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Automated cell count in body fluids: a review
María José Alcaide Martín1,2, Laura Altimira Queral1, Laura Sahuquillo Frías1
1Committee of Laboratory Tests, Spanish Society of Laboratory Medicine (SEQC-ML), Barcelona, Spain.
Advances in Laboratory Medicine
|June 26, 2023
Summary
Automated cell counters offer faster body fluid analysis than traditional microscopy. This review details current automated analyzers, their parameters, and their role alongside optical microscopy in diagnostics.
Area of Science:
- Clinical diagnostics
- Laboratory medicine
- Biomedical engineering
Background:
- Body fluid cell counting is crucial for diagnosing various conditions.
- Optical microscopy is the gold standard but has limitations: slow, less reproducible, and requires expert staff.
- Automated cell counting modes have been developed for body fluid analysis.
Purpose of the Study:
- To review current automated cell counters for body fluids.
- To discuss the interpretation of parameters from these analyzers.
- To compare automated methods with traditional optical microscopy.
Main Methods:
- Review of available literature and commercial automated cell counting systems for body fluids.
- Analysis of analytical features and measured parameters of automated analyzers.
- Discussion of the complementary role of optical microscopy.
Main Results:
- Automated cell counters are increasingly used in routine laboratory practice.
- Several automated analyzers are available, offering improved efficiency over manual methods.
- Limitations exist, and highly qualified professionals are still needed for operation and interpretation.
Conclusions:
- Automated cell counting is advancing body fluid analysis, improving speed and efficiency.
- Understanding analyzer parameters and limitations is key for accurate diagnostics.
- Optical microscopy remains important, particularly for complex cases and validation.

