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The power and potential of integrated diagnostics in acute myeloid leukaemia

The field of acute myeloid leukaemia (AML) diagnostics, initially based solely on morphological assessment, has integrated more and more disciplines. Today, state‐of‐the‐art AML diagnostics relies on cytomorphology, cytochemistry, immunophenotyping, cytogenetics and molecular genetics. Only the inte...

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Detalles Bibliográficos
Autores principales: Haferlach, Torsten, Schmidts, Ines
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973013/
https://www.ncbi.nlm.nih.gov/pubmed/31808952
http://dx.doi.org/10.1111/bjh.16360
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author Haferlach, Torsten
Schmidts, Ines
author_facet Haferlach, Torsten
Schmidts, Ines
author_sort Haferlach, Torsten
collection PubMed
description The field of acute myeloid leukaemia (AML) diagnostics, initially based solely on morphological assessment, has integrated more and more disciplines. Today, state‐of‐the‐art AML diagnostics relies on cytomorphology, cytochemistry, immunophenotyping, cytogenetics and molecular genetics. Only the integration of all of these methods allows for a comprehensive and complementary characterisation of each case, which is prerequisite for optimal AML diagnosis and management. Here, we will review why multidisciplinary diagnostics is mandatory today and will gain even more importance in the future, especially in the context of precision medicine. We will discuss ideas and strategies that are likely to shape and improve multidisciplinary diagnostics in AML and may even overcome some of today's gold standards. This includes recent technical advances that provide genome‐wide molecular insights. The enormous amount of data obtained by these latter techniques represents a great challenge, but also a unique chance. We will reflect on how this increase in knowledge can be incorporated into the routine to pave the way for personalised medicine in AML.
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spelling pubmed-69730132020-01-27 The power and potential of integrated diagnostics in acute myeloid leukaemia Haferlach, Torsten Schmidts, Ines Br J Haematol Reviews The field of acute myeloid leukaemia (AML) diagnostics, initially based solely on morphological assessment, has integrated more and more disciplines. Today, state‐of‐the‐art AML diagnostics relies on cytomorphology, cytochemistry, immunophenotyping, cytogenetics and molecular genetics. Only the integration of all of these methods allows for a comprehensive and complementary characterisation of each case, which is prerequisite for optimal AML diagnosis and management. Here, we will review why multidisciplinary diagnostics is mandatory today and will gain even more importance in the future, especially in the context of precision medicine. We will discuss ideas and strategies that are likely to shape and improve multidisciplinary diagnostics in AML and may even overcome some of today's gold standards. This includes recent technical advances that provide genome‐wide molecular insights. The enormous amount of data obtained by these latter techniques represents a great challenge, but also a unique chance. We will reflect on how this increase in knowledge can be incorporated into the routine to pave the way for personalised medicine in AML. John Wiley and Sons Inc. 2019-12-06 2020-01 /pmc/articles/PMC6973013/ /pubmed/31808952 http://dx.doi.org/10.1111/bjh.16360 Text en © 2019 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Reviews
Haferlach, Torsten
Schmidts, Ines
The power and potential of integrated diagnostics in acute myeloid leukaemia
title The power and potential of integrated diagnostics in acute myeloid leukaemia
title_full The power and potential of integrated diagnostics in acute myeloid leukaemia
title_fullStr The power and potential of integrated diagnostics in acute myeloid leukaemia
title_full_unstemmed The power and potential of integrated diagnostics in acute myeloid leukaemia
title_short The power and potential of integrated diagnostics in acute myeloid leukaemia
title_sort power and potential of integrated diagnostics in acute myeloid leukaemia
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973013/
https://www.ncbi.nlm.nih.gov/pubmed/31808952
http://dx.doi.org/10.1111/bjh.16360
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