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BC-6000 service training

clincal basic

IVD Global Technical Support Dept.


Version : V1.0
Number: MXQ-18032-BC-6000

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Clinical basic knowledge

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RET·NRBC Introduction

RBC System

Proerythroblast Prorubricyte Polychromatic Metarubricyte Reticulocyte Mature erythrocyte

Nucleated Red Blood Cells

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Reticulocyte

RET ( 0.025~0.075×1012/L )
 Between Metarubricyte and Mature erythrocyte.
 Important indicator for Anemia treatment

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Reticulocyte---Morphology

HFR : High Fluorescent RET


MFR : Medium Fluorescent RET
LFR : Low Fluorescent RET

TYPE I TYPE II TYPE III TYPE IV

HFR MFR LFR

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Ret calculation

Re t #
Re t(%)   100
RBC #9

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NRBC -- Nucleated red blood cell

NRBC ( 0~0.02×109/L )

 There will be no NRBC in normal


human peripheral blood, except for
neonate and fetus.
 Because NRBC have cell nucleus
inside, it is always identified as
WBC.

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NRBC-- calculation

NRBC #
NRBC(%)   100
WBC #

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Fluorescence

 Feature of fluorescence
 Lower intensity
 Longer wavelength Fluorescence
 Affect by temperature Excitation light

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Fluorescence -- nuclear acid

Dye + Nuclear ACID Compound

 Key questions:
a) How does the dye get into cell ? --- Affect the combination of dye and
nuclear acid
b) How much is the nuclear acid? --- Affect the target quantity of the dye
c) The density of the chromatin? --- Affect the efficiency of the bonding
process
d) The concentrate of dye? --- Affect the intensity of the fluorescence
e) Higher temperature, lower fluorescence intensity
f) Reaction time
g) Other factors

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Cell maturation

Fluorescent
幼稚
Immature Mature Intensity
成熟
Strong Weakness
Cell Size Big Small 强 弱
Nucleo- Strong Weakness
Big Small 强 弱
cytoplasmic ratio

Nuclear chromation Strong Weakness


structure 强 弱
Loose Tight

Nuclear acid Strong Weakness


More Less 强 弱
quantity

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Version Information

Version Editor Date Description


Number

1.0 Marcus 2018-6-28 First release

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Review Information

Version Reviewed Review Date Revision Details


Number by

1.0 Luke 2018-6-30 First release

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Thank you!

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