Published online Oct 7, 2017. doi: 10.3748/wjg.v23.i37.6845
Peer-review started: May 19, 2017
First decision: June 8, 2017
Revised: August 1, 2017
Accepted: August 15, 2017
Article in press: August 15, 2017
Published online: October 7, 2017
To investigate and compare the analytical and clinical performance of TianLong automatic hypersensitive hepatitis B virus (HBV) DNA quantification system and Roche CAP/CTM system.
Two hundred blood samples for HBV DNA testing, HBV-DNA negative samples and high-titer HBV-DNA mixture samples were collected and prepared. National standard materials for serum HBV and a worldwide HBV DNA panel were employed for performance verification. The analytical performance, such as limit of detection, limit of quantification, accuracy, precision, reproducibility, linearity, genotype coverage and cross-contamination, was determined using the TianLong automatic hypersensitive HBV DNA quantification system (TL system). Correlation and Bland-Altman plot analyses were carried out to compare the clinical performance of the TL system assay and the CAP/CTM system.
The detection limit of the TL system was 10 IU/mL, and its limit of quantification was 30 IU/mL. The differences between the expected and tested concentrations of the national standards were less than ± 0.4 Log10 IU/mL, which showed high accuracy of the system. Results of the precision, reproducibility and linearity tests showed that the multiple test coefficient of variation (CV) of the same sample was less than 5% for 102-106 IU/mL; and for 30-108 IU/mL, the linear correlation coefficient r2 = 0.99. The TL system detected HBV DNA (A-H) genotypes and there was no cross-contamination during the “checkerboard” test. When compared with the CAP/CTM assay, the two assays showed 100% consistency in both negative and positive sample results (15 negative samples and 185 positive samples). No statistical differences between the two assays in the HBV DNA quantification values were observed (P > 0.05). Correlation analysis indicated a significant correlation between the two assays, r2 = 0.9774. The Bland-Altman plot analysis showed that 98.9% of the positive data were within the 95% acceptable range, and the maximum difference was -0.49.
The TL system has good analytical performance, and exhibits good agreement with the CAP/CTM system in clinical performance.
Core tip: The TianLong automatic hypersensitive hepatitis B virus DNA quantification system achieved a limit of detection of 10 IU/mL, limit of quantification of 30 IU/mL and good analytical performance in terms of accuracy, precision, reproducibility, linearity, genotype coverage and cross-contamination. In clinical performance, the TL system showed good correlation and agreement with the Roche CAP/CTM system.