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There are several hematology analyzer diluents. They vary in composition and intended use. As a result, these differences stem largely from the specific requirements of the hematology analyzers and the types of tests that need to be performed. Here are the common types of such diluents:
Isotonic Saline Solutions
For most blood tests, hematology analyzers utilize these saline solutions. Blood cells like red blood cells maintain their normal shape when exposed to these isotonic solutions. Saline helps to prevent hemolysis, thus ensuring accurate cell counting and classification.
Specialized Diluent Reagents
Many hematology analyzers come with unique diluent formulations from their manufacturers. These specialized dilution reagents are for enhancing precise measurements in particular tests or situations. These tests are not as consistent with standard saline, for example: platelet count, cell morphology, and mean corpuscular volume (MCV).
Buffer Solutions
Bfrs help control the pH of the diluent. This is crucial for ensuring stability in certain cellular components during analysis. In addition, these buffer solutions aid in maintaining accurate cell counting. Without it, variations in pH could lead to erroneous results caused by cell aggregation or lysis.
Low Ionic Strength Solutions
The solutions can help reduce cell lysis in sensitive diagnostic tests. While normal saline can be lytic to some cell types, these formulations help reduce lysis and therefore are good for analyzing cells that are prone to lysis in normal saline.
Fixatives
In some cases, hematology diluents may contain fixatives that preserve cell structure for a time, thus allowing cells to be viewed morphologically. These fixatives are useful in applications such as blood smears where the diagnostic information would largely be dependent on cell morphology.
Count Control
The dilution in these products usually have well-defined cell concentrations in order to provide quality control. They are intended for use in validating and verifying the precision of the analyzer. This ensures that the methods employed for cell counting and other relevant diagnostic parameters are accurate. Note that the values of the cell concentration should pass the standard requirements of each specific device.
The primary function of hematology diluent is to prepare blood samples by diluting them to the appropriate concentration for analysis. This allows the hematology analyzer to accurately count and classify cells. Several components in the diluent help preserve different blood cell types and their shape for accuracy, especially red blood cells.
The diluent is often a saline solution or an electrolyte solution that closely resembles the ionic composition of human blood plasma.
The diluent is mixed with the sample in a diluent chamber, and a sample port draws the diluted mixture into a measurement chamber. In the measurement chamber, the analyzer uses laser or other forms of light to count red blood cells, white blood cells, and platelets.
Some of the main features of hematology diluents include:
The design of hematology diluents primarily refers to its formulation and packaging. This is in order to ensure optimum functionality and safety for the equipment. The key design elements of the diluent include:
The primary use of diluents in hematology analyzers is for preparing blood samples for counting and classifying different blood cells. Dilution helps reduce blood cell density in samples such that the cells can be analyzed individually to minimize any risk of cell clumping.
Certain hematology diluents contain specific agents that can selectively lyse some cell types to enhance the visibility of others. For example, red blood cell lysis diluents can lyse red blood cells and leave other white blood cells intact for differential counting. This is critical for tests such as a white blood cell (WBC) count where precise numbers of each subtype are needed for diagnoses.
Diluents with fixed concentrations of various cell types may be used as part of a hematology analyzer's quality control process. These diluents are used to ensure the analyzer is providing accurate counts and classifications. By comparing results with expected values, technicians can identify issues with the analyzer or the need for further calibration.
Some hematology diluents contain fixatives that stabilize cell morphology during sample transport and storage before analysis. This helps when there is a need to store the samples for a short time before analysis without losing critical information for diagnoses like morphology changes in blood cells.
Diluent for hematology analyzers is used widely in clinical laboratories for routine blood tests. Beyond this, they are also used in medical research to study various blood disorders, including anemia and leukemia and the effects of various drugs on blood components. This is done by modifying the formulations of the diluents or using them in combination with other reagents to target specific research needs or diagnostic methodologies.
Compatibility
The diluent should be compatible with the hematology analyzer. Ideal diluents should closely match the specific requirements that the manufacturer states for the analyzers. Choosing the compatible diluents helps ensure optimal performance and accuracy during blood analysis.
Stability
The choice of diluent should be one that effectively minimizes cell lysis and morphological changes as much as possible. They should also maintain the cells in their original morphology, especially red blood cells that might be prone to lysis in less robust environments. Such instability can lead to inaccurate counts and poor cellular shape, significantly affecting diagnostic outcomes.
Type of blood cells analyzed
Choose the dilution type that addresses the specific requirements of the cells that you want to analyze. Some diluents are created to target particular white blood cell subtypes, platelet counts, or parameters related to red blood cell structure. Such highly specialized diluents permit precise cell counting and classification, which is required for certain analyses, such as differential white blood cell counts.
Electrolyte composition
The electrolyte composition of the diluent significantly impacts cell viability during the analysis. The presence of key electrolytes such as sodium and potassium ions maintains the osmotic balance that helps keep the blood cells intact and within their natural shapes. This is important because any morphological changes in these cells could lead to inaccurate diagnostic results.
Testing parameters
Although all hematology analyzers operate on the same principle, there are slight differences in how one model behaves compared to the other. These differences will also be in the diluents specified by the manufacturer for the analyzers they produced. Using the specified diluents will help the analyzer perform and produce accurate counts and parameter readings.
Formulation
The formulation of the diluent is such that it contains additives or buffers aimed at stabilizing specific blood components during the process. For example, several formulations contain fixatives to preserve cell shape or add more electrolytes to maintain osmotic balance. These additives serve various purposes, from enhancing cell viability to improving the overall accuracy of analytical results.
A1: Hematology diluents help prepare blood samples by diluting them to the correct concentration for analysis. It reduces blood cell density such that the cells can be analyzed individually to minimize any risk of cell clumping.
A2: Some diluents for red blood cell count come with specialized agents that selectively lyse some cell types to enhance the visibility of others. For instance, red blood cell lysis diluents can lyse red blood cells and leave other white blood cells to perform differential counting. This is critical for tests like the white blood cell count that require precise numbers for diagnoses.
A3: The stability of blood components like red blood cells is crucial for accurate results. Diluent that minimize cell lysis will help maintain cells in their original shapes. This improves the precision of parameters such as red blood cell morphology, platelet count, and mean corpuscular volume.
A4: Quality control procedures often involve running samples dilated with known concentrations of cells alongside patient samples. This way, it serves as a reference point to ensure the analyzer's performance is consistent across different situations.
A5: Contamination of hematology diluents by microorganisms can severely impact the results of blood analyses and may also damage the analyzer itself. This is because microorganisms can cause changes in cell morphology, potentially leading to incorrect diagnostic results.