Performance of free β-human chorionic gonadotrophin (free β-hCG) and pregnancy associated plasma protein-A (PAPP-A) analysis between Delfia Xpress and AutoDelfia systems in The Netherlands
AutoDelfia;
Delfia Xpress;
first trimester Down syndrome screening;
free beta-human chorionic gonadotrophin;
pregnancy associated plasma protein-A;
FETAL NUCHAL TRANSLUCENCY;
MAJOR BASIC-PROTEIN;
DOWN-SYNDROME;
1ST TRIMESTER;
SERUM;
SUBUNIT;
MARKERS;
RISK;
TRISOMY-21;
STABILITY;
D O I:
10.1515/CCLM.2009.042
中图分类号:
R446 [实验室诊断];
R-33 [实验医学、医学实验];
学科分类号:
1001 ;
摘要:
Background: The VU University Medical Center (VUmc) was the first hospital in the Netherlands to introduce the Delfia Xpress for the analysis of free beta-human chorionic gonadotrophin (beta-hCG) and pregnancy associated plasma protein-A (PAPP-A) in the first trimester screening program for Down syndrome. Since then, others have implemented this system. In this study, we tested the equality of measurements for free beta-hCG and PAPP-A between Delfia Xpress systems and one AutoDelfia system. Methods: A total of 40 serum samples were aliquoted and stored at - 20 degrees C. Samples were analyzed by six Delfia Xpress systems and one AutoDelfia system over a time period of 2 years. Results: The relationships between free beta-hCG and PAPP-A were excellent for the different Delfia Xpress systems (r > 0.99, p < 0.0001). For PAPP-A, the agreement between the main system at VUmc and five other systems was linear with slopes between 0.99 and 1.06. Similarly, agreement for free beta-hCG was linear with slopes between 0.99 and 1.09. Likewise, agreement for PAPP-A and free beta-hCG was excellent for the AutoDelfia vs. the main Delfia Xpress at the VUmc (r > 0.99, p < 0.0001). For both PAPP-A and free beta-hCG, the relationships were linear with slopes of 1.08 and 1.07. Conclusions: We demonstrate an excellent agreement for the analysis of PAPP-A and free beta-hCG between Delfia Xpress systems and one AutoDelfia system.
机构:
Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Univ Coll London Hosp, Dept Fetal Med, London, EnglandKings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Cruz, J.
Cruz, G.
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机构:
Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, EnglandKings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Cruz, G.
Minekawa, R.
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Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, EnglandKings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Minekawa, R.
Maiz, N.
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Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Ctr Sanitario Virgen Pilar, Fetal Med Unit, San Sebastian, SpainKings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Maiz, N.
Nicolaides, K. H.
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机构:
Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England
Univ Coll London Hosp, Dept Fetal Med, London, EnglandKings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London SE5 9RS, England