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Automated screening for myelodysplastic syndromes through analysis of complete blood count and cell population data parameters
Author(s) -
Raess Philipp W.,
Geijn GertJan M.,
Njo Tjin L.,
Klop Boudewijn,
Sukhachev Dmitry,
Wertheim Gerald,
McAleer Tom,
Master Stephen R.,
Bagg Adam
Publication year - 2014
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.23643
Subject(s) - medicine , red blood cell distribution width , receiver operating characteristic , cohort , population , complete blood count , myelodysplastic syndromes , classifier (uml) , retrospective cohort study , bone marrow , artificial intelligence , computer science , environmental health
The diagnosis of myelodysplastic syndromes (MDS) requires a high clinical index of suspicion to prompt bone marrow studies as well as subjective assessment of dysplastic morphology. We sought to determine if data collected by automated hematology analyzers during complete blood count (CBC) analysis might help to identify MDS in a routine clinical setting. We collected CBC parameters (including those for research use only and cell population data) and demographic information in a large (>5,000), unselected sequential cohort of outpatients. The cohort was divided into independent training and test groups to develop and validate a random forest classifier that identifies MDS. The classifier effectively identified MDS and had a receiver operating characteristic area under the curve (AUC) of 0.942. Platelet distribution width and the standard deviation of red blood cell distribution width were the most discriminating variables within the classifier. Additionally, a similar classifier was validated with an additional, independent set of >200 patients from a second institution with an AUC of 0.93. This retrospective study demonstrates the feasibility of identifying MDS in an unselected outpatient population using data routinely collected during CBC analysis with a classifier that has been validated using two independent data sets from different institutions. Am. J. Hematol. 89:369–374, 2014. © 2013 Wiley Periodicals, Inc.