From Data to Diagnosis: A Large, Comprehensive Bone Marrow Dataset and AI Methods for Childhood Leukemia Prediction

Henning H\"ofener (Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany), Farina Kock (Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany), Martina Pontones (Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany), Tabita Ghete (Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany, Bavarian Cancer Research Center), David Pfrang (Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany), Nicholas Dickel (Medical Informatics, Friedrich-Alexander University of Erlangen-N\"urnberg, Erlangen, Germany), Meik Kunz (Medical Informatics, Friedrich-Alexander University of Erlangen-N\"urnberg, Erlangen, Germany), Daniela P. Schacherer (Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany), David A. Clunie (PixelMed Publishing LLC, Bangor, PA, USA), Andrey Fedorov (Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, Ma, USA), Max Westphal (Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany), Markus Metzler (Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany, Bavarian Cancer Research Center, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany)

Leukemia diagnosis primarily relies on manual microscopic analysis of bone marrow morphology supported by additional laboratory parameters, making it complex and time consuming. While artificial intelligence (AI) solutions have been proposed, most utilize private datasets and only cover parts of the diagnostic pipeline. Therefore, we present a large, high-quality, publicly available leukemia bone marrow dataset spanning the entire diagnostic process, from cell detection to diagnosis. Using this dataset, we further propose methods for cell detection, cell classification, and diagnosis prediction. The dataset comprises 246 pediatric patients with diagnostic, clinical and laboratory information, over 40 000 cells with bounding box annotations and more than 28 000 of these with high-quality class labels, making it the most comprehensive dataset publicly available. Evaluation of the AI models yielded an average precision of 0.96 for the cell detection, an area under the curve of 0.98, and an F1-score of 0.61 for the 33-class cell classification, and a mean F1-score of 0.90 for the diagnosis prediction using predicted cell counts. While the proposed approaches demonstrate their usefulness for AI-assisted diagnostics, the dataset will foster further research and development in the field, ultimately contributing to more precise diagnoses and improved patient outcomes.

picture_as_pdf flag

Knowledge Graph

arrow_drop_up

Comments

Sign up or login to leave a comment