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Peer-Reviewed Publication
Clin Chem Lab Med2024;62(12):2498-2506.November 26, 2024Journal Article

Expert-level detection of M-proteins in serum protein electrophoresis using machine learning.

Eike Elfert1, Wolfgang E Kaminski1,2, Christian Matek3, Gregor Hoermann4, Eyvind W Axelsen5,6, Carsten Marr3, Armin P Piehler4,5
1Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
2Ingenium Digital Diagnostics GmbH, Frankfurt, Germany.
3Institute of AI for Health, Helmholtz Munich - German Research Center for Environmental Health, Neuherberg, Germany.
4535021 MLL Munich Leukemia Laboratory , Munich, Germany.
5Fürst Medical Laboratory, Oslo, Norway.
6Department of Informatics, University of Oslo, Oslo, Norway.

Abstract

OBJECTIVES: Serum protein electrophoresis (SPE) in combination with immunotyping (IMT) is the diagnostic standard for detecting monoclonal proteins (M-proteins). However, interpretation of SPE and IMT is weakly standardized, time consuming and investigator dependent. Here, we present five machine learning (ML) approaches for automated detection of M-proteins on SPE on an unprecedented large and we…

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