Table 1.

MRD Flow provides at least one log greater sensitivity and specificity of detection of CLL cells than conventional flow cytometry and consensus-primer PCR

Detection of CLL cellsConventional flow cytometryPCRMRD Flow
2-Color
CD19CD5
4-Color
CD19/CD5 κ/λ
Fluorescent consensus
Fr3 primer
4-Color
CD19/CD5
CD20/CD79b
Percentage of leukocytes (range)  1.2 (0.4-2.6)  0.4 (0.3-0.7)  0.6 (0.4-0.7) 0.005 (0.003-0.008) 
Percentage of total B cells (range) 35 (33-71) 33 (12-71) 52 (33-71) 0.65 (0.47-1.62) 
Detection of CLL cellsConventional flow cytometryPCRMRD Flow
2-Color
CD19CD5
4-Color
CD19/CD5 κ/λ
Fluorescent consensus
Fr3 primer
4-Color
CD19/CD5
CD20/CD79b
Percentage of leukocytes (range)  1.2 (0.4-2.6)  0.4 (0.3-0.7)  0.6 (0.4-0.7) 0.005 (0.003-0.008) 
Percentage of total B cells (range) 35 (33-71) 33 (12-71) 52 (33-71) 0.65 (0.47-1.62) 

Date shown is the median, maximum, and minimum number of CLL cells as a percentage of total leukocytes (sensitivity) or of total B lymphocytes (specificity) at which each of the assays showed a “positive” result (ie, could identify the presence of CLL cells in the polyclonal background). Criteria for detection of CLL cells are described in the Figure 3 legend.

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