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. 2009 Aug;30(3):131–140.

Table 3.

Recovery of serum κ free light chains (FLC) on sample dilution by two methods.

Sample ID IMMAGE
κFLC concentration (mg/L) after multiplication at final sample dilution
BNII
κFLC concentration (mg/L) after multiplication at final sample dilution
1 in10 a 1 in 50 1 in 100 1 in 200 1 in 400 1 in 1000 1 in 2000 1 in 100 b 1 in 400 1in 2000 1 in 8000
1) IIMM c 127 384 384 100 183
2) LCMM c 185 352 437 162 238
3) IIMM c 124 292 315 88 138
4) IIMM >198 574 428 >179 387
5) IIMM >198 798 768 >179 642
6) IIMM >198 4050 3440 >179 3320
7) IIMM >162 218 206 114 164 196
8) IIMM d Nonlinear >198 >990 2500 2520 133 826
9) No clinical notes available Antigen excess e 75 20,300
(1 in 5000)
N/a
a

IMMAGE κFLC measuring range for initial sample dilution of 1 in 10 was 6.6–198 mg/L (Freelite Lot 232704B) and 5.4–162 mg/L (Lot 241673D);

b

BNII κFLC measuring range for initial sample dilution of 1 in 100 was 5.6–179 mg/L (Lot 239854C);

c

Samples 1, 2 and 3 gave ~3-fold higher values by IMMAGE and ~2-fold by BNII on further sample dilution; initial FLC concentrations are within the measuring range;

d

Sample 8 was nonlinear by BNII and concentration was ~6-fold higher at 1 in 2000 final sample dilution compared with initial 1 in 100 dilution;

e

Sample 9 was underestimated at initial 1 in 10 IMMAGE dilution due to antigen excess; values were 20,300 mg/L and 17,500 mg/L at 1 in 5,000 and 1 in 10,000 final sample dilutions, respectively.

N/a, not available; IIMM, intact immunoglobulin myeloma; LCMM, light chain myeloma.