Implementation of flow cytometry testing on rare matrix samples: Special considerations and best practices when the sample is unique or difficult to obtain

Author:

Devitt Katherine A.12ORCID,Kern Wolfgang3,Kajstura Malgorzata A.4,Holl Eda K.5,Hays Amanda L.6,Hedley Benjamin D.7ORCID,Gonneau Christèle8,Jellison Evan R.9,McCloskey Thomas W.10,Mishra Shruti11ORCID,Rebeles Jennifer12,Ouseph Madhu M.13

Affiliation:

1. Department of Pathology and Laboratory Medicine University of Vermont Medical Center Burlington Vermont USA

2. Larner College of Medicine at the University of Vermont Burlington Vermont USA

3. Department of Flow Cytometry MLL Munich Leukemia Laboratory Munich Germany

4. Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester New York USA

5. Danaher Corporation Washington DC USA

6. Scientific Office BioAgilytix Labs Durham North Carolina USA

7. Pathology and Laboratory Medicine London Health Sciences Centre London Ontario Canada

8. Flow Cytometry Department Labcorp Central Laboratories Services Geneva Switzerland

9. Department of Immunology UCONN School of Medicine Farmington Connecticut USA

10. Department of Research and Development ICON Laboratory Services Farmingdale New York USA

11. Bone Marrow Transplantation and Stem Cell Research Centre, Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh India

12. Department of Diagnostics bioAffinity Technologies San Antonio Texas USA

13. Department of Pathology and Laboratory Medicine Weill Cornell Medicine New York New York USA

Abstract

AbstractThe publication of Clinical and Laboratory Standards Institute's guideline H62 has provided the flow cytometry community with much‐needed guidance on development and validation of flow cytometric assays (CLSI, 2021). It has also paved the way for additional exploration of certain topics requiring additional guidance. Flow cytometric analysis of rare matrices, or unique and/or less frequently encountered specimen types, is one such topic and is the focus of this manuscript. This document is the result of a collaboration subject matter experts from a diverse range of backgrounds and seeks to provide best practice consensus guidance regarding these types of specimens. Herein, we define rare matrix samples in the setting of flow cytometric analysis, address validation implications and challenges with these samples, and describe important considerations of using these samples in both clinical and research settings.

Publisher

Wiley

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