BSH25-PO172 The Use of Cellavision to Facilitate The Referral of Blood Films to the Consultant Haematologist?

Published Date: 01st April 2025

Publication Authors: Moss. K

Abstract
Morphological examination of blood films has been an integral part of haematology since its introduction in the late 1800s (Houwen, 2002). During this time, like the rest of pathology the process of blood film examination has become increasingly automated, the most recent step being the introduction of AI powered systems for automated blood film review. One such System, the Sysmex DI-60 has recently been implemented in haematology at Broomfield hospital, part of MSE NHS Foundation trust. This system is currently undergoing verification and change control for introduction to routine use for blood film reporting. It has however already proven to be a valuable asset in one key area. For a number of clinical disorders, such as acute leukaemia or haemolytic disorders review of a blood film by a Consultant Haematologist is vital. Previous to the introduction of this technology the process in the department for the referral of blood films for consultant review involved calling and leaving the blood film for consultant’s review the next working day or required the consultant to attend the laboratory to review the film. This process may be assisted by the sending of, often low quality, images taken using a mobile phone camera pointed down the eye piecelens of the microscope. This means that consultant review of blood films can be less than timely.Despite still undergoing verification, the use of the DI-60 and Cellavision software has allowed high quality images to be sent by secure NHS email to the on-call Consultant Haematologist for review. In a small Cohort of 13 cases examined the median time for consultant review and feedback was 23 minutes. With the shortest review time of 2 minutes between the images being sent and consultant advise being offered. A case has also been shared from Mersey and West Lancashire Teaching Hospitals NHS Trust where a paediatric case of ALL was found and the use of Cellavision imaging allowed for images to be sent to Alder Hey Children's Hospital Paediatric Haematologist. Allowing discussion of morphological features and probable diagnosis to be conducted without the need for rebleeding of the patient following their transfer. The findings of this small review of a growing number of cases demonstrates how the utilization of digital morphology systems can greatly expedite the process of consultant review of blood films in haematology systems and allowing for easier collaboration between organisations to vastly improve patient care.

Grainger. R; Moss, K et al. (2026). BSH25-PO172 The Use of Cellavision to Facilitate The Referral of Blood Films to the Consultant Haematologist?. British Journal of Haematology. 206(Suppl 1), p.272. [Online]. Available at: https://dx.doi.org/10.1111/bjh.20117 [Accessed 20 February 2026]