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Thromb Haemost 2016; 115(06): 1178-1190
DOI: 10.1160/TH15-10-0799
New Technologies, Diagnostic Tools and Drugs
Schattauer GmbH

Counting the platelets: a robust and sensitive quantification method for thrombus formation

Kjersti Claesson
1   Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
,
Tomas L. Lindahl
1   Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
,
Lars Faxälv
1   Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
› Author Affiliations Financial support: This study was supported by a grant from the Swedish Research Council, Project No K2015–79X-22644–01–3 and by Linköping University.
Further Information

Publication History

Received: 15 October 2015

Accepted after major revision: 25 January 2016

Publication Date:
27 November 2017 (online)

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Summary

Flow chambers are common tools used for studying thrombus formation in vitro. However, the use of such devices is not standardised and there is a large diversity among the flow chamber systems currently used, and also in the methods used for quantifying the thrombus development. It was the study objective to evaluate a new method for analysis and quantification of platelet thrombus formation that can facilitate comparison of results between research groups. Whole blood was drawn over a collagen patch in commercial Ibid or in-house constructed PDMS flow chambers. Five percent of the platelets were fluorescently labelled and z-stack time-lapse images were captured during thrombus formation. Images were processed in a Python script in which the number of platelets and their respective x-, yand z-positions were obtained. For comparison with existing methods the platelets were also labelled and quantified using fluorescence intensity and thrombus volume estimations by confocal microscopy. The presented method was found less sensitive to microscope and image adjustments and provides more details on thrombus development dynamics than the methods for measuring fluorescence intensity and thrombus volume estimation. The platelet count method produced comparable results with commercial and PDMS flow chambers, and could also obtain information regarding the stability of each detected platelet in the thrombus. In conclusion, quantification of thrombus formation by platelet count is a sensitive and robust method that enables measurement of platelet accumulation and platelet stability in an absolute scale that could be used for comparisons between research groups.

Keywords

Platelet aggregation - microfluidics - thrombosis - fluorescence microscopy - computer-assisted image processing
 

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