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. 2026 Feb 27;64(4):e01128-25. doi: 10.1128/jcm.01128-25

Fig 2.

Bar charts comparing culture-free method accuracy for mycobacteria detection. Accuracy increases with AFB smear grade, reaching 100% in 3+ samples. NALC-NaOH pretreatment yields better results than acid.

Diagnostic performance of the culture-free method, compared with the culture method (A) Accuracy stratified by smear status, culture status, and patient group. (B) Accuracy by pretreatment protocol (acid vs. NALC-NaOH). NTM, nontuberculous mycobacteria; AFB, acid-fast bacilli; NALC-NaOH, N-acetyl-L-cysteine–sodium hydroxide.