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Cerebrospinal fluid is examined using a variety of methods, which also include determining the number and type of each cell. Now the method of the first choice to determine the cellular elements is a microscopic method. This determination, however, can also be done using the analyzer method, which is not yet so widespread. The aim of my thesis was to compare these two methods and determine whether the examination of cerebrospinal fluid on the analyzer Sysmex XE-5000 in the "Body Fluid" mode can replace commonly used microscopic methods. To this purpose, we gathered the laboratory data measured by using both these methods. These data was compared, evaluated and statistically processed. The resulting data suggest that the values measured on the analyzer Sysmex XE-5000 are more accurate than from microscopic determination, especially at highly cell samples of cerebrospinal fluid. To this end, we came evaluation of Bland-Altman graphs and comparison graphs with marked of limits of physiological oligocytosis. For checking of the accuracy of measurements, we verified the repeatability of the analyzer for the values of leukocytes and erythrocytes, coefficients of variation corresponding to the values specified by the manufacturer's documentation. We also investigated the stability of samples of...

Sysmex XE-5000 är en automatiserad cellräknare som utför mätningar enligt olikamätprinciper, de två som tillämpats i projektet är RF/DC(Radio Frequency/DirectCurrent) samt Flödescytometri med halvledarlaser. RF/DC bygger på förändringari radiofrekventa resistansen och likspänningsresistansen. Förändringar i denradiofrekventa resistansen (RF) ger information om densiteten i cellernas inre(exempelvis kärnans storlek) och förändringar i likspänningsresistensen (DC) gerinformation om blodcellernas storlek. Flödescytometri definierar ett mått påcellers fysiologiska och kemiska egenskaper. Detektion av cellerna sker genom attde bestrålas med en laserstråle samtidigt som de passerar en och en i instrumentet.Informationen som fås ut från flödescytometri inkluderar spritt ljus ochfluorescens. Sysmex XE-5000 arbetar med flera olika felmeddelanden, så kalladelarm. Ett eller flera larm indikerar att det finns en ökad risk för förekomst avabnormala celler och kan enbart uteslutas genom en manuell differentialräkning. Istudien har tre larm, vilka indikerar närvaron av onormala leukocyter, undersökts:”Blasts?”, ”Atypical Lympho?” och ”Abn Lympho/L_Blasts?”. Syftet medprojektet är att jämföra nuvarande beräkningar med en ny mjukvara (eMM) förlarmen och utvärdera om de ger ett mindre antal falskt positiva larm frånhematologiinstrumentet Sysmex XE-5000. Prover med något av ovanstående larmvaldes ut och analyserades först med nuvarande inställningar på instrumentet ochdärefter med de nya beräkningarna för eMM. Resultatet visar på att antalet falsktpositiva prover minskar och även att antalet dubblettlarm minskar. / Sysmex XE-5000 is an automated cell counter that performs measurements withdifferent principles. The two applied in this project are RF/DC (RadioFrequency/Direct Current) and Flow cytometry with semiconductor laser. RF/DCis based on changes in radio frequency resistance and direct current voltage.Changes in RF provide information about the density of the cell’s internalstructure (e.g. the nucleus) and changes in DC provide information about the sizeof the blood cells. Flow Cytometry define as physiological and chemicalproperties of the cell. Detection of cells is achieved by the irradiation with a laserbeam while passing through one by one. The information obtained from flowcytometry includes scattered light and fluorescence. Sysmex XE-5000 works withseveral different error messages, so-called alarm. One or more alarm indicates thatthere is an increased risk for the presence of abnormal cells and this can only beruled out by a manual differential count. In this study three alarms, which indicatethe presence of abnormal white blood cells, were analyzed: “Blasts?”, AtypicalLympho?” and “Abn Lympho/L_Blasts?”. The project aims to compare thecurrent calculations with the new software (eMM) for the alarms and evaluate ifthey provide a smaller number of false positive alarms from the hematologyinstrument Sysmex XE-5000. Samples with one or two of the alarms wereselected and analyzed with the current settings and then with the new settings foreMM. The result showed that the number of false-positive samples was reducedand that the number of duplicate alarms decreased.