International Journal of Laboratory Hematology最新文献

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Evaluation of an integrated activated partial thromboplastin time (Cephen LS/Cephen) for the detection of lupus anticoagulant 评估用于检测狼疮抗凝物的综合活化部分凝血活酶时间(Cephen LS/Cephen)。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-08-05 DOI: 10.1111/ijlh.14349
Adrien Thiriet, Vincent Poindron, Laurent Sattler, Jordan Wimmer, Delphine Rolland, Anne-Sophie Korganow, Laurent Mauvieux, Agathe Herb
{"title":"Evaluation of an integrated activated partial thromboplastin time (Cephen LS/Cephen) for the detection of lupus anticoagulant","authors":"Adrien Thiriet,&nbsp;Vincent Poindron,&nbsp;Laurent Sattler,&nbsp;Jordan Wimmer,&nbsp;Delphine Rolland,&nbsp;Anne-Sophie Korganow,&nbsp;Laurent Mauvieux,&nbsp;Agathe Herb","doi":"10.1111/ijlh.14349","DOIUrl":"10.1111/ijlh.14349","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>It is recommended to use two chronometric assays of different principles for the diagnosis of lupus anticoagulant (LA), consisting in diluted Russell Viper Venom Time (dRVVT) and activated Partial Thromboplastin Time (aPTT). Yet, there are only a few integrated aPTT assays; this study aims to evaluate one of them: Cephen LS/Cephen (Hyphen Biomed).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>249 samples of patients were included in this study. Normal reference ranges were determined with platelet-poor plasma (PPP) from healthy blood donors. Performances were then evaluated by comparing Cephen LS/Cephen test results to the results of the laboratory's reference assay for the diagnosis of LA and to clinical data, both on non-anticoagulated and anticoagulated patients' samples (Unfractioned heparin (UFH), Low Molecular Weight Heparin (LMWH), Vitamin K Antagonists (VKA) and apixaban). Interference of UFH, LMWH and VKA were also evaluated thanks to spiking experiment of increasing heparin concentrations or factor deficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cephen LS/Cephen test had 48.6% sensitivity towards LA. Although UFH and VKA seemed to interfere with this assay and were likely to cause false negative, LMWH and apixaban did not.</p>\u0000 \u0000 <p>Finally, combination of Cephen LS/ Cephen with dRVVT had 89.0% sensitivity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cephen LS/Cephen seems relevant for LA diagnosis, in combination with dRVVT, and might be used in patients undergoing LMWH or apixaban therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1109-1117"},"PeriodicalIF":2.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijlh.14349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Population-level anemia prevalence rates may be rendered inaccurate when hemoglobin is measured in pooled capillary blood or with the HemoCue® 301 device 如果使用毛细管集合血液或 HemoCue® 301 设备测量血红蛋白,人群贫血患病率可能会不准确。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-30 DOI: 10.1111/ijlh.14342
Kelsey M. Cochrane, Brock A. Williams, Hou Kroeun, Am Chanthan, Crystal D. Karakochuk
{"title":"Population-level anemia prevalence rates may be rendered inaccurate when hemoglobin is measured in pooled capillary blood or with the HemoCue® 301 device","authors":"Kelsey M. Cochrane,&nbsp;Brock A. Williams,&nbsp;Hou Kroeun,&nbsp;Am Chanthan,&nbsp;Crystal D. Karakochuk","doi":"10.1111/ijlh.14342","DOIUrl":"10.1111/ijlh.14342","url":null,"abstract":"","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1128-1131"},"PeriodicalIF":2.2,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined peripheral blood monocyte count and white blood cell count as a guide for successful one-day autologous peripheral blood stem cell collection 将外周血单核细胞计数和白细胞计数相结合,作为一天成功采集自体外周血干细胞的指南。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-29 DOI: 10.1111/ijlh.14351
Phandee Watanaboonyongcharoen, Nattarat Lorucharoen, Kitsada Wudhikarn, Udomsak Bunworasate, Chantiya Chanswangphuwana, Ponlapat Rojnuckarin
{"title":"Combined peripheral blood monocyte count and white blood cell count as a guide for successful one-day autologous peripheral blood stem cell collection","authors":"Phandee Watanaboonyongcharoen,&nbsp;Nattarat Lorucharoen,&nbsp;Kitsada Wudhikarn,&nbsp;Udomsak Bunworasate,&nbsp;Chantiya Chanswangphuwana,&nbsp;Ponlapat Rojnuckarin","doi":"10.1111/ijlh.14351","DOIUrl":"10.1111/ijlh.14351","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Peripheral blood stem cells (PBSCs) are the most common source of stem cell transplantation, which depends on an adequate number of CD34+ cells. Although pre-apheresis CD34+ cell count is a standard guide for the collection, it is not always available. This study aimed to evaluate complete blood count parameters for predicting successful one-day autologous PBSC collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from the patients who underwent autologous PBSC collection at a tertiary care hospital were retrospectively reviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 123 patients (185 leukapheresis procedures). Successful PBSC collection (CD34+ cells ≥4.0 × 10<sup>6</sup> cells/kg) was obtained in 85 patients (69.1%), of which 55 (44.7%) were successfully obtained on the first day. The median CD34+ collection efficiency was 44.1%. The mean platelet loss during apheresis was 39.9%. The adverse event rate was 18.9%. Patients in whom PBSCs were collected within one day were less likely to experience adverse effects related to leukapheresis. Pre-apheresis CD34+ cells ≥10 cells/μLand combined white blood cell (WBC) counts ≥5 × 10<sup>9</sup>/L and/or monocyte ≥10% were independently associated with the successful one-day PBSC collection (adjusted odds ratio 24.06, 95% confidence interval [CI] 5.30–109.10, <i>p</i> &lt; 0.001; and 6.94, 95% CI 1.35–35.79, <i>p</i> = 0.021, respectively). Only pre-apheresis CD34+ cells had a strong correlation with the total stem cell yield.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To reduce the complication of leukapheresis, the combined pre-apheresis WBC ≥5 × 10<sup>9</sup>/L and/or monocyte ≥10% is a practical parameter to initiate a successfully one-day PBSC collection with or without pre-apheresis CD34+ cell results.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1029-1035"},"PeriodicalIF":2.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robustness assessment of an automated AI-based white blood cell morphometric analysis system using different smear preparation methods 使用不同涂片制备方法对基于人工智能的自动白细胞形态分析系统进行鲁棒性评估。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-25 DOI: 10.1111/ijlh.14350
Mendamar Ravzanaadii, Yuki Horiuchi, Yosuke Iwasaki, Akihiko Matsuzaki, Kimiko Kaniyu, Jing Bai, Aya Konishi, Jun Ando, Miki Ando, Yoko Tabe
{"title":"Robustness assessment of an automated AI-based white blood cell morphometric analysis system using different smear preparation methods","authors":"Mendamar Ravzanaadii,&nbsp;Yuki Horiuchi,&nbsp;Yosuke Iwasaki,&nbsp;Akihiko Matsuzaki,&nbsp;Kimiko Kaniyu,&nbsp;Jing Bai,&nbsp;Aya Konishi,&nbsp;Jun Ando,&nbsp;Miki Ando,&nbsp;Yoko Tabe","doi":"10.1111/ijlh.14350","DOIUrl":"10.1111/ijlh.14350","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Numerous AI-based systems are being developed to evaluate peripheral blood (PB) smears, but the feasibility of these systems on different smear preparation methods has not been fully understood. In this study, we assessed the impact of different smear preparation methods on the robustness of the deep learning system (DLS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We collected 193 PB samples from patients, preparing a pair of smears for each sample using two systems: (1) SP50 smears, prepared by the DLS recommended fully automated slide preparation with double fan drying and staining (May–Grunwald Giemsa, M–G) system using SP50 (Sysmex) and (2) SP1000i smears, prepared by automated smear preparation with single fan drying by SP1000i (Sysmex) and manually stained with M–G. Digital images of PB cells were captured using DI-60 (Sysmex), and the DLS performed cell classification. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were used to evaluate the performance of the DLS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The specificity and NPV for all cell types were 97.4%–100% in both smear sets. The average sensitivity and PPV were 88.9% and 90.1% on SP50 smears, and 87.0% and 83.2% on SP1000i smears, respectively. The lower performance on SP1000i smears was attributed to the intra-lineage misclassification of neutrophil precursors and inter-lineage misclassification of lymphocytes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The DLS demonstrated consistent performance in specificity and NPV for smears prepared by a system different from the recommended method. Our results suggest that applying an automated smear preparation system optimized for the DLS system may be important.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1021-1028"},"PeriodicalIF":2.2,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunophenotypic features of early haematopoietic and leukaemia stem cells 早期造血干细胞和白血病干细胞的免疫表型特征。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-24 DOI: 10.1111/ijlh.14348
Tom Reuvekamp, Costa Bachas, Jacqueline Cloos
{"title":"Immunophenotypic features of early haematopoietic and leukaemia stem cells","authors":"Tom Reuvekamp,&nbsp;Costa Bachas,&nbsp;Jacqueline Cloos","doi":"10.1111/ijlh.14348","DOIUrl":"10.1111/ijlh.14348","url":null,"abstract":"<p>Many tumours are organised in a hierarchical structure with at its apex a cell that can maintain, establish, and repopulate the tumour—the cancer stem cell. The haematopoietic stem cell (HSC) is the founder cell for all functional blood cells. Like HSCs, the leukaemia stem cells (LSC) are hypothesised to be the leukaemia-initiating cells, which have features of stemness such as self-renewal, quiescence, and resistance to cytotoxic drugs. Immunophenotypically, CD34+CD38− defines HSCs by adding lineage negativity and CD90+CD45RA−. At which stage of maturation the further differentiation is blocked, determines the type of leukaemia, and determines the immunophenotype of the LSC specific to the leukaemia type. No apparent LSC phenotype has been described in lymphoid leukaemia, and it is debated if a specific acute lymphocytic leukaemia-initiating cell is present, as all cells are capable of engraftment in a secondary mouse model. In chronic lymphocytic leukaemia, a B-cell clone is responsible for uncontrolled proliferation, not a specific LSC. In chronic and acute myeloid leukaemia, LSC is described as CD34+CD38− with the expression of a marker that is aberrantly expressed (LSC marker), such as CD45RA, CD123 or in the case of chronic myeloid leukaemia CD26. In acute myeloid leukaemia, the LSC load had prognostic relevance and might be a biomarker that can be used for monitoring and as an addition to measurable residual disease. However, challenges such as the CD34-negative immunophenotype need to be explored.</p>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 5","pages":"795-808"},"PeriodicalIF":2.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijlh.14348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of artificial intelligence-assisted morphological analysis for platelet count estimation 评估人工智能辅助形态分析在血小板计数估算中的应用。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-20 DOI: 10.1111/ijlh.14345
Ping Guo, Chi Zhang, Dandan Liu, Ziyong Sun, Jun He, Jianbiao Wang
{"title":"Evaluation of artificial intelligence-assisted morphological analysis for platelet count estimation","authors":"Ping Guo,&nbsp;Chi Zhang,&nbsp;Dandan Liu,&nbsp;Ziyong Sun,&nbsp;Jun He,&nbsp;Jianbiao Wang","doi":"10.1111/ijlh.14345","DOIUrl":"10.1111/ijlh.14345","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aims to assess the performance of the platelet count estimation using artificial intelligence technology on the MC-80 digital morphology analyzer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Digital morphology analyzer uses two different computational principles for platelet count estimation: based on PLT/RBC ratio (PLT-M1) and estimate factor (PLT-M2). 977 samples with various platelet counts (low, median, and high) were collected. Out of these, 271 samples were immunoassayed using CD61 and CD41 antibodies. The platelet counts obtained from the hematology analyzer (PLT-I and PLT-O), digital morphology analyzer (PLT-M1 and PLT-M2), and flow cytometry (PLT-IRM) were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was no significant deviation observed before and after verification for both PLT-M1 and PLT-M2 across the analysis range (average bias: −0.845/−0.682, 95% limit of agreement (LOA): −28.675–26.985/−29.420–28.056). When platelet alarms appeared, PLT-M1/PLT-M2 showed the strongest correlation with PLT-IRM than PLT-I with PLT-IRM (<i>r</i>: 0.9814/0.9796 &gt; 0.9601). The correlation between PLT-M1/PLT-M2 and PLT-IRM was strong for samples with interference, such as large platelets or RBC fragments, but relatively weak in small RBCs. The deviation between PLT-M1 and PLT-M2 is related to the number of RBCs. Compared with PLT-I, PLT-M1/PLT-M2 showed higher accuracy for platelet transfusion decisions, especially for samples with low-value PLT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The novel platelet count estimation on the MC-80 digital morphology analyzer provides high accuracy, especially the reviewed result, which can effectively confirm suspicious platelet count.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1012-1020"},"PeriodicalIF":2.2,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of emicizumab on activated clotting time performed on i-STAT Alinity analyzer 埃米珠单抗对 i-STAT Alinity 分析仪测定的活化凝血时间的影响。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-18 DOI: 10.1111/ijlh.14343
Landry Seyve, Jean Baptiste Prigent, Caroline Lo Presti, Damien Bédague, Gautier Szymanski, Bénédicte Bulabois, Claire Barro, Raphaël Marlu
{"title":"Effect of emicizumab on activated clotting time performed on i-STAT Alinity analyzer","authors":"Landry Seyve,&nbsp;Jean Baptiste Prigent,&nbsp;Caroline Lo Presti,&nbsp;Damien Bédague,&nbsp;Gautier Szymanski,&nbsp;Bénédicte Bulabois,&nbsp;Claire Barro,&nbsp;Raphaël Marlu","doi":"10.1111/ijlh.14343","DOIUrl":"10.1111/ijlh.14343","url":null,"abstract":"","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1132-1135"},"PeriodicalIF":2.2,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilization of international normalized ratio-derived formula to predict plasma rivaroxaban level—Validation study and real-world experience 利用国际正常化比率公式预测血浆利伐沙班水平--验证研究和实际经验。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-17 DOI: 10.1111/ijlh.14347
Chun-fun Sin, Ka-ping Wong, Chun Wah Siu, Tsz-fu Wong, Hoi-man Wong
{"title":"Utilization of international normalized ratio-derived formula to predict plasma rivaroxaban level—Validation study and real-world experience","authors":"Chun-fun Sin,&nbsp;Ka-ping Wong,&nbsp;Chun Wah Siu,&nbsp;Tsz-fu Wong,&nbsp;Hoi-man Wong","doi":"10.1111/ijlh.14347","DOIUrl":"10.1111/ijlh.14347","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Specific assays of plasma rivaroxaban level are not always readily available with short turnaround time, which hamper the management of urgent clinical situations. In this study, we aimed to build a predictive formula of plasma rivaroxaban levels from international normalized ratio (INR) value and validated in real world clinical situations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-four patients who were taking rivaroxaban participated in the study. Patients were randomized into testing cohort and validation cohorts. The prediction formula was built from the testing cohort and then validated in validation cohort. The predictive performance was further validated on real-world clinical requests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The root mean square error (RMSE) of the predictive formula for the testing and validation cohorts were 61.81 and 69.32 ng/mL, respectively. The sensitivity and specificity for the formula to predict the threshold plasma rivaroxaban level of 75 ng/mL were 95% (95% CI: 85.4%–100%) and 87.5% (95% CI: 71.3%–100%), respectively, in real-world clinical situations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Plasma rivaroxaban level of threshold level of 75 ng/mL can be calculated from prediction formula by INR value with satisfactory accuracy and it can be used to guide the decision for reversal.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1101-1108"},"PeriodicalIF":2.2,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijlh.14347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The ratio of bone marrow myeloid progenitor cell proportion to mature lymphocytes proportion can effectively differentiate aplastic anemia and hypoplastic myelodysplastic syndrome and evaluate the quality of bone marrow aspirates 骨髓髓系祖细胞与成熟淋巴细胞的比例可有效区分再生障碍性贫血和骨髓增生异常综合征,并评估骨髓穿刺的质量。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-17 DOI: 10.1111/ijlh.14346
Zhen Li, Jian Zhang, Jingying Han, Qian Wang, Hui Sun, Zhifen Zhang, Tianpu Liu, Yena Che, Jing Wang, Jie Wang, Lulu Xu, Lu Pan, Li Li
{"title":"The ratio of bone marrow myeloid progenitor cell proportion to mature lymphocytes proportion can effectively differentiate aplastic anemia and hypoplastic myelodysplastic syndrome and evaluate the quality of bone marrow aspirates","authors":"Zhen Li,&nbsp;Jian Zhang,&nbsp;Jingying Han,&nbsp;Qian Wang,&nbsp;Hui Sun,&nbsp;Zhifen Zhang,&nbsp;Tianpu Liu,&nbsp;Yena Che,&nbsp;Jing Wang,&nbsp;Jie Wang,&nbsp;Lulu Xu,&nbsp;Lu Pan,&nbsp;Li Li","doi":"10.1111/ijlh.14346","DOIUrl":"10.1111/ijlh.14346","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Aplastic anemia (AA) and hypoplastic myelodysplastic syndrome (MDS-h) are bone marrow failure disease and difficult to distinguish merely by morphological analysis. In this study, we investigated the value of flow cytometry (FCM) in the differential diagnosis of AA and MDS-h.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We included 822 patients (626 control, 69 AA, 22 MDS-h and 105 dilution patients) from January 2017 to December 2022 for a retrospective study. Bone marrow myeloid progenitor (MP) cell and mature lymphocytes proportions were analyzed by FCM. The ratio of MP cell proportion and mature lymphocytes proportion, MPLR, was calculated. Data were compared by Kruskal–Wallis test. Differential diagnostic efficacy was evaluated by receiver operating characteristic (ROC) curve. Cutoff value was determined by the maximum Youden index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Bone marrow MP cell proportion and MPLR of MDS-h patients were higher than AA patients. Mature lymphocytes proportion of MDS-h patients was lower than AA patients. Area under ROC curve (AUC of ROC) of MP cell proportion, MPLR and mature lymphocytes proportion to distinguish AA from MDS-h were 0.992, 0.988, and 0.850, respectively. Moreover, MPLR of dilution patients was higher than AA patients but lower than MDS-h patients. The AUC of ROC curves of MPLR to distinguish MDS-h and AA from dilution were 0.854 and 0.871, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Bone marrow MP cell proportion and MPLR can effectively discriminate AA from MDS-h with similar differential efficacy, which is higher than mature lymphocytes proportion. Moreover, MPLR can evaluate the quality of bone marrow aspirates, which would interfere with the differential diagnosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14120,"journal":{"name":"International Journal of Laboratory Hematology","volume":"46 6","pages":"1077-1083"},"PeriodicalIF":2.2,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
International Council for Standardization in Haematology (ICSH) recommendations for the performance and interpretation of activated partial thromboplastin time and prothrombin time mixing tests 国际血液学标准化理事会(ICSH)关于活化部分凝血活酶时间和凝血酶原时间混合试验的执行和解释的建议。
IF 2.2 4区 医学
International Journal of Laboratory Hematology Pub Date : 2024-07-15 DOI: 10.1111/ijlh.14344
D. M. Adcock, G. W. Moore, G. W. Kershaw, S. A. L. Montalvao, R. C. Gosselin
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