Accurate Hematology Analysis Using Hydrofocusing

August 25, 2014

Hematology analysis is an important step in medical diagnoses, often determining the treatment that a patient will receive. With a patient’s life on the line, it is vital that these analyses are accurate to the highest degree possible. Researchers at HORIBA Medical, a worldwide supplier of medical diagnostic equipment, turned to simulation to develop new methods for optimizing the accuracy of their hematology analysis devices. The resulting technique is currently used in some of their best-selling equipment.

Simulation Enables Design Optimization

On a small scale, using physical testing to improve device performance can be nearly impossible, where actual measurements can be either too expensive or too difficult to obtain. Simulation is a cost-effective and efficient way to overcome this challenge, as it provides engineers with a way to measure and optimize device performance in lieu of actual measurements. Using COMSOL Multiphysics, Damien Isèbe, Scientific Computing Engineer, spearheaded a project at HORIBA Medical to determine how the accuracy of hematology analysis devices could be improved.

Hematology Analysis Explained

How do we measure the size and concentration of red blood cells (erythrocytes), white blood cells (leukocytes), and platelets? One well-known approach to blood analysis, which is employed by many of HORIBA’s analyzers, uses a combination of optical measurement and electrical impedance to count and size cells as they pass though a micro-aperture electrode system (shown below).

Schematic of a micro-aperture electrode system.

The fully-automatic process begins with the placement of a blood sample in an analysis chamber, where it travels through a hydraulic channel and is diluted with reagents. The sample is then sent to a counting and measurement chamber made of a micro-aperture placed between two polarized electrodes. Counting and sizing happens as the particles pass through the micro-aperture and induce a voltage drop of the electric field generated by the electrodes. This voltage difference can then be measured and used to determine the particle size, with a greater voltage difference corresponding to a larger molecule.

Hematology analysis process.

Improving the Accuracy of Hematology Analysis

There are a lot of complex physical interactions that take place inside such a device that can influence its accuracy. For example, edge effects — the presence of stronger electric gradients near the edges of an electric field than at the center — can distort the size of the electrical pulse produced by the molecules, resulting in an overestimation of a particle’s size. This occurs when particles pass through the micro-aperture at different positions. The different electrical fields experienced by particles on two different trajectories are visualized below:

Visualizing the different electrical fields of two particles with different trajectories.

A particle’s orientation through the aperture can also result in inaccurate readings. Electric field distribution through the aperture is different depending on orientation, which can again result in an overestimation of the particle’s size. This is shown in the image below, where the resulting voltage change is measured for a particle passing both horizontally and vertically through the electric field.

Plot showing the electric field distribution through the aperture.

Hydrofocusing Improves Device Accuracy

Using COMSOL Multiphysics, Isèbe explored ways to improve the accuracy of the device. Numerical simulation was used to create a multiphysics model that analyzed the electrical pulses resulting from impedance measurement, as well as particle fluid flow analysis. Isèbe’s hypothesis was that hydrodynamic focusing could be improved by the use of numerical simulation.

In the article “Optimizing Hematology Analysis: When Physical Prototypes Fail, Simulation Provides the Answers” from COMSOL News 2014, Isèbe describes how this works. He says, “Hydrodynamic focusing uses sheath flow to control the sample rate inside the aperture and to direct the sample flow along the central axis of the aperture.” This prevents edge effects from altering the results, and helps to align particles to the same orientation.

Watch the video below to see a simulation of sheath flow:

Hydrodynamic focusing simulation showing how sheath flow is used to direct the sample along the central axis of the electrode aperture (sample flow in red and sheath flow in blue).

Isèbe used the simulations to compute the velocity field and particle acceleration within the device, and to determine which configuration produced the most accurate results. The analyses were then compared to experimental results, where it was shown that the hydrofocused device is about twice as focused as the non-hydrofocused one.

This technology is now used in the ABX Pentra Series, one of the most accurate fully-automatic hematology analyzers on the market today. As Isèbe concludes in the article, “using simulation, I was able to optimize this technique in order to improve hematology analysis into the diagnostic equipment at HORIBA.” He continues, “Due to advancements in computational analysis and supercomputing capabilities, numerical simulation has become the third pillar of science, next to theory and experimentation… it is now a critical tool for research and development at HORIBA Medical, and it’s a key resource used for decision-making in technological innovation.”

In the lab: Didier Crémien and Damien Isèbe of HORIBA Medical.
Left: Didier Crémien, Mechanical Project Manager. Right: Damien Isèbe, Scientific Computing Engineer.

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