Performance evaluation of a chemiluminescence microparticle immunoassay for CK-MB.

BackgroundTo verify and evaluate the performance characteristics of a creatine kinase phosphokinase isoenzymes MB (CK-MB) assay kit, which produced by Xiamen Innodx Biotech Co. Ltd. MethodsEvaluation was carried out according to Guidelines for principle of analysis performance evaluation of in vitro diagnostic reagent. The performance parameters included detection limit, linearity range, reportable range, recovery test, precision verification, interference test, cross-reactivity, matrix effect, and method comparison. ResultsThe detection limit was 0.1ng/mL. The assay had clinical linearity over range of 0.1ng/mL-500ng/mL. Reportable range was from 0.1ng/mL to 1000ng/mL. The average percent of recovery was 99.66%. The coefficient of variation (CV) for within-run and between-run of low CK-MB sample was 5.55% and 6.16%, respectively. As for high-level sample, it was 7.88% and 7.80%. In medical decision level, the relative deviation (Bias) of all interference tests was lower than 15%. When the sample had mild-hemolysis; hemoglobin 15g/L; triglyceride 17mmol/L; bilirubin 427.5mol/L; rheumatoid factor 206U/mL, there was no significant interference to be found. Moreover, assay kit had no cross-reaction with CK-MM and CK-BB. At last, total diagnostic accuracy of kit was 93.24%, when compared with refer kit. ConclusionOverall the results of the verification study indicated the performance of kit is met the requirements of the clinical test.