Table 3.
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 |
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);
BNII κFLC measuring range for initial sample dilution of 1 in 100 was 5.6–179 mg/L (Lot 239854C);
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;
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;
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.