Automated Indirect Immunofluorescence Evaluation of Antinuclear Autoantibodies on HEp-2 Cells英文文献资料.docVIP
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Automated Indirect Immunofluorescence Evaluation of Antinuclear Autoantibodies on HEp-2 Cells英文文献资料
HindawiPublishingCorporation
ClinicalandDevelopmentalImmunology
Volume2012,ArticleID651058,7pages
doi:10.1155/2012/651058
ResearchArticle
AutomatedIndirectImmuno?uorescenceEvaluationof
AntinuclearAutoantibodiesonHEp-2Cells
J¨ornVoigt,
MelanieHahn,
ErhardtBarth,
1
ChristopherKrause,
MaickDanckwardt,
ThomasMartinetz,
1
EddaRohw¨ader,
ChristianFeirer,
andWinfriedSt¨ocker
1
1
SandraSaschenbrecker,
KonstantinEns, KaiFechner,
1
1
1
1
1
1
2
2
1
2
InstituteforExperimentalImmunology,EuroimmunAG,Seekamp31,23560L¨ubeck,Germany
InstituteforNeuro-andBioinformatics,UniversityofL¨ubeck,RatzeburgerAllee160,23562L¨ubeck,Germany
CorrespondenceshouldbeaddressedtoJ¨ornVoigt,j.voigt@euroimmun.de
Received5October2012;Accepted18October2012
AcademicEditor:DimitriosP.Bogdanos
Copyright?2012J¨ornVoigtetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,
whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.
Indirectimmuno?uorescence(IIF)onhumanepithelial(HEp-2)cellsisconsideredasthegoldstandardscreeningmethodforthe
detectionofantinuclearautoantibodies(ANA).However,intermsofautomationandstandardization,ithasnotbeenabletokeep
pacewithmostotheranalyticaltechniquesusedindiagnosticlaboratories.Althoughtherearealreadysomeautomationsolutions
forIIFincubationinthemarket,theautomationofresultevaluationisstillinitsinfancy.Therefore,theEUROPatternSuitehas
beendevelopedasacomprehensiveautomatedprocessingandinterpretationsystemforstandardizedande?cientANAdetection
byHEp-2cell-basedIIF.Inthisstudy,theautomatedpatternrecognitionwascomparedtoconventionalvisualinterpretationin
atotalof351sera.Inthediscriminationofpositivefromnegativesamples,concordantresultsbetweenvisualandautomated
evaluationwereobtainedfor349sera(99.4%,kappa=0.984).Thesystemmissedoutnoneofthe272antibody-positivesamples
andidenti?ed77outof79visuallynegativesamples(analyticalsensitivity/speci?city:100%/97.5%).Moreover,94.0%ofallmain
antibodypatternswererecog
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