Monoclonal B-Cell Lymphocytosis Among Egyptian Elderly Healthy Adults
Bibliographic record
Abstract
Background: Monoclonal B-cell lymphocytosis (MBL) is a benign expansion of clonal B lymphocytes that can be found in the blood of healthy adults, and it has the potential for evolution to chronic lymphocytic leukemia (CLL). MBL is commonly found among elderly population. We aimed to study the frequency among 200 healthy elderly adults who were chosen from general practice, ophthalmology, gynecology, cardiology, dermatology, and orthopedic preoperative patients. The selected individuals had normal hematologic parameters with no evident history of malignant disease. Methods: Blood samples were collected on EDTA, the leukocytes were stained by CD5/CD19 and kappa/lambda/CD19, and then MBL cells were searched for using flow cytometry to detect CD19-positive B-cell population with abnormal kappa/lambda immunoglobulin light chain ratio (> 3 or < 0.3) or disease-specific immunophenotype (IPT), i.e., co-expression of CD5/CD19. Results: The frequency of MBL among the studied samples was 5.5% without significant difference between males and females. The detected frequency found may be related to the sensitivity of the method used. Higher frequencies may be detected if more colors were used to detect more antigens. Conclusion: The study suggested that MBL can be identified through routine hospital investigations among elderly subjects and that monoclonal proliferation of B lymphocytes can be detected in an increasing number depending on the progressive improvements in the flow cytometric techniques. J Hematol. 2016;5(2):54-59 doi: http://dx.doi.org/10.14740/jh269w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".