Comparative evaluation between Mindray BC-6800 and URIT 5500 hematology analyzers, with emphasis on the ability to detect blasts in patients with acute leukemia

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v101i2e-172549

Keywords:

Blood cell count, Clinical alarms, Granulocyte precursor cells, Lymphoid progenitor cells

Abstract

Compare the ability of the BC-6800 (Mindray) and URIT 5500 hematological analyzers to signal the presence of blasts in patients with acute leukemia. Thirteen samples of peripheral blood containing myeloid or lymphoid blasts, from a cancer hospital in Belém - Pará, previously immunophenotyped by flow cytometry were analyzed to determine the capacity of the Mindray BC-6800 and URIT 5500 equipment in signaling the presence of these cells in the leukocyte scatter or by emitting flags. To assess the existence of statistical difference between the results of red blood cells, hemoglobin, leukocytes and platelets obtained by the BC 6800 (Mindray) and URIT 5500 equipments, the non-parametric ANOVA test was applied for analysis of variance of the samples, which showed that there was no statistical difference between these analytes. Statistical method was not applied for leukocyte differential counts, as the URIT 5500 equipment did not generate numerical data for the pathological samples. Both devices were able to generate flags and spatial changes from the leukocyte scatter to pathological samples, however, the BC 6800 (Mindray) analyzer was the only one to change the color of the blast population in the leukocyte scatter. BC-6800 (Mindray) and URIT 5500 analyzers showed good ability to signal, through flags and leukocyte scatter, for the presence of myeloid or lymphoid blasts in pathological samples.

Downloads

Download data is not yet available.

Author Biographies

  • Monyque Barbosa Ribeiro, Clinical Pathology Laboratory Dr. Paulo C. Azevedo

    Biomedical of the Hematology Sector of the Clinical Pathology Laboratory Dr. Paulo C. Azevedo. Master by the Postgraduate Program in Clinical Analysis by the Federal University of Pará (UFPA) - Belém-PA

  • Camila dos Santos Brito, Ms, Belém Beneficent Laboratory

    Biomedical Technical Coordinator of the Beneficent Laboratory of Belém. Master's Degree by the Postgraduate Program in Clinical Analysis at the Federal University of Pará (UFPA) - Belém-PA.

  • Lacy Cardoso de Brito Junior, Dr, Federal University of Para
    Biomedic. Doctor. Associate Professor III at the Institute of Biological Sciences at UFPA. Laboratory of General Pathology - Immunopathology and Cytology at UFPA.  

References

Borges LF, Siqueira LO. Validação de tecnologia 5diff do analisador hematológico Sysmex XS-1000i para laboratório de pequeno/médio porte. Rev Bras Hematol Hemoter. 2008;31(4):247-51. doi: 10.1590/S1516-84842009005000059

Briggs CJ, Linssen J, Longair I, Machin SJ. Improved flagging rates on the Sysmex XE-5000 compared with the XE-2100 reduce the number of manual film reviews and increase laboratory productivity. Am J Clin Pathol. 2011;136(2):309-16. doi:10.1309/AJCPDLR4KGKAFW4W

Failace R, Pranke PARA. Avaliação dos critérios de liberação direta dos resultados de hemogramas através de contadores eletrônicos. Rev Bras Hematol Hemoter. 2004;26(3):159-66. https://doi.org/10.1590/S1516-84842004000300004.

Tseng V, Morgan AS, Leith CP, Yang DT. Efficient assessment of peripheral blood lymphocytosis in adults: developing new thresholds for blood smear review by pathologists. Clin Chem Lab Med. 2014;52(12):1763-70. doi: 10.1515/cclm-2014-0320.

Briggs C. Quality counts: new parameters in blood cell counting. Int J Lab Hematol. 2009;31:277-97. https://doi.org/10.1111/j.1751-553X.2009.01160.x

Pratumvinit B, Wongkrajang P, Reesukumal K, Klinbua C, Niamjoy P. Validation and optimization of criteria for manual smear review following automated blood cell analysis in a large university hospital. Arch Pathol Lab Med. 2013;137(3):408-14. doi: 10.5858/arpa.2011-0535-OA.

Kang SH, Kim HK, Ham CK, Lee DS, Cho HI. Comparison of four hematology analyzers, CELL-DYN Sapphire, ADVIA 120, Coulter LH 750, and Sysmex XE-2100, in terms of clinical usefulness. Int J Lab Hematol. 2008;30(6):480-6.

Buttarello M, Plebani M. Automated blood cell counts: state of the art. Am J Clin Pathol. 2008;130(1):104-16. doi: 10.1309/EK3C7CTDKNVPXVTN.

Comar SR, Malvezzi M, Pasquini R. Are the review criteria for automated complete blood counts of the International Society of Laboratory Hematology suitable for all hematology laboratories? Rev Bras Hematol Hemoter. 2014;36(3):219-25. https://doi.org/10.1016/j.bjhh.2014.03.011.

Comar SR, Malvezzi M, Pasquini R. Evaluation of criteria of manual blood smear review following automated complete blood counts in a large university hospital. Rev Bras Hematol Hemoter. 2017;39(4):306-17. http://dx.doi.org/10.1016/j.bjhh.2017.06.007

Chabot-Richards DS, George TI. White blood cell counts: reference methodology. Clin Lab Med. 2015;35(1):11-24. https://doi.org/10.1016/j.cll.2014.10.007.

Froom P, Havis R, Barak M. The rate of manual peripheral blood smear reviews in outpatients. Clin Chem Lab Med. 2009;47(11):1401-5. doi: 10.1515/CCLM.2009.308.

Wang J, Zhao S, Su Z, Liu X. Analytical comparison between two hematological analyzer systems: Mindray BC-5180 vs Sysmex XN-1000. J Clin Lab Anal. 2019;33:e22955. https://doi.org/10.1002/jcla.22955

Bandeira R, MagalhãeS AF, Aquino HBS. Interpretação dos critérios de liberação dos resultados de hemograma através de contadores automatizados em laboratório de urgência. Rev Saúde Pesqui. 2014;7(3):403-8. Disponívelo em: https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/3608/2480

Maciel TES, Comar SR, Beltrame MP. Performance evaluation of the Sysmex® XE-2100D automated hematology analyzer. J Bras Patol Med Lab. 2014;50(1):26-35. https://doi.org/10.1590/S1676-24442014000100004

Stamminger G, Auch D, Diem H, Sinha P. Performance of the XE-2100 leukocyte differential. Clin Lab Haematol. 2002;24(5):271-80. https://doi.org/10.1046/j.1365-2257.2002.00458.x

Woo HY, Shin SY, Park H, Kim YJ, Kim HJ, Lee YK, Chae SL, Chang YH, Choi JR, Han K, Cho SR, Kwon KC. Current status and proposal of a guideline for manual slide review of automated complete blood cell count and white blood cell differential. Korean J Lab Med. 2010;30(6):559-66. doi: 10.3343/kjlm.2010.30.6.559.

Gulati GL, Bourne S, El Jamal SM, Florea AD, Gong J. Automated lymphocyte counts vs. manual lymphocyte counts in chronic lymphocytic leukemia patients. Lab Med. 2011;42(9):545-8. doi: 10.1309/LM0E7BNNHGRZ6MAH.

Lee HT, Park PW, Seo YH, et al. Performance evaluation of Mindray CAL 8000(BC-6800 and SC-120) hematology analyzer and slidemaker/stainer. J Clin Lab Anal. 2017;31(4):e22065. doi: 10.1002/jcla.22065.

Xiang D, Yue J, Sha C, Ren S, Li M, Wang C. Performance Evaluation of the Mindray BC 6800 Hematology Analyzer and Flag Comparison with the XE-2100 and Manual Microscopy. Clin Lab. 2019;65(4):10.7754. doi: 10.7754/Clin.Lab.2018.180923.

Xie H, Wu Y, Cui W. Correlation between the cell population in the automated hematology analyzer high-fluorescence region and atypical lymphocyte flags. J Clin Lab Anal. 2018;32:e22374. https://doi.org/10.1002/jcla.22374.

Joshi H, Parikh B, Thakka A, Patel M. Evaluation and correlation of abnormal cell flagging of automated haematology analyzer with peripheral blood film at a hematology laboratory in tertiary care oncology centre. Int J Cur Res Rev. 2020;12(12):20-5. doi: https://doi.org/10.31782/IJCRR.2020.12125

Published

2022-03-25

Issue

Section

Artigos Originais/Originals Articles

How to Cite

Ribeiro, M. B., Brito, C. dos S., & Brito Junior, L. C. de. (2022). Comparative evaluation between Mindray BC-6800 and URIT 5500 hematology analyzers, with emphasis on the ability to detect blasts in patients with acute leukemia. Revista De Medicina, 101(2), e-172549. https://doi.org/10.11606/issn.1679-9836.v101i2e-172549