Evaluation of the CellaVision DM96 advanced RBC application for screening and follow-up of malaria infection

Evaluation of the CellaVision DM96 advanced RBC application for screening and follow-up of malaria infection
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DOI:
10.1016/j.diagmicrobio.2017.12.002
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发表时间:
2018-04-01
影响因子:
2.9
通讯作者:
Emmerechts, Jan
Emmerechts, Jan
中科院分区:
医学4区
文献类型:
--
作者:
Florin, Lisa;Maelegheer, Karel;Emmerechts, Jan

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CellaVision DM 96是一种数字细胞形态学系统,用于白色和红细胞的自动分类。CellaVision Advanced RBC应用程序(ARBCA)将RBC预分类为21个类别,包括寄生RBC,并允许操作员重新分类。在这项研究中,疟疾的检测和计算寄生虫血症的软件的性能进行了评估,并与显微镜(n = 40)。对于CellaVision,评价了重新分类前后的结果。由于分析的RBC数量较少和照片分辨率有限,即使在重新分类后(72%),灵敏度也是中等的。根据Passing-Bablok分析,CellaVision结果与显微镜检查结果相关,CellaVision的值略低。运行内、运行间和观察员间变异性可接受。CellaVision ARBCA的低灵敏度使其无法用作疟疾筛查技术。然而,由于其良好的相关性与显微镜和短周转时间,它可能是有用的后续寄生虫血症。需要更大规模的研究来证实这些发现。(C)2017爱思唯尔公司All rights reserved.
CellaVision DM96 is a digital cell morphology system for automated classification of white and red blood cells. CellaVision Advanced RBC application (ARBCA) pre-classifies RBC in 21 categories, including parasitized RBC, and allows re-classification by the operator. In this study, the performance of the software for detection of malaria and calculation of parasitemia was evaluated and compared to microscopy (n = 40). For CellaVision, both pre- and post-reclassification results were evaluated. Sensitivity was moderate, even post-reclassification (72%), due to low numbers of analyzed RBC and limited resolution of photographs. CellaVision results correlated with microscopy according to Passing-Bablok analysis, with slightly lower values for CellaVision. Within-run, between-run and inter-observer variability were acceptable. The low sensitivity of CellaVision ARBCA precludes its use as a screening technique for malaria. However, due to its good correlation with microscopy and short turnaround-times, it may be useful in follow-up of parasitemia. Larger studies are required to confirm these findings. (C) 2017 Elsevier Inc. All rights reserved.