Clinical tool

ELN 2022 Genetic Risk Classification of AML

Favourable, intermediate or adverse by cytogenetics and mutations

Updated: 27 October 20261 min read1 reference

Genetic risk group of acute myeloid leukaemia by ELN 2022 (for intensive treatment). Tick the patient's cytogenetic and molecular findings.

This calculator needs JavaScript; the formula and its interpretation are in the text of this page.

An aid for clinicians; it does not replace clinical judgement, local protocols or the drug label. Double-check every result before prescribing.

Key ELN 2022 rules

  • FLT3-ITD is no longer split by allelic ratio; NPM1 with FLT3-ITD is intermediate [1].
  • Only in-frame bZIP mutations of CEBPA are favourable (mono-‎ or biallelic) [1].
  • Mutations in ASXL1, BCOR, EZH2, RUNX1, SF3B1, SRSF2, STAG2, U2AF1 and ZRSR2 are adverse unless they occur with favourable subtypes [1].
  • NPM1 with adverse cytogenetics is adverse [1].
  • The classification applies to intensive treatment; after treatment, MRD refines prognosis [1].

Treatment details: AML and ELN 2022 lesson.

Related cancer types

References

1 reference
Show all references, 1 with a study cardClose the reference list

Numbers in the text, such as [1], refer to these sources. Sources with a “Study card” button are summarised in the site’s evidence library.

  1. 1
    Diagnosis and management of AML in adults: 2022 recommendations from an international expert panel on behalf of the ELNDöhner H, Wei AH, Appelbaum FR, et al · Blood · 2022;140:1345-1377
    Study cardDOIPubMed Back to text: 1 2 3 4 5

This page is based on reputable scientific sources and was last updated on 27 October 2026. The content of this website is for educational and informational purposes only and does not replace consultation, diagnosis or treatment by a specialist physician. Consult your treating physician about any treatment decision.