Based on the conclusion of the article entitled, "Red and white blood cell morphology characterization and hands-on time analysis by the digital cell imaging analyzer DI-60" DI-60 may contribute to the improvement of laboratory efficiency with increased feasibility. However, for abnormal samples, it should be utilized carefully with other indicators such as CBCs and flags from the hematology analyzer. Caution is also required when reporting the borderline results of RBC morphologies considering the imprecision of DI-60. With that being said, I want to know other analyzers which can cater the demand for an accurate and precise detection both from abnormal and normal cases, especially since working in the laboratory means encountering more abnormal cases.
The XN series from the same brand is another generation of hematological analyzers that offers more advanced features which make them more preferrable for measurement of abnormal samples. In a study by Kim et. al. (2017), the researchers compared the performance of Sysmex DI-60 with Sysmex XN. They found that although the platelet counts by both analyzers highly correlate, Sysmex DI-60 underperformed in comparison due to its underestimation of platelet counts in samples with marked thrombocytosis.
Reference:
Kim, H., Hur, M., Kim, H., Kim, S., Moon, H. & Yun, Y. (2018). Performance of automated digital cell imaging analyzer Sysmex DI-60. Clinical Chemistry and Laboratory Medicine (CCLM), 56(1), 94-102. https://doi.org/10.1515/cclm-2017-0132
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