Comparison of the Freelite serum free light chain (SFLC) assay with serum and urine electrophoresis/immunofixation and the N Latex FLC assay
Few reports have compared available serum free light chain (SFLC) assays. Here, a retrospective audit of the Freelite SFLC assay compared results to electrophoresis (EP)/immunofixation (IFX) and the N Latex FLC assay.A total of 244 samples collected over 3.5 months were studied using the Freelite and N Latex FLC nephelometry assays. Results were compared with serum and/or urine EP/IFX. The precision and linearity of the N Latex FLC assay was examined.Detectable paraprotein by serum or urine EP/IFX was present in 94% of samples with kappa and 100% with lambda FLC restriction. The correlation between the assays was higher for kappa (rho = 0.97) than lambda (rho = 0.89) especially when lambda results were above the upper limit of normal (rho = 0.62). Agreement in the categorical diagnosis as measured by the Cohen's kappa statistic was good (0.70). The N Latex FLC assay displayed good precision and linearity. In discordant samples the Freelite and N Latex FLC assays had equivalent agreement with IFX.Traditional methods of EP/IFX detected paraproteins in the majority of cases. Correlation between the Freelite and N Latex FLC assay is better for kappa than lambda FLC. The two assays are not entirely equivalent. Care should be taken by interpreting physicians and laboratories considering switching assays.
|ISBN||1465-3931 (Electronic) 0031-3025 (Linking)|
|Authors||Sasson, S. C. ; McGill, K. ; Wienholt, L. ; Carr, A. ; Brown, D. A. ; Kelleher, A. D. ; Breit, S. N. ; Sewell, W. A.;|
|Responsible Garvan Author||Prof Bill Sewell|
|URL link to publisher's version||http://www.ncbi.nlm.nih.gov/pubmed/26352111|
|OpenAccess link to author's accepted manuscript version||https://publications.gimr.garvan.org.au/open-access/13300|