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Developing and Preliminary Validating an Automatic Cell Classification System for Bone Marrow Smears: a Pilot Study.


ABSTRACT: Bone marrow smear examination is an indispensable diagnostic tool in the evaluation of hematological diseases, but the process of manual differential count is labor extensive. In this study, we developed an automatic system with integrated scanning hardware and machine learning-based software to perform differential cell count on bone marrow smears to assist diagnosis. The initial development of the artificial neural network was based on 3000 marrow smear samples retrospectively archived from Sir Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine between June 2016 and December 2018. The preliminary field validating test of the system was based on 124 marrow smears newly collected from the Second Affiliated Hospital of Harbin Medical University between April 2019 and November 2019. The study was performed in parallel of machine automatic recognition with conventional manual differential count by pathologists using the microscope. We selected representative 600,000 marrow cell images as training set of the algorithm, followed by random captured 30,867 cell images for validation. In validation, the overall accuracy of automatic cell classification was 90.1% (95% CI, 89.8-90.5%). In a preliminary field validating test, the reliability coefficient (ICC) of cell series proportion between the two analysis methods were high (ICC???0.883, P?

SUBMITTER: Jin H 

PROVIDER: S-EPMC7476995 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Developing and Preliminary Validating an Automatic Cell Classification System for Bone Marrow Smears: a Pilot Study.

Jin Hong H   Fu Xinyan X   Cao Xinyi X   Sun Mingxia M   Wang Xiaofen X   Zhong Yuhong Y   Yang Suwen S   Qi Chao C   Peng Bo B   He Xin X   He Fei F   Jiang Yongfang Y   Gao Haiyan H   Li Shun S   Huang Zhen Z   Li Qiang Q   Fang Fengqi F   Zhang Jun J  

Journal of medical systems 20200907 10


Bone marrow smear examination is an indispensable diagnostic tool in the evaluation of hematological diseases, but the process of manual differential count is labor extensive. In this study, we developed an automatic system with integrated scanning hardware and machine learning-based software to perform differential cell count on bone marrow smears to assist diagnosis. The initial development of the artificial neural network was based on 3000 marrow smear samples retrospectively archived from Si  ...[more]

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