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评估新型基于激光和阻抗的即时护理血液学分析仪scil vCell 5在犬猫中的应用。

Evaluation of the scil vCell 5, a novel laser- and impedance-based point-of-care hematology analyzer, for use in dogs and cats.

作者信息

Zelmer Kim-Lina Charlotte, Bauer Natali, Moritz Andreas

机构信息

Small Animal Clinic, Internal Medicine, Justus-Liebig-University, Giessen, Germany.

Department of Veterinary Clinical Sciences, Clinical Pathology and Clinical Pathophysiology, Justus-Liebig-University, Giessen, Germany.

出版信息

J Vet Diagn Invest. 2022 May;34(3):504-517. doi: 10.1177/10406387221083621. Epub 2022 Mar 24.

Abstract

A novel laser- and impedance-based point-of-care hematology analyzer (POCA), the vCell 5 (scil Animal Care), providing a complete blood count with 5-part leukocyte differential count has recently been introduced to veterinary laboratories. We evaluated the analyzer for use in dogs and cats including method comparison and assessment of linearity, carryover, and precision. Fresh blood samples from 192 healthy and diseased dogs and 159 cats were analyzed, and results were compared to reference methods (i.e., microhematocrit [PCV], Advia 2120 hematology analyzer). Total observed error (TEo) was calculated from CV, obtained at 3 concentrations, and bias%, and compared to total allowable error (TEa). For both species, excellent correlation (r = 0.93-0.99) was seen between methods for WBC and RBC, hematocrit, hemoglobin, and platelet counts (PLT), except for feline PLT (r = 0.79). Quality requirements (TEo < TEa) were fulfilled for WBC (TEo = 8.6-11.1%; TEa = 20%) and RBC (TEo = 3.5-7%; TEa = 10%), hematocrit (TEo = 5.7-9.4%; TEa = 10%), PCV (cat TEo = 7.8%; TEa = 10%), mean corpuscular volume (cat TEo = 5.1%; TEa = 7%), and PLT (TEo = 13.1-24.1%; TEa = 25%). Excellent linearity was demonstrated for WBC, RBC, and PLT, and hemoglobin. CVs of <2% for WBC, RBC, hematocrit, hemoglobin, and of <5% (dog) and 8% (cat) for PLT were demonstrated for values within the RI. Except for calculated variables and well-known species-specific deviations in feline PLT, scil POCA results were correlated favorably with reference method results and complied with quality requirements for cats and dogs.

摘要

一种基于激光和阻抗的新型即时护理血液学分析仪(POCA),即vCell 5(scil动物护理公司),可提供全血细胞计数及五分类白细胞计数,最近已引入兽医实验室。我们对该分析仪在犬猫中的使用进行了评估,包括方法比较以及线性、携带污染和精密度评估。分析了192只健康和患病犬以及159只猫的新鲜血液样本,并将结果与参考方法(即微量血细胞比容[PCV]、Advia 2120血液学分析仪)进行比较。根据在3个浓度下获得的变异系数(CV)和偏差百分比计算总观察误差(TEo),并与总允许误差(TEa)进行比较。对于这两个物种,白细胞(WBC)、红细胞(RBC)、血细胞比容、血红蛋白和血小板计数(PLT)的方法之间显示出极好的相关性(r = 0.93 - 0.99),猫的血小板计数除外(r = 0.79)。白细胞(TEo = 8.6 - 11.1%;TEa = 20%)、红细胞(TEo = 3.5 - 7%;TEa = 10%)、血细胞比容(TEo = 5.7 - 9.4%;TEa = 10%)、PCV(猫TEo = 7.8%;TEa = 10%)、平均红细胞体积(猫TEo = 5.1%;TEa = 7%)和血小板计数(TEo = 13.1 - 24.1%;TEa = 25%)均满足质量要求(TEo < TEa)。白细胞、红细胞、血小板计数和血红蛋白显示出极好的线性。在参考区间(RI)内,白细胞、红细胞、血细胞比容、血红蛋白的CV < 2%,犬血小板的CV < 5%,猫血小板的CV < 8%。除了计算变量和猫血小板中众所周知的物种特异性偏差外,scil POCA的结果与参考方法的结果相关性良好,并符合犬猫质量要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bfe/9066672/7e1deff002e3/10.1177_10406387221083621-fig1.jpg

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