Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry

Platelet counting is a fundamental clinical test for diagnosing haemorrhagic diseases, coagulation abnormalities, and certain autoimmune disorders, and it also serves as a critical basis for decisions regarding platelet transfusion. Common automated methods for platelet counting include the internat...

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Main Authors: Chen Yong, Hu Yonggang, Hu Hai
Format: Article
Language:English
Published: De Gruyter 2025-02-01
Series:Journal of Laboratory Medicine
Subjects:
Online Access:https://doi.org/10.1515/labmed-2024-0135
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author Chen Yong
Hu Yonggang
Hu Hai
author_facet Chen Yong
Hu Yonggang
Hu Hai
author_sort Chen Yong
collection DOAJ
description Platelet counting is a fundamental clinical test for diagnosing haemorrhagic diseases, coagulation abnormalities, and certain autoimmune disorders, and it also serves as a critical basis for decisions regarding platelet transfusion. Common automated methods for platelet counting include the international harmonization protocol (IHP) based on flow cytometry, CD61 immunoplatelet count (CD61-imm), impedance platelet count (PLT-I), hybrid platelet count (PLT-H), optical platelet count (PLT-O), and fluorescence platelet count (PLT-F). The IHP, based on flow cytometry, is recommended as the reference measurement procedure (RMP) by the Ministry of Health of the People’s Republic of China, the International Council for Standardization in Hematology (ICSH), and the International Society of Laboratory Hematology (ISLH) due to its superior precision and accuracy. Despite the significant improvements in efficiency and standardization brought about by automation, traditional blood smear microscopic examination (PLT-M) remains indispensable in specific scenarios, such as low platelet counts or abnormal platelet morphology, to ensure the accuracy and reliability of platelet counting results from automated methods.
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institution Kabale University
issn 2567-9430
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spelling doaj-art-ae9a66873c2942ae83d0f57db79567012025-02-10T13:24:33ZengDe GruyterJournal of Laboratory Medicine2567-94302567-94492025-02-0149121310.1515/labmed-2024-0135Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometryChen Yong0Hu Yonggang1Hu Hai2Department of Clinical Laboratory, People’s Hospital of Naxi District, Luzhou City, Sichuan Province, ChinaDepartment of Clinical Laboratory, People’s Hospital of Naxi District, Luzhou City, Sichuan Province, ChinaDepartment of Clinical Laboratory, People’s Hospital of Naxi District, Luzhou City, Sichuan Province, ChinaPlatelet counting is a fundamental clinical test for diagnosing haemorrhagic diseases, coagulation abnormalities, and certain autoimmune disorders, and it also serves as a critical basis for decisions regarding platelet transfusion. Common automated methods for platelet counting include the international harmonization protocol (IHP) based on flow cytometry, CD61 immunoplatelet count (CD61-imm), impedance platelet count (PLT-I), hybrid platelet count (PLT-H), optical platelet count (PLT-O), and fluorescence platelet count (PLT-F). The IHP, based on flow cytometry, is recommended as the reference measurement procedure (RMP) by the Ministry of Health of the People’s Republic of China, the International Council for Standardization in Hematology (ICSH), and the International Society of Laboratory Hematology (ISLH) due to its superior precision and accuracy. Despite the significant improvements in efficiency and standardization brought about by automation, traditional blood smear microscopic examination (PLT-M) remains indispensable in specific scenarios, such as low platelet counts or abnormal platelet morphology, to ensure the accuracy and reliability of platelet counting results from automated methods.https://doi.org/10.1515/labmed-2024-0135platelet countthe international harmonization protocolcd61 immunoplatelet countimpedance platelet countautomated methodsmicroscopic methods
spellingShingle Chen Yong
Hu Yonggang
Hu Hai
Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
Journal of Laboratory Medicine
platelet count
the international harmonization protocol
cd61 immunoplatelet count
impedance platelet count
automated methods
microscopic methods
title Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
title_full Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
title_fullStr Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
title_full_unstemmed Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
title_short Advances and challenges in platelet counting: evolving from traditional microscopy to modern flow cytometry
title_sort advances and challenges in platelet counting evolving from traditional microscopy to modern flow cytometry
topic platelet count
the international harmonization protocol
cd61 immunoplatelet count
impedance platelet count
automated methods
microscopic methods
url https://doi.org/10.1515/labmed-2024-0135
work_keys_str_mv AT chenyong advancesandchallengesinplateletcountingevolvingfromtraditionalmicroscopytomodernflowcytometry
AT huyonggang advancesandchallengesinplateletcountingevolvingfromtraditionalmicroscopytomodernflowcytometry
AT huhai advancesandchallengesinplateletcountingevolvingfromtraditionalmicroscopytomodernflowcytometry