Automated bone marrow cell classification using ensemble learning: performance, generalization, and clinical interpretability - Scorecard - MDSpire

Automated bone marrow cell classification using ensemble learning: performance, generalization, and clinical interpretability

  • By

  • Shahid Mehmood

  • Muhammad Zubair

  • Sagheer Abbas

  • Rowida Mohammed Alharbi

  • Mai Alduailij

  • Muhammad Adnan Khan

  • Taher M. Ghazal

  • June 3, 2026

  • 0 min

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Clinical Scorecard: Ensemble Learning for Automated Classification of Bone Marrow Cells: Evaluating Performance, Generalization, and Clinical Interpretability

At a Glance

CategoryDetail
ConditionBone marrow cell classification for hematological disorders
Key MechanismsEnsemble learning using MobileNetV3 and ResNet18 to enhance feature extraction and classification performance
Target PopulationPatients with hematological disorders requiring bone marrow analysis
Care SettingClinical laboratories and diagnostic imaging centers

Key Highlights

  • Boosting achieved the highest classification accuracy of 96%
  • External validation confirmed robust performance across independent datasets
  • Ensemble model outperformed individual models in accuracy and interpretability stability
  • Explainable AI methods were applied to visualize discriminative image regions
  • Decision Impact Ratio and Confidence Impact Ratio quantified explanation reliability

Guideline-Based Recommendations

Diagnosis

  • Utilize ensemble learning frameworks for improved classification of bone marrow cells

Management

  • Implement AI-assisted diagnostics to reduce diagnostic time and interobserver variability

Monitoring & Follow-up

  • Regularly validate model performance with independent datasets under varying imaging conditions

Risks

  • Consider potential limitations in model generalization and robustness due to class imbalance and imaging artifacts

Patient & Prescribing Data

Individuals with suspected hematological disorders such as leukemia and lymphoma

AI-assisted classification can enhance diagnostic accuracy and support timely treatment decisions

Clinical Best Practices

  • Incorporate explainable AI methods to improve interpretability of automated classifications
  • Use ensemble strategies to enhance the robustness of diagnostic models
  • Regularly assess model performance with diverse datasets to ensure reliability

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