Table 4.

European consensus on grading bone marrow fibrosis (fiber density should be assessed in hematopoietic cellular areas)


Fibrosis grade

Description
0   Scattered linear reticulin with no intersections corresponding to normal bone marrow  
1   Loose network of reticulin with many intersections, especially in perivascular areas  
2   Diffuse and dense increase in reticulin with extensive intersections, occasionally with only focal bundles of collagen and/or focal osteosclerosis  
3
 
Diffuse and dense increase in reticulin with extensive intersections with coarse bundles of collagen, often associated with significant osteosclerosis
 

Fibrosis grade

Description
0   Scattered linear reticulin with no intersections corresponding to normal bone marrow  
1   Loose network of reticulin with many intersections, especially in perivascular areas  
2   Diffuse and dense increase in reticulin with extensive intersections, occasionally with only focal bundles of collagen and/or focal osteosclerosis  
3
 
Diffuse and dense increase in reticulin with extensive intersections with coarse bundles of collagen, often associated with significant osteosclerosis
 

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