As cell-based therapies receive approval for clinical evaluation and use, t
he development of reliable methods to quantify cell number and control the
dose of therapy delivered is becoming increasingly important. An example is
the determination of the number and volume of primary porcine hepatocytes
used in an extracorporeal treatment for patients with liver disease. Conven
tional cell counting using optical microscopy was compared against two alte
rnate methods to quantify isolated porcine hepatocytes: (1) automated cell
counting using a commercially available particle characterization instrumen
t, and (2) quantitation by cell mass. Methods were compared based on accura
cy, precision, specificity, linear range, and ruggedness. The automated met
hod delivered substantially improved accuracy, precision, and ruggedness wh
en compared to the conventional optical method. It also provided valuable i
nformation about the size distribution of cell preparations, which often co
ntained clumps of cells, and showed that processing steps such as cryoprese
rvation can alter the size characteristics of a cell population. The automa
ted method was also faster, and was well suited to use in a commercial manu
facturing process. The mass-based method was simple and inexpensive, but su
ffered from nonlinearity at low cell concentrations. Automated cell quantit
ation using a commercially available particle characterization instrument p
roved to be the preferred method for obtaining accurate and consistent porc
ine hepatocyte counts in a timely manner.