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White blood cell counts: reference methodology

Clin Lab Med. 2015 Mar;35(1):11-24. doi: 10.1016/j.cll.2014.10.007. Epub 2014 Dec 4.

Abstract

Modern hematology laboratories use automated hematology analyzers to perform cell counts. These instruments provide accurate, precise, low-cost differential counts with fast turnaround times. Technologies commonly used include electrical impedance, radiofrequency conductivity, laser light scattering, and cytochemistry. This article reviews the principles of these methodologies and possible sources of error, provides guidance for selecting flagging criteria, and discusses novel, clinically relevant white blood cell parameters provided by new instruments, including immature granulocyte count and granularity index.

Keywords: Automated hematology analyzer; Differential count; Laboratory instrumentation; Leukocyte; Methodology; White blood cell count.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Automation
  • History, 20th Century
  • History, 21st Century
  • Leukocyte Count / history
  • Leukocyte Count / methods*
  • Leukocyte Count / trends