88187 Flow cytometry, interpretation; 2 to 8 markers

Name of the Procedure:

Flow Cytometry, Interpretation; 2 to 8 Markers

Summary

Flow cytometry is a laboratory technique used to analyze the physical and chemical characteristics of cells or particles in a fluid as they pass through at least one laser. For interpretation involving 2 to 8 markers, the procedure examines multiple cellular properties simultaneously to aid in diagnosis.

Purpose

Flow cytometry is used to diagnose and monitor various medical conditions, including hematologic cancers (like leukemia and lymphoma), immune disorders, and certain infections. The goal is to provide detailed information about cell populations in a sample, helping clinicians make accurate diagnoses and treatment decisions.

Indications

• Unexplained lymphadenopathy (swollen lymph nodes).
• Suspicion of leukemia or lymphoma.
• Monitoring of known hematological malignancies.
• Evaluation of immune deficiencies or dysregulation.
• Infections where understanding immune cell populations might be beneficial.

Preparation

• Typically, no special preparation such as fasting is required.
• Patients might need to provide blood, bone marrow, or other tissue samples.
• inform the healthcare provider of any medications being taken, as some might need to be paused.

Procedure Description

1. A sample is collected from the patient (e.g., blood, bone marrow aspirate, or tissue biopsy).
2. The sample is processed and treated with specific antibodies that bind to the targeted markers on the cells' surface.
3. The treated sample is passed through a flow cytometer, which uses laser beams to detect and measure the properties of the cells.
4. Data is collected and analyzed by specialized software to produce a detailed profile of the cell populations.

Duration

The analysis itself typically takes a few hours, but from sample collection to results interpretation, it might take one to two days.

Setting

The procedure is conducted in a laboratory setting, often within hospitals or specialized diagnostic centers.

Personnel

• Laboratory technicians for sample processing.
• Pathologists or hematologists for interpreting the flow cytometry data.

Risks and Complications

• Sample collection may cause slight discomfort or bruising (if blood or bone marrow is drawn).
• Rarely, there may be complications like hematoma at the sample collection site.

Benefits

• Provides comprehensive and precise data about cell populations.
• Helps in accurate diagnosis and monitoring, which can lead to timely and targeted treatment.
• Results can be obtained quickly, aiding in prompt medical decision-making.

Recovery

• Typically, no recovery time is needed post-analysis.
• Patients may need to follow standard post-collection care (e.g., keeping the biopsy area clean and monitored).

Alternatives

• Immunohistochemistry: Provides information about cell markers in tissue sections but is less comprehensive for multiple markers.
• Molecular diagnostic tests: May provide genetic information but lack the comprehensive cell population analysis.

Patient Experience

• Minimal discomfort during sample collection.
• No sensation during the flow cytometry analysis as it is conducted on the extracted sample.
• Results are usually communicated by the healthcare provider, along with any necessary treatment plans.