首页> 外文期刊>Journal of Neuroimmunology: Official Bulletin of the Research Committee on Neuroimmunology of the World Federation of Neurology >Determination of kFLC and K index in cerebrospinal fluid: A valid alternative to assessintrathecal immunoglobulin synthesis
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Determination of kFLC and K index in cerebrospinal fluid: A valid alternative to assessintrathecal immunoglobulin synthesis

机译:脑脊液中kFLC和K指数的测定:评估鞘内免疫球蛋白合成的有效替代方法

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摘要

Intrathecal immunoglobulin synthesis is observed in several disorders of the central nervous system, but its detection by current laboratory tests is relatively insensitive and operator depending. We assessed the diagnostic accuracy of a nephelometric assay for k free light chain determination in cerebrospinal fluid and serum. The patients were grouped according to clinical and laboratory criteria. ROC curves for all methods were performed to find the best cut-off value. kFLC Index seems to be more accurate than other parameters. Our data indicate that nephelometric assay for kFLCs in CSF reliably detect intrathecal immunoglobulin synthesis and discriminate multiple sclerosis patients.
机译:鞘内免疫球蛋白的合成在中枢神经系统的几种疾病中都可以观察到,但是目前实验室检测的鞘内免疫球蛋白合成相对不灵敏并且取决于操作者。我们评估了浊度测定法对脑脊液和血清中k游离轻链测定的诊断准确性。根据临床和实验室标准将患者分组。执行所有方法的ROC曲线以找到最佳的临界值。 kFLC指数似乎比其他参数更准确。我们的数据表明,对CSF中的kFLC进行比浊法测定能够可靠地检测鞘内免疫球蛋白的合成并区分多发性硬化症患者。

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