Determination of optimal replicate number for validation of imprecision using fluorescence cell‐based assays: Proposed practical method

Background Assay validation includes determination of inherent imprecision across the reportable range. However, specific practical guidelines for determinations of precision for cell‐based fluorescence assays performed on flow cytometers are currently lacking. Methods Replicates of 10 or 20 measure...

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Veröffentlicht in:Cytometry. Part B, Clinical cytometry Clinical cytometry, 2013-09, Vol.84 (5), p.329-337
Hauptverfasser: Davis, Bruce H., McLaren, Christine E., Carcio, Anthony J., Wong, Linda, Hedley, Benjamin D., Keeney, Mike, Curtis, Adam, Culp, Naomi B.
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container_end_page 337
container_issue 5
container_start_page 329
container_title Cytometry. Part B, Clinical cytometry
container_volume 84
creator Davis, Bruce H.
McLaren, Christine E.
Carcio, Anthony J.
Wong, Linda
Hedley, Benjamin D.
Keeney, Mike
Curtis, Adam
Culp, Naomi B.
description Background Assay validation includes determination of inherent imprecision across the reportable range. However, specific practical guidelines for determinations of precision for cell‐based fluorescence assays performed on flow cytometers are currently lacking. Methods Replicates of 10 or 20 measurements were obtained for flow cytometric assays developed for clinical in vitro diagnostic use, including neutrophil CD64 expression for infection/sepsis detection, fetal red cell enumeration for fetomaternal hemorrhage detection, human equilibrative nucleoside transporter 1 quantitation in leukocytes for possible correlation with drug responsiveness, and CD34+ hematopoietic stem cell enumeration of apheresis products, using up to three different instrument platforms for each assay. For each assay, the mean, 95% confidence intervals (95% CIs) of the mean, standard deviation, and coefficient of variation (CV) of sequential replicates were determined. Results For all assays and most instrument platforms,
doi_str_mv 10.1002/cyto.b.21116
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However, specific practical guidelines for determinations of precision for cell‐based fluorescence assays performed on flow cytometers are currently lacking. Methods Replicates of 10 or 20 measurements were obtained for flow cytometric assays developed for clinical in vitro diagnostic use, including neutrophil CD64 expression for infection/sepsis detection, fetal red cell enumeration for fetomaternal hemorrhage detection, human equilibrative nucleoside transporter 1 quantitation in leukocytes for possible correlation with drug responsiveness, and CD34+ hematopoietic stem cell enumeration of apheresis products, using up to three different instrument platforms for each assay. For each assay, the mean, 95% confidence intervals (95% CIs) of the mean, standard deviation, and coefficient of variation (CV) of sequential replicates were determined. Results For all assays and most instrument platforms, &lt;5 replicates were found adequate to validate assay imprecision levels below the 5–10% CV for repeatability claimed by the manufacturers of these assays. Results plotted as a novel parameter derived from the 95% CI and the cumulative mean for replicates, termed variance factor (VF), provide a data‐driven means for determining optimal replicate numbers. Conclusions The novel VF can provide information to guide the practical selection of optimal replicate numbers for validation of imprecision in flow cytometric assays. The optimal number of replicates was assay and instrument platform dependent. Our findings indicate that three to four replicates are sufficient for most flow cytometric assays and instrument combinations, rather than the higher numbers suggested by CLSI guidelines for soluble analytes. © 2013 International Clinical Cytometry Society</description><identifier>ISSN: 1552-4949</identifier><identifier>EISSN: 1552-4957</identifier><identifier>DOI: 10.1002/cyto.b.21116</identifier><identifier>PMID: 24022856</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Antigens, CD34 - isolation &amp; purification ; assay validation ; Female ; Fetal Blood ; fetomaternal hemorrhage test ; flow cytometry ; Flow Cytometry - methods ; Flow Cytometry - standards ; Fluorescent Dyes ; Hematopoietic Stem Cells - pathology ; hENT1 assay ; Humans ; IVD clearance ; laboratory‐developed test ; Pregnancy ; quality assessment ; regulatory science ; Sepsis - blood ; sepsis test ; stem cell assay</subject><ispartof>Cytometry. 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Part B, Clinical cytometry</title><addtitle>Cytometry B Clin Cytom</addtitle><description>Background Assay validation includes determination of inherent imprecision across the reportable range. However, specific practical guidelines for determinations of precision for cell‐based fluorescence assays performed on flow cytometers are currently lacking. Methods Replicates of 10 or 20 measurements were obtained for flow cytometric assays developed for clinical in vitro diagnostic use, including neutrophil CD64 expression for infection/sepsis detection, fetal red cell enumeration for fetomaternal hemorrhage detection, human equilibrative nucleoside transporter 1 quantitation in leukocytes for possible correlation with drug responsiveness, and CD34+ hematopoietic stem cell enumeration of apheresis products, using up to three different instrument platforms for each assay. For each assay, the mean, 95% confidence intervals (95% CIs) of the mean, standard deviation, and coefficient of variation (CV) of sequential replicates were determined. Results For all assays and most instrument platforms, &lt;5 replicates were found adequate to validate assay imprecision levels below the 5–10% CV for repeatability claimed by the manufacturers of these assays. Results plotted as a novel parameter derived from the 95% CI and the cumulative mean for replicates, termed variance factor (VF), provide a data‐driven means for determining optimal replicate numbers. Conclusions The novel VF can provide information to guide the practical selection of optimal replicate numbers for validation of imprecision in flow cytometric assays. The optimal number of replicates was assay and instrument platform dependent. 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Part B, Clinical cytometry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Bruce H.</au><au>McLaren, Christine E.</au><au>Carcio, Anthony J.</au><au>Wong, Linda</au><au>Hedley, Benjamin D.</au><au>Keeney, Mike</au><au>Curtis, Adam</au><au>Culp, Naomi B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determination of optimal replicate number for validation of imprecision using fluorescence cell‐based assays: Proposed practical method</atitle><jtitle>Cytometry. Part B, Clinical cytometry</jtitle><addtitle>Cytometry B Clin Cytom</addtitle><date>2013-09</date><risdate>2013</risdate><volume>84</volume><issue>5</issue><spage>329</spage><epage>337</epage><pages>329-337</pages><issn>1552-4949</issn><eissn>1552-4957</eissn><abstract>Background Assay validation includes determination of inherent imprecision across the reportable range. However, specific practical guidelines for determinations of precision for cell‐based fluorescence assays performed on flow cytometers are currently lacking. Methods Replicates of 10 or 20 measurements were obtained for flow cytometric assays developed for clinical in vitro diagnostic use, including neutrophil CD64 expression for infection/sepsis detection, fetal red cell enumeration for fetomaternal hemorrhage detection, human equilibrative nucleoside transporter 1 quantitation in leukocytes for possible correlation with drug responsiveness, and CD34+ hematopoietic stem cell enumeration of apheresis products, using up to three different instrument platforms for each assay. For each assay, the mean, 95% confidence intervals (95% CIs) of the mean, standard deviation, and coefficient of variation (CV) of sequential replicates were determined. Results For all assays and most instrument platforms, &lt;5 replicates were found adequate to validate assay imprecision levels below the 5–10% CV for repeatability claimed by the manufacturers of these assays. Results plotted as a novel parameter derived from the 95% CI and the cumulative mean for replicates, termed variance factor (VF), provide a data‐driven means for determining optimal replicate numbers. Conclusions The novel VF can provide information to guide the practical selection of optimal replicate numbers for validation of imprecision in flow cytometric assays. The optimal number of replicates was assay and instrument platform dependent. Our findings indicate that three to four replicates are sufficient for most flow cytometric assays and instrument combinations, rather than the higher numbers suggested by CLSI guidelines for soluble analytes. © 2013 International Clinical Cytometry Society</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24022856</pmid><doi>10.1002/cyto.b.21116</doi><tpages>9</tpages></addata></record>
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subjects Antigens, CD34 - isolation & purification
assay validation
Female
Fetal Blood
fetomaternal hemorrhage test
flow cytometry
Flow Cytometry - methods
Flow Cytometry - standards
Fluorescent Dyes
Hematopoietic Stem Cells - pathology
hENT1 assay
Humans
IVD clearance
laboratory‐developed test
Pregnancy
quality assessment
regulatory science
Sepsis - blood
sepsis test
stem cell assay
title Determination of optimal replicate number for validation of imprecision using fluorescence cell‐based assays: Proposed practical method
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