Ruby M Hamilton, Ryan J Collinson, Henry Y Hui, Zi Yun Ng, Hun S Chuah, Malcolm Webb, Belinda B Guo, Wendy N Erber, Kathy A Fuller
Myelofibrosis is a myeloproliferative neoplasm with potential to transform to acute myeloid leukemia. This evolution is unpredictable and current assays lack the sensitivity and applicability needed to predict this transformation. While population-level data utilizing comprehensive genomic profiling can identify subgroups at higher risk of progression, they do not provide individualized information on the likelihood or timing of leukemia. Cytogenetic alterations are typically present in secondary leukemia. We aimed to determine whether these changes could be detected at an early stage. To achieve this we established and tested a single-cell imaging flow cytometric method for chromosomal aberrations using fluorescence in situ hybridization (FISH) probes to analyze circulating CD34/CD45-positive cells. Peripheral blood samples from 14 patients, collected at up to eight timepoints over a 34-month period, were analyzed for defects involving chromosomes 1, 5, and 17. Following cell immunophenotyping and FISH probe hybridization, a mean of 174,216 mononuclear cells was assessed per sample. Chromosomal abnormalities including gain(1q), del(5q), idic (5), monosomy 17, and/or del(17p) were identified in eight patients, at frequencies down to 0.2% of mononuclear cells. Serial analyses revealed emergence of new chromosomal lesions, clonal evolution, dominance, and multi-hit abnormalities. In three patients, acquired chromosome 17 abnormalities preceded progression to secondary leukemia by up to 7 months. This pilot study demonstrates that imaging flow cytometry-based FISH of circulating CD34/CD45-positive cells enables real-time, blood-based surveillance for cytogenetic evolution in myelofibrosis. The ability to dynamically track clone size and hierarchy highlights its potential as an early predictor of leukemic transformation in myelofibrosis.
{"title":"Imaging Flow Cytometry Detection of Cytogenetic Abnormalities in Circulating CD34+ Cells Predicts Leukemic Transformation in Myelofibrosis.","authors":"Ruby M Hamilton, Ryan J Collinson, Henry Y Hui, Zi Yun Ng, Hun S Chuah, Malcolm Webb, Belinda B Guo, Wendy N Erber, Kathy A Fuller","doi":"10.1002/cytoa.70012","DOIUrl":"https://doi.org/10.1002/cytoa.70012","url":null,"abstract":"<p><p>Myelofibrosis is a myeloproliferative neoplasm with potential to transform to acute myeloid leukemia. This evolution is unpredictable and current assays lack the sensitivity and applicability needed to predict this transformation. While population-level data utilizing comprehensive genomic profiling can identify subgroups at higher risk of progression, they do not provide individualized information on the likelihood or timing of leukemia. Cytogenetic alterations are typically present in secondary leukemia. We aimed to determine whether these changes could be detected at an early stage. To achieve this we established and tested a single-cell imaging flow cytometric method for chromosomal aberrations using fluorescence in situ hybridization (FISH) probes to analyze circulating CD34/CD45-positive cells. Peripheral blood samples from 14 patients, collected at up to eight timepoints over a 34-month period, were analyzed for defects involving chromosomes 1, 5, and 17. Following cell immunophenotyping and FISH probe hybridization, a mean of 174,216 mononuclear cells was assessed per sample. Chromosomal abnormalities including gain(1q), del(5q), idic (5), monosomy 17, and/or del(17p) were identified in eight patients, at frequencies down to 0.2% of mononuclear cells. Serial analyses revealed emergence of new chromosomal lesions, clonal evolution, dominance, and multi-hit abnormalities. In three patients, acquired chromosome 17 abnormalities preceded progression to secondary leukemia by up to 7 months. This pilot study demonstrates that imaging flow cytometry-based FISH of circulating CD34/CD45-positive cells enables real-time, blood-based surveillance for cytogenetic evolution in myelofibrosis. The ability to dynamically track clone size and hierarchy highlights its potential as an early predictor of leukemic transformation in myelofibrosis.</p>","PeriodicalId":11068,"journal":{"name":"Cytometry Part A","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dana Yagoda-Aharoni, Eden Dotan, Matan Dudaie, Natan T Shaked
We present a new end-to-end neural network approach for real-time biological cell detection and classification via label-free quantitative imaging flow cytometry based on digital holography, offering a comprehensive representation of cellular structures without the need for chemical cell staining. In contrast to previous studies, our method is the first to obtain classification and detection of cells, imaged during flow using large-magnification microscopy, in 0.44 msec, allowing real-time label-free imaging flow cytometry, with more than 10× speedup compared to YOLOv8n. The custom-made two-stage neural network consists of fixed convolution layers using image processing filters to detect a single location per object, followed by two convolutional layers that classify each detected cell. This approach enables reducing computational complexity and offers high-throughput, label-free imaging-based analysis suitable for real-time imaging flow cytometry. We validate the method on two cell datasets, T-cells at different activation stages and cancer cells of different metastatic potentials, demonstrating the method's adaptability. Our results show the ability to image, detect, and classify thousands of cells per second during flow, highlighting the potential of label-free imaging flow cytometry for real-time cell monitoring, early disease detection, and high-speed diagnostics.
{"title":"Label-Free Holographic Imaging Flow Cytometry With Deep-Learning-Based Detection and Classification of Thousands of Cells Per Second.","authors":"Dana Yagoda-Aharoni, Eden Dotan, Matan Dudaie, Natan T Shaked","doi":"10.1002/cytoa.70008","DOIUrl":"https://doi.org/10.1002/cytoa.70008","url":null,"abstract":"<p><p>We present a new end-to-end neural network approach for real-time biological cell detection and classification via label-free quantitative imaging flow cytometry based on digital holography, offering a comprehensive representation of cellular structures without the need for chemical cell staining. In contrast to previous studies, our method is the first to obtain classification and detection of cells, imaged during flow using large-magnification microscopy, in 0.44 msec, allowing real-time label-free imaging flow cytometry, with more than 10× speedup compared to YOLOv8n. The custom-made two-stage neural network consists of fixed convolution layers using image processing filters to detect a single location per object, followed by two convolutional layers that classify each detected cell. This approach enables reducing computational complexity and offers high-throughput, label-free imaging-based analysis suitable for real-time imaging flow cytometry. We validate the method on two cell datasets, T-cells at different activation stages and cancer cells of different metastatic potentials, demonstrating the method's adaptability. Our results show the ability to image, detect, and classify thousands of cells per second during flow, highlighting the potential of label-free imaging flow cytometry for real-time cell monitoring, early disease detection, and high-speed diagnostics.</p>","PeriodicalId":11068,"journal":{"name":"Cytometry Part A","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146050817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}