Novel Prognostic Models for Myelodysplastic Syndromes

被引:4
作者
Shreve, Jacob [1 ]
Nazha, Aziz [2 ]
机构
[1] Cleveland Clin, Dept Hematol & Med Oncol, Taussig Canc Ctr, Desk R35,9500 Euclid Ave, Cleveland, OH 44195 USA
[2] Case Western Reserve Univ, Dept Hematol & Med Oncol, Taussig Canc Inst,Cleveland Clin, Ctr Clin Artificial Intelligence,Lerner Coll Med, Desk R35,9500 Euclid Ave, Cleveland, OH 44195 USA
关键词
MDS; Model; Mutations; SYSTEM IPSS-R; SCORING SYSTEM; SOMATIC MUTATIONS; TREATED PATIENTS; MOLECULAR-DATA; RISK; TIME; VALIDATION; SURVIVAL; FAILURE;
D O I
10.1016/j.hoc.2019.10.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Myelodysplastic syndromes are disorders of clonal myelopoiesis having a range of clinical manifestations, from benign and indolent to aggressive with very poor prognosis. Classifying the likely trajectory of disease within a patient largely guides therapeutic decision making and therefore survival. Traditional methods of risk-stratification systems rely on clinical features: simple blood tests, peripheral smears, bone marrow biopsies, and cytogenetics, but do not adequately predict disease severity for a substantial proportion of patients. This article reviews the state of stratification at use in the clinic, describes emerging systems that leverage large-scale genomic data, and summarizes efforts toward truly personalized prediction models.
引用
收藏
页码:369 / +
页数:11
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