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