[Evaluation of the Sysmex NE-8000 analyzer according to the norms of the International Committee for Standardization in Hematology].
The Sysmex NE-8000 blood autoanalyser determines the values of red cells and platelets by impedance method and the differential leucocyte count (DLC) by means of radiofrequency plus two independent channels for eosinophils and basophils. The system is provided with a sampler capable of holding 100 closed tubes and its working velocity is about 120 samples per hour. The results of its evaluation are presented in this report. The parameters systematically provided by this cell counter include blood cell counts (plus haemoglobin rate, haematocrit and red cell indices), DLC platelet indices and volumetric distribution curves of red cells and platelets. The machine is provided with alarms on each of the above parameters for any suspicion of pathology. The accuracy analysis was performed with regard to the Technicon H*1 system and the conventional methods recommended by the ICSH. Precision, carry-over, linearity and effective velocity were evaluated in accordance to ICSH standards, and when assessing the DLC the number of visual revisions and the percentage of false positives and negatives were taken into account, and hence the sensitivity, specificity and efficiency of the machine. The accuracy of the parameters analysed was acceptable, except for MCHC and monocyte and eosinophil counts. A fair precision was found except for the monocyte count, along with excellent linearity except for high white-cell count. Less than 1.5% carry-over was observed, except for the leucocyte count. The number of necessary revisions of the DLC was somewhat higher than expected, the false negatives being below 11%. Sensitivity, specificity and efficiency were over 75%, except for hospital patients.(ABSTRACT TRUNCATED AT 250 WORDS)
Jou
J M
JM
Servei d'Hematologia Biológica, Hospital Clinic i Provincial, Universitat de Barcelona.
Pastor
C
C
Aymerich
M
M
Villamor
N
N
Reverter
J C
JC
Brugués
R M
RM
Vives Corrons
J L
JL
D001772:Blood Cell Count / Q000295:instrumentation*; D005188:False Negative Reactions; D005189:False Positive Reactions; D006405:Hematology / Q000592:standards*; D006801:Humans; D007390:International Agencies; D012015:Reference Standards; D012680:Sensitivity and Specificity
Evaluación del analizador Sysmex NE-8000 según las normas del Comité Internacional de Estandarización en Hematología (ICSH).