Hematological malignancies represent a wide range of disease entities, most of which arise from dysfunctional proliferation and differentiation of hematopoietic stem and progenitor cells in the bone marrow [1]. Diagnosis requires integration of cytomorphology, molecular genetics, and immunophenotyping from blood or bone marrow. Unlike bone marrow aspiration, assessing cytomorphology in a blood smear is fast, minimally invasive, and provides information on differential cell counts and morphological abnormalities that guide follow-up diagnostic pathways. However, conventional peripheral blood smear analysis involves labor-intensive manual examination of hundreds of cells, which is subject to inter-observer variability. Previous work explored machine-learning for single-cell classification [2,3], and disease detection [4,5,6,7,8,9] on curated cohorts. Systematic evaluation across multiple malignancies at their natural clinical distribution remains unexplored.
article DKL+26
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