1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 BLOOD BANKING AND TRANSFUSION MEDICINE, Second Edition ISBN-13: 978-0-443-06981-9 ISBN-10: 0-443-06981-6 Copyright © 2007, 2003 by Churchill Livingstone, an imprint of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 239 3804, fax: (+1) 215 239 3805, e-mail: [email protected]. You may also com- plete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining Permissions’. Cover photo copyright T & K Image/Photo Researchers; with permission. Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book. The Publisher Library of Congress Cataloging-in-Publication Data Blood banking and transfusion medicine: basic principles & practice / Christopher D. Hillyer … [et al.].—2nd ed. p. cm. Includes bibliographical references and index. ISBN 0-443-06981-6 1. Blood—Transfusion. 2. Blood banks. I. Hillyer, Christopher D. II. Title. RM171.B583 2007 615′.39—dc22 2006048955 Acquisitions Editor: Dolores Meloni Developmental Editor: Kristina Oberle/Kim DePaul Project Manager: Bryan Hayward Design Direction: Steven Stave Printed in United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 FM-F039816.indd iv 9/22/06 8:41:52 AM About the Editors Dr. Hillyer is a tenured professor in the Departments of Pathology and Pediatrics, as well as the Division of Hematology/Oncology, Winship Cancer Institute, Emory University School of Medicine. He serves as director of the Transfusion Medicine Program at Emory and oversees the Emory University Hospital Blood Bank, the blood and tissue banks of Children’s Healthcare of Atlanta, and the Emory Center for the Advancement of International Transfusion Safety. He is an editor of three textbooks on transfusion medicine and an author of more than 120 articles and chapters pertaining to transfusion, HIV, cytokines, and herpesviruses (most notably CMV). Nationally recognized as an expert in hematology and blood transfusion, Dr. Hillyer is President of AABB (2006–2007) and is a Trustee of the National Blood Foundation (NBF). He has been awarded research funding from the NIH, CDC, NBF, and other agencies. He currently serves as principal investigator of a program project grant, several R-series awards, the Emory site of the NHLBI’s Transfusion Medicine/Hemostasis Clinical Trial Network, and REDS-II. He also is a co-principal investigator of AABB’s contract with HHS to provide technical assistance to six developing nations under the President’s Emergency Plan for AIDS Relief (PEPFAR). Dr. Hillyer is an associate editor of Transfusion and part-time medical director of the American Red Cross Southern Region. Dr. Hillyer is board certified in Transfusion Medicine, Hematology, Medical Oncology, and Internal Medicine. He received his BS from Trinity College and his MD from the University of Rochester School of Medicine, with postgraduate training and fellowships in hematology-oncology, transfusion medicine, and bone marrow transplantation at Tufts–New England Medical Center in Boston. v Dr. Silberstein is a tenured professor in the Department of Pathology, Harvard Medical School, and a Senior Investigator at the CBR Institute for Blood Research. He serves as director of the Joint Program in Transfusion Medicine, with responsibility for the blood and tissue programs at Boston Children’s Hospital, the Brigham and Women’s Hospitals, and the Dana-Farber Cancer Institute. Dr. Silberstein has recently created the Center for Human Cell Therapy at Harvard Medical School. The goal of this innovative center related to transfusion medicine is to facilitate the translation of proof-of-principle discoveries to clinical applications. Dr. Silberstein is editor of several texts, including Hematology and the Handbook of Transfusion Medicine. He is a member of the edito- rial boards of Blood and Transfusion. Dr. Silberstein is a highly respected physician-scientist well known for his mentorship; he has trained more than 45 fellows with PhD and MD backgrounds in transfusion medicine-related research. A leader and expert in transfusion medicine and hema- tology, Dr. Silberstein’s research has focused on the immunology of B-cells and hematopoiesis, leading to the publication of more than 75 papers and numerous book chapters and reviews. Dr. Silberstein is board certified in Transfusion Medicine, Hematology, and Internal Medicine. He received his Baccalaureate and MD degrees from the University of Leiden, the Netherlands, and accomplished postgraduate training in Hematology/Oncology and Transfusion Medicine at Tufts–New England Medical Center in Boston. FM-F039816.indd v 9/22/06 8:41:53 AM S Dr. Ness is director of the Transfusion Medicine Division at The Johns Hopkins Hospital and pro- R O fessor of Pathology, Medicine, and Oncology at The Johns Hopkins University School of Medicine. T DI For many years he also acted as CEO and medical director of the Greater Chesapeake and Potomac E E Region of the American Red Cross Blood Services. Dr. Ness has served the AABB for a number H T of years and was President in 1999. He served on the editorial board of Transfusion until named UT Editor in 2003. Dr. Ness has been a member of the American Society of Clinical Pathologists O B Board of Registry Blood Bank examination committee, and the FDA Blood Products Advisory A Committee, and he consults for many commercial and nonprofit organizations. He is the editor of several textbooks on transfusion medicine and has published more than 150 articles. Dr. Ness’ research focuses on transfusion-related complications and has been funded by the NIH and CDC. He was involved in the initial REDS program and now acts as consultant to REDS-II. He serves as principal investigator for the Johns Hopkins site of the Transfusion Medicine/ Hemostasis Clinical Trial Network, funded by NHLBI. Dr. Ness is co-principal investigator of a project funded by the REDS-II program to study donor virus epidemiology issues in China. He has worked extensively in international blood safety initiatives in China, Thailand, Vietnam, Botswana, and Nigeria. Dr. Ness received his undergraduate education at the Massachusetts Institute of Technology and his MD degree from the State University of New York at Buffalo. His postgraduate work includes residency in internal medicine at Johns Hopkins, fellowship train- ing in hematology-oncology at the University of California, San Francisco, and a transfusion medicine fellowship at Irwin Memorial Blood Bank in San Francisco. Dr. Anderson is the Kraft Family Professor of Medicine at Harvard Medical School and serves as chief of the Division of Hematologic Neoplasia, director of the Jerome Lipper Multiple Myeloma Center, and vice chair of the Joint Program in Transfusion Medicine at Dana-Farber Cancer Institute. Currently, Dr. Anderson is chair of the NCCN Multiple Myeloma Clinical Practice Guidelines Committee, is a Cancer and Leukemia Group B Principal Investigator, and is on the Board of Scientific Advisors of the International Myeloma Foundation. He has published more than 300 original articles and 200 book chapters, and has edited multiple textbooks on mul- tiple myeloma and transfusion medicine. He is a Doris Duke Distinguished Clinical Research Scientist and has had long-term RO1, PO1, and SPORE funding from the NIH and other agencies. Dr. Anderson has received numerous awards, including the 2001 Charles C. Lund Award of the American Red Cross Blood Services, the 2003 Waldenstrom’s award for research in plasma cell dyscrasias, the 2004 Johnson & Johnson Focused Giving Award for Setting New Directions in Science and Technology, and the 2005 Robert A. Kyle Lifetime Achievement Award. Dr. Anderson graduated from Johns Hopkins Medical School, trained in internal medicine at Johns Hopkins Hospital, and completed hematology, medical oncology, and tumor immunology fellowships at vi the Dana-Farber Cancer Institute. Dr. Roback is a tenured associate professor in the Department of Pathology and Laboratory Medicine at Emory University, associate director of the Emory Transfusion Medicine Program, and co-director of the Emory University Hospital Blood Bank and Stem Cell Processing Laboratory. Dr. Roback’s research focuses on human and animal models of CMV infection, emphasizing approaches to accelerate and improve the antiviral immune response following hematopoietic stem cell transplantation. He also is inventor or co-inventor of a number of novel devices and methodologies for rapid pretransfusion blood testing. Dr. Roback’s investigations have been funded by the NIH, CDC, NBF, and DOD. He is a co-principal investigator of the Emory site for REDS-II. Dr. Roback has authored 40 peer-reviewed publications and invited reviews, as well as 16 book chapters. He teaches medical, residency, and graduate school courses and was recognized for excellent clinical pathology teaching with the Golden Apple Award. An active member of a number of AABB committees, Dr. Roback is editor-in-chief of the 16th edition of the AABB’s Technical Manual, member of the editorial board for the journal Transfusion, and co-chair of the NHLBI’s Global Blood Safety and Availability task force on future transfusion medicine research initiatives. He is a Diplomate of the American Board of Pathology in Clinical Pathology and Blood Banking and Transfusion Medicine. Dr. Roback received his Baccalaureate degree from Johns Hopkins University and was awarded a PhD in experimental pathology and an MD from the University of Chicago. He completed a postdoctoral research fellowship and anatomic pathol- ogy residency training at Albert Einstein College of Medicine and subsequently completed clinical pathology and transfusion medicine training at Emory University. FM-F039816.indd vi 9/22/06 8:41:54 AM Contributors Sharon Adams, MT, CHS (ABHI) Richard J. Benjamin, MS, MBChB, PhD Supervisor, HLA Laboratory Chief Medical Officer Department of Transfusion Medicine American Red Cross Biomedical Services Warren G. Magnuson Clinical Center National Headquarters, Washington, D.C. National Institutes of Health Assistant Professor of Pathology Bethesda, Maryland, USA Joint Program in Transfusion Medicine Harvard Medical School Boston, Massachusetts, USA Barbara Alving, MD, MACP Professor of Medicine Howard Benn, MD Uniformed Services University of the Health Sciences Bethesda, Maryland, USA Chief Fellow, Department of Hematology/ Oncology Seton Hall University School of Graduate Medical Education Kenneth C. Anderson, MD South Orange, New Jersey, USA Chief, Division Hematologic Neoplasia Director, Jerome Lipper Multiple Myeloma Center Dana-Farber Cancer Institute Ginine M. Beyer, MD Kraft Family Professor of Medicine Harvard Medical School Department of Pathology Boston, Massachusetts University of Maryland School of Medicine Baltimore, Maryland, USA vii James P. AuBuchon, MD E. Elizabeth French Professor and Chair of Pathology Morris A. Blajchman, MD, FRCP Dartmouth-Hitchcock Medical Center Professor, Pathology and Molecular Medicine Lebanon, New Hampshire, USA Head, Transfusion Medicine Services, Hamilton Regional Laboratory Medical Director, Canadian Blood Services Hamilton, Ontario, Canada Nicholas Bandarenko, MD Associate Professor of Pathology and Laboratory Medicine Transfusion Medicine Service Neil Blumberg, MD University of North Carolina, Chapel Hill Director, Clinical Laboratories Chapel Hill, North Carolina, USA Director, Transfusion Medicine Professor of Pathology and Laboratory Medicine, University of Rochester School of Medicine Jon Barrett, MBBCh, FRCOG, MD, Rochester, New York, USA FRCSC Associate Professor, Department of Obstetrics and Mark E. Brecher, MD Gynecology, University of Toronto Senior Investigator Maternal and Infant Research Professor, Department of Pathology and Unit of Center for Research in Women’s Health Laboratory Medicine Chief of Maternal Fetal Medicine, Sunnybrook and Director, Clinical Pathology Women’s College Health Sciences Center University of North Carolina Toronto, Ontario, Canada Chapel Hill, North Carolina, USA FM-F039816.indd vii 9/22/06 8:41:56 AM S Hal E. Broxmeyer, PhD Chief Medical Officer and Vice President, Research R O and Medical Affairs T Distinguished Professor, Chairman and Mary U B Margaret Walther Professor of Microbiology Cerus Corporation RI NT and Immunology Concord, California, USA O C Professor of Medicine Scientific Director of the Walther Oncology Center Indiana University School of Medicine Robert L. Crookes, MBChB Indianapolis, Indiana, USA Medical Director South African National Blood Service Johannesburg, South Africa Michael P. Busch, MD, PhD Vice President, Research, Blood Systems, Inc., Scottsdale, Arizona Elizabeth E. Culler, MD Director, Blood Systems Research Institute, Medical Director San Francisco, California Blood Assurance, Inc. Adjunct Professor, Department of Laboratory Chattanooga, Tennessee, USA Medicine University of California, San Francisco, California, USA Melody J. Cunningham, MD Assistant Professor of Pediatrics Harvard Medical School Jeannie L. Callum, BA, MD, FRCPC Children’s Hospital Boston Assistant Professor, Department of Laboratory Boston, Massachusetts, USA Medicine and Pathobiology University of Toronto Director, Blood and Tissue Banks Richard J. Davey, MD Sunnybrook and Women’s College Health Sciences Center Director, Transfusion Service Toronto, Ontario, Canada The Methodist Hospital Houston, Texas, USA Sally A. Campbell-Lee, MD Dana V. Devine, PhD Assistant Professor, Department of Pathology Associate Medical Director, Division of Transfusion Professor of Pathology and Laboratory Medicine viii Medicine Centre for Blood Research Medical Director, Johns Hopkins Bayview University of British Columbia Transfusion Medicine Service Executive Director, Research and Development Baltimore, Maryland, USA Canadian Blood Services Vancouver, British Columbia, Canada Jeffrey L. Carson, MD Roger Y. Dodd, PhD Richard C. Reynolds Professor of Medicine Chief, Division of General Internal Medicine Vice President, Research and Development University of Medicine and Dentistry, New Jersey Director, Holland Laboratory Robert Wood Johnson Medical School American Red Cross, Biomedical Services New Brunswick, New Jersey, USA Rockville, Maryland, USA Kenneth A. Clark, MD, MPH Alexander Duncan, MD Head, International Blood Safety Assistant Professor, Department of Pathology and Global AIDS Program Laboratory Medicine Centers for Disease Control and Prevention Emory University School of Medicine Atlanta, Georgia, USA Director, Coagulation Laboratories Atlanta, Georgia, USA Laurence Corash, MD Walter H. Dzik, MD Professor, Laboratory Medicine, University of California, San Francisco Co-Director, Blood Transfusion Service Attending Physician, Laboratory Medicine and Massachusetts General Hospital Medicine-Hematology Division Associate Professor of Pathology The Medical Center at the University of California, Harvard Medical School San Francisco Boston, Massachusetts, USA FM-F039816.indd viii 9/22/06 8:41:56 AM James R. Eckman, MD Joanna M. Heal, MRCP, MBBS C O Director, Georgia Comprehensive Sickle Cell Center Associate Medical Director, American Red Cross NT R Grady Health System Blood Services, New York-Penn Region IB U Professor of Hematology/Oncology and Medicine Associate Clinical Professor of Medicine, T O Winship Cancer Institute Hematology-Oncology Unit R S Emory University School of Medicine University of Rochester School of Medicine Atlanta, Georgia, USA Rochester, New York, USA A. Bradley Eisenbrey, MD, PhD Paul C. Hébert, MD, FRCPC, Chief, Transfusion Medicine Services MHSc(Epid) William Beaumont Hospital, Royal Oak, Michigan Vice-Chair, Department of Medicine HLA Laboratory Associate Director Professor of Medicine and Epidemiology Gift of Life of Michigan, Ann Arbor, Michigan Chair in Transfusion and Critical Care Research Assistant Professor of Pathology Ottawa Health Research Institute and the Wayne State University School of Medicine University of Ottawa Detroit, Michigan, USA Ottawa, Ontario, Canada Eberhard W. Fiebig, MD Nancy Heddle, MSc, FCSMLS(D) Associate Professor, Department of Laboratory Director, McMaster Transfusion Research Program Medicine Associate Professor, Department of Medicine Chief, Divisions of Hematology and Transfusion McMaster University Medicine Hamilton, Ontario, Canada University of California San Francisco, California, USA John R. Hess, MD, MPH John M. Fisk, MD Professor of Pathology and Medicine University of Maryland School of Medicine Clinical Instructor, Laboratory Medicine Baltimore, Maryland, USA SUNY Upstate Medical University College of Medicine Assistant Director, Transfusion Medicine University Hospital of the State University Christopher D. Hillyer, MD ix of New York Director, Transfusion Medicine Program Syracuse, New York, USA Professor, Department of Pathology and Laboratory Medicine and the Division of Hematology/Oncology, Winship Cancer Institute Terrence L. Geiger, MD, PhD Emory University School of Medicine Assistant Professor, Department of Pathology Atlanta, Georgia, USA St. Jude Children’s Research Hospital Memphis, Tennessee, USA Krista L. Hillyer, MD Chief Medical Officer, American Red Cross Blood Mindy Goldman, MD, FRCP(C) Services, Southern Region Executive Medical Director Assistant Professor, Department of Pathology Donor and Transplantation Services and Laboratory Medicine Canadian Blood Services Emory University School of Medicine Ottawa, Ontario, Canada Atlanta, Georgia, USA Shealynn B. Harris, MD Paul V. Holland, MD Assistant Medical Director Clinical Professor of Medicine and Pathology American Red Cross Blood Services, UC Davis Medical Center, Sacramento, California Southern Region Scientific Director, Delta Blood Bank Atlanta, Georgia, USA Stockton, California, USA FM-F039816.indd ix 9/22/06 8:41:56 AM S Kim A. Janatpour, MD Thomas J. Kunicki, PhD R O T Assistant Professor, University of California Associate Professor U B Davis School of Medicine, Department of Division of Experimental Hemostasis and RI NT Pathology and Laboratory Medicine Thrombosis O C Davis Medical Center Department of Molecular and Experimental Sacramento, California, USA Medicine The Scripps Research Institute La Jolla, California, USA Viviana V. Johnson, MD Transfusion Medicine Fellow Department of Pathology Tzong-Hae Lee, MD, PhD Georgetown University Hospital Director, Molecular Biology Washington, D.C., USA Blood Systems Research Institute San Francisco, California, USA Cassandra D. Josephson, MD Assistant Professor, Departments of Pathology Karen Shoos Lipton, JD and Pediatrics Chief Executive Officer Emory University School of Medicine AABB Assistant Director, Blood Banks and Transfusion Bethesda, Maryland, USA Services Attending Pediatric Hematologist/Oncologist, Department of Pediatrics Children’s Healthcare of Atlanta Lennart E. Lögdberg, MD, PhD Atlanta, Georgia, USA Associate Professor, Department of Pathology and Laboratory Medicine Director, Crawford W. Long Hospital Transfusion Richard M. Kaufman, MD Services Emory University School of Medicine Medical Director, Adult Transfusion Service, Atlanta, Georgia, USA Brigham and Women’s Hospital Assistant Professor of Pathology, Harvard Medical School Boston, Massachusetts, USA Naomi L. C. Luban, MD x Interim Executive Director, Center for Cancer and Blood Disorders Thomas S. Kickler, MD Chair, Laboratory Medicine and Pathology Professor of Medicine and Pathology Director, Transfusion Medicine/The Edward J. Miller Johns Hopkins University School of Medicine Donor Center Baltimore, Maryland, USA Vice Chair for Academic Affairs, Department of Pediatrics Children’s National Medical Center Professor, Pediatrics and Pathology Diane Killion, JD The George Washington University Medical Center Staff Counsel Washington, D.C., USA AABB Bethesda, Maryland, USA Catherine S. Manno, MD Karen E. King, MD Professor and Associate Chair for Clinical Affairs Department of Pediatrics Associate Medical Director Children’s Hospital of Philadelphia Transfusion Medicine Division University of Pennsylvania School of Medicine Johns Hopkins University School of Medicine Philadelphia, Pennsylvania, USA Baltimore, Maryland, USA Steven H. Kleinman, MD Simon Mantha, MD Kleinman Biomedical Research Department of Laboratory Medicine Victoria, British Columbia, Canada Yale University School of Medicine University of British Columbia Yale–New Haven Hospital Vancouver, British Columbia, Canada New Haven, Connecticut, USA FM-F039816.indd x 9/22/06 8:41:57 AM Francesco M. Marincola, MD Patricia T. Pisciotto, MD C O Director, HLA and Immunogenetics Research Professor, Laboratory Medicine NT R Laboratory University of Connecticut Health Sciences Center IB U Department of Transfusion Medicine Director, Blood Bank, John Dempsey Hospital T O Warren G. Magnuson Clinical Center Farmington, Connecticut, USA R S National Institutes of Health Bethesda, Maryland, USA Thomas H. Price, MD Executive Vice-President, Medical Division Bruce C. McLeod, MD Medical Director, Puget Sound Blood Center Professor of Medicine and Pathology Professor of Medicine, University of Washington Director, Blood Center Seattle, Washington, USA Rush University Medical Center Chicago, Illinois, USA Jayashree Ramasethu, MD Associate Professor of Clinical Pediatrics Jay E. Menitove, MD Division of Neonatology Clinical Professor, Internal Medicine Department of Pediatrics University of Kansas School of Medicine Georgetown University Hospital Kansas City, Kansas; Executive Director and Washington, D.C., USA Medical Director, Community Blood Center of Greater Kansas City Kansas City, Missouri, USA Sandra M. Ramirez-Arcos, MSc, PhD Associate Scientist, Canadian Blood Services Adjunct Professor, University of Ottawa Peter A. Millward, MD Research and Development, Infectious Diseases Assistant Professor, Clinical Pathology Ottawa, Ontario, Canada Milton S. Hershey Medical Center Pennsylvania State University Hershey, Pennsylvania, USA William Reed, MD Assistant Medical Director, Research Edward L. Murphy, MD, MPH Blood Systems Research Institute Clinical Associate Professor Professor, Laboratory Medicine and Epidemiology/ Department of Laboratory Medicine xi Biostatistics Medical Director, Human Islet and Cellular University of California, San Francisco Therapy Laboratory San Francisco, California, USA University of California San Francisco, California, USA Paul M. Ness, MD Director, Transfusion Medicine Division Marion E. Reid, PhD Johns Hopkins Medical Institutions Professor, Pathology, Medicine, and Oncology Director, Immunohematology Johns Hopkins University School of Medicine New York Blood Center Baltimore, Maryland, USA New York, New York, USA Diane J. Nugent, MD John D. Roback, MD, PhD Assistant Professor Co-Director, Transfusion Medicine Program David Geffen School of Medicine at UCLA Associate Professor, Department of Pathology University of California, Los Angeles and Laboratory Medicine Director, Division of Hematology Emory University School of Medicine Children’s Hospital of Orange County Atlanta, Georgia, USA General Pediatrics, Irvine Medical Center Los Angeles, California, USA Scott D. Rowley, MD, FACP Peter L. Perrotta, MD Chief, Adult Blood and Marrow Transplantation Associate Professor of Pathology Program West Virginia University Hackensack University Medical Center Morgantown, West Virginia, USA Hackensack, New Jersey, USA FM-F039816.indd xi 9/22/06 8:41:57 AM S S. Gerald Sandler, MD Leslie E. Silberstein, MD R O T Professor of Medicine and Pathology Director, Joint Program in Transfusion Medicine U B Georgetown University School of Medicine Children’s Hospital Boston, Dana-Farber Cancer RI NT Director, Transfusion Medicine Institute, Brigham and Women’s Hospital O C Department of Laboratory Medicine Professor of Pathology, Harvard Medical School Georgetown University Hospital Boston, Massachusetts, USA Washington, D.C., USA Steven R. Sloan, MD, PhD Audrey N. Schuetz, MD Assistant Professor of Pathology Pediatrics Department of Pathology and Laboratory Medicine Joint Program in Transfusion Medicine Emory University School of Medicine Harvard Medical School Atlanta, Georgia, USA Boston, Massachusetts, USA Eileen Selogie, MT(ASCP)SBB Edward L. Snyder, MD Consultant Compliance Officer Professor, Laboratory Medicine Department of Pathology, Blood Donor Services Yale University School of Medicine Presbyterian Intercommunity Hospital Director, Blood Bank, Yale–New Haven Hospital Whittier, California, USA New Haven, Connecticut, USA Beth Shaz, MD Ronald G. Strauss, MD Assistant Professor, Emory University School Professor of Pathology and Pediatrics of Medicine University of Iowa College of Medicine Department of Pathology and Laboratory Medicine Iowa City, Iowa, USA Director, Grady Memorial Hospital Blood Bank Atlanta, Georgia, USA David F. Stroncek, MD Chief, Laboratory Services Section R. Sue Shirey, MD, MT(ASCP) SBB Department of Transfusion Medicine Technical Specialist, Transfusion Medicine Division, Warren G. Magnuson Clinical Center Johns Hopkins Hospital National Institutes of Health xii Baltimore, Maryland, USA Bethesda, Maryland, USA Ira A. Shulman, MD D. Michael Strong, PhD, BCLD(ABB) Director of Transfusion Medicine Executive Vice President, COO Professor and Vice Chair of Pathology Puget Sound Blood Center Keck School of Medicine of the University Research Professor of Southern California Department of Orthopaedics and Sports Medicine Director of Laboratories and Pathology, LAC + USC Department of Surgery Medical Center University of Washington School of Medicine Los Angeles, California, USA Seattle, Washington, USA Suzanne Shusterman, MD Leon L. Su, MD Instructor, Harvard Medical School Associate Medical Director Department of Pediatric Oncology Blood Systems, Inc. Dana-Farber Cancer Institute Assistant Medical Director Children’s Hospital Boston United Blood Services, Arizona Boston, Massachusetts, USA Scottsdale, Arizona, USA FM-F039816.indd xii 9/22/06 8:41:58 AM