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一项关于 VERIS HBV 检测与罗氏 COBAS TAQMAN HBV 检测、雅培实时 HBV 检测、西门子 VERSANT HBV 检测和 Qiagen artus HBV RG 试剂盒检测 HBV 病毒载量的欧洲多中心研究。

A European multicientre study on the comparison of HBV viral loads between VERIS HBV assay and Roche COBAS TAQMAN HBV test, Abbott RealTime HBV assay, Siemens VERSANT HBV assay, and Qiagen artus HBV RG kit.

机构信息

Laboratory Dr. Knechten, Medical Center for HIV and Hepatitis, Aachen, Germany.

Microbiology Department, Hospital Universitario 12 de Octubre and Insituto de Investigation, Hospital 12 de Octubre (i+12), Madrid, Spain.

出版信息

J Clin Virol. 2017 Oct;95:76-83. doi: 10.1016/j.jcv.2017.08.015. Epub 2017 Sep 9.

Abstract

BACKGROUND

Hepatitis B viral load testing is essential to treatment and monitoring decisions in patients with chronic Hepatitis B. Beckman Coulter has developed the VERIS HBV Assay (Veris) for use on the fully automated DxN VERIS Molecular Diagnostics System. OBJECTIVES: To evaluate the clinical performance of the Veris HBV Assay at multiple EU laboratories STUDY DESIGN: Method comparison was performed with a total of 344 plasma specimens from HBV infected patients tested with Veris and COBAS TaqMan HBV Test (Cobas), 207 specimens tested with Veris and RealTime HBV Assay (RealTime), 86 specimens tested with Veris and VERSANT HBV Assay (Versant), and 74 specimens tested with Veris and artus HBV RG PCR kit (artus).

RESULTS

Bland-Altman analysis showed average bias of -0.46 log IU/mL between Veris and Cobas, -0.46 logIU/mL between Veris and RealTime, -0.36 logIU/mL between Veris and Versant, and -0.12 logIU/mL between Veris and artus. Bias was consistent across the assay range. Patient monitoring results using Veris demonstrated similar viral load trends over time to Cobas, RealTime, and artus.

CONCLUSIONS

The VERIS HBV Assay demonstrated comparable clinical performance, with varying degrees of negative bias, compared to other currently marketed assays for HBV DNA monitoring. This negative bias should be taken into consideration if switching monitoring methods to Veris.

摘要

背景

乙型肝炎病毒载量检测对于慢性乙型肝炎患者的治疗和监测决策至关重要。贝克曼库尔特公司开发了 VERIS HBV 检测试剂盒(Veris),用于全自动 DxN VERIS 分子诊断系统。目的:评估 VERIS HBV 检测试剂盒在多个欧盟实验室的临床性能。研究设计:采用方法对比,共检测了 344 份乙型肝炎病毒感染患者的血浆标本,其中 207 份标本用 Veris 和 COBAS TaqMan HBV 检测试剂盒(Cobas)、207 份标本用 Veris 和 RealTime HBV 检测试剂盒(RealTime)、86 份标本用 Veris 和 VERSANT HBV 检测试剂盒(Versant)、74 份标本用 Veris 和 artus HBV RG PCR 试剂盒(artus)进行检测。结果: Bland-Altman 分析显示,Veris 与 Cobas 之间的平均偏差为-0.46 log IU/mL,Veris 与 RealTime 之间的平均偏差为-0.46 logIU/mL,Veris 与 Versant 之间的平均偏差为-0.36 logIU/mL,Veris 与 artus 之间的平均偏差为-0.12 logIU/mL。偏差在整个检测范围内保持一致。使用 Veris 进行患者监测的结果表明,病毒载量随时间的变化趋势与 Cobas、RealTime 和 artus 相似。结论:与其他目前市场上用于乙型肝炎病毒 DNA 监测的检测试剂盒相比,VERIS HBV 检测试剂盒具有相似的临床性能,但存在不同程度的负偏倚。如果要切换到 Veris 进行监测方法,应考虑这种负偏倚。

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