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Bermejo-Peláez D, Rueda Charro S, García Roa M, Trelles-Martínez R, Bobes-Fernández A, Hidalgo Soto M, García-Vicente R, Morales ML, Rodríguez-García A, Ortiz-Ruiz A, Blanco Sánchez A, Mousa Urbina A, Álamo E, Lin L, Dacal E, Cuadrado D, Postigo M, Vladimirov A, Garcia-Villena J, Santos A, Ledesma-Carbayo MJ, Ayala R, Martínez-López J, Linares M, Luengo-Oroz M. Digital Microscopy Augmented by Artificial Intelligence to Interpret Bone Marrow Samples for Hematological Diseases. Microsc Microanal 2024; 30:151-159. [PMID: 38302194 DOI: 10.1093/micmic/ozad143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 11/15/2023] [Accepted: 12/22/2023] [Indexed: 02/03/2024]
Abstract
Analysis of bone marrow aspirates (BMAs) is an essential step in the diagnosis of hematological disorders. This analysis is usually performed based on a visual examination of samples under a conventional optical microscope, which involves a labor-intensive process, limited by clinical experience and subject to high observer variability. In this work, we present a comprehensive digital microscopy system that enables BMA analysis for cell type counting and differentiation in an efficient and objective manner. This system not only provides an accessible and simple method to digitize, store, and analyze BMA samples remotely but is also supported by an Artificial Intelligence (AI) pipeline that accelerates the differential cell counting process and reduces interobserver variability. It has been designed to integrate AI algorithms with the daily clinical routine and can be used in any regular hospital workflow.
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Affiliation(s)
| | | | - María García Roa
- Department of Hematology, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, Alcorcón 28922, Madrid, Spain
| | - Roberto Trelles-Martínez
- Department of Hematology, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, Alcorcón 28922, Madrid, Spain
| | - Alejandro Bobes-Fernández
- Department of Hematology, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, Alcorcón 28922, Madrid, Spain
| | - Marta Hidalgo Soto
- Vall Hebron Institute of Oncology (VHIO), Carrer de Natzaret, 115-117, Horta-Guinardó, Barcelona 08035, Spain
| | - Roberto García-Vicente
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - María Luz Morales
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - Alba Rodríguez-García
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - Alejandra Ortiz-Ruiz
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - Alberto Blanco Sánchez
- Department of Hematology, Hospital Universitario 12 de Octubre, Av. de Córdoba, s/n, Madrid 28041, Spain
| | | | - Elisa Álamo
- Spotlab, P.º de Juan XXIII, 36B, Madrid 28040, Spain
| | - Lin Lin
- Spotlab, P.º de Juan XXIII, 36B, Madrid 28040, Spain
- Biomedical Image Technologies Laboratory, ETSI Telecomunicación, Universidad Politécnica de Madrid, Av. Complutense, 30, Madrid 28040, Spain
| | - Elena Dacal
- Spotlab, P.º de Juan XXIII, 36B, Madrid 28040, Spain
| | | | - María Postigo
- Spotlab, P.º de Juan XXIII, 36B, Madrid 28040, Spain
| | | | | | - Andrés Santos
- Biomedical Image Technologies Laboratory, ETSI Telecomunicación, Universidad Politécnica de Madrid, Av. Complutense, 30, Madrid 28040, Spain
- CIBER de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - María Jesús Ledesma-Carbayo
- Biomedical Image Technologies Laboratory, ETSI Telecomunicación, Universidad Politécnica de Madrid, Av. Complutense, 30, Madrid 28040, Spain
- CIBER de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
| | - Rosa Ayala
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
- Department of Hematology, Hospital Universitario 12 de Octubre, Av. de Córdoba, s/n, Madrid 28041, Spain
| | - Joaquín Martínez-López
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
- Department of Hematology, Hospital Universitario 12 de Octubre, Av. de Córdoba, s/n, Madrid 28041, Spain
| | - María Linares
- Department of Translational Hematology, Research Institute Hospital 12 de Octubre (imas12), Av. de Córdoba, s/n, Madrid 28041, Spain
- Hematological Malignancies Clinical Research Unit H120-CNIO, CIBERONC, C. de Melchor Fernández Almagro, 3, Madrid 28029, Spain
- Department of Biochemistry and Molecular Biology, Pharmacy School, Universidad Complutense de Madrid, Pl. de Ramón y Cajal, s/n, Madrid 28040, Spain
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