Validation of the Sysmex XN‐V hematology analyzer for feline specimens

Background The Sysmex XN‐V is derived from the new Sysmex XN series of human hematology analyzers. The main changes from the previously validated XT‐2000iV analyzer include an optic‐fluorescent analysis for platelets and a nucleated red blood cell (NRBC) count. Objective We aimed to validate the Sysmex XN‐V for feline blood following the American College for Veterinary Clinical Pathology and International Council for Standardization in Hematology recommendations. Methods Feline EDTA blood specimens were analyzed on the Sysmex XN‐V to evaluate repeatability, linearity, comparison with the XT‐2000iV analyzer and manual methods, stability, and to verify the previously established Sysmex XT‐2000iV RIs. Results Repeatability was excellent for most variables. Visually determined linearity was excellent or good for most variables except eosinophils and platelet variables. The correlation between the XN‐V and XT‐2000iV analyzers was good (≥0.82) for all variables except reticulocyte indices. Correlations between the Sysmex XN‐V and manual differential counts were good to excellent for most variables, acceptable for neutrophils, and fair for monocytes and NRBC. The previously established Sysmex XT‐2000iV RIs can be used to interpret results from the Sysmex XN‐V analyzer for most variables except red cell distribution width and reticulocyte variables. The RI for platelet variables could not be evaluated because of platelet clumps. Changes in the Sysmex XN‐V measurements after storage at 4 and 24°C were similar to those described for the Sysmex XT‐2000iV analyzer. Conclusions The performance of the Sysmex XN‐V analyzer was good and compared favorably with the Sysmex XT‐2000iV analyzer.