Improved platelet counting using two-dimensional laser light scatter

Clinical management of platelet disorders depends on accurate platelet counts. We evaluated a new analytic approach for platelet counting based on improved platelet discrimination. Current automated counting methods provide accurate platelet counts for most samples but often are unable to discrimina...

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Veröffentlicht in:American journal of clinical pathology 2000-08, Vol.114 (2), p.283-289
Hauptverfasser: KUNICKA, J. E, FISCHER, G, MURPHY, J, ZELMANOVIC, D
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container_title American journal of clinical pathology
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creator KUNICKA, J. E
FISCHER, G
MURPHY, J
ZELMANOVIC, D
description Clinical management of platelet disorders depends on accurate platelet counts. We evaluated a new analytic approach for platelet counting based on improved platelet discrimination. Current automated counting methods provide accurate platelet counts for most samples but often are unable to discriminate platelets accurately from nonplatelet particles such as microcytic RBCs, RBC fragments, and cellular debris that may falsely elevate platelet counts. The new approach measures 2 light-scatter angles of platelets and nonplatelet particles as they pass through a laser beam. The volume and refractive index of each platelet and particle are derived from the light-scatter measurements using the Mie scattering theory. Together, these 2 measurements provide improved platelet discrimination compared with 1-dimensional methods. With its improved discrimination, 2-dimensional platelet analysis provides more accurate platelet counts in samples containing interfering particles and may contribute to more effective clinical management of patients with platelet disorders.
doi_str_mv 10.1309/0GLP-K5NU-N1GD-PR8T
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current)
subjects Biological and medical sciences
Blood Platelet Disorders - diagnosis
Blood Platelets - pathology
Evaluation Studies as Topic
False Positive Reactions
Hematology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lasers
Light
Medical sciences
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Platelet Count - methods
Reproducibility of Results
Scattering, Radiation
title Improved platelet counting using two-dimensional laser light scatter
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