The present invention recognizes that diagnosis and prognosis of many conditions can depend on the enrichment of rare cells from a complex fluid sample. In particular, the enrichment of fetal cells from maternal samples, such as
maternal blood samples, can greatly aid in the detection of fetal abnormalities or a variety of genetic conditions. In addition, the present invention recognizes that the enrichment of rare
malignant cells from patient samples, can aid in diagnosis, prognosis, and development of
therapeutic modalities for patients. The invention includes microfabricated filters for filtering fluid samples and methods of enriching rare cells of fluid samples using microfabricated filters of the present invention. The invention also includes solutions for the selective
sedimentation of red blood cells (RBCs) from a blood sample and methods of using selective RBC
sedimentation solutions for enriching rare cells of a fluid sample. Yet another aspect of the invention is an automated
system for
processing a fluid sample that includes: at least one
filtration chamber that includes a microfabricated filter; automated means for directing fluid flow through at least one
filtration chamber of the automated
system, and means for collecting enriched rare cells. The present invention also includes methods of using automated systems for separating rare cells from fluid samples. Preferred fluid samples are blood,
effusion, or
urine samples, and rare cells that can be enriched from such sample include nucleated red blood cells and
cancer cells.