Document Detail


Identification of neoplastic cells in blood using the Sysmex XT-2000iV: a preliminary step in the diagnosis of canine leukemia.
MedLine Citation:
PMID:  20230575     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Classification of leukemias requires specialized diagnostic techniques. Automated preliminary indicators of neoplastic cells in blood would expedite selection of appropriate tests. OBJECTIVE: The objective of this study was to assess the capacity of the Sysmex XT-2000iV hematology analyzer to identify neoplastic cells in canine blood samples. METHODS: Blood samples (n=160) were grouped into 5 categories: acute leukemia (n=30), chronic leukemia (n=15), neoplasia without blood involvement (n=41), non-neoplastic reactive conditions (n=31), and healthy dogs (n=43). WBC counts, WBC flags, scattergrams, percentages of cells with high fluorescence intensity, and percentages of cells in the lysis-resistant region were evaluated alone or in combination to establish a "leukemic flag." Sensitivity, specificity, negative (LR-) and positive (LR+) likelihood ratios, and the number of false-negative (FN) and false-positive (FP) results were calculated, and receiver operating characteristic curves were designed for numerical values. RESULTS: Among single measurements and parameters, only the evaluation of scattergrams minimized FN and FP results (sensitivity 100%, specificity 94.8%, LR+ 19.17, and LR- 0.00), although their interpretation was subjective. The more objective approach based on the generation of a "leukemic flag" had a sensitivity of 100%, specificity of 87.0%, LR- of 0.00, and LR+ of 7.67. CONCLUSION: Using a novel gating strategy the Sysmex XT-2000iV may be used effectively to screen canine blood for hematopoietic neoplasia.
Authors:
Maria Elena Gelain; Gabriele Rossi; Luca Giori; Stefano Comazzi; Saverio Paltrinieri
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Publication Detail:
Type:  Journal Article     Date:  2010-03-10
Journal Detail:
Title:  Veterinary clinical pathology / American Society for Veterinary Clinical Pathology     Volume:  39     ISSN:  0275-6382     ISO Abbreviation:  Vet Clin Pathol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-13     Completed Date:  2010-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9880575     Medline TA:  Vet Clin Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  169-79     Citation Subset:  IM    
Affiliation:
Department of Veterinary Pathology, Hygiene and Public Health, University of Milan, Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Animals
Autoanalysis / veterinary
Dog Diseases / blood,  diagnosis*
Dogs
Flow Cytometry / instrumentation,  veterinary*
Leukemia / blood,  diagnosis,  veterinary*
Leukocyte Count / veterinary
Reproducibility of Results
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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