Abstract
Objectives
Transportation of medical samples between laboratories or hospital sites is typically performed by motorized ground transport. Due to the increased traffic congestions in urban environments, drone transportation has become an attractive alternative for fast shipping of samples. In accordance with the CLSI guidelines and the ISO 15189 standard, the impact of this transportation type on sample integrity and performance of laboratory tests must be thoroughly validated.
Methods
Blood samples from 36 healthy volunteers and bacterial spiked urine samples were subjected to a 20–40 min drone flight before they were analyzed and compared with their counterparts that stayed on the ground. Effects on stability of 30 routine biochemical and hematological parameters, immunohematology tests and flow cytometry and molecular tests were evaluated.
Results
No clinically relevant effects on blood group typing, flow cytometry lymphocyte subset testing and on the stability of the multicopy opacity-associated proteins (Opa) genes in bacterial DNA nor on the number of Abelson murine leukemia viral oncogene homolog 1 (abl) housekeeping genes in human peripheral blood cells were seen. For three of the 30 biochemistry and hematology parameters a statistically significant difference was found: gamma-glutamyl transferase (gamma-GT), mean corpuscular hemoglobin (MCH) and thrombocyte count. A clinically relevant effect however was only seen for potassium and lactate dehydrogenase (LDH).
Conclusions
Multi-rotor drone transportation can be used for medical sample transportation with no effect on the majority of the tested parameters, including flow cytometry and molecular analyses, with the exception of a limited clinical impact on potassium and LDH.
Acknowledgments
The authors would like to thank all volunteers who donated blood samples, the laboratory technicians from the clinical and molecular laboratory of Hospital ZAS who performed all analyses, and the staff of Helicus and Sabco for the drone operations.
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Research ethics: The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013).
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: The authors state no competing interests.
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Research funding: None declared.
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Data availability: The raw data can be obtained on request from the corresponding author.
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© 2024 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
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- Venous blood collection systems using evacuated tubes: a systematic review focusing on safety, efficacy and economic implications of integrated vs. combined systems
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Articles in the same Issue
- Frontmatter
- Editorial
- CD34+ progenitor cells meet metrology
- Reviews
- Venous blood collection systems using evacuated tubes: a systematic review focusing on safety, efficacy and economic implications of integrated vs. combined systems
- The correlation between serum angiopoietin-2 levels and acute kidney injury (AKI): a meta-analysis
- Opinion Papers
- Advancing value-based laboratory medicine
- Clostebol and sport: about controversies involving contamination vs. doping offence
- Direct-to-consumer testing as consumer initiated testing: compromises to the testing process and opportunities for quality improvement
- Perspectives
- An improved implementation of metrological traceability concepts is needed to benefit from standardization of laboratory results
- Genetics and Molecular Diagnostics
- Comparative analysis of BCR::ABL1 p210 mRNA transcript quantification and ratio to ABL1 control gene converted to the International Scale by chip digital PCR and droplet digital PCR for monitoring patients with chronic myeloid leukemia
- General Clinical Chemistry and Laboratory Medicine
- IVDCheckR – simplifying documentation for laboratory developed tests according to IVDR requirements by introducing a new digital tool
- Analytical performance specifications for trace elements in biological fluids derived from six countries federated external quality assessment schemes over 10 years
- The effects of drone transportation on routine laboratory, immunohematology, flow cytometry and molecular analyses
- Accurate non-ceruloplasmin bound copper: a new biomarker for the assessment and monitoring of Wilson disease patients using HPLC coupled to ICP-MS/MS
- Construction of platelet count-optical method reflex test rules using Micro-RBC#, Macro-RBC%, “PLT clumps?” flag, and “PLT abnormal histogram” flag on the Mindray BC-6800plus hematology analyzer in clinical practice
- Evaluation of serum NFL, T-tau, p-tau181, p-tau217, Aβ40 and Aβ42 for the diagnosis of neurodegenerative diseases
- An immuno-DOT diagnostic assay for autoimmune nodopathy
- Evaluation of biochemical algorithms to screen dysbetalipoproteinemia in ε2ε2 and rare APOE variants carriers
- Reference Values and Biological Variations
- Allowable total error in CD34 cell analysis by flow cytometry based on state of the art using Spanish EQAS data
- Clinical utility of personalized reference intervals for CEA in the early detection of oncologic disease
- Agreement of lymphocyte subsets detection permits reference intervals transference between flow cytometry systems: direct validation using established reference intervals
- Cancer Diagnostics
- Atypical cells in urine sediment: a novel biomarker for early detection of bladder cancer
- External quality assessment-based tumor marker harmonization simulation; insights in achievable harmonization for CA 15-3 and CEA
- Cardiovascular Diseases
- Evaluation of the analytical and clinical performance of a high-sensitivity troponin I point-of-care assay in the Mersey Acute Coronary Syndrome Rule Out Study (MACROS-2)
- Analytical verification of the Atellica VTLi point of care high sensitivity troponin I assay
- Infectious Diseases
- Synovial fluid D-lactate – a pathogen-specific biomarker for septic arthritis: a prospective multicenter study
- Targeted MRM-analysis of plasma proteins in frozen whole blood samples from patients with COVID-19: a retrospective study
- Letters to the Editor
- Generative artificial intelligence (AI) for reporting the performance of laboratory biomarkers: not ready for prime time
- Urgent need to adopt age-specific TSH upper reference limit for the elderly – a position statement of the Belgian thyroid club
- Sigma metric is more correlated with analytical imprecision than bias
- Utility and limitations of monitoring kidney transplants using capillary sampling
- Simple flow cytometry method using a myeloma panel that easily reveals clonal proliferation of mature B-cells
- Is sweat conductivity still a relevant screening test for cystic fibrosis? Participation over 10 years
- Hb D-Iran interference on HbA1c measurement