Gao Yuon, Mansoor Adnan, Wood Brenda, Nelson Heather, Higa Diane, Naugler Christopher
Calgary Laboratory Services, 9, 3535 Research Rd NW, Calgary, AB, T2L 2K8, Canada.
J Pathol Inform. 2013 Jun 29;4:16. doi: 10.4103/2153-3539.114207. Print 2013.
Rapid and accurate determination of platelet count is an important factor in diagnostic medicine. Traditional microscopic methods are labor intensive with variable results and are highly dependent on the individual training. Recent developments in automated peripheral blood differentials using a computerized system have shown many advantages as a viable alternative. The purpose of this paper was to determine the reliability and accuracy of the CellaVision DM 96 system with regards to platelet counts.
One hundred twenty seven peripheral blood smears were analyzed for platelet count by manual microscopy, an automated hematology analyzer (Beckman Counter LH 780 or Unicel DXH 800 analyzers) and with the CellaVision DM96 system. Results were compared using the correlations and Bland-Altman plots.
Platelet counts from the DM96 system showed an R(2) of 0.94 when compared to manual platelet estimates and an R(2) of 0.92 when compared to the automated hematology analyzer results. Bland-Altman plots did not show any systematic bias.
快速准确地测定血小板计数是诊断医学中的一个重要因素。传统的显微镜检查方法劳动强度大,结果多变,且高度依赖个人培训。使用计算机系统的自动化外周血分类技术的最新进展已显示出作为一种可行替代方法的诸多优势。本文的目的是确定CellaVision DM 96系统在血小板计数方面的可靠性和准确性。
通过手工显微镜检查、自动血液分析仪(贝克曼库尔特LH 780或Unicel DXH 800分析仪)以及CellaVision DM96系统对127份外周血涂片进行血小板计数分析。使用相关性分析和布兰德-奥特曼图比较结果。
与手工血小板估计值相比,DM96系统的血小板计数显示R²为0.94,与自动血液分析仪结果相比,R²为0.92。布兰德-奥特曼图未显示任何系统偏差。