A practical approach to panel design, validation, and interpretation for the evaluation of <scp>T</scp> ‐cell neoplasms by flow cytometry
The diagnosis of T-cell neoplasms remains one of the most challenging areas in hematopathology due to the immunophenotypic heterogeneity and subtle aberrancies often present in these entities. This "Best Practice" manuscript provides a practical framework for laboratories to design, validate, and interpret immunophenotyping studies of immature and mature T-cell neoplasms. We outline the utility of key antigens in the screening and classification of T-cell lymphomas/leukemia including TRBC1 and TRBC2. Analytical strategies using the "difference from normal" method and template-based gating are discussed, along with validation considerations aligned with CLSI H62 guidelines. By integrating these principles into laboratory workflows, this manuscript aims to standardize and improve the assessment of T-cell neoplasms across diverse clinical settings.
Authors
- Lianqun Qiu (ORCID: https://orcid.org/0000-0002-4218-4587)
- Katherine Devitt (ORCID: https://orcid.org/0000-0001-8816-9203)
- Jonathan R. Fromm (ORCID: https://orcid.org/0000-0002-2287-5284)
- Ahmad Al‐Attar (ORCID: https://orcid.org/0000-0002-0707-1886)
- Jolene Cardinali
- Min Shi (ORCID: https://orcid.org/0000-0002-5741-4293)
- Wolfgang Kern (ORCID: https://orcid.org/0000-0002-6452-2874)
- Andrea Illingworth (ORCID: https://orcid.org/0000-0003-0237-3591)
- Felipe Magalhaes Furtado
- Pedro Horna (ORCID: https://orcid.org/0000-0003-4909-6157)
- Jean S. Oak (ORCID: https://orcid.org/0000-0001-5220-4628)
Institutions
- Hartford Hospital (US)
- Mayo Clinic (US)
- The University of Texas MD Anderson Cancer Center (US)
- University of Pittsburgh (US)
- University of Washington (US)
- University of Vermont Medical Center (US)
- Munich Leukemia Laboratory (Germany) (DE)
- Sabin Medicina Diagnostica (Brazil) (BR)
- Hospital Universitário de Brasília (BR)
- CS Diagnostics (DE)
- Stanford University (US)
Publication Details
- Journal
- Cytometry Part B Clinical Cytometry
- Published
- 2025-10-22
- DOI
- https://doi.org/10.1002/cyto.b.22258
- Citations
- 3
- Primary Topic
- T-cell and Retrovirus Studies
- Type
- article
- Field-Weighted Citation Impact
- 2.39