Verification study of free light chains assays on reagent-optimized analysers

Introduction: Our aim was to compare analytical specifications of two assays (monoclonal vs. polyclonal) for free light chains (FLCs) quantificationoptimized for two different analytical platforms, nephelometer ProSpec (Siemens, Erlangen, Germany) and turbidimetric analyser Optilite (The BindingSite...

Full description

Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001068952/Details
Matična publikacija: Biochemia medica (Online)
29 (2019), 3 ; str. 579-586
Glavni autori: Šegulja, Dragana (Author), Matišić, Danica, Barišić, Karmela, Rogić, Dunja, biokemičarka
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.11613/BM.2019.030709
Biochemia medica (Online)
Hrčak
LEADER 03214naa a22003974i 4500
001 NSK01001068952
003 HR-ZaNSK
005 20200910114120.0
006 m d
007 cr||||||||||||
008 200709s2019 ci d |o |0|| ||eng
024 7 |2 doi  |a 10.11613/BM.2019.030709 
035 |a (HR-ZaNSK)001068952 
040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng  |b eng 
042 |a croatica 
044 |a ci  |c hr 
080 1 |a 577  |2 2011 
080 1 |a 61  |2 2011 
100 1 |a Šegulja, Dragana  |4 aut 
245 1 0 |a Verification study of free light chains assays on reagent-optimized analysers  |h [Elektronička građa] /  |c Dragana Šegulja, Danica Matišić, Karmela Barišić, Dunja Rogić. 
300 |b Graf. prikazi. 
504 |a Bibliografija: 25 jed. 
504 |a Summary. 
520 |a Introduction: Our aim was to compare analytical specifications of two assays (monoclonal vs. polyclonal) for free light chains (FLCs) quantificationoptimized for two different analytical platforms, nephelometer ProSpec (Siemens, Erlangen, Germany) and turbidimetric analyser Optilite (The BindingSite, Birmingham, UK).Materials and methods: The evaluation included verification of the precision, repeatability and reproducibility, estimation of accuracy and methodcomparison study with 37 serum samples of haematological patients. Kappa and lambda FLC were measured in each sample by both methodsand kappa/lambda ratio was calculated.Results: Results show satisfactory precision of both methods with coefficients of variation for ProSpec of CVwr = 2.20% and CVbr = 3.44%, and forOptilite CVwr = 2.82% and CVbr = 4.15%. Estimated bias for FLC lambda was higher on the ProSpec analyser, but bias for FLC kappa was higher on theOptilite analyser. Correlation coefficients were 0.98; P <0.001 for FLC kappa and 0.97; P <0.001 for FLC lambda. Considering normal/pathologicalFLC ratio moderate agreement within assays was detected (κ = 0.621). When the results were categorized according to criteria for progressive disease,4/37 (0.10) cases were differently classified. Lambda FLC values by Optilite in three samples with monoclonal FLC lambda were more than twelvetimes higher than by ProSpec. A 25% difference in FLC ratio was detected in 16/37 (0.43) and 50% difference in 13/37 (0.35) patients.Conclusions: All manufacturers’ precision claims could not be achieved in the verification study. The comparison of results to biological variationsdata showed that coefficients of variations are acceptable for both assays. The assays should not be used interchangeably in haematological patients. 
653 0 |a Imunološki testovi  |a Monoklonalna gamopatija  |a Reagensi 
700 1 |a Matišić, Danica  |4 aut 
700 1 |a Barišić, Karmela  |4 aut 
700 1 |a Rogić, Dunja,  |c biokemičarka  |4 aut 
773 0 |t Biochemia medica (Online)  |x 1846-7482  |g 29 (2019), 3 ; str. 579-586  |w nsk.(HR-ZaNSK)000655372 
981 |b Be2019  |b B04/19 
998 |b dalo2009 
856 4 0 |u https://doi.org/10.11613/BM.2019.030709 
856 4 0 |u https://www.biochemia-medica.com/en/journal/29/3/10.11613/BM.2019.030709  |y Biochemia medica (Online) 
856 4 1 |y Digitalna.nsk.hr 
856 4 0 |u https://hrcak.srce.hr/226456  |y Hrčak