Table 1.

CAD: handling of samples

AnalysisMaterialSamplingHandling of sample
Hb, blood cell counts Blood EDTA vacuum tube Prewarm at 37-38°C before analysis if problems with agglutination 
CA titer, thermal amplitude, immunoglobulin quantification, SPEP, immune fixation Serum or plasma Blood is drawn into prewarmed vacuum tubes (for serum, no gel or additive); place in warming cabinet or water bath at 37-38°C Keep at 37-38°C until serum/plasma has been removed from clot/cells, after which sample can be handled at room temperature 
Flow cytometry Bone marrow aspirate (too low sensitivity if performed in peripheral blood) Add EDTA or heparin Prewarming before analysis will often be sufficient; if not, wash cells at 37-38°C; for description, see Ulvestad et al40  
AnalysisMaterialSamplingHandling of sample
Hb, blood cell counts Blood EDTA vacuum tube Prewarm at 37-38°C before analysis if problems with agglutination 
CA titer, thermal amplitude, immunoglobulin quantification, SPEP, immune fixation Serum or plasma Blood is drawn into prewarmed vacuum tubes (for serum, no gel or additive); place in warming cabinet or water bath at 37-38°C Keep at 37-38°C until serum/plasma has been removed from clot/cells, after which sample can be handled at room temperature 
Flow cytometry Bone marrow aspirate (too low sensitivity if performed in peripheral blood) Add EDTA or heparin Prewarming before analysis will often be sufficient; if not, wash cells at 37-38°C; for description, see Ulvestad et al40  

Reprinted with permission from Berentsen et al.41 

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