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. 2018 Mar 30;38(4):355–361. doi: 10.3343/alm.2018.38.4.355

Table 1. Summary of performance characteristics of four carcinoembryonic antigen (CEA) immunoassays according to information provided by the manufacturers.

Characteristics ADVIA Centaur XP ARCHITECT i2000sr Elecsys E170 UniCel DxI 800
Method principle Chemiluminescence immunoassay (CLIA) Chemiluminescent Microparticle Immunoassay (CMIA) Electrochemiluminescence immunoassay (ECLIA) Chemiluminescence immunoassay (CLIA)
Assay principle Two-site sandwich immunoassay Two-step immunoassay Sandwich immunoassay Two-site immunoenzymatic “sandwich” assay
Sample volume (μL) 50 60 10 35
Sample stability < 8 hours at 24℃ < 24 hours at 24℃ < 2 hours at 24℃ < 8 hours at 24℃
Sample storage < 48 hours at 2–8℃ < 7 days at 2–8℃ < 7 days at 2–8℃ < 48 hours at 2–8℃
> 48 hours at –20℃ > 7 days at –20℃ < 6 months at –20℃ > 48 hours at –20℃
Reagent Purified polyclonal rabbit anti-CEA antibody labeled with acridinium ester, monoclonal mouse anti-CEA antibody covalently coupled to paramagnetic particles Anti-CEA (mouse, monoclonal) coated microparticles, anti-CEA (mouse, monoclonal) acridinium-labeled conjugate Streptavidin-coated microparticles, Biotinylated monoclonal anti-CEA antibody (mouse/human), monoclonal anti-CEA antibody (mouse) labeled with ruthenium complex Anti-CEA MAb-alkaline phosphatase conjugate, anti-CEA MAb bound to paramagnetic particles
Calibration Traceable to an internal standard manufactured using highly purified material Traceable to an internal standard manufactured using highly purified material Standardized against the 1st IRP WHO Reference Standard 73/601 Traceable to an internal standard manufactured using highly purified material
Measuring range (ng/mL) 0.5–100 0.5–500 (can be extended to 1,500) 0.2–1,000 0.1–1,000
Limit of detection (ng/mL) 0.5 0.5 0.2 0.1
Precision (total % CV) 3.4–5.5 2.7–4.0 4.6–5.1 3.8–4.5
Reference value (ng/mL) 95th percentile; 5.0 93.5th percentile; < 5.0 95th percentile; 4.7, 5.2 95th percentile; 3.1–5.0