Estimating blood volume on dried blood spots

IF 2.6 3区 医学 Q2 CHEMISTRY, ANALYTICAL
Sung-Hee Seo, Stuart Batterman
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引用次数: 0

Abstract

Archived dried blood spots (DBSs) collected by newborn screening programs represent a potentially valuable resource for assessing chemical exposure of newborns. Moreover, collection, storage, and transport of DBSs are easier and cheaper than standard venipuncture protocols. However, quantitative exposure assessment requires knowledge of the blood volume, which can vary considerably on DBSs. We present a method to estimate the volume of fresh blood originally deposited on DBSs and update the forensic literature regarding the ratio of fresh blood volume to dry blood weight. The weight of the blood residue is determined using the area and areal density of the DBS corrected by an unused section of the same card. Density is determined by cutting out the DBS, scanning and digitizing the image, and applying a mask to improve consistency. Blood volume is calculated as the product of the residue weight and fresh blood volume/dried blood weight ratio for the age-specific hematocrit level. Tests using DBSs prepared with 30 to 100 µL of blood showed excellent agreement. The method was applied to 352 archived neonatal DBSs dating from 2008 through 2023. The estimated fresh blood volume averaged 98 µL, close to the expected value, and followed a lognormal distribution (range: 28 to 199 µL); no differences were found for sex or DBS age. The proposed approach is simple, accurate, and inexpensive, and can facilitate the use of archived DBSs for quantitative and retrospective exposure assessment. Additionally, it is applicable for forensic applications examining bloodstains on cloth, paper, and other materials.

Abstract Image

Abstract Image

估算干血斑的血容量
新生儿筛查项目收集的存档干血斑(DBSs)是评估新生儿化学接触情况的潜在宝贵资源。此外,与标准静脉穿刺方案相比,干血斑的采集、储存和运输更容易,成本也更低。然而,定量暴露评估需要了解血容量,而 DBSs 的血容量可能会有很大变化。我们提出了一种估算最初沉积在 DBS 上的新鲜血液量的方法,并更新了有关新鲜血液量与干血重量比的法医文献。血液残留物的重量是用 DBS 的面积和等密度来确定的,而 DBS 的面积和等密度是用同一张卡片上未使用的部分来校正的。密度是通过切下 DBS、扫描和数字化图像并应用掩膜以提高一致性来确定的。血容量是根据特定年龄段血细胞比容水平的残留物重量与新鲜血液容量/干燥血液重量比值的乘积计算得出的。使用 30 至 100 µL 血液制备的 DBS 进行的测试表明,两者的一致性非常好。该方法适用于 352 个存档的新生儿 DBS,时间跨度从 2008 年到 2023 年。估计的新鲜血容量平均为 98 µL,接近预期值,呈对数正态分布(范围:28 至 199 µL);没有发现性别或 DBS 年龄的差异。所提出的方法简单、准确、成本低廉,可促进使用存档的 DBS 进行定量和回顾性暴露评估。此外,它还适用于法医应用,检查布、纸和其他材料上的血迹。
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来源期刊
Forensic Chemistry
Forensic Chemistry CHEMISTRY, ANALYTICAL-
CiteScore
5.70
自引率
14.80%
发文量
65
审稿时长
46 days
期刊介绍: Forensic Chemistry publishes high quality manuscripts focusing on the theory, research and application of any chemical science to forensic analysis. The scope of the journal includes fundamental advancements that result in a better understanding of the evidentiary significance derived from the physical and chemical analysis of materials. The scope of Forensic Chemistry will also include the application and or development of any molecular and atomic spectrochemical technique, electrochemical techniques, sensors, surface characterization techniques, mass spectrometry, nuclear magnetic resonance, chemometrics and statistics, and separation sciences (e.g. chromatography) that provide insight into the forensic analysis of materials. Evidential topics of interest to the journal include, but are not limited to, fingerprint analysis, drug analysis, ignitable liquid residue analysis, explosives detection and analysis, the characterization and comparison of trace evidence (glass, fibers, paints and polymers, tapes, soils and other materials), ink and paper analysis, gunshot residue analysis, synthetic pathways for drugs, toxicology and the analysis and chemistry associated with the components of fingermarks. The journal is particularly interested in receiving manuscripts that report advances in the forensic interpretation of chemical evidence. Technology Readiness Level: When submitting an article to Forensic Chemistry, all authors will be asked to self-assign a Technology Readiness Level (TRL) to their article. The purpose of the TRL system is to help readers understand the level of maturity of an idea or method, to help track the evolution of readiness of a given technique or method, and to help filter published articles by the expected ease of implementation in an operation setting within a crime lab.
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