Összesen 2 találat.


001-es BibID:BIBFORM073510
Első szerző:Kárai Bettina (orvos)
Cím:The impact of delayed sample handling and type of anticoagulant on the interpretation of dysplastic signs detected by flow cytometry / Bettina Kárai, Zsófia Miltényi, Lajos Gergely, Marianna Száraz-Széles, János Kappelmayer, Zsuzsanna Hevessy
Megjegyzések:Introduction: A growing body of evidence supports the usefulness of dysplastic signs detected by flow cytometry in the diagnosis of myelodysplastic syndromes (MDS). Our aim was to assess the impact of pre-analytical variables (delayed sample handling, type of anticoagulant, and different clones of antibody) in the interpretation of flow cytometric results.Material and methods: Bone marrow samples were labelled and analysed immediately after aspiration and on two consecutive days. The effect of anticoagulant type was evaluated in 16 bone marrow samples. Thirty-seven different immunophenotypic variables were recorded after eight-colour staining. Furthermore, 8 normal peripheral blood samples collected in K3-EDTA and Na-heparin were examined with different clones of CD11bantibodies and four parameters were recorded with both anticoagulants on two consecutive days.Results: Fourteen significant differences were detected in the initial immunophenotype of fresh samples collected in K3-EDTA and Na-heparin. Regardless of the anticoagulant type, eleven parameters remained stable despite delayed sample handling. Due to delayed sample processing, more alterations were detected in the samples collected in K3-EDTA than in the samples collected in Na-heparin. The type of CD11b clone influenced the reduction of fluorescence intensity only in samples collected in K3-EDTA, where the alterations were contrary to the changes observed in Na-heparin.Conclusions: Delayed sample processing causes considerable immunohenotypic alterations, which can lead to false interpretation of the results.If delayed sample evaluation is unavoidable, markers that remain more stable over time should be considered with more weight in the diagnosis of MDS.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
myelodysplastic syndromes
flow cytometry
pre-analytical error
Megjelenés:Biochemia Medica 28 : 2 (2018), p. 1-13. -
További szerzők:Miltényi Zsófia (1975-) (belgyógyász, haematológus) Gergely Lajos Széles Mariann Kappelmayer János (1960-) (laboratóriumi szakorvos) Hevessy Zsuzsanna (1966-) (laboratóriumi szakorvos)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat


001-es BibID:BIBFORM069450
Első szerző:Kárai Bettina (orvos)
Cím:A single-tube flow cytometric procedure for enhancing the diagnosis and prognostic classification of patients with myelodysplastic syndromes / B. Kárai, J. Bedekovics, Zs. Miltényi, L. Gergely, L. Szerafin, A. Ujfalusi, J. Kappelmayer, Zs. Hevessy
ISSN:1751-5521 1751-553X
Megjegyzések:AbstractIntroduction: We created a simple and effective flow cytometry scoring system (FCSS)for suspected Myelodysplastic syndromes (MDS) samples and evaluated its diagnosticand prognostic potential.Methods: Besides evaluating the four parameters suggested by Ogata, we investigatederythroid precursors and mast cells. We evaluated the six-parameterFCSS in a four-color setting (test cohort: 51 patients; 25 controls), then we implemented it into an eight-color setting and tested it on a validation cohort of patients with MDS (n=31).Results: When we compared MDS cases to non-MDS samples in the test cohort, wedetected significant differences regarding not only the four major parameters but alsotwo additional ones, namely CD71 rCV% of erythroid precursors (P=.004) and mastcell percentage (MC%) (P=.001). The utilization of the modified six-parameterFCSS provided high sensitivity and specificity both in the four color (84% and 80%, respectively) and in the eight color (81% and 100%, respectively) setting, with an excellentdiscriminative power between MDS and non-MDS samples. Furthermore, we foundsignificant difference in event-free survival between the risk groups based on themodified six-parameter FCSS (P=.001).Conclusion: We evaluated and validated a single-tube flow cytometric procedure fora simple six-parameter FCSS which has not only high diagnostic but also prognosticpower.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
erythroid CD71
flow cytometry scoring system
mast cell
Myelodysplastic syndrome
rare events
Megjelenés:International Journal Of Laboratory Hematology 39 : 6 (2017), p. 577-584. -
További szerzők:Bedekovics Judit (1986-) (orvos) Miltényi Zsófia (1975-) (belgyógyász, haematológus) Gergely Lajos (1940-) (szakorvos, klinikai mikrobiológus) Szerafin László (1958-) (belgyógyászat, haematológia, klinikai onkológia szakorvos) Ujfalusi Anikó (1968-) (gyermekorvos, laboratóriumi szakorvos) Kappelmayer János (1960-) (laboratóriumi szakorvos) Hevessy Zsuzsanna (1966-) (laboratóriumi szakorvos)
Internet cím:DOI
Intézményi repozitóriumban (DEA) tárolt változat
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