M3: Analysis Automation (Part 3: Sediment/Cell Analyzers) Flashcards
SEDIMENT/CELL ANALYZERS
- This type of sediment/cell analyzers provides efficient standardized results
- markedly improves TAT
Automated Microscopy Analyzers
SEDIMENT/CELL ANALYZERS
What are 2 types of technology used in sediment/cell analyzers
- Flow cytometry
- Digital imaging techniques
What are the automated urine system for sediments/cells?
- Sysmex UF-1000i Fully Automated Urine Particle Analyzer and Sysmex UN-2000 Automated Urinalysis System
- Beckman Coulterʼs iQ200 Microscopy Analyzer
- 77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
- 77 Elektronika UriSed 3Pro Automated Urine Sediment Analyzer
- FUS-100 and FUS-200 Sediment Analyzers
Automated urine system for sediments/cells
- Uses fluorescent flow cytometry
- Measures forward, side, and flourescent signal
- Has 2 channels
- uses 1.2 mL of uncentrifuged urine
- particles are identified by measuring the height and width of the fluorescent and light scatter signals
Sysmex UF-1000i Fully Automated Urine Particle Analyzer and Sysmex UN-2000 Automated Urinalysis System
Automated urine system for sediments/cells
In Sysmex UF-1000 and Sysmex UN-2000, it uses flow cytometry to measure what (3) parameters of light
- Forward light scatter
- Side scatter
- Fluorescent signal
Automated urine system for sediments/cells
This measures size (length of cells)
Sysmex UF-1000 and Sysmex UN-2000
(3) parameters of light
Forward light scatter
Automated urine system for sediments/cells
Measures shape and internal structure/complexity of the element
Sysmex UF-1000 and Sysmex UN-2000
(3) parameters of light
Side scatter
Sysmex UR-1000 and Sysmex UN-2000
Automated urine system for sediments/cells
Measures cellular inclusions
Sysmex UF-1000 and Sysmex UN-2000
(3) parameters of light
Fluorescent signal
Automated urine system for sediments/cells
What are the requirements in Sysmex UF-1000i and Sysmex UN-2000?
Sysmex UF-1000 and Sysmex UN-2000
- 1.2 mL of uncentrifuged urine
- 2 channels (sediment and bacterial channel)
Automated urine system for sediments/cells
T or F
1.2 mL of centrifuged urine is used in Sysmex UF-1000i and Sysmex UN-2000
Sysmex UF-1000 and Sysmex UN-2000
F (1.2 mL uncentrifuged urine)
Automated urine system for sediments/cells
Channel for urine particle analysis
Sysmex UF-1000 and Sysmex UN-2000
Sediment channel
Automated urine system for sediments/cells
Channel for bacteria staining and detection
Sysmex UF-1000 and Sysmex UN-2000
bacterial channel
Automated urine system for sediments/cells
This stabilizes the pH and lyses the non-bacterial particles
Sysmex UF-1000 and Sysmex UN-2000
bacteria channel
diluent
Automated urine system for sediments/cells
T or F
stain in bacterial channel is specific to the RNA in a bacterial cell
Sysmex UF-1000 and Sysmex UN-2000
T
Automated urine system for sediments/cells
Bacterial channel is incubated at what temperature?
Sysmex UF-1000 and Sysmex UN-2000
42 c
Automated urine system for sediments/cells
Resulting values of Sysmex UF-1000 and Sysmex UN-2000 are presented in what unit?
Sysmex UF-1000 and Sysmex UN-2000
quantitative cells per microliter (μ) and cells per HPF or LPF
Automated urine system for sediments/cells
Main particles detected in Sysmex UF-1000 and Sysmex UN-2000
Sysmex UF-1000 and Sysmex UN-2000
- RBCs
- WBC
- SECs
- Hyaline casts
- Bactera
Automated urine system for sediments/cells
Flagged particles in Sysmex UF-1000 and Sysmex UN-2000
Sysmex UF-1000 and Sysmex UN-2000
- Pathologic casts
- Crystals
- Small round cells (RTE/transitional ECs), sperm, mucus, yeast-like cells
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
Pathologic casts
Sysmex UF-1000 and Sysmex UN-2000
flagged particles
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
Crystals
Sysmex UF-1000 and Sysmex UN-2000
flagged particles
Sysmex UF-1000 and Sysmex UN-2000
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
RTE cells
Sysmex UF-1000 and Sysmex UN-2000
flagged particle
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
Transitional ECs
Sysmex UF-1000 and Sysmex UN-2000
flagged particles
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
sperm
Sysmex UF-1000 and Sysmex UN-2000
flagged
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
mucus
Sysmex UF-1000 and Sysmex UN-2000
flagged
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
yeast-like cells
Sysmex UF-1000 and Sysmex UN-2000
flagged
Sysmex UF-1000 and Sysmex UN-2000
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
RBCs
Sysmex UF-1000 and Sysmex UN-2000
main particle
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
WBCs
Sysmex UF-1000 and Sysmex UN-2000
main particle
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
SECs
Sysmex UF-1000 and Sysmex UN-2000
main particle
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
Hyaline casts
Sysmex UF-1000 and Sysmex UN-2000
main particle
Automated urine system for sediments/cells
Identify if main particles detected or flagged particle:
Bacteria
Sysmex UF-1000 and Sysmex UN-2000
main particle
Automated urine system for sediments/cells
Flagged particles indicate the need to perform what (2) procedures?
Sysmex UF-1000 and Sysmex UN-2000
Manual microscopic analysis and identification
Automated urine system for sediments/cells
T or F
Sysmex UF-1000 and Sysmex UN-2000 can store up to 10,000 results including scattergrams, histograms, and specimen characteristics
Sysmex UF-1000 and Sysmex UN-2000
T
Automated urine system for sediments/cells
T or F
Sysmex UF-1000 and Sysmex UN-2000 can only be used alone
Sysmex UF-1000 and Sysmex UN-2000
F (independently used or integrated with automated urine chemistry strip reader to create a complete urinalysis)
- the principle also used for CBC (specifically, RBC, WBC, and platelet counts)
- the passage of different urine elements in a single file in front of a laser so they can be detected, counted, and sorted
Flow cytometry
Components of a flow cytometry
- Laser
- Fluidic system
- Optic system
- Photodetector
- Computer system
Flow cytometry
Process of flow cytometry
- Some elements are fluorescently-labelled and excited by the laser (emit light at varying wavelengths)
- The optic system gathers the light
- Detector receives light which converts the received scattered light into a voltage pulse
- The computer system converts/transcribes the data into a histogram or scattergram
Components of a flow cytometry
Gathers light
Optic system
Components of a flow cytometry
Converts the received scattered light into a voltage pulse
detector
Components of a flow cytometry
Converts/transcribes the data into a histogram or scattergram
Computer system
Components of a flow cytometry
Flow cytometry can transcirbe data into
a. histogram
b. scattergram
c. both
d. NOTA
c. both
Automated urine system for sediments/cells
- uses digital flow morphology (imaging) and auto particle recognition (APR) to categorize and count urine particles automatically in uncentrifuged urine based on size, shape, texture, and contrast
- uses 1.3 mL of urine
- Used for body fluid cells
- Digital camera takes 500 images
Beckman Coulterʼs iQ200 Microscopy Analyzer
Automated urine system for sediments/cells
T or F
Beckman Coulterʼs iQ200 Microscopy Analyzer is not used ofr body fluid cells
F (also used)
Automated urine system for sediments/cells
T or F
The sample moves in planar flow cell and presented to a digital microscope in a thick moving sheet
Beckman Coulterʼs iQ200 Microscopy Analyzer
F (sample moves in planar flow cell and presented to a digital microscope in a thin moving sheet)
Automated urine system for sediments/cells
Volume of urine used?
(centrifuged or uncentrifuged?)
Beckman Coulterʼs iQ200 Microscopy Analyzer
1.3 mL of uncentrifuged urine
Automated urine system for sediments/cells
- Digital camera takes how many images as sample advances through flow cell
Beckman Coulterʼs iQ200 Microscopy Analyzer
500 images
Automated urine system for sediments/cells
What sediments does Beckman Coulterʼs iQ200 Microscopy Analyzer classify?
Beckman Coulterʼs iQ200 Microscopy Analyzer
RBCs, WBCs, WBC clumps, SECs, non-SECs, unclassified casts, hyaline casts, unclassified crystals, bacteria, yeast, mucus, and sperm
subclassifications also exist in 27 more categories
Automated urine system for sediments/cells
- performs automated microscopy with digital imaging using auto image evaluation module
(AIEM) software - Uses 2mL of centrifuged urine, bright field microscope
- Analyzed by bright-field microscope
- a digital camera captures and categorizes 15 particle images based upon size and shape using AIEM software
- Zoom capability to view images
77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
Automated urine system for sediments/cells
T or F
77 Elektronika UriSed 2 Automated Urine Sediment Analyzer’s interpretation is like that of automatic microscopic smears
F (interpretation is like that of manual microscopic smears)
Automated urine system for sediments/cells
- incorporates phase contrast microscopy in addition to bright-field microscopy to improve differentiation of elements such as hyaline casts, RBC membranes, crystals, and yeasts
77 Elektronika UriSed 3Pro Automated Urine Sediment Analyzer
Automated urine system for sediments/cells
What can be linked with 77 elektronika urised 2 and 3pro to make complete automated urinalysis laboratory system
LabUMat 2
LAB U
Automated urine system for sediments/cells
- flat-flow cell digital imagine technology
- artificial imaging identification (AII) software classifies and quantifies the cells and formed particles in the uncentrifuged urine
- a digital camera captures up to 820 photos
FUS-100 and FUS-200 Sediment Analyzers
Automated urine system for sediments/cells
classifies and quantifies the cells and formed particles in the uncentrifuged urine
FUS-100 and FUS-200
artificial imaging identification (AII) softwarre
Automated urine system for sediments/cells
Centrifuged or uncentrifuged urine?
FUS-100 and FUS-200 Sediment Analyzers
uncentrifuged urine
Automated urine system for sediments/cells
digital camera captures to how many photos?
FUS-100 and FUS-200 Sediment Analyzers
820 photos
it identifies and classifies 12 visible components in urine
Automated urine system for sediments/cells
How many visible components in urine are identified and classified?
FUS-100 and FUS-200 Sediment Analyzers
12
Automated urine system for sediments/cells
What can be integrated with FUS-100 and FUS-200 Sediment Analyzers for a fully automated urinalysis system
FUS-100 and FUS-200 Sediment Analyzers
H-800 chemistry analyzer
Zoom capability
a. Beckman’s Coluter iQ200 microscopy analyzer
b. Sysmex UF-1000 and Sysmex UN-2000 automated urinalysis system
c. both
d. NOTA
d. NOTA
77 ELEKTRONIKA URISED 2 AUTOMATED URINE SEDIMENT IS THE CORRECT ANSWER
Fluorescent flow cytometry
a. Sysmex UF-1000 and Sysmex UN-2000
b. Beckman’s Coulter iq200 microscopy analyzer
c. both
d. NOTA
a. Sysmex UF-1000 and Sysmex UN-2000
1.3 mL of centrifuged urine
a. Beckman’s Coulter iq200 microscopy analyzer
b. 77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
c. both
d. NOTA
d. NOTA
BECKMAN SHOULD BE 1.3 mL UNCENTRIFUGED URINE
Digital camera
a. Beckman’s Coulter iq200 microscopy analyzer
b. FUS-100 and FUS-200 Sediment Analyzers
c. both
d. NOTA
c. both
Phase-contrast microscope
a. 77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
b. 77 Elektronika UriSed 3Pro Automated Urine Sediment Analyzer
c. both
d. nOTA
b. 77 Elektronika UriSed 3Pro Automated Urine Sediment Analyzer
Centrifuged urine
a. 77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
b. 77 Elektronika UriSed 3Pro Automated Urine Sediment Analyzer
c. both
d. nOTA
c. both
Uncentrifuged urine
a. Sysmex UF-1000i and Sysmex UN-2000 Automated Urinalysis System
b. Beckman Coulterʼs iQ200 Microscopy Analyzer
c. FUS-100 and FUS-200 Sediment Analyzers
d. ALL
e. NOTA
d. ALL
Automated urine system for sediments/cells
How many particle images does 77 Elektronika UriSed 2 Automated Urine Sediment Analyzer capture and categorize?
77 Elektronika UriSed 2 Automated Urine Sediment Analyzer
15 particle images
using AIEM software