Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications

Objective: To verify the analytical performance of cobas® HBV PCR and cobas® HCV PCR assays with Abbott m2000 RealTime System as the reference method. Design: De-identified residual, archived patient specimens, and College of American Pathologists (CAP) proficiency testing samples were used. Analyti...

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Main Authors: Javeria Aijaz, Jibran Khan, Fouzia Naseer, Dheeraj Kumar, Shakir Hussain
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Practical Laboratory Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352551723000203
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author Javeria Aijaz
Jibran Khan
Fouzia Naseer
Dheeraj Kumar
Shakir Hussain
author_facet Javeria Aijaz
Jibran Khan
Fouzia Naseer
Dheeraj Kumar
Shakir Hussain
author_sort Javeria Aijaz
collection DOAJ
description Objective: To verify the analytical performance of cobas® HBV PCR and cobas® HCV PCR assays with Abbott m2000 RealTime System as the reference method. Design: De-identified residual, archived patient specimens, and College of American Pathologists (CAP) proficiency testing samples were used. Analytical parameters verified were accuracy, precision, limit of detection (LOD), linear range, and cross-contamination. Experiments were designed in accordance with Clinical Laboratories Standards Institute (CLSI) guidelines and CAP standards. Analysis of accuracy was done through regression plots and Bland Altman analyses. Precision was analyzed through coefficient of variation and ANOVA; LOD through probit analysis; and linear range through polynomial fit analysis. Results: The regression plots for accuracy showed a slope nearing 1, with a y-intercept close to zero, while Bland Altman analyses also showed no systematic evidence of bias, though concordance of results was not perfect near the lower limit of quantification. Coefficients of variation were all below 15%, while ANOVA returned p-values above 0.99, indicating no statistically significant imprecision. The LOD verified were an order of magnitude higher than the manufacturer reported ones for both assays, while the linear range verified was more limited. Within the verified range, polynomial fit analysis showed line to be the best fit for the data. Conclusions: cobas® HBV PCR and cobas® HCV PCR assays showed acceptable accuracy, acceptable precision, as well as no evidence of cross-contamination. The LOD verified were higher, and linear ranges more limited than those reported by the manufacturer. Verifications of these may be limited by availability of appropriate testing specimens.
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spelling doaj.art-fd2fdf29a9c24567b0562a41d203e1dc2023-09-05T04:15:59ZengElsevierPractical Laboratory Medicine2352-55172023-08-0136e00326Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantificationsJaveria Aijaz0Jibran Khan1Fouzia Naseer2Dheeraj Kumar3Shakir Hussain4Corresponding author. Molecular Biology Section, 3rd Floor, Woodcraft Building, Plot 3 & 3-A, Sector 47 Korangi Creek Rd, Karachi, 75190, Pakistan.; Molecular Biology Section, Pathology Department, Indus Hospital & Health Network, Korangi Crossing, Karachi, 75190, PakistanMolecular Biology Section, Pathology Department, Indus Hospital & Health Network, Korangi Crossing, Karachi, 75190, PakistanMolecular Biology Section, Pathology Department, Indus Hospital & Health Network, Korangi Crossing, Karachi, 75190, PakistanMolecular Biology Section, Pathology Department, Indus Hospital & Health Network, Korangi Crossing, Karachi, 75190, PakistanMolecular Biology Section, Pathology Department, Indus Hospital & Health Network, Korangi Crossing, Karachi, 75190, PakistanObjective: To verify the analytical performance of cobas® HBV PCR and cobas® HCV PCR assays with Abbott m2000 RealTime System as the reference method. Design: De-identified residual, archived patient specimens, and College of American Pathologists (CAP) proficiency testing samples were used. Analytical parameters verified were accuracy, precision, limit of detection (LOD), linear range, and cross-contamination. Experiments were designed in accordance with Clinical Laboratories Standards Institute (CLSI) guidelines and CAP standards. Analysis of accuracy was done through regression plots and Bland Altman analyses. Precision was analyzed through coefficient of variation and ANOVA; LOD through probit analysis; and linear range through polynomial fit analysis. Results: The regression plots for accuracy showed a slope nearing 1, with a y-intercept close to zero, while Bland Altman analyses also showed no systematic evidence of bias, though concordance of results was not perfect near the lower limit of quantification. Coefficients of variation were all below 15%, while ANOVA returned p-values above 0.99, indicating no statistically significant imprecision. The LOD verified were an order of magnitude higher than the manufacturer reported ones for both assays, while the linear range verified was more limited. Within the verified range, polynomial fit analysis showed line to be the best fit for the data. Conclusions: cobas® HBV PCR and cobas® HCV PCR assays showed acceptable accuracy, acceptable precision, as well as no evidence of cross-contamination. The LOD verified were higher, and linear ranges more limited than those reported by the manufacturer. Verifications of these may be limited by availability of appropriate testing specimens.http://www.sciencedirect.com/science/article/pii/S2352551723000203VerificationAnalyticalHBVHCVRochecobas®
spellingShingle Javeria Aijaz
Jibran Khan
Fouzia Naseer
Dheeraj Kumar
Shakir Hussain
Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
Practical Laboratory Medicine
Verification
Analytical
HBV
HCV
Roche
cobas®
title Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
title_full Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
title_fullStr Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
title_full_unstemmed Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
title_short Analytical performance verification of a high throughput system for Hepatitis B and Hepatitis C viral load quantifications
title_sort analytical performance verification of a high throughput system for hepatitis b and hepatitis c viral load quantifications
topic Verification
Analytical
HBV
HCV
Roche
cobas®
url http://www.sciencedirect.com/science/article/pii/S2352551723000203
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