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Decoding Bone Marrow Architecture: A New Biomarker for Disease Activity and Treatment Response in Myelodysplastic Neoplasms

MedXY Editorial Team•Aug 17, 2026•Hematology-Oncology
myelodysplastic neoplasmsbone marrow architecturedisease biomarkerstherapeutic response

Highlight

  • Myelodysplastic neoplasms (MDS) provoke profound spatial alterations in bone marrow microarchitecture beyond blast count abnormalities.
  • Multiplex immunofluorescence combined with single-cell phenotyping enables quantification of >5 million spatially resolved marrow cells in patients and controls.
  • A novel Microarchitectural Perturbation Score (MDS-MAPS) summarizes 82 architectural features, outperforming blast percentage in distinguishing active disease from remission and low-blast MDS from clonal cytopenia of undetermined significance.
  • MDS-MAPS dynamically tracks marrow remodeling during treatment, correlating with disease activity independently of blast burden and indicating tissue-state normalization or relapse.

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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