Enzyme immunoassay | IIF | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PR3 | MPO | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||
Controls n=924 | Neg | Neg | 904 | 893 | 895 | 883 | 906 | 897 | 894 | 872 | Neg | 725 | 866 |
Pos | Neg | 7 | 13 | 10 | 10 | 6 | 6 | 7 | 17 | C-ANCA | 27 | 19 | |
Neg | Pos | 10 | 15 | 16 | 28 | 11 | 19 | 19 | 33 | P-ANCA | 172 | 34 | |
Pos | Pos | 3 | 3 | 3 | 3 | 1 | 2 | 4 | 2 | C-ANCA+P-ANCA | 0 | 0 | |
A-ANCA | 5 | ||||||||||||
GPA n=186 | Neg | Neg | 22 | 21 | 26 | 20 | 28 | 23 | 21 | 25 | Neg | 39 | 22 |
Pos | Neg | 148 | 146 | 140 | 144 | 140 | 143 | 145 | 140 | C-ANCA | 119 | 144 | |
Neg | Pos | 16 | 15 | 19 | 22 | 18 | 19 | 20 | 18 | P-ANCA | 27 | 20 | |
Pos | Pos | 0 | 4 | 1 | 0 | 0 | 1 | 0 | 4 | C-ANCA+P-ANCA | 1 | 0 | |
MPA n=65 | Neg | Neg | 12 | 8 | 8 | 5 | 10 | 9 | 6 | 16 | Neg | 4 | 6 |
Pos | Neg | 4 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | C-ANCA | 3 | 4 | |
Neg | Pos | 47 | 53 | 54 | 56 | 51 | 52 | 56 | 44 | P-ANCA | 58 | 55 | |
Pos | Pos | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 2 | C-ANCA+P-ANCA | 0 | 0 | |
Accuracy* | 0.954 | 0.949 | 0.946 | 0.944 | 0.952 | 0.950 | 0.951 | 0.922 | 0.794 | 0.927 |
Cut-off values proposed by the manufacturer were used.
The assays included were from Inova (QuantaLite (1) and QuantaFlash (2)), Thermo-Fisher (EliA) (3), Bio-Rad (BioPlex 2200) (4), Euro-Diagnostica (5), Orgentec (6), Euroimmun (7) and Medipan (CytoBead assay) (8).
*Accuracy was calculated as follows:
A-ANCA, atypical ANCA; GPA, granulomatosis with polyangiitis; MPA, microscopic polyangiitis; MPO, myeloperoxidase; Neg, negative; Pos, positive.