Analytical evaluation of the novel Mindray high sensitivity cardiac troponin I immunoassay on CL-1200i

© 2024 Walter de Gruyter GmbH, Berlin/Boston..

OBJECTIVES: The current study was designed to evaluate the analytical performance of the new Mindray highly sensitive cardiac troponin I (hs-cTnI) chemiluminescent immunoassay on Mindray CL-1200i, as a thorough validation of novel hs-cTnI methods is required before introduction into clinical practice.

METHODS: The evaluation of the analytical performance of this hs-cTnI immunoassay encompassed the calculation of the limit of blank (LOB), limit of detection (LOD), functional sensitivity, imprecision, linearity, 99th percentile upper reference limit (URL) and concordance with another previously validated hs-cTnI chemiluminescent immunoassay.

RESULTS: The LOB and LOD were 0.32 and 0.35 ng/L, whilst the functional sensitivity (expressed as cTnI value with <10 % imprecision), was 0.35 ng/L. The linearity was excellent throughout a wide range of clinically measurable values (r=1.00 between 0.8 and 9,726.9 ng/mL). The intra-assay, inter-assay and total imprecision were 1.1-1.3 %, 5.5-8.1 % and 5.6-8.2 %, respectively. The 99th percentile URL calculated using residual plasma from 246 ostensibly healthy blood donors was 9.2 ng/L (4.3 ng/L in women vs. 12.3 ng/L in men). The Spearman's correlation between Mindray hs-cTnI and Access hs-TnI was 0.97, with mean bias of 7.2 % (95 % CI, 2.6-11.9 %).

CONCLUSIONS: Although we failed to confirm the very optimistic analytical characteristics previously reported for this method, our evaluation of the novel Mindray hs-cTnI immunoassay on CL-1200i demonstrated that the overall performance is comparable to that of other commercially available hs-cTnI techniques, making it a viable alternative to other methods.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Clinical chemistry and laboratory medicine - (2024) vom: 08. Jan.

Sprache:

Englisch

Beteiligte Personen:

Lippi, Giuseppe [VerfasserIn]
Pighi, Laura [VerfasserIn]
Paviati, Elisa [VerfasserIn]
Demonte, Davide [VerfasserIn]
De Nitto, Simone [VerfasserIn]
Gelati, Matteo [VerfasserIn]
Montagnana, Martina [VerfasserIn]
Gandini, Giorgio [VerfasserIn]
Henry, Brandon M [VerfasserIn]
Salvagno, Gian Luca [VerfasserIn]

Links:

Volltext

Themen:

Immunoassay
Journal Article
Method evaluation
Myocardial infarction
Troponin

Anmerkungen:

Date Revised 04.01.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1515/cclm-2023-1448

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36666638X