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现代血液学实验室中CellaVision系统的批判性分析。

A critical analysis of CellaVision systems in the modern hematology laboratory.

作者信息

Panozzo Brydon, Ramnarain Jaineel, Chen Song, Yuen Hiu Lam Agnes, Tatarczuch Maciej, Vilcassim Shahla, Leow Christopher Chang-Yew, Barnes Chris

机构信息

Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.

Australian Clinical Labs, Melbourne, Victoria, Australia.

出版信息

Am J Clin Pathol. 2025 Aug 26;164(2):163-173. doi: 10.1093/ajcp/aqaf045.

Abstract

OBJECTIVE

This review aims to provide a comprehensive analysis of the current literature regarding the use of CellaVision digital morphology systems and to assess the emerging applications, their potential to supplement current diagnostic pathways, and-importantly-appreciate their practical and perceived limitations.

METHODS

A manual literature review was conducted to identify relevant journal articles and published abstracts as they relate to the application of CellaVision systems to hematology laboratory practice in human patients.

RESULTS

CellaVision systems can characterize cellular morphology with overall a high degree of accuracy-in particular, for neutrophils; lymphocytes; and common red blood cell changes, including target cells. Challenges remain, however, with the detection of particular important findings, including immature granulocytes and red blood cell agglutination. The application of CellaVision systems to emerging areas such as telepathology and parasitology are evolving, with an increasing volume of literature highlighting the technology's utility.

CONCLUSION

CellaVision systems and associated digital technologies are poised to play an increasingly important role in hematology laboratories, with promises of enhanced accuracy and improved workflows. Several critical deficiencies highlight the necessity for continued research to support their transition into routine clinical practice.

摘要

目的

本综述旨在对目前有关CellaVision数字形态学系统应用的文献进行全面分析,并评估其新兴应用、补充当前诊断途径的潜力,以及重要的是,认识其实际和感知到的局限性。

方法

进行了一项人工文献综述,以识别与CellaVision系统在人类患者血液学实验室实践中的应用相关的期刊文章和已发表的摘要。

结果

CellaVision系统能够以总体较高的准确度表征细胞形态,特别是对于中性粒细胞、淋巴细胞以及常见的红细胞变化(包括靶形细胞)。然而,在检测特定重要发现方面仍存在挑战,包括未成熟粒细胞和红细胞凝集。CellaVision系统在远程病理学和寄生虫学等新兴领域的应用正在不断发展,越来越多的文献突出了该技术的实用性。

结论

CellaVision系统及相关数字技术有望在血液学实验室中发挥越来越重要的作用,有望提高准确性并改善工作流程。一些关键缺陷凸显了持续研究以支持其向常规临床实践过渡的必要性。

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