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Related Concept Videos

Flow Cytometry01:23

Flow Cytometry

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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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Image-based Flow Cytometry Technique to Evaluate Changes in Granulocyte Function In Vitro
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White Blood Cell Enumeration and Differential by Flow Cytometry: The ICSH WBC Reference Method.

Benjamin D Hedley1, Michael Keeney1, Peter Gambell2

  • 1London Health Science Center, London, Ontario, Canada.

International Journal of Laboratory Hematology
|September 12, 2025
PubMed
Summary
This summary is machine-generated.

A new flow cytometry method offers an improved reference for white blood cell (WBC) differential counts, outperforming manual methods for rare cell populations and correlating well with automated analyzers.

Keywords:
Immuno‐differentialanalyzerflow cytometryhematologyreference

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Area of Science:

  • Hematology
  • Clinical Pathology
  • Flow Cytometry

Background:

  • Manual white blood cell (WBC) differential counts are the current standard but face challenges.
  • These include interpreter expertise, staining quality, and imprecision with low cell counts.

Purpose of the Study:

  • To describe and validate an alternative, single-tube, 8-color flow cytometric reference method for WBC differential analysis.
  • To compare its performance against the manual reference method and current hematology analyzers.

Main Methods:

  • An international comparison involving 120 normal and 496 abnormal clinical samples was conducted.
  • Four institutions utilized four different flow cytometer models to assess the proposed method.

Main Results:

  • The flow cytometric method demonstrated equivalent performance to the manual smear review for WBC differential counts.
  • It showed improved performance for identifying low/infrequent cell populations like monocytes and basophils.
  • Good correlation was observed with automated hematology analyzers for total WBC enumeration.

Conclusions:

  • The flow cytometric method, termed "ICSH WBC reference," can serve as a reliable alternative to CLSI H20-A2 for WBC enumeration and differential counting.
  • This method is particularly valuable for evaluating automated differential counters and improving accuracy for rare cell types.