Input

Routine molecular data

Mutational profiles and clinical variables from large MDS cohorts.

Inference

Evolutionary order

Directional routes are inferred from co-occurrence and temporal structure at cohort level.

Selection

Compact variables

Only robust evolution-derived features with independent outcome signal are retained.

Clinical readout

IPSS-M-Evo

A transparent extension of IPSS-M for research risk stratification.

Framework logic

From static mutation lists to evolution-aware risk

01Harmonise cohorts

Curated genomic and clinical data from multi-cohort MDS datasets.

02Infer routes

Directional evolutionary relationships between gene events.

03Test endpoints

Associations with leukemia-free and overall survival.

04Build IPSS-M-Evo

Integration with continuous IPSS-M and age-adjusted modelling.

Evidence

Peer-reviewed clinical evidence

The IPSS-M-Evo study is published in NEJM Evidence (DOI: 10.1056/EVIDoa2500124) and reports an evolution-informed extension of IPSS-M for MDS, with endpoint analyses for LFS and OS.