NakedSignal

Change explorer · Haematology and immunology

Point-of-care mean cell volume (MCV) vs a central laboratory haematology analyser

Public dataA public method-comparison deposit, not a laboratory's data. Systems are described generically; the source names them.

Central lab haematology analyser replaced by point of care haematology analyser: 201 paired results from a published study by Shean and Bennett (2026), re-analysed by NakedSignal as if the study were one laboratory. At 80, 100 fL, 26 results changed category after the change, against about 6 expected from repeat testing alone.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Haematology and immunology

Mean cell volume, fL

Central lab haematology analyser replaced by Point of care haematology analyser. 201 paired results.

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Comparison line

The new system reads 3.8% lower than the old system on average. The comparison line has a slope of 0.889 (95% interval 0.816 to 0.951) and an intercept of 7.143.

Public data
Comparison line, mean cell volume (fL)Comparison line with slope 0.889 (95% interval 0.816 to 0.951) and intercept 7.143, drawn against the line of no change. Decision limits drawn at 80, 100 fL. Where the comparison line sits above the line of no change, the new system reads higher; below, lower.40608010012040608010012080100No changeComparison lineOld system, fLNew system, fL

Fig. 1. The comparison line against the line of no change, over the range of the decision limits (80, 100 fL). Dots mark where each line meets each limit; the gap between them is the bias at that limit.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Crossing each limit

Results that moved across a decision limit when the new system replaced the old, against the number repeat testing on one unchanged system would move. The program reports the count across all limits together.

All decision limits together (80, 100 fL)

Crossed after the change: 26

Expected from repeat testing alone: about 6

Grade and warnings

  • Re-test band: full (at least the protocol minimum of pairs).
  • Band half-width around each limit: 2.55%.
  • Results re-tested on data the band was not fitted to, median: 15%.
  • Share of the excess crossings caught on unseen data, comparison line and band together: 90%; comparison line alone: 50%. The excess is the crossings above what repeat testing alone would cause, so the share can exceed 100% or fall below zero.
  • Repeat-test imprecision: assumed, not measured at this site.

Source

Shean RC, Bennett ST (2026). Clinical Evaluation of a Novel Point-of-Care Hematology Analyzer for Complete Blood Count With Differential. Int J Lab Hematol. doi:10.1111/ijlh.70032 (opens in a new tab); PMC12956494 (opens in a new tab). Licence: CC BY 4.0 (opens in a new tab). Changes: Paired results re-analysed by NakedSignal's program; instruments described generically; only derived results are shown. The deposit names the systems.

Show the numbers
All values for mean cell volume, Central lab haematology analyser to Point of care haematology analyser
FieldValue
Paired results used201
Comparison line slope0.889031
Slope, 95% interval0.816363 to 0.950643
Comparison line intercept7.142965
Mean difference, new minus old, as % of old-3.764
Decision limits (fL)80, 100
Crossed after the change26
Expected from repeat testing alone6.19
Band half-width (%)2.55
Re-tested, unseen data, median (%)14.93
Re-tested, unseen data, range (%)13.93 to 16.42
Excess caught, line and band (%)89.54
Excess caught, line alone (%)50.49

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