Table 2.
Diagnostic performance of FST and Biosensor as compared with gold-standard spectrophotometry
| Spectrophotometry | ||||||
| Male | Female | |||||
| Deficient | Normal | Deficient | Intermediate | Normal | ||
| FST | Deficient | 20 | 0 | 2 | 0 | 0 |
| Normal | 6* | 133 | 2* | 22 | 137 | |
| Total | 26 | 133 | 4 | 22 | 137 | |
| Biosensor | Deficient | 26 | 0 | 4 | 2† | 0 |
| Intermediate | NA | NA | 0 | 16 | 9‡ | |
| Normal | 0 | 125 | 0 | 4§ | 121 | |
| Total | 26 | 125 | 4 | 22 | 130 | |
Phenotypes are based on 30% and 70% thresholds for spectrophotometry. For Biosensor, threshold for deficiency is ≤4.8 IU/gHb and 4.9–9.9 IU/gHb for intermediate, both obtained by ROC analysis.
Total sample for Biosensor was 307; total sample for FST was 322 (3 samples were not analysed by FST at the clinic).
Characteristics of discordant samples are reported in online supplemental table 1.
*Enzymatic activities ranging from 12% to 27% of spectrophotometry MM.
†Two Mahidol heterozygotes with activity by spectrophotometry of 33% and 62% of MM.
‡Two Mahidol heterozygotes and seven wild-type samples with enzymatic activity by spectrophotometry ranging from 71% to 113%.
§Three Mahidol heterozygotes and one wild-type samples with enzymatic activity by spectrophotometry ranging from 54% to 64%.
FST, fluorescent spot test; MM, male median; NA, Not applicable; ROC, receiver operating characteristic.