“…The patient who had a negative NG-Test hCG WB and a serum hCG level of 35 UI/l had a residual hCG level after early pregnancy loss, which returned a negative result 48 h later. Intact hCG is the bioactive form produced by the syncytiotrophoblast and it accounts for the quasitotality of serum hCG in the first trimester [7][8][9]. The β unit is a metabolite arising from its degradation and disappears after intact hCG [9], explaining our falsenegative result.…”
The NG-Test hCG WB showed a high sensitivity, specificity, PPV, and NPV. Its use as triage in the case of a negative pelvic ultrasound exam is a potential strategy to improve patient flow, with an average time saving of 85 min.
“…The patient who had a negative NG-Test hCG WB and a serum hCG level of 35 UI/l had a residual hCG level after early pregnancy loss, which returned a negative result 48 h later. Intact hCG is the bioactive form produced by the syncytiotrophoblast and it accounts for the quasitotality of serum hCG in the first trimester [7][8][9]. The β unit is a metabolite arising from its degradation and disappears after intact hCG [9], explaining our falsenegative result.…”
The NG-Test hCG WB showed a high sensitivity, specificity, PPV, and NPV. Its use as triage in the case of a negative pelvic ultrasound exam is a potential strategy to improve patient flow, with an average time saving of 85 min.
“…Sensitivity and specificity of urine hCG are found to be 99% and 92.2%, respectively. Although the test could result false positive or false negative, such outcomes are infrequent and can easily be corrected by serum tests …”
The aim of this case report is to increase the awareness about patient and fetus safety through preprocedure assessment and screening of unrecognized pregnancy for fluoroscopy‐guided procedures.
“…The concentration subsequently decreases to a stable level. [2,3] The free b subunit of hCG (free b-hCG) is the sole serum biomarker that can be tested in first-and second-trimester screening. [4] It has been reported [5] that the level of free b-hCG in maternal serum in Downsyndrome pregnancies during the second trimester is at least twice as high as that of chromosomally normal pregnancies, whereas the level of free b-hCG is lower in fetal trisomy 18 and trisomy 13.…”
Measurement of the free β subunit of human chorionic gonadotropin (free β-hCG) in serum is useful for prenatal screening. Concentrations of free β-hCG vary in different races. Conventional assays used for such measurements have limitations. We applied the AlphaLISA to measure levels of free β-hCG in maternal serum during 8-20 weeks of gestation in women from southern China. Two anti-free β-hCG antibodies were used: one was coated on AlphaLISA acceptor beads and the one was biotinylated. The assay also contained donor beads coated with streptavidin. The AlphaLISA assay detection limit was 0.11 ng/mL, and the analytical range was 0.11-200 ng/mL. The intra- and interassay coefficients of variation were 1.32%-2.50% and 3.44%-5.45%, respectively. The correlation with commercial Eu(3+)-labeled free β-HCG-TRFIA assay was good (y = 1.045x + 1.580, r(2) = 0.978). Median levels of free β-hCG in maternal serum at 8-20 weeks gestation were higher in women from southern China compared with those reported in women from other countries. The AlphaLISA for free β-HCG could become the assay of choice for applications in clinical diagnostics. The established median value of free β-HCG is helpful in clinical diagnosis specific for southern Chinese women.
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