Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system

Background: BK virus (BKV) is the main cause of polyomavirus‐associated nephropathy in kidney transplant patients and hemorrhagic cystitis in bone marrow recipients. BKV quantitation by PCR is crucial in diagnostic and therapeutic management of transplant patients infected with BKV. We evaluated the...

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Main Authors: Amorce Lima, Luciano Soares, Caroline Simmons, Laura Rowe, Dominic Uy, Deanna Becker, Suzane Silbert
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Clinical Virology Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667038024000231
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author Amorce Lima
Luciano Soares
Caroline Simmons
Laura Rowe
Dominic Uy
Deanna Becker
Suzane Silbert
author_facet Amorce Lima
Luciano Soares
Caroline Simmons
Laura Rowe
Dominic Uy
Deanna Becker
Suzane Silbert
author_sort Amorce Lima
collection DOAJ
description Background: BK virus (BKV) is the main cause of polyomavirus‐associated nephropathy in kidney transplant patients and hemorrhagic cystitis in bone marrow recipients. BKV quantitation by PCR is crucial in diagnostic and therapeutic management of transplant patients infected with BKV. We evaluated the performance of the Qiagen BKV ASR for the quantification of BKV on the NeuMoDx™ 96 System and compared the results to our standard of care (SOC) test, the Diasorin BKV ASR on the Liaison® MDX. Methods: The analytical performance was assessed using commercially available BKV Panels that meet the 1st WHO International Standards for BKV nucleic acid amplification techniques. The clinical performance was evaluated using 204 residual plasma and urine samples previously identified with the SOC assay. Results: The assay exhibited a strong linear correlation (R² = 0.9985) with the reference panel and an excellent analytical accuracy (R² = 0.9976). The LoD was determined to be 50 IU/mL with remarkable precision within and between days (SDEV 0.00—0.57 and 0.05—0.31, respectively). Of the 204 samples, only 10 (4.9 %) were discordant (PPA = 92.37 %; NPA = 100 %). Although the Qiagen BKV ASR quantified BKV DNA at an average of 0.48 Log IU/mL lower than the SOC, it showed a strong concordance to the SOC results. Compared to the SOC, the Qiagen BKV ASR had a more automated workflow, with less hands-on time, leading to quicker turnaround time. Conclusion: The Qiagen BKV ASR is specific, sensitive, and accurate in quantifying BKV in plasma and urine specimens on the fully automated NeuMoDx™ 96 System.
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spelling doaj-art-daf12b6cd3fa4b238a817f8c9fc6baea2025-02-08T05:01:31ZengElsevierJournal of Clinical Virology Plus2667-03802025-02-0151100198Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx systemAmorce Lima0Luciano Soares1Caroline Simmons2Laura Rowe3Dominic Uy4Deanna Becker5Suzane Silbert6Esoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USACorresponding author at: Esoteric Testing/Research Laboratory, Tampa General Hospital, 1 Tampa General Circle, Tampa, FL, USA, 33606-3571.; Esoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USAEsoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USAEsoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USAEsoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USAEsoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USAEsoteric Testing/Research Laboratory, Pathology Department, Tampa General Hospital, Tampa, FL, USABackground: BK virus (BKV) is the main cause of polyomavirus‐associated nephropathy in kidney transplant patients and hemorrhagic cystitis in bone marrow recipients. BKV quantitation by PCR is crucial in diagnostic and therapeutic management of transplant patients infected with BKV. We evaluated the performance of the Qiagen BKV ASR for the quantification of BKV on the NeuMoDx™ 96 System and compared the results to our standard of care (SOC) test, the Diasorin BKV ASR on the Liaison® MDX. Methods: The analytical performance was assessed using commercially available BKV Panels that meet the 1st WHO International Standards for BKV nucleic acid amplification techniques. The clinical performance was evaluated using 204 residual plasma and urine samples previously identified with the SOC assay. Results: The assay exhibited a strong linear correlation (R² = 0.9985) with the reference panel and an excellent analytical accuracy (R² = 0.9976). The LoD was determined to be 50 IU/mL with remarkable precision within and between days (SDEV 0.00—0.57 and 0.05—0.31, respectively). Of the 204 samples, only 10 (4.9 %) were discordant (PPA = 92.37 %; NPA = 100 %). Although the Qiagen BKV ASR quantified BKV DNA at an average of 0.48 Log IU/mL lower than the SOC, it showed a strong concordance to the SOC results. Compared to the SOC, the Qiagen BKV ASR had a more automated workflow, with less hands-on time, leading to quicker turnaround time. Conclusion: The Qiagen BKV ASR is specific, sensitive, and accurate in quantifying BKV in plasma and urine specimens on the fully automated NeuMoDx™ 96 System.http://www.sciencedirect.com/science/article/pii/S2667038024000231BK virusViral loadOrgan transplantQiagen BKV ASR
spellingShingle Amorce Lima
Luciano Soares
Caroline Simmons
Laura Rowe
Dominic Uy
Deanna Becker
Suzane Silbert
Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
Journal of Clinical Virology Plus
BK virus
Viral load
Organ transplant
Qiagen BKV ASR
title Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
title_full Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
title_fullStr Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
title_full_unstemmed Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
title_short Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system
title_sort performance evaluation of the qiagen bk virus asr on the neumodx system
topic BK virus
Viral load
Organ transplant
Qiagen BKV ASR
url http://www.sciencedirect.com/science/article/pii/S2667038024000231
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