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Mentzer index

Helps distinguish thalassaemia trait from iron-deficiency anaemia in microcytosis using the blood count alone.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

Mentzer 1973: MCV/red cells, millions/µL; screening rule, not diagnosis

Mentzer index is a screening rule in microcytosis, calculated with MCV in fL and red blood cells in millions/µL, not the raw count per µL. It does not confirm iron deficiency or thalassemia trait. The Hoffmann 2015 meta-analysis showed that discriminant indices do not have 100% sensitivity and specificity and, collectively, performed better in adults than in children. Suggestive results require confirmatory investigation; identical accuracy in every population is not assumed.

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fL · range 40–130
million/µL · range 1–9

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Mean corpuscular volume (MCV) · fL
  • Red blood cells · million/µL

3/3 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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