Optics: measuring and testing – Blood analysis
Reexamination Certificate
2001-01-02
2004-04-06
Tremblay, Mark (Department: 2876)
Optics: measuring and testing
Blood analysis
C436S165000
Reexamination Certificate
active
06717657
ABSTRACT:
FIELD OF THE INVENTION
The present invention relates to the field of quantitative microspectroscopy, and in particular to an apparatus and a method for measuring the volume of individual red blood cells.
BACKGROUND OF THE INVENTION
Determining the volume of individual red blood cells and, based on this measurement, calculating the Mean Cell Volume (“MCV”) and the Red Cell Distribution Width (“RDW”) is of clinical interest. Usually, systems based on electrical impedance measurement (Coulter Counter) or based on light scattering (Flow Cytometer) are employed (see. e.g., J. B. Henry, “Clinical diagnosis and management by laboratory methods”, W. B. Saunders Company, Philadelphia, 1996, pp. 548 ff. or D. H. Tycko, M. H. Metz, E. A. Epstein, A. Grinbaum, “Flow-cytometric light scattering measurement of red blood cell volume and hemoglobin concentration”, Applied Optics 24 (1985), 1355-1365). Impedance counters are complex and expensive instruments that require very careful adjustment and control of instrument and sample parameters. A major disadvantage of flow cytometers is the fact that the parameters of light scattering depend not only on cell volume, but also on the cell's shape.
In 1983, Gray, Hoffman and Hansen proposed a new optical method for determining the volume of cells in a flow cytometer (M. L. Gray, R. A. Hoffman, W. P. Hansen, “A new method for cell volume measurement based on volume exclusion of a fluorescent dye”, Cytometry 3 (1983), 428-432). In this method, the cells are suspended in a fluorescent dye, which is unable to penetrate the cell membrane. The level of fluorescence, which is produced when a narrow stream of the cell suspension is excited by a focused laser beam, will remain constant until a cell arrives in the illuminated region thereby causing a decrease in fluorescence intensity, which is directly proportional to the volume of the cell. In a flow cytometer, a single cell is passing through the laser-illuminated spot within approximately 10. Due to this short data acquisition time interval, the electronic detection bandwidth has to be relatively large, which results in a poor signal-to-noise ratio and in a low precision for the volume determination.
The available data acquisition time can be significantly increased by suspending the cells in a stationary sample and applying digital imaging fluorescence microscopy (see P. L. Becker, F. S. Fay, “Cell-volume measurement using the digital imaging fluorescence microscope”, Biophysical Journal 49 (1986), A465). In the digital fluorescence microscopy approach, a calibration procedure is required in order to determine the cell volume. Recktenwald and co-workers have introduced a method where the calibration is performed by means of optical transparent and non-fluorescent microspheres that are suspended together with the cells (D. Recktenwald, J. Phi-Wilson, B. Verwer, “Fluorescence quantitation using digital microscopy”, Journal Physical Chemistry 97 (1993), 2868-2870). The volume of individual spheres is determined by measuring their projection area under the microscope and transforming this number into a volume, assuming an ideal spherical shape. The decrease in fluorescence intensity as a result of the spheres' volume that is being excluded from emitting fluorescence is used as the required calibration parameter. The advantage of this approach is given by the fact that the calibrating particles are located within the sample itself. In other words, a calibration is performed on the very same sample container, and no extra calibration sample is required.
The use of calibration spheres within a cell suspension is not without problems. First, the introduction of the spheres represents an additional step in the workflow. In systems that are designed for high throughput, this additional step would represent a disadvantage. Secondly, Recktenwald and co-workers observed a tendency of the fluorescent dye molecules to settle down on the sphere's surface, which causes an error. Third, if the optical index of refraction of the spheres does not match well with the liquid's index, then refraction-based artifacts in the measured fluorescence intensity occur at the edges of the spheres. And, finally, the use of microspheres can represent a problem, if, for example, a thin sample thickness in the order of a few micrometers or less is needed.
In view of the disadvantages and problems in the prior art as described above, there exists a need for a simple and reliable method for measuring the volume of individual red blood cells suspended in a liquid.
SUMMARY OF THE INVENTION
It is an objective of the present invention to provide a method and apparatus for measuring the volume of individual red blood cells or other particles that are suspended in liquids.
According to the present invention, and for the case of red blood cells, the above objective is achieved by depositing a liquid sample that contains suspended red blood cells into an optical cuvette having an input window and an output window, by adding and evenly distributing an absorbing dye into the liquid that does not leak into the red blood cells, and that is able to absorb light at wavelengths that are only weakly absorbed by the red blood cells, by illuminating the sample through the input window at a wavelength that is absorbed by said dye, but only weakly absorbed by the red blood cells, by measuring the transmitted light intensity reemerging through the output window in an area that contains no red blood cells, by changing the cuvette thickness in that area by a well-defined amount and measuring the reemerging light intensity in the same area again, by measuring the reemerging light intensity in an area where a red blood cell resides, by measuring the reemerging light intensity in an area close to that same red blood cell, and by calculating the volume of the red blood cell based on these light intensity values and the known change in cuvette thickness.
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Becton Dickinson and Company
Tremblay Mark
Weintraub Bruce S.
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