Comparison of a time-resolved fluoroimmunoassay with a solid phase immunoradiometric assay the measurement of alphafetoprotein in amniotic fluid
1987

Comparison of Two Assays for Measuring Alpha-Fetoprotein in Amniotic Fluid

Sample size: 174 publication Evidence: moderate

Author Information

Author(s): Edward J. Coombes, Brian J. Moody, Howard James, Ciaron Kelly

Primary Institution: Department of Chemical Pathology, Salisbury General Infirmary

Hypothesis

The study aims to evaluate the performance of a new DELFIA assay against the traditional IRMA assay for measuring alpha-fetoprotein in amniotic fluid.

Conclusion

The DELFIA assay proved to be a sensitive and convenient alternative to the IRMA assay for measuring alpha-fetoprotein in amniotic fluid.

Supporting Evidence

  • The DELFIA assay showed an excellent correlation coefficient of 0.997 with the IRMA assay.
  • In 53 of the 55 cases of open spina bifida and anencephaly, the DELFIA results were above the normal cut-off limits.
  • The DELFIA assay allows for same-day results due to its shorter incubation time compared to the IRMA.

Takeaway

This study compared two tests to measure a substance in amniotic fluid that can indicate fetal health, finding that the new test works just as well as the old one but is faster and easier to use.

Methodology

The study used two techniques, DELFIA and IRMA, to measure alpha-fetoprotein levels in amniotic fluid samples collected from pregnancies.

Limitations

The study may have limitations related to the sample size and the specific clinical conditions of the pregnancies analyzed.

Participant Demographics

The study included 174 amniotic fluid samples collected from pregnancies, with 115 from normal pregnancies and 55 from abnormal pregnancies.

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