[用于白血病诊断的 FCM 分析基础]。

Takao Deguchi
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引用次数: 0

摘要

尽管基因组检测技术不断进步,但流式细胞术(FCM)仍是诊断白血病的基本检测方法。然而,流式细胞术结果作为风险因素的作用已极为有限。国际白血病诊断标准已经优先考虑基于基因异常的诊断,而 FCM 诊断只能作为无基因异常亚型形态学诊断的辅助手段。不过,通过 FCM 对白血病进行快速系谱诊断对于选择初始治疗仍然非常重要。FCM 还是评估分子靶向治疗反应的重要工具,这需要反复测量和快速结果。此外,FCM 还能通过免疫表型模式预测特定的基因异常,这有助于验证多基因面板检测发现的基因异常对临床的影响。
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[Basics of FCM analysis for leukemia diagnosis].

Flow cytometry (FCM) remains an essential test in the diagnosis of leukemia despite advances in genomic testing. However, the role of FCM results as a risk factor is already extremely limited. International diagnostic criteria for leukemia already prioritize diagnosis based on genetic abnormalities, with FCM diagnosis only serving as an aid to morphological diagnosis for subtypes without genetic abnormalities. However, rapid lineage diagnosis of leukemia by FCM remains important for selecting initial treatment. FCM is also an important tool for evaluating response to molecular targeted therapy, which requires repeated measurements and rapid results. Furthermore, FCM enables prediction of specific genetic abnormalities by immunophenotypic patterns, which could make it useful for verifying the clinical impact of genetic abnormalities detected by multi-gene panel testing.

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