Table 2.
Sensitivity of monoclonal gammopathy screening panels.
n | All 5 tests | Serum PEL and IFE; urine IFE | Serum PEL, IFE, and FLC | Serum PEL and FLC | Serum IFE | Serum PEL | Serum FLC | |
---|---|---|---|---|---|---|---|---|
Diagnosis, n | ||||||||
All | 1877 | 1851 | 1821 | 1828 | 1770 | 1632 | 1482 | 1395 |
MM | 467 | 467 | 461 | 467 | 467 | 441 | 409 | 452 |
Macroglobulinemia | 26 | 26 | 26 | 26 | 26 | 26 | 26 | 19 |
SMM | 191 | 191 | 191 | 191 | 190 | 188 | 180 | 155 |
MGUS | 524 | 524 | 524 | 509 | 465 | 486 | 429 | 222 |
Plasmacytoma | 29 | 26 | 26 | 26 | 25 | 21 | 21 | 16 |
POEMS | 31 | 30 | 30 | 30 | 23 | 30 | 23 | 3 |
Extramedullary plasmacytoma | 10 | 2 | 2 | 1 | 1 | 1 | 1 | 1 |
Primary AL | 581 | 570 | 547 | 564 | 559 | 429 | 383 | 513 |
LCDD | 18 | 15 | 14 | 14 | 14 | 10 | 10 | 14 |
Diagnosis, % | ||||||||
All | 98.6 | 97.0 | 97.4 | 94.3 | 87.0 | 79.0 | 74.3 | |
MM | 100.0 | 98.7 | 100.0 | 100.0 | 94.4 | 87.6 | 96.8 | |
Macroglobulinemia | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 73.1 | |
SMM | 100.0 | 100.0 | 100.0 | 99.5 | 98.4 | 94.2 | 81.2 | |
MGUS | 100.0 | 100.0 | 97.1 | 88.7 | 92.8 | 81.9 | 42.4 | |
Plasmacytoma | 89.7 | 89.7 | 89.7 | 86.2 | 72.4 | 72.4 | 55.2 | |
POEMS | 96.8 | 96.8 | 96.8 | 74.2 | 96.8 | 74.2 | 9.7 | |
Extramedullary plasmacytoma | 20.0 | 20.0 | 10.0 | 10.0 | 10.0 | 10.0 | 10.0 | |
Primary AL | 98.1 | 94.2 | 97.1 | 96.2 | 73.8 | 65.9 | 88.3 | |
LCDD | 83.3 | 77.8 | 77.8 | 77.8 | 55.6 | 55.6 | 77.8 |