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looking at the flow cytometry results below, which is the most effective treatment?

by Chyna Pagac Jr. Published 2 years ago Updated 2 years ago

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A flow cytometry test can tell your medical team how aggressive your condition is, how likely it is that a certain treatment will work and how likely your condition is to relapse after treatment is complete. When talking about your potential treatment, all of these factors will be taken into account.

What can a flow cytometry test Tell Me?

Immunology and Flow Cytometry When it comes to immunology, flow cytometry reflects three core values: efficacy, speed, and practicality. Efficacy – Because immunological responses are highly dependent on individual reactions, flow cytometry helps to isolate cells for further testing.

What are the three core values of flow cytometry?

Photomultiplier tubes (PMTs) remain the standard detector technology for flow cytometry. Their high sensitivity and low backgrounds make them useful for fluorescence technology. However, solid state detectors are starting to appear in some cytometers.

What is the best detector technology for flow cytometry?

In most cases, if flow cytometry is being used for diagnosis, it will only be done once. However, if flow cytometry is being used to monitor a health condition, you may need to have the test repeated on a regular basis.

How many times can you do a flow cytometry?

How do you interpret flow cytometry results?

7:4421:16Flow Cytometry Data Analysis - YouTubeYouTubeStart of suggested clipEnd of suggested clipOkay so first first thing in flow cytometric data analysis or the the or the flow cytometryMoreOkay so first first thing in flow cytometric data analysis or the the or the flow cytometry experiment is is the gating gating is used useful for identifying the the cells of the interest.

What is considered positive in flow cytometry?

We can set a marker on the control sample and everything that appears to the right in the test sample is deemed positive. Figure 2. Negative sample (A) and test sample (B).

What does a flow cytometry test show?

Flow cytometry immunophenotyping is used primarily to help diagnose and classify blood cell cancers (leukemias and lymphomas) and to help guide their treatment.

How can I improve my flow cytometry results?

Here are five solutions you can use to improve flow cytometry results:Choose the right flow cytometry controls.Obtain meaningful data from viable cells by staining dead ones.Reduce interference from your fluorescent signal.Maintain the fluorescent signal.Use the correct methods for sample preparation.

What is normal flow cytometry?

Flow cytometry is a laser-based technique used to detect and analyze the chemical and physical characteristics of cells or particles. It is most commonly used to evaluate bone marrow, peripheral blood and other fluids in your body.

How do you describe a flow cytometry graph?

Flow cytometry data is typically represented in one of two ways: histograms, which measure or compare only a single parameter, and dot-plots which compare 2 or 3 parameters simultaneously on a two- or three-dimensional scatter-plot.

What are flow cytometry markers?

These markers are usually functional membrane proteins involved in cell communication, adhesion, or metabolism. Immunophenotyping using flow cytometry has become the method of choice in identifying and sorting cells within complex populations, for example the analysis of immune cells in a blood sample.

What are some examples where flow cytometry is used in the treatment or diagnosis of specific diseases?

There are a number of common uses for flow cytometry:Immune Function With HIV Infection. ... Bone Marrow and Anemia. ... Organ Transplants. ... Sperm Counts. ... Blood-Related Cancers. ... Blood Clotting Disorders. ... Immunophenotyping. ... Reticulocyte count.More items...•

Why is flow cytometry important?

The reason flow cytometry is so successful with heterogeneous cell populations is that it analyzes cells one at a time. It does this by using the properties of fluid dynamics. Flow cytometry data enables the user to understand each cell type and its properties on a deeper level.

How can you improve the viability of cells?

To improve viability, decrease the voltage by increments of 10 volts to improve viability. Oftentimes, it is helpful to run an optimization experiment at a range of different voltages and assess electroporation efficiency and viability at each. Electroporation pulse length is too long.

How do you use a flow cytometry?

1:4612:08Flow Cytometry - YouTubeYouTubeStart of suggested clipEnd of suggested clipThrough the interrogation. Point for accurate data collection it is important that particles orMoreThrough the interrogation. Point for accurate data collection it is important that particles or cells are passed through the laser beam one at a time most flow cytometer accomplish. This by injecting

When planning your flow cytometry experiment What are the 2 most important things to consider?

1. Know your instrumentation and the reagents available for the optical setup. 2. Know the biology of your system.

Why is flow cytometry used?

Flow cytometry is used in many areas of clinical testing. 1  That's because it's a relatively straightforward way to look for specific types of cells. Those cells can be cancer cells, immune cells, or even different types of sperm. As long as there is a way to mark cells for detection, flow cytometry can be used to find them.

What happens when you need flow cytometry?

Sometimes, you will need to stop a certain medication, or an activity, for a period of time before the test will be accurate. If this is the case, you will be asked to change your behavior and return to have a sample taken at a later date. Other times, the sample for flow cytometry can be taken at the same visit where the doctor decides that the test is needed.

Where to start IV sedation for bone marrow biopsy?

If IV sedation is being used, an IV will be started in one of your arms. You will asked to lie in a position that gives the doctor good access to the test site.

How long does it take for flow cytometry results to come back?

Flow cytometry results can take up to several weeks to come back. How long will depend on the specific types of cells that are being looked for as well as what lab is used. Flow cytometry is a very technical test, and many labs may have only limited ability to process samples.

How to identify a specific type of cell?

Usually, all it takes to identify a specific type of cell is to create a monoclonal antibody to recognize that cell . Then a fluorescent dye is attached to the antibody, and flow cytometry can find all the cells that the antibody targets. Common uses for flow cytometry tests include:

What is the purpose of a reticulocyte count?

Counting the number of reticulocytes (immature red blood cells) in the bone marrow. This can be used to determine the cause of anemia. It can also be used to check the health of the bone marrow after a transplant or after chemotherapy. This is generally done on a bone marrow sample.

Can flow cytometry be taken at the same time?

Other times, the sample for flow cytometry can be taken at the same visit where the doctor decides that the test is needed. If your doctor wants you to have a flow cytometry test, it's important to ask if and how any medications or supplements you take might affect the test results.

What is the next step in a flow cytometer?

Once you’re set to gather the data, the next step is to gate the data. Setting up the proper parameters within the electronics and the flow cytometer allows you to properly collect the data; gating ensures that what you’re looking at is helpful. It singles out the cells that you want to further analyze.

How does a flow cytometer work?

Flow cytometers utilize properties of fluid dynamics to send cells one at a time through a laser. The optics and computer systems then track the photon emission from excited cells and analyze both the light that scatters past (forward scatter; FSC) and the light that scatters perpendicularly (side scatter; SSC). This allows researchers to identify multiple characteristics of a cell simultaneously.

What is the most effective method for counting and sorting heterogeneous fluids?

Whether you’re analyzing a sample looking for cancer cells, or separating stem cells in a laboratory, flow cytometry is the most effective method for counting and sorting heterogeneous fluids but its efficacy depends heavily on the machinery used.

What is flow cytometry?

Flow cytometry is a powerful tool that has applications in multiple disciplines such as immunology, virology, molecular biology, cancer biology and infectious disease monitoring. For example, it is very effective for the study of the immune system and its response to infectious diseases and cancer.

How do flow cytometers work?

Flow cytometers utilize lasers as light sources to produce both scattered and fluorescent light signals that are read by detect ors such as photodiodes or photomultiplier tubes. These signals are converted into electronic signals that are analyzed by a computer and written to a standardized format (.fcs) data file.

How to determine cell viability?

Cell viability can be measured through exclusion of dyes (Propidium iodide, DAPI) or by the binding of a dye to amines within a cell to determine if the cell membrane is intact. The exclusion dyes cannot be fixed are only suitable for cells that are not infectious and will be analyzed immediately.

What dyes are used to fix infectious cells?

Amine binding dyes such as the Live/Dead reagents (ThermoFisher), Zombie dyes (Biolegend) or Fixable Viablity dyes (BD Biosciences) can be fixed and used for cells that are infectious, cells that need to be stained for internal antigens and cells that need to be stored prior to acquisition. Calcium Indicator Dyes .

How does a cell sorter work?

A cell sorter allows the user to select (gate) on a population of cells or particles which is positive (or negative) for the desired parameters and then direct those cells into a collection vessel. The cell sorter separates cells by oscillating the sample stream of liquid at a high frequency to generate drops.

Does mass cytometry have autofluoresce?

However other methods such as cell barcoding can be employed for this purpose (Leipold, Newell, & Maecker, 2015). Also, mass cytometry does not have cellular autofluoresce signals and reagents do not have the emission spectral overlap associated with fluorescent labels so compensation is not needed.

What are the advances in flow cytometry?

Advances in flow cytometry technologies have been significant, leading to greater automation, higher performance, and an increased range of capabilities for clinical applications. “The technology has really exploded over the past 5 or 10 years, with a lot of new market entrants offering instrumentation, and a lot of new discoveries in reagents, fluorophores, and dyes,” says Sardina. “In the past, flow cytometry was so complex that it was associated with a lot of ease-of-use issues. But now it’s become much easier to use. The latest generations of instruments are finally catching up with technologies that have been available in other fields for many years, including the adoption of user-friendly software. And clinical applications of the technology are also growing along those lines.”

When was flow cytometry first used?

One of the earliest clinical applications for flow cytometry was developed during the 1980s , shortly after the human immunodeficiency virus (HIV) was first identified as the causative agent of acquired immunodeficiency syndrome, when labs began using the test to monitor patients’ CD4 T-helper cells.

Is flow cytometry used in clinical laboratories?

In the armamentarium of the healthcare community, flow cytometry has commonly been regarded as a tool best applied in research laboratories rather than in clinical laboratories. A workhorse technology that offers tremendous flexibility and power for detecting cellular abnormalities and identifying a wide range of pathogens, flow cytometry has nevertheless been mostly restricted to use in research settings, where studies contribute understandings that often find application through other diagnostic methods.

Is flow cytometry used for lymph nodes?

Flow cytometry offers a very easy way to deal with specimens that are either liquid, like the leukemias, or semiliquid, like the lymph nodes involving lymphoma.”. “Flow cytometry is the most widely used diagnostic tool in the field of hematological oncology—particularly for leukemia and lymphoma,” agrees Meyers.

Why is sequencing so powerful?

Why is Next Generation Sequencing so powerful to explore and answer both clinical and research questions. With the ability to sequence whole genomes, identifying novel changes between individuals, to exploring what RNA sequences are being expressed, or to examine DNA modifications and protein-DNA interactions occurring that can help researchers better understand the complex regulation of transcription. This, in turn, allows them to characterize changes during different disease states, which can suggest a way to treat said disease. Over the next two blogs, I will highlight these different methods along with illustrating how these can help clinical diagnostics as well as…

What is clinical trial?

Clinical trials are studies designed to test the novel methods of diagnosing and treating health conditions – by observing the outcomes of human subjects under experimental conditions. These are interventional studies that are performed under stringent clinical laboratory settings. Contrariwise, non-interventional studies are performed outside the clinical trial settings that provide researchers an opportunity to monitor the effect of drugs in real-life situations. Non-interventional trials are also termed observational studies as they include post-marketing surveillance studies (PMS) and post-authorization safety studies (PASS). Clinical trials are preferred for testing newly developed drugs since interventional studies are conducted in a highly monitored…

What happens to B cells after exposure to antigens?

After antigen exposure, B cells undergo class-switch recombination, which results in the constant region of the heavy chain being swapped to a different type (e.g. from an IgM to an IgG1).

Why is flow cytometry so successful?

The reason flow cytometry is so successful with heterogeneous cell populations is that it analyzes cells one at a time. It does this by using the properties of fluid dynamics. Flow cytometry data enables the user to understand each cell type and its properties on a deeper level.

How efficient is flow cytometry?

Modern flow cytometers can analyze and sort thousands of cells per second, making it the most efficient cell sorting technique. This is possible because once the fluid is injected, the electronics systems paired with the optics system (for information) automates the entire process. Keeps cells alive.

What is the study of the immune system?

Immunology is the study of the immune system and is a very important branch of the medical and biological sciences. The immune system protects us from infection through various lines of defense. If the immune system is not functioning as it should, it can result in disease, such as autoimmunity, allergy and cancer.

What happens when a cell passes through a laser?

When the cell passes through the laser, the fluorochrome will get excited and release photons. This signals for an electric charge to be put on the cell.

What is flow cytometry?

Bad jokes aside, another equally valid definition of flow cytometry is: A technique that analyzes a heterogeneous cell population one cell at a time and can sort, count, and even isolate the different cells. This second definition probably brings the imagination closer to why it’s such a necessary component of immunology.

What is the purpose of immunological samples?

In immunological samples, where blood, bone marrow, or other fluids are taken to test, the number of cell populations living within it makes it troublesome to analyze. In order to sort and isolate the cells, physically or gated on the data, you need to know what cells you’re looking at.

How do fluorescent labels work?

These variables come from: Fluorescently labeled cells – By using antigens with fluorescent labels (or molecules that can stimulate responses in immune systems) that target and lock onto a specific type of cell’s exterior protein, you can separate cell populations by placing an electric charge on the labeled cells.

Why is flow cytometry important?

Flow cytometry immunophenotyping may be useful in helping to diagnose, classify, treat and determine prognosis of these blood cell cancers. Leukemias and lymphomas are caused by an abnormal white blood cell that begins to divide uncontrollably, making numerous copies of itself (clones).

What is flow cytometry used for?

Flow cytometry immunophenotyping is used primarily to help diagnose and classify blood cell cancers (leukemias and lymphomas) and to help guide their treatment. It may be used in follow up to a complete blood count (CBC) and WBC differential that show an increased number of lymphocytes or the presence of immature blood cells or other abnormal cell ...

What is immunophenotyping flow cytometry?

Immunophenotyping by flow cytometry is a laboratory method that detects the presence or absence of white blood cell (WBC) markers called antigens. These antigens are protein structures found on or within WBCs. Specific groupings of these antigens are normally present on or within WBCs and are unique to specific cell types and stages ...

Why is immunohistochemistry used for leukemia?

It may be because the markers of interest are not available for flow cytometry or because fresh cells or tissue are not available (a requirement for flow cytometry immunophenotyping).

Why do we need a blood sample for immunophenotyping?

If abnormal cells are present in the bloodstream, a blood sample is often used for flow cytometry immunophenotyping as it is easy to obtain and less invasive than other collection methods. However, lymphoma cells may or may not find their way to the bloodstream and might require other collection techniques.

What is included in a laboratory report?

A laboratory report will typically include specific results from the tests as well as an analysis of what those results mean. The markers (antigens) that are present on the cells as detected by flow cytometry immunophenotyping will help characterize the cells present. A normal cell will display a pattern of antigens that correlates with ...

What is a CBC hematopathologist?

A pathologist, often one specializing in the study of blood diseases and/or blood cell cancers (a hematopathologist), will consider the results from the complete blood count (CBC), differential, blood smear, bone marrow findings, and flow cytometry immunophenotyping as well as other tests in order to provide a diagnostic interpretation.

Part 1 | Gathering The Data Correctly

Part 2 | Gating The Data

  • Once you’re set to gather the data, the next step is to gate the data. Setting up the proper parameters within the electronics and the flow cytometer allows you to properly collect the data; gating ensures that what you’re looking at is helpful. It singles out the cells that you want to further analyze. Some basic techniques when gating data include: 1. Understanding the theory b…
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Part 3 | Analyzing The Data

  • Finally, the pièce de résistance, the stuff of laureates, piecing together the mysteries of your heterogeneous fluid. While there are an incredible number of specific techniques designed for different fluids, here, general techniques will be explained. Beginning with the underlying mathematical component, the method behind the madness, statistical analysis.
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from Population to Presentation | Nanocellect

  • Once you’ve analyzed the data, it’s time to form your conclusion. Whether you’re analyzing a sample looking for cancer cells, or separating stem cells in a laboratory, flow cytometry is the most effective method for counting and sorting heterogeneous fluids but its efficacy depends heavily on the machinery used. That’s why more labs are turning to ...
See more on nanocellect.com

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