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Related Experiment Video

Updated: Dec 20, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
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Automated Measurement of Plasma Cell-Free Hemoglobin Using the Hemolysis Index Check Function.

Mustafa A Barbhuiya1, Edward C Pederson1, Monica L Straub1

  • 1Department of Pathology and Laboratory Medicine, Pennsylvania State University College of Medicine, Hershey, PA.

The Journal of Applied Laboratory Medicine
|May 24, 2020
PubMed
Summary

The Roche Cobas analyzer

Keywords:
Plasma cell-free hemoglobinautomated testinghemolysis index

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Area of Science:

  • Clinical Chemistry
  • Biochemical Analysis
  • Hemoglobin Measurement

Background:

  • The Roche Cobas chemistry analyzer offers a hemolysis index (HI) check function.
  • This function can directly report hemoglobin (Hb) concentrations.

Purpose of the Study:

  • To validate the HI check function for measuring plasma cell-free Hb.
  • To assess the analytical performance and reliability of this method.

Main Methods:

  • Plasma samples were analyzed using the HI check function.
  • Assay imprecision, lower limit of quantification (LLOQ), and analytical measurement range (AMR) were evaluated.
  • Accuracy was determined by comparison with a standard spectrophotometric method, alongside interference and carryover studies.

Main Results:

  • The assay demonstrated good precision (CVs 1.7%-7.0%) and an LLOQ of 11 mg/dL.
  • Excellent correlation was observed with the reference method (r=0.9990).
  • Significant interference was not observed for bilirubin or lipemia, and carryover was negligible.

Conclusions:

  • The HI check function provides a validated method for plasma cell-free Hb measurement.
  • This method meets analytical requirements and is both simple and cost-effective.