Objective: To assess the accuracy of the Hemacytometer (Hausser Scient
ific, Horsham,PA), Mailer (Sefi-Medical Instrument, Haifa, Israel), Ce
ll-VU (Millennium Sciences Inc., New York, NY), and Micro-Cell chamber
s (Conception Technologies, San Diego, CA) counting chambers. Design:
A solution containing a known concentration of latex beads was used as
the standard to perform counts on the four different counting chamber
s. Main Outcome Measures: Bead counts for the four different chambers
were compared with the bead counts of the standard solution. Variabili
ty within chambers also was determined. Results: Mean bead concentrati
ons for both the Cell-VU and Micro-Cell chambers were consistently sim
ilar to the head concentration of the standard solution. Both the hema
cytometer and the Makler chambers overestimated the actual bead concen
tration of the standard solution by as much as 50% and revealed signif
icant interchamber variability. Conclusions: Our data revealed marked
differences in the accuracy and reliability of the different counting
chambers tested and emphasized the need for standardization and qualit
y control of laboratory procedures.