Quentin Amiot, Anne-Margaux Legland Ép Dejean, Sarah Bugier, Pierre Arnautou, Jean-Valère Malfuson
{"title":"A case of a mantle cell lymphoma with abundant and irregular cytoplasm: When you go with the flow.","authors":"Quentin Amiot, Anne-Margaux Legland Ép Dejean, Sarah Bugier, Pierre Arnautou, Jean-Valère Malfuson","doi":"10.1002/cyto.b.22261","DOIUrl":"https://doi.org/10.1002/cyto.b.22261","url":null,"abstract":"","PeriodicalId":10883,"journal":{"name":"Cytometry Part B: Clinical Cytometry","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145376470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jean Oak, Felipe Magalhaes Furtado, Katherine A. Devitt, Pedro Horna, Jonathan R. Fromm, Lianqun Qiu, Andrea Illingworth, Jolene Cardinali, Wolfgang Kern, Ahmad Al-Attar, Min Shi
{"title":"A practical approach to panel design, validation, and interpretation for the evaluation of T-cell neoplasms by flow cytometry","authors":"Jean Oak, Felipe Magalhaes Furtado, Katherine A. Devitt, Pedro Horna, Jonathan R. Fromm, Lianqun Qiu, Andrea Illingworth, Jolene Cardinali, Wolfgang Kern, Ahmad Al-Attar, Min Shi","doi":"10.1002/cyto.b.22258","DOIUrl":"10.1002/cyto.b.22258","url":null,"abstract":"<p>The diagnosis of T-cell neoplasms remains one of the most challenging areas in hematopathology due to the immunophenotypic heterogeneity and subtle aberrancies often present in these entities. This “Best Practice” manuscript provides a practical framework for laboratories to design, validate, and interpret immunophenotyping studies of immature and mature T-cell neoplasms. We outline the utility of key antigens in the screening and classification of T-cell lymphomas/leukemia including TRBC1 and TRBC2. Analytical strategies using the “difference from normal” method and template-based gating are discussed, along with validation considerations aligned with CLSI H62 guidelines. By integrating these principles into laboratory workflows, this manuscript aims to standardize and improve the assessment of T-cell neoplasms across diverse clinical settings.</p>","PeriodicalId":10883,"journal":{"name":"Cytometry Part B: Clinical Cytometry","volume":"108 6","pages":"430-447"},"PeriodicalIF":2.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cyto.b.22258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dong Il Won, Eui Yeol Jeong, Sang Mook Kim, Ye Jee Shim
{"title":"Comparison of flow cytometric osmotic fragility test between kinetic and endpoint assay principle","authors":"Dong Il Won, Eui Yeol Jeong, Sang Mook Kim, Ye Jee Shim","doi":"10.1002/cyto.b.22254","DOIUrl":"10.1002/cyto.b.22254","url":null,"abstract":"<p>To screen hereditary spherocytosis (HS), we first introduced the novel flow cytometric osmotic fragility test (FC-OFT) based on the two-point kinetic assay principle (FC-OFT<sub>Kinetic</sub>). With the introduction of FC systems with automatic tube loaders, we updated the FC-OFT protocol to follow the endpoint assay principle (FC-OFT<sub>Endpoint</sub>). This study aims to evaluate the updated FC-OFT protocol (FC-OFT<sub>Endpoint</sub>) and compare its assay performance with that of FC-OFT<sub>Kinetic</sub>. We investigated factors influencing the FC-OFT<sub>Endpoint</sub> assay, optimized its protocol, and defined the cutoff index using 152 negative or artificially positive control samples. We then compared the assay performance with that of FC-OFT<sub>Kinetic</sub> in 25 patients with anemia, including 14 with spherocytosis—8, 4, 1, and 1 with HS, autoimmune hemolytic anemia, burn injury, and liver cirrhosis, respectively. To optimize FC-OFT<sub>Endpoint</sub>, we adopted phosphate-buffered saline as the red cell suspension medium, 50% deionized water for hypotonic osmotic pressure in adults, and a 3-min standby time. This FC-OFT<sub>Endpoint</sub> was more accurate than FC-OFT<sub>Kinetic</sub> in identifying spherocytosis in the 25 patients with anemia (<i>p</i> = 0.0313). FC-OFT<sub>Endpoint</sub> is a viable alternative to conventional OFT or FC-OFT<sub>Kinetic</sub> for HS screening in clinical laboratories, as automatic FC enhances assay performance. These findings warrant validation in future multicenter studies with larger sample sizes.</p>","PeriodicalId":10883,"journal":{"name":"Cytometry Part B: Clinical Cytometry","volume":"108 6","pages":"456-465"},"PeriodicalIF":2.7,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice Yue, Ryan R. Brinkman, Veronica Nash, Fabian Junker, Goce Bogdanoski, Anagha Divekar, Aaron Tyznik, Josef Spidlen, Wolfgang Kern, Jordi Petriz, Kaska Wloka, Kamila Czechowska
{"title":"AI in flow cytometry: Current applications and future directions","authors":"Alice Yue, Ryan R. Brinkman, Veronica Nash, Fabian Junker, Goce Bogdanoski, Anagha Divekar, Aaron Tyznik, Josef Spidlen, Wolfgang Kern, Jordi Petriz, Kaska Wloka, Kamila Czechowska","doi":"10.1002/cyto.b.22255","DOIUrl":"10.1002/cyto.b.22255","url":null,"abstract":"<p>Flow cytometry is a powerful tool for analyzing diverse cellular properties, making it essential in immunology research, clinical trials, and diagnostics. Integrating artificial intelligence (AI) into flow cytometry has the potential to enhance various aspects of assay development and application, including reagent selection, instrument standardization, panel and assay design, data analysis, quality controls, and knowledge dissemination. This paper provides a review of current AI applications in flow cytometry and explores the potential future directions for AI integration in the field.</p>","PeriodicalId":10883,"journal":{"name":"Cytometry Part B: Clinical Cytometry","volume":"108 5","pages":"404-420"},"PeriodicalIF":2.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher J. Groves, Michael A. Linden, Ahmad Al-Attar, Michael J. Borowitz, Christoph Eberle, Marci O'Driscoll, Eleni Linskens, Jolene Cardinali, Thomas C. Beadnell, Wendy Shallenberger, Xiangyang Dong, Robert J. Durso, Sara A. Monaghan, Benjamin D. Hedley
{"title":"Ad hoc antibody modification of a validated flow cytometric immunophenotyping panel—recommendations and safeguards for clinical laboratories","authors":"Christopher J. Groves, Michael A. Linden, Ahmad Al-Attar, Michael J. Borowitz, Christoph Eberle, Marci O'Driscoll, Eleni Linskens, Jolene Cardinali, Thomas C. Beadnell, Wendy Shallenberger, Xiangyang Dong, Robert J. Durso, Sara A. Monaghan, Benjamin D. Hedley","doi":"10.1002/cyto.b.22253","DOIUrl":"10.1002/cyto.b.22253","url":null,"abstract":"<p>Immunophenotyping by flow cytometry is a valuable test providing important information in a timely manner. In clinical laboratories, it is performed using validated antibody panels designed to ensure consistent and accurate results. However, unforeseen situations, such as unique or unusual immunophenotypes, or supply chain issues, may necessitate ad hoc modifications to these panels. This manuscript provides guidance for performing minor modifications, such as substituting or adding one or two antibodies, while maintaining the integrity of the assay. These modifications are intended for rare clinical situations and are not substitutes for the full validation protocols outlined in CLSI H62. An example of this would be a patient with a rare, but not uncommon, situation in which a B cell lymphoma lacks expression of CD19, CD20, and surface light chains, such that the lineage of the neoplastic cells cannot be determined without a straightforward addition or substitution of another marker into a laboratory's available panel. The recommendations and best practices herein aim to optimize patient care by allowing laboratories to adapt to unique clinical scenarios without compromising assay performance and are not a way to permanently modify the assay. Key considerations include assessing the impact on fluorescence compensation, antibody binding, assay sensitivity, and overall assay performance. The manuscript provides limitations for the extent of modifications, examples, and troubleshooting strategies to ensure reliable results when ad hoc changes are made. Proper documentation with review and approval by laboratory medical directors is recommended to mitigate risks associated with these modifications.</p>","PeriodicalId":10883,"journal":{"name":"Cytometry Part B: Clinical Cytometry","volume":"110 1","pages":"11-21"},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}