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血液分析仪SF - 3000:与血液分析仪NE - 1500相比,自动白细胞分类计数的性能

The Haematology Analyser SF-3000: performance of the automated white blood cell differential count in comparison to the Haematology Analyser NE-1500.

作者信息

Korninger L, Mustafa G, Schwarzinger I

机构信息

Department of Laboratory Medicine, University of Vienna, Austria.

出版信息

Clin Lab Haematol. 1998 Apr;20(2):81-6. doi: 10.1046/j.1365-2257.1998.00093.x.

DOI:10.1046/j.1365-2257.1998.00093.x
PMID:9681217
Abstract

The present study evaluates the performance of automated white blood cell (WBC) differential counts by the new Haematology Analyser SF-3000. Five hundred and sixty-six WBC differential counts performed by the SF-3000 were compared with WBC differential counts of the well established analyser NE-1500 and to manual reference counts. Numerical results of the WBC differential counts were correlated to each other by regression analyses. The efficiency of instrument flagging for the presence of abnormal WBC was expressed as per cent of subjects correctly classified. Neutrophil and lymphocyte counts correlated well between analysers and to manual reference counts. Monocyte counts for the SF-3000 correlated significantly better with the microscopic counts, whereas correlations of eosinophils and basophils were better for the NE-1500. The efficiency rates of flagging for the presence of > or = 1% abnormal WBC were 80% for the NE-1500 and 70% for the SF-3000. This difference was exclusively due to low specificity of the SF-3000 in flagging cells of the 'Left Shift' category, especially in samples with elevated WBC counts. The flagging efficiencies for blasts, promyelocytes, myelocytes, atypical lymphocytes and nucleated red cells were identical for both analysers. Thus, with regard to the performance of automated WBC differential counts the SF-3000 seems comparable with other, well established haematology analysers.

摘要

本研究评估了新型血液分析仪SF - 3000进行自动白细胞(WBC)分类计数的性能。将SF - 3000进行的566次WBC分类计数与成熟的NE - 1500分析仪的WBC分类计数以及手工参考计数进行比较。通过回归分析将WBC分类计数的数值结果相互关联。仪器对异常WBC存在的标记效率以正确分类的受试者百分比表示。分析仪之间以及与手工参考计数之间,中性粒细胞和淋巴细胞计数相关性良好。SF - 3000的单核细胞计数与显微镜计数的相关性明显更好,而嗜酸性粒细胞和嗜碱性粒细胞的相关性对于NE - 1500更好。对于存在≥1%异常WBC的标记效率,NE - 1500为80%,SF - 3000为70%。这种差异完全是由于SF - 3000在标记“核左移”类细胞时特异性较低,尤其是在WBC计数升高的样本中。两种分析仪对原始细胞、早幼粒细胞、中幼粒细胞、异型淋巴细胞和有核红细胞的标记效率相同。因此,就自动WBC分类计数的性能而言,SF - 3000似乎与其他成熟的血液分析仪相当。

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