Analysis of reticulocyte parameters on the Sysmex XE 5000 and LH 750 analyzers in the diagnosis of inefficient erythropoiesis

Summary The reticulocyte hemoglobin equivalent (Ret He) represents an indirect measure of the functional iron available for erythropoiesis over the previous 2–3 days. Only the analyzers of a single manufacturer, Sysmex (Sysmex Corporation, Kobe, Japan), include Ret He. Red blood cell size factor (RS...

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Veröffentlicht in:International journal of laboratory hematology 2011-02, Vol.33 (1), p.37-44
Hauptverfasser: URRECHAGA, E., BORQUE, L., ESCANERO, J. F.
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container_title International journal of laboratory hematology
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creator URRECHAGA, E.
BORQUE, L.
ESCANERO, J. F.
description Summary The reticulocyte hemoglobin equivalent (Ret He) represents an indirect measure of the functional iron available for erythropoiesis over the previous 2–3 days. Only the analyzers of a single manufacturer, Sysmex (Sysmex Corporation, Kobe, Japan), include Ret He. Red blood cell size factor (RSf) is a new parameter provided by Beckman Coulter, which joins together the volume of the erythrocytes and the volume of reticulocytes. The aims of the study were to investigate the clinical usefulness of RSf in the study of erythropoiesis status and to assess its concordance with Ret He values. Samples from 417 patients were run on both LH 780 (Beckman Coulter) and Sysmex XE 5000 analyzers. Independent samples t‐test, Pearson correlation, receiver operating characteristic (ROC) analysis and inter‐rater reliability (κ index) were applied. Good correlation between RSf and Ret He was observed, r = 0.8184. Significant differences (P 
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Good correlation between RSf and Ret He was observed, r = 0.8184. Significant differences (P &lt; 0.001) were detected when groups with inefficient erythropoiesis were compared with patients undergoing therapy and healthy subjects. ROC analysis for RSf in the diagnosis of inefficient erythropoiesis, cutoff 91.1 fl, area under curve 0.963, sensitivity 91.7%, specificity 88.5%. Concordance between RSf and Ret He κ = 0.68. 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F.</creatorcontrib><title>Analysis of reticulocyte parameters on the Sysmex XE 5000 and LH 750 analyzers in the diagnosis of inefficient erythropoiesis</title><title>International journal of laboratory hematology</title><addtitle>Int J Lab Hematol</addtitle><description>Summary The reticulocyte hemoglobin equivalent (Ret He) represents an indirect measure of the functional iron available for erythropoiesis over the previous 2–3 days. Only the analyzers of a single manufacturer, Sysmex (Sysmex Corporation, Kobe, Japan), include Ret He. Red blood cell size factor (RSf) is a new parameter provided by Beckman Coulter, which joins together the volume of the erythrocytes and the volume of reticulocytes. The aims of the study were to investigate the clinical usefulness of RSf in the study of erythropoiesis status and to assess its concordance with Ret He values. Samples from 417 patients were run on both LH 780 (Beckman Coulter) and Sysmex XE 5000 analyzers. Independent samples t‐test, Pearson correlation, receiver operating characteristic (ROC) analysis and inter‐rater reliability (κ index) were applied. Good correlation between RSf and Ret He was observed, r = 0.8184. Significant differences (P &lt; 0.001) were detected when groups with inefficient erythropoiesis were compared with patients undergoing therapy and healthy subjects. ROC analysis for RSf in the diagnosis of inefficient erythropoiesis, cutoff 91.1 fl, area under curve 0.963, sensitivity 91.7%, specificity 88.5%. Concordance between RSf and Ret He κ = 0.68. 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F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4078-1b96bdc62d53c23ba7387b2476bb2f64eebf8a12dded5673517adc5b04d577023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>anemia</topic><topic>Anemia - diagnosis</topic><topic>Erythrocyte Indices</topic><topic>Erythropoiesis</topic><topic>Hematologic Tests - instrumentation</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>red blood cell size factor (RSf)</topic><topic>Reproducibility of Results</topic><topic>reticulocyte hemoglobin equivalent (Ret He)</topic><topic>Reticulocytes - chemistry</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>URRECHAGA, E.</creatorcontrib><creatorcontrib>BORQUE, L.</creatorcontrib><creatorcontrib>ESCANERO, J. 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F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of reticulocyte parameters on the Sysmex XE 5000 and LH 750 analyzers in the diagnosis of inefficient erythropoiesis</atitle><jtitle>International journal of laboratory hematology</jtitle><addtitle>Int J Lab Hematol</addtitle><date>2011-02</date><risdate>2011</risdate><volume>33</volume><issue>1</issue><spage>37</spage><epage>44</epage><pages>37-44</pages><issn>1751-5521</issn><eissn>1751-553X</eissn><abstract>Summary The reticulocyte hemoglobin equivalent (Ret He) represents an indirect measure of the functional iron available for erythropoiesis over the previous 2–3 days. Only the analyzers of a single manufacturer, Sysmex (Sysmex Corporation, Kobe, Japan), include Ret He. Red blood cell size factor (RSf) is a new parameter provided by Beckman Coulter, which joins together the volume of the erythrocytes and the volume of reticulocytes. The aims of the study were to investigate the clinical usefulness of RSf in the study of erythropoiesis status and to assess its concordance with Ret He values. Samples from 417 patients were run on both LH 780 (Beckman Coulter) and Sysmex XE 5000 analyzers. Independent samples t‐test, Pearson correlation, receiver operating characteristic (ROC) analysis and inter‐rater reliability (κ index) were applied. Good correlation between RSf and Ret He was observed, r = 0.8184. Significant differences (P &lt; 0.001) were detected when groups with inefficient erythropoiesis were compared with patients undergoing therapy and healthy subjects. ROC analysis for RSf in the diagnosis of inefficient erythropoiesis, cutoff 91.1 fl, area under curve 0.963, sensitivity 91.7%, specificity 88.5%. Concordance between RSf and Ret He κ = 0.68. RSf and Ret He are suitable parameters for the assessment of erythropoiesis status.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20491998</pmid><doi>10.1111/j.1751-553X.2010.01238.x</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects anemia
Anemia - diagnosis
Erythrocyte Indices
Erythropoiesis
Hematologic Tests - instrumentation
Hemoglobins - analysis
Humans
red blood cell size factor (RSf)
Reproducibility of Results
reticulocyte hemoglobin equivalent (Ret He)
Reticulocytes - chemistry
Sensitivity and Specificity
title Analysis of reticulocyte parameters on the Sysmex XE 5000 and LH 750 analyzers in the diagnosis of inefficient erythropoiesis
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