic mutations phenotypically. This pipeline has the potential to offer an accurate and rapid preliminary analysis of the bone marrow in the clinical routine. However, the intrinsic complexity of hematological diseases presents several challenges for the automatic morphological assessment. To ensure general applicability across multiple medical centers and to deliver high accuracy on prospective clinical data, AI models would require highly heterogeneous training datasets. This review presents a systematic analysis of models for cell classification and detection of hematological malignancies published in the last 5 years (2019–2024). It provides insight into the challenges and opportunities of these DL‐assisted tasks.https://doi.org/10.1002/hem3.70048
spellingShingle Tabita Ghete
Farina Kock
Martina Pontones
David Pfrang
Max Westphal
Henning Höfener
Markus Metzler
Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
HemaSphere
title Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
title_full Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
title_fullStr Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
title_full_unstemmed Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
title_short Models for the marrow: A comprehensive review of AI‐based cell classification methods and malignancy detection in bone marrow aspirate smears
title_sort models for the marrow a comprehensive review of ai based cell classification methods and malignancy detection in bone marrow aspirate smears
url https://doi.org/10.1002/hem3.70048
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