Acoustic imaging cytometry integrates high-throughput flow cytometry with high-resolution brightfield imaging, enabling simultaneous quantitative and morphological analysis of cells. This technology employs acoustic focusing to align cells precisely within a fluidic channel, ensuring optimal presentation to an optical system that captures high-quality images at rates up to 6000 events per second. The uncolored, high-contrast images reveal detailed cellular morphology, such as size, shape, and internal structures, complementing traditional flow cytometry data like cell counts and fluorescence intensity. This dual-modality approach is transformative for clinical research, offering a comprehensive view of heterogeneous cell populations in fields such as oncology, hematology, and immunology. © 2026 Wiley Periodicals LLC. Basic Protocol 1: Diluting whole blood for flow cytometry of red blood cells Basic Protocol 2: Lyse-no-wash whole blood staining Basic Protocol 3: Stain-fix-lysis for leukocyte immunophenotyping and cell cycle analysis Basic Protocol 4: Setting up the Attune CytPix imaging cytometer Basic Protocol 5: Manual focusing on the Attune CytPix imaging cytometer Basic Protocol 6: Red blood cell morphological assessment Basic Protocol 7: Analysis of cell-to-cell interactions: Cytotoxic activity and rosetting Basic Protocol 8: Classical morphology and biomarker analysis in myelodysplastic syndromes, plasma cell disorders, and acute myeloid leukemia Basic Protocol 9: Cell debris discrimination in cerebrospinal fluid analysis Basic Protocol 10: Real-time single-cell analysis: Discrimination by morphological and pulse parameters Basic Protocol 11: DNA content and hierarchical clonal heterogeneity analysis in acute myeloid leukemia.
Sorigue et al. (Sun,) studied this question.