We describe a simple and rapid laser scanning device for solid phase c
ytometry This system can detect and count fluorescent cells over a 22
mm diameter surface (membrane or glass circle) as well as quantify the
fluorescence that they emit. A comprehensive discrimination package i
ncludes optical and software parameters and accurately distinguishes b
etween valid signals (e.g., labelled cells) and nonspecific signals (e
.g., auto-fluorescent particles and debris). Any event detected may al
so be easily confirmed by visual observation after transfer of the sam
ple to an epifluorescence microscope fitted with a motorized stage dri
ven by the system. We show a linear relationship between the amount of
fluorescein coupled to the cells and the fluorescence signal of the c
ells detected. This approach is not destructive and further characteri
zation of the sample may be carried out. We have been able to detect r
are cellular events at a frequency of 10(-7) in 3 min. Potential appli
cations include monitoring of residual disease in oncology and detecti
on of virus-infected cells circulating at very ion: frequencies. Cytom
etry 27:336-344, 1997. (C) 1997 Wiley-Liss, Inc.