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The development of flow cytometry techniques began in 1934 with initial attempts by Andrew Moldavan, a bacteriologist who counted the cells in a flowing capillary system. Moldavan pumped cells through a capillary tube focused under a microscope for visualization. The invention of photometry allowed the measurement of differentially-stained cells, and Louis Kamentsky developed the first multiparameter flow cytometer in 1965 to identify and count the cancer cells in cervical tissue specimens.
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Automated cell counts on CSF samples: A multicenter performance evaluation of the GloCyte system.

E A Hod1,2, C Brugnara3, M Pilichowska4

  • 1Department of Pathology and Cell Biology, Columbia University College of Physicians and Surgeons, New York, NY, USA.

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|September 8, 2017
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Summary

The GloCyte System accurately counts low cell numbers in cerebrospinal fluid (CSF), offering a precise automated alternative to manual cell counting. This system is suitable for all CSF samples, including those with normal cell counts.

Keywords:
automated cell counterscerebrospinal fluid testinglaboratory testingred cell countswhite cell counts

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Area of Science:

  • Clinical Chemistry
  • Hematology
  • Medical Diagnostics

Background:

  • Manual cell counting in cerebrospinal fluid (CSF) is labor-intensive due to the unreliability of automated methods at low cell counts.
  • Laboratories often maintain manual CSF counts despite automated methods for other body fluids.

Purpose of the Study:

  • To evaluate the GloCyte System, an automated cell counter, for accuracy and precision in enumerating low cell counts in CSF.
  • To determine if the GloCyte System can replace manual CSF cell counts.

Main Methods:

  • A multicenter clinical trial using residual CSF samples from adult and pediatric patients.
  • Comparison of cell counts obtained via the manual hemocytometer method and the GloCyte System.
  • Determination of the GloCyte System's limits of detection, quantitation, precision, and accuracy.

Main Results:

  • The GloCyte System detected as low as 1 cell/μL and reliably counted 3 total nucleated cells/μL and 2 red blood cells/μL.
  • High correlation (>97%) was observed between GloCyte and hemocytometer counts, even at very low cell concentrations.
  • The total coefficient of variation for the GloCyte System was under 20%.

Conclusions:

  • The GloCyte instrument provides precise, accurate, and stable cell counts for CSF samples.
  • Automated enumeration of very low cell numbers in CSF is feasible with the GloCyte System.
  • The GloCyte System is a viable alternative to manual methods for all CSF cell counting needs.