Fast blood impedance measurements as quality indicators in the pre-analytical phase to prevent laboratory errors

In clinical laboratories the major quantity of errors regarding blood analyses occurs in the pre-analytical phase. Pre-analytical conditions are key necessary factors to maintain the high quality of specimens, to limit day-to-day and batch variations and to guarantee the absolute reliability and accuracy of clinical results and related diagnoses. The quality of the serum samples would have to be very high in order to avoid interferences due to hemolysis, preventing measurement errors. In addition, the quality of blood should be always monitored in a fast way to identify inadequacies and guarantee their complete usability in transfusion procedures. In a near future the solution could be supplying laboratories with smart and portable devices able to rapidly perform quality tests for every samples. Electrical impedance has a relevant potential in analyzing and monitoring blood quality. In this context, we propose a new simple impedance-based biosensor as a possible solution in the pre-analytical phase to efficiently perform fast impedance measurements, useful indicators to check the quality of the samples, ensuring the reliability of results and preventing laboratory errors. This sensor has been applied for the discrimination of different blood components, the identification of hemolysis in serum and the evaluation of blood consistency.

[1]  Izvorni znanstveni članak Quality in laboratory diagnostics : from theory to practice , 2010 .

[2]  Kin Fong Lei,et al.  Real-Time Electrical Impedimetric Monitoring of Blood Coagulation Process under Temperature and Hematocrit Variations Conducted in a Microfluidic Chip , 2013, PloS one.

[3]  Mario Plebani,et al.  Process Control Reduces the Laboratory Turnaround Time , 2002, Clinical chemistry and laboratory medicine.

[4]  Giovanni Chiorboli,et al.  A Novel Inversion Technique for Imaging Thrombus Volume in Microchannels Fusing Optical and Impedance Data , 2014, IEEE Transactions on Magnetics.

[5]  Giuseppe Lippi,et al.  Pre-analytical phase management: a review of the procedures from patient preparation to laboratory analysis , 2017, Scandinavian journal of clinical and laboratory investigation.

[6]  Mario Plebani,et al.  Multicenter evaluation of the hemolysis index in automated clinical chemistry systems , 2009, Clinical chemistry and laboratory medicine.

[7]  Ruben Specogna,et al.  Ex vivo Time Evolution of Thrombus Growth through Optical and Electrical Impedance data fusion , 2013 .

[8]  Ruben Specogna,et al.  Impedance biosensor for real-time monitoring and prediction of thrombotic individual profile in flowing blood , 2017, PloS one.

[9]  Mario Plebani,et al.  Quality indicators to detect pre-analytical errors in laboratory testing. , 2012, The Clinical biochemist. Reviews.

[10]  G. Lippi,et al.  Preanalytical variability: the dark side of the moon in laboratory testing , 2006, Clinical chemistry and laboratory medicine.

[11]  Giovanni Chiorboli,et al.  Uncertainty model of electro-optical thrombus growth estimation for early risk detection , 2016 .

[12]  Shimon Abboud,et al.  Bioimpedance technique for monitoring cerebral artery stenosis in a 3D numerical model of the head. , 2012, Medical engineering & physics.

[13]  Mario Plebani,et al.  Technological Advances in the Hemostasis Laboratory , 2014, Seminars in Thrombosis & Hemostasis.

[14]  Debasish Bhattacharyya,et al.  An Insight into the Abnormal Fibrin Clots — Its Pathophysiological Roles , 2014 .

[15]  Ruben Specogna,et al.  Combined Electro-Optical Imaging for the Time Evolution of White Thrombus Growth in Artificial Capillaries , 2013, IEEE Transactions on Instrumentation and Measurement.

[16]  J. Weisel,et al.  Fibrin network structure and clot mechanical properties are altered by incorporation of erythrocytes , 2009, Thrombosis and Haemostasis.

[17]  E. Barsoukov,et al.  Impedance spectroscopy : theory, experiment, and applications , 2005 .