利用计算机生成的算法收集和预测产率,在双级通道中收集血小板精矿

Jeane P. Hester MD , Gerard J. Ventura MD , Terry Boucher MSEE
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引用次数: 14

摘要

描述了在连续流式细胞分离系统(Spectra)中安装的双级通道的单供体血小板浓缩物的自动收集。研究目标包括利用计算机控制抗凝全血及其分离成分(红细胞、血小板缺乏血浆和血小板浓缩物)的流速,收集白细胞和红细胞缺乏血小板浓缩物的预测产量。为了实现这些目标,生成了数学算法,将已知的血小板收集的主要生物和程序贡献与血液处理通道的设计特征结合起来。用于计算这些算法的数据在收集程序之前输入计算机。人们认为,预测血小板产量的能力将提供一种工具,用于收集特定数量的细胞,以便为特定的受体输血。理论上对接受淋巴细胞缺乏的血小板浓缩物的患者有免疫益处,但仍有待证实。另一个目标是灵活性,以便可以根据体积要求(用于儿科患者或体积限制的患者)或血小板浓度要求(用于储存)收集预测产量。以下数据总结了使用该系统进行的约100项研究程序的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Platelet concentrate collection in a dual-stage channel using computer-generated algorithms for collection and prediction of yield

The automated collection of single-donor platelet concentrates is described for a dual-stage channel mounted in a continuous-flow cell separation system (Spectra). Research objectives included collection of a predicted yield of leukocyte-and erythrocyte-poor platelet concentrates using computer-controlled flow rates of anticoagulated whole blood and its separated components (packed erythrocytes, platelet-poor plasma, and platelet concentrates). To achieve these objectives, mathematic algorithms were generated that integrated the known major biologic and procedural contributions to platelet harvesting with the design characteristics of the channel in which blood was to be processed. Data to compute these algorithms are entered into the computer prior to the collection procedure.

It was perceived that the ability to predict platelet yield would provide a tool for collecting specific cell quantities for transfusion for a given recipient. A theoretical immunologic benefit to patients receiving lymphocyte-poor platelet concentrates is postulated but remains to be established. An additional objective was that of flexibility so that the predicted yield could be collected based on either volume requirements (for pediatric patients or patients with volume restrictions) or platelet concentration requirements (for storage). The following data summarize the results of some 100 research procedures conducted with this system.

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