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B淋巴细胞白血病微小残留病的流式细胞术检测:一种优化单管模型新方法的应用

B-ALL minimal residual disease flow cytometry: an application of a novel method for optimization of a single-tube model.

作者信息

Shaver Aaron C, Greig Bruce W, Mosse Claudio A, Seegmiller Adam C

机构信息

From the Vanderbilt University Medical Center, Nashville, TN, and

From the Vanderbilt University Medical Center, Nashville, TN, and.

出版信息

Am J Clin Pathol. 2015 May;143(5):716-24. doi: 10.1309/AJCPOOJRAVUN75GD.

DOI:10.1309/AJCPOOJRAVUN75GD
PMID:25873506
Abstract

OBJECTIVES

Optimizing a clinical flow cytometry panel can be a subjective process dependent on experience. We develop a quantitative method to make this process more rigorous and apply it to B lymphoblastic leukemia/lymphoma (B-ALL) minimal residual disease (MRD) testing.

METHODS

We retrospectively analyzed our existing three-tube, seven-color B-ALL MRD panel and used our novel method to develop an optimized one-tube, eight-color panel, which was tested prospectively.

RESULTS

The optimized one-tube, eight-color panel resulted in greater efficiency of time and resources with no loss in diagnostic power.

CONCLUSIONS

Constructing a flow cytometry panel using a rigorous, objective, quantitative method permits optimization and avoids problems of interdependence and redundancy in a large, multiantigen panel.

摘要

目的

优化临床流式细胞术检测方案可能是一个依赖经验的主观过程。我们开发了一种定量方法,以使这一过程更加严谨,并将其应用于B淋巴细胞白血病/淋巴瘤(B-ALL)微小残留病(MRD)检测。

方法

我们回顾性分析了现有的三管、七色B-ALL MRD检测方案,并使用我们的新方法开发了一种优化的单管、八色检测方案,并进行前瞻性测试。

结果

优化后的单管、八色检测方案提高了时间和资源利用效率,且诊断能力没有损失。

结论

使用严谨、客观、定量的方法构建流式细胞术检测方案可实现优化,并避免大型多抗原检测方案中相互依赖和冗余的问题。

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