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Comparison of 6 automated assays for total and free prostate-specific antigen with special reference to their reactivity toward the WHO 96/670 reference preparation

Identifieur interne : 000050 ( PascalFrancis/Curation ); précédent : 000049; suivant : 000051

Comparison of 6 automated assays for total and free prostate-specific antigen with special reference to their reactivity toward the WHO 96/670 reference preparation

Auteurs : Sheila A. R. Kort [Pays-Bas] ; Frans Martens [Pays-Bas] ; Hilde Vanpoucke [Belgique] ; Hans L. Van Duijnhoven [Pays-Bas] ; Marinus A. Blankenstein [Pays-Bas]

Source :

RBID : Pascal:06-0468763

Descripteurs français

English descriptors

Abstract

Background: Prostate-specific antigen (PSA) assays have historically produced different results. Our aim was to investigate the comparability of assay results of selected commercially available assay methods designed to measure total, free, or complexed PSA (tPSA, fPSA, and cPSA). Methods: We measured tPSA, fPSA, and cPSA in 70 samples and in the WHO PSA 96/670 reference preparation with 6 assays (Beckman-Coulter Access, Abbott ARCHITECT and AxSYM, Bayer Advia Centaur, DPC IMMULITE 2000, and Roche Modular Analytics E170). We also calculated the fPSA/tPSA ratio. Results: The mean deviations from the expected tPSA and fPSA values for the WHO 96/670 reference preparation were 0.37 (range, 0.01-1.32) and 0.19 (range, 0.05-0.49) μg/L, respectively. When plotted against the expected WHO 96/670 reference preparation value, regression slopes varied from 0.99 to 1.22 and r2 from 0.9996 to 1.000. When total PSA was measured in mixtures of sera with high and low tPSA concentrations, the mean (SD) slope of regression of different assays against an in-house method was 1.04 (0.09). In these specimens, the fPSA/tPSA ratio was 0.11-0.14 with different methods. The tPSA and fPSA values in patient samples measured in different assays and plotted against ARCHITECT gave regression slopes from 0.88 to 0.97. The results of the studied assays for tPSA in serum samples agreed within 15%, from each other, and all results for the WHO 96/670 reference preparation were within 6.8% (confidence interval, 1.7%-15.2%) of the expected value. The results for fPSA were more diverse. Conclusions: Differences among PSA assays appear to have decreased since introduction of the WHO 96/670 reference preparation, but further efforts are needed to harmonize fPSA assays.
pA  
A01 01  1    @0 0009-9147
A02 01      @0 CLCHAU
A03   1    @0 Clin. chem. : (Baltim. Md.)
A05       @2 52
A06       @2 8
A08 01  1  ENG  @1 Comparison of 6 automated assays for total and free prostate-specific antigen with special reference to their reactivity toward the WHO 96/670 reference preparation
A11 01  1    @1 KORT (Sheila A. R.)
A11 02  1    @1 MARTENS (Frans)
A11 03  1    @1 VANPOUCKE (Hilde)
A11 04  1    @1 VAN DUIJNHOVEN (Hans L.)
A11 05  1    @1 BLANKENSTEIN (Marinus A.)
A14 01      @1 Endocrine Laboratory, Department of Clinical Chemistry, VU University Medical Center @2 Amsterdam @3 NLD @Z 1 aut. @Z 2 aut. @Z 5 aut.
A14 02      @1 Laboratory of Clinical Chemistry, H. Hartziekenhuis @2 Roeselare-Menen vzw @3 BEL @Z 3 aut.
A14 03      @1 Algemeen Klinisch Laboratorium, Elkerliek Ziekenhuis @2 Helmond @3 NLD @Z 4 aut.
A20       @1 1568-1574
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 7603 @5 354000133385130160
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 19 ref.
A47 01  1    @0 06-0468763
A60       @1 P
A61       @0 A
A64 01  1    @0 Clinical chemistry : (Baltimore, Md.)
A66 01      @0 USA
C01 01    ENG  @0 Background: Prostate-specific antigen (PSA) assays have historically produced different results. Our aim was to investigate the comparability of assay results of selected commercially available assay methods designed to measure total, free, or complexed PSA (tPSA, fPSA, and cPSA). Methods: We measured tPSA, fPSA, and cPSA in 70 samples and in the WHO PSA 96/670 reference preparation with 6 assays (Beckman-Coulter Access, Abbott ARCHITECT and AxSYM, Bayer Advia Centaur, DPC IMMULITE 2000, and Roche Modular Analytics E170). We also calculated the fPSA/tPSA ratio. Results: The mean deviations from the expected tPSA and fPSA values for the WHO 96/670 reference preparation were 0.37 (range, 0.01-1.32) and 0.19 (range, 0.05-0.49) μg/L, respectively. When plotted against the expected WHO 96/670 reference preparation value, regression slopes varied from 0.99 to 1.22 and r2 from 0.9996 to 1.000. When total PSA was measured in mixtures of sera with high and low tPSA concentrations, the mean (SD) slope of regression of different assays against an in-house method was 1.04 (0.09). In these specimens, the fPSA/tPSA ratio was 0.11-0.14 with different methods. The tPSA and fPSA values in patient samples measured in different assays and plotted against ARCHITECT gave regression slopes from 0.88 to 0.97. The results of the studied assays for tPSA in serum samples agreed within 15%, from each other, and all results for the WHO 96/670 reference preparation were within 6.8% (confidence interval, 1.7%-15.2%) of the expected value. The results for fPSA were more diverse. Conclusions: Differences among PSA assays appear to have decreased since introduction of the WHO 96/670 reference preparation, but further efforts are needed to harmonize fPSA assays.
C02 01  X    @0 002B24
C02 02  X    @0 002A02
C03 01  X  FRE  @0 Etude comparative @5 02
C03 01  X  ENG  @0 Comparative study @5 02
C03 01  X  SPA  @0 Estudio comparativo @5 02
C03 02  X  FRE  @0 Analyse automatique @5 03
C03 02  X  ENG  @0 Automatic analysis @5 03
C03 02  X  SPA  @0 Análisis automático @5 03
C03 03  X  FRE  @0 Forme libre @5 05
C03 03  X  ENG  @0 Free form @5 05
C03 03  X  SPA  @0 Forma libre @5 05
C03 04  X  FRE  @0 Antigène spécifique prostate @5 06
C03 04  X  ENG  @0 Prostate specific antigen @5 06
C03 04  X  SPA  @0 Antigeno específico prostata @5 06
C03 05  X  FRE  @0 Marqueur tumoral @5 08
C03 05  X  ENG  @0 Tumoral marker @5 08
C03 05  X  SPA  @0 Marcador tumoral @5 08
C03 06  X  FRE  @0 Référence @5 09
C03 06  X  ENG  @0 Reference @5 09
C03 06  X  SPA  @0 Referencia @5 09
C03 07  X  FRE  @0 Réactivité @5 11
C03 07  X  ENG  @0 Reactivity @5 11
C03 07  X  SPA  @0 Reactividad @5 11
C03 08  X  FRE  @0 OMS @5 12
C03 08  X  ENG  @0 WHO @5 12
C03 08  X  SPA  @0 OMS @5 12
C03 09  X  FRE  @0 Préparation @5 14
C03 09  X  ENG  @0 Preparation @5 14
C03 09  X  SPA  @0 Preparación @5 14
C03 10  X  FRE  @0 Biochimie @5 15
C03 10  X  ENG  @0 Biochemistry @5 15
C03 10  X  SPA  @0 Bioquímica @5 15
C03 11  X  FRE  @0 Biologie clinique @5 17
C03 11  X  ENG  @0 Clinical biology @5 17
C03 11  X  SPA  @0 Biología clínica @5 17
C03 12  X  FRE  @0 Biologie moléculaire @5 18
C03 12  X  ENG  @0 Molecular biology @5 18
C03 12  X  SPA  @0 Biología molecular @5 18
N21       @1 310

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<term>Molecular biology</term>
<term>Preparation</term>
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<div type="abstract" xml:lang="en">Background: Prostate-specific antigen (PSA) assays have historically produced different results. Our aim was to investigate the comparability of assay results of selected commercially available assay methods designed to measure total, free, or complexed PSA (tPSA, fPSA, and cPSA). Methods: We measured tPSA, fPSA, and cPSA in 70 samples and in the WHO PSA 96/670 reference preparation with 6 assays (Beckman-Coulter Access, Abbott ARCHITECT and AxSYM, Bayer Advia Centaur, DPC IMMULITE 2000, and Roche Modular Analytics E170). We also calculated the fPSA/tPSA ratio. Results: The mean deviations from the expected tPSA and fPSA values for the WHO 96/670 reference preparation were 0.37 (range, 0.01-1.32) and 0.19 (range, 0.05-0.49) μg/L, respectively. When plotted against the expected WHO 96/670 reference preparation value, regression slopes varied from 0.99 to 1.22 and r2 from 0.9996 to 1.000. When total PSA was measured in mixtures of sera with high and low tPSA concentrations, the mean (SD) slope of regression of different assays against an in-house method was 1.04 (0.09). In these specimens, the fPSA/tPSA ratio was 0.11-0.14 with different methods. The tPSA and fPSA values in patient samples measured in different assays and plotted against ARCHITECT gave regression slopes from 0.88 to 0.97. The results of the studied assays for tPSA in serum samples agreed within 15%, from each other, and all results for the WHO 96/670 reference preparation were within 6.8% (confidence interval, 1.7%-15.2%) of the expected value. The results for fPSA were more diverse. Conclusions: Differences among PSA assays appear to have decreased since introduction of the WHO 96/670 reference preparation, but further efforts are needed to harmonize fPSA assays.</div>
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<s0>Background: Prostate-specific antigen (PSA) assays have historically produced different results. Our aim was to investigate the comparability of assay results of selected commercially available assay methods designed to measure total, free, or complexed PSA (tPSA, fPSA, and cPSA). Methods: We measured tPSA, fPSA, and cPSA in 70 samples and in the WHO PSA 96/670 reference preparation with 6 assays (Beckman-Coulter Access, Abbott ARCHITECT and AxSYM, Bayer Advia Centaur, DPC IMMULITE 2000, and Roche Modular Analytics E170). We also calculated the fPSA/tPSA ratio. Results: The mean deviations from the expected tPSA and fPSA values for the WHO 96/670 reference preparation were 0.37 (range, 0.01-1.32) and 0.19 (range, 0.05-0.49) μg/L, respectively. When plotted against the expected WHO 96/670 reference preparation value, regression slopes varied from 0.99 to 1.22 and r2 from 0.9996 to 1.000. When total PSA was measured in mixtures of sera with high and low tPSA concentrations, the mean (SD) slope of regression of different assays against an in-house method was 1.04 (0.09). In these specimens, the fPSA/tPSA ratio was 0.11-0.14 with different methods. The tPSA and fPSA values in patient samples measured in different assays and plotted against ARCHITECT gave regression slopes from 0.88 to 0.97. The results of the studied assays for tPSA in serum samples agreed within 15%, from each other, and all results for the WHO 96/670 reference preparation were within 6.8% (confidence interval, 1.7%-15.2%) of the expected value. The results for fPSA were more diverse. Conclusions: Differences among PSA assays appear to have decreased since introduction of the WHO 96/670 reference preparation, but further efforts are needed to harmonize fPSA assays.</s0>
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<fC03 i1="04" i2="X" l="SPA">
<s0>Antigeno específico prostata</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Marqueur tumoral</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Tumoral marker</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Marcador tumoral</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Référence</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Reference</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Referencia</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Réactivité</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Reactivity</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Reactividad</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>OMS</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>WHO</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>OMS</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Préparation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Preparation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Preparación</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Biochimie</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Biochemistry</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Bioquímica</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Biologie clinique</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Clinical biology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Biología clínica</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Biologie moléculaire</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Molecular biology</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Biología molecular</s0>
<s5>18</s5>
</fC03>
<fN21>
<s1>310</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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