用自动血液分析仪 XR-1000 和 UniCel DxH 800 检测中性粒细胞中减少的颗粒。

Yosuke Kato, Daisuke Sakamoto, Hiroaki Ohnishi, Tomohiko Taki
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摘要

研究目的本研究旨在探讨自动血液分析仪获得的中性粒细胞相关细胞群数据在评估中性粒细胞颗粒减少的骨髓增生异常综合征病例中的实用性:共有108名受试者被分为颗粒正常组(35人)、颗粒减少组(37人)或颗粒增多组(36人)。中性粒细胞面积和颗粒面积由 ImageJ 测量。所有样本均在 XR-1000 和 UniCel DxH 800 上进行分析,并对 3 组中性粒细胞相关参数进行比较:结果:中性粒细胞面积和颗粒面积比值在3组间存在显著差异;高颗粒化组最高,低颗粒化组最低。XR-1000 数据显示,NE-SFL 和 NE-FSC 在 3 组间存在显著差异(P < .0001)。NE-SFL 和 NE-FSC 对低粒度组和其他组的区分最为准确。UniCel DxH 800 数据显示,MN-V-NE、MN-MALS-N、MN-UMALS-NE、SD-UMALS-NE 存在显著差异(P < 0.0001):NE-SFL和NE-FSC以及SD-V-NE和SD-LMALS-NE组合可用于检测中性粒细胞颗粒减少的病例。
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Detection of decreased granules in neutrophils by automated hematology analyzers XR-1000 and UniCel DxH 800.

Objective: This study aimed to investigate the utility of neutrophil-related cell population data obtained by automated hematology analyzers in assessing myelodysplastic syndrome cases with decreased granules in neutrophils.

Methods: A total of 108 subjects were classified into normal granule (n = 35), hypogranulation (n = 37), or hypergranulation (n = 36) groups. Neutrophil cell area and granule area were measured by ImageJ. All samples were analyzed on the XR-1000 and UniCel DxH 800, and neutrophil-related parameters were compared among the 3 groups.

Results: Neutrophil cell area and the ratio of the granular area showed significant differences among the 3 groups; they were the highest in the hypergranulation group and lowest in the hypogranulation group. XR-1000 data showed significant differences in NE-SFL and NE-FSC among the 3 groups (P < .0001). NE-SFL and NE-FSC discriminated most accurately hypogranulation group against other groups. UniCel DxH 800 data showed significant differences in MN-V-NE, MN-MALS-N, MN-UMALS-NE, SD-UMALS-NE (P <.01), MN-LMALS-NE, and SD-LMALS-NE (P <.05) among the 3 groups. The combination of SD-V-NE and SD-LMALS-NE discriminated most accurately the hypogranulation group against the other groups.

Conclusion: NE-SFL and NE-FSC and the combination of SD-V-NE and SD-LMALS-NE are useful in detecting cases with decreased granules in neutrophils.

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