This study was designed to establish an alternative technique to the m
orphology scoring method described by Kunicki et al. [Transfusion 1975
;15:414-421] using light transmission. A reference scale for platelet
quality (expressed as a percentage of fresh cells) was established wit
h a mixture of fresh platelets and damaged platelets frozen without cr
yoprotectant. The transmittance, read against autologous plasma, was c
ompared to morphology, hypotonic stress response (HSR) and ADP-induced
aggregation. The results showed that transmittance, morphology and HS
R were related linearly to the percentage of fresh platelets. There wa
s a significant correlation between relative transmittance (RT) and mo
rphology (r = 0.932), and RT and HSR (r = 0.91), but a very poor corre
lation was found between transmittance and aggregation. Measurements o
f transmittance provided an estimation of the global aspect of a popul
ation of cryopreserved platelets in terms of shape, size and compositi
on, and the relative transmittance of a sample to that of the fresh po
pulation could predict morphology and HSR. It is concluded that these
measurements offer a valid alternative method to the subjective morpho
logy scoring obtained with cryopreserved platelets.