Integration of Immature Granulocytes Quantification With the Version 2.0 UniCel DxH 800 in the HematoFlow Strategy

Cedric Pastoret (1, 2) , Beatrice Ly Sunnaram (2) , Thierry Fest (1, 3) , Mikael Roussel (2, 3)

1 EFS Bretagne - Etablissement français du sang [Rennes]
2 Laboratoire d'Hematologie
3 MiCa - Microenvironnement et cancer

OBJECTIVES: Our aim was to define whether the early granulocyte cell marker (EGC%_DxH) parameter might replace immature granulocytes counts obtained by HematoFlow (IG%_HF) and/or manual differential count (IG%\ₘanual). METHODS: We conducted a study over a 10-day period in February 2014 whereby 402 samples were analyzed for the IG flag. We correlated the EGC%_DxH vs IG%_HF and IG%\ₘanual, identified any discrepant results and finally looked at the impact on our workflow by incorporation of the EGC% into our WBC differential algorithm. RESULTS: On an initial training set, a receiver operating characteristic (ROC) curve analysis showed a threshold of 0.9% for EGC%_DxH (sensitivity of 91.7%, specificity of 93.5% and an area under the curve of 0.965). Further analysis of the dataset (259 samples) found a correlation of the EGC%_DxH to all our IG% counting methods (r = 0.963). Incorporation of the EGC%_DxH into the WBC HematoFlow differential resulted in a 36% reduction of samples requiring HematoFlow and/or slide review. CONCLUSIONS: The EGC% generated by the DxH 800 can be easily incorporated into existing HematoFlow and slide review algorithms.

Mots clés: DxH 800; EGC; HematoFlow; Immature granulocytes; Productivity; Slide review rates; WBC differentials

Domaines: Sciences du Vivant [q-bio]

Cedric Pastoret, Beatrice Ly Sunnaram, Thierry Fest, Mikael Roussel. Integration of Immature Granulocytes Quantification With the Version 2.0 UniCel DxH 800 in the HematoFlow Strategy. American journal of clinical pathology, 2016, 145 (4), pp.552--559. ⟨10.1093/ajcp/aqw035⟩. ⟨hal-01313740⟩