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Advanced Flow Workshop Shumway Murphey

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<strong>Workshop</strong> 2: <strong>Advanced</strong> <strong>Flow</strong> <strong>Workshop</strong>-<br />

Wayne <strong>Shumway</strong>, CHT, CHS and<br />

Cathi <strong>Murphey</strong>, MT(ASCP), CHS, BLM<br />

Universal Standardization of the FCXM<br />

Will Require More Than MESF<br />

Conversion due to the Variability of:<br />

1) FCXM protocols<br />

2) Secondary Ab characteristics<br />

3) Negative control sera reactivity<br />

4) HLA expression<br />

FCXM Interpretation Using MESF<br />

1) The key to obtaining the clearest perspective on FCXM<br />

data is the differential comparison of fluorescence<br />

intensities that are expressed as linear values<br />

2) MESF are simply standardized linear values<br />

3) If a lab FCXMs on multiple instruments, MESF<br />

conversion provides a convenient way to standardize<br />

data between machines - BUT<br />

4) MESF conversion alone is not sufficient to universally<br />

standardize the FCXM between laboratories<br />

5) MESF reference lines can be used to verify the proper<br />

functioning of fluorescence detection systems<br />

Auto XM<br />

Negative<br />

Positive Donor XM<br />

IS NOT<br />

Due to auto-ab<br />

ab<br />

Patient Cells +<br />

Patient Serum<br />

Positive<br />

Positive Donor XM<br />

MAY BE<br />

Due to auto-ab<br />

ab<br />

Negative<br />

Positive Donor XM<br />

IS NOT<br />

Due to auto-ab<br />

ab<br />

Patient Cells +<br />

Patient Serum<br />

Positive<br />

Positive Donor XM<br />

MAY BE<br />

Due to auto-ab<br />

ab<br />

Cell Washer<br />

IF Positive Donor XM<br />

Donor Cells + Donor Adsorbed patient serum<br />

Negative<br />

HLA-ab<br />

likely<br />

Positive<br />

HLA-ab<br />

NOT likely<br />

7

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