Live remote digital microscopy in peripheral blood smear evaluation: Intraobserver concordance and experience.

Abstract:

INTRODUCTION:Peripheral blood smear (PBS) review is a routine laboratory test which requires pathologist's interpretation when abnormal indices, atypical cells, or critical findings are identified. Real-time remote digital microscopy (DM) can potentially facilitate rapid review when an on-site pathologist is not available. Herein, we assess intraobserver concordance of PBS evaluation with light microscopy (LM) and DM using VisionTek M6 robotic DM and TeamViewer imaging software. METHODS:Thirty-seven de-identified PBS slides were evaluated by five reviewers. Slides were loaded on a VisionTek M6 robotic microscope at an off-site laboratory and evaluated remotely via TeamViewer software. Reviewers recorded interpretation, time required for interpretation (in minutes), imaging quality (score 0-3), and confidence of interpretation (score 0-3). Other relevant information associated with DM evaluation was also documented. Slides were subsequently evaluated using LM after washout interval. The intraobserver variation of results for impression, digital slide quality, minutes to interpretation, and confidence of interpretation was compared between DM and LM. RESULTS:The intraobserver concordance between LM and DM was 93%, with nine discordant interpretations among 135 evaluations under each review modality, respectively. Although reviewers spent more time under DM mode (5 min/slide) than LM mode (2.5 min/slide), the reviewers felt the DM provided sufficient image quality and the confidence levels of reviewers on slide interpretation were comparable between DM (2.6/3) and LM (2.8/3). CONCLUSION:There was a high level of intraobserver concordance and comparable interpretation confidence between DM and LM. DM can be a useful methodology for off-site pathologist's review of PBS.

journal_name

Int J Lab Hematol

authors

Haninger DM,Nassiri M,Settembre ED,Zhang S,Zhou J

doi

10.1111/ijlh.12914

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

740-746

issue

6

eissn

1751-5521

issn

1751-553X

journal_volume

40

pub_type

杂志文章
  • Standardization of haematology critical results management in adults: an International Council for Standardization in Haematology, ICSH, survey and recommendations.

    abstract:INTRODUCTION:These recommendations are intended to develop a consensus in the previously published papers as to which parameters and what values should be considered critical. A practical guide on the standardization of critical results management in haematology laboratories would be beneficial as part of good laborato...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12526

    authors: Keng TB,De La Salle B,Bourner G,Merino A,Han JY,Kawai Y,Peng MT,McCafferty R,International Council for Standardization in Haematology (ICSH).

    更新日期:2016-10-01 00:00:00

  • Flow cytometry in the diagnosis of mature B-cell lymphoproliferative disorders.

    abstract::B-lineage lymphoproliferative disorders (LPD) are rather frequent diseases, associated with specific clinical or biological features but also sometimes of fortuitous discovery. Multiparameter flow cytometry plays a major role for a rapid diagnostic indication, on peripheral blood or bone marrow samples in most instanc...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章,评审

    doi:10.1111/ijlh.13170

    authors: Debord C,Wuillème S,Eveillard M,Theisen O,Godon C,Le Bris Y,Béné MC

    更新日期:2020-06-01 00:00:00

  • Performance evaluation of a new Stago® automated haemostasis analyser: The STA R Max® 2.

    abstract:INTRODUCTION:The STA R Max® 2 is a new coagulation analyser developed by Diagnostica Stago, able to perform clotting, chromogenic and immuno-turbidimetric tests. A pre-analytical module build into the cap-piercing needle performs the sample integrity verification (sample tube filling and measurement of haemolysis, icte...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13100

    authors: Cupaiolo R,Govaerts D,Blauwaert M,Cauchie P

    更新日期:2019-12-01 00:00:00

  • The immature platelet fraction is a useful marker for predicting the timing of platelet recovery in patients with cancer after chemotherapy and hematopoietic stem cell transplantation.

    abstract::Prediction of the timing of platelet recovery after chemotherapy and hematopoietic stem cell transplantation (HSCT) allows for optimal platelet transfusion. We assessed the clinical utility of the percentage value of the immature platelet fraction (IPF%) monitored using an XE-2100 automated hematology analyzer to pred...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2010.01232.x

    authors: Yamaoka G,Kubota Y,Nomura T,Inage T,Arai T,Kitanaka A,Saigo K,Iseki K,Baba N,Taminato T

    更新日期:2010-12-01 00:00:00

  • The HemoScreen hematology point-of-care device is suitable for rapid evaluation of acute leukemia patients.

    abstract:BACKGROUND:Hematological patients, receiving intensive chemotherapy (predominantly acute leukemia patients), have repeated postchemotherapy periods with severe bone marrow suppression. As a result, these patients require regular monitoring of the complete blood counts (CBC) for optimal patient care. To reduce the strai...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13330

    authors: Kristian Kur D,Thøgersen D,Kjeldsen L,Friis-Hansen L

    更新日期:2021-02-01 00:00:00

  • ICSH recommendations for the measurement of haemoglobin F.

    abstract::Measurement of the Haemoglobin F in red cell haemolysates is important in the diagnosis of δβ thalassaemia, hereditary persistence of fetal haemoglobin (HPFH) and in the diagnosis and management of sickle cell disease. The distribution of Hb F in red cells is useful in the diagnosis of HPFH and in the assessment of fe...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章,实务指引

    doi:10.1111/j.1751-553X.2011.01367.x

    authors: Stephens AD,Angastiniotis M,Baysal E,Chan V,Davis B,Fucharoen S,Giordano PC,Hoyer JD,Mosca A,Wild B,International Council for The Standardisation of Haematology (ICSH).

    更新日期:2012-02-01 00:00:00

  • Quantification of hemoglobin Constant Spring in heterozygote and homozygote by a capillary electrophoresis method.

    abstract:INTRODUCTION:Capillary electrophoresis (CE) is a high-resolution method for detection of hemoglobin Constant Spring (Hb CS). METHODS:The levels of Hb CS quantified by CE were compared among three groups of samples including heterozygote and homozygote of Hb CS as well as Hb H-CS disease classified by DNA molecular dia...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2011.01371.x

    authors: Pornprasert S,Panyasai S,Waneesorn J,Kongthai K,Singboottra P

    更新日期:2012-04-01 00:00:00

  • Use of a capillary specimen in the laboratory to verify a point-of-care international normalized ratio: Avoidance of a venipuncture in a pediatric setting.

    abstract:INTRODUCTION:Point-of-care (POC) international normalized ratio (INR) values above an institutional cutoff are confirmed in the laboratory using a gold standard venous specimen. This can be problematic in a pediatric setting. METHOD:In this study, 449 consecutive POC INR results were compared to an INR performed in th...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12920

    authors: Williams VK

    更新日期:2019-02-01 00:00:00

  • DOAC plasma levels measured by chromogenic anti-Xa assays and HPLC-UV in apixaban- and rivaroxaban-treated patients from the START-Register.

    abstract:INTRODUCTION:To measure direct factor Xa inhibitor (apixaban, edoxaban, rivaroxaban) concentrations, dedicated chromogenic anti-Xa assays are recommended as suitable methods to provide rapid drug quantification. Moreover, the high-performance liquid chromatography with ultraviolet detection (HPLC-UV) is reported as a r...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13159

    authors: Cini M,Legnani C,Padrini R,Cosmi B,Dellanoce C,De Rosa G,Marcucci R,Pengo V,Poli D,Testa S,Palareti G

    更新日期:2020-04-01 00:00:00

  • Evaluation of the leukocyte differential on a new automated flow cytometry hematology analyzer.

    abstract:INTRODUCTION:The Hematoflow (Beckman Coulter, USA) is a new automated hematology analyzer, which provides a 16-part white blood cell count (WBC) differential. METHODS:We evaluated the differential WBC count performance of the Hematoflow. 101 blood samples from patients were selected for comparison analysis. RESULTS:T...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2012.01432.x

    authors: Kim JE,Kim BR,Woo KS,Han JY

    更新日期:2012-10-01 00:00:00

  • Three novel alternative splicing mutations in BCR-ABL1 detected in CML patients with resistance to kinase inhibitors.

    abstract:INTRODUCTION:Multiple types of mutations in the BCR-ABL1 kinase domain have been reported. We previously reported a common alternatively spliced BCR-ABL mRNA with a 35-nucleotide insertion (35INS). We report three novel alternative splicing mutants expressed as the dominant transcripts in patient with chronic myelogeno...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2010.01291.x

    authors: Ma W,Giles F,Zhang X,Wang X,Zhang Z,Lee TS,Yeh CH,Albitar M

    更新日期:2011-06-01 00:00:00

  • A rare case of Lennert's type peripheral T-cell lymphoma with t(14;19)(q11.2;q13.3).

    abstract::Although most patients with peripheral T-cell lymphoma (PTCL) show clonal rearrangement of T-cell receptor genes, few PTCLs show recurrent chromosomal abnormalities. We describe here a rare chromosomal rearrangement, t(14;19)(q11.2;q13.3), in a Lennert's lymphoma, a variant of PTCL, not otherwise specified. Sequential...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2011.01385.x

    authors: Shin SY,Jang S,Park CJ,Chi HS,Lee KH,Huh J,Seo EJ

    更新日期:2012-06-01 00:00:00

  • Novel chromosomal translocations in multiple myeloma: t(13;16)(q14;q24) and t(1;15)(q10;q26).

    abstract::Multiple myeloma (MM) is a malignant plasma cell disorder that involves multiple genetic abnormalities. Chimeric transcription factors, created by gene fusion as a result of chromosomal translocations, have been implicated in the pathogenesis of the disease. Here, we report the conventional cytogenetic analysis of a M...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2006.00837.x

    authors: Akalin I,Kutlay NY,Ilhan O,Tukun A

    更新日期:2007-06-01 00:00:00

  • Inappropriate use of protein C, protein S, and antithrombin testing for hereditary thrombophilia screening: an experience from a large university hospital.

    abstract:INTRODUCTION:Deficiencies of protein C, protein S, and antithrombin are the main inherited risk factors in Thai patients with venous thromboembolism, although the prevalence is not high. METHODS:To evaluate the appropriate use of the testing for these proteins, the test orders of 503 patients were retrospectively revi...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2011.01332.x

    authors: Tientadakul P,Chinthammitr Y,Sanpakit K,Wongwanit C,Nilanont Y

    更新日期:2011-12-01 00:00:00

  • Association of Janus kinase 2 (JAK2) polymorphisms with acute leukemia susceptibility.

    abstract:INTRODUCTION:Aberrant activation of Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway leads to deregulated proliferation, differentiation, or apoptosis of normal cells. One of the members of this family, JAK2, plays a very important role in metabolizing carcinogens and medications. This...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2011.01386.x

    authors: Zhong Y,Wu J,Ma R,Cao H,Wang Z,Ding J,Cheng L,Feng J,Chen B

    更新日期:2012-06-01 00:00:00

  • The applicability of multiparameter flow cytometry for the detection of minimal residual disease using different-from-normal panels to predict relapse in patients with acute myeloid leukemia after allogeneic transplantation.

    abstract:BACKGROUND:The MRD status detected using multiparameter flow cytometry (MFC) before allogeneic hematopoietic stem cell transplantation (allo-HSCT) has crucial prognostic value for patients with acute myeloid leukemia (AML) in morphologic complete remission (CR). We designed a novel panel of antibodies to identify aberr...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13070

    authors: Wang Z,Guo M,Zhang Y,Xu S,Cheng H,Wu J,Zhang W,Hu X,Yang J,Wang J,Tang G

    更新日期:2019-10-01 00:00:00

  • Peripheral blood vs. bone marrow for molecular monitoring of BCR-ABL1 levels in chronic myelogenous leukemia, a retrospective analysis in allogeneic bone marrow recipients.

    abstract::Molecular monitoring of the BCR-ABL1 transcript in chronic myelogenous leukemia (CML) using quantitative real-time PCR (RQ-PCR) can be performed using either bone marrow (BM) or peripheral blood (PB). However, a recent report by Stock et al. [International Journal of Oncology 28 (2006) 1099] questioned the reliability...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2009.01198.x

    authors: Ballestrero A,Cirmena G,Dominietto A,Garuti A,Rocco I,Cea M,Moran E,Nencioni A,Miglino M,Raiola AM,Bacigalupo A,Patrone F

    更新日期:2010-08-01 00:00:00

  • Clinical and hematological characteristics of 88 patients with COVID-19.

    abstract:INTRODUCTION:To retrospectively analyze epidemiological, clinical and hematological characteristics of COVID-19 patients. METHODS:The demographic, symptoms, and physiological parameters of 88 patients were collected and analyzed. The performance of complete blood count (CBC) indexes for monitoring and predicting the s...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13291

    authors: Zhang H,Cao X,Kong M,Mao X,Huang L,He P,Pan S,Li J,Lu Z

    更新日期:2020-12-01 00:00:00

  • Evaluation of a new venom-based clotting assay of protein C.

    abstract::Congenital protein C deficiency significantly increases the risk of venous thromboembolism, a serious and potentially lethal condition. Protein C levels can be determined by chromogenic, clotting and antigenic assays, each type of assay has differences in specificity and sensitivity to protein C deficiency. In princip...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2007.00972.x

    authors: Cooper PC,Cooper SM,Goodfellow KJ,Hickey KP,Kitchen S,Makris M

    更新日期:2008-10-01 00:00:00

  • Analysis of polymorphisms of TNF-α, LT-α, IL-10, IL-12 and CTLA-4 in patients with warm autoimmune haemolytic anaemia.

    abstract:INTRODUCTION:Autoimmune haemolytic anaemia (AIHA) is defined as the increased destruction of red blood cells (RBCs) in the presence of anti-RBC autoantibodies and/or complement. Its pathogenesis is multifactorial and includes changes in mechanisms of cytokine production and functionality. A number of recent studies hav...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2012.01400.x

    authors: D'Abronzo LS,Barros MM,Bordin JO,Figueiredo MS

    更新日期:2012-08-01 00:00:00

  • Blood parameters of preterm neonates: postnatal evolution according to gestational age.

    abstract:INTRODUCTION:The blood count provides qualitative and quantitative essential information on bloodlines. Reference hematologic parameters have been established in children and neonates, but few data are available regarding the premature population during the first month of life. The main objective of this study was to e...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12629

    authors: Roudil P,Vasselon C,Trombert-Paviot B,Berger C,Patural H

    更新日期:2017-06-01 00:00:00

  • Gene expression risk signatures maintain prognostic power in multiple myeloma despite microarray probe set translation.

    abstract:INTRODUCTION:Gene expression profiling (GEP) risk models in multiple myeloma are based on 3'-end microarrays. We hypothesized that GEP risk signatures could retain prognostic power despite being translated and applied to whole-transcript microarray data. METHODS:We studied CD138-positive bone marrow plasma cells in a ...

    journal_title:International journal of laboratory hematology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/ijlh.12486

    authors: Hermansen NE,Borup R,Andersen MK,Vangsted AJ,Clausen NT,Kristensen DL,Nielsen FC,Gimsing P

    更新日期:2016-06-01 00:00:00

  • The mutual control of iron and erythropoiesis.

    abstract:BACKGROUND:Iron is essential for hemoglobin synthesis during terminal erythropoiesis. To supply adequate iron the carrier transferrin is required together with transferrin receptor endosomal cycle and normal mitochondrial iron utilization. Iron and iron protein deficiencies result in different types of anemia. Iron-def...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章,评审

    doi:10.1111/ijlh.12505

    authors: Camaschella C,Pagani A,Nai A,Silvestri L

    更新日期:2016-05-01 00:00:00

  • An investigation of the protective effect of alpha+-thalassaemia against severe Plasmodium falciparum amongst children in Kumasi, Ghana.

    abstract:INTRODUCTION:Several factors influence the severity of Plasmodium falciparum; here, we investigate the impact of alpha+-thalassaemia genotype on P. falciparum parasitemia and prevalence of severe anaemia amongst microcytic children from Kumasi, Ghana. METHODS:Seven hundred and thirty-two children (≤10 years) with P. f...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12122

    authors: Opoku-Okrah C,Gordge M,Kweku Nakua E,Abgenyega T,Parry M,Robertson C,Smith CL

    更新日期:2014-02-01 00:00:00

  • Multiplex fluorescence in situ hybridization in identifying chromosome involvement of complex karyotypes in de novo myelodysplastic syndromes and acute myeloid leukemia.

    abstract::Complex chromosomal aberrations (CCA) can be detected in a substantial proportion of myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML), which are associated with very poor prognosis. Conventional cytogenetics (CC) cannot accurately define the specific alterations in CCA. Multiplex fluorescence in situ h...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/j.1751-553X.2008.01101.x

    authors: Xu W,Li JY,Liu Q,Zhu Y,Pan JL,Qiu HR,Xue YQ

    更新日期:2010-02-01 00:00:00

  • Clotting and chromogenic factor VIII assay variability in post-infusion and spiked samples containing full-length recombinant FVIII or recombinant factor VIII Fc fusion protein (rFVIIIFc).

    abstract:INTRODUCTION:Variability in FVIII measurement is a recognized problem. There are limited data for samples containing recombinant Factor VIII Fc fusion protein (rFVIIIFc). Many studies use samples for which factor concentrate has been spiked into FVIII deficient plasma in vitro. This approach requires validation. AIM/M...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12940

    authors: Kitchen S,Jennings I,Makris M,Kitchen DP,Woods TAL,Walker ID

    更新日期:2019-04-01 00:00:00

  • Association of mean platelet volume and platelet count with the development and prognosis of ischemic and hemorrhagic stroke.

    abstract:INTRODUCTION:Mean platelet volume (MPV) and platelet (PLT) count are the two major parameters that reflect the functions and activities of PLTs. The associations of MPV and PLT count with the occurrence and prognosis of stroke have not been fully clarified. This study aimed to investigate the association of MPV and PLT...

    journal_title:International journal of laboratory hematology

    pub_type: 临床试验,杂志文章

    doi:10.1111/ijlh.12474

    authors: Du J,Wang Q,He B,Liu P,Chen JY,Quan H,Ma X

    更新日期:2016-06-01 00:00:00

  • International Council for Standardization in Haematology (ICSH) laboratory guidance for the evaluation of haemostasis analyser-reagent test systems. Part 1: Instrument-specific issues and commonly used coagulation screening tests.

    abstract::Before a new method is used for clinical testing, it is essential that it is evaluated for suitability for its intended purpose. This document gives guidance for the performance of verification, validation and implementation processes required by regulatory and accreditation bodies. It covers the planning and executio...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章,评审

    doi:10.1111/ijlh.13411

    authors: Gardiner C,Coleman R,de Maat MPM,Dorgalaleh A,Echenagucia M,Gosselin RC,Ieko M,Kitchen S

    更新日期:2020-11-29 00:00:00

  • Limitation of the activated partial thromboplastin time as a monitoring method of the direct thrombin inhibitor argatroban.

    abstract:BACKGROUND:Argatroban is licensed for patients with heparin-induced thrombocytopenia and monitoring is conventionally by activated partial thromboplastin time (APTT) ratio with a target of 1.5-3.0 and not exceeding 100 s. The APTT may be influenced by coagulopathies, lupus anticoagulant and raised FVIII levels. Variabl...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.12414

    authors: Guy S,Kitchen S,Maclean R,Van Veen JJ

    更新日期:2015-12-01 00:00:00

  • Clinical performance evaluation of the new hematology analyzer Mindray BC-6000.

    abstract:INTRODUCTION:With the progression of blood analysis technology, hematology analyzers become more complex and diverse. How to choose a superb instrument is a challenge for the laboratories. In the essay, we studied whether the newest BC-6000 hematology analyzer meets the needs of a clinical hematology laboratory. METHO...

    journal_title:International journal of laboratory hematology

    pub_type: 杂志文章

    doi:10.1111/ijlh.13075

    authors: Shen Y,Cao J,Zhou Z,Wang Y,Shen Y,He J

    更新日期:2019-10-01 00:00:00