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May 16, 2026American Journal of Hematology

Accuracy of Diagnosis in Myeloproliferative Neoplasms With Splanchnic Vein Thrombosis ( MPN ‐ SVT )

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Authors

BSBharath Ram SreedharHRHosuk RyouAOAoife O'Riordan

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Overview

Randomized trial evaluates diagnostic accuracy of clinical and AI methods in MPN-SVT, suggesting improvements in assessment accuracy.

Key Points

  • This study aims to evaluate the accuracy of diagnosing myeloproliferative neoplasms (MPN) with splanchnic vein thrombosis (SVT) using conventional histology and artificial intelligence.
  • Included 34 patients diagnosed with MPN-SVT, with retrospective data collection on clinical features, blood parameters, and bone marrow assessments.
  • Combined expert histopathologist evaluation with artificial intelligence analysis of bone marrow histology to assess diagnostic concordance.
  • Data were analyzed for concordance rates between clinical, histological, and AI diagnostics, using categorizations based on WHO criteria.
  • Concordance between clinical diagnosis and expert histology was 50%, while it was only 33.3% across all diagnostic methods for MF and PV.
  • AI analysis returned a 41.6% concordance for histology, particularly approaching 50% for clinical PV cases.
  • Significant discrepancies in ET categorization were observed, with AI analysis suggesting more prefibrotic-MF and PV classifications than clinical diagnoses.

Cite This Study

Sreedhar et al. (2026) studied this question.

synapsesocial.com/papers/6a080a41a487c87a6a40c367https://doi.org/10.1002/ajh.70362
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