Measurement uncertainty of platelet concentration using the Sysmex XN automated hematology analyzer

Abstract

We estimated the measurement uncertainty (MU) of platelet concentration measured using the Sysmex XN system with two reference platelet counting methods described by DIN 58932-5 (PTB method) and the International Council for Standardization in Haematology (ICSH method). Ten blood samples were used to estimate and compare the MU of the XN system, and 30 samples were used to compare the methods. The standard uncertainty of the reference method was significantly higher for the ICSH method; the PTB method showed higher platelet concentrations than the ICSH method. When applying different methods with the XN system, optic counting showed higher MU compared to the other methods. There was good correlation among the two reference methods and three automated platelet-counting methods. We evaluated the MU in platelet concentrations measured using an automated hematology analyzer. Our results suggest that using the PTB method for calculating MU of the automated hematology analyzer is superior to the ICSH method because of its lower standard uncertainty.

Keywords:

• Measurement uncertainty
• platelet counting
• reference method
• Sysmex XN hematology analyzer
• standardization

Acknowledgments

The authors would like to thank Kwang Il Park and Jae Sik Lee for their contribution of this study for a long time.

Disclosure statement

No potential conflict of interest was reported by the authors.