Table 4. Comparison of classical with automated anti-neutrophil cytoplasmic antibody (ANCA) endpoint-titer analysis.
Classical (1/titer) | Automated (1/titer) | ||||||||||
= <10 | 20 | 40 | 80 | 160 | 320 | 640 | 1280 | 2560 | 5120 | N | |
= <10 | 402 (99.3%) | 2 (0.5%) | 1 (0.2%) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 405 |
20 | 8 (12.3%) | 55 (84.6%) | 1 (1.5%) | 1 (1.5%) | 0 | 0 | 0 | 0 | 0 | 0 | 65 |
40 | 0 | 6 (27.3%) | 13 (59.1%) | 3 (13.6%) | 0 | 0 | 0 | 0 | 0 | 0 | 22 |
80 | 0 | 0 | 5 (26.3%) | 12 (63.2%) | 2 (10.5%) | 0 | 0 | 0 | 0 | 0 | 19 |
160 | 0 | 0 | 0 | 4 (33.3%) | 6 (50.0%) | 1 (8.3%) | 0 | 1 (8.3%) | 0 | 0 | 12 |
320 | 0 | 0 | 0 | 0 | 6 (24.0%) | 12 (48.0%) | 7 (28.0%) | 0 | 0 | 0 | 25 |
640 | 0 | 0 | 0 | 0 | 2 (8.3%) | 6 (25.0%) | 11 (45.8%) | 5 (20.8%) | 0 | 0 | 24 |
1280 | 0 | 0 | 0 | 0 | 0 | 1 (7.7%) | 4 (30.8%) | 7 (53.8%) | 1 (7.7%) | 0 | 13 |
2560 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (50.0%) | 1 (50.0%) | 2 |
5120 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (40.0%) | 3 (60.0%) | 5 |
410 | 63 | 20 | 20 | 16 | 20 | 22 | 13 | 4 | 4 | 592 |
ANCA endpoint titers were determined by serial dilution of the 592 samples included in the study by classical indirect immunofluorescence (IIF) and compared to those detected by automated CytoBead IIF on the digital IIF interpretation system Aklides using a 1 to 20 serum dilution only.