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Review
. 2026 Jan 1:578:120567.
doi: 10.1016/j.cca.2025.120567. Epub 2025 Aug 21.

Technologic advances in flow cytometry

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Review

Technologic advances in flow cytometry

Xinxin Liu et al. Clin Chim Acta. .

Abstract

Flow cytometry, as a groundbreaking technique in single-cell analysis, has evolved into a multi-dimensional technical framework over six decades of development. This paper systematically reviews its technological progression, ranging from conventional fluorescence labeling to spectral unmixing in spectral flow cytometry, advancements in metal tagging within mass cytometry, morphological and functional synchronous analysis in imaging flow cytometry, and ultimately achieving sub-micron-level detection in nanoparticle flow cytometry. Each technological advancement has expanded the boundaries of biological understanding. These innovations have substantially enhanced the sensitivity and dimensionality of single-cell analysis, and have thereby facilitated a range of clinical applications, which include tumor immunotherapy monitoring, cardiovascular disease risk assessment, and precise diagnosis of infectious diseases. Nevertheless, challenges remain in high-dimensional data processing, standardization protocols, and the translation of emerging technologies. This article aims to elucidate the technical context, highlight its impact on precision medicine, and provide a reference framework for interdisciplinary research.

Keywords: Flow cytometry; Imaging flow cytometry; Mass cytometry; Nanoparticle flow cytometry; Spectral flow cytometry.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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