Matsushita Hiromichi, Asai Satomi, Yabe Miharu, Tanaka Yumiko, Miyachii Hayato
Department of Laboratory Medicine, Tokai University School of Medicine, Isehara 259-1193, Japan.
Rinsho Byori. 2011 Jan;59(1):65-74.
The WHO classification of tumors of hematopoietic and lymphoid tissues is widely used as a standard for the diagnosis of hematological diseases. However, complicated algorithms developed through the integration of a large amount of laboratory information together with clinical characteristics are employed in most of the diagnostic criteria. Physicians usually have only a limited time to interpret laboratory findings and collate all this information for making a final diagnosis. In order to support their clinical practice, our clinical laboratory has implemented a comprehensive diagnostic system, which provides a summarized report of hematological diseases based on the related laboratory data when the microscopic evaluation of a bone marrow smear or flow cytometric analysis of a lymph node is ordered. The report describes possible disease classifications and suggests further examinations to be performed. This comprehensive diagnostic system is helpful for not only the standardization of the diagnosis but also efficient diagnostic procedures and, thus, subsequent medical care.
世界卫生组织（WHO）的造血与淋巴组织肿瘤分类被广泛用作血液病诊断的标准。然而，大多数诊断标准采用了通过整合大量实验室信息以及临床特征而开发的复杂算法。医生通常只有有限的时间来解读实验室检查结果并整理所有这些信息以做出最终诊断。为了支持他们的临床实践，我们的临床实验室实施了一个综合诊断系统，当要求对骨髓涂片进行显微镜评估或对淋巴结进行流式细胞术分析时，该系统会根据相关实验室数据提供一份血液病总结报告。该报告描述了可能的疾病分类，并建议进行进一步的检查。这种综合诊断系统不仅有助于诊断的标准化，还有助于提高诊断程序的效率，从而有助于后续的医疗护理。
