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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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Flow Cytometric Characterization of Murine B Cell Development
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Multicenter flow cytometry proficiency testing of canine blood and lymph node samples.

Kristina Meichner1, Tracy Stokol2, Jaime Tarigo1

  • 1Department of Pathology, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.

Veterinary Clinical Pathology
|April 5, 2020
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Summary

Veterinary flow cytometry (FC) shows strong agreement for sample interpretation but variable results for specific diagnoses. Standardization is needed to improve accuracy in hematolymphoid neoplasia classification.

Keywords:
assay performancedogexternal laboratory quality assessmentimmunophenotyping

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Area of Science:

  • Veterinary Hematology
  • Immunophenotyping
  • Diagnostic Cytology

Background:

  • Flow cytometry (FC) is increasingly utilized in veterinary medicine for hematolymphoid cell characterization.
  • Limited guidelines exist for optimizing FC assays and interpreting results in veterinary diagnostics.
  • Inter-laboratory concordance of FC findings in veterinary samples is largely unknown.

Purpose of the Study:

  • To assess inter-investigator agreement on flow cytometry (FC) results from split samples analyzed across different veterinary laboratories.
  • To evaluate agreement on the interpretation of archived flow cytometry standard (FCS) data files.
  • To identify variability in FC interpretation for veterinary hematolymphoid cell analysis.

Main Methods:

  • A multicenter observational cross-sectional study involving nine client-owned dogs' samples (blood/lymph node aspirates).
  • Samples were analyzed using diverse laboratory-developed protocols, cytometers, and software.
  • Archived FCS data files from 11 additional dogs were interpreted by participating investigators.

Main Results:

  • Overall agreement on FC sample interpretation was strong (κ = 0.86).
  • Agreement varied by category, ranging from moderate to perfect for fresh samples.
  • Interpretation agreement for lymphoproliferation or leukocyte categories from FCS files was weaker (κ = 0.58).

Conclusions:

  • Flow cytometry effectively identifies lymphoproliferations in veterinary samples.
  • Consistent identification of hematolymphoid neoplasia categories was variable across fresh samples and archived files.
  • Standardization of flow cytometry protocols and interpretation is crucial for veterinary diagnostics.