基于人工智能的细胞形态学分析在白细胞分类中的临床应用

Clinical application of cytomorphological analysis based on artificial intelligence in leukocyte classification

  • 摘要:
    目的 探讨全自动细胞形态学分析仪在外周血白细胞(WBC)形态学分析中的应用价值。
    方法 随机选取306例住院及门诊患者静脉血标本,采用全自动细胞形态学分析仪进行WBC预分类。比较全自动细胞形态学分析仪计数、全自动血细胞分析仪计数与手工计数的差异,分析全自动细胞形态学分析仪与手工计数法的相关性。
    结果 与其他2种方法相比,全自动细胞形态学分析仪可检出更多的WBC种类,尤其是异常细胞。全自动细胞形态学分析仪与手工计数法对6类成熟WBC种类(中性杆状核粒细胞、中性分叶核粒细胞、淋巴细胞、单核细胞、嗜酸性粒细胞、嗜碱性粒细胞)、各阶段幼稚细胞和异型淋巴细胞计数结果比较,差异均无统计学意义(P>0.05)。全自动细胞形态学分析仪计数的6类成熟WBC种类与手工计数法的计数结果均具有良好的相关性(r>0.8)。
    结论 全自动细胞形态学分析仪可分类更多的WBC种类,可提供与手工显微镜检高度一致的WBC计数结果,且两者计数具有良好的相关性。

     

    Abstract:
    Objective To explore the application value of automatic cytomorphological analyzer in the morphological analysis of white blood cells (WBC) in peripheral blood.
    Methods A total of 306 venous blood samples from inpatients and outpatients were randomly selected and prepared with automatic cytomorphological analyzer for WBC pre-classification. The differences between automatic cytomorphological analyzer counting, automatic blood cell analyzer counting and manual counting were compared, and the correlation between automatic cytomorphological analyzer and manual counting method was analyzed.
    Results Compared with the other two methods, the automatic cytomorphological analyzer was able to detect more types of WBC, especially abnormal cells. There were no significant differences between automatic cytomorphological analyzer and manual counting method for 6 mature WBC types (band neutrophils, segmented neutrophils, lymphocytes, monocytes, eosinophils, and basophils), immature cells at different stages and atypical lymphocyte counts (P>0.05). Results of the 6 mature WBC types counted by the automatic cytomorphological analyzer and manual counting had favorable correlations (r>0.8).
    Conclusion The automatic cytomorphological analyzer can classify more types of WBC, provide WBC counting results that are highly consistent with manual microscopy, and the counting results of the two methods have a good correlation.

     

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