Reticulated platelet assay
CPT4 code
Name of the Procedure:
Reticulated Platelet Assay
Common name(s): Reticulated Platelet Test
Technical/medical term(s): Immature Platelet Fraction (IPF) Assay, Reticulocyte Platelet Fraction (RPF) Test
Summary
A reticulated platelet assay is a blood test that measures the number of young (immature) platelets in the bloodstream. This helps in evaluating the bone marrow's platelet production capabilities.
Purpose
The reticulated platelet assay is used to assess bone marrow function and platelet production. It helps diagnose conditions like thrombocytopenia (low platelet count) and can be used to monitor the effectiveness of treatments for these conditions.
Indications
- Patients with unexplained low platelet counts (thrombocytopenia).
- Monitoring bone marrow recovery in patients undergoing treatments like chemotherapy.
- Assessing platelet production in patients with suspected hematologic disorders.
Preparation
- No special preparation is usually required.
- Patients should inform their healthcare provider of all medications and supplements they are taking.
- In some cases, patients might be asked to fast for a few hours before the test.
Procedure Description
- Blood Sample Collection: A blood sample is drawn from a vein, typically in the arm.
- Laboratory Analysis: The blood sample is processed and analyzed in a laboratory. A flow cytometer is often used to identify and measure reticulated platelets based on their RNA content.
- Data Interpretation: The results are interpreted by a hematologist or laboratory specialist.
Tools:
- Syringe and needle for blood draw.
- Flow cytometer for analyzing the sample.
Anesthesia or Sedation:
- Not required.
Duration
- The blood draw itself takes about 5-10 minutes.
- Laboratory analysis usually takes a few hours to a day.
Setting
- The procedure is typically performed in a hospital, outpatient clinic, or specialized laboratory.
Personnel
- Phlebotomist or nurse for blood draw.
- Laboratory technician or specialist for analysis.
- Hematologist for result interpretation.
Risks and Complications
- Common risks: Minor discomfort or bruising at the site of the blood draw.
- Rare risks: Infection at the puncture site.
Benefits
- Helps diagnose and monitor conditions affecting platelet production.
- Guides treatment decisions for hematologic disorders.
- Provides insight into bone marrow function.
Recovery
- Minimal recovery time; patients can usually resume normal activities immediately.
- Follow-up appointments may be scheduled to discuss results with the healthcare provider.
Alternatives
- Bone marrow biopsy: More invasive and provides direct information about bone marrow function but involves greater discomfort and risk.
- Platelet count tests: Provide overall platelet levels but do not distinguish between mature and immature platelets.
Patient Experience
- During the procedure: Patients might feel a slight prick or discomfort during the blood draw.
- After the procedure: Minor soreness or bruising at the blood draw site, which typically resolves quickly.